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  1. Article ; Online: Allograft nephrectomy vs. no nephrectomy for failed renal transplants.

    McDonald, Michelle

    Frontiers in nephrology

    2023  Volume 3, Page(s) 1169181

    Abstract: The role of allograft nephrectomy (AN) in failed renal transplants is a topic of debate, owing to controversial results reported in the literature and the fact that most of the studies are limited by a retrospective design and small numbers of ... ...

    Abstract The role of allograft nephrectomy (AN) in failed renal transplants is a topic of debate, owing to controversial results reported in the literature and the fact that most of the studies are limited by a retrospective design and small numbers of participants. Allograft nephrectomy is most likely of benefit in the patient with recurrent allograft intolerance syndrome (AIS) following pulse steroids. Immunosuppression weaning in the presence of clinical signs related to a chronic inflammatory state is also reasonable grounds to pursue AN. Studies are mainly inconclusive but suggest that AN has no overall benefit for allograft survival after retransplant. This topic is still of interest in the transplant field and is particularly relevant for patients who are likely to require retransplantation within their lifetime. Further assessment is needed in the form of randomized controlled trials that control for various AN indications and immunosuppression regimens, and have clearly defined survival outcomes.
    Language English
    Publishing date 2023-07-20
    Publishing country Switzerland
    Document type Journal Article ; Review
    ISSN 2813-0626
    ISSN (online) 2813-0626
    DOI 10.3389/fneph.2023.1169181
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Letter to the Editor:

    Brown, Robert E / McDonald, Michelle M / Ghosh, Anindita

    Annals of clinical and laboratory science

    2021  Volume 51, Issue 1, Page(s) 145–146

    MeSH term(s) COVID-19/complications ; COVID-19/pathology ; Cytokine Release Syndrome/virology ; Humans ; Interleukin-6/metabolism ; Molecular Targeted Therapy ; Phosphorylation ; Proteomics ; STAT3 Transcription Factor/metabolism ; Thrombosis/virology ; Viral Load
    Chemical Substances Interleukin-6 ; STAT3 Transcription Factor
    Language English
    Publishing date 2021-03-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 193092-8
    ISSN 1550-8080 ; 0091-7370 ; 0095-8905
    ISSN (online) 1550-8080
    ISSN 0091-7370 ; 0095-8905
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The performance of artificial intelligence chatbot large language models to address skeletal biology and bone health queries.

    Cung, Michelle / Sosa, Branden / Yang, He S / McDonald, Michelle M / Matthews, Brya G / Vlug, Annegreet G / Imel, Erik A / Wein, Marc N / Stein, Emily Margaret / Greenblatt, Matthew B

    Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research

    2024  

    Abstract: Artificial intelligence (AI) chatbots utilizing large language models (LLMs) have recently garnered significant interest due to their ability to generate humanlike responses to user inquiries in an interactive dialog format. While these models are being ... ...

    Abstract Artificial intelligence (AI) chatbots utilizing large language models (LLMs) have recently garnered significant interest due to their ability to generate humanlike responses to user inquiries in an interactive dialog format. While these models are being increasingly utilized to obtain medical information by patients, scientific and medical providers, and trainees to address biomedical questions, their performance may vary from field to field. The opportunities and risks these chatbots pose to the widespread understanding of skeletal health and science are unknown. Here we assess the performance of 3 high-profile LLM chatbots, Chat Generative Pre-Trained Transformer (ChatGPT) 4.0, BingAI, and Bard, to address 30 questions in 3 categories: basic and translational skeletal biology, clinical practitioner management of skeletal disorders, and patient queries to assess the accuracy and quality of the responses. Thirty questions in each of these categories were posed, and responses were independently graded for their degree of accuracy by four reviewers. While each of the chatbots was often able to provide relevant information about skeletal disorders, the quality and relevance of these responses varied widely, and ChatGPT 4.0 had the highest overall median score in each of the categories. Each of these chatbots displayed distinct limitations that included inconsistent, incomplete, or irrelevant responses, inappropriate utilization of lay sources in a professional context, a failure to take patient demographics or clinical context into account when providing recommendations, and an inability to consistently identify areas of uncertainty in the relevant literature. Careful consideration of both the opportunities and risks of current AI chatbots is needed to formulate guidelines for best practices for their use as source of information about skeletal health and biology.
    Language English
    Publishing date 2024-01-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 632783-7
    ISSN 1523-4681 ; 0884-0431
    ISSN (online) 1523-4681
    ISSN 0884-0431
    DOI 10.1093/jbmr/zjad007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: New Horizons: Translational Aspects of Osteomorphs.

    Park-Min, Kyung-Hyun / Mun, Se Hwan / Bockman, Richard / McDonald, Michelle M

    The Journal of clinical endocrinology and metabolism

    2023  Volume 109, Issue 5, Page(s) e1373–e1378

    Abstract: Osteomorphs are a newly described osteoclast lineage cell in mice, which are suggested to play a significant role in the maintenance of bone resorption. Preclinical investigations revealed that osteomorphs are generated through the fission of ... ...

    Abstract Osteomorphs are a newly described osteoclast lineage cell in mice, which are suggested to play a significant role in the maintenance of bone resorption. Preclinical investigations revealed that osteomorphs are generated through the fission of multinucleated bone-resorbing osteoclasts and can also re-fuse with existing osteoclasts. Modifications to RANKL signaling have been shown to alter cycles of fission and re-fusion of osteomorphs in mice. These novel findings were also shown to contribute to the rebound phenomenon after cessation of anti-RANKL therapy in mice. Moreover, the absence of osteomorph-specific genes in mice exhibits bone structural and quality phenotypes. Given these insights, it could be speculated that osteomorphs play a significant role in bone homeostasis, bone metabolic diseases, and response to therapeutics. In this review, we discuss these potential translational roles for osteomorphs. Importantly, we highlight the need for future preclinical and clinical studies to verify the presence of osteomorphs in humans and explore further the translational implications of this discovery.
    MeSH term(s) Humans ; Animals ; Mice ; Osteoclasts/metabolism ; Bone Resorption/metabolism ; Bone and Bones/metabolism ; RANK Ligand/metabolism ; Cell Differentiation
    Chemical Substances RANK Ligand
    Language English
    Publishing date 2023-12-06
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 3029-6
    ISSN 1945-7197 ; 0021-972X
    ISSN (online) 1945-7197
    ISSN 0021-972X
    DOI 10.1210/clinem/dgad711
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Osteoclast Recycling and the Rebound Phenomenon Following Denosumab Discontinuation.

    Kim, Albert S / Girgis, Christian M / McDonald, Michelle M

    Current osteoporosis reports

    2022  Volume 20, Issue 6, Page(s) 505–515

    Abstract: Purpose of review: Inhibition of receptor activator of nuclear factor kappa-B ligand (RANKL) with denosumab is an effective treatment in a number of conditions including osteoporosis where suppression of bone resorption is desired. However, denosumab ... ...

    Abstract Purpose of review: Inhibition of receptor activator of nuclear factor kappa-B ligand (RANKL) with denosumab is an effective treatment in a number of conditions including osteoporosis where suppression of bone resorption is desired. However, denosumab discontinuation is associated with rebound increase in bone resorption and subsequent loss in bone mass and a rapid return to baseline fracture risk. We review recent data on the rebound increase in bone resorption following denosumab discontinuation and the potential mechanisms behind this phenomenon.
    Recent findings: Osteoclasts have been considered to be highly specialised cells that undergo apoptosis after fulfilling their function of bone resorption. However, recent studies suggest that osteoclasts are longer lived cells which migrate through vasculature and are capable of undergoing fission into a novel cell type (the osteomorph) and re-fusion in a process termed osteoclast recycling. The life cycle of the osteoclast is more complex than previously appreciated. Osteoclast recycling provides a novel mechanistic framework to examine changes in osteoclast biology in response to treatment of bone diseases and provides an exciting new avenue towards personalised medicine.
    MeSH term(s) Humans ; Osteoclasts ; Denosumab/pharmacology ; Denosumab/therapeutic use ; RANK Ligand ; Bone Resorption/drug therapy ; Osteoporosis/drug therapy
    Chemical Substances Denosumab (4EQZ6YO2HI) ; RANK Ligand
    Language English
    Publishing date 2022-10-06
    Publishing country United States
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 2186581-4
    ISSN 1544-2241 ; 1544-1873
    ISSN (online) 1544-2241
    ISSN 1544-1873
    DOI 10.1007/s11914-022-00756-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Empathy across the ages: "I may be older but I'm still feeling it".

    Kelly, Michelle / McDonald, Skye / Wallis, Kimberley

    Neuropsychology

    2021  Volume 36, Issue 2, Page(s) 116–127

    Abstract: Objective: Empathy is the ability to understand and respond to another person's experience and is an important skill for maintaining good relationships across the lifespan. Past research has predominately relied on self-report measures of : Method: ... ...

    Abstract Objective: Empathy is the ability to understand and respond to another person's experience and is an important skill for maintaining good relationships across the lifespan. Past research has predominately relied on self-report measures of
    Method: Two-hundred and thirty-one adults aged 17-94 years were administered behavioral measures of cognitive and affective empathy alongside traditional trait measures. We also examined the potential impact of advancing age on inhibition of self-relevant information and the relationship between this and the cognitive, affective and motivational components of empathic ability.
    Results: Age was not a predictor of either
    Conclusions: The relationship between advancing age and empathic skills is complex, with age possibly conferring both advantages and disadvantages. Inhibition should be examined alongside other general cognitive skills in future studies investigating empathy using behavioural measures. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Aging ; Cognition ; Emotions ; Empathy ; Humans ; Middle Aged ; Self Report ; Young Adult
    Language English
    Publishing date 2021-12-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1042412-x
    ISSN 1931-1559 ; 0894-4105
    ISSN (online) 1931-1559
    ISSN 0894-4105
    DOI 10.1037/neu0000783
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Visualisation of tumour cells in bone in vivo at single-cell resolution.

    Chai, Ryan C / McDonald, Michelle M

    Bone

    2021  Volume 158, Page(s) 116113

    Abstract: The skeleton is a common site for the establishment of distant metastases. Once cancers occupy bone, the prognosis is poor as disease recurrence and visceral spread is imminent. Understanding the pathways and cellular interactions, which regulate tumour ... ...

    Abstract The skeleton is a common site for the establishment of distant metastases. Once cancers occupy bone, the prognosis is poor as disease recurrence and visceral spread is imminent. Understanding the pathways and cellular interactions, which regulate tumour cell seeding, dormancy and growth in bone, is pertinent to improving outcomes for patients with advanced cancers. Advances in imaging techniques have facilitated the development of the concept that the behavior of bone marrow resident cells dictates the fate of tumour cells upon arrival in bone. This review summarises recent findings achieved through intravital imaging. It highlights the importance of developing both longitudinal static and acute dynamic data to develop our understanding of tumour cell engraftment, dormancy, activation and the subsequent establishment of metastases. We also describe how imaging techniques have developed our knowledge of the elements that make up the complex bone microenvironment which tumour cells interact with to survive and grow. We also discuss how through combining these imaging insights with single cell RNA sequencing data, we are entering a new era of research which has the power to define the cell-cell interactions which control tumour cell growth in bone.
    MeSH term(s) Bone Neoplasms/diagnostic imaging ; Bone Neoplasms/pathology ; Cell Count ; Humans ; Neoplasms/pathology ; Prognosis ; Radiopharmaceuticals ; Tumor Microenvironment
    Chemical Substances Radiopharmaceuticals
    Language English
    Publishing date 2021-07-15
    Publishing country United States
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 632515-4
    ISSN 1873-2763 ; 8756-3282
    ISSN (online) 1873-2763
    ISSN 8756-3282
    DOI 10.1016/j.bone.2021.116113
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Corrigendum to "Tyrphostin reduces the organ injury in haemorrhagic shock: Role of inducible nitric oxide synthase" [Resuscitation 58(3) (2003) 349-361].

    McDonald, Michelle / Abdelrahman, Maha / Cuzzocrea, Salvatore / Thiemermann, Christoph

    Resuscitation

    2024  Volume 198, Page(s) 110170

    Language English
    Publishing date 2024-03-11
    Publishing country Ireland
    Document type Published Erratum
    ZDB-ID 189901-6
    ISSN 1873-1570 ; 0300-9572
    ISSN (online) 1873-1570
    ISSN 0300-9572
    DOI 10.1016/j.resuscitation.2024.110170
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Increased Bone Formation and Accelerated Bone Mass Accrual in a Man Presenting with Diffuse Osteosclerosis/High Bone Mass Phenotype and Adenocarcinoma of Unknown Primary.

    Diamond, Terrence H / Bryant, Carl / Quinn, Richard / Mohanty, Sindhu T / Bonar, Fiona / Baldock, Paul A / McDonald, Michelle M

    JBMR plus

    2023  Volume 7, Issue 8, Page(s) e10734

    Abstract: A 71-year-old man was referred for evaluation of incidental generalized osteosclerosis. He was found to have a high bone mass (HBM) with an elevated lumbar spine bone mineral density (BMD) Z-score of +5.3. Over an 18-month period, his lumbar spine BMD ... ...

    Abstract A 71-year-old man was referred for evaluation of incidental generalized osteosclerosis. He was found to have a high bone mass (HBM) with an elevated lumbar spine bone mineral density (BMD) Z-score of +5.3. Over an 18-month period, his lumbar spine BMD measured by dual energy X-ray absorptiometry (DXA) had increased by +64% from 1.09 to 1.79 g/cm
    Language English
    Publishing date 2023-06-14
    Publishing country England
    Document type Case Reports
    ISSN 2473-4039
    ISSN (online) 2473-4039
    DOI 10.1002/jbm4.10734
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The Congenital Syphilis Prevention Cascade: Reimagining a Missed Prevention Opportunities Framework for Effective Intervention.

    O'Callaghan, Kevin P / Johnson Jones, Michelle L / McDonald, Robert / Jackson, David A / Grey, Jeremy A / Kreisel, Kristen M / Torrone, Elizabeth

    Sexually transmitted diseases

    2023  Volume 51, Issue 1, Page(s) 8–10

    Abstract: Abstract: Congenital syphilis (CS) rates have risen in the United States since 2013. Prevention of CS requires testing and treatment of pregnant and pregnancy-capable persons at high risk for syphilis. We developed a CS Prevention Cascade to assess how ... ...

    Abstract Abstract: Congenital syphilis (CS) rates have risen in the United States since 2013. Prevention of CS requires testing and treatment of pregnant and pregnancy-capable persons at high risk for syphilis. We developed a CS Prevention Cascade to assess how effectively testing and treatment interventions reached pregnant persons with a CS outcome.
    MeSH term(s) Pregnancy ; Female ; Humans ; United States/epidemiology ; Syphilis, Congenital/epidemiology ; Syphilis, Congenital/prevention & control ; Pregnancy Complications, Infectious/diagnosis ; Pregnancy Complications, Infectious/prevention & control ; Infectious Disease Transmission, Vertical/prevention & control ; Syphilis/diagnosis ; Syphilis/epidemiology ; Syphilis/prevention & control
    Language English
    Publishing date 2023-10-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 435191-5
    ISSN 1537-4521 ; 0148-5717
    ISSN (online) 1537-4521
    ISSN 0148-5717
    DOI 10.1097/OLQ.0000000000001892
    Database MEDical Literature Analysis and Retrieval System OnLINE

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