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Article ; Online: The impact of daily supplementation with rhamnogalacturonan-I on the gut microbiota in healthy adults: A randomized controlled trial.

Jian, Ching / Sorensen, Nikolaj / Lutter, René / Albers, Ruud / de Vos, Willem / Salonen, Anne / Mercenier, Annick

Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie

2024 Volume 174, Page(s) 116561

Abstract: Pectin and its derivatives have been shown to modulate immune signaling as well as gut microbiota in preclinical studies, which may constitute the mechanisms by which supplementation of specific pectic polysaccharides confers protection against viral ... ...

Abstract	Pectin and its derivatives have been shown to modulate immune signaling as well as gut microbiota in preclinical studies, which may constitute the mechanisms by which supplementation of specific pectic polysaccharides confers protection against viral respiratory infections. In a double-blind, placebo-controlled rhinovirus (RV16) challenge study, healthy volunteers were randomized to consume placebo (0.0 g/day) (N = 46), low-dose (0.3 g/day) (N = 49) or high-dose (1.5 g/day) (N = 51) of carrot derived rhamnogalacturonan-I (cRG-I) for eight weeks and they were subsequently challenged with RV-16. Here, the effect of 8-week cRG-I supplementation on the gut microbiota was studied. While the overall gut microbiota composition in the population was generally unaltered by this very low dose of fibre, the relative abundance of Bifidobacterium spp. (mainly B. adolescentis and B. longum) was significantly increased by both doses of cRG-1. Moreover, daily supplementation of cRG-I led to a dose-dependent reduction in inter- and intra-individual microbiota heterogeneity, suggesting a stabilizing effect on the gut microbiota. The severity of respiratory symptoms did not directly correlate with the cRG-I-induced microbial changes, but several dominant groups of the Ruminococcaceae family and microbiota richness were positively associated with a reduced and hence desired post-infection response. Thus, the present results on the modulation of the gut microbiota composition support the previously demonstrated immunomodulatory and protective effect of cRG-I during a common cold infection.
MeSH term(s)	Humans ; Pectins/administration & dosage ; Pectins/pharmacology ; Gastrointestinal Microbiome/drug effects ; Male ; Adult ; Double-Blind Method ; Female ; Dietary Supplements ; Healthy Volunteers ; Young Adult ; Rhinovirus/drug effects ; Middle Aged ; Feces/microbiology ; Bifidobacterium/drug effects
Chemical Substances	Pectins (89NA02M4RX) ; rhamnogalacturonan I
Language	English
Publishing date	2024-04-08
Publishing country	France
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	392415-4
ISSN	1950-6007 ; 0753-3322 ; 0300-0893
ISSN (online)	1950-6007
ISSN	0753-3322 ; 0300-0893
DOI	10.1016/j.biopha.2024.116561
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Article ; Online: Translational framework for implementation evaluation and research: Protocol for a qualitative systematic review of studies informed by Normalization Process Theory (NPT) [version 1; peer review: 2 approved].

May, Carl R / Albers, Bianca / Desveaux, Laura / Finch, Tracy L / Gilbert, Anthony / Hillis, Alyson / Girling, Melissa / Kislov, Roman / MacFarlane, Anne / Mair, Frances S / May, Christine M / Murray, Elizabeth / Potthoff, Sebastian / Rapley, Tim

NIHR open research

2022 Volume 2, Page(s) 41

Abstract: Background: Normalization Process Theory (NPT) identifies mechanisms that have been demonstrated to play an important role in implementation processes. It is now widely used to inform feasibility, process evaluation, and implementation studies in ... ...

Abstract	Background: Normalization Process Theory (NPT) identifies mechanisms that have been demonstrated to play an important role in implementation processes. It is now widely used to inform feasibility, process evaluation, and implementation studies in healthcare and other areas of work. This qualitative synthesis of NPT studies aims to better understand how NPT explains observed and reported implementation processes, and to explore the ways in which its constructs explain the implementability, enacting and sustainment of complex healthcare interventions. Methods: We will systematically search Scopus, PubMed and Web of Science databases and use the Google Scholar search engine for citations of key papers in which NPT was developed. This will identify English language peer-reviewed articles in scientific journals reporting (a) primary qualitative or mixed methods studies; or, (b) qualitative or mixed methods evidence syntheses in which NPT was the primary analytic framework. Studies may be conducted in any healthcare setting, published between June 2006 and 31 December 2021. We will perform a qualitative synthesis of included studies using two parallel methods: (i) directed content analysis based on an already developed coding manual; and (ii) unsupervised textual analysis using Leximancer® topic modelling software. Other: We will disseminate results of the review using peer reviewed publications, conference and seminar presentations, and social media (Facebook and Twitter) channels. The primary source of funding is the National Institute for Health Research ARC North Thames. No human subjects or personal data are involved and no ethical issues are anticipated.
Language	English
Publishing date	2022-08-02
Publishing country	England
Document type	Journal Article
ISSN	2633-4402
ISSN (online)	2633-4402
DOI	10.3310/nihropenres.13269.1
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Article ; Online: Göteborg-2-Studie – PSA(prostataspezifisches Antigen)-basiertes Prostatakarzinomscreening mit frühzeitigem Start vor dem 55. Lebensjahr.

Wolframm, Benedikt / Hübner, Anne / Handke, Analena Elisa / Bushoff, Isabelle / Lakes, Jale / Al-Monajjed, Rouvier / Albers, Peter / Radtke, Jan Philipp

Urologie (Heidelberg, Germany)

2023 Volume 62, Issue 7, Page(s) 727–729

Title translation	Göteborg 2 study-early PSA-based prostate cancer screening prior to the age of 55 years.
MeSH term(s)	Male ; Humans ; Middle Aged ; Prostatic Neoplasms/diagnosis ; Prostate-Specific Antigen ; Early Detection of Cancer ; Mass Screening ; Biopsy
Chemical Substances	Prostate-Specific Antigen (EC 3.4.21.77)
Language	German
Publishing date	2023-05-26
Publishing country	Germany
Document type	Journal Article
ISSN	2731-7072
ISSN (online)	2731-7072
DOI	10.1007/s00120-023-02112-6
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Article ; Online: Translational framework for implementation evaluation and research: a normalisation process theory coding manual for qualitative research and instrument development.

May, Carl R / Albers, Bianca / Bracher, Mike / Finch, Tracy L / Gilbert, Anthony / Girling, Melissa / Greenwood, Kathryn / MacFarlane, Anne / Mair, Frances S / May, Christine M / Murray, Elizabeth / Potthoff, Sebastian / Rapley, Tim

Implementation science : IS

2022 Volume 17, Issue 1, Page(s) 19

Abstract: Background: Normalisation Process Theory (NPT) is frequently used to inform qualitative research that aims to explain and evaluate processes that shape late-stage translation of innovations in the organisation and delivery of healthcare. A coding manual ...

Abstract	Background: Normalisation Process Theory (NPT) is frequently used to inform qualitative research that aims to explain and evaluate processes that shape late-stage translation of innovations in the organisation and delivery of healthcare. A coding manual for qualitative researchers using NPT will facilitate transparent data analysis processes and will also reduce the cognitive and practical burden on researchers. Objectives: (a) To simplify the theory for the user. (b) To describe the purposes, methods of development, and potential application of a coding manual that translates normalisation process theory (NPT) into an easily usable framework for qualitative analysis. (c) To present an NPT coding manual that is ready for use. Method: Qualitative content analysis of papers and chapters that developed normalisation process theory, selection and structuring of theory constructs, and testing constructs against interview data and published empirical studies using NPT. Results: A coding manual for NPT was developed. It consists of 12 primary NPT constructs and conforms to the Context-Mechanism-Outcome configuration of realist evaluation studies. Contexts are defined as settings in which implementation work is done, in which strategic intentions, adaptive execution, negotiating capability, and reframing organisational logics are enacted. Mechanisms are defined as the work that people do when they participate in implementation processes and include coherence-building, cognitive participation, collective action, and reflexive monitoring. Outcomes are defined as effects that make visible how things change as implementation processes proceed and include intervention mobilisation, normative restructuring, relational restructuring, and sustainment. Conclusion: The coding manual is ready to use and performs three important tasks. It consolidates several iterations of theory development, makes the application of NPT simpler for the user, and links NPT constructs to realist evaluation methods. The coding manual forms the core of a translational framework for implementation research and evaluation.
MeSH term(s)	Delivery of Health Care/methods ; Humans ; Qualitative Research
Language	English
Publishing date	2022-02-22
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2225822-X
ISSN	1748-5908 ; 1748-5908
ISSN (online)	1748-5908
ISSN	1748-5908
DOI	10.1186/s13012-022-01191-x
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Article ; Online: Translational framework for implementation evaluation and research

Carl R. May / Bianca Albers / Mike Bracher / Tracy L. Finch / Anthony Gilbert / Melissa Girling / Kathryn Greenwood / Anne MacFarlane / Frances S. Mair / Christine M. May / Elizabeth Murray / Sebastian Potthoff / Tim Rapley

Implementation Science, Vol 17, Iss 1, Pp 1-

a normalisation process theory coding manual for qualitative research and instrument development

2022 Volume 15

Abstract: Abstract Background Normalisation Process Theory (NPT) is frequently used to inform qualitative research that aims to explain and evaluate processes that shape late-stage translation of innovations in the organisation and delivery of healthcare. A coding ...

Abstract	Abstract Background Normalisation Process Theory (NPT) is frequently used to inform qualitative research that aims to explain and evaluate processes that shape late-stage translation of innovations in the organisation and delivery of healthcare. A coding manual for qualitative researchers using NPT will facilitate transparent data analysis processes and will also reduce the cognitive and practical burden on researchers. Objectives (a) To simplify the theory for the user. (b) To describe the purposes, methods of development, and potential application of a coding manual that translates normalisation process theory (NPT) into an easily usable framework for qualitative analysis. (c) To present an NPT coding manual that is ready for use. Method Qualitative content analysis of papers and chapters that developed normalisation process theory, selection and structuring of theory constructs, and testing constructs against interview data and published empirical studies using NPT. Results A coding manual for NPT was developed. It consists of 12 primary NPT constructs and conforms to the Context-Mechanism-Outcome configuration of realist evaluation studies. Contexts are defined as settings in which implementation work is done, in which strategic intentions, adaptive execution, negotiating capability, and reframing organisational logics are enacted. Mechanisms are defined as the work that people do when they participate in implementation processes and include coherence-building, cognitive participation, collective action, and reflexive monitoring. Outcomes are defined as effects that make visible how things change as implementation processes proceed and include intervention mobilisation, normative restructuring, relational restructuring, and sustainment. Conclusion The coding manual is ready to use and performs three important tasks. It consolidates several iterations of theory development, makes the application of NPT simpler for the user, and links NPT constructs to realist evaluation methods. The coding manual forms the ...
Keywords	Medicine (General) ; R5-920
Subject code	650 ; 380
Language	English
Publishing date	2022-02-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Evaluating the Potential for ABO-incompatible Islet Transplantation: Expression of ABH Antigens on Human Pancreata, Isolated Islets, and Embryonic Stem Cell-derived Islets.

Verhoeff, Kevin / Cuesta-Gomez, Nerea / Albers, Patrick / Pawlick, Rena / Marfil-Garza, Braulio A / Jasra, Ila / Dadheech, Nidheesh / O'Gorman, Doug / Kin, Tatsuya / Halpin, Anne / West, Lori J / Shapiro, A M James

Transplantation

2023 Volume 107, Issue 4, Page(s) e98–e108

Abstract: Background: ABO-incompatible transplantation has improved accessibility of kidney, heart, and liver transplantation. Pancreatic islet transplantation continues to be ABO-matched, yet ABH antigen expression within isolated human islets or novel human ... ...

Abstract	Background: ABO-incompatible transplantation has improved accessibility of kidney, heart, and liver transplantation. Pancreatic islet transplantation continues to be ABO-matched, yet ABH antigen expression within isolated human islets or novel human embryonic stem cell (hESC)-derived islets remain uncharacterized. Methods: We evaluated ABH glycans within human pancreata, isolated islets, hESC-derived pancreatic progenitors, and the ensuing in vivo mature islets following kidney subcapsular transplantation in rats. Analyses include fluorescence immunohistochemistry and single-cell analysis using flow cytometry. Results: Within the pancreas, endocrine and ductal cells do not express ABH antigens. Conversely, pancreatic acinar tissues strongly express these antigens. Acinar tissues are present in a substantial portion of cells within islet preparations obtained for clinical transplantation. The hESC-derived pancreatic progenitors and their ensuing in vivo-matured islet-like clusters do not express ABH antigens. Conclusions: Clinical pancreatic islet transplantation should remain ABO-matched because of contaminant acinar tissue within islet preparations that express ABH glycans. Alternatively, hESC-derived pancreatic progenitors and the resulting in vivo-matured hESC-derived islets do not express ABH antigens. These findings introduce the potential for ABO-incompatible cell replacement treatment and offer evidence to support scalability of hESC-derived cell therapies in type 1 diabetes.
MeSH term(s)	Animals ; Humans ; Rats ; Antigens ; Diabetes Mellitus, Type 1/surgery ; Embryonic Stem Cells ; Islets of Langerhans/metabolism ; Islets of Langerhans Transplantation ; Pancreas ; ABO Blood-Group System/immunology
Chemical Substances	Antigens ; ABO Blood-Group System
Language	English
Publishing date	2023-03-31
Publishing country	United States
Document type	Journal Article
ZDB-ID	208424-7
ISSN	1534-6080 ; 0041-1337
ISSN (online)	1534-6080
ISSN	0041-1337
DOI	10.1097/TP.0000000000004347
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Article ; Online: Translational framework for implementation evaluation and research

Roman Kislov / Melissa Girling / Frances S Mair / Anne MacFarlane / Elizabeth Murray / Christine M May / Tim Rapley / Sebastian Potthoff / Bianca Albers / Carl R May / Tracy L Finch / Laura Desveaux / Alyson Hillis / Anthony Gilbert

NIHR Open Research, Vol

Protocol for a qualitative systematic review of studies informed by Normalization Process Theory (NPT) [version 1; peer review: 2 approved]

2022 Volume 2

Abstract	Background: Normalization Process Theory (NPT) identifies mechanisms that have been demonstrated to play an important role in implementation processes. It is now widely used to inform feasibility, process evaluation, and implementation studies in healthcare and other areas of work. This qualitative synthesis of NPT studies aims to better understand how NPT explains observed and reported implementation processes, and to explore the ways in which its constructs explain the implementability, enacting and sustainment of complex healthcare interventions. Methods: We will systematically search Scopus, PubMed and Web of Science databases and use the Google Scholar search engine for citations of key papers in which NPT was developed. This will identify English language peer-reviewed articles in scientific journals reporting (a) primary qualitative or mixed methods studies; or, (b) qualitative or mixed methods evidence syntheses in which NPT was the primary analytic framework. Studies may be conducted in any healthcare setting, published between June 2006 and 31 December 2021. We will perform a qualitative synthesis of included studies using two parallel methods: (i) directed content analysis based on an already developed coding manual; and (ii) unsupervised textual analysis using Leximancer® topic modelling software. Other: We will disseminate results of the review using peer reviewed publications, conference and seminar presentations, and social media (Facebook and Twitter) channels. The primary source of funding is the National Institute for Health Research ARC North Thames. No human subjects or personal data are involved and no ethical issues are anticipated.
Keywords	Normalization Process Theory ; Complex interventions ; Implementation research ; Process evaluation ; Qualitative evidence synthesis ; eng ; Medicine ; R
Subject code	306
Language	English
Publishing date	2022-06-01T00:00:00Z
Publisher	F1000 Research Ltd
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Internet-guided cognitive, behavioral and chronobiological interventions in depression-prone insomnia subtypes: protocol of a randomized controlled prevention trial.

Leerssen, Jeanne / Foster-Dingley, Jessica C / Lakbila-Kamal, Oti / Dekkers, Laura M S / Albers, Anne C W / Ikelaar, Savannah L C / Maksimovic, Teodora / Wassing, Rick / Houtman, Simon J / Bresser, Tom / Blanken, Tessa F / Te Lindert, Bart / Ramautar, Jennifer R / Van Someren, Eus J W

BMC psychiatry

2020 Volume 20, Issue 1, Page(s) 163

Abstract: Background: Major depressive disorder is among the most burdening and costly chronic health hazards. Since its prognosis is poor and treatment effectiveness is moderate at best, prevention would be the strategy of first choice. Insomnia may be the best ... ...

Abstract	Background: Major depressive disorder is among the most burdening and costly chronic health hazards. Since its prognosis is poor and treatment effectiveness is moderate at best, prevention would be the strategy of first choice. Insomnia may be the best modifiable risk factor. Insomnia is highly prevalent (4-10%) and meta-analysis estimates ±13% of people with insomnia to develop depression within a year. Among people with insomnia, recent work identified three subtypes with a particularly high lifetime risk of depression. The current randomized controlled trial (RCT) evaluates the effects of internet-guided Cognitive Behavioral Therapy for Insomnia (CBT-I), Chronobiological Therapy (CT), and their combination on insomnia and the development of depressive symptoms. Methods: We aim to include 120 participants with Insomnia Disorder (ID) of one of the three subtypes that are more prone to develop depression. In a two by two factorial repeated measures design, participants will be randomized to CBT-I, CT, CBT-I + CT or treatment as usual, and followed up for one year. The primary outcome is the change, relative to baseline, of the severity of depressive symptoms integrated over four follow-ups spanning one year. Secondary outcome measures include a diagnosis of major depressive disorder, insomnia severity, sleep diaries, actigraphy, cost-effectiveness, and brain structure and function. Discussion: Pre-selection of three high-risk insomnia subtypes allows for a sensitive assessment of the possibility to prevent the development and worsening of depressive symptoms through interventions targeting insomnia. Trial registration: Netherlands Trial Register (NL7359). Registered on 19 October 2018.
MeSH term(s)	Cognition ; Cognitive Behavioral Therapy ; Depression ; Humans ; Internet ; Netherlands ; Sleep Initiation and Maintenance Disorders/complications ; Sleep Initiation and Maintenance Disorders/therapy ; Treatment Outcome
Language	English
Publishing date	2020-04-15
Publishing country	England
Document type	Clinical Trial Protocol ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2050438-X
ISSN	1471-244X ; 1471-244X
ISSN (online)	1471-244X
ISSN	1471-244X
DOI	10.1186/s12888-020-02554-8
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Article: Data assimilation on mechanistic models of glucose metabolism predicts glycemic states in adolescents following bariatric surgery.

Richter, Lauren R / Albert, Benjamin I / Zhang, Linying / Ostropolets, Anna / Zitsman, Jeffrey L / Fennoy, Ilene / Albers, David J / Hripcsak, George

Frontiers in physiology

2022 Volume 13, Page(s) 923704

Abstract: Type 2 diabetes mellitus is a complex and under-treated disorder closely intertwined with obesity. Adolescents with severe obesity and type 2 diabetes have a more aggressive disease compared to adults, with a rapid decline in pancreatic β cell function ... ...

Abstract	Type 2 diabetes mellitus is a complex and under-treated disorder closely intertwined with obesity. Adolescents with severe obesity and type 2 diabetes have a more aggressive disease compared to adults, with a rapid decline in pancreatic β cell function and increased incidence of comorbidities. Given the relative paucity of pharmacotherapies, bariatric surgery has become increasingly used as a therapeutic option. However, subsets of this population have sub-optimal outcomes with either inadequate weight loss or little improvement in disease. Predicting which patients will benefit from surgery is a difficult task and detailed physiological characteristics of patients who do not respond to treatment are generally unknown. Identifying physiological predictors of surgical response therefore has the potential to reveal both novel phenotypes of disease as well as therapeutic targets. We leverage data assimilation paired with mechanistic models of glucose metabolism to estimate pre-operative physiological states of bariatric surgery patients, thereby identifying latent phenotypes of impaired glucose metabolism. Specifically, maximal insulin secretion capacity, σ, and insulin sensitivity, S
Language	English
Publishing date	2022-11-28
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2564217-0
ISSN	1664-042X
ISSN	1664-042X
DOI	10.3389/fphys.2022.923704
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Article ; Online: Missed opportunities for human papillomavirus vaccine series initiation in a large, rural U.S. state.

Newcomer, Sophia R / Freeman, Rain E / Albers, Alexandria N / Murgel, Sara / Thaker, Juthika / Rechlin, Annie / Wehner, Bekki K

Human vaccines & immunotherapeutics

2022 Volume 18, Issue 1, Page(s) 2016304

Abstract: Human papillomavirus (HPV) vaccination rates are lower in rural versus urban areas of the United States. Our objective was to identify the types of vaccination clinic settings where missed opportunities for HPV vaccine series initiation most frequently ... ...

Abstract	Human papillomavirus (HPV) vaccination rates are lower in rural versus urban areas of the United States. Our objective was to identify the types of vaccination clinic settings where missed opportunities for HPV vaccine series initiation most frequently occurred in Montana, a large, primary rural U.S. state. We analyzed a limited dataset from Montana's immunization information system for adolescents who turned 11 years old in 2014-2017. Vaccination visits where the HPV vaccine was due but not administered were missed opportunities. We compared missed opportunities across six types of clinic settings, and calculated adjusted relative risks (RR) using a generalized estimating equation model. Among n = 47,622 adolescents, 53.9% of 71,447 vaccination visits were missed opportunities. After adjusting for sex, age, and rurality of clinic location, receiving vaccines in public health departments was significantly associated with higher risk of missed opportunities (aRR = 1.25, 95% confidence interval = 1.22-1.27, vs. private clinics). Receipt of vaccines in Indian Health Services and Tribal clinics was associated with fewer missed opportunities (aRR = 0.72, 95% CI: 0.69-0.75, vs. private clinics). Our results indicate the need for interventions to promote HPV vaccine uptake in public health departments, which are a critical source of immunization services in rural and medically underserved areas of the U.S.
MeSH term(s)	Adolescent ; Ambulatory Care Facilities ; Child ; Humans ; Papillomavirus Infections/prevention & control ; Papillomavirus Vaccines ; Rural Population ; United States ; Vaccination
Chemical Substances	Papillomavirus Vaccines
Language	English
Publishing date	2022-02-04
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	2664176-8
ISSN	2164-554X ; 2164-5515
ISSN (online)	2164-554X
ISSN	2164-5515
DOI	10.1080/21645515.2021.2016304
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