Publications by authors named "Boland M"

encodes a UDP-galactose transporter essential for glycosylation of proteins and galactosylation of lipids and glycosaminoglycans. Germline genetic variants have been identified in congenital disorders of glycosylation and somatic variants have been linked to intractable epilepsy associated with malformations of cortical development. However, the functional consequences of these pathogenic variants on brain development and network integrity remain elusive.

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Alzheimer's Disease and Related Dementias (ADRD) afflict almost 7 million people in the USA alone. The majority of research in ADRD is conducted using post-mortem samples of brain tissue or carefully recruited clinical trial patients. While these resources are excellent, they suffer from lack of sex/gender, and racial/ethnic inclusiveness.

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  • Disparities exist in the participation of racial and ethnic minority populations in gynecologic cancer clinical trials, particularly affecting groups with high endometrial cancer rates, which is influenced by geographic access to these trials.
  • The study aimed to analyze the geographic distribution of gynecological cancer trials across the US and identify any existing disparities relevant to various state characteristics.
  • An analysis of 1,561 invasive gynecological cancer trials revealed that ovarian cancer trials were the most prevalent, highlighting a disparity in trial availability relative to state demographics and social vulnerability factors.
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Purpose: Pleiotropic cardiovascular benefits of sodium-glucose cotransporter 2 inhibitors (SGLT2i) due to vascular remodeling effects have been demonstrated in patients with type 2 diabetes mellitus. It is unclear whether a similar benefit may be seen for glaucoma. The purpose of this study was to assess the effect of SGLT2i on the risk of glaucoma in patients with type 2 diabetes.

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Objective: The objective of this study is to identify the top 10 research priorities on reducing and stopping psychiatric medication that reflect the perspectives and unmet needs of three key stakeholder groups (people with lived experience, family members/carers/supporters and healthcare professionals).

Methods: A priority-setting partnership was conducted using the James Lind Alliance's seven-step process. This involved (1) creating an international Steering Group of key stakeholder representatives and (2) identifying potential partners; (3) gathering stakeholders' uncertainties about reducing and stopping psychiatric medication using an online survey and summarising the survey responses; (4) checking the summary questions against existing evidence and verifying uncertainties; (5) shortlisting the questions using a second online survey; (6) determining the top 10 research questions through a prioritisation workshop; and (7) disseminating the results.

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Objective: To describe variation in hospital organisational factors across high- and low-performing hospitals with regard to spontaneous vaginal birth (SVB) for Black women.

Design: Cross-sectional descriptive.

Setting: We conducted a cross-sectional study using three datasets in four states from 2016, including the American Hospital Association Annual Survey, administrative discharge abstracts and a survey in which nurses served as informants about the organisational factors in their hospitals.

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Prcis: Analysis of CMS Physician Payment data found that physician certification year, degree of urbanization, and estimated income by zip code were significant in predicting the proportion of traditional glaucoma procedures performed by each provider in the United States.

Purpose: The prevalence of microinvasive glaucoma surgery (MIGS) compared to traditional procedures has been increasing in glaucoma management. It is important to understand whether the uptake of new glaucoma procedures is associated with aspects of the physician practice.

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  • The study investigates the potential risks of preterm birth (PTB) and low birth weight (LBW) linked to hydraulic fracturing (HF) exposure, specifically looking at how chemicals in HF fluids affect hormone pathways like estrogen and testosterone.
  • This is the first national analysis in the US to explore these associations and uses detailed statistical models to examine data from 2001 to 2018 across various counties.
  • The research incorporates various factors such as demographics, education, agricultural practices, and health statistics to accurately assess the effects of HF well density and hormone-targeting chemicals on PTB and LBW rates.
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Office-based testing, enhanced by advances in imaging technology, is routinely used in eye care to non-invasively assess ocular structure and function. This type of imaging coupled with autonomous artificial intelligence holds immense opportunity to diagnose eye diseases quickly. Despite the wide availability and use of ocular imaging, there are several factors that hinder optimization of clinical practice and patient care.

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Background: The prevention of locoregional recurrence (LRR) is crucial in breast cancer, as it translates directly into reduced breast cancer-related death. Breast cancer is subclassified into distinct intrinsic biological subtypes with varying clinical outcomes.

Aims: To perform a systematic review and network meta-analysis (NMA) to determine the rate of LRR by breast cancer molecular subtype.

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  • The study aimed to predict in-hospital charges for conditions like congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), and diabetic ketoacidosis (DKA) using machine learning models.
  • Researchers analyzed national discharge data from 2016 to 2019 and created six different machine learning models that demonstrated solid performance in predicting costs, with R-squared values ranging from 0.615 to 0.750.
  • Key factors influencing hospital costs were identified, such as patient age, length of stay, and whether the admission was elective or not, which can help inform future efforts to reduce healthcare expenses for these conditions.
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Heterozygous variants in and lead to distinct neurodevelopmental disorders caused by haploinsufficient levels of post-synaptic SYNGAP1 and pre-synaptic STXBP1, which are critical for normal synaptic function. While several gene-targeted therapeutic approaches have proven efficacious , these often target regions of the human gene that are not conserved in rodents, hindering the pre-clinical development of these compounds and their transition to the clinic. To overcome this limitation, here we generate and characterize and humanized mouse models in which we replaced the mouse and gene, respectively, with the human counterpart, including regulatory and non-coding regions.

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Objective/purpose: Standardization of eye care data is important for clinical interoperability and research. We aimed to address gaps in the representations of glaucoma examination concepts within Systemized Nomenclature of Medicine - Clinical Terms (SNOMED-CT), the preferred terminology of the American Academy of Ophthalmology.

Design: Study of data elements.

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Purpose: To elucidate the impact of demographics, including gender, race, ethnicity, and preferred language, on regional visual field (VF) loss and progression in glaucoma.

Methods: Multivariable linear mixed regressions were performed to determine the impact of race, ethnicity, and preferred language on regional VF loss with adjustment for age and gender. Regional VF loss was defined by pointwise total deviation values and VF loss patterns quantified by an unsupervised machine learning method termed archetypal analysis.

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Purpose: To predict 10-2 Humphrey visual fields (VFs) from 24-2 VFs and associated non-total deviation features using deep learning.

Methods: We included 5189 reliable 24-2 and 10-2 VF pairs from 2236 patients, and 28,409 reliable pairs of macular OCT scans and 24-2 VF from 19,527 eyes of 11,560 patients. We developed a transformer-based deep learning model using 52 total deviation values and nine VF test features to predict 68 10-2 total deviation values.

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Prcis: We developed unsupervised machine learning models to identify different subtypes of patients with ocular hypertension in terms of visual field (VF) progression and discovered 4 subtypes with different trends of VF worsening. We then identified factors associated with fast VF progression.

Purpose: To identify ocular hypertension (OHT) subtypes with different trends of visual field (VF) progression based on unsupervised machine learning and to discover factors associated with fast VF progression.

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Article Synopsis
  • - The study aims to predict in-hospital charges for congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), and diabetic ketoacidosis (DKA) using various machine learning (ML) models.
  • - Researchers analyzed national discharge records from 2016 to 2019 and found that linear regression, gradient boosting, and extreme gradient boosting models performed well in predicting costs, with R-squared values indicating a good fit for the data.
  • - Key factors influencing hospital costs identified included patient age, length of stay, the number of procedures performed, and whether the admission was elective or non-elective, suggesting that ML can help understand and potentially reduce high healthcare costs associated with these conditions.
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This review discusses different protein sources and their role in human nutrition, focusing on their structure, digestibility, and bioavailability. Plant-based proteins, such as those found in legumes, nuts, and seeds, may contain anti-nutritional factors that impact their bioavailability apart from structural and compositional differences from animal proteins. Animal proteins are generally highly digestible and nutritionally superior to plant proteins, with higher amino acid bioavailability.

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  • The gender pay gap in medicine shows that male doctors earn more than female doctors in Medicare reimbursements from 2013 to 2019.
  • The study found that men received about $58,815 on average, while women only got about $32,205.
  • The biggest pay differences were in specialties like ophthalmology and dermatology, where men earned much more than women for the same work.
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  • Traumatic brain injury (TBI) is often overlooked in civilian women, with existing definitions from the CDC and DOD/VA focusing mainly on athletes and military personnel.
  • This study analyzed electronic health records to compare these definitions and introduced a new, broader definition called the Penn definition to better identify TBI cases in women.
  • The results showed that the Penn definition identified nearly twice as many TBI patients compared to the existing definitions, allowing for more comprehensive research on this condition.
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Surgical management of the axilla has evolved considerably in recent years, with a strong focus on de-escalation to minimise morbidity whilst maintaining oncological outcomes. Current trials will focus on the omission of Sentinel node biopsy in select groups of patients, while axillary lymph node dissection will be reserved for those with more aggressive disease.

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  • The study aimed to evaluate how often kidney failure occurs in patients receiving intravitreal anti-VEGF treatments and to compare the risks associated with three specific drugs: ranibizumab, aflibercept, and bevacizumab.
  • Researchers conducted a retrospective cohort study, analyzing data from 12 databases within the OHDSI network, focusing on patients over 18 with retinal diseases receiving these treatments.
  • Results showed an average incidence of kidney failure of 678 per 100,000 persons, and no significant differences in risk were found among the three anti-VEGF drugs, indicating similar safety profiles regarding kidney health.
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