Publications by authors named "Claire Yang"

Purpose: In patients with residual stone fragments, ultrasonic propulsion (UP) increased fragment passage rate by 58% and reduced risk of relapse by 70% vs. untreated controls with minor associated adverse events. This study presents a second, independent trial of UP to demonstrate replication of those results and effective training of a novice team of users.

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  • Selective detection of changes in the glycocalyx is a growing area in targeted therapies, focusing on identifying small alterations in cell surface glycans.
  • The study introduces a DNA-barcoded phage system, LiLA, which uses multivalent lectin displays to recognize subtle glycan density variations on normal and cancer cells effectively.
  • This innovative approach allows better in situ detection of glycocalyx differences in cancer stem cells compared to current technologies, highlighting its potential for improved disease monitoring and treatment strategies.
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Effective vascularization is crucial for repairing and enhancing the longevity of engineered tissues and organs. As the field advances, there is a vital need for efficient and reliable methods for assessing vascularization in real-time. The integration and performance of constructed biomaterials in living organisms rely on angiogenesis and vascularization, making it essential to evaluate vascular development and networks within biomaterials.

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Aims: Men with lower urinary tract symptoms (LUTS) represent a heterogeneous group, and treatment decisions are often based on severity of symptoms and physical examination findings. Identification of clinically meaningful subtypes could allow for more personalized care. This study advances phenotyping efforts from the Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) by adding data domains to previous phenotyping using urologic symptoms alone.

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  • - The Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) is starting a new study (LURN II) to investigate urinary urgency and incontinence by comparing cases and controls.
  • - The study aims to improve the understanding of these difficult-to-treat symptoms by enhancing the phenotyping process.
  • - The paper will discuss the reasons for this new research initiative and identify existing knowledge gaps related to the treatment of lower urinary tract symptoms, particularly urinary urgency.
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  • The study aimed to explore structural changes in brain white matter in patients with overactive bladder (OAB) using diffusion tensor imaging (DTI).
  • Researchers assessed the microstructural integrity of the brain's white matter in OAB patients compared to matched controls and found significant differences in fractional anisotropy and mean diffusivity.
  • Results indicated that OAB patients had more abnormalities in specific brain areas, particularly associated with higher severity of OAB symptoms, emphasizing a link between urinary issues and brain structure changes.
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Introduction: Management of stage IV colorectal cancer with synchronous liver metastases remains debated, as colorectal and liver resections can be performed simultaneously or staged apart.

Objective: This study aims to determine any demographic or outcome differences between simultaneous and staged resection.

Participants: Retrospective review was performed on patients diagnosed with synchronous colorectal primary and liver metastases within Southern California Kaiser Permanente (KP) hospitals between 2010 and 2020.

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  • * Researchers utilized a body map assessment with 568 participants over four weeks, discovering that a single assessment can effectively indicate widespread pain levels across multiple body regions.
  • * The findings suggest that a simple 13-region body map can reliably assess the presence of widespread pain in UCPPS patients without needing to measure pain severity, making it practical for clinical use.
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We recently demonstrated that a small subset of cells in FLT3-mutated acute myeloid leukemia (AML) cell lines exhibit SORE6 reporter activity and cancer stem-like features including chemoresistance. To study why SORE6 cells are more chemoresistant than SORE6 cells, we hypothesized that these cells carry higher autophagy, a mechanism linked to chemoresistance. We found that cytarabine (Ara-C) induced a substantially higher protein level of LC3B-II in SORE6 compared to SORE6 cells.

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Phagocytosis by macrophages is a highly polarized process to destroy large target cells. Binding to particles induces extensive cortical actin-generated forces that drive the formation of elaborate pseudopods around the target particle. Postinternalization, the resultant phagosome is driven toward the cell interior on microtubules (MTs) by cytoplasmic dynein.

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  • Women with interstitial cystitis/bladder pain syndrome (IC/BPS) often experience negative clinical encounters characterized by provider disbelief and pain dismissal, which significantly impacts their health care-seeking behavior and overall well-being.
  • A qualitative analysis of focus group data revealed common experiences among female patients, showcasing strategies they use to cope, such as rotating specialists and self-advocacy.
  • There is a strong need to enhance physician-patient communication to address the gendered inequities and emotional struggles that affect women's experiences with chronic pain in healthcare settings.
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  • This study explores the racial disparities in biological aging between Black and White individuals, using data from the Health and Retirement Study involving nearly 6,800 participants.
  • It reveals that Black individuals show faster biological aging when compared to their White counterparts, with socioeconomic factors explaining a significant portion (27% to 55%) of these disparities, while psychosocial stress factors account for 7% to 11%.
  • The research highlights the importance of understanding life course social and economic factors in influencing biological aging and related health risks, which has implications for addressing racial inequities in health outcomes.
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Direct oral anticoagulants (DOACs) for venous thromboembolism (VTE) treatment are of interest in oncology due to ease of administration and lack of need for therapeutic monitoring compared to other anticoagulants. Data supporting their use in patients with hematologic malignancies post-hematopoietic stem cell transplant (HCT) are limited. The purpose of the study is to characterize DOAC use in HCT patients.

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  • Overactive bladder (OAB) might be linked to issues in brain circuits, and a study used functional MRI to explore how OAB participants experience urinary urgency compared to controls when their bladder is filling.
  • Participants underwent MRI scans after drinking water while their urgency levels were measured; results showed two patterns: one group that did not respond to bladder filling and another group from OAB who had a strong response.
  • The study found that the OAB participants who had higher urgency also exhibited different brain connectivity patterns, particularly between sensorimotor areas and prefrontal regions, indicating distinct neurophysiological characteristics related to their urinary symptoms.
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Self-assembled nanomaterials are promising candidates for drug delivery by providing a higher degree of spatiotemporal control compared to free drugs. However, challenges such as burst release, inadequate targeting, and drug-nanomaterial incompatibility leave room for improvement. The combination of orthogonal self-assembling systems can result in more useful materials that improve upon these weaknesses.

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  • Chronic Recurrent Multifocal Osteomyelitis (CRMO) is an uncommon inflammatory bone condition often requiring immunosuppressive treatment, with tumor necrosis factor inhibitors (TNFi) serving as a second-line therapy, potentially causing paradoxical psoriasis in some patients.
  • The study aimed to evaluate the effectiveness and safety of golimumab, a humanized TNFi, in children with CRMO, especially those who developed psoriasis after previous TNFi therapies.
  • Analysis was conducted on 18 CRMO patients treated with golimumab, revealing a median treatment observation period of nearly 10 months and documenting various therapeutic responses and patient outcomes.
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Objective: Prospective comparative effectiveness research (CER) in chronic nonbacterial osteomyelitis (CNO) is lacking. Our objectives were to (1) determine the use and safety of each consensus treatment plan (CTP) regimen for CNO, (2) assess the feasibility of using the Chronic Nonbacterial Osteomyelitis International Registry (CHOIR) data for CER, and (3) develop and validate a CNO clinical disease activity score (CDAS) using CHOIR.

Methods: Consenting children or young adults with CNO were enrolled into CHOIR.

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Pain with bladder filling remains an unexplained clinical presentation with limited treatment options. Here, we aim to establish the clinical significance of bladder filling pain using a standardized test and the associated neural signature. We studied individuals diagnosed with urologic chronic pelvic pain syndrome (UCPPS) recruited as part of the multidisciplinary approach to the study of chronic pelvic pain (MAPP) study.

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Introduction: Caffeine has long been vilified as a cause for urinary urgency incontinence (UUI) along with other potential bladder irritants such as carbonation, alcohol, and acidic juices. The objective of this study was to assess the fluid intake behavior of people with urgency, UUI, and those with lower urinary tract symptoms (LUTS) without UUI or urgency to assess if they avoided certain potential bladder irritants or had different fluid intake. We hypothesized that patients with UUI would avoid caffeine as a self-management method more so than these other two groups.

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  • The study examines microstructural changes in patients with urologic chronic pelvic pain syndrome (UCPPS) over 36 months and compares them to healthy controls, focusing on techniques like DTI and probabilistic tractography.
  • While unique fractional anisotropy differences between UCPPS patients and healthy controls were found at baseline and 6 months, consistent mean diffusivity alterations were noted, indicating abnormal brain connectivity related to UCPPS.
  • By 36 months, reduced changes in microstructure were linked to symptom improvement in UCPPS, suggesting that targeting these brain alterations could lead to clinical interventions for better pain management.
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  • * In a study with rats, injecting botulinum toxin A (BoNT-A) into the bladder after SCI resulted in lighter bladders and thinner walls compared to those that received saline, indicating a reduction in tissue damage.
  • * Early treatment with BoNT-A helps maintain bladder tissue integrity by reducing abnormal changes like fibrosis and hypertrophy that occur after SCI.
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Background: Sexual dysfunction (SD), including erectile (ED) and ejaculatory dysfunction, is associated with diminished quality of life (QoL) in men with UCPPS (chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and/or interstitial cystitis/bladder pain syndrome (IC/BPS)).

Aim: We sought to compare SD among male patients with UCPPS, other chronic pain conditions (positive controls, PC), and healthy controls (HC) without chronic pain, and to evaluate the association of comorbidities, psychosocial factors, and urologic factors of SD in all 3 groups.

Methods: Baseline data from male UCPPS participants, PC (irritable bowel syndrome, chronic fatigue syndrome, fibromyalgia) and HC enrolled in the Multidisciplinary Approach to the Study of Chronic Pelvic Pain (MAPP) Research Network Epidemiology and Phenotyping Study were included in the analysis.

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Introduction: Much of the heterogeneity in the rate of cognitive decline and the age of dementia onset remains unexplained, and there is compelling data supporting psychosocial stressors as important risk factors. However, the literature has yet to come to a consensus on whether there is a causal relationship and, if there is, its direction and strength. This study estimates the relationship between lifecourse traumatic events and cognitive trajectories and predicted dementia incidence.

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  • - Lung cancer patients, especially women, often face stigma that can increase psychological distress and negatively affect treatment outcomes, leading researchers to explore ways to build resilience against this stigma.
  • - A study involving 56 women with non-small cell lung cancer found that mindfulness helped to buffer the negative effects of stigma on depressive symptoms, cancer-related stress, and symptom intensity; this meant that women with high mindfulness levels experienced less impact from stigma.
  • - In contrast, self-compassion and social support did not significantly influence the relationship between stigma and symptoms, highlighting the unique protective role of mindfulness for these patients.
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