Publications by authors named "D'Souza J"

Purpose: The cancer/testis antigen New York esophageal squamous cell carcinoma 1 (NY-ESO-1) is a promising target in myxoid/round cell liposarcoma (MRCLS).

Methods: In this pilot study, we assessed the adoptive T-cell therapy NY-ESO-1cT letetresgene autoleucel (lete-cel) in patients with human leukocyte antigen (HLA)-A*02:01-, HLA-A*02:05-, and/or HLA-A*02:06-positive advanced/metastatic NY-ESO-1-expressing MRCLS. Patients underwent a reduced-dose (cohort 1) or standard-dose (cohort 2) lymphodepletion regimen (LDR).

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Takayasu arteritis is a well-established medical entity involving inflammatory changes in large arteries. We describe a characteristic case of Takayasu arteritis, in a young woman with significant renal artery stenosis, presenting with hypertensive urgency. Unsuccessful guide wire passage due to fibrotic septae in lumen of the left renal artery necessitated an innovative interventional approach, using an IMA-guide catheter and a UB3 coronary guidewire to cross the lesions, followed by placement of a coronary drug eluting stent, with an aim to avoid restenosis.

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Introduction: Tobacco consumption is a leading cause of mortality globally. Eighty percent of these deaths occur in low- and middle-income countries (LMICs). Despite this, there is a large treatment gap due to both demand and supply-side barriers.

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  • - This study explores whether community-level social determinants of health (SDoH) impact the outcomes of acoustic neuroma more significantly than individual-level factors by analyzing data from over 23,000 patients diagnosed between 2010 and 2018.
  • - Researchers used statistical models to examine how community-level socioeconomic status (SES) and other factors influenced treatment delays, type of treatment received, and overall survival rates among these patients.
  • - Findings revealed that lower community-level SES was linked to higher all-cause mortality and less likelihood of receiving advanced treatments like stereotactic radiotherapy, emphasizing the negative role of community-level SDoH on patient care compared to individual factors.
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  • Lassa fever (LF) is a viral hemorrhagic illness that is increasing in reported cases in Nigeria and is also endemic in West African countries.
  • The study analyzed LF epidemiology data from Nigeria’s Centre for Disease Control and examined the genetic sequences of the virus to understand its evolution and outbreaks.
  • To address the rising cases of LF, the study recommends enhancing diagnostic capabilities, raising public health awareness, implementing integrated surveillance, and supporting vaccine research in Africa.
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Forkhead box protein J1 (FOXJ1) is the key transcriptional regulator during the conversion of mammalian primary cilium with a 9 + 0 architecture to the motile (9 + 2) one. The nucleotide sequences of the full-length and DNA-binding domain (DBD) of the open reading frame (ORF) were isolated and expressed into E. coli as 6xHis-tagged proteins.

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  • This study examined how social determinants of health (SDoH) impact HPV-positive oropharyngeal squamous cell cancers (OPSCC) in different sexes, analyzing data from 2010 to 2018.
  • The researchers found that male patients, especially those who are Black or from lower socioeconomic backgrounds, experienced delays in treatment and worse mortality rates compared to females, especially Black females.
  • The study highlights significant disparities driven by social factors, emphasizing the need for tailored healthcare strategies and policies to address these issues in HPV-positive OPSCC patients.
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  • The study aimed to investigate how social determinants of health (SDoH), specifically socioeconomic status using the Yost Index, affect disparities in care and outcomes for pediatric CNS tumors in the US.
  • Researchers conducted a retrospective analysis of data from over 18,000 patients aged 19 or younger with CNS tumors from 2010-2018, analyzing various demographic and treatment-related factors.
  • Results indicated significant disparities in mortality risks, treatment accessibility, delays, and cancer staging related to certain SDoH factors, suggesting that both individual and community-level influences play a critical role in health outcomes for these patients.
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Aim: This study aimed to assess and compare the fracture resistance of endodontically treated teeth using three new intraorifice barrier materials.

Materials And Methods: A total of 60 extracted human mandibular premolars having single roots were decoronated to 14 mm length, prepared up to rotary F3 ProTaper Gold files, and sealed with gutta-percha and AH Plus sealer. Specimens were divided into one control and three experimental groups ( = 15): Group 1, control; Group 2, Biodentine (Septodont, Saint Maur des Fosses, France); Group 3, resin-modified glass ionomer cement (RMGIC, GC Gold Label 2 LC, GC Corporation, Tokyo, Japan); and Group 4, flowable nanohybrid composite (G-aenial Universal Flo, GC Corporation, Tokyo, Japan).

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  • This study examines how various social determinants of health (SDH), not just socioeconomic factors, impact the management of head-neck melanomas (HNM) in the U.S. using the Social Vulnerability Index (SVI).
  • It analyzed data from over 374,000 adults diagnosed with HNM from 1975 to 2017, revealing that higher social vulnerability is linked to reduced surgical options, increased likelihood of radiation treatment, and more advanced disease at diagnosis.
  • Key findings indicate that household composition, socioeconomic status, and minority-language status significantly influence disparities in HNM management, despite limitations like unknown causes of death and reliance on county-level SVI calculations.
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  • A study explored the link between air pollution and physical disability in older adults, examining data from over 15,400 respondents aged 65 and older in the USA, highlighting the impact of chronic diseases on overall physical health.
  • Results indicated that higher concentrations of certain pollutants like PM and NO were associated with an increased risk of new activities of daily living (ADL) disability, while ozone (O) showed a surprising association with a decreased risk.
  • The findings suggest that while some pollutants may lead to higher disability risk, ozone might have a protective effect, emphasizing the need for further research into air quality and health outcomes in older populations.
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Access to greenspace in the form of urban parks is frequently used to study the mental health benefits of nature and may alleviate depression. However, there is a lack of research that considers the different types of vegetated and non-vegetated spaces that parks can provide. Our aim was to investigate whether different types of accessible park area, grassy; tree covered; and non-vegetated, were associated with depressive symptoms among older (≥50 years) urban US adults.

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Introduction: Technology and internet access have become increasingly integrated into healthcare as the primary platform for health-related information and provider-patient communication. Disparities in access to digital resources exist in the United States and have been shown to impact health outcomes in various head and neck malignancies. Our objective is to evaluate the associations of digital inequity on health outcomes in patients with salivary gland cancer (SGC).

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  • Recent guidelines suggest that all adults should be screened for lipoprotein(a) [Lp(a)] levels, especially those at high risk for cardiovascular disease.
  • A survey conducted among providers at the University of Pennsylvania revealed that only 31% regularly test for Lp(a), primarily due to factors like unfamiliarity and insurance issues.
  • Ongoing clinical trials for new Lp(a)-lowering therapies may encourage more providers to test for Lp(a), but there is still a significant lack of awareness among them.
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  • First branchial cleft anomalies are rare issues in the head and neck area that some kids are born with, and there's not much info on how to classify or treat them properly.
  • * Expert doctors worked together to come up with better ways to identify and manage these anomalies using a method called the Delphi method.
  • * They created a new classification system and treatment guidelines to help doctors give better care to kids with these conditions.
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  • The study investigates how residential air pollution, specifically particulate matter (PM), black carbon (BC), and sulfate, affects the progression of kidney disease in patients with primary glomerulopathies over a duration of at least two years.
  • Participants from two cohorts were analyzed to determine the link between air pollution exposure and decline in kidney function, measured by estimated glomerular filtration rate (eGFR).
  • Results indicate that higher exposure to air pollutants correlates with faster disease progression and increased systemic inflammation markers, suggesting air quality may significantly impact kidney health.
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Introduction: Efforts toward reducing stroke burden have been an immense challenge. One important reasons could be the scope and quality of clinical practice guidelines (CPGs) developed for stroke rehabilitation in low- and middle-income countries (LMICs), restricting its translation to clinical practice. This systematic review aimed to assess the availability, scope and quality of CPGs for stroke rehabilitation in LMICs.

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DNA replication ensures the complete and accurate duplication of the genome. The traditional approach to analysing perturbation of DNA replication is to use chemical inhibitors, such as hydroxyurea or aphidicolin, that slow or stall replication fork progression throughout the genome. An alternative approach is to perturb replication at a single site in the genome that permits a more forensic investigation of the cellular response to the stalling or disruption of a replication fork.

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Introduction: India is the second largest consumer of tobacco in the world and accounts for 70% of global deaths due to smokeless tobacco (SLT) use.

Aim: The aim of this study is to understand the perspectives of tobacco users (smokers and SLT users) and practitioners in India to inform cessation interventions.

Method: Semi-structured in-depth interviews with tobacco users (smoked and smokeless; n=23), and healthcare practitioners (n=13).

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Importance: Air pollution is a recognized risk factor associated with chronic diseases, including respiratory and cardiovascular conditions, which can lead to physical and cognitive impairments in later life. Although these losses of function, individually or in combination, reduce individuals' likelihood of living independently, little is known about the association of air pollution with this critical outcome.

Objective: To investigate associations between air pollution and loss of independence in later life.

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This meta-analytic review is an update to the first meta-analysis of battering interventions (Babcock et al., 2004) and includes 59 studies that evaluated treatment efficacy for domestically violent men and women. The outcome literature of controlled quasi-experimental and experimental studies was reviewed to test the relative impact of Duluth, cognitive-behavioral therapy (CBT), and novel types of treatment on subsequent recidivism of violence.

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Family accommodation (e.g., reassurance, modifying routines, assisting avoidance) has not been explored among youth with misophonia but may have important clinical and intervention implications.

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Background: Salivary gland cancers (SGC)-social determinants of health (SDoH) investigations are limited by narrow scopes of SGC-types and SDoH. This Social Vulnerability Index (SVI)-study hypothesized that socioeconomic status (SES) most contributed to SDoH-associated SGC-disparities.

Methods: Retrospective cohort of 24 775 SGCs assessed SES, minority-language status (ML), household composition (HH), housing-transportation (HT), and composite-SDoH measured by the SVI via regressions with surveillance and survival length, late-staging presentation, and treatment (surgery, radio-, chemotherapy) receipt.

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