Publications by authors named "D M. Fort"

Background: Stroke requires timely intervention, with carotid endarterectomy (CEA) and carotid artery stenting (CAS) increasingly used in select acute carotid-related stroke patients. We aimed to build a model to predict neurologic functional independence (modified Rankin scale, mRS ≤ 2) in this high-risk group.

Study Design: We analyzed data from 302 stroke patients undergoing urgent CEA or CAS between 2015 and 2023 at a tertiary Comprehensive Stroke Center.

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Rationale: Short-term weight loss is possible in a variety of settings. However, long-term, free-living weight loss maintenance following structured weight loss interventions remains elusive.

Objective: The purpose was to study body weight trajectories over 2 years of intensive lifestyle intervention (ILI) and up to 4 years of follow-up versus usual care (UC).

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Background And Aims: Assessing aggressive biology at early-stage hepatocellular carcinoma (HCC) diagnosis remains challenging. Alpha-fetoprotein (AFP) is the only clinical biomarker of aggressive HCC. In this study, AFP, agglutinin-reactive AFP (AFP-L3), and des-γ-carboxy prothrombin (DCP) were measured at diagnosis prior to transplant evaluation and first cycle liver-directed therapy (LDT).

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Article Synopsis
  • Carotid artery disease significantly contributes to ischemic strokes, and urgent carotid interventions such as uCEA and uCAS are critical for at-risk patients, particularly the elderly.
  • A study examined 307 stroke patients to develop a frailty-based risk score that predicts outcomes like stroke, death, and myocardial infarction following these procedures, with comorbidities like hypertension being prevalent.
  • Results showed that higher frailty scores correlate with increased risks post-procedure, emphasizing the need for careful patient selection based on health status and frailty.
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Article Synopsis
  • The study aimed to assess the impact of influenza in American adults with and without diabetes to highlight the advantages of seasonal vaccination.
  • A large-scale retrospective cohort study analyzed over a million medical records from Louisiana to track influenza-related hospital visits and the effects of vaccination timing.
  • Results indicated that adults with diabetes faced a significantly higher risk of influenza and that early vaccination lowered the risk of healthcare visits for both diabetic and non-diabetic patients.
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