Publications by authors named "Guersah Kats"

In all kingdoms of life, the enzyme uridine diphosphate-glucose pyrophosphorylase (UGP) occupies a central role in metabolism, as its reaction product uridine diphosphate-glucose (UDP-Glc) is involved in various crucial cellular processes. Pathogens, including fungi, parasites, and bacteria, depend on UGP for the synthesis of virulence factors; in particular, various bacterial species utilize UDP-Glc and its derivatives for the synthesis of lipopolysaccharides, capsular polysaccharides, and biofilm exopolysaccharides. UGPs have, therefore, gained attention as anti-bacterial drug target candidates, prompting us to study their structure-function relationships to provide a basis for the rational development of specific inhibitors.

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  • Patients on long-term opioid therapy for chronic pain often still suffer from unrelieved pain and quality of life issues.
  • This study compared two approaches for managing these patients: an integrated pain team (IPT) focused on holistic care versus pharmacist collaborative management (PCM) concentrated on medication optimization.
  • Results showed similar outcomes for both groups in terms of pain response and opioid dosage reduction after 12 months, indicating that both methods can be effective in managing chronic pain.
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  • Long-wavelength infrared (LWIR) cameras struggle with sensitivity and exposure times due to reflections caused by high-refractive index lenses in compact optical systems.
  • The scarcity of suitable transparent materials for LWIR complicates the design of effective antireflective coatings, limiting optimization options for creating efficient systems.
  • This study utilizes a discrete-to-continuous optimization approach to design a subwavelength-thick antireflective multilayer coating for LWIR cameras, successfully achieving an average reflectance of 0.54% over the wavelength range of 8-13 μm with a coating made from five layers.
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Background: Maxillary Schneiderian membrane (SM) perforation is one of the complications of maxillary sinus (MS) augmentation. The aim of the present study was to analyse cone beam computed tomography (CBCT) findings to identify prognostic factors for SM perforation.

Materials And Methods: 50 CBCT scans were recruit for the analysis, 39 were suitable for analysis and met the inclusion criteria.

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Paediatric medulloblastomas with chromothripsis are characterised by high genomic instability and are among the tumours with the worst prognosis. However, the molecular makeup and the determinants of the aggressiveness of chromothriptic medulloblastoma are not well understood. Here, we apply spatial transcriptomics to profile a cohort of 13 chromothriptic and non-chromothriptic medulloblastomas from the same molecular subgroup.

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  • The study investigates the association between frailty, measured using the Study of Osteoporotic Fractures (SOF) phenotype, and increased healthcare costs among older adults with Medicare.
  • It analyzes data from over 8,000 community-dwelling seniors, comparing costs related to frailty as defined by the SOF and the more complex Cardiovascular Health Study (CHS) phenotype.
  • Results show that SOF phenotypic frailty is linked to significant incremental healthcare costs, comparable to those identified by the CHS phenotype, indicating the importance of recognizing frailty in clinical settings for cost management.
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The ability of light to manipulate fundamental interactions in a medium is central to research in optomagnetism and applications in electronics. A prospective approach is to create composite quasiparticles, magnetic polarons, highly susceptible to external stimuli. To control magnetic and transport properties by weak magnetic and electric fields, it is important to find materials that support photoinduced magnetic polarons with colossal net magnetic moments.

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Objective: Virtually anything can be ranked; the (USNWR or US News) ranks the top 50 hospitals specializing in cardiology, heart, and vascular surgery. Here the authors propose validating the effectiveness of rankings by comparing differences among the USNWR metrics across the top 50 hospitals.

Methods: The ranking system for the top 50 hospitals specializing in cardiology, heart, and vascular surgery was derived from 16 variant scores.

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  • The study assessed the reliability of a modified three-stage cervical vertebrae maturation method for measuring skeletal growth in both males and females.
  • 137 orthodontic patients' lateral cephalometric radiographs were analyzed by four examiners, who categorized the images into pre-peak, peak, and post-peak stages based on cervical vertebrae morphology.
  • Results indicated good overall reliability, with particularly high agreement in the post-peak stage, although males exhibited stronger reliability than females during the peak stage of maturation.
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Background: This study quantifies incremental healthcare expenditures of functional impairments and phenotypic frailty in specific healthcare sectors.

Methods: Pooled 2023 analysis of 4 prospective cohort studies linked with Medicare claims including 4 318 women and 3 847 men attending an index examination (2002-2011). Annualized inpatient, skilled nursing facility (SNF), home healthcare (HHC), and outpatient costs (2023 dollars) ascertained for 36 months following index examination.

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  • The study focuses on using a generative AI pipeline to enhance the identification of overt gastrointestinal bleeding (GIB) in electronic health records, ultimately improving patient management and reimbursement accuracy.
  • The pipeline was developed using nursing notes from over 11,000 patients and demonstrated high accuracy in detecting various forms of bleeding, such as melena and hematochezia.
  • Results showed that the machine learning model for recurrent bleeding had exceptional diagnostic performance, and the reimbursement algorithm significantly increased average patient reimbursements by up to $3,247, resulting in millions of dollars in total reimbursement.
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Electrohydrodynamic phenomena in liquid crystals constitute an old but still very active research area. The reason is that these phenomena play the key role in various applications of liquid crystals and due to the general interest of the physical community in out-of-equilibrium systems. Nematic liquid crystals (NLCs) are ideally representative for such investigations.

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  • Juvenile Dermatomyositis (JDM) is a rare autoimmune disorder with various subtypes, and anti-MDA5 is one of the associated myositis-specific antibodies, though treatment protocols are not well defined.
  • A case study details a previously healthy 14-month-old girl with anti-MDA5 JDM presenting symptoms like rash, weakness, and liver issues, ultimately responding well to treatment with steroids and tofacitinib.
  • This case highlights the importance of considering anti-MDA5 JDM when diagnosing patients with liver, muscle, and skin symptoms, emphasizing the need for standardized treatment approaches and more research into the mechanisms of the disease.
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Background: Life-space mobility captures the daily, enacted mobility of older adults. We determined cross-sectional associations between life-space mobility and cognitive impairment (CI) among community-dwelling women in the 9th and 10th decades of life.

Methods: A total of 1375 (mean age 88 years; 88% White) community-dwelling women enrolled in a prospective cohort of older women.

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  • The study aimed to investigate liver histopathology in children who died of acute illness in Malawi, specifically looking at nutritional status and its effects on liver mitochondria and peroxisomes.
  • Researchers collected liver tissue from eleven children under five, categorizing them into non-wasted, severely wasted, and edematous malnutrition groups to analyze histological differences using advanced microscopy techniques.
  • Results showed that children with edematous malnutrition had significantly fewer and more abnormal mitochondria compared to the other groups, indicating that targeting liver metabolic functions could help improve outcomes for children suffering from severe malnutrition.
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Background: The public launch of OpenAI's ChatGPT platform generated immediate interest in the use of large language models (LLMs). Health care institutions are now grappling with establishing policies and guidelines for the use of these technologies, yet little is known about how health care providers view LLMs in medical settings. Moreover, there are no studies assessing how pediatric providers are adopting these readily accessible tools.

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The female locust lays its eggs deep within soft substrate to protect them from predators and provide optimal conditions for successful development and hatching. During oviposition digging, the female's abdomen is pooled and extends into the ground, guided by a dedicated excavation mechanism at its tip, comprising two pairs of specialized digging valves. Little is known about how these active valves negotiate the various obstacles encountered on their path.

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Objective: Beta cell destruction in type 1 diabetes (T1D) results from the combined effect of inflammation and recurrent autoimmunity. In recent years, the role played by beta cells in the development of T1D has evolved from passive victims of the immune system to active contributors in their own destruction. We and others have demonstrated that perturbations in the islet microenvironment promote endoplasmic reticulum (ER) stress in beta cells, leading to enhanced immunogenicity.

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We present a combination of the bi-orthogonal orbital optimisation framework with the recently introduced xTC version of transcorrelation. This allows us to implement non-iterative perturbation based methods on top of the transcorrelated Hamiltonian. Additionally, the orbital optimisation influences results of other truncated methods, such as the distinguishable cluster with singles and doubles.

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Background: Low neighborhood socioeconomic status is associated with adverse health outcomes, but its association with health care costs in older adults is uncertain.

Objectives: To estimate the association of neighborhood Area Deprivation Index (ADI) with total, inpatient, outpatient, skilled nursing facility (SNF), and home health care (HHC) costs among older community-dwelling Medicare beneficiaries, and determine whether these associations are explained by multimorbidity, phenotypic frailty, or functional impairments.

Design: Four prospective cohort studies linked with each other and with Medicare claims.

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Background: The antibody-drug conjugate sacituzumab govitecan is approved for metastatic triple-negative breast cancer and has shown promising results in various other types of cancer. Its costs may limit patient access to this novel effective treatment modality.

Objective: The purpose of this study was to develop an evidence-based rational dosing regimen that results in targeted drug exposure within the therapeutic range while minimizing financial toxicity, to improve treatment access.

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Introduction: In up to 72 % of HER2+ invasive breast cancer (IBC), a ductal carcinoma in situ (DCIS) component is present. The presence of DCIS is associated with increased positive surgical margins after breast-conserving surgery (BCS). The aim of this study was to assess surgical margins, recurrence and survival in a nationwide cohort of HER2+ IBC with versus without a DCIS component, treated with neoadjuvant systemic therapy (NST) and BCS.

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