Publications by authors named "HANNA E"

Consanguinity, prevalent in certain populations because of cultural and social factors, significantly increases the risk of genetic autosomal recessive disorders. In Lebanon, consanguineous marriages constitute 35.5% of unions, with first cousin marriages being the most common.

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Introduction: Olfactory neuroblastoma (ONB) is a rare malignant tumor originating from the olfactory neuroepithelium, typically within the sinonasal cavity. Cases of ONB originating outside of the olfactory cleft area are extremely rare and are referred to as "ectopic" (eONB), in contrast to "orthotopic" tumors (oONB). ONB has been associated with paraneoplastic syndromes (PNSs), including the syndrome of inappropriate antidiuretic hormone secretion (SIADH).

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The objective of this research was to extend current knowledge on the psychological and emotional aspects around patients' preparation for amputation surgery. This research explored amputees' perspectives on their preparation for amputation surgery and how patients can be better supported for this procedure. Data was collected through semi-structured interviews and online qualitative questionnaires with 17 amputees who underwent upper- or lower-limb amputation within the United Kingdom.

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  • - Occipital horn syndrome (OHS) is a rare genetic disease linked to a defective ATP7A gene, affecting the copper transport system and primarily impacting musculoskeletal and connective tissues.
  • - A male neonate diagnosed with OHS showed distinctive symptoms such as occipital exostosis, skin laxity at the nape, and widely opened skull sutures shortly after birth.
  • - This case is significant as it stresses the need for thorough investigation of early symptoms and demonstrates the essential role of early diagnosis and collaborative care in improving outcomes for patients with OHS.
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Purpose: Outcomes after primary surgery for advanced sinonasal squamous cell carcinoma (SCC) are poor. We tested whether induction chemotherapy (IC) can improve disease control or organ preservation.

Patients And Methods: A phase II trial evaluated previously untreated patients with stage II to IV, M0 sinonasal SCC.

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Protein complexes are groups of interacting proteins that are central to multiple biological processes. Studying protein complexes can enhance our understanding of cellular functions and malfunctions and thus support the development of effective disease treatments. High-throughput experimental techniques allow the generation of large-scale protein-protein interaction datasets.

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Nations have long since preoccupied historians. Histories of how nations came to be, how they persisted, and how nations were unmade are innumerable. As a political unit of analysis, the nation has fascinated and divided.

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  • The case discusses an unusual instance of epithelial downgrowth (EDG) in a 33-year-old man mistaken for granulomatous uveitis after multiple eye surgeries.
  • The patient experienced symptoms like pain, light sensitivity, and vision loss, with tests ruling out infection, leading to a diagnosis via iris biopsy.
  • Treatment with injections of 5-fluorouracil (5-FU) showed promising results, marking the first documented case of significant reduction of epithelial cell presence due to this therapy.
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  • Cigarette smoking negatively impacts the healing process of fractures, specifically delaying healing and increasing the risk of nonunion.
  • The study tested how cigarette smoke affects two types of bone healing (intramembranous vs. endochondral) using rat models with femur fractures treated with different methods.
  • Results showed that fractures treated with compression plating healed faster and more completely than those treated with intramedullary nailing, particularly in smoke-exposed animals, suggesting better surgical outcomes for smokers if compression plating is used.*
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Background And Objectives: The impact of prior local therapies, including radiation and surgery, on reconstruction outcomes after endonasal surgery is currently not well known. Reconstruction nuances in the preoperative setting merit further evaluation to avoid potential postoperative complications that can hinder overall tumor management and negatively impact patient outcome. We sought to determine whether prior treatments increase risk of reconstruction-related postoperative morbidity and to evaluate the effectiveness of our current treatment paradigm for skull base reconstruction.

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Background: High-throughput experimental technologies can provide deeper insights into pathway perturbations in biomedical studies. Accordingly, their usage is central to the identification of molecular targets and the subsequent development of suitable treatments for various diseases. Classical interpretations of generated data, such as differential gene expression and pathway analyses, disregard interconnections between studied genes when looking for gene-disease associations.

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Background: Treatment for dural recurrence of olfactory neuroblastoma (ONB) is not standardized. We assess the outcomes of stereotactic body radiotherapy (SBRT) in this population.

Methods: ONB patients with dural recurrences treated between 2013 and 2022 on a prospective registry were included.

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  • Boreal wildfires in eastern Siberia have been increasing due to a combination of climate factors, leading to higher emissions of carbon dioxide and pollutants.
  • About 79% of the increase in summer vapor pressure deficit (VPD), which influences wildfires, is linked to background warming in the eastern Siberian Arctic due to declining sea ice, while 21% is attributed to changing atmospheric conditions.
  • Changes in Siberian blocking events are contributing to this issue, as they are becoming more frequent and intense due to warmer conditions, further exacerbating the wildfire situation in the region.
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  • A global collaborative study reviewed the management and outcomes of malignant skull base tumors, collecting data from 28 institutions involving 3,061 patients.
  • The majority of surgeries utilized an open approach (55%), with endoscopic (36%) and combined techniques (9.6%) being less common, and the overall 5-year survival rates were 65% for overall survival (OS) and 71.7% for disease-specific survival (DSS).
  • Factors such as older age, comorbidities, and the extent of tumor involvement were identified as independent predictors of survival, while adjuvant radiation therapy (RT) emerged as a protective factor in outcomes.
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Concomitant chemoradiotherapy (CRT) is extensively used as primary organ preservation treatment for selected advanced laryngeal squamous cell carcinomas (LSCC). The oncologic outcomes of such regimens are comparable to those of total laryngectomy followed by adjuvant radiotherapy. However, the management of loco-regional recurrences after CRT remains a challenge, with salvage total laryngectomy being the only curative option.

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  • NUT carcinoma (NC) is a severe cancer without effective treatments, often linked to specific chromosome translocations that create a fusion gene.
  • Researchers have developed a genetically engineered mouse model that mimics the human t(15;19) translocation, showing it can trigger aggressive carcinomas in mice.
  • The tumors in these mice share key characteristics with human NC, indicating that the model can help in understanding the disease and developing potential therapies.
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Introduction: Heart failure (HF) presents a significant health challenge, with intravenous (IV) iron therapy considered a potential treatment avenue.

Method: We assessed IV iron therapy's efficacy in HF patients with concurrent iron deficiency versus standard of care. Primary outcomes included the composite of HF hospitalizations or cardiovascular-related mortality, HF hospitalizations, and all-cause, HF, and cardiovascular mortality rates.

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Purpose: Sinonasal undifferentiated carcinoma (SNUC) is a rare, aggressive malignancy of the sinonasal cavity with poor prognosis and limited treatment options. To investigate the potential for SNUC sensitivity to combinatory immunotherapy, we performed in vitro studies with SNUC cell lines and used multi-spectral immunofluorescence to characterize the in vivo patient SNUC tumor immune microenvironment (TIME).

Experimental Design: Human-derived SNUC cell lines were used for in vitro studies of tumor cell susceptibility to natural killer (NK) cell-based immunotherapeutic strategies.

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Immune cell-mediated killing of cancer cells in a solid tumor is prefaced by a multi-step infiltration cascade of invasion, directed migration, and cytotoxic activities. In particular, immune cells must invade and migrate through a series of different extracellular matrix (ECM) boundaries and domains before reaching and killing their target tumor cells. These infiltration events are a central challenge to the clinical success of CAR T cells against solid tumors.

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Purpose Of Review: To highlight recent and relevant treatment considerations while managing mucosal melanoma.

Recent Findings: Evidence is building to support the use of targeted therapy and immunotherapy while managing mucosal melanoma. Surgical resection with postoperative radiotherapy plays a major role in managing resectable disease.

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Objectives: Lung metastases in adenoid cystic carcinoma (ACC) usually have indolent growth and the optimal timing to start systemic therapy is not established. We assessed ACC lung metastasis tumor growth dynamics and compared the prognostic value of time to progression (TTP) and tumor volume doubling time (TVDT).

Methods: The study included ACC patients with ≥1 pulmonary metastasis (≥5 mm) and at least 2 chest computed tomography scans.

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Classification of tumors of the head and neck has evolved in recent decades including a widespread application of molecular testing in tumors of the sinonasal tract, salivary glands, and soft tissues with a predilection for the head and neck. The availability of new molecular techniques has allowed for the definition of multiple novel tumor types unique to head and neck sites. Moreover, an expanding spectrum of immunohistochemical markers specific to genetic alterations facilitates rapid identification of diagnostic molecular abnormalities.

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