Supracricoid partial laryngectomy is a surgical treatment for advanced laryngeal cancer which is implemented to preserve organ function, but it may cause obstructive sleep apnea syndrome (OSAS) due to anatomical changes after surgery that may be neglected by clinicians. Although the gold standard for the diagnosis of OSAS is polysomnography, respiratory polygraphy is an alternative valid method with a high level of diagnostic sensitivity and specificity; since the equipment is portable, it can be used at home, with no need for hospitalization. To describe the polygraphy result of patients submitted to supracricoid partial laryngectomy.
View Article and Find Full Text PDFObjective: NCTF135HA, a versatile polyrevitalizing solution, is a potent agent for enhancing skin quality, radiance, moisture, vitality, and diminishing fine wrinkles caused by aging factors. Data demonstrate a divergence in its application from skin quality enhancement to treatment of vitiligo lesions. To know more precisely about the protocol of use among providers, alone or in combination with other procedures, we performed an international survey.
View Article and Find Full Text PDFThe U4 small nuclear RNA (snRNA) forms a duplex with the U6 snRNA and, together with U5 and ∼30 proteins, is part of the U4/U6.U5 tri-snRNP complex, located at the core of the major spliceosome. Recently, recurrent variants in the U4 RNA, transcribed from the gene, and in at least two other genes were discovered to cause neurodevelopmental disorder.
View Article and Find Full Text PDFLarge language models (LLMs) with retrieval-augmented generation (RAG) have improved information extraction over previous methods, yet their reliance on embeddings often leads to inefficient retrieval. We introduce CLinical Entity Augmented Retrieval (CLEAR), a RAG pipeline that retrieves information using entities. We compared CLEAR to embedding RAG and full-note approaches for extracting 18 variables using six LLMs across 20,000 clinical notes.
View Article and Find Full Text PDFJ Public Health Manag Pract
January 2025
Correctional facilities serve as a key location to identify and treat those with HIV given high rates of HIV seen in justice-involved individuals; however, substantial barriers exist to accessing HIV care in the community upon release. In response to restricted in-person activities due to COVID-19, the County of Santa Clara (SCC) Jail launched a telephonic visits program in January 2021 to link justice-involved individuals diagnosed with HIV to community HIV care following release. Telephonic visits were conducted by social workers from SCC Public Health Department; these visits entailed conducting an HIV needs assessment, providing education, and offering support services.
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