Publications by authors named "John Thomas"

Banana bunchy top disease is caused by (BBTV). BBTV is transmitted locally by aphids ( spp.), but the long-distance spread is through the movement of infected planting materials.

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Health-related quality of life (HRQol) is a crucial dimension of care outcomes. Many HRQoL measures exist, but methodological and implementation challenges impede primary care (PC) use. We aim to develop and evaluate a novel machine learning (ML) algorithm that predicts binary risk levels among PC patients by combining validated elements from existing measures with demographic data from patient electronic health records (eHR) to increase predictive accuracy while reducing prospectively-collected data required to generate valid risk estimates.

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  • CRISPR-Cas9 technology has transformed genetic research, but discrepancies between reference genomes and cell lines, especially in variant cancer lines, can introduce biases and affect results.
  • The Exorcise algorithm was developed to detect and correct mis-annotations in CRISPR libraries, improving the accuracy of gene-targeting guides based on the specific genomes being studied.
  • Application of Exorcise has shown enhanced discovery power in CRISPR screens and can be used for both library design and analysis stages, making it a valuable tool for researchers.
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  • The ileovesicostomy (IV) is a surgical option for children with bladder dysfunction who can't manage other treatments, but long-term outcomes weren't well studied before this research.
  • A retrospective review of patient records at a children's hospital showed a low rate of complications (0.11 per year) over an average follow-up of 6.4 years, with most complications occurring much later (average 84 months).
  • The study concludes that IV not only presents a low risk of surgical issues but also helps preserve kidney function, although it has limitations like a small sample size and being retrospective.
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  • The study examines eConsult utilization at an academic medical center (AMC), comparing an internal program and an external pivot to evaluate communication and access to specialty care.
  • Results show that the internal program grew consistently over six years, while the external pivot grew initially but declined thereafter; endocrinology had the highest eConsult orders in both settings.
  • Findings indicate faster median response times and lower conversion rates to in-person visits in the internal AMC program, with insights that could help optimize future eConsult services based on patient needs.
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This scientific commentary refers to 'The sixth sense: how much does interictal intracranial EEG add to determining the focality of epileptic networks?', by Gallagher . (https://doi.org/10.

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Evaporation of blood droplets and diluted blood samples is a topic of intensive research, as it is considered a potential low-cost diagnostic tool. So far, samples with a volume fraction down to a few percent of red blood cells have been studied, and these were reportedly dominated by a "coffee-ring" deposit. In this study, samples with lower volume fractions were used to investigate the growth of the evaporative deposit from sessile droplets in more detail.

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The COVID-19 pandemic challenged school health professionals to navigate a dynamic public health emergency and to stay aware of changing recommendations. This study aimed to determine the value of the COVID Just-in-Time ECHO (Extension for Community Health Outcomes) Learning Series for Schools among participating school health personnel and to describe their ongoing information needs during the pandemic. School health, public health, and education professionals across Colorado participated in this ECHO series.

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  • * A pooled analysis of clinical trials showed that patients receiving this combination treatment had better overall survival (17.4 months) compared to those receiving chemotherapy alone (11.3 months) at a median follow-up of 73.7 months.
  • * The combination treatment also resulted in higher progression-free survival and objective response rates without new safety concerns, making it a promising first-line option for hard-to-treat NSCLC cases.
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Purpose: Transatlantic guidelines endorse quality metrics for timely reperfusion in patients with ST-elevation myocardial infarction (STEMI). Compliance in low- and middle-income countries (LMICs) is largely unknown.

Study Design: We prospectively evaluated 2928 STEMI patients in Kerala, India, across 16 PCI-capable hospitals who received reperfusion with either primary percutaneous coronary intervention (PPCI) or fibrinolysis.

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  • ALK-positive lung cancers exhibit molecular diversity and pose challenges due to treatment resistance, prompting the need for innovative strategies using ctDNA monitoring.
  • The ALKTERNATE pilot study analyzed alternating treatments of lorlatinib and crizotinib in patients resistant to previous ALK inhibitors, focusing on outcomes like treatment failure time, safety, and patient experiences.
  • Results showed that the alternating therapy was safe and effective for most participants, with an average treatment failure time of 10 months and overall survival of 23 months, indicating the importance of genetic factors in treatment response.
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The gut microbiome is crucial for nutrient metabolism, immune regulation, and intestinal homeostasis with changes in its composition linked to complex diseases like inflammatory bowel disease (IBD). Although the precise host-microbial mechanisms in disease pathogenesis remain unclear, high-throughput sequencing have opened new ways to unravel the role of interspecies interactions in IBD. Systems biology-a holistic computational framework for modeling complex biological systems-is critical for leveraging multi-omics datasets to identify disease mechanisms.

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Background: We report 5-year efficacy and safety outcomes from CheckMate 9LA in patients with metastatic non-small cell lung cancer (mNSCLC) and exploratory analyses in key patient subgroups.

Methods: Adults with stage IV/recurrent NSCLC and no sensitizing EGFR/ALK alterations were randomized to receive nivolumab plus ipilimumab with chemotherapy (n = 361) or chemotherapy (n = 358). Outcomes were assessed in all randomized patients and subgroups.

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  • Robotic surgery is transforming minimally invasive approaches, particularly benefiting pediatric surgeons through enhanced precision due to the small surgical areas involved.
  • A unique collaboration between pediatric and adult robotic surgeons facilitated the integration of robotic surgery in an academic setting, evaluating its outcomes against traditional laparoscopic techniques.
  • Results showed that robotic cholecystectomy (RC) is on par with laparoscopic cholecystectomy (LC) in key metrics like procedure duration and patient recovery, highlighting the feasibility and advantages of robotic surgery for pediatric patients.
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A 50-year-old woman living with untreated HIV and injection drug use presented with right shoulder pain. The shoulder exam and computed tomography (CT) scan were concerning for septic arthritis. She was started on empiric vancomycin and cefepime and underwent right shoulder debridement and humeral head resection.

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Background: To compare the diagnostic performance of microbiological culture and 16S/18S rRNA gene polymerase chain reaction (PCR)-Sanger sequencing for infectious keratitis (IK) and to analyse the effect of clinical disease severity on test performance and inter-test concordance.

Methods: This was a three-arm, diagnostic cross-sectional study. We included all eligible patients who presented with presumed bacterial/fungal keratitis to the Queen's Medical Centre, Nottingham, UK, between June 2021 and September 2022.

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Cardiovascular disease is a significant health concern worldwide, and varied effective treatment and prevention methods have been developed. Among these, tailored biomaterials-based strategies such as stents, scaffolds, patches, and drug delivery systems have emerged as a promising avenue. These devices are designed to match the mechanical and biological mechanisms of the cardiovascular system, ensuring optimal performance and compatibility.

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Objective: In addition to the oscillatory brain activity, the nonoscillatory (scale-free) components of the background electroencephalogram (EEG) may provide further information about the complexity of the underlying neuronal network. As epilepsy is considered a network disease, such scale-free metrics might help to delineate the epileptic network. Here, we performed an analysis of the sleep oscillatory (spindle, slow wave, and rhythmic spectral power) and nonoscillatory (H exponent) intracranial EEG using multiple interictal features to estimate whether and how they deviate from normalcy in 38 adults with drug-resistant epilepsy.

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The proportion of patients becoming seizure-free after epilepsy surgery has stagnated. Large multi-center stereo-electroencephalography (SEEG) datasets can allow comparing new patients to past similar cases and making clinical decisions with the knowledge of how cases were treated in the past. However, the complexity of these evaluations makes the manual search for similar patients impractical.

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Objective: Lifestyle intervention can produce clinically significant weight loss and reduced disease risk/severity for many individuals with overweight/obesity. Dietary lapses, instances of non-adherence to the recommended dietary goal(s) in lifestyle intervention, are associated with less weight loss and higher energy intake. There are distinct "types" of dietary lapse (e.

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CREB-regulated transcription co-activator (CRTC) is activated by Calcineurin (CaN) to regulate gluconeogenic genes. CaN also has roles in cardiac hypertrophy. Here, we explore a cardiac-autonomous role for CRTC in cardiac hypertrophy.

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  • E-consults are being studied as a cost-effective way to improve access to healthcare by examining patient characteristics that influence how often they are used and completed.
  • Analyzing data from over 263,000 patient records, the study finds that factors such as gender, race, insurance type, and living in rural areas significantly affect the likelihood of receiving and completing e-consult referrals.
  • The research emphasizes the importance of collaborating with healthcare organizations that serve low-income and disadvantaged groups to improve equity in healthcare access through e-consults.
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