Gender-affirming hormone therapy: effects on cardiovascular risk and vascular function.

Background: Gender-affirming hormone therapy (GAHT) is used in individuals with gender identity dysphoria to align an individual's secondary sexual characteristics with their affirmed gender. We conducted a systematic review of the literature to explore the mechanisms regarding the effects of GAHT on the vasculature.

Methods: A literature search using PUBMED, Embase, Scopus and Lilacs was performed using search terms for GAHT, cardiovascular disease (CVD) risk and transgender.

Adaptations of cognitive remediation therapy for adolescents with anorexia nervosa for delivery via telehealth.

Objective: The COVID-19 pandemic hastened a transition to treatment delivery via telehealth. While barriers still exist, the increased uptake of telehealth has the potential to increase access to mental health treatment for all diagnoses, including eating disorders. Delivery of evidence-based treatment as well as adjunctive treatments, including those that are hard to find in-person, have been modified to virtual format to increase accessibility and allow for continuity of care for adolescents with anorexia nervosa.

Hurricane effects, mitigation, and preparedness in the Caribbean: Perspectives on high importance-low prevalence practices from agricultural advisors.

Frequent hurricanes affect agricultural productivity, food security, economic security, and human wellbeing in the Caribbean islands. We assessed recent hurricane effects on the agricultural sector, and the challenges faced by farmers, foresters, and advisors related to hurricane preparedness and recovery in Puerto Rico and US Virgin Islands (USVI). We used qualitative and quantitative survey methods to compile perspectives from agricultural advisors related to hurricane effects on farmlands, preparedness and recovery measures taken by land managers, and the needs regarding preparing for and responding to future hurricanes.

Characterization of a "low-risk" cohort of grade group 2 prostate cancer patients: Results from the Shared Equal Access Regional Cancer Hospital database.

Objectives: To examine if there is a subset of men with grade group 2 prostate cancer who could be potential candidates for active surveillance.

Methods: We used the Shared Equal Access Regional Cancer Hospital database to identify 776 men undergoing radical prostatectomy from 2006 to 2015 with >8 biopsy cores obtained and complete information. We compared men who fulfilled low-risk disease criteria (clinical stage T1c/T2a; grade group 1; prostate-specific antigen ≤10 ng/mL) with the exception of grade group 2 versus men who met all three low-risk criteria.

Targeted Exome Sequencing of the Cancer Genome in Patients with Very High-risk Bladder Cancer.

Unlabelled: We completed targeted exome sequencing of the tumors of 50 patients with pTis-pT4b bladder cancer. Mutations were categorized by type, stratified against previously identified cancer loci in the Catalogue of Somatic Mutations in Cancer and The Cancer Genome Atlas databases, and evaluated in pathway analysis and comutation plots. We analyzed mutation associations with receipt of neoadjuvant chemotherapy, nodal involvement, metastatic disease development, and survival.