Publications by authors named "Kao E"

Reporting by major media outlets influences news coverage by other outlets, resulting in an outsized impact on public opinion. Understanding this inter-outlet influence, known as intermedia agenda setting, is important for assessing the impact of state media and strategic communications. We demonstrate a novel method to quantify inter-outlet influence using causal inference on "quote following," where one outlet uses the same quote as another outlet at a later date.

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Immune checkpoint inhibitors (ICI) have revolutionized cancer therapy, but their use is limited by the development of autoimmunity in healthy tissues as a side effect of treatment. Such immune-related adverse events (IrAE) contribute to hospitalizations, cancer treatment interruption and even premature death. ICI-induced autoimmune diabetes mellitus (ICI-T1DM) is a life-threatening IrAE that presents with rapid pancreatic beta-islet cell destruction leading to hyperglycemia and life-long insulin dependence.

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  • - The study explores the use of therapeutic limb hypothermia to reduce tissue injury during traumatic limb ischemia, focusing on its effects during damage control resuscitation in a swine model.
  • - Fifteen swine were subjected to a 6-hour resuscitation protocol, with one hindlimb cooled to either 5°C or 15°C, while the other limb remained uncooled for comparison; various physiological and tissue measurements were taken during this time.
  • - Results showed that cooling to 15°C lowered harmful metabolites in the tissues without increasing damage, while cooling to 5°C led to more muscle damage, suggesting that local hypothermia can help prevent ischemic injury but needs further study.
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Differential dynamic microscopy (DDM) typically relies on movies containing hundreds or thousands of frames to accurately quantify motion in soft matter systems. Using movies much shorter in duration produces noisier and less accurate results. This limits the applicability of DDM to situations where the dynamics are stationary over extended times.

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Case: This case demonstrates a 2-year-old boy with a rare benign supraclavicular mass diagnosed as neuromuscular choristoma through open biopsy. Postoperatively, he underwent semiannual surveillance with ultrasound without development of neurological complaints, limb deformity, or recurrence at 2-year follow-up.

Conclusion: Neuromuscular choristoma involving the brachial plexus is a rare tumor that should be in the differential diagnosis of pediatric peripheral nerve-based tumors.

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  • * Various MED12-related disorders show distinct patterns based on gender, affecting males and females differently, and involve conditions like Opitz-Kaveggia syndrome and Hardikar syndrome.
  • * Recent findings from genetic studies reveal new variants of the MED12 gene that could link it to congenital diaphragmatic hernia in females, suggesting more complex genetic contributions to these disorders than previously thought.
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Tumors resembling tenosynovial giant cell tumor (TGCT) but additionally forming chondroid matrix are rare and most often involve the temporomandibular joint (TMJ). We studied 21 tumors consisting of synoviocytes (large, eosinophilic mononuclear cells containing hemosiderin) and chondroid matrix to better understand these unusual neoplasms. The tumors occurred in 10 males and 11 females, in the age group of 31 to 80 years (median, 50 years) and involved the TMJ region (16), extremities (4), and spine (1).

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  • Acute limb ischaemia (ALI) is a critical condition that challenges pre-hospital resources and affects patient well-being and healthcare expenses.
  • Hypothermia has potential as a pre-hospital intervention to reduce tissue damage, but effective usage requires timely rescue of the affected limb.
  • The authors developed and tested a portable limb-cooling device that can work independently or alongside other medical techniques to enhance care for patients with ALI.*
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  • Low health literacy (HL) among guardians of injured children is linked to poorer health outcomes and complicates recovery processes requiring caregiver involvement.
  • A study assessed the HL levels of 95 guardians at a pediatric trauma center, revealing that over half (55%) had low HL, with many facing social challenges like public benefits dependency and housing insecurity.
  • The findings suggest that pediatric trauma centers should implement screening for low HL to improve support for families after discharge.
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Background: Much attention has been paid to advocate proper oral care/hygiene provision by healthcare providers in long-term care institutions (LTCIs). This study aimed to evaluate the effects of an oral health education (OHE) programme (intervention) on knowledge, attitudes, and practice (KAP) of healthcare providers in providing oral care/hygiene to older residents in LTCIs.

Methods: A case control study was conducted at two LTCIs, with one assigned as the intervention group and the other as the control group.

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Heterozygous missense variants and in-frame indels in SMC3 are a cause of Cornelia de Lange syndrome (CdLS), marked by intellectual disability, growth deficiency, and dysmorphism, via an apparent dominant-negative mechanism. However, the spectrum of manifestations associated with SMC3 loss-of-function variants has not been reported, leading to hypotheses of alternative phenotypes or even developmental lethality. We used matchmaking servers, patient registries, and other resources to identify individuals with heterozygous, predicted loss-of-function (pLoF) variants in SMC3, and analyzed population databases to characterize mutational intolerance in this gene.

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Calcified chondroid mesenchymal neoplasms (CCMN) represent a morphologic spectrum of related tumors. Historically, chondroid matrix or chondroblastoma-like features have been described in soft tissue chondroma, tenosynovial giant cell tumors (especially of the temporomandibular joint (TMJ) region), and in a subset of tophaceous pseudogout. Recently, these tumors have been found to share FN1-receptor tyrosine kinase (RTK) fusions.

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Importance: Health systems in the US are increasingly screening for social determinants of health (SDOH). However, guidance incorporating stakeholder feedback is limited.

Objective: To examine patient and care team experiences in early implementation of SDOH screening in primary care.

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  • A study investigated how measuring strain in the wall of asymptomatic abdominal aortic aneurysms (AAA) could better predict progression and rupture risk compared to just looking at the aneurysm size and growth rate.
  • The researchers tested the accuracy of this measurement method, MR strain, using synthetic MRI data to ensure its reliability before applying it to real patients.
  • Results showed that MR strain is highly reproducible and associated with AAA growth rate, suggesting it could be a valuable tool in assessing aneurysm risk.
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Heterozygous missense variants and in-frame indels in are a cause of Cornelia de Lange syndrome (CdLS), marked by intellectual disability, growth deficiency, and dysmorphism, via an apparent dominant-negative mechanism. However, the spectrum of manifestations associated with loss-of-function variants has not been reported, leading to hypotheses of alternative phenotypes or even developmental lethality. We used matchmaking servers, patient registries, and other resources to identify individuals with heterozygous, predicted loss-of-function (pLoF) variants in , and analyzed population databases to characterize mutational intolerance in this gene.

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Purpose: To investigate the association of tortuosity of the main cerebral arteries with intracranial aneurysm (IA) occurrence and rupture. To investigate the relationship between arterial tortuosity and aneurysm morphology as well as conventional risk factors of vascular diseases.

Methods: Three subject groups were analyzed in this study: Patients with ruptured IAs, patients with unruptured IAs, and healthy subjects.

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Background: Chromosome analysis is laborious and time-consuming. Automated methods can significantly increase the efficiency of chromosome analysis. For the automated analysis of chromosome images, single and clustered chromosomes must be identified.

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The invasion of nerves by cancer cells, or perineural invasion (PNI), is potentiated by the nerve microenvironment and is associated with adverse clinical outcomes. However, the cancer cell characteristics that enable PNI are poorly defined. Here, we generated cell lines enriched for a rapid neuroinvasive phenotype by serially passaging pancreatic cancer cells in a murine sciatic nerve model of PNI.

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  • A study explored the use of a chart-based Functional Status Scale (FSS) to assess quality improvement in pediatric trauma care, specifically evaluating how reliably different raters could agree on the functional status of injured children after chart review.
  • Researchers analyzed 443 pediatric trauma cases and found high interrater reliability (ICC = 0.87) for total FSS scores, although some disagreement (14%) occurred in categorizing functional impairment levels.
  • Factors influencing disagreement included the severity of functional impairment and the involvement of therapeutic services, indicating that more complex cases may complicate assessments.
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Malignant gastrointestinal neuroectodermal tumors (MGNETs), also known as "gastrointestinal clear cell sarcoma-like tumors", are very rare, aggressive sarcomas characterized by enteric location, distinctive pathologic features, and EWSR1/FUS::ATF1/CREB1 fusions. Despite identical genetics, the clinicopathologic features of MGNET are otherwise quite different from those of clear cell sarcoma of soft parts. Only exceptional extraenteric MGNET (E-MGNET) has been reported.

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Objectives: To determine if three-dimensional (3D) radiomic features of contrast-enhanced CT (CECT) images improve prediction of rapid abdominal aortic aneurysm (AAA) growth.

Methods: This longitudinal cohort study retrospectively analyzed 195 consecutive patients (mean age, 72.4 years ± 9.

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  • The study investigates nutritional changes in children with Ulcerative colitis undergoing restorative proctocolectomy and ileal pouch anal anastomosis (RP-IPAA), focusing on two-stage vs. three-stage surgical procedures.
  • Out of 46 children analyzed, 43.5% experienced recurrent or chronic pouchitis, with those undergoing three-stage procedures showing notable improvements in key nutritional markers.
  • Findings suggest that early improvements in BMI-for-age Z-scores post-surgery may indicate a lower risk of developing pouchitis, emphasizing the need for further research to confirm these results.
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The 2020 release of the WHO Classification of Soft Tissue and Bone Tumors, 5th edition, contains several changes driven by new knowledge in the field. These include reclassification of some entities, refinement of risk classification systems, and the inclusion of novel disease processes, many of which are driven by recurrent gene fusions. The most notable changes are described here.

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