Publications by authors named "L D Finch"

Background: Malnutrition is common in hospitalized patients with cancer and adversely affects clinical outcomes. We evaluated the prevalence of malnutrition risk, dietitian-identified malnutrition (DIMN), and physician-diagnosed malnutrition (PDMN) at admission.

Methods: This retrospective study included adults diagnosed with a stage I-IV solid tumor malignancy and admitted to Atrium Health Carolinas Medical Center from January 2016 to May 2019.

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Article Synopsis
  • Oncovascular surgery is a specialized area in radical surgery for gynecologic cancers that involves teamwork across different medical fields, highlighted by a unique case of a patient with recurrent granulosa cell tumor.
  • The patient, initially diagnosed in 1989, faced multiple recurrences and required extensive surgical intervention for a large tumor that invaded critical blood vessels, necessitating a complex surgical team collaboration.
  • This case is significant as it's reportedly the first instance of oncovascular surgery targeting the aorta and inferior vena cava for this type of tumor, with the patient showing no evidence of disease 26 months post-operation.
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Background: Maintaining exercise is essential for healthy aging but difficult to sustain. EngAGE is a socially motivated exercise program delivered over a voice-activated device that targets older adult-care partner dyads.

Objective: This 10-week pilot study aimed to assess EngAGE feasibility and use, obtain user experience feedback, and estimate potential impact on function.

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Background And Objectives: The role of social factors in diabetes onset has been obscured by wide variation in their conceptualization and operationalization. We apply 3 theoretical frameworks to categorize social relationship variables along several dimensions and identify which dimension(s) are robustly associated with incident diabetes in the older adult population.

Research Design And Methods: The National Social Life, Health, and Aging Project (n = 2,365) and the Health and Retirement Study (n =11,824) provided longitudinal data from 57 to 90-year-old respondents over a 4- to 5-year period.

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Article Synopsis
  • The study compared the performance of the chatbot ChatGPT (GPT-4) to the National Comprehensive Cancer Network (NCCN) Guidelines in managing ovarian cancer by evaluating 10 key questions.
  • ChatGPT, both unprompted and prompted, was found to have a higher accuracy and completeness in its responses compared to NCCN for sections like risk factors and surgical management, but it lagged in medical management.
  • Despite GPT-4's promising performance, the presence of inaccuracies indicates that unsupervised use of chatbots for medical guidance should be approached with caution.
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