Publications by authors named "Mayan Teles"

Article Synopsis
  • COVID-19 has significantly impacted patients with weakened immune systems, including those with Castleman disease (CD), but treatment options like IL6 inhibition may help manage severe symptoms.
  • A survey conducted in April 2021 among 300 CD patients showed comparable SARS-CoV-2 infection rates, vaccination rates, and vaccine side effects to the general U.S. population.
  • The findings indicate that CD patients, despite being on immunosuppressive therapies, have a similar ability to respond to COVID-19 vaccinations and do not face a higher risk of severe outcomes from the virus.
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Article Synopsis
  • A study explored the incidence and effects of postacute sequelae of COVID-19 (PASC) in adults with systemic autoimmune diseases, focusing on risk factors and symptomology.
  • Out of 1,615 participants, 590 reported a COVID-19 infection, and 29.8% of those who responded to surveys experienced PASC, predominantly neurological or psychological symptoms that significantly impacted their quality of life.
  • The research indicated that fewer vaccinations prior to infection and a higher rate of reinfection were associated with an increased risk of PASC, highlighting the importance of vaccinations and efforts to prevent reinfections.
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Introduction: Cognitive impairment (CI) among liver transplant (LT) candidates is associated with increased risk of waitlist mortality and inferior outcomes. While formal neurocognitive evaluation is the gold standard for CI diagnosis, the Montreal Cognitive Assessment (MoCA) is often used for first-line cognitive screening. However, MoCA requires specialized training and may be too lengthy for a busy evaluation appointment.

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Background: Many centers have removed 6-mo pretransplant alcohol abstinence requirements to provide early liver transplant (ELT) for individuals with severe alcohol-associated liver disease (ALD), but the practice remains controversial. Using data collected from a nationally distributed survey, this study examines the practices and attitudes of transplant centers in the United States regarding ELT.

Methods: A 20-item survey designed to assess center practices and provider attitudes was distributed to 225 medical and surgical directors from 143 liver transplant centers via email.

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Transplant centers conventionally require at least 6 months of alcohol abstinence before offering liver transplants for alcohol-associated liver disease. However, early liver transplant (ELT)-proceeding with a transplant when clinically necessary without first meeting the conventional requirement-is increasingly gaining attention. In our study, we qualitatively assessed ELT recipients' perceived challenges and supports regarding alcohol-associated liver disease, transplant, and posttransplant survivorship.

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