Publications by authors named "Mead K"

Immunotherapy-related colitis (irC) frequently emerges as an immune-related adverse event during immune checkpoint inhibitor therapy and is presumably influenced by the gut microbiota. We longitudinally studied microbiomes from 38 ICI-treated cancer patients. We compared 13 ICI-treated subjects who developed irC against 25 ICI-treated subjects who remained irC-free, along with a validation cohort.

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Objectives: Despite showing encouraging outcomes, the precision of deep learning (DL) models using different convolutional neural networks (CNNs) for diagnosis remains under investigation. This systematic review aims to summarise the status of DL MRI models developed for assisting the diagnosis of a variety of knee abnormalities.

Materials And Methods: Five databases were systematically searched, employing predefined terms such as 'Knee AND 3D AND MRI AND DL'.

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  • The systematic review aimed to identify recommended pharmaceutical treatments for lumbosacral radiculopathy and assess the quality of clinical practice guidelines (CPGs) using the AGREE II tool.
  • The literature search spanned several reputable databases for guidelines published between 2017 and 2022 that addressed issues like radiculopathy and sciatica, specifically focusing on recommendations for oral medications.
  • Ultimately, 11 CPGs from seven countries were included in the review, achieving a high mean AGREE II score of 87.1%, indicating strong quality in the guidelines evaluated.
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Purpose: The number of cancer survivors in the US surpassed 18.1 million in 2022 and this number continues to grow. Patient self-efficacy, a patient's confidence in his or her ability to self-manage symptoms and healthcare concerns, has been linked to improved health outcomes.

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  • This study investigates the adverse effects of fluoropyrimidine-based chemotherapy and aims to identify genetic and non-genetic predictors of these side effects.
  • Researchers analyzed genomic DNA for 25 single nucleotide polymorphisms (SNPs) and collected demographic and treatment data from 155 Australian participants.
  • Results showed associations between multiple genetic and non-genetic predictors with various adverse effects, particularly highlighting diarrhea as the most common severe side effect, and suggest further research is needed to understand these predictors' clinical significance.
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  • This study aims to analyze the genetic backgrounds and resistance traits of common pneumococcal serotypes in Canada over the past five years, focusing on their behavior after the introduction of the PCV13 vaccine.
  • Researchers sequenced the genomes of a sample from the ten most prevalent serotypes and used this data to identify important characteristics, including virulence and antimicrobial resistance (AMR) genes.
  • The results revealed significant changes in the prevalence of certain serotypes, with some increasing in numbers and one, 19A, decreasing, highlighting the need for ongoing surveillance to track new bacterial lineages and AMR development in Canada.
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Improving ventilation has been one of several COVID-19 prevention strategies implemented by kindergarten through grade 12 (K-12) schools to stay open for safe in-person learning. Because transmission of SARS-CoV-2 occurs through inhalation of infectious viral particles, it is important to reduce the concentration of and exposure time to infectious aerosols (1-3). CDC examined reported ventilation improvement strategies among U.

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Emergency medical service (EMS) providers have a higher potential exposure to infectious agents than the general public (Nguyen et al., 2020, "Risk of COVID-19 Among Frontline Healthcare Workers and the General Community: A Prospective Cohort Study," Lancet Pub. Health, (9), pp.

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  • - The study analyzed the molecular epidemiology of invasive meningococcal disease (IMD) in Atlantic Canada from 2014 to 2020, specifically looking at serotype and potential vaccine coverage for serogroup B (MenB).
  • - Results revealed a variety of strains, with MenB being the most common (42 out of 56 isolates), and distinct geographical distributions of certain clones in Newfoundland and Labrador versus New Brunswick and Nova Scotia.
  • - Vaccine predictions indicated that 54.8% of MenB strains were likely covered by the MenB vaccine Bexsero, while a high percentage (95.3%) could be covered by Trumenba, highlighting the importance of ongoing surveillance in IMD. *
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Many respiratory diseases, including COVID-19, can be spread by aerosols expelled by infected people when they cough, talk, sing, or exhale. Exposure to these aerosols indoors can be reduced by portable air filtration units (air cleaners). Homemade or Do-It-Yourself (DIY) air filtration units are a popular alternative to commercially produced devices, but performance data is limited.

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Background: Invasive pneumococcal disease (IPD), which is caused by , has been a nationally notifiable disease in Canada since 2000. The use of conjugate vaccines has markedly decreased the incidence of IPD in Canada; however, the distribution of serotypes has shifted in favour of non-vaccine types. This report summarizes the demographics, serotypes and antimicrobial resistance of IPD infections in Canada in 2020.

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  • In 2020, the incidence of invasive group A streptococcal disease (iGAS) in Canada increased to 8.1 cases per 100,000 population after a slight drop from previous years, indicating an ongoing public health issue.
  • The study analyzed 2,867 iGAS isolates, revealing a shift in prevalent types; types 49 and 76 have risen in prevalence, while type 1 has decreased significantly.
  • Antimicrobial resistance rates were noted, with 11.5% resistant to erythromycin and lower resistance to clindamycin and chloramphenicol, highlighting challenges in treatment options.
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  • Effective COVID-19 prevention in K-12 schools requires a combination of strategies, with a strong emphasis on improving ventilation to lower infection rates and enhance overall respiratory health.
  • Schools have implemented various ventilation improvement strategies; the most common include outdoor activities, inspecting HVAC systems, and opening windows or doors.
  • More resource-intensive strategies, such as upgrading HVAC systems or using HEPA filters, are less frequently reported, particularly in rural and mid-poverty schools.
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Purpose: To describe healthcare utilization and reasons for delaying medical care and to identify factors that influence high healthcare utilization and care delay among cancer survivors.

Methods: Baseline (n = 991) and 6 month follow-up data (n = 777) were collected among breast, prostate, and colorectal cancer survivors from 32 US cancer centers. Participants completed surveys on healthcare utilization (e.

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Background: Rectal Cancer is a common malignancy. The current treatment approach for patients with locally advanced rectal cancer involves neoadjuvant chemoradiotherapy followed by surgical resection of the rectum. The resection can lead to complications and long-term consequences.

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There is strong evidence associating the indoor environment with transmission of SARS-CoV-2, the virus that causes COVID-19. SARS-CoV-2 can spread by exposure to droplets and very fine aerosol particles from respiratory fluids that are released by infected persons. Layered mitigation strategies, including but not limited to maintaining physical distancing, adequate ventilation, universal masking, avoiding overcrowding, and vaccination, have shown to be effective in reducing the spread of SARS-CoV-2 within the indoor environment.

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Purpose: This study presents the validation of an index that defines and measures a patient-centered approach to quality survivorship care.

Methods: We conducted a national survey of 1,278 survivors of breast, prostate, and colorectal cancers to identify their priorities for cancer survivorship care. We identified 42 items that were "very important or absolutely essential" to study participants.

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Antimicrobial resistance in Streptococcus pneumoniae represents a threat to public health, and monitoring the dissemination of resistant strains is essential to guiding health policy. Multiple-variable linear regression modeling was used to determine the contributions of molecular antimicrobial resistance determinants to antimicrobial MICs for penicillin, ceftriaxone, erythromycin, clarithromycin, clindamycin, levofloxacin, and trimethoprim-sulfamethoxazole. Training data sets consisting of Canadian S.

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Case: A 41-year-old woman sustained a distal radius fracture with concomitant median nerve transection. The wound was consistent with an inside-to-outside mechanism with noted metaphyseal bone loss at the level of the median nerve injury. The median nerve was not amenable to primary repair, and given concern for inability to define the zone of the injury, the patient underwent delayed reconstruction of the nerve.

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With this survey, we investigated healthcare-associated invasive mold infection (HA-IMI) surveillance and air sampling practices in US acute-care hospitals. More than half of surveyed facilities performed HA-IMI surveillance and air sampling. HA-IMI surveillance was more commonly performed in academic versus nonacademic facilities.

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  • SARS-CoV-2 spreads through respiratory droplets and aerosols from infected individuals, prompting the CDC to recommend measures such as physical distancing, universal masking, and improved indoor ventilation to curb transmission.
  • Portable HEPA air cleaners can significantly lower aerosol particle concentrations in settings like classrooms, achieving reductions of over 80% within 30 minutes.
  • An experiment using respiratory simulators showed that combining HEPA air cleaners with universal masking can reduce exposure to exhaled aerosols by up to 90%, making HEPA cleaners especially effective when placed near the source of aerosols.
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Case: We describe a case of mild lead poisoning in a 25-year-old woman because of intra-articular migration of lead shot 12 years after gunshot injury to the left hip, ameliorated by arthroscopic foreign body removal. Retained lead can cause systemic symptoms of lead toxicity, supranormal blood lead concentration, and increasingly painful and destructive local arthritis even years after gunshot injury.

Conclusion: This report shows that lead fragments should be monitored closely if located near joint spaces.

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Objectives/hypothesis: The purpose of this study was to evaluate the efficacy and safety of at home drain removal in head and neck surgery patients.

Methods: The study population included patients who underwent head and neck surgery at an academic tertiary care center between February 2020 and November 2020 and were discharged with one to four drains with instructions for home removal. Prior to discharge, patients received thorough drain removal education.

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