Publications by authors named "Medina R"

Influenza A virus (IAV) continuously threatens animal and public health globally, with swine serving as a crucial reservoir for viral reassortment and evolution. In Chile, H1N2 and H3N2 subtypes were introduced in the swine population before the H1N1 2009 pandemic, and the H1N1 was introduced from the H1N1pdm09 by successive reverse zoonotic events. Here, we report two novel introductions of IAV H3N2 human-origin in Chilean swine during 2023.

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Background: Although genetic factors have been identified in the pathogenesis of rheumatoid arthritis (RA), the concordance rate in monozygotic (MZ) twins is low, suggesting that other features contribute to disease development. Further, the relative contribution of such non-genetic elements in identical twins have not been characterized. Here, we aimed to measure differentiating host and microbial biomarkers of RA by studying MZ twins discordant for disease using a multi-omics approach.

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Recruiting and retaining research participants is challenging because it often requires overcoming structural barriers and addressing how histories of mistrust and individuals' lived experiences affect their research engagement. We describe a pilot workshop designed to educate clinical research professionals on using empathy skills to recognize and mitigate bias to improve recruitment and retention. In a post-workshop survey (22/31 participants completed), 94% agreed the workshop helped them practice perspective-taking, recognize implicit bias, and identify opportunities for empathy.

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Pelvic lymph node dissection (PLND) is the most accurate procedure for lymph node (LN) staging in prostate cancer (PCa) patients. LN sectioning and hematoxylin and eosin (H&E) staining of at least one slice remains the gold standard for LN evaluation, potentially leading to misdetection of small metastatic focus. Entire LN analysis is possible with One-Step Nucleic Acid Amplification (OSNA) by detecting cytokeratin 19 (CK19) mRNA as a surrogate for LN invasion.

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  • Mammalian ribosomal RNA (rRNA) has over 220 modifications, but how these modifications are regulated across tissues and conditions is still unclear.
  • Researchers used direct RNA sequencing to analyze rRNA modifications in humans and mice, discovering tissue- and developmental stage-specific modification patterns, including new sites not previously documented.
  • They established "epitranscriptomic fingerprinting," a method enabling accurate identification of tissues and tumor types, and showed that rRNA modification patterns could effectively distinguish normal and tumor samples in lung cancer patients with minimal data.
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The biological relevance and dynamics of mRNA modifications have been extensively studied; however, whether rRNA modifications are dynamically regulated, and under which conditions, remains unclear. Here, we systematically characterize bacterial rRNA modifications upon exposure to diverse antibiotics using native RNA nanopore sequencing. To identify significant rRNA modification changes, we develop NanoConsensus, a novel pipeline that is robust across RNA modification types, stoichiometries and coverage, with very low false positive rates, outperforming all individual algorithms tested.

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This practice paper reflects on an ongoing Participatory Action Research project that combines community-engaged methods, national data analysis and advocacy to support community-based emergency response to extreme weather events in 16 Indigenous communities in Alta Verapaz province, Guatemala. Our work points to a worrying predicament experienced in climate-affected areas, where some populations face a dangerous confluence of climate vulnerability, social exclusion and state abandonment that imperils human health. Indigenous communities in Alta Verapaz are often particularly vulnerable to health impacts from climate-driven extreme weather events, a reality compounded by the historical and contemporary ways the state marginalises them.

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  • Heatwaves are becoming more frequent, but their nonlethal effects on tropical insects, especially stingless bees, haven't been fully studied.
  • This study is the first to look at how sublethal heat stress during development affects the size, shape, immune responses, and lifespans of different castes (workers, gynes, males) in stingless bees.
  • Results showed that heat-stressed individuals were smaller and had reduced immune responses, particularly males; heat stress also led to earlier foraging and shorter lifespans in workers, raising concerns about colony fitness and the future of stingless bee species.
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Introduction Artificial intelligence (AI) has long garnered significant interest in the medical field. Large language models (LLMs) have popularized the use of AI for the public through chatbots such as ChatGPT and have become an easily accessible and recognizable medical resource for medical students. Here, we investigate how medical students are currently utilizing LLM-based tools throughout medical education and examine medical student perception of these tools.

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Introduction: Prostate cancer (PCa) is the most frequently diagnosed cancer among men. A major clinical need is to accurately predict clinically significant PCa (csPCa). A proteomics-based 19-biomarker model (19-BM) was previously developed using capillary electrophoresis-mass spectrometry (CE-MS) and validated in close to 1,000 patients at risk for PCa.

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  • Since 2017, combining targeted therapies with traditional chemotherapy has led to better outcomes for acute myeloid leukemia (AML) patients.
  • A study of 5,359 AML patients over 20 years used data from the HARMONY Alliance to analyze treatment outcomes during four 5-year periods from 1997 to 2016.
  • Results show significant improvements in 5-year survival rates and reduced 60-day mortality (from 13.0% to 4.7%), even across different genetic risk groups, indicating that the advancements in treatment have positively affected patient outcomes.
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Introduction: The serine/threonine kinase 17B (STK17B) is involved in setting the threshold for T cell activation and its absence sensitizes T cells to suboptimal stimuli. Consequently, STK17B represents an attractive potential target for cancer immunotherapy.

Methods: To assess the potential of STK17B as an immuno-oncology target, we developed potent and selective tool compounds from starting points in Blueprint Medicines Corporation's proprietary kinase inhibitor library.

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  • The COVID-19 pandemic severely affected early-career pediatric oncology professionals, impacting their work practices, productivity, and career development.
  • A survey conducted in 2021 with 499 participants from 48 countries revealed that many experienced job insecurity, decreased academic productivity, and reduced career opportunities, especially among women and individuals with childcare responsibilities.
  • The findings emphasize the need for governing bodies to address and support the unique challenges faced by these professionals during the pandemic.
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SARS-CoV-2 vaccine-acquired immunity provides robust cross-variant recognition, while infection-acquired immunity can be heterogenous, with disease severity often modulating post-recovery responses. We assessed antibody waning dynamics between infection- and vaccination-acquired immunity across variants of concern (VOC). mRNA vaccination induced potent, cross-VOC Spike recognition and functional responses, but waned more rapidly for Omicron Spike.

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This paper provides an overview of autoimmune disorders of the central nervous system, specifically those caused by demyelination. We explore new research regarding potential therapeutic interventions, particularly those aimed at inducing remyelination. Remyelination is a detailed process, involving many cell types-oligodendrocyte precursor cells (OPCs), astrocytes, and microglia-and both the innate and adaptive immune systems.

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  • - The study focuses on increasing senescent vascular endothelial cells with aging, linking their dysfunction to cardiovascular disease.
  • - A new gene signature called EndoSEN has been developed to identify these senescent cells, revealing that it is associated with certain genes and the senescence-associated secretory phenotype (SASP).
  • - The findings indicate that RNA accumulation plays a critical role in endothelial cell senescence and that targeting RNA sensing could be a promising strategy to combat vascular aging.
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  • Integrated Pest Management (IPM) is a sustainable agriculture approach focusing on reducing chemical pesticide use while enhancing crop productivity and ecosystem health, as highlighted in a recent comprehensive review.
  • Key components of IPM discussed include cultural practices, biological control, genetic pest management, and advanced targeted pesticide delivery systems, with particular advancements noted in biological control and the introduction of novel biopesticides.
  • The review emphasizes IPM's benefits for biodiversity and food safety, outlines case studies showing successful implementation, and points out the challenges needing attention for broader adoption, such as research collaboration and supportive policies.
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  • The study assessed the effectiveness and safety of high-dose intravitreal topotecan (IvitTopo) in treating patients with recurrent retinoblastoma, with outcomes focused on tumor control, eye preservation, and any potential treatment side effects.
  • Thirteen patients, primarily infants, received high-dose IvitTopo after experiencing tumor recurrence, resulting in a significant regression of tumors in 92% of cases and complete eye salvage in all patients.
  • The results suggest that high-dose IvitTopo is not only effective but also safe for managing recurrent retinoblastoma, and it may work well alone or alongside other treatments.
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Diabetic retinopathy (DR) is a common complication of diabetes characterized by vascular pathology and neuroinflammation. Pentraxin 3 (PTX3) is a soluble pattern recognition molecule that functions at the crossroads between innate immunity, inflammation, and tissue remodeling. DR is known to involve inflammatory pathways, although the potential relevance of PTX3 has not been explored.

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  • Globally, while people are living longer, many experience a decline in health due to age-related diseases, highlighting the need for better classification systems to address these issues.
  • A consensus meeting with 150 experts established criteria for identifying ageing-related pathologies, requiring a 70% agreement for approval among participants.
  • The agreed criteria focus on conditions that progress with age, contribute to functional decline, and are backed by human studies, setting a foundation for future classification and staging efforts.
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Rhamnolipids (RLs) are amphiphilic compounds of bacterial origin that offer a broad range of potential applications as biosurfactants in industry and agriculture. They are reported to be active against different plant pests and pathogens and thus are considered promising candidates for nature-derived plant protection agents. However, as these glycolipids are structurally diverse, little is known about their exact mode of action and, in particular, the relation between molecular structure and biological activity against plant pests and pathogens.

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  • Myomodulation involves enhancing muscle contraction and relaxation through techniques like hyaluronic acid (HA) injections, focusing on the precise anatomical positioning in high-risk areas like the forehead to ensure safety and efficacy.
  • The study involved injecting HA into four specimens using three different methods by five experienced plastic surgeons, with ultrasound analysis to evaluate accuracy.
  • Results showed that the microcannula and 45-degree needle techniques were effective in delivering filler accurately to the desired layer, while the 90-degree needle caused dispersion of the filler, indicating the importance of technique choice for optimal outcomes.
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