Publications by authors named "Nash A"

Distinguishing competency and education in clinical healthcare education is complex. The NYU Langone Health Nursing Education and Competency Algorithm (NE-CA) was developed as a tool for competency identification and sustainment. A mixed-methods design national research study was employed to evaluate the validity of the NE-CA.

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Objective: The purpose of this study is to assess differences in language characteristics in personal statements written by male and female applicants to an orthopedic surgery residency program.

Design: This is a blinded retrospective analysis of personal statements from all applicants to an orthopedic surgery residency training program during 1 application cycle. Language characteristics were analyzed using a linguistic analysis software.

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  • - The study aimed to investigate the prevalence of pathogenic (P) or likely pathogenic (LP) genetic mutations in women with phyllodes tumors (PT), highlighting the need for more research in this area.
  • - Involving 274 women, the research found that 14.1% had P/LP variants, particularly in genes linked to autosomal dominant cancer conditions, like CHEK2, ATM, and RAD51D.
  • - The findings suggest that genetic testing could be beneficial for women with PT to guide screening and treatment, even though current national guidelines do not address this necessity.
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  • The study compares survival outcomes for three treatment options for ductal carcinoma in situ: breast-conserving surgery alone, breast-conserving surgery with radiation, and mastectomy.
  • Data was collected from a large sample of patients diagnosed between 2008 and 2014, with a median follow-up of about 68 months.
  • Results showed extremely high disease-specific survival rates (99.6% or higher) across all treatment groups with no significant differences, although breast-conserving surgery without radiation had lower overall survival compared to surgery with radiation in patients under 65.
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Adolescent Medical Decision Making (aMDM) is frequently discussed but presents a significant challenge in practice, especially in cases of adolescents with life threatening or life limiting illnesses. In this paper, we present a case that explores the importance of aMDM, the difficulties for providers when engaging adolescents in these discussions, and how certain skills may be incorporated into pediatric practice. Literature suggests that patients of this age group, while being legally without capacity, have meaningful insights into their care.

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  • Malignant phyllodes tumors (MPT) are rare breast cancers with a poor prognosis, prompting researchers to analyze their genomic characteristics and potential immunotherapy markers.
  • The study involved genomic profiling of 135 MPT cases, revealing that 69.6% were localized, with a median age of 54 and several patients demonstrating actionable mutations.
  • Findings indicate that routine genomic sequencing for metastatic MPT may improve treatment strategies and help in enrolling patients in clinical trials.
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Eating behaviors are influenced by the integration of gustatory, olfactory, and somatosensory signals, which all contribute to the perception of flavor. Although extensive research has explored the neural correlates of taste in the gustatory cortex (GC), less is known about its role in encoding thermal information. This study investigates the encoding of oral thermal and chemosensory signals by GC neurons compared to the oral somatosensory cortex.

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  • Echocardiography is recommended as a primary diagnostic tool for patients in shock, but its implementation in critical care is inconsistent and not well defined.
  • A study involving 178 critical care units in the UK tracked 1015 patients, revealing that 54% received an echocardiogram, which helped clarify diagnoses or change treatment plans in over half of the cases.
  • Despite its benefits, only 25% of echocardiograms complied with national governance guidelines, indicating a need for improved usage and adherence in future practices.
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Activated FXII (FXIIa) is the principal initiator of the plasma contact system and can activate both procoagulant and proinflammatory pathways. Its activity is important in the pathophysiology of hereditary angioedema (HAE). Here, we describe a high-resolution cryoelectron microscopy (cryo-EM) structure of the beta-chain from FXIIa (βFXIIa) complexed with the Fab fragment of garadacimab.

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  • Proliferative breast atypical lesions, like atypical ductal hyperplasia (ADH) and lobular intraepithelial neoplasms (LIN), increase the risk for developing ductal carcinoma in situ (DCIS) and invasive breast cancer (IBC), though the timing for progression varies widely.
  • A study of 418 patients diagnosed with these lesions revealed that 17% developed either IBC or DCIS, with almost half of these cases occurring within 5 years after the initial diagnosis.
  • Neither patient demographics nor clinical features were linked to the timing or likelihood of developing subsequent cancer events, indicating that atypia is a significant marker for overall malignancy risk.
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Introduction: Responses to COVID-19 within medical education prompted significant changes to the surgical clerkship. We analyzed the changes in medical student end of course feedback before and after the COVID-19 outbreak.

Methods: Postclerkship surveys from 2017 to 2022 were analyzed including both Likert scale data and free text, excluding the COVID outbreak year 2019-2020.

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Background: Pediatric patients require central venous catheters to maintain adequate hydration, nutritional status, and delivery of life-saving medications in the pediatric intensive care unit. Although central venous catheters provide critical medical therapies, their use increases the risk of severe infection, morbidity, and mortality. Adopting an evidence-based central line-associated bloodstream infection (CLABSI) bundle to guide nursing practice can decrease and sustain low CLABSI rates, but reliable and consistent implementation is challenging.

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Background: There is limited research investigating sexual-orientation-related differences in older adults and their relationship with alcohol use.

Objective: The purpose of this study was to determine if sexual minority status moderates the relationship between psychological distress and alcohol drinking patterns.

Methods: This study was a secondary analysis of data from the 2017-2018 National Survey on Drug Use and Health.

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Purpose Of Review: In this article, we provide a comprehensive analysis of recent progress in the genetic characterisation of pleural mesothelioma, and the translation of these findings to clinical practice.

Recent Findings: Advancements in sequencing technology have allowed the identification of driver mutations and improved our understanding of how these mutations may shape the mesothelioma tumour microenvironment. However, the identification of frequently mutated regions including CDKN2A, BAP1 and NF2 have, to date, not yet yielded targeted therapy options that outperform standard chemo- and immunotherapies.

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Introduction: The surgical clerkship is a formative experience in the medical school curriculum and can leave a lasting impression on students' perception of surgery. Given the historical negative stereotypes of surgeons, the clerkship represents an opportunity to impact students in a meaningful way.

Methods: Our institution developed a program in which research residents can serve as junior clerkship coordinators and educators; working closely with medical students on their surgery clerkship.

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Introduction: There is increasing recognition that encouraging and supporting rural youth to pursue healthcare careers could be a promising strategy for addressing shortages of rural healthcare practitioners. Although rural students in health science programs often return to their home communities to practice, they continue to be underrepresented in these programs. Geographic isolation and small community sizes create barriers to entry for rural students, including a lack of educational and outreach services and a smaller pool of role models with experience in pursuing health science careers.

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Background: The rate of contralateral prophylactic mastectomy (CPM) continues to rise despite no improvement in survival, an increased risk of surgical complications, and negative effects on quality of life. This study explored the experiences of the partners of women who undergo CPM.

Methods: This study was part of an investigation into the factors motivating women with early-stage unilateral breast cancer and low genetic risk to opt for contralateral prophylactic mastectomy (CPM).

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Article Synopsis
  • Medical students sometimes feel confused about what is expected from them during their surgery training, so researchers wanted to find out what the surgeons in charge think.
  • They asked surgeons about what they expect from students while doing tasks like rounding, working in the operating room, and being professional.
  • By understanding these different expectations, they can help medical students know what to do better and create a more supportive learning environment for them.
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Research focused on elucidating moral injury amongst healthcare workers (HCWs) is essential due to the deep connection with morality and individuals' overall wellbeing. Examining moral injury provides an avenue through which researchers can connect individual experiences with systemic level causes (i.e.

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Localized immunomodulation technologies are rapidly emerging as a new modality with the potential to revolutionize transplantation of cells and organs. In the past decade, cell-based immunomodulation therapies saw clinical success in the treatment of cancer and autoimmune diseases. In this review, we describe recent advances in engineering solutions for the development of localized immunomodulation techniques focusing on cellular and organoid transplantation.

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In this review, we provide an update on the status of cancer biomarkers for the clinical management of pleural mesothelioma, an aggressive cancer associated with asbestos exposure. Mesothelioma can be difficult to diagnose, and response to treatment is transient, even with recently adopted immune checkpoint inhibitor (ICI) combinations. Identification of mesothelioma-specific biomarkers could facilitate early diagnosis and tailor treatment strategies.

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