Publications by authors named "Nasrallah M"

Glioblastoma (GBM) infiltrates the brain and can be synaptically innervated by neurons, which drives tumor progression. Synaptic inputs onto GBM cells identified so far are largely short-range and glutamatergic. The extent of GBM integration into the brain-wide neuronal circuitry remains unclear.

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Background: Glioblastoma is the most aggressive adult primary brain cancer, characterized by significant heterogeneity, posing challenges for patient management, treatment planning, and clinical trial stratification.

Methods: We developed a highly reproducible, personalized prognostication and clinical subgrouping system using machine learning (ML) on routine clinical data, MRI, and molecular measures from 2,838 demographically diverse patients across 22 institutions and 3 continents. Patients were stratified into favorable, intermediate, and poor prognostic subgroups (I, II, III) using Kaplan-Meier analysis (Cox proportional model and hazard ratios [HR]).

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Inflammatory skin disease is characterized by a pathologic interplay between skin cells and immunocytes and can result in disfiguring cutaneous lesions and systemic inflammation. Immunosuppression is commonly used to target the inflammatory component; however, these drugs are often expensive and associated with side effects. To identify previously unidentified targets, we carried out a nonbiased informatics screen to identify drug compounds with an inverse transcriptional signature to keratinocyte inflammatory signals.

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Patient-derived tumor organoids have been leveraged for disease modeling and preclinical studies but rarely applied in real time to aid with interpretation of patient treatment responses in clinics. We recently demonstrated early efficacy signals in a first-in-human, phase 1 study of dual-targeting chimeric antigen receptor (CAR)-T cells (EGFR-IL13Rα2 CAR-T cells) in patients with recurrent glioblastoma. Here, we analyzed six sets of patient-derived glioblastoma organoids (GBOs) treated concurrently with the same autologous CAR-T cell products as patients in our phase 1 study.

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In the medical diagnostics domain, pathology and histology are pivotal for the precise identification of diseases. Digital histopathology, enhanced by automation, facilitates the efficient analysis of massive amount of biopsy images produced on a daily basis, streamlining the evaluation process. This study focuses in Stain Color Normalization (SCN) within a Whole-Slide Image (WSI) cohort, aiming to reduce batch biases.

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  • Cancer immunotherapy has significantly improved solid cancer treatment but can lead to immune-related side effects, including inflammatory arthritis, prompting the use of point-of-care musculoskeletal ultrasound (MSKUS) for diagnosis.* -
  • In a study involving 55 patients with suspected musculoskeletal issues post-checkpoint inhibition therapy, it was found that 62% had definite inflammatory arthritis, with MSKUS revealing key features such as synovial thickening and hyperemia.* -
  • MSKUS was particularly valuable, as it detected inflammatory signs in patients who showed no clinical symptoms, highlighting its effectiveness in diagnosing musculoskeletal immune-related adverse events.*
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Objective: Research has increasingly demonstrated the need to conceptualize the etiology of eating disorders beyond a sole focus on body image disturbance. Attachment patterns, media internalization, and self-objectification have been previously found to play a potential role in the development and maintenance of eating psychopathology.

Method: This study 1) examined the associations between eating behavior, body dissatisfaction, attachment, media internalization, and self-objectification, 2) evaluated media internalization and self-objectification as mediators of the relationship between insecure attachment patterns and both eating disorder symptomatology and body dissatisfaction, and 3) explored predictors of eating behavior in a sample of 252 Lebanese individuals between the ages of 18 and 25.

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  • Immune checkpoint inhibitors, a type of cancer treatment, can cause serious side effects, including immune-related myocarditis (irMyocarditis), which can be fatal.
  • Researchers studied immune responses in the heart, tumor, and blood of 28 patients with irMyocarditis using advanced techniques like single-cell RNA sequencing and T-cell receptor (TCR) sequencing.
  • Their findings showed an increase in certain immune cells in the heart tissue of irMyocarditis patients and identified specific TCR clones associated with severe cases, shedding light on the disease's biology and potential biomarkers.
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Background: It is imperative to differentiate true progression (TP) from pseudoprogression (PsP) in glioblastomas (GBMs). We sought to investigate the potential of physiologically sensitive quantitative parameters derived from diffusion and perfusion magnetic resonance imaging (MRI), and molecular signature combined with machine learning in distinguishing TP from PsP in GBMs in the present study.

Methods: GBM patients ( = 93) exhibiting contrast-enhancing lesions within 6 months after completion of standard treatment underwent 3T MRI.

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  • Depression and anxiety are frequently found alongside diabetes, with potential links between glycemic dysregulation and mental health risks in middle-aged Lebanese adults.
  • Using data from the Greater Beirut Area Cardiovascular Cohort, the study analyzed the effects of fasting blood glucose (FBG) and hemoglobin A1c (HbA1c) on depression and anxiety symptoms over a five-year period.
  • Results indicated that higher FBG levels in the non-diabetic range correlated with lower depression and anxiety symptoms, while the opposite was true for those with higher FBG levels in the diabetic range, suggesting differing impacts based on glycemic control.
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The protection system is crucial for grid stability and safeguarding essential components, including generators, transformers, transmission systems, and power connections. The smart grid system increases the flexibility and complexity of the power system, making fault detection and isolation the primary challenges for the protection system. This paper presents an optimal protection solution using an adaptive electronic relay to enhance reliability and enable self-healing.

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Background Psoriasis is a chronic immune-mediated disease with a 2-3% prevalence. As with other diseases with cutaneous manifestations, psoriasis patients suffer from psychological issues and social isolation. The general population's misconceptions and prejudicial attitudes toward those patients are highly implicated in ensuing psychological issues.

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Background: Emerging adults with type 1 diabetes are at risk of poorer diabetes-related health outcomes than other age groups. Several factors affecting the health and experiences of the emerging adults are culture and healthcare specific.

Objectives: The aim of this study was to explore the experience of emerging adults living with type 1 diabetes in Lebanon, describe their diabetes self-care and diabetes-related health outcomes (HbA1c and diabetes distress), and identify the predictors of these outcomes.

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  • - Histopathology image evaluation is crucial for cancer diagnosis, but traditional AI methods struggle with generalizing across different imaging protocols and sample populations due to their specialized nature.
  • - The Clinical Histopathology Imaging Evaluation Foundation (CHIEF) model is introduced as a general-purpose, weakly supervised machine learning framework designed to systematically evaluate cancer by extracting diverse imaging features through two complementary pretraining methods.
  • - CHIEF, trained on over 60,000 whole-slide images from various sites, demonstrated improved performance over existing deep learning approaches by up to 36.1%, showing its effectiveness in adapting to diverse samples and enhancing digital pathology evaluations for cancer patients.
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  • Glioblastoma (GBM) is an aggressive brain tumor that often infiltrates beyond its visible boundaries, making treatment challenging with standard surgical and chemoradiotherapy approaches.
  • A new method was developed that combines expert insights and data augmentation to improve predictions of tumor infiltration using preoperative magnetic resonance imaging (mpMRI) scans from 229 patients.
  • The model was validated through cross-institutional tests, showing varying effectiveness in predicting tumor recurrence, with odds ratios indicating strong potential for guiding targeted treatment strategies.
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Background: Treatment delivery safety and accuracy are essential to control the disease and protect healthy tissues in radiation therapy. For usual treatment, a phantom-based patient specific quality assurance (PSQA) is performed to verify the delivery prior to the treatment. The emergence of adaptive radiation therapy (ART) adds new complexities to PSQA.

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Background: Nonverbal communication plays a pivotal role in the provision of effective patient care and has been associated with important patient health outcomes. Clinician posture, a nonverbal form of communication, may influence the patient experience and satisfaction. The relationship between clinician posture (i.

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Distributed power generation systems may necessitate connecting multiple independent energy sources that employ various converter topologies. A recent development in this field is the emergence of impedance source converters, offering the ability to deliver buck-boost functionality within a single stage. The split-source inverter (SSI) has been introduced as a novel choice in between this family.

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  • Despite extensive research on genomic changes in glioblastoma, the survival rate remains under 5% after five years.
  • This study aims to broaden the understanding of high-grade glioma by combining various biological analyses (proteomics, metabolomics, etc.) to identify complex regulatory mechanisms involved in tumor growth and progression.
  • Results from analysis of 228 tumors indicate significant variability in early-stage changes, but they converge on common outcomes affecting protein interactions and modifications, highlighting PTPN11's crucial role in high-grade gliomas.
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Introduction: Glioblastoma (GBM) is a highly aggressive malignant tumor of the central nervous system that displays varying molecular and morphological profiles, leading to challenging prognostic assessments. Stratifying GBM patients according to overall survival (OS) from H&E-stained whole slide images (WSI) using advanced computational methods is challenging, but with direct clinical implications.

Methods: This work is focusing on GBM (IDH-wildtype, CNS WHO Gr.

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  • It’s important to diagnose brain tumors accurately so patients can get the right treatment.
  • Scientists created a new tool called DEPLOY that uses deep learning to help classify different types of brain tumors from images of the tumor slides.
  • DEPLOY has shown it can predict tumor types with a very high accuracy, helping doctors diagnose patients faster and more reliably.
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  • Immune checkpoint inhibitor (ICI) therapy has significantly advanced cancer treatment but is often complicated by immune-related adverse events like checkpoint inhibitor colitis (irColitis).
  • A study profiling around 300,000 cells from patients with irColitis uncovered key immune cell expansions and molecular changes in the colon mucosa and blood, highlighting the complexity of the condition.
  • Findings indicate that specific T cells and epithelial interactions are crucial for understanding irColitis and may lead to new therapeutic approaches for managing this side effect of ICI therapy.
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