Publications by authors named "Packard R"

Purpose: To report the initial experience of performing capsulotomy in eyes with mature white cataracts using selective laser capsulotomy (SLC) in Indian eyes.

Methods: This was a prospective, noncomparative, open-label study. All adults presenting to our institution with mature cataracts whose pupils dilated >6 mm and who were willing for phacoemulsification were invited to participate.

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Recent guidelines have recommended a reduced role for primary prevention aspirin use, which is associated with an increased bleeding risk. This study aimed to characterize guideline-discordant aspirin use among adults in a community care setting. As part of a quality improvement initiative, patients at 1 internal medicine and 1 family medicine clinic affiliated with an academic hospital were sent an electronic survey.

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Coronary plaque rupture remains the prominent mechanism of myocardial infarction. Accurate identification of rupture-prone plaque may improve clinical management. This study assessed the discriminatory performance of electrochemical impedance spectroscopy (EIS) in human cardiac explants to detect high-risk atherosclerotic features that portend rupture risk.

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Distinguishing quiescent from rupture-prone atherosclerotic lesions has significant translational and clinical implications. Electrochemical impedance spectroscopy (EIS) characterizes biological tissues by assessing impedance and phase delay responses to alternating current at multiple frequencies. We evaluated invasive 6-point stretchable EIS sensors over a spectrum of experimental atherosclerosis and compared results with intravascular ultrasound (IVUS), molecular positron emission tomography (PET) imaging, and histology.

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Tuning of genome structure and function is accomplished by chromatin-binding proteins, which determine the transcriptome and phenotype of the cell. Here we investigate how communication between extracellular stress and chromatin structure may regulate cellular mechanical behaviors. We demonstrate that histone H1.

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Purpose: To compare 3 capsulotomy centration methods.

Setting: Private clinic, Zlin, Czech Republic.

Design: Prospective, consecutive case series.

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Article Synopsis
  • Pancreatic ductal adenocarcinoma (PDAC) is a type of cancer that is good at taking nutrients from the body to help it grow.
  • Researchers found that a protein called caveolin-1 (Cav-1) is linked to more aggressive forms of this cancer and worse outcomes for patients.
  • When Cav-1 was removed in experiments, the tumor growth slowed down and the mice lived longer, showing that Cav-1 helps the cancer survive by stealing nutrients.
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Article Synopsis
  • - Digital PET/CT systems with a long axial field of view are the latest advancements, offering wider anatomical coverage and enhanced system sensitivity for better imaging.
  • - Early findings indicate improvements in image quality and quantification, while also allowing for low-dose exams and shorter acquisition times, particularly in studying cardiac physiology.
  • - This technology enables comprehensive assessment of multiple organs and vascular structures, presenting new possibilities for understanding systemic disorders and their effects on cardiovascular health.
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Background: Distinguishing quiescent from rupture-prone atherosclerotic lesions has significant translational and clinical implications. Electrochemical impedance spectroscopy (EIS) characterizes biological tissues by assessing impedance and phase delay responses to alternating current at multiple frequencies.We evaluated invasive 6-point stretchable EIS sensors over a spectrum of experimental atherosclerosis and compared results with intravascular ultrasound (IVUS), molecular positron emission tomography (PET) imaging, and histology.

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Aims: Coronary computed tomography angiography (CTA) and fractional flow reserve by computed tomography (FFR-CT) are increasingly utilized to characterize coronary artery disease (CAD). We evaluated the feasibility of distal-vessel FFR-CT as an integrated measure of epicardial CAD that can be followed serially, assessed the CTA parameters that correlate with distal-vessel FFR-CT, and determined the combination of clinical and CTA parameters that best predict distal-vessel FFR-CT and distal-vessel FFR-CT changes.

Methods And Results: Patients (n = 71) who underwent serial CTA scans at ≥2 years interval (median = 5.

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Anthracyclines such as doxorubicin (Dox) are effective chemotherapeutic agents; however, their use is hampered by subsequent cardiotoxicity risk. Our understanding of cardiomyocyte protective pathways activated following anthracycline-induced cardiotoxicity (AIC) remains incomplete. Insulin-like growth factor binding protein (IGFBP) 3 (Igfbp-3), the most abundant IGFBP family member in the circulation, is associated with effects on the metabolism, proliferation, and survival of various cells.

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Extended reality (XR) refers to an umbrella of methods that allows users to be immersed in a three-dimensional (3D) or a 4D (spatial + temporal) virtual environment to different extents, including virtual reality (VR), augmented reality (AR), and mixed reality (MR). While VR allows a user to be fully immersed in a virtual environment, AR and MR overlay virtual objects over the real physical world. The immersion and interaction of XR provide unparalleled opportunities to extend our world beyond conventional lifestyles.

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Article Synopsis
  • A clear corneal incision (CCI) is a common entrance used in cataract surgery, and it's safer than people first thought when done correctly.
  • Recent improvements have helped doctors better understand how to make these incisions and many now use smaller cuts.
  • The review talks about the history of CCI, the tools used to make it, and the importance of reducing plastic waste while considering the environment.
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Recent advances in epigenomics measurements have resulted in a preponderance of genomic sequencing datasets that require focused analyses to discover mechanisms governing biological processes. In addition, multiple epigenomics experiments are typically performed within the same study, thereby increasing the complexity and difficulty of making meaningful inferences from large datasets. One gap in the sequencing data analysis pipeline is the availability of tools to efficiently browse genomic data for scientists that do not have bioinformatics training.

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Cardiotoxicity, or the development of unwarranted cardiovascular side-effects of oncologic therapies, can involve all aspects of cardiovascular disease. The development of cardiac fibrosis is a dreaded complication that leads to cardiac mechanical dysfunction, tachyarrhythmias, and an increase in cardiovascular mortality. This review details established and putative mechanisms leading to fibroblast activation, myofibroblast transdifferentiation, and the development of replacement or interstitial cardiac fibrosis as a consequence of cancer treatments.

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Anthracyclines are a widely used class of chemotherapy in pediatric and adult cancers, however, their use is hampered by the development of cardiotoxic side-effects and ensuing complications, primarily heart failure. Clinically used imaging modalities to screen for cardiotoxicity are mostly echocardiography and occasionally cardiac magnetic resonance imaging. However, the assessment of diastolic and global or segmental systolic function may not be sensitive to detect subclinical or early stages of cardiotoxicity.

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Electrical impedance spectroscopy (EIS) has been recognized to characterize oxidized low-density lipoprotein (oxLDL) in the metabolically active plaque. However, intravascular deployment of 3-D EIS-derived electrical impedance tomography (EIT) for endoluminal mapping of oxLDL-laden arterial walls remains an unmet clinical challenge. To this end, we designed the 6-point microelectrode arrays that were circumferentially configurated onto the balloon catheter for 15 intravascular EIS permutations.

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Article Synopsis
  • The study evaluated the effectiveness of segmental 18F-flurpiridaz myocardial blood flow (MBF) measurement by PET compared to traditional methods, focusing on its diagnostic performance in identifying coronary artery disease (CAD).
  • In a trial with 245 patients, the segmental flow metrics showed better diagnostic performance than territory metrics, with significant improvements seen in the assessment of CAD with 50% stenosis using SMBF measurements.
  • The findings suggest that using segmental MBF metrics is a feasible approach that enhances the detection of CAD, particularly when using SMBF alongside relative perfusion quantitation (PQ) for moderate cases, though it doesn't significantly improve performance for more severe cases (≥70
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