Publications by authors named "Parth Shah"

Purpose Of The Review: This review aims to explore the pivotal role of long non-coding RNAs (lncRNAs) as epigenetic regulators in the pathogenesis of multiple myeloma (MM). Additionally, we have portrayed the dual role of lncRNAs in the epigenetic landscape of MM pathobiology.

Recent Findings: In MM, lncRNAs are pivotal for proliferation, progression, and drug resistance by acting as miRNA sponges, regulating mRNA activity through microRNA recognition elements (MREs).

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Arthrogryposis multiplex congenita (AMC) is a heterogeneous disorder associated with 1/3000 to 1/5000 live births. We report a consanguineous family with multiple affected members with AMC and identified a recessive mutation in the highly conserved splice donor site, resulting in the mis-splicing of the affected exons. SENP7 is a deSUMOylase that is critical for sarcomere assembly and skeletal muscle contraction by regulating the transcriptional program in the skeletal muscle.

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Background: Federal-level legislation to recognize pharmacists as providers and thus allow insurance reimbursement for health services claims, not just prescription drug claims (known as provider status), has been advocated for by the profession but is yet to be passed into federal law. Several state governments have enacted this recognition for commercial insurance and/or Medicaid plans. However, the impact of these laws on reimbursement and access to health services has yet to be explored empirically.

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Background: The aim of this study was to examine the association of frequent recreational cannabis (FRC) use with untreated coronal caries, untreated root surface caries, and severe tooth loss.

Methods: This cross-sectional study analyzed data obtained from 5,656 people, aged 18 through 59 years, who participated in the National Health and Nutrition Examination Survey from 2015 through 2018. FRC use was defined as self-reported use of marijuana or hashish at least once per month for the past 12 months.

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Nearly half of multiple myeloma (MM) patients have hyperdiploidy (HMM) at diagnosis. Although HMM occurs early, the mutational processes before and after hyperdiploidy are still unclear. Here, we used 72 WGS samples from patients with HMM and identified pre and post HMM mutation to define the chronology of development of hyperdipoidy.

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To examine the association between parental divorce or separation (PDS) and oral health outcomes in children and adolescents in the United States (U.S.), and learn whether the association was mediated by a lack of needed dental care in the past 12 months.

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Article Synopsis
  • Mesenchymal neoplasms in the nasal cavity, such as angioleiomyoma (AL) and angiomyolipoma (AML), are rare tumors that involve vascular, smooth muscle, and adipocytic components, with unclear classifications as hamartomas or true neoplasms due to limited genetic research.
  • A multi-institutional retrospective study collected data on 15 nasal cavity lesions, primarily affecting older males with obstructive symptoms, and analyzed tissue samples for genetic features.
  • The study discovered that most cases had a high proportion of smooth muscle, with some showing additional components like blood vessels and fatty tissue, while all lesions were positive for smooth muscle markers, indicating their muscular origin.
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While COVID-19 immunizations can improve outcomes from SARS-CoV-2, vaccine rates in the United States have been lowest among children under age 11 and among rural agricultural communities. This study examined factors influencing pediatric COVID-19 vaccine uptake among rural agricultural and predominantly Hispanic communities in Washington State. We conducted in-depth interviews with school district employees and students and held English and Spanish focus group discussions with parents, all of which were audio-recorded and transcribed.

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Aims: To identify baseline characteristics that best correlate to treatment interval for naive neovascular age-related macular degeneration patients treated with faricimab in the first year (Y1) of the TENAYA and LUCERNE phase 3 trials, and to further understand how these characteristics may impact treatment intervals.

Methods: This post-hoc analysis of Y1 data from the TENAYA and LUCERNE trials evaluated ocular baseline characteristics associated with Y1 treatment intervals. Patients were categorised into three subgroups based on their Y1 treatment interval: Q16W, Q12W or Q8W.

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Purpose: Mesenchymal neoplasms composed of vascular, smooth muscle, and adipocytic components are uncommon in the nasal cavity. While angioleiomyoma (AL) is a smooth muscle tumor in the Head & Neck WHO classification, it is considered of pericytic origin in the Skin as well as Soft Tissue and Bone classifications. For nasal AL with an adipocytic component, the terms AL with adipocytic differentiation and angiomyolipoma (AML) have been applied, among others.

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  • - Fibroepithelial polyps (FEP) are uncommon benign tumors found in the urinary system, often identified through CT scans and confirmed by histopathology.
  • - Treatment options for FEP range from traditional nephroureterectomy to modern ablation techniques.
  • - A case study highlighted a patient with FEP causing left-sided hydronephrosis and flank pain, successfully treated with robotic pyeloplasty and tumor excision, leading to restored renal function and alleviated symptoms.
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  • * A pilot program was launched where pharmacists reviewed genetic test results, provided drug-dosing advice, and documented interactions in patient records, which were shared with oncologists.
  • * Results showed that out of 71 patients, 21 had actionable genetic variants, leading to dose changes in five patients, demonstrating the potential of pharmacist involvement in personalized medicine.
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Objectives: To construct a new scoring system utilizing biomarkers, vitals, and imaging data to predict 30-day mortality in acute pulmonary embolism (PE).

Background: Acute PE, a well-known manifestation of venous thromboembolic disease, is responsible for over 100,000 deaths worldwide yearly. Contemporary management algorithms rely on a multidisciplinary approach to care via PE response teams (PERT) in the identification of low, intermediate, and high-risk patients.

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  • Corneal cross-linking (CXL) is effective for treating keratoconus in children and those with developmental delays, requiring tailored surgical techniques and careful decision-making.
  • A study at UPMC Children's Hospital analyzed data from 34 patients, revealing that all underwent standard epithelium-off CXL under general anesthesia, with minimal complications and a noted trend towards improved visual acuity post-surgery.
  • The approach included temporary tarsorrhaphy to manage pain effectively, highlighting a safe and timely diagnostic and treatment strategy for these patient groups.
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The aims of this study were to examine the association of social network size with severe tooth loss and the number of missing teeth among Hispanic adults with diabetes in the United States and to assess whether the association varied by glycemic control. Data obtained from 1,007 adults who participated in the Hispanic Community Health Study were analyzed. Structural social support was measured with the Social Network Index (SNI), which assessed network size and frequency of social contacts.

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Introduction Assisted reproductive technologies (ART) rely on endometrial receptivity (ER) for successful embryo implantation. This study aimed to compare the impact of different progesterone administration routes on ER assessed using optimal time for endometrial receptivity analysis (OpERA) and clinical outcomes in ART cycles. Methods A retrospective cohort analysis was conducted on 281 infertile women who underwent in vitro fertilization (IVF).

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Next-generation sequencing-based genomic testing is standard of care for tumor workflows. However, its application across different institutions continues to be challenging given the diversity of needs and resource availability among different institutions globally. Moreover, the use of a variety of different panels, including those from a few individual genes to those involving hundreds of genes, results in a relatively skewed distribution of care for patients.

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  • * A total of 73 patients with intermittent claudication participated in the 12-week SET program, with 56 completing it successfully and reporting notable improvements in walking symptoms.
  • * Patients who completed SET experienced significant reductions in leg pain and improved walking ability compared to their baseline measurements, suggesting the efficacy of the interventions in enhancing therapeutic engagement.
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  • Pharmacies can help people get screened for colon cancer more easily, but starting this new service can be challenging.* -
  • Pharmacists in Washington and North Carolina talked about how they feel ready to provide these tests and suggested ideas to improve the process.* -
  • To make pharmacy screening successful, it’s important to provide training, clear guidelines, and better communication between pharmacists and doctors.*
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Contamination of food products with mycotoxins such as aflatoxin B (AFB) poses a severe risk to human health. Larvae of the black soldier fly (BSFL), Hermetia illucens (Diptera: Stratiomyidae), can successfully metabolize AFB without any negative consequences on their survival or growth. Organic waste streams contaminated with mycotoxins can be upcycled into protein-rich BSFL as an alternative feed for livestock and the left-over feed residue into nutrient-rich crop fertilizers.

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  • - Traditional newborn screening (NBS) helps identify health issues in infants early on, while newborn sequencing (NBSeq) offers a deeper analysis of genetics that could enhance long-term health management and personalized medicine.
  • - Despite its potential, NBSeq faces challenges like ethical concerns, complex genomic data interpretation, and the need for specialized skills and infrastructure, which can hinder its widespread use.
  • - To overcome these barriers, collaboration among various stakeholders and the establishment of frameworks for informed consent and data protection are crucial for making NBSeq a standard practice, particularly in underserved communities.
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Background: Supervised exercise therapy (SET) provides clinical benefit for patients suffering from intermittent claudication due to peripheral artery disease (PAD). However, enrollment in programs when offered remains low. We sought to identify patient-reported barriers to enrollment in SET as part of a prospective quality improvement program.

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