Publications by authors named "Pickering B"

The early detection of the acute deterioration of escalating illness severity is crucial for effective patient management and can significantly impact patient outcomes. Ambient sensing technology, such as computer vision, may provide real-time information that could impact early recognition and response. This study aimed to develop a computer vision model to quantify the number and type (clinician vs.

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  • - Adult onset still's disease (AOSD) is a challenging systemic inflammatory condition with no known cause, often diagnosed by ruling out other diseases.
  • - A case study of a 26-year-old male highlighted symptoms like severe body pain, fevers, and a distinctive salmon-colored rash, leading to his eventual diagnosis of AOSD after various lab tests.
  • - Treatment with high doses of prednisone was effective, followed by a transition to Canakinumab, resulting in no symptoms for five months, emphasizing the need for awareness of AOSD in similar clinical presentations.
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One Health is an integrated approach that aims to balance and optimize the interconnectedness of the health of humans, animals, and ecosystems. Using this transdisciplinary approach, experts from across Canada led the formation of the Wildlife Emerging Pathogens Initiative (Wild EPI) to undertake research and surveillance programs evaluating the potential risks of emerging pathogens at the human-animal interface. Wild EPI is dedicated to implementing the One Health approach to enhance our understanding of the epidemiology and burden of zoonotic infections among humans and other animal hosts.

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  • Patients with language barriers face healthcare disparities that can be improved by effectively using interpreters for better communication, especially for those needing complex care.
  • A clinical trial will be conducted at Mayo Clinic involving 35 hospital units over a year to evaluate the effectiveness of an AI-driven system that identifies patients needing interpreter services and notifies nursing staff accordingly.
  • The study aims to streamline the request process for interpreters, enhancing patient care by addressing language and communication challenges systematically through predictive algorithms.
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  • The Nipah virus (NiV) and Hendra virus (HeV) are dangerous zoonotic diseases that can lead to serious infections in both humans and animals, highlighting the need for early detection.
  • Researchers have developed two antigen-detection ELISAs (AgELISAs), one specifically for NiV and another that can detect both NiV and HeV, achieving high diagnostic specificities of 100% and 97.8%, respectively.
  • These AgELISAs can rapidly identify NiV and HeV from samples, including those from infected pigs, making them especially useful in remote areas where other diagnostic methods might not be available.
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Computer vision (CV), a type of artificial intelligence (AI) that uses digital videos or a sequence of images to recognize content, has been used extensively across industries in recent years. However, in the healthcare industry, its applications are limited by factors like privacy, safety, and ethical concerns. Despite this, CV has the potential to improve patient monitoring, and system efficiencies, while reducing workload.

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Background:  Intensive care unit (ICU) clinicians encounter frequent challenges with managing vast amounts of fragmented data while caring for multiple critically ill patients simultaneously. This may lead to increased provider cognitive load that may jeopardize patient safety.

Objectives:  This systematic review assesses the impact of centralized multipatient dashboards on ICU clinician performance, perceptions regarding the use of these tools, and patient outcomes.

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Objective: This study aims to design, validate and assess the accuracy a deep learning model capable of differentiation Chest X-Rays between pneumonia, acute respiratory distress syndrome (ARDS) and normal lungs.

Materials And Methods: A diagnostic performance study was conducted using Chest X-Ray images from adult patients admitted to a medical intensive care unit between January 2003 and November 2014. X-ray images from 15,899 patients were assigned one of three prespecified categories: "ARDS", "Pneumonia", or "Normal".

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The use of effective vaccines is among the most important strategies for the prevention and progressive control of transboundary infectious animal diseases. However, the use of vaccine is often impeded by the cost, a lack of cold chains and other factors. In resource-limited countries in Africa, one approach to improve coverage and reduce cost is to vaccinate against multiple diseases using combined vaccines.

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Mobile Health (mHealth) has the potential to be transformative in the management of chronic conditions. Machine learning can leverage self-reported data collected with apps to predict periods of increased health risk, alert users, and signpost interventions. Despite this, mHealth must balance the treatment burden of frequent self-reporting and predictive performance and safety.

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Two cat nasal swabs from Canada's earliest confirmed SARS-CoV-2 positive domestic cats were sequenced to over 99% SARS-CoV-2 genome coverage. One cat had lineage A.23.

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Crimean-Congo haemorrhagic fever orthonairovirus (CCHFV) is a tick-borne, risk group 4 pathogen that often causes a severe haemorrhagic disease in humans (CCHF) with high case fatality rates. The virus is believed to be maintained in a tick-vertebrate-tick ecological cycle involving numerous wild and domestic animal species; however the biology of CCHFV infection in these animals remains poorly understood. Here, we experimentally infect domestic sheep with CCHFV Kosovo Hoti, a clinical isolate representing high pathogenicity to humans and increasingly utilized in current research.

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Domestic pigs are a critical component of the food supply and one of the most commonly raised production animals. Pork consumption has driven the intensification of pig production expanding into environments conducive to increased emergence and spread of infectious diseases, including the spillover of pathogens into human populations. One of these emerging viruses, Reston virus (RESTV), is an enigma among the Orthoebolavirus genus in that its lack of human pathogenicity is in stark contrast to the high virulence associated with most other ebolaviruses.

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Background: Challenges with SARS-CoV-2 vaccine prioritization, access, and hesitancy have influenced vaccination uptake.

Research Question: Was the impact of SARS-CoV-2 vaccine rollout on COVID-19 monthly admission and mortality trends different between Hispanic and non-Hispanic populations?

Study Design And Methods: We used interrupted time series analysis to conduct an ancillary study of the Viral Infection and Respiratory Illness Universal Study registry supplemented by electronic health record data from five participating Mayo Clinic sites in Florida, Arizona, Minnesota, and Wisconsin. We included hospitalized patients with COVID-19 admitted between April 2020 and December 2021.

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  • Inpatients with language barriers often face disparities in care and outcomes, prompting a need for improved access to in-person interpreters, which are currently underused.
  • A qualitative study involved 49 stakeholder interviews to explore the risks and benefits of using artificial intelligence (AI) to identify these patients and prioritize interpreter services.
  • Key risks included concerns about transparency and privacy, while benefits highlighted included enhanced awareness of interpreter services, improved patient care, and the potential to reduce clinician bias.
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  • White-tailed deer (WTD) were studied for SARS-CoV-2 infection in a sample of 258 collected from Québec, Canada, revealing the presence of Delta variant RNA.
  • Viral genomic analysis showed clusters of infected deer sequences matched human cases from Vermont, indicating potential cross-species transmission.
  • The study identified differences in immune response between humans and infected WTD, highlighting unique host responses to the virus and providing important information for disease surveillance in wildlife.
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  • Pulmonary auscultation is important for detecting lung issues, but its effectiveness can vary based on the person performing it; machine learning (ML) models can automate the classification of lung sounds as a potential solution.
  • This systematic review analyzed 62 studies from 1990 to 2022, examining the accuracy and data sources of existing ML models used for lung sound classification, with results showing varied accuracy rates.
  • Despite the promise of ML in classifying lung sounds using public databases, many studies had a high risk of bias, highlighting the need for standardized methods in data collection and reporting to improve reliability.
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Introduction: Healer's Perspective was a course on Zoom developed from the Sanford Summer Leadership Academy. The five, one-hour sessions were held during the fall of 2022 and was student-led. Thirty-seven students from the Sanford School of Medicine class of 2025 participated in this course.

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Stress granules are biomolecular condensates composed of protein and mRNA. One feature of stress granule-enriched mRNAs is that they are often longer than average. Another feature of stress granule-enriched mRNAs is that they often contain multiple N-methyladenosine (mA) residues.

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Hendra virus (HeV) and Nipah virus (NiV) are biosafety level 4 zoonotic pathogens causing severe and often fatal neurological and respiratory disease. These agents have been recognized by the World Health Organization as top priority pathogens expected to result in severe future outbreaks. HeV has caused sporadic infections in horses and a small number of human cases in Australia since 1994.

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Sepsis is a leading cause of mortality and early identification improves survival. With increasing digitalization of health care data automated sepsis prediction models hold promise to aid in prompt recognition. Most previous studies have focused on the intensive care unit (ICU) setting.

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Reliable estimates of subnational vaccination coverage are critical to track progress towards global immunisation targets and ensure equitable health outcomes for all children. However, conflict can limit the reliability of coverage estimates from traditional household-based surveys due to an inability to sample in unsafe and insecure areas and increased uncertainty in underlying population estimates. In these situations, model-based geostatistical (MBG) approaches offer alternative coverage estimates for administrative units affected by conflict.

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While molecular diagnostics generally require heating elements that supply high temperatures such as 95 °C in polymerase chain reaction and 60-69 °C in loop-mediated isothermal amplification, the recently developed CRISPR-based SHERLOCK (specific high-sensitivity enzymatic reporter unlocking) platform can operate at 37 °C or a similar ambient temperature. This unique advantage may be translated into highly energy-efficient or equipment-free molecular diagnostic systems with unrestricted deployability. SHERLOCK is characterized by ultra-high sensitivity when performed in a traditional two-step format.

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