Publications by authors named "R B Castello"

Tepotinib is approved for the treatment of patients with non-small-cell lung cancer harboring MET exon 14 skipping alterations. While edema is the most prevalent adverse event (AE) and a known class effect of MET inhibitors including tepotinib, there is still limited understanding about the factors contributing to its occurrence. Herein, we apply machine learning (ML)-based approaches to predict the likelihood of occurrence of edema in patients undergoing tepotinib treatment, and to identify factors influencing its development over time.

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Article Synopsis
  • - Subclinical hypothyroidism (SH) is a condition marked by elevated serum TSH levels with normal free T4, affecting 0.6% to 1.8% of adults, and has been linked to worse outcomes in heart failure patients.
  • - A study analyzed 277 heart failure patients, with 23 having SH, and found no significant demographic or health differences between those with SH and those who were euthyroid (normal thyroid function).
  • - Results indicated that SH is an independent predictor of cardiovascular mortality, emphasizing the need for thyroid testing in heart failure patients to potentially enhance their treatment and outcomes.
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For many years the quality of perioperative pain management in general has been repeatedly reported as inadequate and there is significant evidence to indicate that this is also true after surgical procedures in ophthalmology. The patient population in ophthalmology is quite challenging due to numerous comorbidities and a high average age resulting in numerous contraindications and organ dysfunctions and requiring special knowledge to ensure high quality acute pain management. The following overview covers basic knowledge of acute pain management, with a particular focus on analgesic approaches and the specifics of the patient population and the associated limitations in terms of analgesic and co-analgesic pharmacological options.

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Article Synopsis
  • Recent research highlights the importance of improving risk stratification for patients with differentiated thyroid cancer (DTC) beyond the existing 2015 American Thyroid Association (ATA) guidelines.
  • A study utilizing the Italian Thyroid Cancer Observatory database analyzed 4,773 DTC cases to develop a decision tree model that predicts persistent/recurrent disease by considering a range of predictive factors.
  • The new model demonstrated better performance than the ATA guidelines by increasing sensitivity and predictive accuracy, suggesting that incorporating additional variables like age and tumor size can enhance patient risk assessment.
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