Publications by authors named "Tam R"

Background: Subcortical ischemic vascular cognitive impairment (SIVCI) is the most common form of vascular cognitive impairment. White matter hyperintensities (WMH) secondary to SIVCI often result in impaired executive function. Cognitive reserve is a property of the brain that allows for preserved cognitive performance given brain injury or disease.

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Background: Subcortical ischemic vascular cognitive impairment (SIVCI) is highly prevalent in older individuals. White matter hyperintensities (WMH) are a defining feature of SIVCI. There are sex differences in SIVCI, with females having higher volume and faster WMH progression than males.

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Background: Subcortical ischemic vascular cognitive impairment (SIVCI) is the most common form of vascular cognitive impairment. White matter hyperintensities (WMH) are hallmarks of SIVCI and are associated with impaired executive function. Cognitive reserve is a property of the brain that moderates an individual's ability to maintain cognitive performance given brain injury or pathology.

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Background: Subcortical ischemic vascular cognitive impairment (SIVCI) is the most common form of vascular cognitive impairment. Exercise is a potentially effective intervention for SIVCI. However, the mechanisms through which exercise promotes brain health and cognitive function are not well understood.

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Background: Cardiovascular disease remains the leading cause of mortality worldwide. Cardiac fibrosis impacts the underlying pathophysiology of many cardiovascular diseases by altering structural integrity and impairing electrical conduction. Identifying cardiac fibrosis is essential for the prognosis and management of cardiovascular disease; however, current diagnostic methods face challenges due to invasiveness, cost, and inaccessibility.

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Purpose: To evaluate linrodostat mesylate, a selective, oral indoleamine 2,3-dioxygenase 1 (IDO1) inhibitor, combined with nivolumab ± ipilimumab in advanced solid tumors and hematologic malignancies.

Patients And Methods: In this phase 1/2 study, patients received once-daily (QD) linrodostat (part 1 [escalation], 25-400 mg; part 2 [expansion], 100 or 200 mg) plus nivolumab (480 mg every [Q] 4 weeks [W] or 240 mg Q2W) or triplet therapy (part 3, linrodostat 20-100 mg QD; nivolumab 360 mg Q3W or 480 mg Q4W; ipilimumab 1 mg/kg Q6W or Q8W). Endpoints included safety and efficacy (co-primary; parts 2, 3), pharmacokinetics, pharmacodynamics, biomarkers, and efficacy (part 1).

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  • Alzheimer's disease is associated with impaired proteostasis, and enhancing it might help delay cognitive decline.
  • KPT-330 (Selinexor), an XPO1 inhibitor, shows promise in improving proteostasis and enhancing autophagy in neurons, leading to better memory in Alzheimer's models.
  • While KPT-330 increased overall amyloid deposition in the brain, it also resulted in lower levels of amyloid in specific areas like the thalamus, indicating that its effects on proteostasis and amyloid formation are region-specific.
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  • Cancer-related cognitive decline is common among breast cancer survivors, and the study explores how physical activity may influence this relationship while considering cancer treatments.
  • The study involved 253 breast cancer survivors who completed cognitive tests and physical activity monitoring to examine the links between exercise and cognitive abilities.
  • Results indicated that self-reported cognitive ability improved with greater physical activity, but objective cognition measurements showed no significant association; time since diagnosis was also linked to processing speed.
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is the causal agent of myrtle rust in over 480 species within the family Myrtaceae. Lineages of are structured by their hosts in the native range, and some have success in infecting newly encountered hosts. For example, the pandemic biotype has spread beyond South America, and proliferation of other lineages is an additional risk to biodiversity and industries.

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Memory T cells play a key role in immune protection against cancer. Vaccine-induced tissue-resident memory T (TRM) cells in the lung have been shown to protect against lung metastasis. Identifying the source of lung TRM cells can help to improve strategies, preventing tumor metastasis.

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  • - Neurosarcoidosis is a condition where noncaseating granulomas, typical of sarcoidosis, are present in the nervous system, affecting areas like the brain and spinal cord.
  • - The case report discusses a 57-year-old man experiencing progressive weakness and numbness in his legs, as well as eye issues, which led to further testing.
  • - Imaging revealed lymph node enlargement, and biopsies confirmed the presence of granulomas, suggesting neurosarcoidosis; thus, doctors should consider this diagnosis when patients exhibit similar symptoms for timely treatment.
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Traumatic brain injury has been a leading cause of morbidity, mortality, and disability. Patients may experience cognitive and functional decline, depending on the severity. In this case report, a patient presents with a closed-head traumatic brain injury that was sustained after a motor vehicle accident.

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Background: Disease progression is observed across the spectrum of people with multiple sclerosis (MS) and identification of effective treatment strategies to halt progression remains one of the greatest unmet clinical needs.

Objectives: The Canadian Prospective Cohort Study to Understand Progression in MS (CanProCo) was designed to evaluate a wide range of factors associated with the onset and rate of clinical disease progression in MS and to describe the interplay between these factors.

Design: A prospective cohort study.

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  • Prehospital telemedicine triage systems using machine learning (ML) can help improve emergency care by accurately identifying low-acuity patients, but research in this area is still limited due to challenges like overcrowding in emergency departments.!
  • The scoping review aimed to summarize existing ML-enhanced telemedicine triage methods by examining data sources, predictors, labeling techniques, ML models, and performance metrics used in various studies.!
  • Out of 165 records screened, 15 studies were included, with most of them implementing ML methods to enhance triage accuracy in emergency medical situations, highlighting both the potential and the research gaps that still need to be addressed.!
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Takotsubo cardiomyopathy is an acute but often reversible left ventricular dysfunction commonly triggered by emotional stress. There are multiple variants within the general condition; however, reverse Takotsubo cardiomyopathy is a rare variant of stress-induced cardiomyopathy affecting the basilar segment of the left ventricle. This commonly manifests in younger women with clinical presentations similar to acute coronary syndrome.

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Aims: Continuous glucose monitoring (CGM) systems are standard of care for youth with type 1 diabetes with the goal of spending >70% time in range (TIR; 70-180 mg/dL, 3.9-10 mmol/L). We aimed to understand paediatric CGM user experiences with TIR metrics considering recent discussion of shifting to time in tight range (TITR; >50% time between 70 and 140 mg/dL, 3.

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  • COVID-19 can lead to heart issues, and different SARS-CoV-2 variants vary in how they impact heart cells (cardiomyocytes).
  • The study examined the effects of these variants using human heart cells grown in labs and tested them in Golden Syrian hamsters, revealing that the Omicron BA.2 variant had the most significant harmful effects on heart cells.
  • Findings indicate that Omicron BA.2 infects heart cells through a unique process and causes changes that could lead to heart dysfunction, suggesting that even variants seen as mild can pose serious risks for cardiac health and warrant further research.
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White matter hyperintensities (WMH) are markers of subcortical ischemic vascular cognitive impairment (SIVCI) associated with impaired postural balance. Physical reserve (PR) is a recently established construct that reflects one's capacity to maintain physical function despite brain pathology. This cross-sectional study aims to map functional networks associated with PR, and examining the relationship between PR, WMH, and postural balance.

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Regulated cell shape change requires the induction of cortical cytoskeletal domains. Often, local changes to plasma membrane (PM) topography are involved. Centrosomes organize cortical domains and can affect PM topography by locally pulling the PM inward.

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Stroke is a leading cause of long-term disability in the United States that can lead to loss of function and consciousness. With the abrupt onset of the brain insult, end-of-life care discussions are an important attribute of respecting the patient's best wishes and upholding the ethical principles of autonomy, beneficence, nonmaleficence, fidelity, and justice. Furthermore, the topic of extending life support to individuals with poor prognostic factors of improvement in quality of life and functional recovery has been a continued topic of debate due to a multitude of factors, including the wishes of the patient, familial emotions, cultural beliefs, and religious influences.

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Background: Disruption of external anal sphincter muscle (EAS) is an important factor in the multifactorial etiology of fecal incontinence (FI).

Objectives: We categorize FI patients into four groups based on the location of lesion in neuromuscular circuitry of EAS to determine if there are differences with regards to fecal incontinence symptoms severity (FISI) score, age, BMI, obstetrical history, and anal sphincter muscle damage.

Methods: Female patients (151) without any neurological symptoms, who had undergone high-resolution manometry, anal sphincter EMG, and 3D ultrasound imaging of the anal sphincter were assessed.

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Article Synopsis
  • - Hyperpolarized Xe gas MRI is a new method for assessing lung function, focusing on gas distribution and exchange, and it complements traditional chest CT imaging which is the current standard due to its speed and accessibility.
  • - CT scans allow for detailed structural measurements of the lungs, while Xe MRI helps evaluate functional aspects, together providing better insights into lung health and diseases.
  • - The text outlines a method for registering Xe MRI and CT images, discusses current applications and challenges in the field, and suggests future directions for research to improve the integration of these imaging techniques.
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Background: Muscle density is inversely associated with all-cause mortality, but associations with cardiovascular disease (CVD) risk are not well understood. This study evaluated the association between muscle density and muscle area and incident total CVD, coronary heart disease (CHD), and stroke in diverse men and women.

Methods And Results: Adult participants (N=1869) in the Multi-Ethnic Study of Atherosclerosis Ancillary Body Composition Study underwent computer tomography scans of the L2-L4 region of the abdomen.

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Self-supervised Learning (SSL) has been widely applied to learn image representations through exploiting unlabeled images. However, it has not been fully explored in the medical image analysis field. In this work, Saliency-guided Self-Supervised image Transformer (SSiT) is proposed for Diabetic Retinopathy (DR) grading from fundus images.

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Plant resistance (R) and pathogen avirulence (Avr) gene interactions play a vital role in pathogen resistance. Efficient molecular screening tools for crops lack far behind their model organism counterparts, yet they are essential to rapidly identify agriculturally important molecular interactions that trigger host resistance. Here, we have developed a novel wheat protoplast assay that enables efficient screening of Avr/R interactions at scale.

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