Publications by authors named "W A Knapp"

Objectives: Large Language Models (LLMs) have been proposed as a solution to address high volumes of Patient Medical Advice Requests (PMARs). This study addresses whether LLMs can generate high quality draft responses to PMARs that satisfies both patients and clinicians with prompt engineering.

Materials And Methods: We designed a novel human-involved iterative processes to train and validate prompts to LLM in creating appropriate responses to PMARs.

View Article and Find Full Text PDF

Introduction: Management of transvenous leads in patients with congenital heart disease (CHD) can be complicated by venous obstructions and residual shunts. We present our experience performing concurrent lead extraction and dilation/stenting of venous pathways, including patients with complete venous obstruction.

Methods: All cases of concurrent lead extraction and recanalization of vena cavae/baffles between 2017 and 2021 at Boston Children's Hospital were retrospectively included and reviewed for safety and efficacy.

View Article and Find Full Text PDF
Article Synopsis
  • Radioguidance using β-emitting radionuclides is becoming more popular and could enhance current techniques.
  • Although there is a push for new PET radiotracers due to their imaging benefits and advances in theranostics, there are practical hurdles in using β-emitters for surgical guidance.
  • The EANM outlines both the opportunities and obstacles in applying β-emitters in surgery, focusing on instrumentation, radiation safety, and how to effectively use these methods.
View Article and Find Full Text PDF

Enhanced weathering is a carbon dioxide (CO) mitigation strategy that promises large scale atmospheric CO removal. The main challenge associated with enhanced weathering is monitoring, reporting, and verifying (MRV) the amount of carbon removed as a result of enhanced weathering reactions. Here, we study a CO mineralization site in Consett, Co.

View Article and Find Full Text PDF

Background: Exercise in pregnancy has proven health benefits, yet the safety of exercise in patients with pre-existing cardiovascular disease (CVD) has not been established. Our aim was to determine the feasibility and safety profile of moderate intensity exercise during pregnancy in patients with CVD, compared with those without CVD.

Methods: This is a prospective single center pilot study of a moderate intensity exercise regimen, with data collection through wearable fitness trackers and personal exercise logs in pregnant patients with and without pre-existing CVD.

View Article and Find Full Text PDF