Publications by authors named "Winters R"

Article Synopsis
  • Pulmonary veno-occlusive disease (PVOD) is a rare pulmonary vascular condition that can be mistaken for pulmonary arterial hypertension (PAH), and they are believed to have different genetic causes.
  • This report details a case of a woman diagnosed with PAH at 42, who unfortunately passed away despite treatment, and her son, who was diagnosed with PAH at 16 and required a heart-lung transplant due to worsening conditions.
  • The autopsy of the mother showed evidence consistent with PAH, while the son's lung pathology confirmed PVOD, and neither had identifiable genetic mutations linked to these diseases.
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Study Objective: To use artificial intelligence (AI) to predict billing code levels for emergency department (ED) encounters.

Methods: We accessed ED encounters from our health system from January to September 2023. We developed an ensemble model using natural language processing and machine learning techniques to predict billing codes from clinical notes combined with clinical characteristics and orders.

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Background: Despite complete resection, 20%-50% of patients with localized renal cell carcinoma (RCC) experience recurrence within 5 years. Accurate assessment of prognosis in high-risk patients would aid in improving outcomes. Here we evaluate the use of circulating tumor DNA (ctDNA) in RCC using banked samples and clinical data from a single institution.

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Introduction: Cervical spine defects result in spinal instability, putting the spinal cord and vertebral arteries at risk of damage and possibly devastating neurological injuries. The fibula free flap can span the spinal defects for stability. There is a paucity of literature on this technique.

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Article Synopsis
  • Double-stranded RNA (dsRNA) is an unintended product of in vitro transcription that can trigger inflammation by activating immune receptors.
  • This dsRNA presence, though only 0.1%-0.5% of total RNA, complicates its identification during analysis, making its exact sizes largely unknown.
  • A new dsRNA-specific immuno-northern blot technique offers a clearer understanding of dsRNA size distributions, potentially aiding in studies related to dsRNA synthesis and removal for therapeutic RNA applications.
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Noma is a gangrenous infection of the face that results in severe facial deformity, occurring primarily in malnourished and impoverished populations. To assess clinician- and patient-reported outcomes (PROs) before and after reconstructive surgery for patients with noma in northwest Nigeria. Objective outcomes were recorded using the noma-specific NOITULP (nose, outer cheek, inner cheek, trismus, upper/lower lip, particularities) classification system.

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Purpose Of Review: Massive palatal defects resulting from palatoplasty failures arising from cleft palate repair complications present ongoing challenges in clinical practice. The purpose of this review is to provide up-to-date insights into aetiology, risk factors, surgical techniques, and adjunctive therapies, aiming to enhance the understanding of such complex cases, and optimize patient outcomes.

Recent Findings: Primary palatoplasty has fistula recurrence rates ranging from 2.

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Brain-computer interfaces (BCIs) employ various paradigms which afford intuitive, augmented control for users to navigate digital technologies. In this study we explore the application of these BCI concepts to predictive text systems: commonplace interactive and assistive tools with variable usage contexts and user behaviors. We conducted an experiment to analyze user neurophysiological responses under these different usage scenarios and evaluate the feasibility of a closed-loop, adaptive BCI for use with such technologies.

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Nonsyndromic Craniofacial Disorders.

Facial Plast Surg Clin North Am

February 2024

We describe the investigation and management of select pediatric craniofacial disorders their recent advances. Positional plagiocephaly: The incidence of positional plagiocephaly has increased since the institution of the "safe to sleep" campaign to reduce sudden infant death syndrome. Positional plagiocephaly may be associated with underlying developmental delay.

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