Publications by authors named "Y Afshar"

Current clinical practice guidelines were established by several organizations to guide the diagnosis and treatment of hypertension in men and women in a similar manner despite data demonstrating differences in underlying mechanisms. Few publications have provided a contemporary and comprehensive review focused on characteristics of hypertension that are unique to women across their life spectrum. We performed a computerized search using PubMed, OVID, EMBASE, and Cochrane library databases between 1995 and 2023 that highlighted relevant clinical studies, challenges to the management of hypertension in women, and multidisciplinary approaches to hypertension control in women, including issues unique to racial and ethnic minority groups.

View Article and Find Full Text PDF

Glioblastoma is a brain cancer with a poor prognosis. Failure of classical chemotherapy and surgical treatments indicates that new therapeutic approaches are needed. Among cell-free options, exosomes are versatile extracellular vesicles (EVs) that carry important cargo across barriers such as the blood-brain barrier (BBB) to their target cells.

View Article and Find Full Text PDF

The consequences of unintended pregnancy in liver transplant (LT) recipients, a growing part of the high-risk obstetric population, remain unknown. To fill this gap, we conducted a retrospective registry cohort study to describe the risk factors, obstetric and neonatal morbidity, and graft outcomes associated with unintended pregnancy after LT. This study utilized the Transplant Pregnancy Registry International (TPRI) and included 565 pregnancies of LT recipients between 1967 and 2019 from 289 hospitals, primarily in North America.

View Article and Find Full Text PDF
Article Synopsis
  • The AGA Institute Clinical Practice Update provides guidance on managing gastrointestinal and liver diseases in pregnant patients, incorporating both published evidence and expert opinions.
  • Key recommendations include preconception counseling for reproductive-aged individuals, individualized health interventions during pregnancy, and the coordination of care for high-risk cases involving complex conditions.
  • The guidelines emphasize that while Best Practice Advice statements are based on current literature, they do not have formal ratings for evidence quality, reflecting the need for case-specific assessment.
View Article and Find Full Text PDF