267 results match your criteria: ""La Raza" Medical Center[Affiliation]"

Introduction: Several infectious diseases can present nail manifestations, which may be useful for diagnosis and prognosis, and only a few reports have been made regarding monkeypox (mpox). The objective of this study was to describe the clinical characteristics of nail alterations in patients living with HIV coinfected with mpox.

Methods: A prospective, cross-sectional study included patients living with HIV/AIDS, coinfected with mpox.

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Direct-acting antivirals (DAA) are effective in patients with hepatitis C virus (HCV) infection, but there is little information about real-world effectiveness in people living with human immunodeficiency virus (PLH). The aim of this study was to determinate the effectiveness of DAA to achieve sustained virologic response at week 12 post-treatment (SVR12) in PLH with HCV coinfection and in people with HCV-monoinfection. We conducted a prospective cohort.

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Background: Accumulating evidence has proposed phase angle (PhA) as a marker for assessing cellular integrity and nutritional status in ulcerative colitis (UC) patients; the aim of the study was to evaluate the efficacy of PhA in assessing nutritional status in patients with UC, investigating its potential as a biomarker of disease activity.

Methods: We conducted a cross-sectional study in patients with UC and healthy controls. We determined PhA by electrical bioimpedance and categorized participants through bioelectrical impedance analysis.

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Cervical lymph nodes can indicate various inflammatory or cancerous conditions. Ectopic thyroid carcinoma, particularly papillary carcinoma, can be found in resected lymph nodes even without clinical thyroid abnormalities, known as hidden (incidental) metastasis. We present the case of a 42-year-old woman with a 5 cm thyroid nodule and associated symptoms.

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Article Synopsis
  • - Over the last 30 years, miniaturized percutaneous nephrolithotomy (mPCNL) has gained popularity due to its potential to reduce complications compared to standard procedures, but there's still debate over best practices and management strategies that hinders wider use.
  • - An international panel of urology experts developed a consensus document on mPCNL to provide a comprehensive framework for practice, which included reviewing literature, identifying research gaps, and conducting surveys to gather expert opinions.
  • - The study revealed 58 key questions on mPCNL practices, and consensus was achieved on 30 questions, affirming mPCNL as an effective technique for treating upper urinary tract stones in both adults and children.
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  • Linear IgA bullous dermatosis (LABD) is a rare autoimmune condition typically treated with dapsone, though other immunomodulators are used if needed.
  • A recent case involved a 12-year-old boy with a severe skin condition diagnosed as LABD, confirmed through biopsy, and treated effectively with prednisone and cyclosporine.
  • The patient's condition improved significantly within 2 weeks, leading to further maintenance therapy with cyclosporine after initial treatments were paused due to side effects.
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  • Pilomatricoma is a benign skin tumor commonly found in children, but limited research exists on its epidemiology, often relying on basic statistics.
  • A study conducted in Mexico City over six years involved 52 children with confirmed cases of pilomatricoma, revealing patterns such as pain linked to larger lesions and various risk factors, including age and lesion characteristics.
  • The findings indicate that pilomatricomas vary in clinical presentation based on size, number, and location, with the head and neck being the most affected areas.
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  • Subdural hematoma is a common surgical issue in neurosurgery, but prefabricated drains are often inconsistently available due to various factors.
  • A research study analyzed the costs of different subdural drain options, revealing that available prefabricated drains can be quite expensive ($25 to $150), prompting the need for a low-cost alternative.
  • A guide for creating handmade subdural drains was developed, which emphasizes affordability and accessibility, especially for surgeons in developing countries, as these alternatives can be made for around $5.
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Recently, we published that the monoclonal antibody (D12 mAb) recognizes gp63 of , and it is responsible for COX activity. This D12 mAb exhibited cross-reactivity with , , , and . COX activity assays performed in these parasites suggested the potential presence of such enzymatic activity.

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Purpose: To determine the incidence of non-alcoholic fatty liver disease (NAFLD) by non-invasive methods in people living with HIV (PLWH).

Methods: Prospective cohort, in PLWH naïve to antiretroviral therapy, starting bictegravir (BIC) or dolutegravir (DTG) at the Hospital de Infectología "La Raza", in Mexico City, from February 2021 to August 2023. We measured at baseline and 48 weeks triglycerides and glucose index (TyG), fatty liver index (FLI), hepatic steatosis index (HSI) and liver ultrasonography; relative risk (RR) for developing NAFLD was determined.

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Effect of adequacy of empirical antibiotic therapy for hospital-acquired bloodstream infections on intensive care unit patient prognosis: a causal inference approach using data from the Eurobact2 study.

Clin Microbiol Infect

December 2024

OUTCOMEREA Research Group, Drancy, France; Institut National de la Santé et de la Recherche Medicale, Infection Antimicrobial Modelisation Evolution, U1137, Team Decision Science in Infectious Diseases, Paris, France; Assistance Publique Hôpitaux de Paris, Bichat hospital, Medical and infectious diseases ICU, F75018, Paris France. Electronic address:

Article Synopsis
  • Hospital-acquired bloodstream infections (HA-BSI) in ICU patients can be life-threatening, and this study aimed to see how early adequate antibiotic treatment affects 28-day mortality rates for patients who survive at least one day after infection onset.
  • Using data from a multicenter study with 2,418 patients, researchers found that those who received adequate treatment within 24 hours had a lower 28-day mortality rate (32.8%) compared to those who were inadequately treated (40%).
  • The study concluded that inadequate antibiotic therapy within 24 hours contributes significantly to 28-day mortality, indicating that quicker treatment could greatly improve patient outcomes in cases of HA-BSI.
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  • The study investigates how comorbidities impact the quality of life in patients with idiopathic inflammatory myopathies (IIMs) compared to other autoimmune diseases and healthy individuals, utilizing self-reported data from the COVAD-2 survey.
  • Results show IIM patients have significantly higher rates of comorbidities, basic multitasking, complex multitasking, and mental health disorders.
  • The presence of these conditions correlates with lower overall physical and mental health scores, suggesting the need for targeted management strategies for IIM patients based on identified clinical clusters.
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Background: Pulmonary atelectasis is present even before surgery in patients with obesity. We aimed to estimate the prevalence and extension of preoperative atelectasis in patients with obesity undergoing bariatric surgery and to determine if variation in preoperative Spo2 values in the seated position at room air is explained by the extent of atelectasis coverage in the supine position.

Methods: This was a cross-sectional study in a single center specialized in laparoscopic bariatric surgery.

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Integrase strand transfer inhibitors (INSTI) are associated with neuropsychiatric adverse events (NPAEs). The aim of this study was to evaluate improvements in NPAEs after switching an INSTI-based regimen to darunavir/cobicistat (DRV/c) or doravirine (DOR). : A prospective cohort study was conducted to evaluate the reversibility of NPAEs via the Patient Health Questionnaire (PHQ-9), the Insomnia Severity Index (ISI), and the Hospital Anxiety and Depression Scale (HADS-A and D) in patients who started antiretroviral therapy with dolutegravir (DTG) or bictegravir (BIC).

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Epidemiology of Mpox Cases, and Tecovirimat and JYNNEOS Utilization, Alameda County, California, June-October 2022.

J Public Health Manag Pract

July 2024

Division of Communicable Disease Control and Prevention, Alameda County Public Health Department, San Leandro, California (Drs Ouyang, Trivedi, Yette, Dunne, and Chitnis, Mss Marusinec, Peña, Shemsu, and Sheppard, and Messrs Johnson, Menker, and Moore); Alameda County Health Care Services Agency, San Leandro, California (Dr Moss); Office of Public Health Director, Alameda County Public Health Department, San Leandro, California (Dr Ayala); La Clínica de La Raza, Oakland, California (Dr Bayard); LifeLong Medical Care, Oakland, California (Dr Edmunds); Alameda Health System, Oakland, California (Dr Lai); Asian Health Services, Oakland, California (Dr Nguyen); Kaiser Permanente Medical Center, Oakland, California (Dr Rajagopal); Bay Area Community Health, Fremont, California (Dr Slome); and East Bay Advanced Care, Alta Bates Summit Medical Center, Sutter Health, Oakland, California (Dr Tang).George Ayala and Amit Chitnis are senior co-authors.Current affiliation of Dr Megan Ouyang is County of Santa Clara Public Health Department, San Jose, California.Current affiliation of Ms April Peña is San Francisco Department of Public Health, San Francisco, California.

Context: The 2022 United States mpox outbreak disproportionately affected racial and ethnic minority gay, bisexual, and other men who have sex with men.

Program: We utilized surveillance data and vaccination registries to determine whether populations most impacted by mpox in Alameda County received JYNNEOS vaccines and tecovirimat (TPOXX) during June 1-October 31, 2022.

Implementation: Alameda County Public Health Department responded to the mpox epidemic through partnerships with local health care providers who serve communities disproportionately affected by mpox.

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Perry syndrome (PS) is a rare autosomal dominant disease characterized by parkinsonism, central hypoventilation, weight loss and depression and is caused by pathogenic mutations in the dynactin subunit 1 () gene (encoding p150 protein). To date, only two cases have been reported in Latin America, specifically in Colombia and Argentina. The present study, to the best of our knowledge, reports the first recorded Mexican family with PS.

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Study Design: This was a retrospective longitudinal observational study.

Purpose: The purpose of this study was to analyze the results of cervical sagittal parameters on preoperative and postoperative lateral radiographs in anterior cervical discectomy and fusion (ACDF). ACDF is believed to change craniocervical parameters and thus cervical curvature using polyetheretherketone (PEEK) or titanium cages with or without self-locking as well as an anterior plate, the latter of which has not been shown to provide better clinical or radiological results.

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Immune mediators affect multiple biological functions of intestinal epithelial cells (IECs) and, like Paneth and Paneth-like cells, play an important role in intestinal epithelial homeostasis. IFN-γ a prototypical proinflammatory cytokine disrupts intestinal epithelial homeostasis. However, the mechanism underlying the process remains unknown.

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Levosimendan is a medication with a range of pharmacological effects, making it appropriate for use in several clinical settings, including advanced heart failure with pulmonary hypertension, cardiogenic shock, and acute heart failure. This case report details the perioperative management of a male in their 40s with a complex medical history, including primary hypoparathyroidism, cirrhosis, and severe pulmonary hypertension, who underwent urgent cadaveric donor liver transplantation. Information available on the perioperative use of levosimendan is still insufficient to be able to regulate behaviors that can guide its management on a regular basis.

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Objectives: The primary objective of this study is to ascertain the levels of osteoprotegerin (OPG) and osteopontin (OPN), alongside osteoprotegerin/RANKL ratio (ORR), and assess their association with the SYNTAX score and ascertain the potential of these molecules as predictive markers for risk, aiding in risk stratification. Eventually, they could potentially be employed even before angiography to gauge the severity of coronary lesions.

Methods: Prospective study with 147 participants, 101 (69%) were men, with an average age of 60.

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Characteristics of emerging new autoimmune diseases after COVID-19 vaccination: A sub-study by the COVAD group.

Int J Rheum Dis

May 2024

Division of Musculoskeletal and Dermatological Sciences, Centre for Musculoskeletal Research, School of Biological Sciences, The University of Manchester, Manchester, UK.

Article Synopsis
  • A study investigated rare cases of systemic autoimmune diseases (SAIDs) reported after COVID-19 vaccinations by surveying individuals with new-onset SAIDs post-vaccination using a validated e-survey dataset.* -
  • Of 16,750 participants, 74 reported new-onset SAIDs, mostly idiopathic inflammatory myopathies, arthritis, and polymyalgia rheumatica; higher incidences were found among Caucasians and Moderna vaccine recipients.* -
  • The research concluded that while the occurrence of new-onset SAIDs post-vaccination is low, certain risk factors like pre-existing autoimmune diseases, mental health issues, and ethnicity were linked to these cases.*
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