32,220 results match your criteria: "§University of Maryland School of Medicine[Affiliation]"

It has been long known that people with schizophrenia (SZ) have deficits in perceptual processing, including in the auditory domain. Furthermore, they often experience increased emotional responsivity and dysregulation, which further impacts overall functioning. Increased emotional responsivity to auditory stimuli is also seen in people with misophonia, a condition in which specific sounds elicit robust negative emotional responses.

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This study aimed to evaluate if integrating diverse molecular biomarkers in plasma and sputum could improve the diagnosis of lung cancer. The study analyzed miRNAs in plasma and bacterial DNA in sputum from 58 lung cancer patients and 62 cancer-free smokers using droplet digital PCR. The individual plasma miRNA and sputum bacterial biomarkers had sensitivities of 62-71% and specificities of 61-79% for diagnosing lung cancer.

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Adult emergency resuscitative thoracotomy: A Western Trauma Association clinical decisions algorithm.

J Trauma Acute Care Surg

October 2024

From the Department of Surgery (R.T.), University of California, San Francisco, San Francisco, California; Comparative Effectiveness and Clinical Outcomes Research Center (R.C.), Riverside University Health Systems Medical Center, Moreno Valley; Loma Linda University School of Medicine (R.C.), Loma Linda, California; Scripps Memorial Hospital La Jolla (W.L.B.), La Jolla, California; University of Colorado (C.C.B.), Aurora, Colorado; University of Florida College of Medicine (C.A.C.), Gainesville, Florida; University of Maryland School of Medicine (C.F.), Baltimore, Maryland; University of Kansas Medical Center (J.L.H.), Kansas City, Kansas; University of Arizona College of Medicine-Phoenix (N.K.), Phoenix, Arizona; Methodist Dallas Medical Center (M.L.), Dallas, Texas; Division of Acute Care Surgery, Department of Surgery (M.J.M., M.S.), Los Angeles General Medical Center, Los Angeles, California; Division of Vascular Surgery and Endovascular Therapy (G.A.M.), Keck Medical Center of USC, Los Angeles, California; Division of Acute Care Surgery, Department of Surgery (L.J.M.), The University of Texas McGovern Medical School - Houston Red Duke Trauma Institute, Memorial Hermann Hospital, Houston, Texas; Medical University of South Carolina (A.R.P.), North Charleston, South Carolina; Yale School of Medicine (K.M.S.), New Haven, Connecticut; St. Joseph's Hospital and Medical Center (J.A.W.), Phoenix, Arizona; and Program in Trauma (D.M.S.), University of Maryland School of Medicine, Baltimore, Maryland.

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A review of Peyronie's disease insurance coverage.

Sex Med

October 2024

Division of Plastic Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD 21201, United States.

Article Synopsis
  • Peyronie's disease (PD) leads to penile curvature and related issues, with various treatment options available including surgery, devices, and medications.
  • A study examined insurance coverage for these treatments across top US insurers, finding only 54% had clear policies on PD.
  • The most commonly covered treatment was collagenase injections, while shock wave therapy was universally denied, highlighting significant gaps in coverage and suggesting a need for better alignment with clinical guidelines.
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Temporal trends demonstrate improved survival for many types of common pediatric cancer. Studies have not examined improvement in very rare pediatric cancers or compared these improvements to more common cancers. In this cohort study of the Surveillance, Epidemiology, and End Results (SEER) registry, we examined patients from 1975 to 2016 who were 0-19 years of age at the time of diagnosis.

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Background: Patients with severe stroke are at high risk of secondary neurologic decline (ND) from the development of malignant cerebral edema (MCE). However, early infarcts are hard to diagnose on conventional head computed tomography (CT). We hypothesize that high-energy (190 keV) virtual monochromatic imaging (VMI) from dual-energy CT (DECT) imaging enables earlier detection of ND from MCE.

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Purpose: Since the inaugural workshop "Understanding High-Dose, Ultra-High Dose Rate and Spatially Fractionated Radiotherapy." hosted by the NCI and sponsored by the Radiosurgery Society (RSS), growing collaborations and investigations have ensued among experts, practitioners, and researchers. The RSS GRID, Lattice, Microbeam & FLASH (GLMF) Working Groups were formed as a framework for these efforts and have focused on advancing the understanding of the biology, technical/physical parameters, trial design, and clinical practice of these new radiation therapy modalities.

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  • Zenker's diverticulum peroral endoscopic myotomy (Z-POEM) with mucosal flap incision (MFI) shows high effectiveness for treating symptomatic Zenker's diverticulum, as reported in a study involving 36 patients across eight international centers.
  • Clinical success was achieved in 97% of patients, with significant improvement in symptoms measured by the Kothari-Haber symptom score (KHSS).
  • The procedure demonstrated a strong technical success rate, with only one minor adverse event, indicating it is a safe option for patients with this condition, although further prospective evaluations are necessary for larger diverticulums.
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  • The study focuses on assessing how well continuous vital signs (VS) can predict the severity of traumatic injuries and the need for lifesaving interventions (LSIs) compared to traditional invasive methods like lactate measurements.
  • Researchers analyzed data from 300 patients treated in a prehospital helicopter setting, using continuous VS along with laboratory tests to see which method was better at predicting outcomes such as ICU admission and discharge times.
  • The findings indicated that continuous VS models outperformed single initial VS readings for predicting LSIs and ICU stay length and showed performance comparable to lactate tests for predicting 24-hour discharge, highlighting their potential in emergency medical decision-making.
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Neighborhood environment, which includes multiple social drivers of health, has been associated with a higher incidence of chronic conditions in adult cohorts. We examine if neighborhood environment is associated with glycosylated hemoglobin (HbA1c) and body mass index (BMI) as a percentage of the 95th percentile (BMIp95) for youth with overweight and obesity. Cohort study using electronic health record data from a large Midwestern Children's Hospital.

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Complications following mandibular fracture repair (MFR) may carry significant morbidity to patients. The purpose of our study is to determine the risk factors for postoperative complications following MFR. The authors conducted a retrospective cohort study of trauma patients who underwent MFR in 2018 and 2019.

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Local emergence and global evolution of with high-level resistance to azithromycin.

Antimicrob Agents Chemother

December 2024

Department of Microbiology and Immunology, Institute for Genome Sciences, University of Maryland School of Medicine, Baltimore, Maryland, USA.

Antimicrobial resistance in (Ng) has severely reduced treatment options, including azithromycin (AZM), which had previously been recommended as dual therapy with ceftriaxone. This study characterizes the emergence of high-level resistance to AZM (HLR-AZM) Ng in Baltimore, Maryland, USA, and describes the global evolution of HLR-AZM Ng. Whole genome sequencing (WGS) of 30 Ng isolates with and without HLR-AZM from Baltimore was used to identify clonality and resistance determinants.

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The use of 7T MRI in multiple sclerosis: review and consensus statement from the North American Imaging in Multiple Sclerosis Cooperative.

Brain Commun

October 2024

Radiology, Pathology and Laboratory Medicine, Physics and Astronomy, International Collaboration on Repair Discoveries, University of British Columbia, Vancouver, Canada, BC V6T 1Z4.

The use of ultra-high-field 7-Tesla (7T) MRI in multiple sclerosis (MS) research has grown significantly over the past two decades. With recent regulatory approvals of 7T scanners for clinical use in 2017 and 2020, the use of this technology for routine care is poised to continue to increase in the coming years. In this context, the North American Imaging in MS Cooperative (NAIMS) convened a workshop in February 2023 to review the previous and current use of 7T technology for MS research and potential future research and clinical applications.

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Observation-first versus angioembolization-first approach in stable patients with blunt liver trauma: A WTA multicenter study.

J Trauma Acute Care Surg

November 2024

From the Division of Division of Trauma, Burns and Surgical Critical Care, Department of Surgery (P.D.N., J.N., N.A., A.G.), University of California, Irvine, Orange, California; Section of Surgical Sciences (J.M.S.), Vanderbilt University Medical Center, Nashville, TN; Department of Surgery, University of Colorado, Aurora, Colorado (M.C., H.C., R.M., S.U., C.C.B., C.V.); Department of Surgery (S.B., R.C.D.), UCSF-Fresno, Fresno, California; Division of Trauma and Acute Care Surgery (M.C.S.), Mount Carmel East; Trauma, Critical Care and Acute Care Surgery (A.L.), Grant Medical Center, Columbus, Ohio; Department of Surgery (M.S.F.), Lehigh Valley Health Network, Allentown, Pennsylvania; Departments of Emergency Medicine and Surgery, Program in Trauma (D.M.S.), R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, Maryland; Graduate Medical Education (M.S.T., H.M.G.V.), Methodist Dallas Medical Center, Dallas, Texas; Division of Trauma, Acute Care Surgery and Surgical Critical Care, Department of Surgery (C.J.M., T.J.M.), Spartanburg Regional Medical Center, Spartanburg, South Carolina; Department of Surgery (C.G.B.), University of Calgary, Calgary, Alberta, Canada; Division of Acute Care Surgery (K.M., G.M.), Loma Linda University Health, Loma Linda, California; Department of Surgery (D.J.H., H.A.), University of Maryland School of Medicine, Baltimore, Maryland; Department of Trauma and Acute Care Surgery (T.J.S., J.R.), UCHealth Memorial Hospital, Colorado Springs, Colorado; Department of General Surgery (M.B.), Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel; Division of Trauma, Acute Care Surgery and Surgical Critical Care (N.K., M.C.), Banner-University Medical Center Phoenix, Phoenix, Arizona; Division of Trauma and Critical Care, Department of Surgery (N.K.D., E.J.L.), Cedars-Sinai Medical Center, Los Angeles, California; Department of Surgery (T.E., J.W.), Cooper University Hospital, Camden, New Jersey; Department of Surgery and Perioperative Care (T.C.P.C., V.E.), Dell Medical School, University of Texas at Austin, Austin, Texas; Division of Trauma Acute Care Surgery, Department of Surgery (K.P., K.C.), Banner Thunderbird Medical Center, Glendale, Arizona; Division of Trauma and Surgical Critical Care, Department of Surgery (S.B.), Hackensack University Medical Center, Hackensack, New Jersey; Division of Trauma and Surgical Critical Care, Department of Surgery (F.S.E.), Rutgers New Jersey Medical School, Newark, New Jersey; Department of Trauma and Acute Care Surgery (W.D., C.P.), Medical Center of the Rockies, Loveland, Colorado; University of Wisconsin-Madison School of Medicine and Public Health (N.L.W.), Madison, Wisconsin; Department of Trauma (J.M.H., K.L.), Ascension Via Christi Saint Francis, Wichita, Kansas; Department of Surgery (G.S.), Miami Valley Hospital, Wright State University, Dayton, Ohio; Department of Surgery (K.S.), Prisma Health-Upstate, Greenville, South Carolina; and Department of Surgery (L.A.H.), Boulder Community Hospital, Boulder, Colorado.

Background: Prior studies evaluating observation versus angioembolization (AE) for blunt liver injuries (BLT) with contrast extravasation (CE) on computed tomography imaging have yielded inconsistent conclusions, primarily due to limitations in single-center and/or retrospective study design. Therefore, this multicenter study aims to compare an observation versus AE-first approach for BLT, hypothesizing decreased liver-related complications (LRCs) with observation.

Methods: We conducted a post hoc analysis of a multicenter, prospective observational study (2019-2021) across 23 centers.

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Article Synopsis
  • Human microbiomes play a crucial role in health by impacting metabolism, immune functions, and neurological processes, but their complete complexity is still not fully understood.
  • The definition of a "healthy" microbiome is controversial due to variations in microbial communities and the difficulty in establishing a standard definition for health across different individuals and conditions.
  • The article highlights progress in microbiome research and identifies gaps in knowledge, proposing a roadmap that utilizes epidemiological methods to better understand the relationship between microbiomes and health.
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Purpose: To assess recent U.S. medical school trends in compensation for academic interventional radiology (IR) faculty and compensation characteristics based on rank, gender, and race/ethnicity.

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Article Synopsis
  • - The study analyzed the OXYGEN trial, which compared high levels of oxygen (80% FiO2) vs. lower levels (30% FiO2) for preventing infections in patients with specific types of fractures and aimed to see if using an "as-treated" approach changed the results compared to the "intention-to-treat" method.
  • - Conducted at 29 trauma centers, 1,231 patients with tibial plateau, tibial pilon, or calcaneus fractures were randomly assigned to either oxygen treatment; adherence was evaluated using two specific criteria based on the percentage of surgery time at different oxygen levels.
  • - Results showed no significant differences in primary and deep infection rates, but the treatment group had fewer
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Understanding Diversity, Equity, and Inclusion Roles in Academic Neurology Departments.

Neurology

November 2024

From the Department of Neurology (A.R.S.), Duke University School of Medicine, Durham, NC; Department of Neurology (N.A.M.), University of Rochester School of Medicine and Dentistry, NY; NeurAbilities Healthcare (M.C.), Voorhees, NJ; Department of Neurology (R.C.), Oregon Health Sciences University School of Medicine, Portland; Department of Neurology (C.C.F.I.), University of California Los Angeles David Geffen School of Medicine; Department of Neurology (C.A.G.), University of Maryland School of Medicine, Baltimore; Department of Neurology (R.H.H.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Prisma Health (R.L.); Department of Neurology (T.S.M.), University of Miami Miller School of Medicine, FL; Department of Neurology (C.O.C.), Mayo Clinic Alix School of Medicine, Scottsdale, AZ; Department of Neurology (A.R.), University of California San Francisco School of Medicine; and Department of Neurology (R.P.T.), Stanford University School of Medicine, Palo Alto, CA.

Article Synopsis
  • Academic neurology departments have been increasingly implementing diversity, equity, and inclusion (DEI) programs over the last 5-10 years, creating various leadership positions associated with these initiatives.
  • The article aims to clarify the different responsibilities tied to DEI roles to ensure that expectations are appropriate and aligned with the support given to those in these positions.
  • It also seeks to empower DEI leaders by identifying necessary qualifications for success and addressing potential obstacles they may face in their roles.
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  • Telehealth utilization surged during the COVID-19 pandemic, but its future is uncertain without permanent coverage and adequate reimbursement, which are crucial for its long-term viability and acceptance.
  • Telehealth enhances sleep health management by improving patient access, clinician efficiency, and safety, while addressing healthcare equity, making it particularly suitable for the field of sleep medicine.
  • The American Academy of Sleep Medicine advocates for telehealth as a vital component of high-quality care for sleep disorders and urges collaboration among stakeholders to strengthen its availability and accessibility.
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Objective: Assess healthcare workers' (HCW) attitudes toward universal masking, and gowns and gloves used as part of transmission-based precautions.

Design: Cross-sectional survey.

Setting: Academic, tertiary care medical center in Baltimore, Maryland.

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  • The study examines the outcomes of patients who underwent ECMO (extracorporeal membrane oxygenation) following acute neurosurgical interventions across four high-volume centers in the U.S.
  • Researchers reviewed data from 24 adults who underwent various neurosurgical procedures before or during ECMO, aiming to determine survival rates and neurologic outcomes.
  • Findings showed that 63% of these patients survived to hospital discharge, with 80% of those having favorable neurologic outcomes, suggesting that ECMO could be beneficial even in cases with significant neurologic injury.
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  • - The study investigates the long-term results of sigmoid sinus wall reconstruction (SSWR) for treating pulsatile tinnitus (PT) caused by sigmoid sinus wall anomalies (SSWAs) in patients, with a focus on outcomes lasting more than 5 years post-surgery.
  • - Conducted as a retrospective review, the study included 35 out of 58 eligible patients, reporting a 97.3% short-term success rate and an 83.8% long-term success rate in alleviating PT symptoms, though 13.5% of patients experienced recurrence of symptoms later.
  • - The findings conclude that SSWR is a highly effective and safe procedure for managing PT linked to SSWAs, showing minimal risk for further complications related
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Reassessment of capsaicin desensitization in the rodent spinal dorsal horn.

Neurochem Int

December 2024

Department of Anatomy, Histology and Embryology, K.K. Leung Brain Research Centre, The Fourth Military Medical University, Xi'an, Shaanxi, 710032, China. Electronic address:

Article Synopsis
  • Capsaicin activates TRPV1 in the spinal dorsal horn, leading to increased glutamate release and a state known as "capsaicin desensitization."
  • The study used whole-cell recordings and holographic photostimulation to analyze glutamate release and response during capsaicin exposure, revealing that both presynaptic synchronous release and postsynaptic responses were significantly reduced in the desensitized state.
  • Behavioral tests indicated that intrathecal capsaicin administration temporarily raised the mechanical pain threshold, suggesting that the traditional view of capsaicin desensitization as a solely presynaptic phenomenon needs to be reevaluated.
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Glutamine dependency has been shown to be a metabolic vulnerability in acute myeloid leukemia (AML). Prior studies using several in vivo AML models showed that depletion of plasma glutamine, induced by long-acting crisantaspase (pegcrisantaspase [PegC]) was synergistic with the B-cell lymphoma-2 (BCL-2) inhibitor venetoclax (Ven), resulting in significantly reduced leukemia burden and enhanced survival. Here, we report a phase 1 study of the combination of Ven and PegC (VenPegC) for treating adult patients with relapsed or refractory AML, including patients who had previously received Ven.

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