846 results match your criteria: "California SY; and Rutgers New Jersey Medical School[Affiliation]"

Natural Language Processing Versus Diagnosis Code-Based Methods for Postherpetic Neuralgia Identification: Algorithm Development and Validation.

JMIR Med Inform

September 2024

Department of Research & Evaluation, Kaiser Permanente Southern California, 100 S Los Robles Ave, 2nd Floor, Pasadena, CA, 91101, United States, 1 626-986-8665, 1 626-564-7872.

Article Synopsis
  • A study developed and validated a natural language processing (NLP) algorithm to identify postherpetic neuralgia (PHN) from unstructured electronic health records (EHRs), aiming to improve accuracy compared to traditional diagnosis codes and prescription data.
  • The research involved reviewing EHRs from a large health care system and comparing the NLP's performance with code-based methods by analyzing sensitivity, specificity, and other statistical measures.
  • Results showed the NLP algorithm had high sensitivity (90.9%) and specificity (98.5%), with notable advantages in identifying PHN cases compared to code-based methods, which exhibited much lower sensitivity (52.7%-61.8%).
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Adaptive Deep Brain Stimulation in Parkinson's Disease: A Delphi Consensus Study.

medRxiv

August 2024

"Aldo Ravelli" Center for Neurotechnology and Experimental Brain Therapeutics, Department of Health Sciences, University of Milan, Via Antonio di Rudinì 8, 20142 Milan, Italy.

Article Synopsis
  • The evolution of Deep Brain Stimulation (DBS) is shifting from conventional methods to adaptive techniques (aDBS), which are expected to become standard practice in the next decade, similar to past advancements in cardiac pacing.
  • Research involving 21 experts highlighted the challenges and potential of aDBS, showing consensus on its safety and effectiveness compared to conventional DBS, particularly for Parkinson's Disease patients with motor fluctuations and dyskinesias.
  • Further studies are necessary to refine the algorithms used in aDBS, ensuring its widespread and effective use in clinical settings.
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Background: Phosphorylated tau (p-tau) is a specific blood biomarker for Alzheimer's disease (AD) pathology. Multiple p-tau biomarkers on several analytical platforms are poised for clinical use. The Alzheimer's Association Global Biomarker Standardisation Consortium plasma phospho-tau Round Robin study engaged assay developers in a blinded case-control study on plasma p-tau, aiming to learn which assays provide the largest fold-changes in AD compared to non-AD, have the strongest relationship between plasma and cerebrospinal fluid (CSF), and show the most consistent relationships between methods (commutability) in measuring both patient samples and candidate reference materials (CRM).

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Post-marketing safety study to evaluate pregnancy outcomes among recipients of hepatitis B vaccines.

Hum Vaccin Immunother

December 2024

Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.

Article Synopsis
  • The study examined the pregnancy outcomes of adults who received the HepB-CpG vaccine or the traditional HepB-alum vaccine shortly before or during pregnancy at Kaiser Permanente Southern California.* -
  • Among the individuals studied, those who received HepB-CpG had a higher live birth rate (84%) compared to HepB-alum recipients (74%), with lower spontaneous abortion rates for the HepB-CpG group (7% vs. 17%).* -
  • No major birth defects were reported in either group, suggesting that HepB-CpG does not pose additional risks for pregnancy outcomes compared to HepB-alum.*
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Introduction: Sleep quality is critical for medical professionals and students, who often face sleep disturbances due to demanding schedules. This study explores the association between physical activity and sleep quality among doctors and medical students in Tamil Nadu, India, addressing a notable gap in existing research.

Methods: This cross-sectional study was conducted in Tamil Nadu, India, targeting doctors and medical students.

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Background: A combination of intravenous (IVT) or intra-arterial (IAT) thrombolysis with mechanical thrombectomy (MT) for acute ischemic stroke due to large vessel occlusion (AIS-LVO) has been investigated. However, there is limited data on patients who receive both IVT and IAT compared with IVT alone before MT.

Methods: STAR data from 2013 to 2023 was utilized.

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Up to half of the senior dogs suffer from canine cognitive dysfunction syndrome (CCDS), the diagnosis method relies on subjective questionnaires such as canine cognitive dysfunction rating (CCDR) scores. Therefore, the necessity of objective diagnosis is emerging. Here, we developed blood-based biomarkers for CCDS early detection.

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Article Synopsis
  • Treatment for meningiomas primarily involves surgery and sometimes radiation, but patient responses can vary significantly.
  • Researchers analyzed data from 2,824 meningiomas, including both retrospective and prospective information, to identify molecular biomarkers that predict treatment response.
  • The study found that complete tumor removal and proper treatment of the dural margin significantly improve survival rates, and developed a new molecular model that better predicts how patients will respond to radiotherapy compared to traditional classification methods.
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Article Synopsis
  • Influenza significantly impacts older adults, necessitating updated data on vaccine effectiveness within this group.
  • A study at Kaiser Permanente Southern California assessed the comparative vaccine effectiveness of high-dose, adjuvanted, and standard-dose cell-based influenza vaccines against the standard-dose egg-based vaccine among individuals aged 65 and older.
  • Results indicated that both high-dose and adjuvanted vaccines offered better protection against influenza-related medical encounters and hospitalization compared to the standard-dose egg-based vaccine during the 2022-2023 flu season.
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The canonical AD pathological cascade posits that the accumulation of amyloid beta ( ) is the initiating event, accelerating the accumulation of tau in the entorhinal cortex (EC), which subsequently spreads into the neocortex. Here in a sample of over 1300 participants with multimodal imaging and genetic information we queried how genetic variation affects these stages of the AD cascade. We observed that females and homozygotes are more susceptible to the effects of on the primary accumulation of tau, with greater EC tau for a given level of .

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Connecting past and present.

Elife

August 2024

University of California, San Diego, San Diego, United States.

A neural signature of serial dependence has been found, which mirrors the attractive bias of visual information seen in behavioral experiments.

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Antiviral therapies with reduced frequencies of administration and high barriers to resistance remain a major goal. For HIV, theories have proposed that viral-deletion variants, which conditionally replicate with a basic reproductive ratio [R] > 1 (termed "therapeutic interfering particles" or "TIPs"), could parasitize wild-type virus to constitute single-administration, escape-resistant antiviral therapies. We report the engineering of a TIP that, in rhesus macaques, reduces viremia of a highly pathogenic model of HIV by >3log following a single intravenous injection.

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Dopaminergic and anti-estrogenic responses in juvenile steelhead (Oncorhynchus mykiss) exposed to bifenthrin.

Comp Biochem Physiol C Toxicol Pharmacol

November 2024

Department of Environmental Sciences, University of California, Riverside, Riverside, CA, USA.

Article Synopsis
  • * Juvenile steelhead exposed to low concentrations of bifenthrin exhibited increased dopamine levels in their brains, alongside decreased expression of key genes linked to dopamine and estrogen signaling.
  • * The study suggests that bifenthrin may disrupt dopaminergic pathways and endocrine functions in juvenile steelhead, underscoring the necessity of understanding how pesticides affect different species and life stages to improve risk assessments.
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The Authors Reply.

Am J Epidemiol

August 2024

Department of Research & Evaluation, Kaiser Permanente Southern California, 100 S. Los Robles Ave, 5th Floor, Pasadena, CA 91101.

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Article Synopsis
  • Guidelines suggest monitoring Epstein-Barr virus (EBV) and BK virus (BKV) in transplant patients, but most current testing methods lack standardization, leading to accuracy issues.
  • A study comparing the performance of cobas assays for EBV and BKV across five labs showed these standardized tests were consistent and reliable, while laboratory-developed tests (LDTs) had high variability in results.
  • The findings highlight the importance of standardizing viral load testing to improve patient management and facilitate better comparisons among different medical centers.
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Article Synopsis
  • Many studies on brain diseases mostly involve people of European descent, which makes it hard to understand these diseases for everyone.
  • Out of 123 studies, 82% mainly included European participants, finding many genetic markers, while only a few were found in studies with non-European participants.
  • It’s super important to include more diverse backgrounds in future research to improve treatments and knowledge about these brain diseases.
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Nursing leaders have recognized the need for consistent mechanisms to promote and sustain nursing professionalism. Peer-to-peer feedback and peer review are widely effective for nurse professionalism and self-regulation, patient care outcomes, and retention. Unprofessional behavior has been noted as widespread in health care and the effects on patients, clinicians, and organizations have been well-documented.

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Article Synopsis
  • The study showcases a step-by-step guide to conducting nerve-sparing deep endometriosis surgery using a new single-port robotic system in a general hospital setting.
  • A 46-year-old woman with severe pelvic pain and rectal endometriosis was the patient, and the surgery involved nine steps with a da Vinci SP surgical system.
  • The single-port robotic system demonstrated advantages like high-resolution visuals and improved instrument maneuverability, suggesting it can effectively replace traditional laparoscopic methods.
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Article Synopsis
  • The study aimed to assess how well experienced reviewers can differentiate between AI-generated and original research abstracts in shoulder and elbow surgery, alongside evaluating an AI detection tool's performance.
  • Out of 50 abstracts evaluated by eight peer reviewers, only 62% of AI-generated ones were correctly identified; however, 38% of original abstracts were mistakenly classified as AI-generated.
  • Reviewers found unrealistic data helped identify AI-created abstracts, while misclassifications of original work often resulted from similarities in writing style.
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Background: Low neighborhood income is linked with increased hospitalizations for central line-associated bloodstream infections (CLABSIs) in pediatric short bowel syndrome (SBS). We assessed whether this relationship varies by hospital center.

Methods: We performed a retrospective cohort study using the Pediatric Health Information System (2018-2023) database for patients <18 years old with SBS (N = 1210) at 24 hospitals in the United States.

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Ischemic Stroke After Bivalent COVID-19 Vaccination: Self-Controlled Case Series Study.

JMIR Public Health Surveill

June 2024

Department of Research & Evaluation, Southern California Permanente Medical Group, Pasadena, CA, United States.

Article Synopsis
  • The study analyzed the potential link between bivalent COVID-19 vaccination and the incidence of ischemic stroke, focusing on individuals aged 12 and older within a specific time frame in a large health care system.
  • Results indicated no increased risk of ischemic stroke within 21 days of vaccination for either the Pfizer-BioNTech or Moderna vaccines across most groups, but a notable increase in risk was found for those under 65 who received the Pfizer-BioNTech vaccine alongside the influenza shot within 42 days.
  • For individuals with a prior SARS-CoV-2 infection, the risk of stroke further increased, suggesting a need for close monitoring in these populations after vaccination.
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Article Synopsis
  • The study examines the safety of 2-dose mRNA vaccines, focusing on serious adverse events (SAEs) during the risk period after the first dose and how they might affect the safety evaluation for the second dose.
  • Researchers developed two new methods, propensity score SCCS (PS-SCCS) and partitioned SCCS (P-SCCS), which provided unbiased estimates of the relative incidence of myocarditis/pericarditis after vaccination, unlike standard SCCS which overestimated risk after the second dose.
  • Findings indicated that mRNA vaccines, particularly after the second dose, are linked with increased risks of myocarditis/pericarditis in individuals aged 12-39.
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Article Synopsis
  • The REVERXaL study investigates the characteristics and management of hospitalized patients who experience major bleeds related to factor Xa inhibitors (FXai), a new class of anticoagulants.
  • It includes two cohorts: a historical cohort analyzing past patient data and a prospective cohort that evaluates current treatment and patient-reported outcomes over three months.
  • The study aims to provide valuable information on treatment approaches and patient outcomes, potentially improving clinical practices for managing FXai-associated major bleeds.
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The use of wearable technology is steadily increasing. In orthopedic trauma surgery, where the musculoskeletal system is directly affected, focus has been directed towards assessing aspects of physical functioning, activity behavior, and mobility/disability. This includes sensors and algorithms to monitor real-world walking speed, daily step counts, ground reaction forces, or range of motion.

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