1,229 results match your criteria: "Center for Clinical and Translational Science.[Affiliation]"

To assess the effectiveness of Biodentine (BD), mineral trioxide aggregate (MTA) and ferric sulfate (FS) as pulpotomy agents in primary molars and evaluate the impact of behavior guidance strategies on pulpotomy success. In this retrospective cross-sectional study, data from 374 cases (50.5 percent male, aged two to 10 years) undergoing 469 pulpotomies at a university pediatric clinic between April 1, 2016 and January 1, 2020 were analyzed.

View Article and Find Full Text PDF

Interventions to improve quality of life and knowledge in Hypersensitivity Pneumonitis, a survey of clinician practices and perspectives.

CHEST Pulm

December 2024

Division of General Internal Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY, United States.

Background: Behavioral and educational interventions are promising approaches to improve health-related quality of life (HRQOL), however few have been studied in Hypersensitivity Pneumonitis (HP) or other interstitial lung diseases (ILD). The objective of this study was to gather ILD clinicians' current practices and perspectives on the management of HRQOL and disease-specific education in HP, knowledge and attitudes about behavioral and educational interventions, and identify potential clinician perceived barriers to address during intervention development.

Methods: An electronic survey was administered to ILD clinicians across the United States.

View Article and Find Full Text PDF

Background: Myocarditis is an inflammation of the heart muscle most often caused by viral infections. Sex differences in the immune response during myocarditis have been well described but upstream mechanisms in the heart that might influence sex differences in disease are not completely understood.

Methods: Male and female BALB/c wild type mice received an intraperitoneal injection of heart-passaged coxsackievirus B3 (CVB3) or vehicle control.

View Article and Find Full Text PDF

Background: The relationship between severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) viral dynamics during acute infection and the development of long coronavirus disease 2019 (COVID-19), or "long COVID," is largely unknown.

Methods: Between October 2021 and February 2022, 7361 people not known to have COVID-19 self-collected nasal swab samples for SARS-CoV-2 reverse-transcription polymerase chain reaction testing every 24-48 hours for 10-14 days. Participants whose first known SARS-CoV-2 infection was detected were surveyed for long COVID in August 2023.

View Article and Find Full Text PDF

Second Primary Cancer After Chimeric Antigen Receptor-T-Cell Therapy: A Review.

JAMA Oncol

December 2024

Division of Blood and Marrow Transplantation and Cellular Therapy, Stanford University School of Medicine, Stanford, California.

Importance: The commercialization of chimeric antigen receptor-T-cell (CAR-T) therapy has changed the landscape of treatment of hematological cancers. Numerous studies from the early 2000s paved the way for cell-based targeted therapeutics, which have been established as practice-changing therapies in lymphoma, leukemia, and multiple myeloma. However, there has been some recent concern about the risk for second primary cancers (SPCs).

View Article and Find Full Text PDF

A phosphoglycerate mutase 1 allosteric inhibitor restrains TAM-mediated colon cancer progression.

Acta Pharm Sin B

November 2024

Department of Pharmacology and Chemical Biology, Key Laboratory of Cell Differentiation and Apoptosis of Chinese Ministry of Education, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.

Colorectal cancer (CRC) is a prevalent malignant tumor often leading to liver metastasis and mortality. Despite some success with PD-1/PD-L1 immunotherapy, the response rate for colon cancer patients remains relatively low. This is closely related to the immunosuppressive tumor microenvironment mediated by tumor-associated macrophages (TAMs).

View Article and Find Full Text PDF

Objectives: Patients with hypermobile Ehlers-Danlos syndrome (hEDS) and hypermobility spectrum disorders (HSD) experience a wide array of symptoms and system disorders. This study aimed to identify whether differences occurred in 115 self-reported symptoms and comorbidities in patients diagnosed with hEDS or HSD.

Methods: In this study we analysed self-reported data from an EDS Clinic intake questionnaire in patients diagnosed with hEDS, HSD or no hypermobile conditions.

View Article and Find Full Text PDF

Fielding the research participant perception survey to evaluate a culturally tailored Latinx cohort study.

J Clin Transl Sci

October 2024

Duke Clinical and Translational Science Institute, Recruitment Innovation Center, Duke University, Durham, NC, USA.

Introduction: Latinx populations are underrepresented in clinical research. Asking Latinx research participants about their research experiences, barriers, and facilitators could help to improve research participation for these populations.

Methods: The Salud Estres y Resilencia (SER) Hispano cohort study is a longitudinal cohort study of young adult Latinx immigrants whose design and conduct were tailored for their study population.

View Article and Find Full Text PDF

Scholarly activity is a key component of most residency programmes. To establish fundamental research skills and fill gaps within training curricula, we developed an online, asynchronous set of modules called to introduce trainees to various topics that are germane to the conduct of research and evaluated its effectiveness in resident research education. was utilised by residents at One Brooklyn Health in Brooklyn, NY.

View Article and Find Full Text PDF

Introduction: Social determinants of health (SDOH) are an important contributor to health status and health outcomes. In this analysis, we compare SDOH measured both at the individual and population levels in patients with high comorbidity who receive primary care at Federally Qualified Health Centers in New York and Chicago and enrolled in the Tipping Points trial.

Methods: We analyzed individual- and population-level measures of SDOH in 1,488 patients with high comorbidity (Charlson Comorbidity Index ≥ 4) enrolled in Tipping Points.

View Article and Find Full Text PDF

Drafting a blueprint for designing successful clinical trials in clonal haematopoiesis.

Br J Haematol

December 2024

Center for Early Detection and Interception of Blood Cancers, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA.

'As our understanding of the biology of clonal hematopoiesis expands, a pressing need in the field becomes the design and implementation of clinical trials to help mitigate the risk for progression to overt myeloid neoplasm. Effective clinical trial design will be informed by use of personalized genetic risk to determine eligibility, strategic endpoint selection, and identification of suitable interventions with a goldilocks balance of toxicity and reduced risk of progression. We will only reach this milestone through collaboration'.

View Article and Find Full Text PDF
Article Synopsis
  • Uranium, a toxic element found in U.S. drinking water, was studied to see if its levels in urine are linked to heart health in American Indian young adults.
  • The study analyzed data from over 1,300 participants, measuring urinary uranium and assessing heart function through echocardiography over several years.
  • Results showed higher urinary uranium levels were associated with negative changes in heart structure and function, indicating a possible risk for cardiovascular issues that merits further research.
View Article and Find Full Text PDF

Spatially resolved gene expression profiling of tumor microenvironment reveals key steps of lung adenocarcinoma development.

Nat Commun

December 2024

Department of Computational Biology and Medical Sciences, Graduate School of Frontier Sciences, The University of Tokyo, Kashiwa, Chiba, Japan.

The interaction of tumor cells and their microenvironment is thought to be a key factor in tumor development. We present spatial RNA profiles obtained from 30 lung adenocarcinoma patients at the non-invasive and later invasive stages. We use spatial transcriptome sequencing data in conjunction with in situ RNA profiling to conduct higher resolution analyses.

View Article and Find Full Text PDF
Article Synopsis
  • The study focuses on the clinical high risk for psychosis (CHR-p) syndrome, distinguishing between two types of stigma: 'labelling-related' stigma stemming from the identification itself and 'symptom-related' stigma from experiencing mental health symptoms.
  • It compares the rates and effects of these stigmas on self-esteem, social support, and quality of life in individuals identified as CHR-p.
  • Results showed that symptom-related stigma was more strongly linked to negative psychosocial effects, while labelling-related stigma involved higher levels of secrecy, indicating the need for interventions that address the full stigma experience for those at risk.
View Article and Find Full Text PDF

Mayo Clinic Tapestry Study: A Large-Scale Decentralized Whole Exome Sequencing Study for Clinical Practice, Research Discovery, and Genomic Education.

Mayo Clin Proc

November 2024

Center for Individualized Medicine, College of Medicine, Mayo Clinic, Rochester, MN, USA; Division of Gastroenterology and Hepatology, College of Medicine, Mayo Clinic, Rochester, MN, USA. Electronic address:

Objective: To execute a large-scale, decentralized, clinical-grade whole exome sequencing study, coined Tapestry, for clinical practice, research discovery, and genomic education.

Patients And Methods: Between July 1, 2020, and May 31, 2024, we invited 1,287,608 adult Mayo Clinic patients to participate in Tapestry. Of those contacted, 114,673 patients were consented and 98,222 (65.

View Article and Find Full Text PDF

Background: The relationship between inflammatory biomarkers (IB) and organ space surgical site infections (OS-SSIs) after emergency laparotomy (EL) is poorly understood.

Methods: Retrospective, single-center analysis of patients in the Pragmatic, Randomized Optimal Platelet and Plasma Ratios (PROPPR) trial who underwent EL and survived 48 ​h after admission was performed. IB levels of IL-6, IL-8, G-CSF, MCP-1, neutrophil to lymphocyte ratio, and platelet to lymphocyte ratio were analyzed.

View Article and Find Full Text PDF

Overlapping conditions in Long COVID at a multisite academic center.

Front Neurol

October 2024

Department of General Internal Medicine, Mayo Clinic, Jacksonville, FL, United States.

Background: Many patients experience persistent symptoms after COVID-19, a syndrome referred to as Long COVID (LC). The goal of this study was to identify novel new or worsening comorbidities self-reported in patients with LC.

Methods: Patients diagnosed with LC ( = 732) at the Mayo Long COVID Care Clinic in Rochester, Minnesota and Jacksonville, Florida were sent questionnaires to assess the development of new or worsening comorbidities following COVID-19 compared to patients with SARS-CoV-2 that did not develop LC (controls).

View Article and Find Full Text PDF

Objective: Iron and other biologically important metals are essential to mitochondrial function but are not routinely evaluated. Their equilibrium is critical to the optimal performance of cells with high metabolic activity such as neurons, cardiomyocytes, and skeletal myocytes. Teenagers are at a high risk of iron deficiency even without anemia.

View Article and Find Full Text PDF

Shortly after the first case of SARS-CoV-2 was diagnosed a public health emergency (PHE) was declared and a multi-agency response was initiated within the US federal government to create and propagate testing capacity. As part of this response, an unprecedented program designated Rapid Acceleration of Diagnostics (RADx) Tech was established by the National Institutes of Health (NIH) to facilitate the development of point-of-care tests for the COVID-19. The RADx Tech Clinical Studies Core (CSC), located at the University of Massachusetts Chan Medical School (UMass Chan), with partnering academic, private, and non-governmental organizations around the country, was tasked with developing clinical studies to support this work.

View Article and Find Full Text PDF
Article Synopsis
  • Researchers developed an advanced algorithm for accurately identifying patients with post-acute sequelae of COVID-19 (PASC) using data from over 295,000 patients across various health facilities in Massachusetts.
  • The new phenotyping algorithm enhances precision in estimating the prevalence of PASC and reduces demographic bias, identifying over 24,000 patients with an accuracy of 79.9%.
  • This method paves the way for deeper studies into the complexities of PASC by providing reliable patient cohorts, surpassing limitations found in previous studies.
View Article and Find Full Text PDF

Previously, we reported that transplantation of regeneration-associated cells (RACs) via the ipsilateral external carotid artery reduced stroke volume in mice with permanent occlusion of the middle cerebral artery (MCA). However, intracarotid arterial transplantation is invasive and requires skill, and severe complications may occur, such as thromboembolism, infection, and decreased cerebral blood flow. This study aimed to investigate the efficacy of intravenous injection of RACs in reducing stroke volume and increasing anti-inflammatory and angiogenic factors in mice with focal cerebral ischemia.

View Article and Find Full Text PDF

This case report describes the development of information and communication technology (ICT) for a large scale, federally funded demonstration healthcare Program designed to treat low-income children and adolescents with chronic medical conditions. The ICT developers faced the challenge of supporting a Program with many components to treat pediatric patients with one or more chronic health conditions. The Program's ICT provided means and materials to train and monitor Community Health Workers (CHWs) and the Care Coordination Team (CCT) and to provide disease-specific information to patients and caregivers.

View Article and Find Full Text PDF
Article Synopsis
  • Limited research exists on how per- and polyfluoroalkyl substances (PFAS) impact bone mineral density (aBMD) during adolescence and whether factors like physical activity and dairy intake can mitigate these effects.
  • A study within the Project Viva cohort analyzed the relationship between PFAS levels in mid-childhood and aBMD Z-scores in early and late adolescence, finding that higher levels of specific PFAS, like PFOA and PFDA, were associated with lower aBMD in females and some males.
  • The findings suggest that greater physical activity and dairy consumption may provide some protective effects against the negative impact of PFAS on bone accrual through adolescence.
View Article and Find Full Text PDF

Medical researchers are increasingly prioritizing the inclusion of underserved communities in clinical studies. However, mere inclusion is not enough. People from underserved communities frequently experience chronic stress that may lead to accelerated biological aging and early morbidity and mortality.

View Article and Find Full Text PDF