112 results match your criteria: "Center for Personalized Health[Affiliation]"

Background: The frontal cortex, relevant to global cognition and motor function, is recruited to compensate for mobility dysfunction in older adults. However, the in vivo neurophysiological (e.g.

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Article Synopsis
  • The study aimed to evaluate the effectiveness of a deep learning model for automatically segmenting pelvic/ovarian and omental lesions in high-grade serous ovarian cancer on CT scans.
  • Using 451 CT scans for training, evaluation, and testing, the model was compared against existing methods and trainee radiologist segmentations.
  • Results indicated that the deep learning model significantly outperformed the standard method for pelvic/ovarian lesions and performed comparably to a trainee radiologist, suggesting that automated segmentation is a viable tool in clinical settings.
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Key Points: Improving late stage diabetic kidney disease care requires adapting evidence-based, self-management programs for telehealth delivery. We adapted and pilot-tested a telehealth approach and found it to be feasible. Preliminary data suggested it improved relevant health and patient-recorded outcomes.

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Traditionally, in the oil and gas industry, accelerometers are mounted externally on motors for condition monitoring of vertically suspended, closed suction hydrocarbon pumps due to their inability to withstand harsh downhole environments, preventing the detection of impeller failures. This study addresses the need for encapsulation solutions for accelerometers submerged in hydrocarbon fluid environments. It evaluates the feasibility of epoxy and fluoroelastomer as encapsulation materials for long-term immersion in high-temperature hydrocarbon fluid and determines their impact on the accelerometer's performance.

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Risk factors of food insecurity among students at diverse post-secondary education institutions: a cross-sectional examination.

J Am Coll Health

September 2023

Duke Center for Personalized Health Care, Office of the Chancellor Emeritus, School of Medicine, Duke University, Durham, North Carolina, USA.

Article Synopsis
  • The study aimed to assess food insecurity (FI) rates among students at three types of institutions: a private university, community college, and historically black college/university (HBCU) in the southeastern U.S.
  • It involved an online survey conducted from 2017 to 2019 with over 4,000 adult students, gathering data on FI and various risk factors.
  • Findings revealed that 37.1% of students faced FI, with specific risk factors like racial identity, poor sleep, and mental health issues differing among institutions, highlighting the need for tailored policy responses.
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Objective: Cervical spondylotic myelopathy (CSM) is a common clinical degenerative disease treated with anterior cervical discectomy and fusion (ACDF), which seriously impacts quality of life and causes severe disability. The objective of the study was to determine the effect of different characteristics of the neurological deficit found in myelopathic patients undergoing ACDFs on hospital cost, length of stay (LOS), and discharge location.

Methods: This is a retrospective review of ACDF cases performed at a single institution by multiple surgeons from 2011 to 2017.

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Background: Several barriers hamper recruitment of diverse patient populations in multicenter clinical trials which determine efficacy of new systemic cancer therapies.

Purpose: We assessed if quantitative analysis of computed tomography (CT) scans of metastatic colorectal cancer (mCRC) patients using imaging features that predict overall survival (OS) can unravel the association between ethnicity and efficacy.

Methods: We retrospectively analyzed CT images from 1584 mCRC patients in two phase III trials evaluating FOLFOX ± panitumumab (n = 331, 350) and FOLFIRI ± aflibercept (n = 437, 466) collected from August 2006 to March 2013.

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Guidance on contextually tailored implementation strategies for the prevention, treatment, and control of hypertension is limited in lower-middle income countries (Lower-MIC). To address this limitation, we compiled implementation strategies and accompanying outcomes of evidence-based hypertension interventions currently being implemented in five Lower-MIC. The Global Research on Implementation and Translation Science (GRIT) Coordinating Center (CC) (GRIT-CC) engaged its global network sites at Ghana, Guatemala, India, Kenya, and Vietnam.

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Background And Purpose: Interventions are effective in promoting health behavior change to the extent that (a) intervention strategies modify targets (i.e., mechanisms of action), and (b) modifying targets leads to changes in behavior.

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Selective adipocyte loss of Angiopoietin-2 prompts female-specific obesity and metabolic syndrome.

Mol Metab

November 2022

Department of Internal Medicine, Division of Endocrinology, Diabetes and Metabolism, Virginia Commonwealth University School of Medicine, Richmond, VA, USA. Electronic address:

Thermogenic fat differentiation and function can be promoted through multiple pathways, resulting in a common cell phenotype characterized by the expression of Uncoupling Protein-1 and the ability to dissipate energy, but local and systemic stimuli are necessary to promote adequate thermogenic fat vascularization, which is a precondition for the transport of substrate and the dissipation of heat. Angiopoietin-2 is an important driver of vascularization, and its transcription is in part promoted by estrogen signaling. In this study we demonstrate that adipose tissue-specific knock out of Angiopoietin-2 causes a female-specific reduced thermogenic fat differentiation and function, resulting in obesity and impaired glucose tolerance with end-organ features consistent with metabolic syndrome.

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A qualitative examination of apathy and physical activity in Huntington's and Parkinson's disease.

Neurodegener Dis Manag

June 2022

Department of Biobehavioral Sciences, Teacher's College, Columbia University, New York City, NY, 10027, USA.

In Huntington's disease (HD) and Parkinson's disease (PD), apathy is a frequently cited barrier to participation in physical activity. Current diagnostic criteria emphasize dissociable variants of apathy that differentially affect goal-directed behavior. How these dimensions present and affect physical activity in HD and PD is unknown.

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Objective: Prostacyclin infusion for pulmonary arterial hypertension (PAH) is an effective therapy with varied dosing requirements and clinical response. The major aim of this study was to determine new biologically-based predictors of prostacyclin treatment response heterogeneity.

Methods: Ninety-eight patients with hemodynamically defined PAH at two academic medical centers volunteered for registry studies.

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Systematic Review of Functional Outcomes in Cancer Rehabilitation.

Arch Phys Med Rehabil

September 2022

West Virginia University Cancer Institute, West Virginia University School of Public Health, Morgantown, West Virginia, United States; Rehabilitation Medicine Department, Clinical Center, National Institutes of Health, Bethesda, Maryland, United States.

Objective: To systematically review the evidence regarding rehabilitation interventions targeting optimal physical or cognitive function in adults with a history of cancer and describe the breadth of evidence as well as strengths and limitations across a range of functional domains.

Data Sources: PubMed, Cumulative Index to Nursing and Allied Health Plus, Scopus, Web of Science, and Embase. The time scope was January 2008 to April 2019.

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Objective: To determine the proportion of pregnant women who selected names for their babies to be born and were willing to disclose them for use in hospital systems, thereby potentially reducing infant identification errors.

Study Design: Survey of pregnant women admitted to postpartum or antepartum units at a large academic hospital. Descriptive analyses were conducted to determine the proportion who had chosen names prior to delivery.

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Importance: Existing criteria to estimate the benefit of a therapy in patients with cancer rely almost exclusively on tumor size, an approach that was not designed to estimate survival benefit and is challenged by the unique properties of immunotherapy. More accurate prediction of survival by treatment could enhance treatment decisions.

Objective: To validate, using radiomics and machine learning, the performance of a signature of quantitative computed tomography (CT) imaging features for estimating overall survival (OS) in patients with advanced melanoma treated with immunotherapy.

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Background & Aims: Quantitative analysis of computed tomography (CT) scans of patients with metastatic colorectal cancer (mCRC) can identify imaging signatures that predict overall survival (OS).

Methods: We retrospectively analysed CT images from 1584 mCRC patients on two phase III trials evaluating FOLFOX ± panitumumab (n = 331, 350) and FOLFIRI ± aflibercept (n = 437, 466). In the training set (n = 720), an algorithm was trained to predict OS landmarked from month 2; the output was a signature value on a scale from 0 to 1 (most to least favourable predicted OS).

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Secondary review reduced inpatient MRI orders and avoidable hospital days.

Clin Imaging

February 2022

Department of Surgery, New York-Presbyterian, Weill Cornell Medicine, 525 E 68th Street, New York, NY 10065, United States of America. Electronic address:

Introduction: Medical centers have dramatically increased the use of magnetic resonance imaging (MRI). At 2 large academic tertiary care centers in New York City, nearly half of inpatient MRI orders took more than 12 h to complete, delaying patient discharge and increasing avoidable hospital days. We posited that transitioning inpatient MRIs to outpatient facilities, when safe and appropriate, could reduce inpatient MRI orders and avoidable hospital days.

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We issue a call for the design and conduct of experimental trials to test the effects of researchers' adoption of Open Science (OS) research practices. OS emerged to address lapses in the transparency, quality, integrity, and reproducibility of research by proposing that investigators institute practices, such as preregistering study hypotheses, procedures, and statistical analyses, before launching their research. These practices have been greeted with enthusiasm by some parts of the scientific community, but empirical evidence of their effects relies mainly on observational studies; furthermore, questions remain about the time and effort required by these practices and their ultimate benefit to science.

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Work participation in patients with systematic lupus erythematosus: a systematic review.

Rheumatology (Oxford)

July 2022

Department of Epidemiology and Data Science, Amsterdam Public Health, Amsterdam UMC.

Objectives: This systematic review assessed which variables are associated with or are predictors for work participation outcomes in patients with systematic lupus erythematosus (SLE).

Methods: A literature search using MEDLINE, The Cochrane Library, Embase and CINAHL was conducted to identify all studies published from inception (1947) to June 2021 on factors related to and/or predicting employment status, absenteeism and/or presenteeism in SLE patients aged ≥18 years. The quality of included articles was assessed using the QUIPS tool.

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Purpose: The number of cancer survivors is increasing globally although the status of cancer survivorship care provision and research in developing countries is limited. This study aimed to review published literature and available guidelines and/or recommendations to inform cancer survivorship care in Latin America.

Methods: Embase, Web of Science, Scopus, PubMed, and SciELO were systematically searched for articles and guidelines and/or recommendations published through December 31, 2020.

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Background: Depression after acute coronary syndrome (ACS) is common and increases risks of adverse outcomes, but it remains unclear which depression features are most associated with major adverse cardiac events (MACE) and all-cause mortality (ACM).

Purpose: To examine whether a subtype of depression characterized by anhedonia and major depressive disorder (MDD) predicts 1-year MACE/ACM occurrence in ACS patients compared to no MDD history. We also consider other depression features in the literature as predictors.

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