27,948 results match your criteria: "Clinic Foundation[Affiliation]"

Gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs) are a heterogeneous group of neoplasms with an increasing incidence in the last few decades. Despite therapeutic advances in the management of GEP-NENs, resistance to many of these treatments has made their management a great challenge. One of the most recent advances in oncologic therapy is targeting multiple receptors simultaneously and engaging immune cells in the tumor microenvironment through bispecific antibodies (BsAbs).

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  • Placenta previa is a serious condition where the placenta partially or completely covers the cervix, increasing the risk of postpartum hemorrhage (PPH) and complications for both mother and baby.* -
  • A 36-year-old woman with a complicated medical history, including chronic hypertension and prior cesarean sections, experienced massive PPH during a scheduled cesarean due to complete placenta previa.* -
  • Due to the patient's refusal of blood transfusions as a Jehovah's Witness, her treatment for PPH involved urgent interventions, including uterine artery embolization and ultimately a hysterectomy after other methods failed.*
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Background: We sought to characterize the benefit of lymphadenectomy among patients undergoing curative-intent surgery for perihilar cholangiocarcinoma (pCCA) utilizing the therapeutic index.

Methods: Data on patients who underwent curative-intent resection for pCCA were obtained from 8 high-volume international hepatobiliary centers. Multivariable Cox regression analysis was used to assess clinicopathological factors associated with overall survival (OS).

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Study Design: Reliability study.

Objectives: The radiographic diagnosis of non-union is not standardized. Prior authors have suggested using a cutoff of <1 mm interspinous process motion (ISPM) on flexion-extension radiographs, but the ability of practicing surgeons to make these measurements reliably is not clear.

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Introduction And Objectives: Controlled attenuation parameter (CAP) has been developed as a non-invasive method for detecting liver steatosis. The aim of the study was to determine factors associated with non-obtaining lower IQR-CAP values.

Materials And Methods: Retrospective revision of medical records of CAP studies for steatosis screening.

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. Intracranial pressure measurement (ICP) is an essential component of deriving of multivariate data metrics foundational to improving understanding of high temporal relationships in cerebral physiology. A significant barrier to this work is artifact ridden data.

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Importance: Fostamatinib, a spleen tyrosine kinase inhibitor, has been reported to improve outcomes of COVID-19.

Objective: To evaluate the efficacy and safety of fostamatinib in adults hospitalized with COVID-19 and hypoxemia.

Design, Setting, And Participants: This multicenter, phase 3, placebo-controlled, double-blinded randomized clinical trial was conducted at 41 US sites and 21 international sites between November 17, 2021, and September 27, 2023; the last follow-up visit was December 31, 2023.

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Background: Despite recent developments in THA, a more objective method is needed to assist orthopedic surgeons in identifying the insertion endpoint of the broaching procedure. Therefore, this systematic review evaluated the in-vivo efficacy of various acoustic and vibration analyses in detecting proper implant seating, identifying intraoperative complications, and quantifying the accuracy of predictive modeling using acoustics.

Methods: Four electronic databases were searched on July 23rd, 2023, to retrieve articles evaluating the use of acoustic analysis during THA.

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Amyloidosis is a rare, multisystem disease that leads to deposition of misfolded proteins in various organs. This case report presents a patient with cancer with a rare diagnosis of diffuse alveolar-septal transthyretin (TTR) amyloidosis with subsequent protein electrophoresis identifying monoclonal gammopathy of unknown significance. It highlights the association of amyloidosis with malignancy and the importance of including workup for plasma cell dyscrasias in patients found to have TTR amyloidosis.

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Aims: Diuretic resistance (DR) in heart failure (HF) is associated with worse outcomes. Furoscix®, a self-administered subcutaneous (sc) furosemide injection administered via on-body infusor, is approved for HF congestion relief. However, its efficacy in patients with DR post-HF hospitalization remains unknown.

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  • The study focuses on evaluating the long-term outcomes and natural history of chronic subdural hematoma (cSDH) treatment using middle meningeal artery (MMA) embolization over a 12-month period.
  • A retrospective analysis was conducted involving 49 patients who underwent MMA embolization, detailing patient demographics and various clinical outcomes, including symptom resolution and recurrence rates.
  • Results indicated significant clinical improvement in patients within one month post-procedure, with many elderly patients (average age 73) experiencing previous trauma mainly due to falls.
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  • * The study looked at 40 CTD patients who had TEVAR for thoracoabdominal aortic aneurysms or aortic dissections between February 2014 and April 2021, revealing most had previous aortic interventions and a significant number faced complications post-surgery.
  • * Results showed a high reintervention rate (62.5%), with reinterventions typically occurring within the first year, and indicated ongoing risks for aortic-related issues, highlighting challenges in treating CTD patients
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Protein as a preoperative predictor - Impact of hypoalbuminemia on 30-day outcomes of breast reduction surgery.

J Plast Reconstr Aesthet Surg

January 2025

Division of Plastic Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA. Electronic address:

Article Synopsis
  • * An analysis of over 7,000 breast reduction cases revealed that patients with low albumin levels had significantly more comorbidities, a higher body mass index, and were more likely to be Black or African American.
  • * The study found that those with hypoalbuminemia experienced nearly double the rate of postoperative complications and readmissions compared to those with normal albumin levels, highlighting the importance of preoperative nutritional evaluations.
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Ophthalmology

November 2024

Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio; Center for Ophthalmic Bioinformatics, Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio; Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, Ohio. Electronic address:

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Ezrin, an actin-binding protein, orchestrates the organization of the cortical cytoskeleton and plasma membrane during cell migration, adhesion, and proliferation. Its role in monocytes/macrophages (MΦs) is less understood. Here, we used a monocyte/MΦ-specific ezrin knock-out mouse model to investigate the contribution of ezrin to monocyte recruitment and adaptation to the lung extracellular matrix (ECM) in response to lipopolysaccharide (LPS).

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Background: Traumatic abdominal wall hernias are rare and commonly involve the lateral abdominal wall due to shearing off the oblique and transversus abdominis muscles from the iliac crest. The vast majority of the current literature focuses on the index trauma admission, includes few patients, and provides little to no detail about the hernia repair itself. We aim to report our center's high-volume experience with a definitive repair of chronic traumatic lateral abdominal wall hernias.

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Background: The effect of "time to surgery (TTS)" on outcomes for curative-intent hepatectomy of hepatocellular carcinoma (HCC) remains debated. The interaction between tumor burden score (TBS) and TTS remains unclear. We sought to evaluate the effects of TBS and TTS on long-term HCC outcomes.

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The diagnosis and treatment of sinonasal small round epithelial/neuroepithelial malignancies depend on the expression of conventional neuroendocrine markers (NEMs), such as synaptophysin, chromogranin A, INSM1, and CD56/NCAM1. However, these tumors remain diagnostically challenging because of overlapping histologic and immunohistochemical features. The transcriptional regulators ASCL1, NEUROD1, POU2F3, and YAP1 are novel NEM (nNEM) used for the subtyping of small-cell lung cancer (SCLC).

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TMS-evoked potentials provide novel neurophysiological features of Tourette syndrome.

Parkinsonism Relat Disord

January 2025

Movement Disorders Institute, Department of Neurology, Chiam Sheba Medical Center, Ramat-Gan, Israel; Center for Neurological Restoration, Neurological Institute, Cleveland Clinic Foundation, Cleveland, USA. Electronic address:

Article Synopsis
  • Gilles de la Tourette syndrome (TS) is a neuropsychiatric disorder linked to abnormal brain circuitry and dopamine function, prompting researchers to study neurotransmission changes via TMS-evoked potentials (TEPs).
  • The study involved 33 TS patients and 18 healthy controls, evaluating symptoms like tics and anxiety using various assessments and measuring TEPs in key brain regions.
  • Results showed delayed and lower TEP responses in TS patients, particularly in the motor and prefrontal cortices, which correlated with tic severity and anxiety, suggesting these patterns may help understand TS's underlying mechanisms.
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Background: Adhesive capsulitis (AC) causes shoulder pain and limited range of motion. While ultrasound-guided suprascapular nerve block, glenohumeral joint hydrodilatation, and physical therapy are effective individually, their combined use is not well-studied.

Objective: This study evaluates the effect and safety of combining ultrasound-guided suprascapular nerve block, glenohumeral joint hydrodilatation, and physical therapy on range of motion and pain, comparing diabetic and non-diabetic patients.

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