28,002 results match your criteria: "Clinic Foundation[Affiliation]"

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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Aims: Limited head-to-head data exist for daratumumab plus pomalidomide and dexamethasone (DPd) and non-pomalidomide-containing triplet regimens to treat relapsed/refractory multiple myeloma (RRMM). This study conducted population-adjusted indirect comparisons of overall survival (OS) for DPd vs. daratumumab, carfilzomib, and dexamethasone (DKd) and daratumumab, bortezomib, and dexamethasone (DVd).

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Prevalence of immunity to hepatitis B in NCAA athletes.

J Sports Med Phys Fitness

November 2024

Department of Sports Medicine, Cleveland Clinic Foundation, Cleveland, OH, USA.

Article Synopsis
  • Hepatitis B is a viral infection primarily spread through contact with infected bodily fluids, and since the introduction of an effective vaccine in 1981, its prevalence has significantly decreased, but around 14,000 acute cases were reported in the U.S. in 2020.
  • A study analyzed hepatitis B vaccination rates among NCAA Division I and III athletes aged 18-24 from 2016-2023, revealing that 64.6% of athletes were vaccinated, but only 1.06% had available antibody results, all of which were negative.
  • The findings suggest that while vaccination rates are decent, there is a critical need for healthcare systems to enhance vaccine adherence and address hesitancy to avoid future outbreaks.
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Rationale: Corticosteroid-responsive type 2 (T2) inflammation underlies the T2-high asthma endotype. However, we hypothesized that type 1 (T1) inflammation, possibly related to viral infection, may also influence corticosteroid response.

Objectives: To determine the frequency and within-patient variability of T1-high, T2-high, and T1/T2-high asthma endotypes and whether virally influenced T1-high disease influences corticosteroid response in asthma.

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Beyond the Liver: A Comprehensive Review of Strategies to Prevent Hepatocellular Carcinoma.

J Clin Med

November 2024

Gastroenterology and Hepatology Unit, Division of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Songkhla 90110, Thailand.

Article Synopsis
  • Hepatocellular carcinoma (HCC) is a major cause of cancer deaths, often linked to chronic liver disease, but extrahepatic factors also play a significant role in its development.
  • * A review of literature up to October 2024 finds that prevention strategies include hepatitis vaccinations, antiviral treatments, lifestyle changes (like diet and exercise), environmental controls, and regular screenings for high-risk groups.
  • * A holistic approach that integrates medical, lifestyle, and environmental strategies is crucial for effectively reducing HCC incidence worldwide.
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Article Synopsis
  • Secondary amenorrhea is defined as the absence of menstrual cycles for over 3 months in women with previously regular periods, or over 6 months in those with irregular cycles, requiring lab tests to check for pituitary function.
  • A case study of a 31-year-old woman with Diamond-Blackfan anemia and type 2 diabetes showed she experienced amenorrhea for a year after IUD removal, leading to lab tests revealing low levels of luteinizing hormone (LH) and follicle stimulating hormone (FSH).
  • An MRI of her pituitary gland showed no signal, indicating pituitary dysfunction likely caused by iron overload from her frequent blood transfusions, resulting in her treatment with an iron chelator and oral contraception.
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Background & Aims: Liver cancer-related deaths are projected to exceed one million annually by 2030. Existing therapies have significant limitations, including severe side effects and inconsistent efficacy. Innovative therapeutic approaches to address primary liver cancer (PLC) have led to the ongoing development of tumor-derived organoids.

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A Multicenter Evaluation of the Impact of Therapies on Deep Learning-Based Electrocardiographic Hypertrophic Cardiomyopathy Markers.

Am J Cardiol

November 2024

Section of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut; Center for Outcomes Research and Evaluation (CORE), Yale New Haven Hospital, New Haven, Connecticut; Section of Biomedical Informatics and Data Science, Yale School of Medicine, New Haven, Connecticut; Section of Health Informatics, Department of Biostatistics, Yale School of Public Health, New Haven, Connecticut. Electronic address:

Article Synopsis
  • AI-ECG can effectively detect hypertrophic cardiomyopathy (HCM) and track treatment responses using 12-lead ECGs.
  • The study analyzed data from patients undergoing surgical reduction and those receiving mavacamten at multiple healthcare centers, finding no improvement in HCM scores after surgery, but a significant decrease in scores among patients taking mavacamten.
  • This highlights AI-ECG's potential for ongoing monitoring of heart condition improvements following medication rather than surgical interventions.
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Acute decompensated pulmonary hypertension outcomes in pulmonary arterial hypertension patients: systematic review and meta-analysis of proportions.

Heart Lung

November 2024

Intensive Care Unit, AC Camargo Cancer Center, São Paulo, Brazil; Pulmonary Department, Heart Institute (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.

Article Synopsis
  • Acute decompensated pulmonary arterial hypertension (ADPH) leads to right heart failure, posing a high risk of mortality, making the assessment of mortality rates and life-sustaining therapies essential for patient management.
  • A systematic review of 25 studies showed ICU mortality at 29% and hospital mortality at 38%, with higher mortality (45%) among patients needing extracorporeal membrane oxygenation (ECMO). Additional treatments like inotropes and vasopressors also indicated increased mortality rates.
  • The study highlights the variability in ADPH mortality related to different clinical settings and therapies, emphasizing the importance of these findings for clinical practice and discussions with patients and their families.
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Global burden of disease attributable to metabolic risk factors in adolescents and young adults aged 15-39, 1990-2021.

Clin Nutr

December 2024

MAFLD Research Center, Department of Hepatology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China; Key Laboratory of Diagnosis and Treatment for the Development of Chronic Liver Disease in Zhejiang Province, Wenzhou, China. Electronic address:

Background: Metabolic risk factors are a significant cause of global burden among adolescents and young adults, but there is a lack of attention to the burden attributable to these metabolic risk factors globally.

Aims: This study aims to provide comprehensive estimates of five important metabolic risk factors and the attributable disease burden in people aged 15-39 years from 1990 to 2021, based on the Global Burden of Disease Study (GBD) database.

Methods: Global total deaths and disability-adjusted life years (DALYs) were used to describe the burden attributable to five common metabolic risk factors, including high fasting plasma glucose (FPG), high low-density lipoprotein cholesterol (LDL-C), high systolic blood pressure (SBP), high body mass index (BMI), and kidney dysfunction, in adolescents and young adults.

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A new era in cancer therapy emerged with the arrival of immune-checkpoint inhibitors (ICIs), followed by a new cadre of immune-related adverse events that affect up to 40% of patients. Literature on the pathological features associated with these events is still limited. Therefore, to expand our knowledge of the histopathologic spectrum of pulmonary changes, we conducted a case study series analysis on 16 non-neoplastic lung samples collected during or after ICI therapy.

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Article Synopsis
  • Patients with refractory chronic cough (RCC) are increasingly visiting otolaryngology clinics, requiring better evaluation and management after standard treatments have failed.
  • This review highlights new treatment options for RCC, focusing on disrupting the hypersensitive cough reflex through various methods such as neuromodulators, nerve blockades, and behavioral therapies.
  • Understanding these emerging strategies is essential for improving treatment outcomes as more patients seek specialized care for RCC in otolaryngology.
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Introduction: There is no consensus on the optimal surveillance interval for patients undergoing resection of colorectal liver metastases (CRLM). We sought to assess the timing and intensity of recurrence following curative-intent resection of CRLM utilizing a recurrence-free survival (RFS) hazard function analysis.

Methods: Patients with CRLM who underwent curative-intent resection were identified from a multi-institutional database.

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Love Thy Neighbor? Exploring Gastroenterology Attitudes Toward Endometriosis Screening.

Dig Dis Sci

November 2024

Department of Gastroenterology, Hepatology, and Nutrition, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.

Endometriosis is a chronic painful condition affecting 10% of reproductive-aged women with a high prevalence of overlapping gastrointestinal symptoms. There is a significant diagnostic delay for endometriosis and current screening practices for endometriosis in gastroenterology clinic populations have not been evaluated. 112 gastroenterology providers (57.

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Article Synopsis
  • This systematic review investigates predictors of intradialytic hypotension (IDH) in critically ill patients receiving kidney replacement therapy (KRT) for acute kidney injury (AKI).
  • It analyzed data from 8 studies with 2873 patients, finding that machine learning models, particularly Extreme Gradient Boosting Machine (XGB) and deep neural networks (DNN), had the highest predictive accuracy compared to traditional indicators.
  • The study emphasizes the need for combining predictive models and clinical indicators to enhance prediction of IDH and highlights that further validation in different healthcare settings is necessary.
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Article Synopsis
  • The study focuses on the impact of tricuspid regurgitation (TR) on heart remodeling, comparing outcomes in patients treated with the TriClip device versus those receiving standard medical therapy in a randomized controlled trial.
  • Researchers utilized advanced imaging techniques, including cardiac magnetic resonance and 4D-CT, to assess heart changes at baseline, 30 days, and one year follow-ups.
  • Results showed that the TriClip significantly reduced TR volume by 70% at 30 days, leading to notable reductions in right ventricular size and area, with these improvements maintained after one year, unlike the control group.
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Background: Gallbladder cancer is often associated with poor prognosis, especially when patients experience early recurrence after surgery. Machine learning may improve prediction accuracy by analysing complex non-linear relationships. The aim of this study was to develop and evaluate a machine learning model to predict early recurrence risk after resection of gallbladder cancer.

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Migraine is one of the most common neurological disorders in the US. Currently, the diagnosis and management of migraine are based primarily on subjective self-reported measures, which compromises the reliability of clinical diagnosis and the ability to robustly discern candidacy for available therapies and track treatment response. In this study, we used a computational pipeline for the automated, rapid, high-throughput, and objective analysis of encephalography (EEG) data at Cleveland Clinic to identify signatures that correlate with migraine.

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Background And Aims: Unconjugated bilirubin (UCB) is a byproduct of the heme group that indicates irregularities in the metabolism of several important biological molecules, such as hemoglobin. UCB is processed by hepatic UGT1A1, which catalyzes its conjugation to the metabolites bilirubin diglucuronide (BDG) and bilirubin monoglucuronide (BMG). The serum concentrations of BDG and BMG may indicate liver injury or dysfunction.

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Introduction: Mesenchymal stromal cells (MSCs) can modulate immune responses and suppress inflammation in autoimmune diseases. Although their safety has been established in clinical trials, the efficacy of MSCs is inconsistent due to variability in potency among different preparations and limited specificity in targeting mechanisms driving autoimmune diseases.

Methods: We utilized High-Dimensional Design of Experiments methodology to identify factor combinations that modulate gene expression by MSCs to mitigate inflammation.

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