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E Medical Center Dr[Affiliation] Publications | LitMetric

1,322 results match your criteria: "E Medical Center Dr[Affiliation]"

Background: Enhancing family readiness for the healthcare transition (HCT) to adult-focused care can help adolescents and young adults (AYA) thrive in adulthood. We aimed to explore modifiable and non-modifiable individual, family, and healthcare factors associated with HCT readiness of AYA among families of AYA with cystic fibrosis (CF) during COVID-19.

Methods: A multi-site, cross-sectional design was used and an online survey was deployed among families and their AYA from three US pediatric CF centers.

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From empiric anti-scabietic treatments to delusional infestation: A case report.

Am J Emerg Med

December 2024

University of Michigan Department of Dermatology, 1500 E. Medical Center Dr, Ann Arbor, MI 48105, United States of America.

Chronic pruritus accounts for approximately 1 % of all physician visits, and providers are often confronted with how to treat patients with pruritus. Scabies is oftentimes a concern by both patients and providers, and anti-scabietic treatments are generally considered safe and effective. However, the pruritus will continue if there is an alternate etiology.

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Data Verification and Respondent Validity for a Web-Based Sexual Health Survey: Tutorial.

JMIR Form Res

December 2024

Department of Obstetrics and Gynecology, University of Michigan, 1500 E Medical Center Dr, Ann Arbor, MI, 48109, United States, 1 734-763-3429, 1 734-647-9727.

Background: As technology continues to shape the landscape of health research, the utilization of web-based surveys for collecting sexual health information among adolescents and young adults has become increasingly prevalent. However, this shift toward digital platforms brings forth a new set of challenges, particularly the infiltration of automated bots that can compromise data integrity and the reliability of survey results.

Objective: We aimed to outline the data verification process used in our study design, which employed survey programming and data cleaning protocols.

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Article Synopsis
  • Coronary chronic total occlusion (CTO) increases the risk of ventricular arrhythmias (VAs), which can lead to serious heart issues like ventricular tachycardia and sudden cardiac death.
  • A meta-analysis reviewing nine studies with over 3000 participants found that patients with CTOs have a 2.25 times higher risk of VAs compared to those with coronary artery disease (CAD) without CTOs.
  • The analysis also suggested that percutaneous coronary intervention (PCI) for CTOs significantly lowers the risk of VAs compared to patients managed with optimal medication alone, indicating the potential benefits of revascularization.
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Introduction And Hypothesis: Although some evidence suggests that Chinese and white women might have different pelvic floor anatomy such as levator complex and connective tissue support for pelvic organs, it is unknown if these differences affect the mechanisms of pelvic organ prolapse. We sought to determine whether differences exist in MRI-based structural failure patterns between Chinese and American white women with prolapse.

Methods: This is a case-control study in different racial cohorts recruited in China and the USA.

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CT/MRI LI-RADS 2024 Update: Treatment Response Assessment.

Radiology

November 2024

From the Department of Radiology, University of Michigan Health System, 1500 E Medical Center Dr, Ann Arbor, MI 48109-5030 (A.A., M.M.L.); Department of Radiology, Memorial Sloan Kettering Medical Center, New York, NY (V.C., R.D., H.Y.); Department of Radiology, Northwestern Medical Center, Chicago, Ill (F.H.M., R.J.L.); Department of Radiology, Duke University Medical Center, Durham, NC (M.B.); Department of Radiology, University of California San Diego, San Diego, Calif (C.S., C.Y.K.); Department of Radiology, University of Toronto, Toronto, Ontario, Canada (A.Z.K.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (A.R.K., A.S.B.); Department of Radiology, Mount Sinai Medical Center, New York, NY (E.K.); Department of Radiology, Mayo Clinic Rochester, Rochester, Minn (D.O.); Department of Radiology, Weill Cornell Medical Center, New York, NY (R.A.C.); and Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC (L.M.B.).

With the rising incidence of hepatocellular carcinoma, there has been increasing use of local-regional therapy (LRT) to downstage or bridge to transplant, for definitive treatment, and for palliation. The CT/MRI Liver Imaging Reporting and Data System (LI-RADS) Treatment Response Assessment (TRA) algorithm provides guidance for step-by-step tumor assessment after LRT and standardized reporting. Current evidence suggests that the algorithm performs well in the assessment of tumor response to arterial embolic and loco-ablative therapies and fair when assessing response to radiation-based therapies, with limited data to validate the latter.

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Predictors and Unexplained Variability of Obstetric Anal Sphincter Injuries: A Population-Based Cross-Sectional Analysis.

Int Urogynecol J

November 2024

Department of Obstetrics and Gynecology, University of Michigan, University Hospital South, 1500 E. Medical Center Dr., L4011, Ann Arbor, MI, 48109, USA.

Article Synopsis
  • * Researchers analyzed data from over 15 million vaginal births between 2016 and 2021, finding an overall OASI incidence of 1.1%, with vaginal parity and operative birth being the strongest predictive factors.
  • * The final model explained 11.8% of the variability in OASI occurrences, indicating that while some clinical factors are useful for prediction, many OASI cases still lack clear explanatory factors, urging further research on underlying mechanisms.
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Background: Significant disparities exist in laparoscopic training opportunities for surgeons in low- and middle-income countries (LMICs). ALL-SAFE is an innovative, low-cost training system for LMIC surgeons' laparoscopic development. However, strategies to implement and scale ALL-SAFE are unstudied.

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Background: As part of the residency application process in the United States, many medical specialties now offer applicants the opportunity to send program signals that indicate high interest to a limited number of residency programs. To determine which residency programs to apply to, and which programs to send signals to, applicants need accurate information to determine which programs align with their future training goals. Most applicants use a program's website to review program characteristics and criteria, so describing the current state of residency program websites can inform programs of best practices.

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Objectives: Since the introduction of thrombolytics, stroke teams evolved to improve thrombolytic care delivery. The impact of the advent of endovascular therapy on the composition of acute stroke teams is unknown.

Materials And Methods: A two-part pilot-tested survey was deployed to site-Principal Investigators (PIs) of the 27 StrokeNet Regional Coordinating Centers (RCCs) regarding institutional acute stroke teams.

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Is there still protected health information in openly available PowerPoint files?

Curr Probl Diagn Radiol

October 2024

University of Michigan, Department of Abdominal Radiology, University of Michigan Medical Center, 1500 E Medical Center Dr, B1D520C, Ann Arbor, MI 48109-0030, USA. Electronic address:

Article Synopsis
  • * It involved searching for various medical imaging PowerPoint files online, assessing them for the presence of Protected Health Information (PHI).
  • * Results showed that while there's a decline in the percentage of PowerPoint files containing PHI over the last 15 years, significant concerns still remain, especially with specific imaging types like chest X-rays and post-operative CT scans.
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Why "free maternal healthcare" is not entirely free in Ghana: a qualitative exploration of the role of street-level bureaucratic power.

Health Res Policy Syst

October 2024

Departments of Learning Health Sciences and Obstetrics and Gynecology, University of Michigan, 1500 E. Medical Center Dr, Ann Arbor, MI, 48109, United States of America.

Background: Ghana introduced a free maternal healthcare policy within its National Health Insurance Scheme (NHIS) in 2008 to remove financial barriers to accessing maternal health services. Despite this policy, evidence suggests that women incur substantial out-of-pocket (OOP) payments for maternal health care. This study explores the underlying reasons for these persistent out-of-pocket payments within the context of Ghana's free maternal healthcare policy.

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Disparities in access to fertility preservation among adolescents undergoing gonadotoxic therapies.

J Assist Reprod Genet

September 2024

Department of Obstetrics and Gynecology, University of Michigan, 1500 E. Medical Center Dr., Ann Arbor, MI, 48109-5276, USA.

Article Synopsis
  • - The study investigates barriers to fertility preservation (FP) services for adolescents undergoing gonadotoxic therapy and highlights disparities based on minority status.
  • - Out of 136 patients reviewed, minority participants expressed a higher desire for FP but were significantly less likely to receive it, even when controlling for insurance and age.
  • - The findings indicate systemic inequities in accessing FP services for minority patients, suggesting a need for further research to improve accessibility for all adolescents.
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Advancing Models of Care in Transplant Psychiatry: A Review and Considerations for Enhancing the Multidisciplinary Approach.

Curr Psychiatry Rep

November 2024

Department of Psychiatry, University of Michigan, 1500 E. Medical Center Dr., 9814 University Hospital, Ann Arbor, MI, 48109, USA.

Purpose Of Review: Psychosocial considerations in transplant candidacy evaluation, waitlist, and post-transplant period is tremendously important to overall transplant care. Integration of mental health services in multidisciplinary transplant teams improves adherence to medical regimens, enhances quality of life, and reduces the risk of post-transplant complications.

Recent Findings: Despite this, psychiatrists are often under-utilized by transplant centers, with engagement typically limited to transplant candidacy evaluations or reactive consults in a traditional CL model.

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Germline genetic testing reveals pathogenic variants in uterine serous carcinoma patients.

Gynecol Oncol Rep

October 2024

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Michigan, 1500 E. Medical Center Dr., Ann Arbor, MI 48109, USA.

Article Synopsis
  • * In a seven-year retrospective study, 91 USC patients were analyzed, with nearly half referred for genetic counseling; 56% of these underwent genetic testing.
  • * Findings revealed 12.5% of tested patients had pathogenic variants, and 16.6% had variants of unknown significance, leading to a recommendation for standardizing genetic testing in USC management.
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Opportunity and Opportunism in Artificial-Intelligence-Powered Data Extraction: A Value-Centered Approach.

AJR Am J Roentgenol

September 2024

Professor of Radiology and Medicine, Vice-Chair for Radiology Quality and Safety, Chief Section Emergency Medicine, Penn State Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033.

Radiologists' traditional role in the diagnostic process is to respond to specific clinical questions and reduce uncertainty enough to permit treatment decisions. This charge is rapidly evolving due to forces such as artificial intelligence [AI], big data [opportunistic imaging, imaging prognostication], and advanced diagnostic technologies. A new "modernistic" paradigm is emerging whereby radiologists, in conjunction with computer algorithms, will be tasked with extracting as much information from imaging data as possible, often without a specific clinical question being posed and independent of any stated clinical need.

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Testicular cancer found incidentally during gender-affirming orchiectomy is infrequently reported in the literature. This report details a 27-year-old transgender woman whose testicular cancer was discovered incidentally upon routine histopathologic examination of the orchiectomy specimen. The patient did not present with any clinical signs of malignancy.

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Characterization of DNA damage repair pathway utilization in high-grade serous ovarian cancers yields rational therapeutic approaches.

Transl Oncol

December 2024

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Michigan, 1500 E. Medical Center Dr., Ann Arbor, MI 48109, USA; Department of Gynecologic Oncology and Department of Pharmacology and Therapeutics, Roswell Park Comprehensive Cancer Center, Elm and Carlton Streets, Buffalo, NY 14263, USA. Electronic address:

Article Synopsis
  • Researchers found that while a type of cancer treatment called PARP inhibitors (PARPi) works well for some ovarian cancer cells, it doesn’t work as well for others.
  • They say that combining PARPi with another drug called ATM serine/threonine kinase inhibitor (ATMi) could help treat all types of these cancer cells better.
  • This combination therapy not only kills cancer cells more effectively but also reduces some of the side effects from using PARPi alone.
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Several international registries have reported on the efficacy of caplacizumab for the treatment of immune thrombotic thrombocytopenic purpura (iTTP). Similar real-world data from the United States (US) are limited. In this single center retrospective study, we sought to describe caplacizumab prescribing patterns and review clinical outcomes for US patients with iTTP.

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Predominant approaches to measuring pregnancy-related anxiety in Sub-saharan Africa: a scoping review.

BMC Public Health

September 2024

Department of Obstetrics and Gynecology, University of Michigan, 1500 E. Medical Center Dr, Ann Arbor, MI, 48109, USA.

Background: Pregnancy-related anxiety significantly impacts maternal and fetal health in low- and middle-income countries (LMICs), including those within Sub-Saharan Africa (SSA). Most studies conducted to evaluate pregnancy-related anxiety in LMICs have utilized scales developed in high-income countries, despite significant variations in pregnancy-related anxiety due to socioeconomic and cultural contexts. This review surveyed existing literature in order to identify which scales have been used to measure pregnancy-related anxiety in SSA.

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Guest Editorial: Peritumoral Radiomics Provides Important Prognostic Information.

Acad Radiol

October 2024

Department of Radiology, Cardiothoracic Division, University of Michigan, 1500 E Medical Center Dr TC B1-148, Ann Arbor, Michigan 48109, USA. Electronic address:

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Multi-institutional study examining intraoperative entrustment and resident sex.

Am J Surg

August 2024

University of Michigan, Alfred Taubman Health Care Center, Rm 2101, 1500 E Medical Center Dr, Ann Arbor, MI, 48109, USA. Electronic address:

Introduction: Single-site studies have found variable associations between gender and entrustment-based interactions during surgical residency. We sought to assess the relationship between resident sex and intraoperative entrustment at multiple institutions.

Methods: Surgical cases were observed at four university-based training programs.

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Introduction And Hypothesis: The objective was to assess trends in hysterectomy routes by patients who are likely and unlikely candidates for a vaginal approach.

Methods: We performed a retrospective cohort study of patients who underwent vaginal, abdominal, or laparoscopic/robotics-assisted laparoscopic hysterectomy between 2017 and 2020 using the National Surgical Quality Improvement Program database. Patients undergoing hysterectomy for a primary diagnosis of benign uterine pathology, dysplasia, abnormal uterine bleeding, or pelvic floor disorders were eligible for inclusion.

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One Size Does Not Fit All: Consideration of Sex-Specific Thresholds for Surgical Guidelines.

Ann Thorac Surg

December 2024

Department of Cardiac Surgery, University of Michigan, 1500 E Medical Center Dr, Taubman Center, SPC 5346, Ann Arbor, MI 48109.

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