50 results match your criteria: "Georgetown University Washington DC.[Affiliation]"

Aims: This study aims to evaluate the current state of endoscopy services in Pacific Island Countries (PICs) by quantifying human and material resources, including the number of trained endoscopists and nurses, the types of procedures performed, and the availability and maintenance of endoscopic equipment.

Methods And Results: A mixed methods survey was conducted in 2023, targeting doctors and nurses who participated in the WGO-FNU-ANZGITA endoscopy training program as well as non-participants. Survey invitations were sent through email, WhatsApp, and Facebook Messenger.

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California's Channel Islands are home to two endemic mammalian carnivores: island foxes () and island spotted skunks (). Although it is rare for two insular terrestrial carnivores to coexist, these known competitors persist on both Santa Cruz Island and Santa Rosa Island. We hypothesized that examination of their gut microbial communities would provide insight into the factors that enable this coexistence, as microbial symbionts often reflect host evolutionary history and contemporary ecology.

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Mineral licks are key ecological components of the Amazon rainforest, providing critical dietary functions for herbivorous and frugivorous mammals and birds, which help maintain the structure and function of the forest itself through seed and nutrient dispersal. One of the most frequent visitors of interior forest mineral licks in the Amazon is the red brocket deer (), a large-bodied ruminant frugivore and seed predator. While several hypotheses for the drivers of geophagy exist, including mineral supplementation, toxin adsorption, and habitat selection, robust data on geophagy for the red brocket deer for large numbers of mineral licks is nonexistent.

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Article Synopsis
  • Environmental variation affects reproductive success in black-footed ferrets, both in human care and the wild, but the underlying mechanisms are not well understood.
  • The study explored DNA methylation as a key epigenetic factor influencing reproductive health, finding significant differences in sperm quality between ferrets in ex situ facilities and those in the wild
  • Results indicate that DNA methylation may regulate reproductive traits, highlighting its potential role in the fertility issues faced by male black-footed ferrets in managed care.
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The analysis of mixtures of chiral compounds is a common task in academic and industrial laboratories typically achieved by laborious and time-consuming physical separation of the individual stereoisomers to allow interference-free quantification, for example using chiral chromatography coupled with UV detection. Current practice thus impedes high-throughput and slows down progress in countless chiral compound development projects. Here we describe a chemometric solution to this problem using a redox-responsive naphthoquinone that enables chromatography-free click chemistry sensing of challenging mixtures.

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Article Synopsis
  • * The strategies simulated include usual care, intensive care targeting lower blood pressure, and team-based care, indicating varying levels of effectiveness in reducing CVD events.
  • * While intensive care could prevent up to 138,100 cardiovascular events annually, it is also associated with a significant increase in serious treatment-related adverse events, raising concerns about safety.
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  • The REDUCE-IT USA trial found that icosapent ethyl (IPE) significantly reduced cardiovascular events by 31% and 36% over approximately 4.9 years.
  • An analysis of the cost-effectiveness of IPE compared to standard care (SC) showed that IPE was less expensive and provided better health outcomes, particularly at a daily cost of $4.59.
  • Overall, IPE is recommended for U.S. patients similar to those in the trial, as it remains cost-effective even at a higher daily cost of $11.48.
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Intussusception is the telescoping or invagination of the proximal part of the gastrointestinal tract into an adjacent section. It is rare in adults, accounting for 1% of adult bowel obstruction. Adult presentation of intussusception is variable, with nonspecific, vague symptoms like abdominal pain, nausea, vomiting, and rectal bleeding.

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The Mars Science Laboratory rover, , explored the clay mineral-bearing Glen Torridon region for 1 Martian year between January 2019 and January 2021, including a short campaign onto the Greenheugh pediment. The Glen Torridon campaign sought to characterize the geology of the area, seek evidence of habitable environments, and document the onset of a potentially global climatic transition during the Hesperian era. roved 5 km in total throughout Glen Torridon, from the Vera Rubin ridge to the northern margin of the Greenheugh pediment.

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Article Synopsis
  • Mycobacterial bioenergetics is a promising target for new anti-tuberculosis drugs due to its importance in energy generation and bacteria survival.
  • The study involved modifying naphthoquinoneimidazoles by adding a trialkylphosphonium cation to enhance their antimycobacterial activity through changes in the structure.
  • The most effective compound showed a strong selectivity index and bactericidal action by causing rapid depolarization of bacterial membranes, leading to decreased ATP levels and maintaining excellent antibacterial properties.
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Background Virtual interviewing for cardiology fellowship was instituted in the 2021 fellowship application cycle because of the COVID-19 pandemic and restricted travel. The impact on geographic patterns of fellow-training program matching is unknown. This study sought to determine if there was a difference in geographic placement of matched fellows for cardiology fellowship match after initiation of virtual interviews compared with in-person interviewing.

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There is tantalizing evidence that phenotypic plasticity can buffer novel, adaptive genetic variants long enough to permit their evolutionary spread, and this process is often invoked in explanations for rapid adaptive evolution. However, the strength and generality of evidence for it is controversial. We identify a conceptual problem affecting this debate: recombination, segregation, and independent assortment are expected to quickly sever associations between genes controlling novel adaptations and genes contributing to trait plasticity that facilitates the novel adaptations by reducing their indirect fitness costs.

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Birds experience a sequence of critical events during their life cycle, and past events can subsequently determine future performance via carry-over effects. Events during the non-breeding season may influence breeding season phenology or productivity. Less is understood about how events during the breeding season affect individuals subsequently in their life cycle.

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Background: Youth with type 1 diabetes (T1D) have normal or elevated High-Density Lipoprotein Cholesterol (HDL-C), however, the function of HDL, partly mediated by the HDL proteome, may be impaired. Metformin can be used as an adjunct therapy in youth with T1D, but its effects on the HDL proteome are unknown.

Objective: To determine the effect of metformin on the HDL proteome.

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The widespread occurrence and significance of chiral compounds does not only require new methods for their enantioselective synthesis but also efficient tools that allow rapid determination of the absolute configuration, enantiomeric composition and overall concentration of nonracemic mixtures. Although chiral analysis is a frequently encountered challenge in the chemical, environmental, materials and health sciences it is typically addressed with slow and laborious chromatographic or NMR spectroscopic techniques. We now show with almost 40 analytes representing 5 different compound classes, including mono-alcohols which are particularly challenging sensing targets, that this task can be solved very quickly by chiroptical sensing with a single, readily available arylisocyanate probe.

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Objectives: The Medical Education Research Certificate at the Council of Residency Directors in Emergency Medicine (MERC at CORD), a specialized adaptation of the Association of American Medical Colleges MERC program, provides faculty development in education research in emergency medicine. However, its long-term influence on career development remains unknown. Our study explored the impact of MERC at CORD on career development through the lens of social cognitive career (SCC) theory.

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(black willow) is a widespread tree that hosts many species of polylectic hymenopterans and oligolectic bees of the genus . The early flowering of makes it an important nutritive resource for arthropods emerging from hibernation. However, since is dioecious, not all insect visits will lead to successful pollination.

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Brain Computer Interface (BCI) technology is a critical area both for researchers and clinical practitioners. The IEEE P2731 working group is developing a comprehensive BCI lexicography and a functional model of BCI. The glossary and the functional model are inextricably intertwined.

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This paper provides an overview of the rover's exploration at Vera Rubin ridge (VRR) and summarizes the science results. VRR is a distinct geomorphic feature on lower Aeolis Mons (informally known as Mount Sharp) that was identified in orbital data based on its distinct texture, topographic expression, and association with a hematite spectral signature. conducted extensive remote sensing observations, acquired data on dozens of contact science targets, and drilled three outcrop samples from the ridge, as well as one outcrop sample immediately below the ridge.

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Sphenopalatine ganglion block in primary headaches: An American Headache Society member survey.

Neurol Clin Pract

December 2020

Department of Neurology (JGB), Allegheny Health Network, Pittsburgh, PA; Department of Neurology (MSR), Weill Cornell Medical College, Bronx, New York; Department of Neurology (CER), Mayo Clinic, Rochester, MN; Medstar Health Research Institute (MM), Georgetown University Washington DC; Dent Neurologic Institute (NPS), Amherst, NY; Department of Neurology (RBHS), Mayo Clinic, Phoenix, AZ; and Medstar Health Research Institute (JA), Georgetown University Washington, DC.

Background: The sphenopalatine ganglion (SPG), in the pterygopalatine fossa, is a known current and historical target for therapeutic intervention in headache disorders because of its role in cranial autonomics and vasodilation. There remains an overall lack of well-established SPG treatment protocols, particularly with the advent of newer commercial devices.

Methods: A 22 multiple-choice question survey was created to evaluate clinical practice patterns with SPG block and sent to members of the American Headache Society (AHS).

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Posttransplant Outcomes in Older Patients With Hepatocellular Carcinoma Are Driven by Non-Hepatocellular Carcinoma Factors.

Liver Transpl

May 2021

School of Medicine and Division of Gastroenterology and Hepatology Stanford University Stanford CA Division of Gastroenterology and Hepatology Stanford University School of Medicine Stanford CA Department of Medicine Stanford University Stanford CA Department of Surgery, Multi-Organ Transplantation Stanford University School of Medicine Stanford CA Dumont-UCLA (University of California, Los Angeles) Transplant and Liver Cancer Centers, Department of Surgery David Geffen School of Medicine at UCLA Los Angeles CA Recanati/Miller Transplantation Institute Mount Sinai Medical Center New York NY Annette C. and Harold C. Simmons Transplant Institute Baylor University Medical Center Dallas TX Department of Surgery, Division of Intra-Abdominal Transplantation Loyola University of Chicago, Stritch School of Medicine Maywood IL Department of Transplantation Mayo Clinic Jacksonville FL Division of Gastroenterology and Hepatology Penn Transplant InstituteUniversity of Pennsylvania Philadelphia PA Center for Liver Disease and Transplantation Columbia University Medical Center, NY Presbyterian Hospital New York NY Division of Liver Transplantation and Hepatobiliary Surgery, Department of Surgery Weill Cornell Medical College New York NY Thomas E. Starzl Transplantation Institute University of Pittsburgh Medical Center Pittsburgh PA Section of TransplantationDepartment of Surgery Washington University in St. Louis St. Louis MO Cleveland Clinic Foundation Cleveland OH Division of Transplant SurgeryDepartment of Surgery University of Colorado School of Medicine Denver CO Division of Transplant Surgery Massachusetts General HospitalHarvard Medical School Boston MA Sherrie & Alan Conover Center for Liver Disease & Transplantation Houston Methodist Hospital Houston TX Department of Surgery University of Nebraska Medical Center Omaha NE Division of Transplantation and Hepatobiliary SurgeryDepartment of Surgery University of California, San Diego San Diego CA Department of Surgery Duke University Medical Center Durham NC Division of Transplant SurgeryDepartment of Surgery Medical College of Wisconsin Milwaukee WI Department of Surgery Baylor College of Medicine Houston TX Section of Hepatobiliary and Transplant Surgery University of Louisville School of Medicine Louisville KY Medstar Georgetown Transplant Institute Georgetown University Washington DC.

The incidence of hepatocellular carcinoma (HCC) is growing in the United States, especially among the elderly. Older patients are increasingly receiving transplants as a result of HCC, but the impact of advancing age on long-term posttransplant outcomes is not clear. To study this, we used data from the US Multicenter HCC Transplant Consortium of 4980 patients.

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