1,090 results match your criteria: "Germany [3] Massachusetts General Hospital and Harvard Medical School[Affiliation]"

There is limited evidence on the outcomes and safety of mechanical thrombectomy (MT) among patients with acute ischemic stroke (AIS) in the context of cardiac diseases. Our study reviews MT in AIS within the context of cardiac diseases, aiming to identify existing and emerging needs and gaps. PubMed and Scopus were searched until December 31, 2023, using a combination of cardiological diseases and "mechanical thrombectomy" or "endovascular treatment" as keywords.

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Enlarged perivascular spaces (EPVS) are common in cerebral small vessel disease (CSVD) and have been identified as a marker of dysfunctional brain clearance. However, it remains unknown if the enlargement occurs predominantly around arteries or veins. We combined ultra-high-resolution MRI and histopathology to investigate the spatial relationship of veins and arteries with EPVS within the basal ganglia (BG).

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Characterization of hair cortisol concentration pre-conception and during pregnancy.

Psychoneuroendocrinology

September 2024

Harvard T.H. Chan School of Public Health, Department of Epidemiology, 677 Huntington Avenue, Kresge 500, Boston, MA 02115,  USA; Massachusetts General Hospital and Harvard Medical School, The Chester M. Pierce, M.D. Division of Global Psychiatry, 151 Merrimac Street, Boston, MA 02114, USA.

Article Synopsis
  • * Conducted with 2,581 pregnant women in Perú, the research involved analyzing hair samples collected at different stages of pregnancy to examine the correlations between HCC and sociodemographic, pregnancy-related, and hair-related factors.
  • * Results indicated that HCC levels increased throughout the pregnancy stages and were influenced by factors such as preconception BMI, food access, education, and hair dye use, emphasizing the importance of considering these variables in maternal health studies.
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  • The VERIFY study investigated the effectiveness of vandetanib in patients with advanced differentiated thyroid cancer that did not respond to radioiodine therapy, focusing on its safety and efficacy compared to a placebo in a randomized, double-blind phase III trial.
  • The trial involved 235 patients, divided equally to receive either vandetanib or a placebo, with the main goal of assessing progression-free survival (PFS), which was found to be 10.0 months for the vandetanib group versus 5.7 months for the placebo group.
  • Despite showing a longer PFS, the study did not find a significant overall survival (OS) benefit, and patients receiving vandetanib experienced more severe adverse events and deaths compared to those
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  • Innovation in medical imaging using AI and machine learning requires thorough data collection and algorithm improvements, along with careful evaluation of factors like bias and trustworthiness.
  • Successfully integrating AI/ML into clinical settings is challenging and hinges on addressing issues in model design, development, regulatory compliance, and stakeholder collaboration.
  • Tackling these complexities is essential not only for overcoming current obstacles but also for unlocking new opportunities in the field of radiology.
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  • The Scale for Assessment and Rating of Ataxia (SARA) is a key clinical tool for evaluating cerebellar ataxia but has received criticism regarding the relevance of its assessment items.
  • A study involving 850 patients across different types of spinocerebellar ataxias (SCA1, SCA2, SCA3, SCA6) revealed significant differences in progression rates among cohorts, particularly with the EUROSCA cohort showing the fastest rates.
  • The analysis found that not all items on the SARA scale contribute equally to measuring ataxia severity, and while some items are more sensitive to changes early or late in the disease, overall adjustments to the scale did not enhance responsiveness across different patient
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Background: Accumulating preclinical and preliminary translational evidence shows that the hypothalamic peptide oxytocin reduces food intake, increases energy expenditure, and promotes weight loss. It is currently unknown whether oxytocin administration is effective in treating human obesity.

Methods: In this randomized, double-blind, placebo-controlled trial, we randomly assigned adults with obesity 1:1 (stratified by sex and obesity class) to receive intranasal oxytocin (24 IU) or placebo four times daily for 8 weeks.

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Two genome-wide interaction loci modify the association of nonsteroidal anti-inflammatory drugs with colorectal cancer.

Sci Adv

May 2024

Division of Biostatistics, Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Article Synopsis
  • * Researchers analyzed data from 52 studies, including nearly 31,000 CRC cases and over 41,000 controls, to explore the genetic interactions with regular aspirin/NSAID use.
  • * They found significant interactions with genetic variants in two specific regions (6q24.1 and 5p13.1), which could help uncover new targets for understanding how aspirin provides its protective effects against colorectal cancer.
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Using routinely collected clinical data for circadian medicine: A review of opportunities and challenges.

PLOS Digit Health

May 2024

Divisions of Pulmonary and Sleep Medicine and Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States of America.

A wealth of data is available from electronic health records (EHR) that are collected as part of routine clinical care in hospitals worldwide. These rich, longitudinal data offer an attractive object of study for the field of circadian medicine, which aims to translate knowledge of circadian rhythms to improve patient health. This narrative review aims to discuss opportunities for EHR in studies of circadian medicine, highlight the methodological challenges, and provide recommendations for using these data to advance the field.

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Objectives: To establish and evaluate an ultra-fast MRI screening protocol for prostate cancer (PCa) in comparison to the standard multiparametric (mp) protocol, reducing scan time and maintaining adequate diagnostic performance.

Materials And Methods: This prospective single-center study included consecutive biopsy-naïve patients with suspected PCa between December 2022 and March 2023. A PI-RADSv2.

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Article Synopsis
  • * Using advanced models, researchers analyzed cardiac MRI data from over 40,000 UK Biobank participants to assess left atrial volume metrics.
  • * A genome-wide study identified 20 genetic factors related to left atrial structure, suggesting that genetic predisposition to larger atrial volume increases the risk of atrial fibrillation and related issues like stroke.
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Neural-tumor interactions drive glioma growth as evidenced in preclinical models, but clinical validation is limited. We present an epigenetically defined neural signature of glioblastoma that independently predicts patients' survival. We use reference signatures of neural cells to deconvolve tumor DNA and classify samples into low- or high-neural tumors.

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  • The study examined the relationship between tea and coffee consumption and the incidence of biliary tract cancer (BTC) using data from 15 studies.
  • Drinking tea was linked to a lower risk of gallbladder cancer (GBC) and possibly intrahepatic bile duct cancer (IHBDC), while coffee consumption was associated with a higher risk of GBC.
  • The findings suggest that tea might be protective against certain types of BTC, whereas coffee could increase the risk of GBC, warranting further investigation into these associations.
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Genome-wide interaction study of dietary intake of fibre, fruits, and vegetables with risk of colorectal cancer.

EBioMedicine

June 2024

Division of Biostatistics, Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. Electronic address:

Article Synopsis
  • Consumption of fiber, fruits, and vegetables may lower the risk of colorectal cancer (CRC), but genetic factors might influence this connection.
  • A large study involving nearly 70,000 participants identified two significant genetic variants linked to dietary intake and CRC risk using advanced statistical methods.
  • The findings suggest specific genetic loci (SLC26A3 and NEGR1) may affect how fiber and fruit consumption interacts with CRC risk, highlighting the need for more research on the underlying mechanisms.
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  • Colorectal cancer (CRC) is a widely increasing disease linked to high body mass index (BMI), but the exact biological processes connecting these two factors are not well understood.
  • The study employed Mendelian randomization to explore various biomarkers and lifestyle factors potentially mediating the impact of BMI on CRC risk, focusing on elements like inflammation, insulin levels, and physical activity.
  • The findings indicated that higher genetically predicted BMI correlates with increased CRC risk, with evidence suggesting that the relationship might be partly mediated by plasma IGF1, while smoking and physical activity appear to complicate the association rather than mediate it.
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High-field preclinical functional MRI (fMRI) is enabled the high spatial resolution mapping of vessel-specific hemodynamic responses, that is single-vessel fMRI. In contrast to investigating the neuronal sources of the fMRI signal, single-vessel fMRI focuses on elucidating its vascular origin, which can be readily implemented to identify vascular changes relevant to vascular dementia or cognitive impairment. However, the limited spatial and temporal resolution of fMRI is hindered hemodynamic mapping of intracortical microvessels.

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  • The classification of tumors is vital for diagnosing and managing patients with malignant neoplasms, with updates provided by the WHO over time.
  • The upcoming 5th edition of the WHO Classification of Haematolymphoid Tumours introduces significant updates, including a hierarchical listing and the inclusion of tumor-like lesions.
  • Notable additions include revisions in nomenclature, new and removed entities, genetic changes discussions, and a dedicated chapter on germline predisposition syndromes linked to hematologic neoplasms.*
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Computational models are not just appealing because they can simulate and predict the development of biological phenomena across multiple spatial and temporal scales, but also because they can integrate information from well-established and models and test new hypotheses in cancer biomedicine. Agent-based models and simulations are especially interesting candidates among computational modeling procedures in cancer research due to the capability to, for instance, recapitulate the dynamics of neoplasia and tumor - host interactions. Yet, the absence of methods to validate the consistency of the results across scales can hinder adoption by turning fine-tuned models into black boxes.

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Fine-mapping analysis including over 254,000 East Asian and European descendants identifies 136 putative colorectal cancer susceptibility genes.

Nat Commun

April 2024

Division of Epidemiology, Department of Medicine, Vanderbilt-Ingram Cancer Center, Vanderbilt Epidemiology Center, Vanderbilt University Medical Center, Nashville, TN, USA.

Genome-wide association studies (GWAS) have identified more than 200 common genetic variants independently associated with colorectal cancer (CRC) risk, but the causal variants and target genes are mostly unknown. We sought to fine-map all known CRC risk loci using GWAS data from 100,204 cases and 154,587 controls of East Asian and European ancestry. Our stepwise conditional analyses revealed 238 independent association signals of CRC risk, each with a set of credible causal variants (CCVs), of which 28 signals had a single CCV.

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Patients with chronic kidney disease (CKD) are at an increased cardiovascular risk compared with the general population, which is driven, at least in part, by mechanisms that are uniquely associated with kidney disease. In CKD, increased levels of oxidative stress and uraemic retention solutes, including urea and advanced glycation end products, enhance non-enzymatic post-translational modification events, such as protein oxidation, glycation, carbamylation and guanidinylation. Alterations in enzymatic post-translational modifications such as glycosylation, ubiquitination, acetylation and methylation are also detected in CKD.

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Tissue-specific genetic variation suggests distinct molecular pathways between body shape phenotypes and colorectal cancer.

Sci Adv

April 2024

International Agency for Research on Cancer (IARC/WHO), Nutrition and Metabolism Branch, 69366 Lyon CEDEX 07, France.

It remains unknown whether adiposity subtypes are differentially associated with colorectal cancer (CRC). To move beyond single-trait anthropometric indicators, we derived four multi-trait body shape phenotypes reflecting adiposity subtypes from principal components analysis on body mass index, height, weight, waist-to-hip ratio, and waist and hip circumference. A generally obese (PC1) and a tall, centrally obese (PC3) body shape were both positively associated with CRC risk in observational analyses in 329,828 UK Biobank participants (3728 cases).

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Article Synopsis
  • Ablation of atrial fibrillation (AF) has become a widely accepted and effective treatment for managing this common heart rhythm disorder over the last 30 years.
  • Since the initial consensus document in 2007, new research and technologies have significantly changed AF ablation practices, necessitating updates in 2012 and 2017.
  • A new consensus document was recently created by various cardiac societies to provide a current framework for selecting and managing patients for catheter or surgical AF ablation, reflecting the evolving nature of the field.
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Biophysical models applied to dementia patients reveal links between geographical origin, gender, disease duration, and loss of neural inhibition.

Alzheimers Res Ther

April 2024

Latin American Brain Health (BrainLat), Universidad Adolfo Ibáñez, Av. Diag. Las Torres 2640, Santiago Región Metropolitana, Peñalolén, 7941169, Chile.

Background: The hypothesis of decreased neural inhibition in dementia has been sparsely studied in functional magnetic resonance imaging (fMRI) data across patients with different dementia subtypes, and the role of social and demographic heterogeneities on this hypothesis remains to be addressed.

Methods: We inferred regional inhibition by fitting a biophysical whole-brain model (dynamic mean field model with realistic inter-areal connectivity) to fMRI data from 414 participants, including patients with Alzheimer's disease, behavioral variant frontotemporal dementia, and controls. We then investigated the effect of disease condition, and demographic and clinical variables on the local inhibitory feedback, a variable related to the maintenance of balanced neural excitation/inhibition.

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Article Synopsis
  • * The first expert guidelines for AF ablation were published in 2007, and updates were necessary in 2012 and 2017 due to advancements in research and technology.
  • * A new consensus document is now being released to provide updated guidelines for healthcare professionals on selecting and managing patients for AF ablation, created by various international cardiac societies.
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Background And Aims: Increasing data suggest that stress-related neural activity (SNA) is associated with subsequent major adverse cardiovascular events (MACE) and may represent a therapeutic target. Current evidence is exclusively based on populations from the U.S.

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