4,313 results match your criteria: "Miriam Hospital & Newport Hospital[Affiliation]"

Background: A total of 12 modifiable risk factors account for 40% of dementia cases globally, yet population adherence to health behaviors associated with these factors is low. Midlife is a critical window for dementia prevention, as brain pathology often begins to accumulate years or decades before the onset of symptoms. Although multidomain behavioral interventions have been efficacious in reducing the risk of cognitive decline, adherence is low.

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Patient-Specific Myocardial Infarction Risk Thresholds From AI-Enabled Coronary Plaque Analysis.

Circ Cardiovasc Imaging

October 2024

Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA (R.J.J.M., N.M., A.L., A.S., C.P., A.K., P.M., A.R., K.G., A.C.K., D.H., K.K., G.F.T., J.G., H.G., S.C., D.S.B., P.J.S., D.D.).

Article Synopsis
  • Coronary computed tomography angiography (CCTA) is used to evaluate cardiovascular risk by quantifying coronary plaque, and deep learning technology helps automate this process.
  • A study involving 2803 patients analyzed how age and sex affect coronary plaque volume and its relation to the risk of myocardial infarction, showing that plaque volume increases with age and is typically higher in men.
  • Patients with coronary plaque in the ≥75th percentile were found to have a significantly higher risk of myocardial infarction compared to those below the 50th percentile, suggesting that deep learning-based plaque measurements can effectively predict cardiac events.
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Laboratory-based molecular test alternatives to RT-PCR for the diagnosis of SARS-CoV-2 infection.

Cochrane Database Syst Rev

October 2024

Department of Applied Health Sciences, School of Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK.

Article Synopsis
  • - The text discusses the importance of accurately diagnosing SARS-CoV-2 infections in managing the COVID-19 pandemic and highlights challenges faced due to shortages in RT-PCR testing reagents, prompting the search for alternative diagnostic methods.
  • - The main goal is to evaluate the accuracy of alternative laboratory-based molecular tests for diagnosing SARS-CoV-2 infections, potentially enhancing testing capacity and resource utilization.
  • - A systematic search for relevant studies was conducted, examining various diagnostic tests used for SARS-CoV-2, while ensuring comprehensive data collection and analysis to assess diagnostic effectiveness.
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Article Synopsis
  • - The study investigates the impact of the Restifem® pessary on pelvic floor function in postpartum women, evaluating its effectiveness as both a preventive and therapeutic device from 6 weeks to 12 months after delivery.
  • - 857 women participated, with 137 using the pessary and 133 not; findings revealed that pessary users experienced significantly worse pelvic floor function initially but showed greater improvement in scores related to bladder and pelvic organ prolapse over time.
  • - The results suggest that using the pessary contributes to improved recovery of pelvic floor function, particularly for women experiencing higher levels of dysfunction postpartum, while also highlighting the study's legitimacy through registration in a clinical trials database.
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Background: Type I interferons (IFN-I) are potent alarm factors that initiate cancer cell elimination within tumors by the immune system. This critical immune response is often suppressed in aggressive tumors, thereby facilitating cancer immune escape and unfavorable patient outcome. The mechanisms underpinning IFN-I suppression in tumors are incompletely understood.

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Article Synopsis
  • Discrimination significantly impacts alcohol use among different races, ethnicities, and genders, yet there is limited research on these associations.
  • A study with 1,187 young adults found that experiences of discrimination and alcohol involvement varied, particularly with Black individuals facing the highest levels of discrimination and White women showing the most alcohol use.
  • The findings highlight the need for nuanced statistical methods to accurately evaluate differences in discrimination and alcohol involvement across diverse groups.
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Objective: Degenerative cervical myelopathy (DCM) is a centromedullary spinal cord disorder mainly affecting crossing fibers. While contact heat evoked potentials (CHEPs) are sensitive in detecting DCM by testing spinothalamic integrity, somatosensory evoked potentials (dSSEPs) show unaffected dorsal column conduction. Intra-epidermal electrically evoked potentials (IEEPs) have unknown spinal propagation after noxious stimulation.

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Article Synopsis
  • The HBCD study is a big research project that will look at how kids' brains and behaviors develop from before they are born until they are younger kids.
  • It will include over 7000 families from 27 different places and will check many areas like language, memory, and social skills.
  • The study aims to understand how things like health and family background affect children's growth, and it will use different ways to measure kids' progress, both from tests and from parents' reports.
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The science of developmental psychopathology has made outstanding progress over the past 40 years in understanding adaptive and maladaptive developmental processes across the life span. Yet most of this work has been researcher driven with little involvement of community partners in the research process, limiting the potential public health significance of our work. To continue to advance the field we must move beyond the physical and conceptual walls of our research laboratories and into the real world.

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Article Synopsis
  • * Using data from 1,433 knee surgeries, the researchers analyzed preoperative and postoperative data to identify clusters of patients that predict surgical success or failure based on their responses to PROMs.
  • * The findings suggest that cluster analysis can create a comprehensive patient profile that includes various sociodemographic and clinical factors, enhancing the ability to predict outcomes beyond traditional single-variable assessments.
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Background: The perseverative cognition hypothesis stipulates that rumination (repetitive, passive, uncontrollable negative thinking) prolongs the experience of a stressor which impacts stress physiology. In line with this hypothesis, we proposed that in response to real-life experiences of social rejection, adolescent girls who ruminate would show a blunted diurnal cortisol slope the next day relative to girls who do not ruminate. We also examined the effects of social rejection and rumination on waking cortisol levels and the cortisol awakening response.

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Changes in pancreatic steatosis by computed tomography 24 months after sleeve gastrectomy in youth with severe obesity.

Surg Obes Relat Dis

January 2025

Department of Radiology, Musculoskeletal Imaging and Intervention, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; Department of Radiology, NYU Langone Health, New York, New York. Electronic address:

Background: Pancreatic steatosis has been associated with obesity and the metabolic syndrome. Studies in adults have demonstrated improvement in pancreatic steatosis following sleeve gastrectomy (SG) with concomitant improvement in glucose homeostasis.

Objectives: To examine changes in pancreatic steatosis in youth with severe obesity 24 months following SG.

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Unlabelled: The measurement of urinary sodium excretion provides valuable information about an individual's sodium balance and can help in the management of various medical conditions. However, the collection of 24-hour urine samples is subject to errors. Spot urine sodium (uNa) measurements are a reliable alternative to 24-hour urine collections for estimating urinary sodium excretion.

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Objective: Prior research has found that plant-based diets (PBDs) are rated as acceptable and have similar levels of adherence as compared to other therapeutic dietary approaches; however, previous studies were mostly among white populations. Plant-based diets can produce clinically meaningful weight loss, but outcomes may vary by level of adherence. The goal of this study was to examine the differences in weight and lipids among participants in the Nutritious Eating with Soul study based on adherence to their diet assignment.

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Article Synopsis
  • The study investigates the relationship between isolated PIRADS 3 lesions found in the transitional zone (TZ) and peripheral zone (PZ) of the prostate, and the occurrence of clinically significant prostate cancer (csPCa) in patients undergoing biopsies.
  • Researchers analyzed data from a group of patients who had mpMRI-fusion biopsies from 2016 to 2021 and excluded those with prior cancer diagnoses or higher PIRADS scores.
  • Results showed that csPCa was significantly more prevalent in PZ lesions compared to TZ lesions, suggesting that PIRADS 3 lesions in the TZ are less likely to indicate clinically significant cancer, which is crucial for making biopsy decisions.
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Similar Pathophysiological Mechanisms Between Osteoarthritis and Vascular Disease.

Front Biosci (Landmark Ed)

September 2024

Department of Orthopaedics, Warren Alpert Medical School, Brown University, RI 02905, USA.

Osteoarthritis (OA) is a prevalent, chronic joint disorder affecting millions of people worldwide, characterized by articular cartilage degradation, subchondral bone remodeling, synovial cytokine secretion, and osteophyte formation. OA primarily affects the hips, knees, hands, and spine. Patients with OA exhibit a higher prevalence of cardiovascular comorbidities and potentially important associations between OA and cardiovascular diseases have prompted investigations into potentially similar pathophysiological associations.

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Article Synopsis
  • Tobacco smoking increases the risk of surgical site complications after robotic eTEP retrorectus hernia repair, with current smokers experiencing more issues compared to non-smokers.
  • The study analyzed 102 patients from November 2019 to October 2022, categorizing them by smoking status and examining various outcomes, finding only one recurrence of a hernia among never smokers.
  • While no overall complication differences were found between smokers and non-smokers, current smokers had significantly higher rates of surgical site occurrences, indicating that smoking at the time of surgery can lead to increased risks, unlike former smokers who showed no such risk.
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Existing research on Latino cultural factors mainly focuses on gender and nationality, often overlooking sexual orientation and giving limited attention to the experiences of Latino sexual minority men in the United States of America (USA). This study addressed this gap by exploring how sexual minority men identify, describe and experience Latino cultural factors. Between April and December 2019, semi-structured interviews were conducted with 28 men (ages 18-40, 43% non-US-born) in the greater Miami, Florida area to explore their engagement in HIV prevention and behavioural health services.

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MYC deregulation occurs in the majority of multiple myeloma cases and is associated with progression and worse prognosis. Enhanced MYC expression occurs in about 70% of patients with multiple myeloma, but it is known to be driven by translocation or amplification events in only ∼40% of myelomas. Here, we used CRISPR interference to uncover an epigenetic mechanism of MYC regulation whereby increased accessibility of a plasma cell-type-specific enhancer leads to increased MYC expression.

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Correction to: Multilevel Resilience and HIV Virologic Suppression Among African American/Black Adults in the Southeastern United States.

J Racial Ethn Health Disparities

September 2024

Center for Epidemiologic Research, Department of Epidemiology, School of Public Health, Brown University, Box G-S121-2, 121 South Main Street, Providence, RI, USA.

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