39,081 results match your criteria: "Rockville; Uniformed Services University of the Health Sciences K.S.R.[Affiliation]"

Article Synopsis
  • The IMPAACT 2002 trial found that combining cognitive behavioral therapy (CBT) with a medication management algorithm (COMB-R) significantly reduced depression among youth with HIV compared to standard care.
  • Participants and clinicians reported higher acceptability and satisfaction with the COMB-R approach, indicating it was less burdensome regarding visits.
  • Despite positive outcomes, further research is needed to confirm the broader applicability of these findings.
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Introduction: Quantifying the use of emerging tobacco products such as nicotine pouches (NPs) and heated tobacco products (HTPs) is crucial for informing public health interventions and measuring their potential effects on tobacco use morbidity, mortality and benefits from complete tobacco cessation.

Methods: Using data from the May 2019 and September 2022 cycles of the Tobacco Use Supplement to the Current Population Survey (TUS-CPS), the study team calculated U.S.

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Article Synopsis
  • HIV/AIDS stigma remains a global issue, affecting individuals' willingness to test, seek care, or access treatment, yet there's a lack of research on stigma factors after blood donation notifications.
  • A survey of 268 HIV-positive blood donors showed that most valued counseling from blood centers, but 61% experienced moderate stigma, with heterosexual orientation and active healthcare-seeking linked to higher stigma levels.
  • The findings highlight the critical role of counseling in connecting individuals to care and mitigating HIV-related stigma in Brazil.
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Glycemia reduction in type 2 diabetes-Hypoglycemia outcomes: A randomized clinical trial.

PLoS One

November 2024

Department of Biostatistics and Bioinformatics, Milken Institute of Public Health, The Biostatistics Center, The George Washington University, Rockville, MD, United States of America.

Article Synopsis
  • The study aimed to compare the risk of hypoglycemia among type 2 diabetes patients on metformin and adding one of four common therapies: glargine, glimepiride, liraglutide, or sitagliptin.
  • The trial included 5,047 participants, assessing severe hypoglycemia events and symptoms over an average of 5 years, with a per-protocol analysis of 4,830 who completed follow-ups.
  • Results showed that glimepiride had the highest incidence of severe hypoglycemia (1.3%), while liraglutide and sitagliptin had the lowest risks, indicating varying hypoglycemia likelihood based on the second medication added
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Article Synopsis
  • Zika virus (ZIKV), a mosquito-borne virus, led to a global outbreak in 2016-2017 and continues to circulate at lower levels in some regions as there is no approved vaccine.
  • Researchers investigated a modified monoclonal antibody (mAb) known as ZIKV-117-LALA-YTE, which has been engineered to improve its effectiveness and longevity in the body.
  • In tests on rhesus macaques, this antibody showed complete protection against ZIKV at a very low dose, highlighting its potential as a new treatment option for the virus.
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Medical writers assist continuing medical education (CME)/continuing professional development (CPD) providers in planning and delivering educational programmes. Their responsibilities include developing needs assessments and instructional content for accredited CME-CPD. However, to the best of our knowledge, a competency model for training writers who develop CME-CPD materials does not exist.

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Background: A petroleum leak into the Joint Base Pearl Harbor-Hickam water system on Oahu, Hawaii in November 2021 contaminated the drinking water of approximately 93,000 users, causing many to relocate for months. Perceptions of health and wellbeing were captured using the Centers for Disease Control/Agency for Toxic Substances and Disease Registry (CDC/ATSDR) Assessment of Chemical Exposures (ACE) cross-sectional survey in collaboration with the Hawaii Department of Health (HDOH).

Methods: Responses from the ACE online survey of community members, businesses, schools, health care and veterinary care organizations during the contamination event, containing quantitative questions and qualitative information from an open text field, were analyzed.

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This chapter explores the innovative application of machine learning techniques to understand and predict the stability of protein substructures. Accurately identifying stable substructures within proteins necessitates incorporating the local context, crucial for elucidating the roles of supersecondary structures. This approach emphasizes the importance of contextual information in understanding the stability and functionality of protein regions, thereby providing a more comprehensive view of protein mechanics and interactions.

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Only a third of tuberculosis (TB) cases in Nigeria in 2020 were diagnosed and notified, in part due to low detection and under-reporting from the private health sector. Using a standardised patient (SP) survey approach, we assessed how management of presumptive TB in the private sector aligns with national guidelines and whether this differed from a study conducted before the start of the COVID-19 pandemic. 13 SPs presented a presumptive TB case to 511 private providers in urban areas of Lagos and Kano states in May and June 2021.

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Objective: Elevated pesticide concentrations have been found in dust from homes with residents who use agricultural pesticides, but few studies have compared these concentrations to quantitative measures of their use. We evaluated household pesticide dust concentrations in relation to quantitative, active ingredient-specific metrics of agricultural pesticide use in the Biomarkers of Exposure and Effect in Agriculture Study.

Methods: Participants provided vacuum dust samples (2013-2018) and information regarding recent (last 12 months) and lifetime pesticide use.

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Purpose: Stronger Together is a peer mentoring model that seeks to address the severe lack of mental health and psychosocial support for patients with cancer in many low- and middle-income countries (LMICs). This article presents the results of the Stronger Together pilot study among patients with breast and gynecologic cancer in Viet Nam (VN).

Methods: Eligible participants comprised women age 25 years or older with a diagnosis of breast or gynecologic cancers and receiving treatment at four participating hospitals.

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Advancing alternative methods to reduce animal testing.

Science

November 2024

US Food and Drug Administration, Office of the Commissioner, Silver Spring, MD, USA.

Emerging approaches show promise for regulatory use.

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Importance: Patients with extensive-stage small cell lung cancer (ES-SCLC) have poor prognoses and unmet medical needs.

Objective: To evaluate the efficacy and safety of toripalimab plus etoposide and platinum-based chemotherapy (EP) vs placebo plus EP as a first-line treatment for patients with ES-SCLC.

Design, Setting, And Participants: This multicenter, double-blind, placebo-controlled phase 3 randomized clinical trial (EXTENTORCH study) enrolled patients from September 26, 2019, to May 20, 2021, and was conducted at 49 sites in China.

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Phosphate and tensin homolog hamartoma tumor syndrome, DICER1-related tumor predisposition, and tuberous sclerosis complex are rare conditions, which each increases risk for distinct spectra of benign and malignant neoplasms throughout childhood and adulthood. Surveillance considerations for each of these conditions focus on patient and family education, early detection, and multidisciplinary care. In this article, we present updated surveillance recommendations and considerations for children and adolescents with phosphate and tensin homolog hamartoma tumor syndrome, DICER1-related tumor predisposition, and tuberous sclerosis complex and provide suggestions for further research in each of these conditions.

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Physiology education in Africa faces challenges due to gaps in curricula across many of its universities, such as divergent content, a lack of standardized competencies, and suitable benchmarking. Here, we describe the development of the Physiology Curriculum for African Universities (PhysioCAFUN), a competency-based curriculum development guideline, as a first step to address such shortcomings. A committee of 15 physiologists from different African regions, Europe, and the United States was constituted to draft the PhysioCAFUN, which was introduced and revised during the joint East African Society of Physiological Sciences (EASPS) and African Association of Physiological Sciences (AAPS) conference held in Tanzania late 2023.

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Lessons learned from the conduct of inpatient clinical trials in a pandemic.

J Clin Transl Sci

October 2024

Division of Microbiology and Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institute of Health, Rockville, MD, USA.

Background: The COVID-19 pandemic amplified known challenges associated with the conduct of inpatient clinical trials, while also introducing new ones that needed to be addressed.

Methods: Stakeholders based in the United States who participated in the conduct of inpatient therapeutic trials for the treatment of COVID-19 as part of the Accelerating COVID-19 Therapeutic Interventions and Vaccines program identified challenges experienced in the conduct of these trials through a series of meeting to discuss and identify common themes. In addition, innovations developed to address these challenges and other potential solutions that may be utilized in future pandemics were highlighted.

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The United States Government (USG) public-private partnership "Accelerating COVID-19 Treatment Interventions and Vaccines" (ACTIV) was launched to identify safe, effective therapeutics to treat patients with Coronavirus Disease 2019 (COVID-19) and prevent hospitalization, progression of disease, and death. Eleven original master protocols were developed by ACTIV, and thirty-seven therapeutic agents entered evaluation for treatment benefit. Challenges encountered during trial implementation led to innovations enabling initiation and enrollment of over 26,000 participants in the trials.

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Feasibility of recruiting young adults with low socioeconomic status for formative evaluation of a smoking cessation mobile intervention.

Tob Prev Cessat

November 2024

Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Rockville, United States.

Introduction: Participant recruitment is critical to the success of smoking cessation trials. However, recruitment feasibility studies for inclusion and exclusion criteria commonly used in smoking cessation research remain scarce. We assessed the feasibility of recruiting potential research volunteers (PRVs) under two sets of inclusion criteria to inform eligibility requirements for a smoking cessation mobile intervention trial.

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Usage of the National Cancer Institute Cancer Research Data Commons by Researchers: A Scoping Review of the Literature.

JCO Clin Cancer Inform

November 2024

Informatics and Data Science Program, Center for Biomedical Informatics and Information Technology, National Cancer Institute, Rockville, MD.

Article Synopsis
  • The National Cancer Institute's Cancer Research Data Commons (CRDC) is a cloud-based platform that facilitates the sharing and analysis of extensive cancer data, aimed at enhancing research efforts.
  • A literature review highlighted how researchers utilize CRDC resources, revealing positive trends in usage but also identifying gaps that need addressing for improved impact.
  • The CRDC is positioned as a key element in a National Cancer Data Ecosystem, helping researchers develop new strategies to effectively address cancer and meet patient needs.
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Introduction: Contact tracing has been a cornerstone of non-pharmaceutical interventions to control the COVID-19 epidemic, with highly mixed effectiveness internationally. In Jordan, the Ministry of Health (MOH) collaborated with the Jordan Nurses and Midwives Council and the USAID Local Health System Sustainability Project to set up a call center for contact tracing of COVID-19.

Objective: This study described the operation and assessed the effectiveness of Jordan's COVID-19 call center activities in reaching COVID-19 cases and their contacts.

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Article Synopsis
  • Patients with COVID-19 on ventilators have a higher risk of developing ventilator-associated pneumonia (VAP), which can lead to increased healthcare costs and worse outcomes.* -
  • This study analyzed the lung microbiome and immune responses in mechanically ventilated COVID-19 patients to understand the mechanisms leading to VAP, comparing samples taken shortly after intubation and 72 hours later.* -
  • Results showed differences in the microbiome related to VAP, along with higher viral loads and unique metabolic changes in patients who developed VAP, highlighting the complex interactions between microbiota, viral response, and inflammation.*
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Importance: Respiratory syncytial virus (RSV) infection can cause severe illness in adults. However, there is considerable uncertainty in the burden of RSV-associated hospitalizations among adults prior to RSV vaccine introduction.

Objective: To describe the demographic characteristics of adults hospitalized with laboratory-confirmed RSV and to estimate annual rates and numbers of RSV-associated hospitalizations, intensive care unit (ICU) admissions, and in-hospital deaths.

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Background Increased mammographic density (MD) is a known breast cancer (BC) risk factor, but its influencing factors are unclear in Asian populations. This study examined the links between known BC risk factors and quantitatively measured MD in 7,351 Chinese women with non-malignant mammographic findings. Methods VolparaDensity software quantified volumetric MD measures: total breast (TBV), absolute dense (ADV), percent dense (PDV= ADV/TBV), and non-dense volumes (NDV= TBV-ADV).

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The international nucleotide sequence database collaboration (INSDC): enhancing global participation.

Nucleic Acids Res

January 2025

National Center for Biotechnology Information, National Library of Medicine, National Institutes of Health, Building 38A, 8600 Rockville Pike, Bethesda, MD 20894, USA.

The members of the International Nucleotide Sequence Database Collaboration (INSDC; https://insdc.org) have built systems to collect, archive and disseminate sequence data for more than four decades. The three collaborating organizations, the National Library of Medicine, National Center for Biotechnology Information (NLM-NCBI) in the United States, Research Organization of Information and Systems, National Institute of Genetics (ROIS-NIG) in Japan; and the European Molecular Biology Laboratory-European Bioinformatics Institute (EMBL-EBI) formalized their relationship through the adoption of an arrangement which documents their commitment to free and open access to genomic sequences.

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