1,198 results match your criteria: "Saint John's Health Center[Affiliation]"

Urethral Bulking With Polyacrylamide Hydrogel Compared With Other Treatments for Stress Urinary Incontinence: A Cost-Effectiveness Analysis.

Obstet Gynecol

March 2024

Division of Female Urology, Voiding Dysfunction and Pelvic Reconstructive Surgery, University of California, Irvine, Irvine, the Department of Obstetrics and Gynecology, Providence Saint John's Health Center, Santa Monica, and Urogynecology and Pelvic Reconstructive Surgery, Stanford University School of Medicine, Stanford, California; the Department of Obstetrics and Gynecology, University of Connecticut Health Center, Farmington, and Urogynecology and Reconstructive Pelvic Surgery, Yale University School of Medicine, New Haven, Connecticut; and the Division of Urogynecology and Pelvic Floor Disorders, Cleveland Clinic Women's Health Institute, Cleveland, Ohio.

Article Synopsis
  • - The study aimed to analyze the cost-effectiveness of polyacrylamide hydrogel urethral bulking compared to other treatments for stress urinary incontinence (SUI).
  • - Among the treatments evaluated, midurethral sling (MUS) showed the highest effectiveness followed closely by polyacrylamide hydrogel, with minimal differences in quality-adjusted life-years (QALYs).
  • - Polyacrylamide hydrogel becomes more cost-effective if over 58% of the procedures are done in-office, making it a reasonable option depending on patient preferences, even though MUS is the preferred treatment due to its higher effectiveness.
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AdAPT-001 is an oncolytic adenovirus (OAV) with a transforming growth factor beta (TGF-ß) trap, which neutralizes the immunosuppressive and profibrotic cytokine, TGF-ß. The aim or purpose of this phase 1 study was to assess the safety and tolerability and, secondarily, the efficacy of AdAPT-001 after single intratumoral injection (IT) (Part 1) and multidose IT injection (Part 2) in patients with superficially accessible, advanced refractory solid tumors. Part 1 enrolled 9 patients with a 3 + 3 single dose-escalation safety run-in involving 2.

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Purpose: This phase Ib open-label, multicenter, platform study (NCT02646748) explored safety, tolerability, and preliminary activity of itacitinib (Janus kinase 1 inhibitor) or parsaclisib (phosphatidylinositol 3-kinase δ inhibitor) in combination with pembrolizumab [programmed death-1 (PD-1) inhibitor].

Experimental Design: Patients with advanced or metastatic solid tumors with disease progression following all available therapies were enrolled and received itacitinib (Part 1 initially 300 mg once daily) or parsaclisib (Part 1 initially 10 mg once daily; Part 2 all patients 0.3 mg once daily) plus pembrolizumab (200 mg every 3 weeks).

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Background: The potential neuroprotective effects of regular physical activity on brain structure are unclear, despite links between activity and reduced dementia risk.

Objective: To investigate the relationships between regular moderate to vigorous physical activity and quantified brain volumes on magnetic resonance neuroimaging.

Methods: A total of 10,125 healthy participants underwent whole-body MRI scans, with brain sequences including isotropic MP-RAGE.

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Background: Tinnitus is the perception of sound in the absence of external acoustic stimulation. Being one of the most common diseases of the ear, it has a global prevalence ranging from 4.1 to 37.

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Purpose: Chordomas are ultrarare tumors of the axial spine and skull-base without approved systemic therapy. Most chordomas have negative expression of thymidylate synthase (TS), suggesting a potential for responding to the antifolate agent pemetrexed, which inhibits TS and other enzymes involved in nucleotide biosynthesis. We evaluated the therapeutic activity and safety of high-dose pemetrexed in progressive chordoma.

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Background: Triple-negative breast cancer (TNBC) is an aggressive subtype that exhibits a high incidence of distant metastases and lacks targeted therapeutic options. Here we explored how the epigenome contributes to matrix metalloprotease (MMP) dysregulation impacting tumor invasion, which is the first step of the metastatic process.

Methods: We combined RNA expression and chromatin interaction data to identify insulator elements potentially associated with MMP gene expression and invasion.

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Background: Hereditary angioedema (HAE) is a potentially fatal disease characterized by unpredictable, recurrent, often disabling swelling attacks. In a randomized phase 2 study, donidalorsen reduced HAE attack frequency and improved patient quality-of-life (ISIS721744-CS2, NCT04030598). We report the 2-year interim analysis of the phase 2 open-label extension (OLE) study (ISIS 721744-CS3, NCT04307381).

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Spatial profiling of cancer-associated fibroblasts of sporadic early onset colon cancer microenvironment.

NPJ Precis Oncol

November 2023

Department of Translational Molecular Medicine, Saint John's Cancer Institute (SJCI), Providence Saint John's Health Center (SJHC), Santa Monica, CA, 90404, USA.

Article Synopsis
  • - The study explores the rising incidence of early-onset colon cancer (EOCC) and aims to understand its unique molecular features by analyzing tumor cells and cancer-associated fibroblasts (CAFs) using spatial transcriptomic and proteomic data.
  • - Findings reveal that EOCC tumors have a higher presence of fibroblast-associated protein positive (FAP(+)) CAFs compared to late-onset colon cancer, with those having elevated FAP levels associated with shorter overall survival rates.
  • - The research identifies a significant interaction between FGF20 released by FAP(+) CAFs and the FGFR2 receptor in neighboring tumor cells, leading to increased WNT signaling and activation of the PI3K/Akt pathway in EOCC tumors at
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Melanoma brain metastases (MBM) are clinically challenging to treat and exhibit variable responses to immune checkpoint therapies. Prior research suggests that MBM exhibit poor tumor immune responses and are enriched in oxidative phosphorylation. Here, we report results from a multi-omic analysis of a large, real-world melanoma cohort.

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Background: Poly (ADP-ribose) polymerase inhibitors (PARPi) are approved for the treatment of BRCA-mutated breast cancer (BC), including triple-negative BC (TNBC) and ovarian cancer (OvCa). A key challenge is to identify the factors associated with PARPi resistance; although, previous studies suggest that platinum-based agents and PARPi share similar resistance mechanisms.

Methods: Olaparib-resistant (OlaR) cell lines were analyzed using HTG EdgeSeq miRNA Whole Transcriptomic Analysis (WTA).

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Background: Therapeutic lymphadenectomy (TLND) is still performed in most melanoma patients to treat nodal recurrences after initial negative lymph node biopsy (-SLNB), despite the lack of evidence for survival benefit. We sought to compare melanoma-specific survival (MSS) and distant metastasis-free survival (DMFS) of patients who underwent TLND versus no TLND using our institutional and MSTL-1 databases.

Methods: We identified 146 patients with nodal recurrence following -SLNB: 132 underwent TLND and 14 did not.

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Article Synopsis
  • Triple-negative breast cancer (TNBC) is an aggressive type of breast cancer with few treatment options, known for its high rates of metastasis.* -
  • The study used CRISPR/Cas9 to disrupt an insulator element called IE8, which is linked to cell invasion in two TNBC cell models: MDA-MB-231 and MDA-MB-436.* -
  • High-resolution chromatin interaction and accessibility maps, along with gene expression profiling, were generated to provide insights into the genomic organization of TNBC, aiming to identify specific alterations that could lead to better treatments.*
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