2,889 results match your criteria: "Schools of Medicine[Affiliation]"

Purpose: To describe the causes, timing, and contributing factors of direct hospital transfer cases from an ophthalmology-specific ambulatory surgery center and to identify potential strategies for decreasing future transfers.

Setting: A large ophthalmology surgery center in Des Moines, Iowa.

Design: Retrospective review.

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Background: Vertical HIV-1 transmission despite antiretroviral therapy may be mitigated by use of long-acting, broadly neutralizing, monoclonal antibodies (bNAb) such as VRC07523LS. The present study was designed to determine the safety and pharmacokinetics of VRC07523LS.

Methods: VRC07523LS, 80 mg/dose, was administered subcutaneously after birth to non-breastfed (Cohort 1; N=11, enrolled in USA) and breastfed (Cohort 2; N=11, enrolled in South Africa and Zimbabwe) infants exposed to HIV-1.

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Background: Past research suggests that ethnoracialized groups differ in their willingness to engage in preclinical Alzheimer's disease (AD) research overall. Studies indicated that participation willingness was affected by attitudes toward research and perceived invasiveness of biomarker collection techniques. However, comparative quantitative studies are few, and minoritized groups are under-included.

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Preliminary study of the upper limb with the use of ultrasound transmission imaging.

J Hand Surg Am

January 2025

From Rehabilitation Research and Development, Palo Alto Veterans Administration Medical Center and the Schools of Medicine and Engineering, Stanford University, Stanford, Calif.

A biologically safe, noninvasive method for visualizing bone and soft tissue relationships has been developed recently. Termed the ultrasonic transmission imaging system, its advantages include visualization of soft tissues in real time while motion is underway. The image can be correlated to standard x-ray films, but since no ionizing radiation is involved, repeated risk-free visualization of extremities for either diagnostic assessment or biomechanical studies is permitted.

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Background: Smartphone apps can be used to monitor chronic conditions and offer opportunities for self-assessment conveniently at home. However, few digital studies include older adults.

Objective: We aim to describe a new electronic cohort of older adults embedded in the Framingham Heart Study including baseline smartphone survey return rates and survey completion rates by smartphone type (iPhone [Apple Inc] and Android [Google LLC] users).

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The article is motivated by an application to the EarlyBird cohort study aiming to explore how anthropometrics and clinical and metabolic processes are associated with obesity and glucose control during childhood. There is interest in inferring the relationship between dynamically changing and high-dimensional metabolites and a longitudinal response. Important aspects of the analysis include the selection of the important set of metabolites and the accommodation of missing data in both response and covariate values.

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Epigenome-Wide and Methylation Risk Score Analysis of Body Mass Index Among People with HIV.

Epigenomes

December 2024

Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA.

People with HIV (PWH) on antiretroviral therapy (ART) often gain weight, which increases their risk of type 2 diabetes and cardiovascular disease. The role of DNA methylation (DNAm) markers in obesity among PWH is understudied. This research explores the relationship between body mass index (BMI) and epigenetic patterns to better understand and manage obesity-related risks in PWH.

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Background: Radiation oncologists closely monitor patients during weekly on-treatment visits (OTVs). This study examines whether routine patient-reported outcome measures (PROMs) during OTVs change physicians' perceptions of treatment-toxicity and inform symptom-management.

Patient And Methods: IMPROVE is a single-arm prospective multicenter trial, conducted from 2020 to 2023.

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Article Synopsis
  • Opioid overdose deaths have significantly increased in the U.S. from 2012 to 2022, with a large number of individuals having past involvement with the criminal justice system, highlighting a critical need for effective treatment options like Medications for Opioid Use Disorder (MOUD).
  • WA State has made efforts to improve access to MOUD, particularly for those incarcerated, as they experience high overdose risk upon release, yet there's a lack of strategies to connect jail-based MOUD services with community resources.
  • The SAIA-MOUD study aims to enhance MOUD care across jail and community clinics in King County, WA, through a structured implementation approach, ultimately seeking to reduce relapse and death rates among former inmates.
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Impact of the presence of a family member with dementia on the prevalence of depression: a comparison based on household income level.

Int J Equity Health

December 2024

Department of Preventive and Occupational & Environmental Medicine, Schools of Medicine, Pusan National University, 49 Pusan Daehak-ro, Mulgeum-eup, Yangsan-si, Yangsan, 50612, Gyeongsangnam-do, Republic of Korea.

Background: Families caring for patients with dementia are more vulnerable to depression. This cross-sectional study compared differences in socioeconomic status and gender related to depression among families of patients with dementia and identified associated factors.

Methods: Inequality in depression according to household income level among families of patients with dementia was assessed using the Korean Community Health Survey, which included a sample of over 200,000 participants.

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Marginal notes, November 2024 - soil fever.

J Med Microbiol

December 2024

PathWest Laboratory Medicine, Western Australian Country Health Service, Schools of Medicine and Biomedical Science, University of Western Australia, Perth, Australia.

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Article Synopsis
  • * The PAH Deficiency Guideline Workgroup developed recommendations highlighting the importance of lifelong treatment, better outcomes with controlled Phe levels, and the necessity of genetic testing at birth.
  • * The conclusion emphasizes maintaining phenylalanine levels at or below 360 μmol/L to improve intellectual outcomes and minimize potential risks during pregnancy.
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  • Dilated cardiomyopathy (DCM) is a major cause of heart failure, and this study analyzes genetic factors by examining 14,256 DCM cases and 36,203 participants from the UK Biobank for related traits.
  • Researchers discovered 80 genomic risk loci and pinpointed 62 potential effector genes tied to DCM, including some linked to rare variants.
  • The study uses advanced transcriptomics to explore how cellular functions contribute to DCM, showing that polygenic scores can help predict the disease in the general population and emphasize the importance of genetic testing and development of precise treatments.
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Machine Learning-Based Prediction of Death and Hospitalization in Patients With Implantable Cardioverter Defibrillators.

J Am Coll Cardiol

January 2025

Department of Internal Medicine (Cardiovascular Medicine), Yale School of Medicine, New Haven, Connecticut, USA; VA Connecticut Healthcare System, West Haven, Connecticut, USA; Department of Anesthesiology, Yale School of Medicine, New Haven, Connecticut, USA.

Article Synopsis
  • A new machine learning algorithm was developed to predict all-cause mortality and heart failure hospitalization in patients with implantable cardioverter-defibrillators (ICDs), aiming to improve personalized risk assessments compared to traditional methods.
  • The study used a large cohort from the Veterans Health Administration, analyzing data to identify risk factors and utilizing random forest techniques for accurate predictions over 3-month and 1-year intervals.
  • Results showed strong predictive accuracy, with receiver-operating characteristic curve values indicating the model's effectiveness in distinguishing patient outcomes based on baseline demographics and ICD data.
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Article Synopsis
  • - In South Africa, a study focused on women living with HIV (WLHIV) found a high prevalence of high-risk HPV infections, with 67.3% testing positive, particularly HPV16 and HPV18/45 types being common.
  • - Many participants (91.3%) had never been screened for cervical cancer, and a significant portion (33.3%) showed abnormal cervical cytology results, strongly correlating this with HPV positivity.
  • - The research emphasizes the importance of early HIV diagnosis and treatment, as well as regular cervical cancer screenings, particularly for those with low CD4 cell counts, to reduce cervical cancer risks among WLHIV.
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We previously showed a link between maternal vascular malperfusion and pre-term birth (PTB) in pregnant people living with HIV (PPLH) initiating antiretroviral treatment (ART) before pregnancy, indicating poor placental vascularisation. After measuring antenatal plasma angiogenic factors to seek mechanistic insights, low levels of plasma Factor XIIIA1 (FXIIIA1) and vascular-endothelial-growth-factor (VEGF) was significantly associated with PTB at the time closest to delivery (median 34 weeks) in PPLH initiating ART before pregnancy. Knowing that FXIIIA1 is crucial for haemostasis, angiogenesis, implantation and pregnancy maintenance and that expression is found on placental macrophages (Hofbauer cells), we examined placentae at delivery from matching participants who either initiating ART before pregnancy or during gestation.

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Objectives: (MG) causes urethritis and is associated with cervicitis, pelvic inflammatory disease and preterm delivery. Antimicrobial resistance is widespread and cure rates are declining. Lefamulin, a novel pleuromutilin, may be effective in cases of treatment failure.

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High barley intake in non-obese individuals is associated with high natto consumption and abundance of butyrate-producing bacteria in the gut: a cross-sectional study.

Front Nutr

October 2024

Laboratory of Vaccine Materials and Laboratory of Gut Environmental System, Microbial Research Center for Health and Medicine, National Institutes of Biomedical Innovation, Health and Nutrition, Osaka, Japan.

Article Synopsis
  • The study explored how gut microbiota affects non-obese individuals who consume high levels of barley, a fiber-rich food potentially beneficial for obesity prevention.
  • Researchers enrolled 185 participants, comparing those with high and low barley intake and assessing their gut bacteria and dietary habits.
  • Results showed that barley responders consumed more natto (fermented soybeans) and had higher levels of specific beneficial bacteria, suggesting enhanced fiber breakdown and butyrate production in their guts.
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Background: The aim of this study is to investigate whether vitamin D, calcium, ferritin, and uric acids play a beneficial biomarker role in the prevention of colorectal cancer (CRC) risk.

Methods: The case-control design was employed, including 650 CRC cases and 650 controls aged 35 to 70 years, comprising both men and women. The study encompasses sociodemographic data, clinical information, radiological diagnoses, and biochemical measurements.

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Illicitly manufactured fentanyl within the drug supply has substantially increased opioid-related overdose deaths and driven infectious disease outbreaks among people who use drugs (PWUD). Local jurisdictions often lack the data and tools necessary to detect and translate such moments into actionable and effective responses. Informed by a risk environment framework, this case study adopted a mixed-methods design spanning two rapid assessment studies with PWUD in Lowell (n = 90) and Lawrence (n = 40), Massachusetts, during an HIV outbreak (2017, Study 1) and following the outbreak (2019, Study 2).

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Global trends in CD4 count measurement and distribution at first antiretroviral treatment initiation.

Clin Infect Dis

November 2024

Centre for Infectious Disease Epidemiology and Research, School of Public Health, University of Cape Town, South Africa. CIDER, Level 3 Falmouth Building, Anzio Road, Observatory, 7925, South Africa.

Background: While people with HIV (PWH) start antiretroviral treatment (ART) regardless of CD4 count, CD4 measurement remains crucial for detecting advanced HIV disease and evaluating ART programmes. We explored CD4 measurement (proportion of PWH with a CD4 result available) and prevalence of CD4 <200 cells/µL at ART initiation within the International epidemiology Databases to Evaluate AIDS (IeDEA) global collaboration.

Methods: We included PWH at participating ART programmes who first initiated ART at age 15-80 years during 2005-2019.

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