478 results match your criteria: "TX A.N.; and California Pacific Medical Center[Affiliation]"

Single-atom catalysts (SACs), distinguished by their exceptional atomic efficiency and modifiable coordination structures, find wide-ranging applicability, notably in the context of the hydrogen evolution reaction (HER). Herein, we synthesized a TiCT-based Ni single-atom catalyst (Ni SA@N-TiCT) by immersing a single Ni atom into the Ti vacancies of TiCT and using a N-doping strategy. X-Ray adsorption fine structure revealed the formation of local Ni-NC and an unsaturated C-Ni-N bridge configuration for isolated Ni species.

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Coalescence and sampling distributions for Feller diffusions.

Theor Popul Biol

February 2024

School of Mathematics, Monash University, Australia. Electronic address:

Consider the diffusion process defined by the forward equation u(t,x)=12{xu(t,x)}-α{xu(t,x)} for t,x≥0 and -∞<α<∞, with an initial condition u(0,x)=δ(x-x). This equation was introduced and solved by Feller to model the growth of a population of independently reproducing individuals. We explore important coalescent processes related to Feller's solution.

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Objective: We sought to investigate the clinical determinants of intestinal failure and death in preterm infants with surgical NEC.

Methods: Retrospective comparison of clinical information between Group A = intestinal failure (Parenteral nutrition (PN) >90 days) and death and Group B = survivors and with PN dependence < 90 days in preterm infants with surgical NEC.

Results: Group A (n = 99/143) had a lower mean gestational age (26.

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The PATRICIA study (NCT02536339) examined the efficacy and safety of pertuzumab plus high-dose trastuzumab in patients with HER2-positive metastatic breast cancer (MBC) with progressive central nervous system (CNS) metastases following radiotherapy. Primary analysis confirmed CNS objective response rate (ORR) was 11% (95% confidence interval [CI]: 3-25); clinical benefit rate (CBR) was 68% (4 months) and 51% (6 months). We report final efficacy data after a further 21-months of follow-up, updated safety, survival, and patient-reported outcomes (PROs).

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Ultra-High-Resolution T2-Weighted PROPELLER MRI of the Rectum With Deep Learning Reconstruction: Assessment of Image Quality and Diagnostic Performance.

Invest Radiol

July 2024

From the Department of Radiology, Osaka University Graduate School of Medicine, Osaka, Japan (S.M., T.T., H.O., H.F., T.H., A.N., T.O., K.K., K.O., N.T.); MR Collaboration and Development, GE Healthcare, Tokyo, Japan (T.W.); MR Collaboration and Development, GE Healthcare, Austin, TX (X.W.); and Department of Pathology, Osaka University Graduate School of Medicine, Osaka, Japan (T.M.).

Article Synopsis
  • The study aimed to assess how ultra-high-resolution imaging and deep learning reconstruction affect the quality and diagnostic ability of MRI for rectal tumors using a specific technique called PROPELLER imaging.
  • It involved 34 patients undergoing MRI, comparing four types of images based on varying slice thicknesses and reconstruction methods evaluated by three radiologists using a scoring system.
  • Results showed that the 1.2-DLR imaging produced the best quality and clarity, enabling better detection of tumor spread and invasion compared to standard imaging techniques.
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Introduction: Combat-related wound infections complicate the recovery of wounded military personnel, contributing to overall morbidity and mortality. Wound infections in combat settings present unique challenges because of the size and depth of the wounds, the need to administer emergency care in the field, and the need for subsequent treatment in military facilities. Given the increase in multidrug-resistant pathogens, a novel, broad-spectrum antibiotic is desired across this continuum of care when the standard of care fails.

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Synthesis of dienes from pyrrolidines using skeletal modification.

Nat Commun

November 2023

Institute of Chemistry and BioMedical Sciences, Jiangsu Key Laboratory of Advanced Organic Materials, School of Chemistry and Chemical Engineering, Nanjing University, Nanjing, 210093, China.

Saturated N-heterocyclic pyrrolidines are common in natural products, medicinal compounds and agrochemicals. However, reconstruction of their skeletal structures creating new chemical space is a challenging task, and limited methods exist for this purpose. In this study, we report a skeletal modification strategy for conversion of polar cyclic pyrrolidines into nonpolar linear dienes through a N-atom removal and deconstruction process.

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Article Synopsis
  • The protein ACBD6 is important for lipid and protein acylation, but its exact role and effects of its defects on human health remain unclear.
  • Researchers found 45 individuals from 28 families with harmful mutations in ACBD6, leading to a variety of severe developmental and movement disorders.
  • Model organisms like zebrafish and Xenopus were used in studies to better understand ACBD6's function in protein modification and its localization in peroxisomes, which could help explain the associated disease symptoms.
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The Need for Simulation-Based Procedural Skills Training to Address Proposed Changes in Accreditation Council for Graduate Medical Education Requirements for Pediatric Residency Programs.

Simul Healthc

December 2023

From the Department of Pediatrics (P.A.N.), Guerin Children's Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA; Columbia University Vagelos College of Physicians and Surgeons (D.O.K.), New York City, NY; Children's National Hospital (G.Y.), Washington DC; Division of Neonatology (T.L.S.), Department of Pediatrics, University of Washington School of Medicine, Seattle, WA; Division of Neonatal and Developmental Medicine (L.P.H.), Department of Pediatrics, Stanford University; Center for Advanced Pediatric and Perinatal Education (L.P.H.), Lucile Packard Children's Hospital, Stanford University, Palo Alto, CA; Division of Emergency Medicine Department of Pediatrics (K.S.), Seattle Children's Hospital, Seattle, WA; PediSTARS India, (G.R.); Department of Pediatric Critical Care Krishna Institute of Medical Science (G.R.), Secunderabad, India; Department of Pediatrics (T.M.), Nationwide Children's Hospital Ohio State University College of Medicine, Columbus, OH; Department of Pediatrics (N.T.), University of Alabama at Birmingham Birmingham, AL; Simulation Center, Department of Pediatrics, Baylor College of Medicine; Texas Children's Hospital, Houston, TX; Pediatrics & Neonatology (S.T.), Aster RV Hospital, Bangalore, India; Division of Emergency Medicine, Department of Pediatrics (M.L.W.), Heersink School of Medicine, University of Alabama at Birmingham; UAB Medicine, Birmingham, AL; California State University (R.D.), Chico, CA; and Department of Pediatrics (A.C.), Norton Children's Medical Group, University of Louisville, Louisville, KY.

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Article Synopsis
  • Atrial fibrillation (AF) and chronic kidney disease (CKD) can occur together, increasing the risk of dangerous blood clots and bleeding.
  • In a study of 2,124 AF patients who had a specific procedure to prevent blood clots, those with more severe CKD had higher risks of major health problems.
  • The procedure reduced the risk of blood clots significantly across all CKD groups, but patients with more severe CKD still had worse outcomes compared to those with milder CKD.
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γ-Aminobutyric acids (GABA) and serum GABA/AABA (G/A) ratio as potential biomarkers of physical performance and aging.

Sci Rep

October 2023

Bone-Muscle Research Center, College of Nursing and Health Innovation, University of Texas-Arlington, 655 W. Mitchell Street, Science-Engineering-Innovation Research (SEIR) Suite 272, Arlington, TX, 76010, USA.

Declining physical performance with age and disease is an important indicator of declining health. Biomarkers that identify declining physical performance would be useful in predicting treatment outcomes and identifying potential therapeutics. γ-aminobutyric acid (GABA), a muscle autocrine factor, is a potent inhibitor of muscle function and works as a muscle relaxant.

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This article introduces core topics in health equity scholarship and provides examples of how diversity, equity, and inclusion impact the aging population and emergency care of older adults. It offers strategies for promoting diversity, equity, and inclusion to both strengthen the patient-clinician therapeutic relationship and to address operations and systems that impact care of the geriatric emergency department patient.

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Rapid detection of carbapenemase (KPC) in the species is desirable. The MALDI Biotyper MBT Subtyping Module (Bruker Daltonics) uses an algorithm that detects a peak at ~11,109 m/z corresponding to a protein encoded by the gene to detect KPC simultaneously with organism identification by a matrix-assisted laser desorption ionization-time-of-flight mass spectrometry (MALDI-ToF MS). Here, the subtyping module was evaluated using 795 clinical isolates, with whole genome sequences used to assess for and .

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Article Synopsis
  • The OCEAN(a)-Outcomes trial is investigating if lowering Lp(a) levels can reduce cardiovascular events in patients who have had a myocardial infarction or PCI and have high Lp(a) levels (≥200 nmol/L).
  • This study analyzed data from 3,142 patients aged 18-85 with previous MI or PCI, measuring Lp(a) between 2000 and 2019, finding that 12.3% had elevated Lp(a).
  • Results showed a significantly higher rate of major cardiovascular events in patients with elevated Lp(a) compared to those without, suggesting that high Lp(a) is linked to increased cardiovascular risk.
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Comparison of bivalent and monovalent SARS-CoV-2 variant vaccines: the phase 2 randomized open-label COVAIL trial.

Nat Med

September 2023

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

Article Synopsis
  • Vaccine protection against SARS-CoV-2 diminishes over time, making updated boosters necessary, as assessed in a phase 2 clinical trial with various mRNA and protein-based vaccines targeting multiple variants.* -
  • The trial measured safe levels of immunity by evaluating pseudovirus neutralization and found that variant-containing vaccines performed better than wild-type ones against different strains.* -
  • Updated vaccines targeting variants like Beta or Omicron BA.1 show strong neutralizing antibody responses across various SARS-CoV-2 strains while still maintaining immunity to the original virus.*
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This article will discuss the past, present, and future of ventricular tachycardia ablation and the continuing contribution of the Europace journal as the platform for publication of milestone research papers in this field of ventricular tachycardia ablation.

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Article Synopsis
  • Researchers analyzed the proteogenomic profiles of 242 high-grade serous ovarian cancers (HGSOCs) to better understand those that are resistant to chemotherapy.
  • A specific 64-protein signature was identified that accurately predicts which HGSOCs are likely to be resistant to platinum-based treatments, confirming findings in multiple patient groups.
  • The study also found a link between the absence of Ch17 loss of heterozygosity and chemotherapy resistance, leading to the classification of HGSOCs into five clusters, each suggesting different resistance mechanisms and potential treatment targets.
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Patients with relapsed/refractory (R/R) classical Hodgkin lymphoma (cHL) for whom autologous hematopoietic cell transplantation (auto-HCT) had failed experienced frequent and durable responses to nivolumab in the phase 2 CheckMate 205 trial. We present updated results (median follow-up, ∼5 years). Patients with R/R cHL who were brentuximab vedotin (BV)-naive (cohort A), received BV after auto-HCT (cohort B), or received BV before and/or after auto-HCT (cohort C) were administered with nivolumab 3 mg/kg IV every 2 weeks until progression or unacceptable toxicity.

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Gasdermin D-mediated pyroptosis is regulated by AMPK-mediated phosphorylation in tumor cells.

Cell Death Dis

July 2023

Immunobiology and Transplant Science Center, Houston Methodist Hospital, Texas Medical Center, Houston, TX, USA.

Gasdermin D (GSDMD) is a critical mediator of pyroptosis, which consists of a N-terminal pore-forming domain and a C-terminal autoinhibitory domain. Its cytolytic activity is sequestered by the intramolecular autoinhibitory mechanism. Upon caspase-1/11 mediated cleavage of GSDMD, the N-terminal pore-forming domain (GD-NT) is released to mediate pyroptosis.

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Detection of Left Ventricular Systolic Dysfunction From Electrocardiographic Images.

Circulation

August 2023

Section of Cardiovascular Medicine, Department of Internal Medicine (A.A.N., L.S.D., E.J.M., E.J.V., H.M.K., R.K.), Yale University, New Haven, CT.

Article Synopsis
  • Left ventricular (LV) systolic dysfunction significantly increases the risk of heart failure and premature death, highlighting the need for effective screening methods.
  • Researchers developed a deep learning algorithm that analyzes ECG images to detect LV systolic dysfunction and validated its accuracy using data from multiple hospitals and cohorts.
  • The model showed strong performance, achieving high accuracy metrics (AUROC values above 0.90) across different clinical settings, demonstrating its potential as a reliable screening tool for heart dysfunction.
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Breaking down silos: the multifaceted nature of obesity and the future of weight management.

Philos Trans R Soc Lond B Biol Sci

September 2023

Department of Health Outcomes & Biomedical Informatics, University of Florida College of Medicine, Gainesville, FL 32611-7011, USA.

The continued global increase in the prevalence of obesity prompted a meeting at the Royal Society of London investigating causal mechanisms of the disease, 'Causes of obesity: theories, conjectures, and evidence' in October 2022. Evidence presented indicates areas of obesity science where there have been advancements, including an increased understanding of biological and physiological processes of weight gain and maintenance, yet it is clear there is still debate on the relative contribution of plausible causes of the modern obesity epidemic. Consensus was reached that obesity is not a reflection of diminished willpower, but rather the confluence of multiple, complex factors.

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Geometrical optics of first-passage functionals of random acceleration.

Phys Rev E

June 2023

Racah Institute of Physics, Hebrew University of Jerusalem, Jerusalem 91904, Israel.

Random acceleration is a fundamental stochastic process encountered in many applications. In the one-dimensional version of the process a particle is randomly accelerated according to the Langevin equation x[over ̈](t)=sqrt[2D]ξ(t), where x(t) is the particle's coordinate, ξ(t) is Gaussian white noise with zero mean, and D is the particle velocity diffusion constant. Here, we evaluate the A→0 tail of the distribution P_{n}(A|L) of the functional I[x(t)]=∫_{0}^{T}x^{n}(t)dt=A, where T is the first-passage time of the particle from a specified point x=L to the origin, and n≥0.

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Introduction: Post-ICU admission cumulative positive fluid balance (PFB) is associated with increased mortality among critically ill patients. We sought to test whether this risk varied across biomarker-based risk strata upon adjusting for illness severity, presence of severe acute kidney injury (AKI), and use of renal replacement therapy (CRRT) in pediatric septic shock.

Design: Ongoing multi-center prospective observational cohort.

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Background: Sepsis-associated acute kidney injury (SA-AKI) is associated with high morbidity, with no current therapies available beyond continuous renal replacement therapy (CRRT). Systemic inflammation and endothelial dysfunction are key drivers of SA-AKI. We sought to measure differences between endothelial dysfunction markers among children with and without SA-AKI, test whether this association varied across inflammatory biomarker-based risk strata, and develop prediction models to identify those at highest risk of SA-AKI.

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