6,147 results match your criteria: "Tbilisi; Tbilisi State Medical University[Affiliation]"

Article Synopsis
  • - Post-bariatric surgery hypoglycemia, also called late dumping syndrome, is a challenging condition caused by various factors like surgery changes, hormone adjustments, and hidden health issues, requiring a team approach for treatment.
  • - A case study of a 36-year-old nurse showed she had ongoing hypoglycemia after gastric sleeve surgery, leading to the discovery of an autoimmune disorder called latent autoimmune diabetes in adults (LADA).
  • - The patient's treatment was updated to include insulin and a new drug, teplizumab, to manage her diabetes, highlighting the need for detailed evaluations and teamwork among healthcare professionals to improve patient outcomes after bariatric surgery.
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Many patients with malignant spinal cord compression (MSCC) who are not candidates for neurosurgery receive radiotherapy alone. This study compared 15 × 2.633 Gy over three weeks to 20 × 2.

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Physical activity (PA) improves dyspnoea, psychological wellbeing and quality of life (QoL) for people with COPD reducing their risk of exacerbation. However, engagement in PA is low especially amongst those with anxiety and depression, and PA programmes are limited in countries with limited resources such as Brazil. We explored perceptions of 21 people with COPD about the impact of their disease on taking part in community-based PA programmes in Sao Paulo, Brazil through semi-structured telephone interviews from October 2020 to April 2021.

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The mechanical compression of an external carotid artery (ECA) is a rare pathology. The compression of the carotid bifurcation can be positional, induced by anatomical elements, or provoked by volumetric formation in the neck area. In this study, we describe a rare case of an entrapment of the ECA.

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Road corridors vegetation in the semi-arid region: functional trait diversity and dynamics.

Sci Rep

October 2024

Plant Production Department, College of Food and Agricultural Sciences, King Saud University, P.O. Box. 2460, 11451, Riyadh, Saudi Arabia.

Article Synopsis
  • Road corridor vegetation is crucial for ecosystem stability and ecological services, especially in challenging semi-arid areas like Punjab, Pakistan.
  • The study analyzed 38 plant species along the N5 highway, comparing functional traits of native and non-native plants through field surveys and measurements.
  • Results showed non-native species were generally taller and had larger leaves, while native species had higher root and stem biomass, indicating adaptations to tough environmental conditions; this highlights the competitive edge of non-native species and the need for management strategies to protect native biodiversity.
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Purpose: To evaluate the efficacy and safety of UGN-102 chemoablation for the primary treatment of patients with recurrent low-grade intermediate-risk nonmuscle-invasive bladder cancer.

Materials And Methods: ENVISION is an ongoing, multinational, single-arm, Phase 3 study in patients with a biopsy-proven recurrence of untreated low-grade intermediate-risk nonmuscle-invasive bladder cancer. Patients received 6 weekly intravesical instillations of UGN-102 (mitomycin; outpatient setting) and were evaluated at 3 months.

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Unlabelled: Anti-cancer therapy with anthracyclines and trastuzumab has raised concerns regarding cancer therapy-related cardiac dysfunction (CTRCD) in breast cancer (BC) patients. This study aimed to assess left ventricular (LV) ultrasound parameters in BC postmenopausal women during a 2-year follow-up period after starting anti-cancer therapy.

Methods: We studied 74 women with early-stage BC with, a mean age of 62.

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Unlabelled: The relationship between follicle size, oocyte quality, and blastocyst ploidy is not fully established. This question becomes especially important for poor responders and older reproductive age women, where optimal follicle size and oocyte quantity cannot always be achieved during ovarian stimulation. The aim of this study is to determine the relationship between follicle size, oocyte maturation, blastocyst formation, blastocyst ploidy, and pregnancy outcomes in young women undergoing in vitro fertilization (IVF).

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High prevalence of hypertrophic rhinitis makes more topical the problem of search of new, more effective means of treatment this pathology. 37 patients with hypertrophic rhinitis were examined. The clinical examination included the study of complaints and objective visual indicators associated with hypertrophic rhinitis.

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Yucca gloriosa leaves contain a considerable number of steroid glycosides. In the plant's intact leaves, the biosynthesis of furostanol glycosides occurs, which are then converted into spirostanol glycosides by the action of β-glucosidase. Two forms of β-glucosidase are found in Yucca gloriosa leaves.

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Article Synopsis
  • Women with endometriosis exhibit enhanced levels of active vitamin D (1.25OHD) and lower levels of its precursor (25OHD) compared to healthy controls, indicating a potential abnormality in vitamin D metabolism related to the condition.
  • The study aimed to evaluate the impact of laparoscopic treatment on vitamin D metabolite and calcium levels in patients with endometriosis, comparing preoperative and postoperative measurements to those of healthy individuals.
  • Results showed that after surgery, patients had significantly increased 25OHD levels and decreased 1.25OHD and calcium levels, suggesting that endometriosis affects vitamin D metabolism and that surgical intervention can help normalize these levels.
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Article Synopsis
  • - A systematic review and meta-analysis examined the effectiveness of AI algorithms in screening for aortic stenosis (AS), finding that they can accurately diagnose the condition before severe symptoms develop.
  • - The analysis included data from diverse sources (like ECGs and wearable sensors) and assessed various diagnostic metrics, concluding with a sensitivity of 83% and specificity of 81% for the AI algorithms.
  • - Results indicated high diagnostic accuracy (AUC of 0.909), while various factors (geographic region, AS type, data sources, AI methods) contributed to variations in performance, with a noted potential for publication bias affecting the findings.
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The moss bag technique was applied on Kamchatka to assess the effect of Shiveluch volcano on the air quality. Moss bags were exposed in settlements located at different distances from the volcano and affected by ashfall to varying degrees. The inductively coupled plasma optical emission spectrometry was used for the determination of the content of Al, Ba, Co, Cd, Cr, Cu, Fe, Mn, P, Pb, Sr, S, V, and Zn in both exposed and unexposed moss samples.

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Phallus Reconstruction Using the Third Finger Transplant Method: A Case Report.

Cureus

September 2024

Department of Plastic and Reconstructive Surgery, Kuzanov Clinic, Tbilisi, GEO.

There are many methods of phallus reconstruction, often requiring the use of prosthetics and multiple-stage interventions. The unique method discussed in this case report uses a finger complex in order to create a neourethra as well as act in place of the prosthesis, thus offering a one-stage intervention with the restoration of full biomechanical functions of the phallus and no need for revision surgeries. We present a patient, a 52-year-old male, who had previously undergone a subtotal penile resection due to oncological disease.

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Introduction: Alzheimer's disease can cause dementia through brain matter degradation. This study investigates the monoclonal antibody usage for AD treatment, following PRISMA 2020 guidelines, and aims to discern the monoclonal antibody that offers the optimal balance of efficacy and safety for individuals with AD.

Methods: A systematic search was conducted across databases such as PubMed, Cochrane Library, and clinical trial registries for randomized controlled trials.

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Article Synopsis
  • * Out of 100 IDPs tested, 11% were found to have HCV while none tested positive for HIV; approximately half of the participants reported a history of injecting drugs.
  • * IDPs with drug use experience had significantly lower knowledge about HIV compared to non-drug users, indicating a need for improved education and testing resources, while both groups showed similar HCV knowledge.
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Background: Only 10-40% of patients with cancer in low-income and middle-income countries were able to access curative or palliative radiotherapy in 2015. We aimed to assess the current status of diagnostic imaging and radiotherapy services in the Baltic countries, eastern Europe, central Asia, and the Caucasus by collecting and analysing local data.

Methods: This Access to Radiotherapy (ART) comprehensive analysis used data from 12 countries: the three Baltic countries (Estonia, Latvia, and Lithuania), two countries in eastern Europe (Moldova and Ukraine), four countries in central Asia (Kazakhstan, Kyrgyzstan, Tajikistan, and Uzbekistan), and three countries in the Caucasus (Armenia, Azerbaijan, and Georgia), referred to here as the ART countries.

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Isolation and characterization of Yersinia phage fMtkYen3-01.

Arch Virol

October 2024

Department of Biological and Environmental Science and Nanoscience Center, University of Jyväskylä, Jyväskylä, Finland.

Yersinia enterocolitica causes yersiniosis, the third most common gastrointestinal infection in humans throughout Europe. The emergence of multidrug resistance and the lack of effective new antibiotics have drawn attention to phage therapy as a treatment option. Here, we report the complete genome sequence of phage fMtkYen3-01, which infects Y.

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Oral diseases are among the most common non-communicable diseases around the globe and become a public health challenge that considerably impact general health and well-being in all ages across the lifespan. Oral health is an integral part of general health, where poor oral health and other lifestyle-related chronic diseases have a common risk factor background. The underlying causes of oral health inequalities are often complex and related to country-specific historical, economic, cultural, social, or political factors.

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Using proton-proton collision data corresponding to an integrated luminosity of collected by the CMS experiment at , the decay is observed for the first time, with a statistical significance exceeding 5 standard deviations. The relative branching fraction, with respect to the decay, is measured to be , where the first uncertainty is statistical, the second is systematic, and the third is related to the uncertainties in and .

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A search for collective effects inside jets produced in proton-proton collisions is performed via correlation measurements of charged particles using the CMS detector at the CERN LHC. The analysis uses data collected at a center-of-mass energy of sqrt[s]=13  TeV, corresponding to an integrated luminosity of 138  fb^{-1}. Jets are reconstructed with the anti-k_{T} algorithm with a distance parameter of 0.

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Article Synopsis
  • The study investigates the associated production of Higgs and W bosons, focusing on how the relative signs of the Higgs couplings to W and Z bosons impact the process.
  • Two specific searches were conducted using large amounts of collision data from the LHC to analyze different coupling scenarios: one for opposite-sign couplings and another for same-sign (standard model-like) couplings.
  • The results significantly exclude the opposite-sign coupling hypothesis and set a strict upper limit on the production rate of this process compared to standard model predictions.
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Bistable Perception Discriminates Between Depressive Patients, Controls, Schizophrenia Patients, and Their Siblings.

Schizophr Bull

October 2024

Biophysics Department, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, NL-6525, The Netherlands.

Background And Hypothesis: Individuals with schizophrenia have less priors than controls, meaning they rely less upon their prior experiences to interpret the current stimuli. These differences in priors are expected to show as higher alternation rates in bistable perception tasks like the Structure-from-Motion (SfM) paradigm. In this paradigm, continuously moving dots in two dimensions are perceived subjectively as traveling along a three-dimensional sphere, which results in a direction of motion (left or right) that shifts approximately every few seconds.

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Background And Aim: In 2018, the country of Georgia legalized cannabis for recreational use and decriminalized limited possession. This study aimed to assess whether cannabis use increased among young adults (ages 18-29 years) in Georgia after national policy changes and to evaluate whether perceived access became easier after legalization and current risk factors of young adult cannabis use.

Methods: We used data from the Georgian nationally representative survey administered in 2015 (n = 1308) and 2022 (n = 758), before and after decriminalization.

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