806 results match your criteria: "The Geisel School of Medicine[Affiliation]"

Protein phosphorylation regulates many steps in the cell division process including cytokinesis. In the fission yeast , the anillin-like protein Mid1 sets the cell division plane and is regulated by phosphorylation. Multiple protein kinases act on Mid1, but no protein phosphatases have been shown to regulate Mid1.

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Background: Virtual interviews are still recommended for fellowship applications, 3 years after the beginning of the COVID-19 pandemic. Improving equity by reducing the cost for the applicants has been the most important reason for continuing virtual interviews. However, some argue that important information may be missed in a virtual setting.

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Electroconvulsive therapy (ECT) is considered an effective therapy for patients suffering from severe, life-threatening, intractable depression. This treatment modality delivers controlled electrical currents (typically no more than 100 J) under general anesthesia to induce seizure. Although generally considered to have a high safety profile, physiological changes induced during the ictal phase of ECT, such as elevation in blood pressure and intracranial pressure, impose additional risks to patients with concomitant cardiovascular or cerebrovascular conditions.

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Fundamental Uncertainty: Interplatform Inconsistency of FDA-Cleared Serological Tests.

J Appl Lab Med

November 2024

Director of Clinical Chemistry and Point-of-Care Testing, Department of Pathology and Laboratory Medicine, Dartmouth Hitchcock Medical Center, Lebanon, NH, United States.

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Context: Early palliative care referral is recommended broadly in oncology. Yet, few patients with high-grade gliomas (HGG) - highly aggressive brain tumors - receive specialty palliative care consultation.

Objectives: To delineate unique needs of HGG patients relative to other oncology patients according to perceptions of a diverse sample of US palliative medicine physicians and neuro-oncologists in each of the eight domains of palliative care; and to describe contrasts between physician specialties on indications for and timing of specialty palliative care referrals in HGG.

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chitinase-like protein TgCLP1 regulates the parasite cyst burden.

Front Cell Infect Microbiol

June 2024

Laboratory of Sustainable Animal Environment, Graduate School of Agricultural Science, Tohoku University, Osaki, Miyagi, Japan.

, an important intracellular parasite of humans and animals, causes life-threatening toxoplasmosis in immunocompromised individuals. Although secretory proteins during acute infection (tachyzoite, which divides rapidly and causes inflammation) have been extensively characterized, those involved in chronic infection (bradyzoite, which divides slowly and is surrounded by a cyst wall) remain uncertain. Regulation of the cyst wall is essential to the parasite life cycle, and polysaccharides, such as chitin, in the cyst wall are necessary to sustain latent infection.

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Background: In response to a growing need for accessible, efficient, and effective palliative care services, we designed, implemented, and evaluated a novel palliative care at home (PC@H) model for people with serious illness that is centered around a community health worker, a registered nurse, and a social worker, with an advanced practice nurse and a physician for support. Our objectives were to measure the impact of receipt of PC@H on patient symptoms, quality of life, and healthcare utilization and costs.

Methods: We enrolled 136 patients with serious illness in this parallel, randomized controlled trial.

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Risk for COVID-19 Infection in Patients With Vitiligo.

Cutis

April 2024

Brandon Smith is from the Drexel University College of Medicine, Philadelphia, Pennsylvania. Shahin Shahsavari is from the Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire. Aislyn Oulee is from the University of California Riverside School of Medicine. Priya Engel is from the California University of Science and Medicine, Colton. Dr. Egeberg is from the Department of Dermatology, Bispebjerg Hospital, Copenhagen, Denmark, and the Department of Clinical Medicine, University of Copenhagen. Dr. Wu is from the University of Miami Leonard M. Miller School of Medicine, Florida.

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Background: Metoidioplasty and phalloplasty gender-affirming surgery (MaPGAS) is increasingly performed and requires patients to make complex decisions that may lead to decisional uncertainty. This study aimed to evaluate decisional conflict in individuals considering MaPGAS.

Methods: We administered a cross-sectional survey to adult participants assigned female sex at birth and considering MaPGAS, recruited via social media platforms and community health centers.

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In a 7-year 11-wave study of low-SES adolescents (N = 856, age = 15.98), we compared multiple well-established transdiagnostic risk factors as predictors of first incidence of significant depressive, anxiety, and substance abuse symptoms across the transition from adolescence to adulthood. Risk factors included negative emotionality, emotion regulation ability, social support, gender, history of trauma, parental histories of substance abuse, parental mental health, and socioeconomic status.

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Background: Recruitment and retention are common challenges in clinical trials, particularly with older adults and their caregivers who often benefit from palliative care but have significant strain from caregiving. In recent years, there has been an expansion in home-based palliative care programs, especially for patients with dementia. Because these programs often rely on physicians or advanced practice nurses, they are quite costly and may be difficult to staff due to workforce shortages.

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Article Synopsis
  • In the U.S., different government groups give advice on how safely people can eat fish caught in local waters, especially because of chemicals like mercury and PFAS.
  • PFAS, particularly one called PFOS, has been harder to create guidelines for, and different states have their own rules which can vary a lot.
  • This article talks about the problems and gaps in knowledge regarding PFAS guidelines and suggests that better science and practices are needed to protect public health.
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Case-Based Studies in Cardiac Electrophysiology.

Card Electrophysiol Clin

June 2024

Dartmouth Health Lebanon, New Hampshire, The Dartmouth Institute, Lebanon, New Hampshire, USA; The Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA. Electronic address:

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Challenge Accepted.

Card Electrophysiol Clin

June 2024

Dartmouth Health Lebanon, New Hampshire The Dartmouth Institute, Lebanon, New Hampshire, USA; The Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA. Electronic address:

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Per- and polyfluoroalkyl substances (PFAS) are related to various adverse health outcomes, and food is a common source of PFAS exposure. Dietary sources of PFAS have not been adequately explored among U.S.

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Congenital Hernias in Adults: Bochdalek Hernias.

Thorac Surg Clin

May 2024

The Geisel School of Medicine at Dartmouth, 1 Rope Ferry Road, Hanover, NH 03755, USA; Department of Surgery, Section of Thoracic Surgery, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756, USA; The Dartmouth Institute of Health Policy and Clinical Practice, Williamson Translational Research Building, Level 51 Medical Center Drive, Lebanon, NH 03756, USA. Electronic address:

Bochdalek hernias are a rare occurrence in adults and usually asymptomatic, resulting in incidental discovery. However, surgical intervention is recommended for both symptomatic and asymptomatic Bochdalek hernias due to the risk of acute morbidity and mortality. There are various possible surgical approaches that may be appropriate depending on the circumstance, with robotic repair becoming increasingly popular.

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Using Computer-aided Optical Diagnosis and Expert Review to Evaluate Colorectal Polyps Diagnosed as Normal Mucosa in Pathology.

Clin Gastroenterol Hepatol

November 2024

Division of Gastroenterology, University of Montreal Hospital Center (CHUM), Montreal, Quebec, Canada; University of Montreal Hospital Research Center (CRCHUM), Montreal, Quebec, Canada. Electronic address:

Article Synopsis
  • Pathological assessment is the main method for diagnosing colorectal polyps, but around 10% of submitted polyps are diagnosed as normal or with non-cancerous conditions.
  • Recent studies suggest that discrepancies between endoscopic diagnoses and pathology findings may be due to errors made during the pathology diagnosis.
  • The authors aim to re-evaluate the diagnosis of mucosal polyps by incorporating expert endoscopist insights and computer-assisted diagnosis techniques.
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Objectives: Total pancreatectomy with islet autotransplantation (TPIAT) is performed to improve the quality of life (QOL) of patients with chronic pancreatitis. Few reports have documented QOL following TPIAT, with none using the pancreatitis-specific Pancreatitis Quality of Life Instrument (PANQOLI). We surveyed patients at our center who underwent TPIAT to document postoperative QOL.

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Implementing fecal immunochemical testing (FIT) through clinic based opportunistic screening or programmatic mailing is not as straightforward as it seems. Liu and colleagues present data for 56,980 individuals who submitted a FIT in a safety net hospital system. In 10.

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Safety First.

Card Electrophysiol Clin

March 2024

Dartmouth Health Lebanon, New Hampshire, The Dartmouth Institute, Lebanon, New Hampshire, USA; The Geisel School of Medicine at Dartmouth, Hanover, NH, USA. Electronic address:

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Participants' experiences and acceptability of a home-based walking exercise behaviour-change intervention (MOtivating Structure walking Activity in people with Intermittent Claudication (MOSAIC)).

Physiotherapy

March 2024

Department of Population Health Sciences, King's College London, United Kingdom; Population Health Research Institute, St George's, University of London, United Kingdom. Electronic address:

Objectives: This study explored the experiences and acceptability of a novel, home-based, walking exercise behaviour-change intervention (MOtivating Structured walking Activity in people with Intermittent Claudication (MOSAIC)) in adults with Peripheral Arterial Disease (PAD).

Design And Setting: Individual semi-structured audio-recorded interviews were conducted with adults with Peripheral Arterial Disease who had completed the MOSAIC intervention as part of a randomised clinical trial. Data were analysed using inductive reflexive thematic analysis and interpreted using the seven-construct theoretical framework of acceptability of healthcare interventions (TFA).

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Background: Patients with heart failure (HF) and colorectal cancer (CRC) are prone to comorbidity, a high rate of readmission, and complex healthcare needs. Self-care for people with HF and CRC after hospitalisation can be challenging, and patients may leave the hospital unprepared to self-manage their disease at home. eHealth solutions may be a beneficial tool to engage patients in self-care.

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Internal Standards for Limit Controls and Absolute Abundance Measurement of Oncogenic Fusions and Mutations.

J Appl Lab Med

January 2024

Clinical Genomics and Advanced Technology, Department of Pathology and Laboratory Medicine, Dartmouth Health System, Lebanon, NH, United States.

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Article Synopsis
  • GATA6 is crucial for the identity of macrophages in mouse peritoneal cavities, but human peritoneal macrophages show different characteristics, with fewer GATA6 macrophages present.
  • In humans, macrophages more closely resemble a less mature stage found in mice, indicating a significant difference in macrophage development between the species.
  • While there are common features shared by macrophage populations in both mice and humans, the proportions and differentiation stages of these cells vary greatly, especially with human macrophages showing a notable presence of dendritic cell-like cells.
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