696 results match your criteria: "UC San Diego - School of Medicine[Affiliation]"

Multiparametric magnetic resonance imaging (mpMRI) is strongly recommended by current clinical guidelines for improved detection of clinically significant prostate cancer (csPCa). However, the major limitations are the need for intravenous (IV) contrast and dependence on reader expertise. Efforts to address these issues include use of biparametric magnetic resonance imaging (bpMRI) and advanced, quantitative magnetic resonance imaging (MRI) techniques.

View Article and Find Full Text PDF

Introduction: Although there are evidence-based strategies (EBSs) for alcohol and other drug (AOD) prevention and treatment for college students, there has been little focus on evaluating AOD EBS implementation in higher education. The use of implementation strategies in higher education may help bridge the gap between research and practice and improve students' access to EBSs. However, it is important to first understand determinants of AOD EBS program implementation to support AOD EBS selection and implementation strategy selection.

View Article and Find Full Text PDF

Automating excellence: A breakthrough in emergency general surgery quality benchmarking.

J Trauma Acute Care Surg

January 2025

From the Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, Department of Surgery (L.A.P., Z.M., J.M., B.H., T.W.C., L.N.H., A.B., L.A., J.J.D., J.E.S.), UC San Diego School of Medicine, San Diego, California; and Division of Acute Care Surgery, Department of Surgery (A.E.L.), University of Missouri School of Medicine, Columbia, Missouri.

Article Synopsis
  • Developed an automated electronic health record (EHR)-linked registry to assess risks in emergency general surgery (EGS) using modified scoring systems, aiming to improve efficiency and accuracy.
  • Analyzed data from 177 patients who underwent emergent surgeries between 2018-2023, finding an 18% mortality rate and 45% complication rate within 30 days post-surgery.
  • The new scores (mESS and mPOTTER) showed strong agreement with traditional risk calculators, indicating potential for better quality assessment in EGS.
View Article and Find Full Text PDF

Introduction: Ureteral stricture disease (UTSD) poses significant challenges in reconstructive urology, with recent advances highlighting disparities in healthcare outcomes based on race and ethnicity. This study investigates the impact of race and ethnicity on clinical outcomes following ureteral reconstruction.

Methods: We conducted a single-centre prospective analysis of 233 patients who underwent ureteral reconstruction for UTSD from 2014 to 2023.

View Article and Find Full Text PDF

Introduction: In light of the lack of diversity in academic medicine leadership, diversity-related, student-led national medical organizations (NMOs) provide a space for solace and reprieve among common peers while providing an opportunity to develop leadership competencies in a supportive environment. Despite the impact NMOs have had on cultivating generations of leaders in medicine, trainees may not identify opportunities for leadership development that are transferable to future careers in academic medicine.

Methods: We designed and implemented a dynamic 60-minute workshop with an interactive PowerPoint presentation, author-owned video testimonials (from past student leaders of NMOs), two case presentations, and reflection exercises.

View Article and Find Full Text PDF

Context: Many studies have moved toward saliva and peripheral blood sampling for studying cortisol, even in relation to disorders of the brain. However, the degree to which peripheral cortisol reflects central cortisol levels has yet to be comprehensively described. Data describing the effect that biological characteristics such as age and sex have on cortisol levels across compartments is also limited.

View Article and Find Full Text PDF

Reduced mitochondrial quality and quantity in tumors is associated with dedifferentiation and increased malignancy. However, it remains unclear how to restore mitochondrial quantity and quality in tumors, and whether mitochondrial restoration can drive tumor differentiation. Our study shows that restoring mitochondrial function using retinoic acid (RA) to boost mitochondrial biogenesis and a mitochondrial uncoupler to enhance respiration synergistically drives neuroblastoma differentiation and inhibits proliferation.

View Article and Find Full Text PDF

Mitigating climate change in soil ecosystems involves complex plant and microbial processes regulating carbon pools and flows. Here, we advocate for the use of soil microbiome interventions to help increase soil carbon stocks and curb greenhouse gas emissions from managed soils. Direct interventions include the introduction of microbial strains, consortia, phage, and soil transplants, whereas indirect interventions include managing soil conditions or additives to modulate community composition or its activities.

View Article and Find Full Text PDF

This article provides a historical review and a current perspective on the procedures used to palliate cyanosis in ductal-dependent infants. Eighty years ago, Helen Taussig, Alfred Blalock, and Vivien Thomas developed the first effective treatment. The Blalock-Taussig-Thomas (BTT) shunt is the historical predecessor of both the contemporary-modified BTT shunt and interventional stenting of the Patent Ductus Arteriosus (PDA).

View Article and Find Full Text PDF

Pathobiont-driven antibody sialylation through IL-10 undermines vaccination.

J Clin Invest

December 2024

Division of Infectious Diseases, Department of Pediatrics, University of California, La Jolla, California, USA.

The pathobiont Staphylococcus aureus (Sa) induces nonprotective antibody imprints that underlie ineffective staphylococcal vaccination. However, the mechanism by which Sa modifies antibody activity is not clear. Herein, we demonstrate that IL-10 is the decisive factor that abrogates antibody protection in mice.

View Article and Find Full Text PDF

Background: SARS-CoV-2 antibody levels have been proposed as a correlate of protection (CoP) from infection. Yet, large-scale prospective studies of cost-effective scalable antibody measures as predictors of infection under real-world conditions are limited. We examined whether antibody levels measured using high-throughput variant-specific SARS-CoV-2 anti-spike immunoglobulin G (IgG) and ACE2-neutralization assays correlate with cell-based neutralizing antibody (NAb) measurements, and whether they can serve as a reasonable CoP from SARS-CoV-2 infection.

View Article and Find Full Text PDF
Article Synopsis
  • This study aimed to analyze how common surgically induced chronic kidney disease (CKD-S) is in patients with upper tract urothelial carcinoma (UTUC) after they undergo radical nephroureterectomy (RNU), focusing on survival outcomes.* -
  • Researchers looked at data from 1,862 patients and found that 34.7% developed CKD-S3a and 39.6% developed CKD-S3b after surgery, with older age, lower preoperative kidney function, and certain chemotherapy treatments linked to higher risks of developing CKD-S3b.* -
  • The study revealed that while CKD-S3b patients had worse overall survival rates (59% over 5 years), CK
View Article and Find Full Text PDF

Successful Treatment of Severe, Poorly Controlled Benign Essential Blepharospasm with DaxibotulinumtoxinA.

Ophthalmic Plast Reconstr Surg

December 2024

Department of Ophthalmology, Shiley Eye Institute, Division of Oculofacial Plastic and Reconstructive Surgery, UC San Diego.

Article Synopsis
  • Benign essential blepharospasm is a type of focal dystonia that causes involuntary eyelid contractions, often treated with botulinum toxin type A but can become less effective over time.
  • A 57-year-old male with severe symptoms saw improved results after receiving a new treatment, daxibotulinumtoxinA, following unsuccessful high-dose treatments with other botulinum toxins.
  • The patient reported faster symptom relief and longer-lasting effects, with 50% to 75% efficacy maintained at three months, indicating daxibotulinumtoxinA could be a promising option for those resistant to standard treatments.
View Article and Find Full Text PDF

Background: Obstructive sleep apnea (OSA) is very common in obese patients. However, why some obese patients have severe OSA while others do not is unclear. Research is limited regarding which structures contribute to upper airway narrowing, especially in Asian patients where bony restrictions is thought to be important.

View Article and Find Full Text PDF

Lung contusion complicated by pneumonia worsens lung injury via the inflammatory effect of alveolar small extracellular vesicles on macrophages and epithelial cells.

J Trauma Acute Care Surg

January 2025

From the Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, Department of Surgery (K.N., W.C., W.J., K.P., D.P., J.W., B.E., T.C.), UC San Diego School of Medicine, San Diego; Comparative Effectiveness and Clinical Outcomes Research Center (R.C.), Riverside University Health System, Loma Linda University School of Medicine, Riverside, California; and Trauma and Acute Critical Care Center (K.N.), Tokyo Medical and Dental University Hospital, Bunkyo-ku, Tokyo, Japan.

Background: Lung contusion (LC) complicated by pneumonia is associated with a higher risk of acute lung injury (ALI) mediated by activation of immune cells and injury to the lung epithelium. Small extracellular vesicles (sEVs) are essential mediators of cellular crosstalk; however, their role in the development of postinjury ALI remains unclear. We hypothesized that LC complicated by pneumonia increases the pro-inflammatory effect of alveolar sEVs on macrophages and the cytotoxicity of alveolar sEVs to pulmonary epithelial cells, worsening the severity of ALI.

View Article and Find Full Text PDF

This article provides a historical review and a current perspective on the procedures used to palliate cyanosis in ductal-dependent infants. Eighty years ago, Helen Taussig, Alfred Blalock and Vivien Thomas developed the first effective treatment. The Blalock-Taussig-Thomas (BTT) shunt is the historical predecessor of both the contemporary modified BTT shunt and interventional stenting of the Patent Ductus Arteriosus (PDA).

View Article and Find Full Text PDF

Background And Objective: The feasibility and safety of a robotic approach for postchemotherapy retroperitoneal lymph node dissection (PC-RPLND) in testicular cancer have been demonstrated, but data on long-term oncological outcomes of this procedure are limited. Our aim was to evaluate oncological outcomes following robotic PC-RPLND in this setting.

Methods: This retrospective cohort study included consecutive patients with testicular cancer treated with robotic PC-RPLND at 11 academic centers worldwide between 2011 and 2023.

View Article and Find Full Text PDF
Article Synopsis
  • - Health disparities in urologic cancers like prostate, bladder, kidney, and testicular significantly affect outcomes based on race, socioeconomic status, and location.
  • - A review of literature and cancer databases shows that minorities and those in underserved areas receive less timely and appropriate care, resulting in worse health outcomes.
  • - The study calls for targeted interventions, including policy changes and increased funding, to improve access to high-quality cancer care and achieve health equity.
View Article and Find Full Text PDF

Environmental factors and the incidence of pediatric epistaxis: A systematic review with meta-analysis.

Int J Pediatr Otorhinolaryngol

November 2024

Department of Otolaryngology-Head & Neck Surgery, Rady Children's Hospital, UC San Diego School of Medicine, San Diego, CA, USA. Electronic address:

Background: A growing body of literature explores environmental risk factors for pediatric epistaxis, yielding variable results. We aim to clarify these associations through a systematic review and meta-analysis.

Methods: PubMed, Scopus, Cochrane Central Register of Control Trials, Web of Science, Medline, Google Scholars, and Embase were systematically searched up to April 2024.

View Article and Find Full Text PDF

Encephaloceles are considered rare with an approximate incidence of 1 in 35,000, and sphenoid encephaloceles are even more uncommon. Two types of sphenoid encephaloceles exist: medial perisellar encephaloceles, and lateral sphenoidal encephaloceles. Surgical correction of the lateral sphenoid recess encephalocele is achieved via one of two endoscopic approaches: extended sphenoidotomy or transpterygopalatine.

View Article and Find Full Text PDF