20,528 results match your criteria: "UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE.[Affiliation]"

Article Synopsis
  • The outpatient continuity clinic is vital for internal medicine residency training, and the Primary Care Exception Rule (PCER) allows indirect supervision of residents during less complex patient visits.
  • The existing literature on the effects of the PCER is limited, yet it raises questions about its impact on patients, residents, attending physicians, and health systems.
  • Recommendations include avoiding PCER for critical diagnosis situations, advocating for competency-based supervision, and expanding the PCER to cover moderate-complexity visits, along with a call for further research in this area.
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  • A study assessed the impact of healthcare provider counseling on maternal knowledge regarding the risks of marijuana use during and after pregnancy, highlighting the commonality of perinatal marijuana use.
  • Conducted across 15 U.S. hospitals, the research involved a survey of 484 postpartum mothers, revealing that nearly 60% had used marijuana at some point and about 9% used it during their current pregnancy.
  • Results showed that only one-third of mothers received counseling from healthcare providers, but those who did had significantly better knowledge about the potential risks of marijuana to their children, emphasizing the need for improved counseling practices.
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  • - Immune effector cell-associated hematotoxicity (ICAHT) significantly affects patients undergoing CAR T-cell therapy, and the factors linked to severe forms of it are not well understood.
  • - Researchers identified key pre-infusion and post-infusion factors that predict early severe ICAHT in a study involving 691 patients; these included disease type, blood counts, inflammatory and coagulopathy markers.
  • - Two predictive models (eIPMPre and eIPMPost) were developed and validated, showing strong accuracy in predicting severe ICAHT, with the post-infusion model being particularly effective; an online tool for individualized predictions is available for use.
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Low levels and function of natural killer (NK) cells are associated with increased coronavirus disease 2019 (COVID-19) severity. NK cell immunotherapy may improve immune function to reduce infection severity. We conducted a first-in-human, open-label, phase 1, dose-escalating (100 × 10, 300 × 10, or 900 × 10 cells) study of a single dose of DVX201, a cord-blood-derived allogeneic NK cell therapy, in hospitalized patients with COVID-19.

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Sociodemographic differences in treatment of acute respiratory infections in pediatric urgent cares.

Infect Control Hosp Epidemiol

December 2024

Department of Pediatrics, Children's Mercy Kansas City, Kansas City, MO, USA.

Objective: To determine whether differences exist in antibiotic prescribing for respiratory infections in pediatric urgent cares (PUCs) by patient race/ethnicity, insurance, and language.

Design: Multi-center cohort study.

Setting: Nine organizations (92 locations) from 22 states and Washington, DC.

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Article Synopsis
  • - Psoriatic arthritis (PsA) is a long-term inflammatory disease that requires ongoing treatment, with options like guselkumab and IL-17A inhibitors (ixekizumab, secukinumab) approved for use in adults by the FDA.
  • - A retrospective analysis studied adults with PsA who started treatment with either guselkumab or IL-17A inhibitors, assessing how long they continued their therapy based on insurance claims data from July 2020 to June 2022.
  • - Results showed that patients on guselkumab were significantly more likely to stick with their treatment for at least a year compared to those on IL-17A inhibitors, with longer median persistence and lower discontinuation rates for the gus
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The tobacco epidemic has claimed countless lives, caused significant morbidity, and cost billions of dollars in direct costs and lost productivity. Despite its acute vascular effects, nicotine alone has not been definitively linked to cardiovascular events. Rather, additives found in cigarettes and other tobacco products likely play a bigger role in tobacco's link to cardiovascular events.

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Functional Immunophenotyping for Precision Therapies in Sepsis.

Shock

November 2024

Sepsis and Critical Illness Research Center, Department of Surgery, University of Florida College of Medicine, Gainesville, Florida 32610, USA.

Sepsis remains a significant cause of morbidity and mortality worldwide. While many more patients are surviving the acute event, a substantial number enter a state of persistent inflammation and immunosuppression, rendering them more vulnerable to infections. Modulating the host immune response has been a focus of sepsis research for the past fifty years, yet novel therapies have been few and far between.

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Modeling HPV Self-Sampling Impact on Cervical Cancer in East African Immigrants.

Am J Prev Med

November 2024

Gender Equality Division, Bill & Melinda Gates Foundation, Seattle, Washington.

Introduction: Cervical cancer screening uptake among East African immigrants in the U.S. is low.

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Potentially avoidable emergency department transfers among Medicare beneficiaries.

Am J Emerg Med

November 2024

Department of Emergency Medicine, University of Washington School of Medicine, Seattle, WA, USA; Department of Health Systems and Population Health, University of Washington School of Public Health, Seattle, WA, USA.

Article Synopsis
  • A study analyzed hospital transfers for older adults (65+) from 2008 to 2019, finding that over 11% of these transfers were potentially avoidable, meaning patients often did not receive necessary care post-transfer.
  • Conditions most linked to avoidable transfers included transient cerebral ischemia, nonspecific chest pain, and syncope, with those conditions showing significantly higher rates of avoidability compared to other diagnoses.
  • Factors influencing avoidable transfers included patient demographics (like being 85+ years old, female, or non-White) as well as characteristics of the hospitals involved, such as their size and profit status.
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Article Synopsis
  • RNA sequencing can uncover various types of transcriptional regulation beyond just gene expression, but current studies often struggle with the complexity of analyzing multiple RNA characteristics.
  • Pantry is a new framework that efficiently generates diverse RNA phenotypes from sequencing data and integrates these phenotypes with genetic data using QTL mapping and other analyses.
  • By applying Pantry to existing datasets, researchers found a significant increase in gene associations, highlighting the importance of analyzing multiple RNA modalities for discovering unique gene-trait relationships and understanding the mechanisms behind genetic regulation.
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Evaluating How Beliefs Among Pediatric Cardiology Providers May Affect Fetal Cardiac Counseling-A National Perspective.

Prenat Diagn

November 2024

Division of Pediatric Cardiology, Department of Pediatrics, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA.

Background: Prenatal counseling following a fetal diagnosis of critical congenital heart disease (CCHD) is challenging and requires delivery of detailed and complete information to ensure appropriate decision making and pregnancy support.

Methods: An anonymous 50-item survey was distributed to providers who performed fetal cardiac counseling. The primary purpose was to evaluate on a national scale physician beliefs and attitudes toward available choices after a fetal diagnosis of CCHD and their association with reported counseling practices.

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National Trends of Common Gynecologic Procedures Among Pediatric Hospitals: A National Surgical Quality Improvement Program Pediatric (NSQIP-P) Database Analysis.

J Pediatr Surg

November 2024

Division of Gynecology, Department of Surgery, Boston Children's Hospital, 333 Longwood Ave, Boston, MA 02115, USA; Department of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA. Electronic address:

Background: Gynecologic surgeries have in general been performed in pediatric hospitals by both gynecologists and other surgical specialists. This study assessed current practices and outcomes using a national database.

Methods: Procedures performed by gynecologists in the National Surgical Quality Improvement Program Pediatric database (NSQIP-P) from 2012 to 2021 were reviewed and used to identify a set of common gynecologic procedures for which outcomes could be compared across specialties.

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State-of-the-Art Deep Learning CT Reconstruction Algorithms in Abdominal Imaging.

Radiographics

December 2024

From the Department of Radiology, University of Washington School of Medicine, Seattle, Wash (A.M.); Department of Radiology, Mayo Clinic, Rochester, Minn (L.Y.); Department of Radiology, New York University Grossman School of Medicine, NYU Langone Health, New York, NY (J.W.R.); Departments of Radiation Oncology (S.K.) and Abdominal Imaging (M.A.S., J.J.I.R., V.K.W., K.M.E., C.T.J.), The University of Texas MD Anderson Cancer Center, 1400 Pressler St, Unit 1473, Houston, TX 77030-4009; Department of Radiology, Texas Children's Hospital, Houston, Tex (A.M.R.C.); and Department of Radiology, Seoul National University College of Medicine, Seoul, South Korea (J.M.L.).

Article Synopsis
  • The development of deep neural networks has led to deep learning reconstruction (DLR) CT algorithms, enhancing image creation processes by integrating deep learning at various stages of imaging.
  • DLR techniques effectively reduce image noise from lower radiation doses while maintaining image quality and diagnostic performance compared to traditional methods like filtered backprojection (FBP) and iterative reconstruction (IR).
  • Clinical evidence supports the use of DLR algorithms for abdominal imaging across multiple tasks, showcasing their benefits, current limitations, and future prospects in CT imaging.
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Role of MRI in Active Surveillance of Prostate Cancer.

Semin Ultrasound CT MR

November 2024

Department of Urology, University of Washington School of Medicine, Seattle, WA; Department of Radiology, University of Washington School of Medicine, Seattle, WA; Department of Radiation Oncology, University of Washington School of Medicine, Seattle, WA. Electronic address:

Magnetic resonance imaging (MRI) plays an important role in the management of patients with prostate cancer on active surveillance. In this review, we will explore the incorporation of MRI into active surveillance protocols, detailing its impact on clinical decision-making and patient management and discussing how it aligns with current guidelines and practice patterns. The role of MRI in this patient population continues to evolve over time, and we will discuss some of the recent advancements in the field and highlight potential areas for future research endeavors.

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Heart failure (HF) is characterized by significant symptoms, compromised quality of life, frequent hospital admissions, and high mortality rates; palliative care (PC) is, therefore, highly relevant for patients with HF and their clinicians. Multiple guidelines and consensus statements recommend the provision of PC alongside HF management. However, few resources exist to guide the integration of PC into HF care, for both primary PC (provided by HF clinicians in the course of HF care) and specialty PC (provided by PC specialists).

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Background: GLP-1 receptor agonists reduce the risk of major adverse cardiovascular events (MACE) and can also have kidney benefits. However, whether GLP-1 receptor agonists improve clinically important kidney outcomes remains uncertain. We aimed to comprehensively assess the effects of GLP-1 receptor agonists on kidney and cardiovascular disease outcomes by performing a meta-analysis of randomised controlled trials.

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Congenital heart defects (CHD) arise in part due to inherited genetic variants that alter genes and noncoding regulatory elements in the human genome. These variants are thought to act during fetal development to influence the formation of different heart structures. However, identifying the genes, pathways, and cell types that mediate these effects has been challenging due to the immense diversity of cell types involved in heart development as well as the superimposed complexities of interpreting noncoding sequences.

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Early combination therapy with SGLT2i and GLP-1 RA or dual GIP/GLP-1 RA in type 2 diabetes.

Diabetes Obes Metab

February 2025

Holman Division of Endocrinology, Diabetes and Metabolism, Departments of Medicine and Population Health, VA New York Harbor Healthcare System, New York University Grossman School of Medicine, New York, New York, USA.

Sodium-glucose cotransporter-2 inhibitors (SGLT2i) and glucagon-Like peptide-1 receptor agonists (GLP-1 RA) are recommended in people with type 2 diabetes (T2D) for glycaemic control and for people with high cardiovascular risk. However, current guidelines do not specifically address the role of initial early combination therapy with SGLT2i and GLP-1 RA or dual gastric inhibitory polypeptide (GIP)/GLP-1 RA, but rather sequential initiation with either in T2D. This review synthesizes the available evidence on the use of SGLT2i and GLP-1-based therapies for T2D and provides a rationale for their combination.

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Background/aims: Handheld swept-source optical coherence tomography (SS-OCT) was previously used to measure foveal maturity through semiautomated methods in awake premature infants. This study assesses the relationship between foveal maturity and retinopathy of prematurity (ROP) severity.

Methods: This is a prospective, observational study using handheld SS-OCT imaging of premature infants undergoing ROP screening.

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A conditional smoothened (smo) allele on an inbred C57BL/6J genetic background has a hypomorphic smo mutant phenotype.

Dev Biol

February 2025

Center for Developmental Biology and Regenerative Medicine, Seattle Children's Research Institute, USA; Department of Pediatrics, Division of Genetic Medicine, University of Washington School of Medicine, Seattle, WA, USA. Electronic address:

We have introduced the floxed allele of Smoothened (Smo) carried by the mouse line Smo into the C57BL/6J strain by serial backcross. Recapitulation of the Smo null phenotype was confirmed by deleting the allele using E2a-cre and intercrossing heterozygous Smo ± mice. No homozygous mutant embryos were identified at E9.

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Background: Depressive symptoms frequently co-occur with diabetes and, when unaddressed, can function to worsen diabetes control and increase the risk of diabetes-related morbidity. Integrated care (IC) approaches aim to improve outcomes among people with diabetes and depression, but there are no current meta-analyses examining their effects.

Purpose: In our study we summarize the effects of IC approaches to address depression and diabetes and examine moderating effects of IC approaches (e.

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Children with systemic lupus erythematosus (SLE) are at increased risk of developing kidney disease, termed childhood-onset lupus nephritis (cLN). Single-cell transcriptomics of dissociated kidney tissue has advanced our understanding of LN pathogenesis, but loss of spatial resolution prevents interrogation of in situ cellular interactions. Using a technical advance in spatial transcriptomics, we generated a spatially resolved, single-cell resolution atlas of kidney tissue from eight patients with cLN and four control individuals.

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Polycyclic aromatic hydrocarbons (PAHs) are common environmental pollutants that originate from the incomplete combustion of organic materials. We investigated the clastogenicity and mutagenicity of benzo[]fluoranthene (BbF), one of 16 priority PAHs, in MutaMouse males after a 28 day oral exposure. BbF causes robust dose-dependent increases in micronucleus frequency in peripheral blood, indicative of chromosome damage.

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