2,536 results match your criteria: "University of California - San Diego School of Medicine[Affiliation]"

Geriatric assessment for the practicing clinician: The why, what, and how.

CA Cancer J Clin

November 2024

Division of Hematology/Oncology, Department of Medicine, University of Rochester Medical Center, Rochester, New York, USA.

Older adults with cancer heterogeneously experience health care, treatment, and symptoms. Geriatric assessment (GA) offers a comprehensive evaluation of an older individual's health status and can predict cancer-related outcomes in individuals with solid tumors and those with hematologic malignancies. In the last decade, randomized controlled trials have demonstrated the benefits of GA and GA management (GAM), which uses GA information to provide tailored intervention strategies to address GA impairments (e.

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Introduction: Limited information exists regarding the association between resident surgical case experience and subsequent case mix in practice. We compare the case log distribution residents completed during their chief year to those completed by these graduates in their first 2 years in independent practice.

Methods: Resident chief year case logs from 10 institutions were analyzed across 4 categories of index procedures: (1) general urology, (2) endourology, (3) reconstructive urology, and (4) urologic oncology.

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Objectives: Up to a quarter of pregnant individuals with SLE have small for gestational age (SGA) infants. We aimed to characterize placental pathology associated with SGA infants in SLE.

Methods: We retrospectively analysed SLE deliveries with placental analysis at UCSD from November 2018 to October 2023, comparing SLE pregnancies resulting in SGA to those that did not, and additionally, to matched pregnancies with SGA but without SLE.

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Article Synopsis
  • * There's an increased risk of hypoglycemia (low blood sugar) when using GLP-1RAs alongside other diabetes medications, particularly for T1D patients who have reduced glucagon response.
  • * The article discusses the impact of GLP-1RAs on hypoglycemia, the advantages of continuous glucose monitoring during treatment, and safe ways to start GLP-1RA therapy for these diabetes patients.
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The virtual disengagement hypothesis: A neurophysiological framework for reduced empathy on social media.

Cogn Affect Behav Neurosci

December 2024

Mind Science Foundation, San Antonio, TX, USA.

Social media is a hotbed of interpersonal conflict and aggression. Platforms such as Twitter and Instagram are used by more than 62% of the global population, facilitating billions of user interactions every day. However, many of these exchanges involve hostile, insensitive, and antisocial behaviors.

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Introduction: Cannabis use and cannabis use disorder (CUD) are associated with adverse psychosocial outcomes, but their impact on workplace absenteeism remains poorly understood. Moreover, few studies have examined the role of CUD severity. This study aims to address these gaps by examining the associations between cannabis use recency, frequency, CUD severity, and workplace absenteeism.

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  • Hypereosinophilic syndrome (HES) is marked by high eosinophil levels, possibly affecting multiple organs, especially when severe; diagnosis criteria necessitate a count above 1500 cells/mcL and signs of tissue damage.
  • A case study of a 37-year-old firefighter revealed an eosinophil count of 4500 cells/mcL, leading to acute myocarditis and heart failure, despite initial assumptions of pneumonia.
  • This situation highlights the need to consider HES in acute heart failure cases in healthy adults, as timely diagnosis and steroid treatment can prevent further complications.
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Background: Spinal cord injury (SCI) affects around 18,000 individuals annually, representing nearly one-third of all paralysis cases. Stem cell therapy, a focal point in contemporary neuroregeneration research for SCI treatment, holds potential in leveraging undifferentiated stem cells to regenerate damaged tissues. This study seeks to comprehensively analyze current clinical trials exploring the potential use of stem cells in treating spinal cord injuries.

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Background/aims: Nonalcoholic fatty liver disease (NAFLD) is prevalent among children, and lifestyle modification is the primary treatment approach. However, the optimal exercise duration, frequency, and intensity for managing NAFLD remain undefined. This study aimed to gain insights from the patient perspective by examining exercise behaviors, preferences, and barriers in children with NAFLD.

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Background: Patent ductus arteriosus stenting (PDAS) is a nonsurgical alternative to Blalock-Taussig-Thomas shunt (BTTS) for infants with ductal-dependent congenital heart disease. In this single-center study, we aimed to compare neurodevelopmental outcomes in children who underwent BTTS as initial palliation versus PDAS.

Methods: Bayley Scales of Infant and Toddler Development Screening Test (Bayley-III) reports and mode of feeding data were collected for any patient who underwent PDAS or BTTS at Rady Children's Hospital from 2013 to 2021.

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Article Synopsis
  • The text indicates that it is providing corrections to two specific articles related to the Journal of Scientific Computing and Artificial Intelligence.
  • The first correction pertains to an article with the DOI 10.1016/j.jscai.2022.100392, addressing potential inaccuracies in that publication.
  • The second correction is for an article with the DOI 10.1016/j.jscai.2023.101051, which also requires revisions or clarifications in its findings or content.
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Novel Genetic Loci in Early-Onset Gout Derived From Whole-Genome Sequencing of an Adolescent Gout Cohort.

Arthritis Rheumatol

January 2025

The Affiliated Hospital of Qingdao University, Qingdao, China, Asia Pacific Gout Consortium, and Institute of Metabolic Diseases, Qingdao University, Qingdao, China.

Article Synopsis
  • The study investigates the genetic factors contributing to early-onset gout, particularly focusing on adolescents aged 12 to 19, through whole-genome sequencing of a large cohort.
  • Researchers identified common and low-frequency single-nucleotide variants (SNVs) associated with gout and analyzed gene regulation related to the identified loci, including novel genes RCOR1 and FSTL5-MIR4454.
  • Findings indicate that these genetic risks are linked to inflammatory responses in gout, providing insights that could enhance risk prediction and inform treatments for preventing adolescent-onset gout.
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Objectives: We sought to determine whether bladder cuff excision and its technique influence outcomes after radical nephroureterectomy (RNU) for upper tract urothelial carcinoma (UTUC).

Methods And Materials: A multicenter, international, retrospective analysis using the ROBotic surgery for Upper tract Urothelial cancer Study (ROBUUST) 2.0 registry identified 1,718 patients undergoing RNU for UTUC between 2015 and 2023 at 17 centers across the United States, Europe, and Asia.

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Objectives: A subset of laryngeal squamous cell carcinoma (LSCC) patients undergoing larynx preserving treatment ultimately require total laryngectomy (TL) for oncologic or functional reasons. This study aims to identify TL risk factors in these patients.

Methods: Retrospective cohort study using Veterans Affairs (VA) database.

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Article Synopsis
  • Wilson's disease (WD) is a rare genetic disorder that leads to copper accumulation, causing various health issues, including liver, neurological, and increasingly recognized osteoarticular defects.
  • A case study of a 30-year-old male with WD highlighted significant knee pain and a severe osteochondral lesion, emphasizing the need for further evaluation and imaging in such patients.
  • The findings stress the importance of recognizing orthopedic symptoms of WD, tailoring treatment plans to individual cases, and considering both nonsurgical and surgical options for effective management.
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Objectives: Pathology is an essential component of disease diagnosis and management in pediatric gastroenterology. Pathology reports have not been standardized in some areas of pediatric gastrointestinal pathology and pathology reporting varies. Development of electronic medical record (EMR) pathology synoptic report templates (PSRT) enables pathology data collection in a specific format and can help standardize pathology reporting.

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Validation of the ND-PAE Diagnosis in Children with Heavy Prenatal Alcohol Exposure.

Child Psychiatry Hum Dev

July 2024

Center for Behavioral Teratology and Department of Psychology, San Diego State University, 6330 Alvarado Court, Suite 100, San Diego, CA, 92120, USA.

This study evaluated criteria for neurobehavioral disorder associated with prenatal alcohol exposure (ND-PAE). Kable et al. (Child Psychiatry Hum Dev 55:426, 2022) assessed the validity of this diagnosis in a sample with low exposure to alcohol.

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Background: Older head and neck cancer (HNC) survivors have concerning rates of potentially unsafe opioid prescribing. Identifying the specialties of opioid prescribers for HNC survivors is critical for targeting the settings for opioid safety interventions. This study hypothesized that oncology and surgery providers are primarily responsible for opioid prescriptions in the year after treatment but that primary care providers (PCPs) are increasingly involved in prescribing over time.

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Article Synopsis
  • Implantable medical devices like pacemakers enhance life quality for patients with heart issues, but they can cause problems during physical activities.
  • An 81-year-old golfer with a pacemaker experienced sounds from the device triggered only by his golf swing, requiring multiple medical interventions.
  • This case highlights the need for healthcare providers to assess sports activities and develop personalized rehab plans to ensure safety for patients with implanted devices.
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Pentadecanoic Acid Supplementation in Young Adults with Overweight and Obesity: A Randomized Controlled Trial.

J Nutr

September 2024

Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, University of California San Diego School of Medicine, La Jolla, CA, United States; Department of Gastroenterology, Rady Children's Hospital, San Diego, CA, United States. Electronic address:

Background: Obesity and its associated comorbidities are major public health concerns for which nutrition is central to disease prevention and management. Pentadecanoic acid (C15:0) has the potential for beneficial effects on obesity, but supplementation has not been studied in humans.

Objectives: The primary objective was to investigate changes in plasma C15:0 levels after daily supplementation for 12 wk.

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Chrononutrition is a rapidly evolving field of nutritional epidemiology that addresses the complex relationship between temporal eating patterns, circadian rhythms, and metabolic health, but most prior research has focused on the cardiometabolic consequences of time-restricted feeding and intermittent fasting. The purpose of this topical review is to summarize epidemiological evidence from observational and intervention studies regarding the role of chrononutrition metrics related to eating timing and regularity in cardiometabolic health preservation and cardiovascular disease prevention. Observational studies are limited due to the lack of time-stamped diet data in most population-based studies.

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