12,572 results match your criteria: "University of Rochester School of Medicine and Dentistry; §§§Monroe County[Affiliation]"

Article Synopsis
  • * Researchers analyzed data from the National COVID Cohort Collaborative to compare COVID-19 hospitalization rates among individuals with HIV (PWH) and without HIV (PWOH) based on racial and ethnic backgrounds, finding that hospitalization rates were higher for NH-Black PWH.
  • * The study revealed that certain county-level SDoH, such as household size, commute times, and health insurance coverage, influenced hospitalization risks differently among various racial and ethnic
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  • * This study involved seven participants with SSDs who underwent real-time fMRI neurofeedback (rtfMRI-NF) to learn to control specific brain regions within the ToM-N.
  • * Results indicated that after training, participants could voluntarily control certain ToM-N areas even without direct feedback, but further research with larger groups and control conditions is necessary to confirm these findings.
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Purpose: Insight into the immune status of the living eye is essential as we seek to understand ocular disease and develop new treatments. The nonhuman primate (NHP) is the gold standard preclinical model for therapeutic development in ophthalmology, owing to the similar visual system and immune landscape in the NHP relative to the human. Here, we demonstrate the utility of phase-contrast adaptive optics scanning light ophthalmoscope (AOSLO) to visualize immune cell dynamics on the cellular scale, label-free in the NHP.

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  • Research revealed a total of 1766 ocular tuberculosis (OTB) cases in the US from 1993 to 2019, making up 1.6% of all extrapulmonary tuberculosis (EPTB) cases, with a significant increase observed during the last decade.
  • Patients with OTB were generally older, more likely to be US-born, and had higher rates of diabetes compared to those with other EPTB forms, while being less frequently HIV positive.
  • OTB cases were often not lab confirmed, primarily relied on interferon gamma release assay tests for diagnosis, and highlighted the need for further research to improve understanding and treatment of OTB.
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  • The study examines how autistic individuals differ from neurotypical controls in terms of sustained fine motor control, focusing on the roles of visual feedback and motor memory.
  • Fifty-four autistic participants and 31 neurotypical controls aged 10-25 performed tests involving force sensors to measure their precision grip under visual and memory-guided conditions.
  • Results revealed that younger autistic individuals had less force accuracy and more variability during motor tasks compared to controls, but these differences seemed to level out as they reached adolescence.
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Background: Understanding the causal pathways, systems, and mechanisms through which exercise impacts human health is complex. This study explores molecular signaling related to whole-body insulin sensitivity (Si) by examining changes in skeletal muscle gene expression. The analysis considers differences by biological sex, exercise amount, and exercise intensity to identify potential molecular targets for developing pharmacologic agents that replicate the health benefits of exercise.

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Radiologic overview of sinonasal lesions.

Front Radiol

August 2024

Department of Imaging Sciences, University of Rochester Medical Center, Rochester, NY, United States.

Article Synopsis
  • - Sinonasal tumors, which make up about 3% of head and neck cancers, often develop in the nasal cavity, ethmoid, and maxillary sinuses, with symptoms like headaches, nosebleeds, and vision changes.
  • - Diagnostic imaging techniques like CT and MRI are crucial for locating tumors, assessing their invasion into surrounding tissues, and planning treatment.
  • - The study will highlight various sinonasal tumors, including rare cases, focusing on their imaging features and the impact of tumor invasion on nearby structures, leading to neurological symptoms.
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Objective: Otolaryngologists are at a significantly greater risk of being sued than most other physicians. To date, there is a lack of studies characterizing trends in otolaryngology malpractice claims. To assess these trends and risk variables, this study examined malpractice claims against otolaryngologists.

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Long-term contributions of VOC sources and their link to ozone pollution in Bronx, New York City.

Environ Int

September 2024

Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA; Institute for a Sustainable Environment, Clarkson University, Potsdam, NY 13699, USA.

Changes in energy and environmental policies along with changes in the energy markets of New York State over the past two decades, have spurred interest in evaluating their impacts on emissions from various energy generation sectors. This study focused on quantifying these effects on VOC (volatile organic compounds) emissions and their subsequent impacts on air quality within the New York City (NYC) metropolitan area. NYC is an EPA nonattainment region for ozone (O) and likely is a VOC limited region.

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  • A systematic review examined cases of crystal-induced arthritis (such as gout and calcium pyrophosphate deposition disease) in prosthetic joints, focusing on clinical presentations, diagnoses, treatments, and outcomes.
  • The analysis, which followed PRISMA guidelines, included literature searches from multiple databases and identified 44 relevant cases from 1984 to 2021, predominantly affecting patients with knee arthroplasty.
  • Results revealed that this type of arthritis often appears suddenly as monoarticular arthritis, can be mistaken for infections, and typically responds well to anti-inflammatory treatments within a week.
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Diastolic dysfunction is increasingly common in preterm infants exposed to supplemental oxygen (hyperoxia). Previous studies in neonatal mice showed hyperoxia suppresses fatty acid synthesis genes required for proliferation and survival of atrial cardiomyocytes. The loss of atrial cardiomyocytes creates a hypoplastic left atrium that inappropriately fills the left ventricle during diastole.

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We aimed to directly compare the cost-effectiveness of Hungarian (following the NELSON trial) and NLST screening protocols, two trials influencing lung-cancer-screening implementation internationally. A decision-analytic model analyzing the cost-effectiveness of Hungarian protocols was manipulated to reflect the protocols of the NLST, while maintaining features specific to the Hungarian healthcare setting. In the Hungarian protocol, there are three possible outcomes to the initial round of screening, positive, negative, and indeterminate, indicating an uncertain degree of suspicion for lung cancer.

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Understanding the experiences of community oncology practices in recruiting informal (unpaid/family) caregivers into research studies can inform strategies to improve caregiver enrollment. We used data from the 2022 National Cancer Institute Community Oncology Research Program (NCORP) Landscape Assessment to describe the experience of recruiting informal caregivers for research studies in community oncology practices. Among 258 practice groups, only one-third (30%, 78/258) reported prior experience recruiting informal caregivers for research studies.

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Lung Cancer Screening Uptake under the Revised United States Preventive Services Task Force Guideline: Assessing Disparities.

Cancer Epidemiol Biomarkers Prev

January 2025

Surgical Health Outcomes and Reaching for Equity (SHORE), Department of Surgery, University of Rochester Medical Center, Rochester, New York.

Article Synopsis
  • Low-dose computed tomography significantly reduces lung cancer mortality by 20% in high-risk individuals, but the rate of lung cancer screening (LCS) remains low across the U.S.
  • Out of 28,071 eligible participants, only 17.24% underwent screening, with older individuals being more likely to get screened, while females, those without insurance, and individuals lacking primary care were less likely to participate.
  • The study highlights disparities in LCS uptake based on demographics, health access, and state residency, suggesting a need for targeted interventions to improve screening rates among at-risk populations.
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Mobitz type II second-degree atrioventricular block: a commonly overdiagnosed and misinterpreted arrhythmia.

Front Cardiovasc Med

August 2024

Department of Medicine, Morsani College of Medicine, University of South Florida, Tampa, FL, United States.

Article Synopsis
  • - Mobitz type II second-degree AV block is characterized by an all-or-none conduction with no changes in the PR interval, making the PR interval unchanged after the block essential for diagnosis.
  • - Diagnosis requires a steady sinus rate, as factors like vagal surges can create false readings by slowing sinus rate and achieving AV nodal block simultaneously.
  • - Correct identification is crucial, as Mobitz type II AVB originates at the His-Purkinje system and often indicates the need for a pacemaker, distinguishing it from other AV block types that can appear similar.
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Study Design: Retrospective cohort study.

Objectives: Atypical hangman's fractures are associated with increased risk for neurologic injury due to involvement of the posterior cortex of the axis body. We present the largest single-center cohort of atypical hangman's fractures with the goal of guiding treatment decisions and outcomes based on fracture classification.

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Although previous literature shows tumor location as a prognostic factor in upper tract urothelial carcinoma (UTUC), there remains uninvestigated regarding the impact of tumor location on grade concordance and discrepancies between ureteroscopic (URS) biopsy and final radical nephroureterectomy (RNU) pathology. In this international study, we retrospectively reviewed the records of 1,498 patients with UTUC who underwent diagnostic URS with concomitant biopsy followed by RNU between 2005 and 2020. Tumor location was divided into four sections: the calyceal-pelvic system, proximal ureter, middle ureter, and distal ureter.

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Background: Despite its efficacy in reducing lung cancer (LC)-specific mortality by 20%, screening with low-dose computed tomography (LDCT) in eligible groups remains low (5-16%). Black individuals are more commonly affected by LC than other racial/ethnic groups in the United States (U.S.

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Associations of quality of social support and accurate beliefs about curability among older adults with advanced cancer.

J Geriatr Oncol

November 2024

James P. Wilmot Cancer Institute, University of Rochester School of Medicine and Dentistry, Rochester, NY, United States of America; Division of Hematology/Oncology, Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY, United States of America. Electronic address:

Introduction: Supporting older adults with advanced cancer to better understand their disease and its prognosis is important for shared decision-making. Social support is a potentially modifiable factor that may influence disease understanding. In this study, we examined the associations of quantity and quality of social support with patients' beliefs about the curability of their advanced cancer.

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Rotavirus Vaccine Effectiveness Against Severe Acute Gastroenteritis: 2009-2022.

Pediatrics

October 2024

Division of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.

Article Synopsis
  • Rotavirus was a major cause of gastroenteritis in US children until the introduction of vaccines in 2006, which led to significant reductions in severe cases.
  • A study from 2009 to 2022 analyzed vaccine effectiveness (VE) using data from children with acute gastroenteritis, revealing a 78% effectiveness rate against severe rotavirus-related medical visits.
  • The effectiveness varied by severity of disease, showing 94% effectiveness against very severe cases, with younger children benefiting the most from vaccination.
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CHADS-VASc predicts readmission, outcomes and resource utilization in patients undergoing coronary artery bypass grafting: A 7-year National Readmission Database study.

Int J Cardiol

December 2024

Department of Cardiology, Newham University Hospital, Barts Health NHS Trust, UK; Department of Cardiology, Barts Heart Centre, Barts Health NHS Trust, UK; NIHR Barts Cardiovascular Biomedical Research Centre, Barts and the London School of Medicine and Dentistry, Queen Mary University, UK. Electronic address:

Background: CHA2DS2-VASc score is used to assess thromboembolic risk in patients with atrial fibrillation (AF)/atrial flutter (AFL), however its utilization to predict outcomes and readmission at following discharge in patients undergoing coronary artery bypass grafting (CABG) regardless of AF/AFL presence is understudied. We sought to assess its utility in predicting outcomes, length of hospital stay (LOS), and healthcare-associated costs (HAC) in these patients.

Method: The National Readmission Database (NRD) was queried from 2010 to 2017 for patients with/without AF/AFL undergoing CABG using the International Classification of Diseases, Ninth and Tenth editions (ICD-9-&-10).

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Purpose: Cancer care for lesbian, gay, bisexual, transgender, queer, intersex, asexual, and other sexuality and gender diverse (LGBTQIA +) individuals is marked by disparities stemming from a history of discrimination, stigma, and systemic inequities. For LGBTQIA + individuals seeking cancer care, cancer center websites may be a first point of contact with healthcare. Two complementary studies sought to evaluate the LGBTQIA + inclusivity of cancer centers' websites.

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Objective:  We compared the cost of faculty time preparing educational materials for traditional didactic (TD) education provided at local institutions with that of faculty time preparing National Neonatology Curriculum (NNC) flipped classroom (FC) educational materials shared among institutions for fellow education across the United States.

Study Design:  Using survey data and the national average for faculty educators' salaries, we calculated the cost of developing TD versus FC materials. Wilcoxon rank-sum test and comparison of two Poisson rates were utilized to evaluate the time to create versus update TD materials and the cost to create new TD versus FC materials, respectively.

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Article Synopsis
  • The NORSE/FIRES Family Registry aims to gather clinical and epidemiological data about individuals with new-onset refractory status epilepticus and febrile infection-related epilepsy syndrome.
  • Communication regarding diagnosis has improved post-2018, with more families being informed about NORSE/FIRES, although the quality of prognostic information is rated as moderate.
  • Palliative care involvement is low among patients, highlighting the need for better communication and support to enhance overall care and recovery for affected individuals and their families.
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