136 results match your criteria: "Washington University of St. Louis[Affiliation]"

Article Synopsis
  • - Outcomes for patients with relapsed/refractory diffuse large B-cell lymphoma (R/R DLBCL) are generally poor; however, the FDA approved Loncastuximab-teserine (Lonca) based on the LOTIS-2 trial results for those who have undergone at least two prior treatments.
  • - A retrospective study analyzed 187 patients from 21 US centers treated with Lonca, revealing a complete response rate of 14% and an overall response rate of 32%, indicating lower efficacy in a real-world setting compared to the original trial.
  • - Patients in this study had higher risk features, including bulky disease and high-grade B-cell histology, leading to poorer median event-free survival (2.1 months
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Background And Objectives: First-line therapy for most intracranial dural arteriovenous fistulas (dAVFs) is endovascular embolization, but some require microsurgical ligation due to limited endovascular accessibility, anticipated lower cure rates, or unacceptable risk profiles. We investigated the most common surgically treated dAVF locations and the approaches and outcomes of each.

Methods: The Consortium for Dural Arteriovenous Fistula Outcomes Research database was retrospectively reviewed.

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Study Design: Retrospective cohort study.

Purpose: To determine the incidence and success of three-column osteotomies (3COs) performed in primary and revision adult spine deformity (ASD) corrective surgeries.

Overview Of Literature: 3COs are often required to correct severe, rigid ASD presentations.

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The origins of ADNI.

Alzheimers Dement

November 2024

Psychiatry and Neurology, Washington University of St. Louis School of Medicine, St Louis, Missouri, USA.

A brief history of events surrounding the conceptualization and original implementation of the Alzheimer's Disease Neuroimaging Initiative (ADNI) as a public-private partnership (PPP) is provided from the perspective of three individuals directly involved from the outset. Potential barriers and how they were addressed are summarized, especially the decision to make all data freely accessible in real-time. Decisions made at the beginning of ADNI are revisited in light of what has been learned over the past 20 years, especially the importance of the investment in cerebrospinal fluid (CSF) and blood measures and the commitment to data sharing.

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Clinical management and therapeutics development for Alzheimer's disease (AD) have entered a new era, with recent approvals of monoclonal antibody therapies targeting the underlying pathophysiology of the disease and modifying its trajectory. Imaging and fluid biomarkers are becoming increasingly important in the clinical development of AD therapeutics. This review focuses on the evidence of fluid biomarkers from recent amyloid-β-targeting clinical trials, summarizing biomarker data across 12 trials.

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Article Synopsis
  • Ultra high dose rate (UHDR) radiotherapy, specifically conformal FLASH proton therapy, offers potential benefits by minimizing damage to healthy tissue while effectively targeting tumors.
  • Clinical application of conformal FLASH has faced challenges, particularly concerning the quality assurance of measuring dose rate (DR) and linear energy transfer (LET).
  • The study successfully validated these parameters, demonstrating strong agreement between experimental data and Monte Carlo simulations, confirming the efficacy of the UHDR treatment approach.
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Investigation of setmelanotide, an MC4R agonist, for obesity in individuals with Smith-Magenis syndrome.

Obes Res Clin Pract

September 2024

Section on Growth and Obesity, Eunice Kennedy Shriver National Institutes of Child Health and Human Development, National Institutes of Health Bethesda, 20892 MD, United States. Electronic address:

Article Synopsis
  • Smith Magenis Syndrome (SMS) is a rare genetic disorder linked to obesity, possibly due to issues with the MC4R pathway; this study tested the MC4R agonist setmelanotide for its effects on obesity, hunger, and safety in SMS patients.* -
  • Twelve individuals aged 11-39 participated, with only 10 completing a 3-month treatment of setmelanotide. Results showed a negligible change in body weight, but a significant reduction in self-reported hunger and a decrease in total cholesterol levels.* -
  • The study concluded that setmelanotide didn't significantly aid weight loss in SMS patients, and while hunger decreased, the findings regarding lipid changes and MC4R pathway
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Background: Prenatal fish intake is a key source of omega-3 (ω-3) polyunsaturated fatty acids needed for brain development, yet intake is generally low, and studies addressing associations with autism spectrum disorder (ASD) and related traits are lacking.

Objective: This study aimed to examine associations of prenatal fish intake and ω-3 supplement use with both autism diagnosis and broader autism-related traits.

Methods: Participants were drawn from 32 cohorts in the Environmental influences on Child Health Outcomes Cohort Consortium.

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Urban evolutionary ecology is inherently interdisciplinary. Moreover, it is a field with global significance. However, bringing researchers and resources together across fields and countries is challenging.

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Article Synopsis
  • The study investigates the effectiveness of three-column osteotomies (3CO) in correcting complex sagittal spinal deformities and their associated complications during surgery for adult spinal deformity (ASD).
  • It included a cohort of 648 patients, comparing outcomes between those who underwent 3CO and those who did not, finding that 3CO procedures had a significantly higher incidence of complications but offered similar health-related quality of life (HRQL) benefits.
  • Results indicated that patients undergoing 3CO were older and frailer, faced more severe deformities, and experienced higher risks for blood loss and longer hospital stays, but they achieved greater segmental correction outcomes.
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Objective: To compare early urethroplasty outcomes in non-obese, obese and morbidly obese patients undergoing urethroplasty for urethral stricture disease. The impact of obesity on outcomes is poorly understood but will be increasingly important as obesity continues to rise.

Methods: Patients underwent urethroplasty at one of the 5 institutions between January 2016 and December 2020.

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Article Synopsis
  • * Traditional treatments for NF1-LGG have included chemotherapy and surgery, but some kids don’t respond well and may continue to struggle or see their condition worsen.
  • * New research is focusing on targeted therapies that aim to provide better treatment options, with ongoing studies looking into these innovative approaches and how to effectively manage and monitor NF1-LGG in children.
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Article Synopsis
  • Despite decades of drug development, finding effective treatments for schizophrenia remains tough, with most antipsychotics providing only modest benefits.
  • Most currently approved medications mainly target dopamine D receptors, showing limited effectiveness, especially for cognitive and negative symptoms.
  • There is growing interest in developing new treatments that target muscarinic acetylcholine receptors, with promising research suggesting that drugs like xanomeline may improve outcomes for people with schizophrenia.
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Article Synopsis
  • * The study analyzed data from over 22,000 pregnant participants and found that those living in food insecure areas tended to have lower birth weights and higher chances of having small-for-gestational-age babies.
  • * Individual food insecurity did not show a significant association with birth outcomes, suggesting that neighborhood food access may be a more critical factor during pregnancy.
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Purpose: Histone 3 (H3) K27M-mutant diffuse midline glioma (DMG) has a dismal prognosis with no established effective therapy beyond radiation. This integrated analysis evaluated single-agent ONC201 (dordaviprone), a first-in-class imipridone, in recurrent H3 K27M-mutant DMG.

Methods: Fifty patients (pediatric, n = 4; adult, n = 46) with recurrent H3 K27M-mutant DMG who received oral ONC201 monotherapy in four clinical trials or one expanded access protocol were included.

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Background And Objectives: Achieving spinopelvic realignment during adult spinal deformity (ASD) surgery does not always produce ideal outcomes. Little is known whether compensation in lower extremities (LEs) plays a role in this disassociation. The objective is to analyze lower extremity compensation after complex ASD surgery, its effect on outcomes, and whether correction can alleviate these mechanisms.

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Objective: The objective was to determine the degree of regional decompensation to pelvic tilt (PT) normalization after complex adult spinal deformity (ASD) surgery.

Methods: Operative ASD patients with 1 year of PT measurements were included. Patients with normalized PT at baseline were excluded.

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Preclinical Evaluation of the ATR Inhibitor BAY 1895344 as a Radiosensitizer for Head and Neck Squamous Cell Carcinoma.

Int J Radiat Oncol Biol Phys

April 2024

Department of Radiation Oncology, Duke University, Durham, North Carolina; Department of Radiation Oncology, UPMC Hillman Cancer Center, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Head and Neck Surgery & Communication Sciences, Duke University, Durham, North Carolina. Electronic address:

Purpose: Despite aggressive multimodal treatment that typically includes definitive or adjuvant radiation therapy (RT), locoregional recurrence rates approach 50% for patients with locally advanced human papillomavirus (HPV)-negative head and neck squamous cell carcinoma (HNSCC). Thus, more effective therapeutics are needed to improve patient outcomes. We evaluated the radiosensitizing effects of ataxia telangiectasia and RAD3-related (ATR) inhibitor (ATRi) BAY 1895344 in preclinical models of HNSCC.

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Foraging decisions shape the structure of food webs. Therefore, a behavioural shift in a single species can potentially modify resource-flow dynamics of entire ecosystems. To examine this, we conducted a field experiment to assess foraging niche dynamics of semi-arboreal brown anole lizards in the presence/absence of predatory ground-dwelling curly-tailed lizards in a replicated set of island ecosystems.

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Background: Glycemic control in diabetes mellitus (DM) has not improved cardiovascular outcomes with normal left ventricular (LV) function. We assessed the effect on LV dysfunction using a canine model of LV dysfunction and DM, and in patients with DM and LV dysfunction.

Methods: Chronic LV dysfunction was produced by coronary microsphere embolization in 34 canines (15-25 kg).

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Background: Preschool children are not meeting recommended levels of physical activity (PA) nor are they proficient in fundamental motor skills (FMS), which are the foundation for PA. As such, interventions are needed to increase PA and FMS in young children. This trial examined the effects of an environmental ("painted playgrounds") and capacity-building (written toolkit) intervention on child FMS, PA, and sedentary behavior at early childhood education (ECE) centers and examined feasibility.

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Paragonimiasis is a zoonotic, food-borne trematode infection that affects 21 million people globally. Trematodes interact with their hosts via extracellular vesicles (EV) that carry protein and RNA cargo. We analyzed EV in excretory-secretory products (ESP) released by Paragonimus kellicotti adult worms cultured in vitro (EV ESP) and EV isolated from lung cyst fluid (EV CFP) recovered from infected gerbils.

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Study Design: Retrospective review of a prospectively enrolled adult spinal deformity (ASD) database.

Objective: To investigate what patient factors elevate the risk of sub-optimal outcomes after deformity correction.

Background: Currently, it is unknown what factors predict a poor outcome after adult spinal deformity surgery, which may require increased preoperative consideration and counseling.

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