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Articles 29071 - 29100 of 325328

Full-Text Articles in Medicine and Health Sciences

Can Mac-2 Binding Protein Glycosylation Isomer Serve As A Biomarker For Predicting Pulmonary Arterial Pressure And Pulmonary Hypertension In Systemic Sclerosis?, Ridvan Mercan, Di̇lara Bulut Gökten, Sonat Pinar Kara, Nesli̇han Meli̇k Üzüm, Savaş Güzel Apr 2025

Can Mac-2 Binding Protein Glycosylation Isomer Serve As A Biomarker For Predicting Pulmonary Arterial Pressure And Pulmonary Hypertension In Systemic Sclerosis?, Ridvan Mercan, Di̇lara Bulut Gökten, Sonat Pinar Kara, Nesli̇han Meli̇k Üzüm, Savaş Güzel

Turkish Journal of Medical Sciences

Background/aim: This study aimed to explore the role of Mac-2 binding protein glycosylation isomer (M2BPGi) serum levels as a biomarker that could contribute to understanding organ involvement and the overall disease process in systemic sclerosis (SSc).

Materials and methods: The cross-sectional study examined 108 patients with SSc. Seventy-two people were included in the control group. Demographic and clinical characteristics of the patients, laboratory and radiological findings, pulmonary function tests and echocardiography results, and presence of pulmonary hypertension (PHT) based on echocardiographic evaluation were recorded. Venous blood samples of 5 mL were collected from individuals. Human M2BPGi levels in the samples …


Cytopathological Evaluation Of Pericardial Effusions: 192 Cases In A Tertiary-Level Healthcare Centre, Ayşegül Aksoy Altinboğa, Nur Kivrak Apr 2025

Cytopathological Evaluation Of Pericardial Effusions: 192 Cases In A Tertiary-Level Healthcare Centre, Ayşegül Aksoy Altinboğa, Nur Kivrak

Turkish Journal of Medical Sciences

Background/aim: There are many different benign and malignant etiologies of pericardial effusions (PEs), which can compress the heart and large vessels emerging from the heart and cause significant clinical findings. The aim of this study was to cytologically examine the underlying diseases causing PEs and to conduct detailed evaluations of underlying cancers in cases of malignant PE, both within the whole study population and according to sex.

Materials and methods: All PE samples obtained between 2019 and 2024 were reevaluated and categorized as nondiagnostic, negative for malignancy (NFM), atypia of undetermined significance (AUS), suspicious for malignancy (SFM), or malignant according …


Differentiation Of Multinodular And Vacuolating Neuronal Tumor And Dysembryoplastic Neuroepithelial Tumor Based On Mri, Burcu Gül, Bora Korkmazer, Ahmet Kürşat Karaman, Esra Koçhan Kizilkiliç, Mahmut Esat Aykan, Çi̇ğdem Özkara, Ni̇l Çomunoğlu, Ci̇han İşler, Serdar Arslan, Osman Kizilkiliç Apr 2025

Differentiation Of Multinodular And Vacuolating Neuronal Tumor And Dysembryoplastic Neuroepithelial Tumor Based On Mri, Burcu Gül, Bora Korkmazer, Ahmet Kürşat Karaman, Esra Koçhan Kizilkiliç, Mahmut Esat Aykan, Çi̇ğdem Özkara, Ni̇l Çomunoğlu, Ci̇han İşler, Serdar Arslan, Osman Kizilkiliç

Turkish Journal of Medical Sciences

Background/aim: To compare the MRI findings and clinical features of multinodular and vacuolating neuronal tumor (MVNT) and dysembryoplastic neuroepithelial tumor (DNET), and reveal the distinguishing features of these tumors from each other.

Materials and methods: Patients with a suspected magnetic resonance imaging (MRI)-based diagnosis of MVNT between 2018 and 2022 were collected from the hospital database. In addition, patients diagnosed with DNET on histopathological examination and who had MRIs in the same time period were included in the study. The MRI findings and clinical features were evaluated for each patient.

Results: There were 21 patients in the MVNT group and …


Comparison Of The Effectiveness Of Different Scoring Systems And Biochemical Markers Indetermining The Severity And Complications Of Acute Pancreatitis, Ahmet Ali̇ Aktaş, Deni̇z Siğirli, Pinar Taşar, Sadik Ayhan Kiliçturgay Apr 2025

Comparison Of The Effectiveness Of Different Scoring Systems And Biochemical Markers Indetermining The Severity And Complications Of Acute Pancreatitis, Ahmet Ali̇ Aktaş, Deni̇z Siğirli, Pinar Taşar, Sadik Ayhan Kiliçturgay

Turkish Journal of Medical Sciences

Background and study aim: The aim of the study is to demonstrate the effectiveness of different scoring systems and inflammatorymarkers in predicting the severity, local complications, pancreatic necrosis, and mortality of acute pancreatitis (AP).

Materials and methods: The data of 357 patients whom the severity of pancreatitis was classified according to the Revised AtlantaClassification System diagnosed with AP were retrospectively examined. Also The APACHE II, BISAP, mCTSI, and Ranson scores ofall patients were calculated. After determining the cut-off values for scoring systems and inflammatory markers with ROC analysis,comparison for AP severity, local complication, necrosis, and mortality.

Results: In the study, …


Evaluation Of Clinical Features And Treatment Modality Of Pediatric Patients With Steven Johnson Syndrome/Toxic Epidermal Necrolysis: A Single-Center Experience, Funda Ayteki̇n Güveni̇r, Vi̇ldan Seli̇n Çayhan, Selman Kürşat Balci, Ragip Dere, Hati̇ce Irmak Çeli̇k, Serhat Emeksi̇z, Ahmet Selmanoğlu, Zeynep Şengül Emeksi̇z, Emrah Şenel, Emi̇ne Di̇bek Misirlioğlu Apr 2025

Evaluation Of Clinical Features And Treatment Modality Of Pediatric Patients With Steven Johnson Syndrome/Toxic Epidermal Necrolysis: A Single-Center Experience, Funda Ayteki̇n Güveni̇r, Vi̇ldan Seli̇n Çayhan, Selman Kürşat Balci, Ragip Dere, Hati̇ce Irmak Çeli̇k, Serhat Emeksi̇z, Ahmet Selmanoğlu, Zeynep Şengül Emeksi̇z, Emrah Şenel, Emi̇ne Di̇bek Misirlioğlu

Turkish Journal of Medical Sciences

Background/aim: Steven Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) are rare but life-threatening severe cutaneous drug hypersensitivity reactions. The aim of our study was to evaluate the clinical features of pediatric patients diagnosed with SJS, TEN or SJS/TEN overlap and to examine treatment modalities.

Materials and methods: Patients aged 0–18 years who were followed up with SJS, TEN or SJS/TEN overlap at Ankara Bilkent City Hospital between August 2019 and January 2024 were retrospectively analyzed.

Results: Twelve patients who met the inclusion criteria were included in the study. Five of the patients had SJS, four had SJS/TEN overlap, and …


The Impact Of Parenting Style, Temperament And Character On Problematic Internet And Smartphone Use Among Non-Clinical Female Adolescents, Sadetti̇n Burak Açikel, Nur Çeti̇n Apr 2025

The Impact Of Parenting Style, Temperament And Character On Problematic Internet And Smartphone Use Among Non-Clinical Female Adolescents, Sadetti̇n Burak Açikel, Nur Çeti̇n

Turkish Journal of Medical Sciences

Background/aim: It is known that various temperament and character dimensions, and parenting styles could be associated with problematic internet and smartphone use. This study aimed to examine the association between temperament, character, and parenting styles and problematic smartphone and internet use in nonclinical female teenagers.

Materials and methods: 244 nonclinical female adolescent were included the study. Young’s Internet Addiction Test Short Form, Smartphone Addiction Scale, Junior Temperament and Character Inventory and Parenting Style Scale were used for collecting data.

Results: Problematic smartphone use was significantly negatively correlated with cooperativeness character type, strictness/supervision, and acceptance/involvement subscales of the parenting style scale. …


Comparative Vasorelaxant Effects Of Atorvastatin And Rosuvastatin In Rat Aorta:Investigating The Role Of Perivascular Adipose Tissue, Deni̇z Kaleli̇ Durman, Meryem Aras, Gülsüm Ruveyda Aktaş, Bi̇rsel Sönmez Uydeş Doğan Apr 2025

Comparative Vasorelaxant Effects Of Atorvastatin And Rosuvastatin In Rat Aorta:Investigating The Role Of Perivascular Adipose Tissue, Deni̇z Kaleli̇ Durman, Meryem Aras, Gülsüm Ruveyda Aktaş, Bi̇rsel Sönmez Uydeş Doğan

Turkish Journal of Medical Sciences

Background/aim: Statins are known to display pleiotropic effects on the vascular system, beyond their lipid-lowering properties. Studieson isolated vascular preparations have demonstrated their acute relaxant effects on vascular tone. Considering the increased evidence inregard to the contribution of perivascular adipose tissue (PVAT) in the regulation of vascular homeostasis, we aimed to investigate thepossible modulatory role of PVAT in the vascular effects of atorvastatin and rosuvastatin in isolated rat aorta.

Materials and methods: Thoracic aortas isolated from young male Wistar rats were divided into two groups: rings with intact PVAT(+) and rings without PVAT (-), and then mounted in an isolated …


The Effects Of Liraglutide On Expressions Of Insulin Secretion And Beta Cell Survive Associated Gpcr Genes In Pancreatic Beta Cells, Meli̇kenur Türkol, Türker Bi̇lgen Apr 2025

The Effects Of Liraglutide On Expressions Of Insulin Secretion And Beta Cell Survive Associated Gpcr Genes In Pancreatic Beta Cells, Meli̇kenur Türkol, Türker Bi̇lgen

Turkish Journal of Medical Sciences

Background/aim: Liraglutide as a long-acting glucagon-like peptide drug has anti-hyperglycemic and antiobesity effects. G protein-coupled receptors (GPCRs) are well- known drug target molecules that conduct critical signaling pathways related with diseases. Research has confirmed the role of many GPCRs genes in the regulation of pancreatic beta cell functions and insulin secretion. Liraglutide dependent expressional changes in GPCR genes may let us determine new drug targets.

Materials and methods: Therefore, we investigated the changes in expression of GPR75, GPR56, GLP1R, M3R, and CB1R genes, which are the GPCR family members, in response to liraglutide treatment in the NIT-1 mouse pancreatic beta …


Epstein Barr Virus Associated Venous Thromboembolism, Yeli̇z Çi̇çek, Ali̇ Mert Apr 2025

Epstein Barr Virus Associated Venous Thromboembolism, Yeli̇z Çi̇çek, Ali̇ Mert

Turkish Journal of Medical Sciences

No abstract provided.


The Impact Of Diet On Preeclampsia: An Observational Study Of Nutritional Influence, Trinity G. Moye, Alyssa Cunningham Apr 2025

The Impact Of Diet On Preeclampsia: An Observational Study Of Nutritional Influence, Trinity G. Moye, Alyssa Cunningham

Department of Nutrition Student Projects

Preeclampsia is a pregnancy-specific condition typically diagnosed after 20 weeks of gestation in women with no prior history of hypertension. Characterized by high blood pressure, proteinuria, thrombocytopenia, increased liver enzymes, and affecting the arteries carrying blood to the placenta, preeclampsia affects the health of both the mother and the fetus. Preeclampsia is disproportionately prevalent in certain populations, specifically among Black women, with various factors contributing to the higher susceptibility including socioeconomic status, education, and health distrust. These factors have been historically structured against Black women in American society. This study aims to reveal how dietary habits can play a role …


The Impact Of The Mediterranean Diet And Low-Glycemic Diet On Fertility In Women Of Childbearing Age With Pcos, Samantha Cicardo, Kayla Le, Carly Traynor Apr 2025

The Impact Of The Mediterranean Diet And Low-Glycemic Diet On Fertility In Women Of Childbearing Age With Pcos, Samantha Cicardo, Kayla Le, Carly Traynor

Department of Nutrition Student Projects

Endocrine disorder Polycystic Ovarian Syndrome (PCOS) is an imbalance of reproductive hormones in women, primarily treated with medications such as hormonal birth control and metformin. However, long-term use of medications can have adverse effects as it masks the symptoms of PCOS rather than treat it. Women of childbearing age who are diagnosed with PCOS often are diagnosed with infertility. This proposed research study aims to look at the holistic approach to evaluate how the Low-Glycemic Index (GI) diet and the Mediterranean diet (MD) can impact individuals with PCOS. The primary objective of this study is to assess the impact of …


The Impact Of An Iron-Rich Diet On Fatigue In Menstruating Women With Non-Anemic Iron Deficiency, Meagan Seraydar, Lauren Latimer, Sam Miragliatto Apr 2025

The Impact Of An Iron-Rich Diet On Fatigue In Menstruating Women With Non-Anemic Iron Deficiency, Meagan Seraydar, Lauren Latimer, Sam Miragliatto

Department of Nutrition Student Projects

Fatigue without diagnosed anemia is prevalent in menstruating women, with iron deficiency being a potential contributor. While iron supplementation is a standard intervention, dietary sources of iron may offer a sustainable alternative. This study aims to assess the impact of an iron-rich diet on fatigue levels in menstruating women. A 12-week randomized controlled trial (RCT) will be conducted, assigning participants to either an iron-rich diet group or a control group following their usual diet without specific iron recommendations. Fatigue will be measured using the Fatigue Severity Scale (FSS) at baseline, six weeks, and twelve weeks, alongside iron status biomarkers, including …


The Impact Of Aspartame On Mood Regulation: Examining Neurophysiological Effects In Individuals With Anxiety, Kyra Triepke, Valentina Guzman Cortes, Mateus Ismael Ribeiro Apr 2025

The Impact Of Aspartame On Mood Regulation: Examining Neurophysiological Effects In Individuals With Anxiety, Kyra Triepke, Valentina Guzman Cortes, Mateus Ismael Ribeiro

Department of Nutrition Student Projects

Despite being widely used as sugar alternatives, artificial sweeteners (AS), especially aspartame, remains debated regarding their potential effects on mental health. While some studies suggest aspartame has no discernible impact on stress, anxiety, or cognitive performance, others indicate that it may affect serotonin pathways and contribute to mood disorders. Given these contradictory findings, further research is needed to clarify aspartame’s effect on mood regulation. This study aims to evaluate the impact of aspartame on stress-related biomarkers and mood modulation, focusing on individuals with anxiety. A controlled experimental design will be used, in which participants with anxiety will be randomly assigned …


Student Perceptions On Career Decision Making Skills In Relation To The Covid-19 Pandemic, Emily G. Oliver Apr 2025

Student Perceptions On Career Decision Making Skills In Relation To The Covid-19 Pandemic, Emily G. Oliver

Honors College Theses

The Covid-19 pandemic had major ramifications on all areas of the professional world as well. As mandatory quarantines and shutdowns were implemented, the negative effects were widespread and everyone was impacted. People from all different career fields faced unforeseen circumstances that caused anxiety about their income and workplace stability. With all of these changes in the world, students who were in high school and first years of college still had to make a decision about their future and what they wanted to do for an occupation one day. This study aims to evaluate the impact of the Covid-19 pandemic on …


Improving No-Show Rates At A Federally Qualified Health Center (Fqhc), Christelle M. Hernandez Apr 2025

Improving No-Show Rates At A Federally Qualified Health Center (Fqhc), Christelle M. Hernandez

Doctor of Nursing Practice Final Project Abstract

The purpose of this quality improvement project was to improve no-show and missed appointments among adult patients at a federally qualified health center (FQHC) located in greater Houston, TX in the adult medicine department. This intervention aimed to decrease no-show and missed appointment rates to 20% or below to improve productivity, yield less staff burnout, and improve patient healthcare outcomes. A 4-week initiative was completed to identity top reasons and to reduce no-shows. A no-show outreach initiative was developed and used in the electronic health record (EHR) and targeted to patients identified as most likely to not show cancel an …


Acoustic Filter For Biopharmacy, Nicholas Rivet Apr 2025

Acoustic Filter For Biopharmacy, Nicholas Rivet

Three Minute Thesis (3MT)

The design and development of a novel flow induced acoustically tuned “filterless” filter is proposed. The proposed research is on developing two or more prototypes that function as a cell retention device for perfusion cell cultures used in continuous manufacturing of monoclonal antibodies and recombinant proteins. This research will provide a non-invasive, cost-effective, flexible, and robust cell retention device for sustainable manufacturing of biologics.


Dietary Patterns And Their Effects On C-Reactive Protein Regarding Female Reproductive Disorders, Mckenzie Moe Apr 2025

Dietary Patterns And Their Effects On C-Reactive Protein Regarding Female Reproductive Disorders, Mckenzie Moe

Theses and Dissertations

Objectives: Chronic inflammation, as indicated by elevated C-reactive protein (CRP), plays a critical role in women’s reproductive health disorders. CRP is one of the most common biomarkers of inflammation. Dietary components, lifestyle factors, and women’s reproductive health disorders are major components that influence the levels of CRP within the body. Other influential factors include injury, infection, and illness. The purpose of this review is to explore the findings of literature available on nutrition interventions for CRP levels in consideration of women's reproductive disorders.

Methods: This narrative review examines the works of 15 articles, including 10 cross-sectional and five longitudinal designs. …


The Role Of Almonds In Exercise Recovery And Athletic Performance, Kathryn M. Trochman Apr 2025

The Role Of Almonds In Exercise Recovery And Athletic Performance, Kathryn M. Trochman

Theses and Dissertations

Objectives: During exercise, many trained athletes and physically active adults experience symptoms of exercise-induced muscle damage (EIMD). The effects of EIMD can cause limitations in athletic performance and increased duration of exercise recovery. Nutritional interventions have shown results in improving the duration of recovery. However, there are few studies completed on common food items. This review aims to examine the role of almonds in exercise recovery and athletic performance. Methods: A literature search was conducted utilizing Google Scholar, PubMed, CINAHL Ultimate, and reference hand searching. The search parameters included the dietary intervention of almonds for trained athletes and physically active …


Antithrombotic Therapy Improves Icu Mortality Of Septic Patients With Peripheral Vascular Disease In Shebin Elkom Teaching Hospital, Talal Ibrahim Mostafa Hagag, Mohamed Abdelsamie Abdelkhalek Elbahat, Shimaa Mohamed Wahed Kalama Dr Apr 2025

Antithrombotic Therapy Improves Icu Mortality Of Septic Patients With Peripheral Vascular Disease In Shebin Elkom Teaching Hospital, Talal Ibrahim Mostafa Hagag, Mohamed Abdelsamie Abdelkhalek Elbahat, Shimaa Mohamed Wahed Kalama Dr

Journal of Medicine in Scientific Research

Background One of the main reasons critically ill patients suffer from severe illness and pass away, especially those who already have peripheral vascular disease (PVD), is sepsis. Sepsis's hypercoagulable condition exacerbates microvascular thrombosis, resulting in organ damage and unfavorable clinical outcomes. Antithrombotic treatment options, such as anticoagulants, antiplatelet medications, or a combination of these, have the potential to improve sepsis patients' prognosis. Objective In this study, septic patients with peripheral vascular disease (PVD) who were admitted to Shebin Elkom Teaching Hospital are examined for the effects of antithrombotic therapy on ICU mortality and clinical outcomes. Methods 112 septic ICU patients …


The Geographic Identification Of Elevated Suicide Risk Model: Evaluating A Method For Examining Suicide-Related Behaviors At The Neighborhood Level In Harris County, Texas, Ryan M Hill, Sam C Cacace, Austin Starkey, Tyler Hendley, Jackson Bolner, Angela Cummings, Angie Hayes, Robert J Cramer Apr 2025

The Geographic Identification Of Elevated Suicide Risk Model: Evaluating A Method For Examining Suicide-Related Behaviors At The Neighborhood Level In Harris County, Texas, Ryan M Hill, Sam C Cacace, Austin Starkey, Tyler Hendley, Jackson Bolner, Angela Cummings, Angie Hayes, Robert J Cramer

Faculty, Staff and Students Publications

Background: The 2024 National Strategy for Suicide Prevention has called for the development of community-based suicide prevention resources, and improved existing prevention efforts. In line with such efforts, Hill and colleagues developed the Geospatial Identification of Elevated Suicide Risk model that estimates the relative prevalence of adolescent suicide risk within specific geographical areas. The current study seeks to further evaluate and refine the model for use as a tool to evaluate risk and protective factors at the neighborhood level.

Method: Drawing from multiple sources, data was collected detailing adolescent suicidal ideation, suicide attempts, suicide fatalities, and census tract characteristics. Utilizing …


Glycation Metabolites Predict Incident Age-Related Comorbidities And Mortality In Older People With Hiv, Xi Qiao, Liangliang Zhang, Ming Wang Apr 2025

Glycation Metabolites Predict Incident Age-Related Comorbidities And Mortality In Older People With Hiv, Xi Qiao, Liangliang Zhang, Ming Wang

Faculty Scholarship

Glycation is a class of modifications arising from non-enzymatic reactions of reducing sugars with proteins, lipids, and/or DNA, generating advanced glycation end-products (AGEs). AGEs are linked to many age-related comorbidities. In response to HIV-1 infection, activated T-cells and macrophages shift their predominate metabolism from oxidative phosphorylation to glycolysis. Increased glycolytic flux enhances AGE formation, which may increase age-related comorbidities. In this prospective, multicenter cohort study of antiretroviral therapy treated people with HIV, we explored predictive associations by baseline plasma AGE concentrations and their corresponding detoxification metabolites, with incident comorbidities and mortality. AGEs included dicarbonyl sugars: 3-deoxyglucosone, glyoxal, and methylglyoxal. Methylglyoxal-derived …


Vocal And Articulatory Speech Control Deficits In Individuals With Post-Stroke Aphasia, Roozbeh Behroozmand, Zeinab Khoshhal Mollasaraei, Vahid Nejati, Ayoub Daliri, Julius Fridriksson Ph.D. Apr 2025

Vocal And Articulatory Speech Control Deficits In Individuals With Post-Stroke Aphasia, Roozbeh Behroozmand, Zeinab Khoshhal Mollasaraei, Vahid Nejati, Ayoub Daliri, Julius Fridriksson Ph.D.

Faculty Publications

Individuals with post-stroke aphasia exhibit deficits in regulating vocal (i.e., laryngeal) pitch control during speech vowel production; however, it is not determined whether such deficits also exist when they control their supra-laryngeal speech articulators during word production. To address this question, 19 subjects with post-stroke aphasia and 20 controls were tested under an altered auditory feedback paradigm in which they received + 30% shifts in their vowel first-formant frequency during word production. In addition, 17 aphasia subjects and 19 controls from the same groups also completed steady vowel vocalizations while receiving randomized pitch shifts at ± 100 cents. Consistent with …


Cost-Effectiveness Analysis Of Aducanumab Versus Placebo For Patients With Mild Cognitive Impairment And Mild Alzheimer’S Disease, Xiaomo Xiong, Gang Lv, Jacob Jordan King, Minghui Li, Jing Yuan, Z Kevin Lu Apr 2025

Cost-Effectiveness Analysis Of Aducanumab Versus Placebo For Patients With Mild Cognitive Impairment And Mild Alzheimer’S Disease, Xiaomo Xiong, Gang Lv, Jacob Jordan King, Minghui Li, Jing Yuan, Z Kevin Lu

Faculty Publications

Objectives To assess the cost-effectiveness of aducanumab at its updated price for treating patients with mild cognitive impairment (MCI) and mild Alzheimer’s disease (AD).

Design Cost-effectiveness analysis.

Settings A five-state Markov model was constructed using 10 000 virtual patients to assess the cost-effectiveness of aducanumab from the perspective of the US healthcare system. The model employed a one-year cycle time and a lifetime time horizon. Transition probabilities and mortality rates were derived from a literature review. To address uncertainty and generalise the base case results, both one-way and probabilistic sensitivity analyses were conducted.

Participants 10 000 virtual patients with MCI …


Surgical Smoke Evacuation Quality Improvement Project, Angela Howell Apr 2025

Surgical Smoke Evacuation Quality Improvement Project, Angela Howell

Graduate Theses, Dissertations, and Capstones

Abstract

Background: Surgical smoke is a byproduct produced during surgical procedures when high-energy producing devices are used to vaporize tissue. This smoke poses health risk to anyone present in the operating room.

Purpose: The purpose of this quality improvement (QI) project was to educate and minimize the exposure of both staff and patients to the hazardous toxic fumes and vapors produced by energy-generating electrocautery devices.

Methods: The intervention based on the Kim Ball Smoke Evacuation Compliance Model was implemented in a large military hospital with 20 operating rooms and three labor and delivery suites. Implementation included formal education strategies, equipment …


Effects Of Workload And Distance Traveled On Psychological Resilience And Values Among Emergency Healthcare Workers, Rami̇z Yazici, Efe Demi̇r Bala, Ayşe Fethi̇ye Basa Kalafat, Eyüp Sari, Hüseyi̇n Mutlu, Hakan Güner, Hi̇lmi̇ Kaya, Rabi̇a Bi̇rsen Tapkan, Utku Murat Kalafat, Serkan Doğan Apr 2025

Effects Of Workload And Distance Traveled On Psychological Resilience And Values Among Emergency Healthcare Workers, Rami̇z Yazici, Efe Demi̇r Bala, Ayşe Fethi̇ye Basa Kalafat, Eyüp Sari, Hüseyi̇n Mutlu, Hakan Güner, Hi̇lmi̇ Kaya, Rabi̇a Bi̇rsen Tapkan, Utku Murat Kalafat, Serkan Doğan

Turkish Journal of Medical Sciences

Background/aim: Emergency medical services (EMS) personnel face significant challenges in their daily work, which can lead to burnout and affect their mental well-being. This study aimed to investigate how workload and distance traveled, as specific aspects of EMS work, influence the psychological resilience and values of EMS personnel. The Connor–Davidson Resilience Scale (CD-RISC) and Spiritual and Humanistic Value Scale (SHVS) were utilized to assess psychological resilience and values, respectively.

Materials and methods: A cross-sectional study was conducted among EMS personnel in Ankara, Türkiye, utilizing a questionnaire survey distributed between 23 and 30 May 2024. The study was approved by the …


Primary Care Telehealth In A Dynamic Healthcare Environment From Digital Divide To Healthcare Outcomes, Yunxi Zhang, Lincy S Lal, Saurabh Chandra, John Michael Swint Apr 2025

Primary Care Telehealth In A Dynamic Healthcare Environment From Digital Divide To Healthcare Outcomes, Yunxi Zhang, Lincy S Lal, Saurabh Chandra, John Michael Swint

Faculty, Staff and Student Publications

With expanded telehealth availability in primary care, its impact on quality of care and associated costs remains debated. Analyzing 199,829 Medicare beneficiaries in Mississippi (2019-2021), we found telehealth utilization associated with significant sociodemographic disparities, reduced inpatient admissions, and lower 30-day readmissions. By accounting for primary care utilization, our findings suggest that the higher absolute costs observed among telehealth users may reflect underlying healthcare needs rather than telehealth utilization.


Gray Matter Morphology And Pain-Related Disability In Young Adults With Low Back Pain, Jo Armour Smith, Rongwen Tain, Isaac Chrisman, Kelli G. Sharp, Laura M. Glynn, Linda R. Van Dillen, Jesse V. Jacobs, Steven C. Cramer Apr 2025

Gray Matter Morphology And Pain-Related Disability In Young Adults With Low Back Pain, Jo Armour Smith, Rongwen Tain, Isaac Chrisman, Kelli G. Sharp, Laura M. Glynn, Linda R. Van Dillen, Jesse V. Jacobs, Steven C. Cramer

Physical Therapy Faculty Articles and Research

Structural neuroplasticity in the brain may contribute to the persistence of low back pain (LBP) symptoms and the disability associated with them. It is not known if structural adaptations are evident early in the lifespan in young adults with LBP. This study compared gray matter in cortical sensorimotor regions in young adults with and without persistent LBP and identified gray matter and clinical predictors of pain-related disability. Eighty-two individuals with and without a history of LBP participated. Peak and average gray matter density in cortical sensorimotor regions of interest was quantified using voxel-based morphometry. Pain-related disability, pain intensity, pain duration, …


Kras Mutation Detection By Liquid Biopsy For Pancreatic Ductal Adenocarcinoma, Mahmoud Yousef, Abdelrahman Yousef, Mark W Hurd, Ashwathy Pillai, Saikat Chowdhury, Rebecca Snyder, Mark Knafl, Ryan L Lewis, Paul M Roy, Mohammad Fanaeian, Sali Albarouki, Luca F Castelnovo, Jennifer Peterson, Brandon G Smaglo, Robert A Wolff, Shubham Pant, Jason Willis, Ryan Huey, Michael Overman, Ching-Wei Tzeng, Michael P Kim, Naruhiko Ikoma, Jess E Maxwell, Matthew H G Katz, Huamin Wang, Anirban Maitra, Eugene Koay, Ethan B Ludmir, Anthony Chen, Camila Lopez, Haoqiang Ying, John Paul Shen, Dan Zhao Apr 2025

Kras Mutation Detection By Liquid Biopsy For Pancreatic Ductal Adenocarcinoma, Mahmoud Yousef, Abdelrahman Yousef, Mark W Hurd, Ashwathy Pillai, Saikat Chowdhury, Rebecca Snyder, Mark Knafl, Ryan L Lewis, Paul M Roy, Mohammad Fanaeian, Sali Albarouki, Luca F Castelnovo, Jennifer Peterson, Brandon G Smaglo, Robert A Wolff, Shubham Pant, Jason Willis, Ryan Huey, Michael Overman, Ching-Wei Tzeng, Michael P Kim, Naruhiko Ikoma, Jess E Maxwell, Matthew H G Katz, Huamin Wang, Anirban Maitra, Eugene Koay, Ethan B Ludmir, Anthony Chen, Camila Lopez, Haoqiang Ying, John Paul Shen, Dan Zhao

Faculty, Staff and Student Publications

The clinical utility of liquid biopsy (LB) for pancreatic ductal adenocarcinoma (PDAC) remain understudied. Our single-institution cohort of 311 PDAC patients with non-tumor tissues informed LB found 81.2% positivity (N = 186) in metastatic cases and in 52.4% (N = 43) of localized disease. KRAS mutations were detected in 64.6% (N = 148) of metastatic cases and 16% (N = 13) for localized disease. Positive LB, especially KRAS mutation detection, is associated with worse overall survival (OS) in metastatic PDAC (median 14.5 vs. 31.3 months, HR = 2.7, 95%CI = 1.7-4.3, P <  0.0001). The positive concordance rates of KRAS and TP53 mutations were 63% and 68% in metastatic disease but only 7% (KRAS) and 33% (TP53) in localized disease, respectively. Among the 41 patients who underwent serial liquid biopsy testing, 25% tested positive after an initial negative result. LB detects therapeutically targetable mutations in 58.5% of PDAC patients and is associated with OS.


Multimeric Transcription Factor Bcl11a Utilizes Two Zinc-Finger Tandem Arrays To Bind Clustered Short Sequence Motifs, John R Horton, Meigen Yu, Jujun Zhou, Melody Tran, Rithvi R Anakal, Yue Lu, Robert M Blumenthal, Xiaotian Zhang, Yun Huang, Xing Zhang, Xiaodong Cheng Apr 2025

Multimeric Transcription Factor Bcl11a Utilizes Two Zinc-Finger Tandem Arrays To Bind Clustered Short Sequence Motifs, John R Horton, Meigen Yu, Jujun Zhou, Melody Tran, Rithvi R Anakal, Yue Lu, Robert M Blumenthal, Xiaotian Zhang, Yun Huang, Xing Zhang, Xiaodong Cheng

Faculty, Staff and Student Publications

BCL11A, a transcription factor, is vital for hematopoiesis, including B and T cell maturation and the fetal-to-adult hemoglobin switch. Mutations in BCL11A are linked to neurodevelopmental disorders. BCL11A contains two DNA-binding zinc-finger arrays, low-affinity ZF2-3 and high-affinity ZF4-6, separated by a 300-amino-acid linker. ZF2-3 and ZF4-5 share 73% identity, including five out of six DNA base-interacting residues. These arrays bind similar short sequence motifs in clusters, with the linker enabling a broader binding span. Crystallographic structures of ZF4-6, in complex with oligonucleotides from the β-globin locus region, reveal DNA sequence recognition by residues Asn756 (ZF4), Lys784 and Arg787 (ZF5). A …


Reduced Venetoclax Exposure To 7 Days Vs Standard Exposure With Hypomethylating Agents In Newly Diagnosed Aml Patients, Christophe Willekens, Alexandre Bazinet, Samy Chraibi, Alex Bataller, Justine Decroocq, Naszrin Arani, Benjamin Carpentier, Caitlin Rausch, Delphine Lebon, Abhishek Maiti, Nicolas Gauthier, Nicholas Short, Sarah Bonnet, Koji Sasaki, Sabine Khalife-Hachem, Mahesh Swaminathan, Jean-Baptiste Micol, Florence Pasquier, Christophe Marzac, Damien Roos-Weil, Laurent Pascal, Naval Daver, Tapan Kadia, Didier Bouscary, Farhad Ravandi, Arnaud Pages, Hagop Kantarjian, Stéphane De Botton, Courtney Dinardo Apr 2025

Reduced Venetoclax Exposure To 7 Days Vs Standard Exposure With Hypomethylating Agents In Newly Diagnosed Aml Patients, Christophe Willekens, Alexandre Bazinet, Samy Chraibi, Alex Bataller, Justine Decroocq, Naszrin Arani, Benjamin Carpentier, Caitlin Rausch, Delphine Lebon, Abhishek Maiti, Nicolas Gauthier, Nicholas Short, Sarah Bonnet, Koji Sasaki, Sabine Khalife-Hachem, Mahesh Swaminathan, Jean-Baptiste Micol, Florence Pasquier, Christophe Marzac, Damien Roos-Weil, Laurent Pascal, Naval Daver, Tapan Kadia, Didier Bouscary, Farhad Ravandi, Arnaud Pages, Hagop Kantarjian, Stéphane De Botton, Courtney Dinardo

Faculty, Staff and Student Publications

Hypomethylating agent (HMA) plus venetoclax (VEN) regimens are standard of care in patients with acute myeloid leukemia (AML) ineligible for intensive chemotherapy. While the VEN label recommends continuous 28-day cycles, shortened VEN durations may induce similar response rates and improve tolerability. It is unknown how a VEN exposure reduced to 7 days during cycles compares to standard HMA + VEN. We retrospectively compared newly diagnosed AML patients treated with azacitidine (AZA) x 7 days plus VEN x 7 days ("7 + 7" regimen) from the first cycle (n = 82) vs patients treated with standard dose HMA + VEN (std-HMA/VEN) …