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Development and Validation of Machine Learning-Based Prediction of Depression Progression Using EHR Data: A Multi-Institutional Retrospective Cohort Study.

BACKGROUND: Depression is a leading cause of global disability. Timely identification of patients at risk for clinical worsening remains a major challenge. Electronic health records (EHRs) facilitate large-scale, real-world analyses of disease trajectories. However, standardized symptom scale data such as the Patient Health Questionnaire-9 are often unavailable or recorded only as unstructured text. In this context, International Classification of Diseases (ICD10) diagnostic-code based severity progression provides a pragmatic alternative for developing predictive tools to identify worsening d

Canine viral vaccines at a turning point--a personal perspective.

The most important canine viral infections are distemper and CPV-2. Problems of variable CD vaccine safety and efficacy persist, but CD vaccines have greatly reduced the prevalence of disease and cases in vaccinated dogs are now rare. Canine hepatitis (ICH, CAV-1 infection) also has been controlled well by vaccines for more than 35 years and it is now rare; the sporadic cases seen in the 1990s have usually occurred in unvaccinated dogs. CAV-2 vaccines should, therefore, continue to be given since they have proved to be safe and effective, and prevent hepatitis as well as adenoviral tracheobron

Hydroids (Cnidaria, Hydrozoa) from Mauritanian Coral Mounds.

UNLABELLED: Agassiz, L. (1862) Contributions to the natural history of the United States of America. Vol. 4. Little Brown, Boston, 380 pp.Aguirrezabalaga, F., Altuna, A., Borja, A., Feliu, J., GarcíaCarrascosa, A.M., Romero, A., San Vicente, C., Torres-Gómez-de-Cádiz, J.A., Uriz, M.J. Ibánez, M. (1984) Contribución al conocimiento de la fauna marina de la costa Vasca. Π. Lurralde, Investigación y espacio, 1984, pp. 83-133.Alder, J. (1856) A notice of some new genera and species of British hydroid zoophytes. Annals and Magazine of Natural History, Series 2, 18, 353-362.        https://doi.org/1

Do Patients of Different Levels of Affluence Receive Different Care for Pediatric Osteosarcomas? One Institution's Experience.

BACKGROUND: The published reports examining socioeconomic factors and their relationship to osteosarcoma presentation and treatment suggest … ata drawn from the institutional records of a large pediatric tertiary cancer center located in the Mid-Atlantic region of the United States from the years 2006 to 2022. Our main site is in an urban setting, with ample access to public transit. Patients were excluded from analysis if they were seeking a second opinion or our institution was not the main point of orth …

Real-World Quantitative Insights into the Treatment Experience of Patients with Cancer in the USA with Subcutaneous Versus Intravenous Drug Delivery.

IntroductionWhile oncology treatments have traditionally been delivered through the intravenous (IV) route of administration (ROA), subcutaneous (SC) alternatives have become increasingly available. Research comparing real-world patient experiences with these ROAs in the USA has been limited. This study aimed to quantify and compare preferences, satisfaction, and daily life impact between SC and IV delivery for patients with cancer in the USA experienced with both ROAs in a real-world setting.MethodsPatients with cancer in the USA experienced with both SC and IV delivery were eligible to compl

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… In addition, while patients were from diverse regions of the USA, almost half (48.3%) were from the Mid-Atlantic region, which may not be generalized to the rest of the country. …

Количественная оценка предпочтений CAR-T по сравнению со стандартом ухода за пациентами с множественными миеломами.

Для лечения повторной рефракторной множественной миэломы (ММ) была утверждена терапия фонкар-Т, и в настоящее время изучается возможность диагностики MM (NDMM). В связи с использованием новых методов лечения в раннем режиме ММ возникают вопросы о приемлемости рисков на начальном этапе в обмен на продолжительные периоды без рецидивов без бремени лечения и ограничений на повседневную деятельность, связанную с лечением. Эксперимент MethodsA с дискретным выбором был разработан в целях выявления предпочтений взрослых к гипотетическому лечению NDMM. Выгоды включают время, необходимое для возобновлен

Artificial Intelligence-Augmented Propensity Score, Cost Effectiveness and Computational Ethical Analysis of Cardiac Arrest and Active Cancer with Novel Mortality Predictive Score.

Background and objectives: Little is known about outcome improvements and disparities in cardiac arrest and active cancer. We performed the first known AI and propensity score (PS)-augmented clinical, cost-effectiveness, and computational ethical analysis of cardio-oncology cardiac arrests including left heart catheterization (LHC)-related mortality reduction and related disparities. Materials and methods: A nationally representative cohort analysis was performed for mortality and cost by active cancer using the largest United States all-payer inpatient dataset, the National Inpatient Sample,

TAVR and cancer: machine learning-augmented propensity score mortality and cost analysis in over 30 million patients.

IntroductionCardiovascular disease (CVD) and cancer are the top mortality causes globally, yet little is known about how the diagnosis of cancer affects treatment options in patients with hemodynamically compromising aortic stenosis (AS). Patients with cancer often are excluded from aortic valve replacement (AVR) trials including trials with transcatheter AVR (TAVR) and surgical AVR (SAVR). This study looks at how cancer may influence treatment options and assesses the outcome of patients with cancer who undergo SAVR or TAVR intervention. Additionally, we sought to quantitate and compare both

Ethics of overtreatment and undertreatment in older adults with cancer.

BackgroundOver-/undertreatment are pervasive in older adults with cancer, and challenges arise in applying the principles of bioethics: beneficence, nonmaleficence, justice, and patient autonomy. The objective of this study was to determine whether these ethical principles relate to over-/undertreatment for older adults, and how tensions among the principles may contribute.MethodsWe conducted a modified Delphi study with 13 experts in biomedical ethics for iterative rounds of data collection. In the first round, we presented via electronic questionnaire our previously published definitions of

Management of Atlantoaxial Instability Due to a Pathological Fracture of the Axis.

Metastases to the upper cervical spine are uncommon, and subsequent instability is rare. We report the details of a patient with metastatic breast cancer to the axis manifesting as a pathologic fracture and C1/C2 instability. This was treated by preoperative reduction to appropriate alignment with use of crown halo traction, followed by posterior occipitocervical fusion and postoperative radiation therapy.

Environmental Predictors of US County Mortality Patterns on a National Basis.

A growing body of evidence has found that mortality rates are positively correlated with social inequalities, air pollution, elevated ambient temperature, availability of medical care and other factors. This study develops a model to predict the mortality rates for different diseases by county across the US. The model is applied to predict changes in mortality caused by changing environmental factors. A total of 3,110 counties in the US, excluding Alaska and Hawaii, were studied. A subset of 519 counties from the 3,110 counties was chosen by using systematic random sampling and these samples w

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… The lowest COPD rates were located in the upper Midwest, Utah and coastally-influenced zones of the Northeast and mid-Atlantic region whereas the highest COPD rates were dominant in the Rocky Mountain region, west Texas, Nevada, inland California and inland areas of the lower Midwest, Appalachia and …

Clinician and administrator perspectives on outpatient administration of ciltacabtagene autoleucel in relapsed or refractory multiple myeloma.

IntroductionChimeric antigen receptor (CAR) T-cell therapy (CAR T therapy) is a treatment option for patients with relapsed or refractory multiple myeloma that has led to unprecedented treatment outcomes. Among CAR T therapies available, ciltacabtagene autoleucel (cilta-cel) is a good candidate for outpatient administration due to its generally predictable safety profile. There are multiple advantages of outpatient administration of cilta-cel, including reduced healthcare burden, expanded access, and patient autonomy. This mixed methods qualitative study aimed to identify key factors for outpa

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… Six centers (14 experts) participated in the expert panel interviews, including the 2 centers from Phase 2 and 4 additional certified cilta-cel centers from varied geographical areas (i.e., South, West, Midwest, Mid-Atlantic regions of the US; Table 2 ). …

Significance of long chain polyunsaturated fatty acids in human health.

In the last decades, the development of new technologies applied to lipidomics has revitalized the analysis of lipid profile alterations and the understanding of the underlying molecular mechanisms of lipid metabolism, together with their involvement in the occurrence of human disease. Of particular interest is the study of omega-3 and omega-6 long chain polyunsaturated fatty acids (LC-PUFAs), notably EPA (eicosapentaenoic acid, 20:5n-3), DHA (docosahexaenoic acid, 22:6n-3), and ARA (arachidonic acid, 20:4n-6), and their transformation into bioactive lipid mediators. In this sense, new familie

Magnetic Resonance Imaging in 50 Captive Non-domestic Felids - Technique and Imaging Diagnoses.

Magnetic resonance imaging (MRI) is the recognized gold standard for diagnostic imaging of the central nervous system in human and veterinary patients. Information on the use of this modality and possible imaging abnormalities in captive non-domestic felids is currently limited to individual case reports or small case series. This retrospective study provides information on technique and imaging findings in a cohort of cases undergoing MRI at an academic Veterinary Medical Center. The University of Tennessee College of Veterinary Medicine MRI database was searched for non-domestic felids under

Factors Associated With Mortality in Leukemia and Lymphoma With COVID-19: A National Inpatient Sample Analysis (2020-2021).

Background Patients with hematological malignancies face a substantially increased mortality from COVID-19. Although the peak of the COVID-19 pandemic has passed, the virus remains common, and understanding its impact on vulnerable groups such as those with hematologic malignancies remains crucial. Limited research exists on mortality patterns in leukemia and lymphoma patients during the pandemic. Studying these outcomes provides important insights into how different waves of COVID-19 affected immunocompromised individuals and supports the development of strategies for prevention, patient care

Residential green spaces and neurodegenerative diseases in middle-aged and older adults: a systematic review and dose-response meta-analysis.

BackgroundThe potential protective role of residential green space against neurodegenerative diseases (NDs) is a topic of growing interest, yet evidence remains inconsistent. This systematic review and meta-analysis aimed to synthesize the current evidence on this association in middle-aged and older adults.MethodsWe searched PubMed, Embase, Web of Science, and the Cochrane Library through March 15, 2025, for observational studies that evaluated the association between objectively measured residential green space and the incidence of NDs in middle-aged and older adults. Risk of bias was assess

Perceived stress, distress, burden, and caregiving preparedness in family caregivers of patients with hematologic malignancies during the first months of treatment.

BackgroundHematologic malignancies frequently require intensive treatment, leaving patients to rely on informal caregivers for emotional, logistical, and health care support. This high level of care and support can place an unintended burden on the caregiver. This study examined caregiver wellbeing during the initial treatment period.MethodsFamily caregivers identified by a patient with a hematologic malignancy were enrolled in this longitudinal, descriptive study. Participants answered questionnaires related to distress, stress, caregiver burden, and caregiver preparedness at baseline and six

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… Setting and sample This study was completed at a National Cancer Institute–designated cancer center in the Mid-Atlantic Region of the United States. Institutional review board approval was obtained. …

Perceptions and Experiences of Hematopoietic Cell Transplantation Patients During the COVID-19 Pandemic.

ObjectivesSince March 2020, the severe acute respiratory syndrome coronavirus-2 pandemic has affected the global community, but poses unique challenges for individuals with cancer. Patients diagnosed with hematologic malignancies undergo aggressive therapies followed by hematopoietic cell transplantation (HCT) as a potential curative treatment. HCT recipients can be immunocompromised for extended periods of time, and even pre-pandemic, transplant patients reported depression and anxiety due to restrictions and infection prevention measures they had to adhere to as part of transplant precaution

Profile of tocilizumab and its potential in the treatment of giant cell arteritis.

Giant cell arteritis (GCA) remains a medical emergency due to the threat of permanent sight loss. High-dose glucocorticoids (GCs) are effective in inducing remission in the majority of patients, however, relapses are common which lengthen GC therapy. GC toxicity remains a major morbidity in this group of patients, and conventional steroid-sparing therapies have not yet shown enough of a clinical benefit to change the standard of care. As the understanding of the underlying immunopathophysiology of GCA has increased, positive clinical observations have been made with the use of IL-6 receptor in

Mechanism of the susceptibility of remodeled pulmonary vessels to drug-induced cell killing.

BackgroundPulmonary arterial hypertension remains a devastating disease without a cure. The major complication of this disease is the abnormal growth of vascular cells, resulting in pulmonary vascular remodeling. Thus, agents, which affect the remodeled vessels by killing unwanted cells, should improve treatment strategies. The present study reports that antitumor drugs selectively kill vascular cells in remodeled pulmonary vessels in rat models of pulmonary hypertension.Methods and resultsAfter developing pulmonary vascular remodeling in chronic hypoxia or chronic hypoxia/SU-5416 models, rats