AHA Journals, Author Interviews, Blood Pressure - Hypertension, OBGYNE / 29.05.2024

MedicalResearch.com Interview with: [caption id="attachment_61675" align="alignleft" width="150"]Emmanuel Bujold, ReproductionMother and Child Health Unit CHU De Québec-Université Laval Research Center Université Laval Québec, QC Canada Dr. Bujold[/caption] Emmanuel Bujold, Reproduction Mother and Child Health Unit CHU De Québec-Université Laval Research Center Université Laval Québec, QC Canada     MedicalResearch.com: What is the background for this study? Would you briefly describe what is meant by preeclampsia? Response: Preeclampsia is a complication of the second half of pregnancy, manifesting as high blood pressure and renal dysfunction. The only current treatment is to deliver the baby before it becomes complicated by damage to maternal organs or fetal distress. A few years ago, we demonstrated that aspirin started in the 1st trimester can prevent the majority of preeclampsias in pregnant women at risk. It has therefore become urgent to identify pregnant women at risk as early as the 1st trimester.
Aging, Author Interviews, Frailty, JAMA, Orthopedics / 16.05.2024

MedicalResearch.com Interview with: [caption id="attachment_61725" align="alignleft" width="150"]Chintan V. Dave PharmD, PhDAssistant Professor of Pharmacy and Epidemiology Assistant Director Rutgers Center for Pharmacoepidemiology and Treatment Science Academic Director Rutgers Center for Health Outcomes, Policy, and Economics Rutgers University New Brunswick, New Jersey Dr. Chintan Dave[/caption] Chintan V. Dave PharmD, PhD Assistant Professor of Pharmacy and Epidemiology Assistant Director Rutgers Center for Pharmacoepidemiology and Treatment Science Academic Director Rutgers Center for Health Outcomes, Policy, and Economics Rutgers University New Brunswick, New Jersey MedicalResearch.com: What is the background for this study? Response: Our study examined the association between initiation of an antihypertensive medication and its correlation with fracture risk among older nursing home veterans.
Alzheimer's - Dementia, Author Interviews, Brigham & Women's - Harvard, JAMA, Nutrition / 07.05.2024

MedicalResearch.com Interview with: [caption id="attachment_61650" align="alignleft" width="200"]Marta Guasch-Ferré, PhDAssociate Professor and Deputy Head of Section, Section of Epidemiology University of Copenhagen  Group Leader, Novo Nordisk Foundation Center for Basic Metabolic Research  Adjunct Associate Professor, Department of Nutrition Harvard TH Chan School of Public Health  Dr. Guasch-Ferré[/caption] Marta Guasch-Ferré, PhD Associate Professor and Deputy Head of Section, Section of Epidemiology University of Copenhagen Group Leader, Novo Nordisk Foundation Center for Basic Metabolic Research Adjunct Associate Professor, Department of Nutrition Harvard TH Chan School of Public Health MedicalResearch.com: What is the background for this study? Response:  Olive oil is rich in monounsaturated fats and contains compounds with antioxidant activity that may play a protective role for the brain. Olive oil as part of a Mediterranean diet appears to have a beneficial effect against cognitive decline. Higher olive oil intake was previously associated with a lower risk of cardiovascular disease and mortality. But its association with dementia mortality was unknown.
Author Interviews, Breast Cancer, JAMA, USPSTF / 01.05.2024

MedicalResearch.com Interview with: [caption id="attachment_60752" align="alignleft" width="200"]Dr. Nicholson Dr. Nicholson[/caption] Wanda K. Nicholson, M.D., M.P.H., M.B.A. Senior Associate Dean for Diversity, Equity, and Inclusion Professor of Prevention and Community Health Milken Institute School of Public Health George Washington University Dr. Nicholson was appointed chair of the U.S. Preventive Services Task Force in March 2024. She served as vice chair from March 2022 to March 2024 and as a member of the Task Force from January 2009 through December 2013. MedicalResearch.com: What is the background for this study? What are the main findings? Response: Breast cancer is the second most common cancer and the second most common cause of cancer deaths for women in the U.S. After reviewing the latest science, the Task Force recommends screening all women for breast cancer every other year starting at age 40 and continuing through age 74. This new approach has the potential to save nearly 20 percent more lives from breast cancer and has even greater potential benefit for Black women, who are much more likely to die from breast cancer.
Author Interviews, CDC, Infections, JAMA / 27.04.2024

MedicalResearch.com Interview with: [caption id="attachment_61617" align="alignleft" width="161"]Shruti K. Gohil, MDAssistant Professor, Infectious Diseases, Department of Medicine Associate Medical Director, Epidemiology & Infection Prevention, Infectious Diseases UCI School of Medicine Dr. Gohil[/caption] Shruti K. Gohil, MD Assistant Professor, Infectious Diseases, Department of Medicine Associate Medical Director, Epidemiology & Infection Prevention, Infectious Diseases UCI School of Medicine MedicalResearch.com: What is the background for this study?
  • Antibiotic resistance, which occurs when germs like bacteria and fungi mutate to defeat the drugs designed to kill them, is a major public health threat.
  • Data show that 40-50% of patients hospitalized with pneumonia receive broad spectrum antibiotics when they do not need them.
  • Helping clinicians tailor antibiotic prescriptions to individual patients can improve patient outcomes by preserving healthy bacteria in the body and reducing the risk of future antibiotic resistance.
Annals Internal Medicine, Author Interviews, Gender Differences, UCLA / 25.04.2024

MedicalResearch.com Interview with: [caption id="attachment_61597" align="alignleft" width="150"]Yusuke Tsugawa, MD, PhDAssociate Professor of Medicine & Health Policy and Management, UCLA Director of Data Core, UCLA Department of Medicine Statistics Core Division of General Internal Medicine and Health Services Research David Geffen School of Medicine at UCLA Los Angeles, CA 90024 Dr. Tsugawa[/caption] Yusuke Tsugawa, MD, PhD Associate Professor of Medicine & Health Policy and Management, UCLA Director of Data Core, UCLA Department of Medicine Statistics Core Division of General Internal Medicine and Health Services Research David Geffen School of Medicine at UCLA Los Angeles, CA 90024   MedicalResearch.com: What is the background for this study? Response: Prior studies have found that female and male physicians practice medicine differently. For example, female physicians are, on average, more likely to abide by clinical guidelines and spend more time listening to patients. However, evidence was limited as to whether such differences have clinically meaningful impact on patients’ health outcomes, which was the aim of this study.
Author Interviews, COVID -19 Coronavirus, JAMA, Technology, UCSD, Vaccine Studies / 25.04.2024

MedicalResearch.com Interview with: John W. AyersJohn W. Ayers, PhD MA Vice Chief of Innovation | Assoc. Professor
Div. Infectious Disease & Global Public Health University of California San Diego Since the World Health Organization declared an ‘infodemic’ of misinformation, there have been surprisingly few achievements to celebrate. X's Community Notes have emerged as an innovative strategy to address misinformation as reported in the latest issue of JAMA.
Before the inception of Community Notes, social media companies employed various tactics to tackle misinformation, including censoring, shadowbanning (muting a user or their content on a platform without informing them), and adding generic warning labels to problematic content. However, these efforts were typically undisclosed meaning their effectiveness could not be studied.

In late 2022, X introduced Community Notes. This novel approach empowers volunteer, independent, anonymous, and ideologically diverse contributors to identify posts containing misinformation and to rectify misinformation by appending informative "notes" to suspect posts. The process is controlled by the public, instead of decision-makers at the company. Most importantly the system is open-sourced so it can be studied by external scientists.

Author Interviews, Autism, Nature, Pediatrics / 11.04.2024

MedicalResearch.com Interview with: [caption id="attachment_50547" align="alignleft" width="200"]Andrey Vyshedskiy PhD Boston University, Boston Dr. Vyshedskiy[/caption] Dr. Andrey Vyshedskiy, PhD Founder and CEO of ImagiRation LLC Neuroscientist, Boston University MedicalResearch.com: What is the background for this study? Response: The common intuitive belief is that language comprehension development follows a linear trajectory: children acquire one grammatical rule at a time. Over 20 years ago, Dr. A. Vyshedskiy, predicted that instead of linear development, language should unfold in three steps corresponding to three language comprehension mechanisms of increasing complexity. The study of 31845 autistic individuals, published today in the journal npj Mental Health Research, validates this prediction. The implications of this discovery are reaching far and wide. The traditional definition of language is highly ambiguous. For some philosophers, “language” is equivalent to a “communication system.” Others argue that “language” must be defined more narrowly, in a way that is unique to humans. The results of the new study streamline terminology for describing different language comprehension mechanisms. The ensuing discussion of which language comprehension mechanisms are unique to humans and which are shared with other apes is expected to be most interesting.
Author Interviews, Health Care Systems, Kidney Disease, NEJM, NIH, UT Southwestern / 04.04.2024

MedicalResearch.com Interview with: [caption id="attachment_61529" align="alignleft" width="125"]Miguel A. Vazquez, MDProfessor of Internal Medicine University of Texas Southwestern Medical Center Dr. Vazquez[/caption] Miguel A. Vazquez, MD Professor of Internal Medicine University of Texas Southwestern Medical Center MedicalResearch.com: What is the background for this study? Response: The main reason to conduct our trial was to improve the care of patients with coexistent chronic kidney disease CKD),  type 2 diabetes and hypertension.   Patients with this triad are at high risk for multiple complications, end stage kidney disease and premature death.   There are effective interventions for these conditions.  Unfortunately, detection and awareness of CKD is low and many patients do not receive interventions that could be beneficial In our study in patients with the coexistent triad of chronic kidney disease, type 2 diabetes, and hypertension the use of an electronic algorithm to identify patients from the electronic health record and practice facilitators embedded in four large health systems to assist primary practitioners deliver evidence-based care did not lower hospitalizations when compared to usual care.
Author Interviews, CDC, Infections, JAMA / 01.04.2024

MedicalResearch.com Interview with: [caption id="attachment_61518" align="alignleft" width="110"]Susan S. Huang, MD, MPHChancellor's Professor, Infectious Diseases School of Medicine Department of Epidemiology and Infection Prevention University of California Irvine School of Medicine, Irvine Dr. Huang[/caption] Susan S. Huang, MD, MPH Chancellor's Professor, Infectious Diseases School of Medicine Department of Epidemiology and Infection Prevention University of California Irvine School of Medicine, Irvine MedicalResearch.com: What is the background for this study? Would you describe the decolonization techniques?  
  • This study arose from a growing concern about the increasing number and presence of antibiotic-resistant bacteria causing colonization and infection in hospitals and long-term care. CDC has had a longstanding interest in the value of regional control of these contagious pathogens and they funded this study. The study was actually in two parts:
    • –1) Simulate various infection prevention strategies in a model and see which works best, and then
    • - 2) Do it in real life. The SHIELD project was the real-life example of our simulation finding that decolonization would work the best to prevent harm from antibiotic-resistant bacteria.
  • The regional idea is that it takes all of us working together – hospitals, nursing homes, and long-term acute care hospitals – to prevent the spread and sharing of contagious pathogens. What we can accomplish together is far greater than what any of us can do alone.
  • In this study, decolonization was the use of topical chlorhexidine antiseptic soap and povidone-iodine nasal ointments to reduce potentially harmful bacteria on the body during times when patients and residents may be at risk for infection. We swapped out bathing and showering soap with CHG in participating facilities and ensured that staff knew to clean the body well, including wounds, devices, and rashes where germs can hide and cause infection. For CHG, this involved 4% rinse off product in the shower and 2% no-rinse CHG for bed baths.
Author Interviews, Dermatology, Genetic Research, Nature, Rheumatology / 28.03.2024

MedicalResearch.com Interview with: [caption id="attachment_61503" align="alignleft" width="150"]Chelisa Cardinez PhDPostdoctoral Researcher The Burr Laboratory- Cancer Immunology and Epigenetics Genome Sciences and Cancer Division The John Curtin School of Medical Research The Australian National University Canberra, Australia Dr. Cardinez[/caption] Chelisa Cardinez PhD Postdoctoral Researcher The Burr Laboratory- Cancer Immunology and Epigenetics Genome Sciences and Cancer Division The John Curtin School of Medical Research The Australian National University Canberra, Australia   MedicalResearch.com: What is the background for this study? Response: Psoriasis is a skin inflammatory disease that affects approximately 2-3% of the population. Previous research had identified that the cytokine IL-17 drives the development of this disease. However, key questions that remained unknown about psoriasis included where did the IL-17 come from, and why do some patients with psoriasis also go on to develop systemic inflammatory conditions such as arthritis. Our research aimed to address these questions using a gain of function (GoF) mouse model that carried a genetic variant in a gene called IKBKB.
Author Interviews, Dermatology, Kidney Stones, NEJM / 28.03.2024

[caption id="attachment_61496" align="alignleft" width="125"]Thomas Robert, MD, AIXAssociate Professor of Nephrology APHM (Assistance Publique - Hopitaux de Marseille) Marseille, Provence-Alpes-Côte d'Azur, France  Dr. Thomas Robert[/caption] MedicalResearch.com Interview with: Thomas Robert, MD, AIX Associate Professor of Nephrology APHM (Assistance Publique - Hopitaux de Marseille) Marseille, Provence-Alpes-Côte d'Azur, France   [caption id="attachment_61498" align="alignleft" width="132"]Prof. Emmanuel Letavernier, MD PhDNephrologist at Tenon Hospital Paris, France Dr. Letavernier[/caption] Prof. Emmanuel Letavernier, MD PhD Nephrologist at Tenon Hospital Paris, France MedicalResearch.com: What is the background for this study? Response: Our work was prompted by emerging concerns surrounding the potential nephrotoxic effects of hair-straightening products containing glyoxylic acid. This inquiry was instigated by a patient who experienced three repeated acute episodes of kidney injury in June 2020, April 2021, and July 2022, each occurring shortly after a hair-straightening procedure. Notably, these episodes resolved with hydration. Upon examining the composition of the hair product used by the patient, which contained glyoxylic acid, and considering the patient's report of  painful ulcer scalp during application and subsequent scalp scarring, we suspected a potential link between exposure to glyoxylic acid and kidney injury. Consulting with my colleague, Professor Emmanuel Letavenier, a specialist in crystalline nephropathy at Paris, confirmed this suspicion. In summer 2023, cases series have been reported by an Israeli team (https://pubmed.ncbi.nlm.nih.gov/36610611/), who described 26 patients presenting with acute renal injuries after hair straightening treatments. Biopsies revealed calcium oxalate crystals in the kidneys. The Israeli researchers suspected an effect of formaldehyde and glycolic acid, another substance found in many cosmetic products, including hair straightening products, but were unable to provide conclusive evidence.
Author Interviews, JAMA, Pediatrics, USPSTF / 26.03.2024

MedicalResearch.com Interview with: [caption id="attachment_59720" align="alignleft" width="150"]James Stevermer, M.D., M.S.P.H. Vice chair for clinical affairs Professor of family and community medicine University of Missouri Medical director of MU Health Care Family Medicine–Callaway Physicians Dr. Stevermer[/caption] James Stevermer, M.D., M.S.P.H. Vice chair for clinical affairs Professor of family and community medicine University of Missouri Medical director of MU Health Care Family Medicine–Callaway Physicians, Dr. Stevermer joined the U.S. Preventive Service Task Force in January 2021. MedicalResearch.com: What is the background for this study? Response: Child abuse and neglect is a serious problem that affects too many kids and teens across the United States. This type of maltreatment can have a profound effect on their health, development, and well-being, both when they are young and into adulthood.
Alzheimer's - Dementia, Author Interviews, JAMA, UC Davis / 25.03.2024

MedicalResearch.com Interview with: [caption id="attachment_61484" align="alignleft" width="150"]Charles DeCarli, MD, FAAN, FAHAVictor and Genevieve Orsi Chair in Alzheimer's Research Distinguished Professor of Neurology Director, Alzheimer's Disease Research Center and Imaging of Dementia and Aging (IDeA) Laboratory Department of Neurology and Center for Neuroscience University of California at Davis Sacramento, CA  95817 Dr. DeCarli[/caption] Charles DeCarli, MD, FAAN, FAHA Victor and Genevieve Orsi Chair in Alzheimer's Research Distinguished Professor of Neurology Director, Alzheimer's Disease Research Center and Imaging of Dementia and Aging (IDeA) Laboratory Department of Neurology and Center for Neuroscience University of California at Davis Sacramento, CA  95817   MedicalResearch.com: What is the background for this study? Response: The overall health of the U.S. population has improved dramatically over the last 100 years, Individuals are also living longer resulting in an increasing percentage of the population at risk for Alzheimer’s disease and related dementias (ADRD).  Recent data from the Framingham Heart study, however, finds that dementia incidence may be declining.  While many factors such as greater educational achievement and medical management of vascular risk factors may explain part of this effect, early life environmental differences also likely contribute.
Author Interviews, Brigham & Women's - Harvard, Infections, JAMA, Multiple Sclerosis, Neurological Disorders / 19.03.2024

MedicalResearch.com Interview with: [caption id="attachment_61454" align="alignleft" width="125"]Marianna Cortese, MD, PhDSenior Research Scientist Department of Nutrition Harvard T.H. Chan School of Public Health Boston, MA 02115 Dr. Cortese[/caption] Marianna Cortese, MD, PhD Senior Research ScientistDepartment of Nutrition Harvard T.H. Chan School of Public HealthBoston, MA 02115   MedicalResearch.com: What is the background for this study? Response: In a study published in Science in 2022, we reported compelling evidence that infection with the Epstein-Barr virus is the leading cause of Multiple Sclerosis. This is a follow-up study to investigate more in depth whether the antibody response to EBV is distinct in individuals with MS compared to individuals without MS and whether there is a part of EBV that the immune response is particularly targeting. For this purpose we assessed the immune response to all protein parts (peptides) of EBV and their association with MS. Previous studies could only look at parts of EBV and this is the first study looking at all EBV peptides. Antibodies to EBV (especially to a protein called EBNA1) are known to be overall higher in individuals with MS, so we also tested whether immune response overall or the immune response to specific EBV protein parts was more important. If the immune response to a specific EBV protein part (peptide) would be standing out or distinguishing individuals with MS, we hypothesized, it could point to a specific mechanism of how EBV may cause MS, i.e. it could point for example towards “molecular mimicry”, which is when antibodies targeting a pathogen start targeting a body-own structure (for example in the brain) which resembles the protein parts of the pathogen.
Author Interviews, Colon Cancer, JAMA / 19.03.2024

MedicalResearch.com Interview with: [caption id="attachment_61447" align="alignleft" width="92"]Eric Montminy MDInterventional Endoscopist Cook County Health and Hospitals System Chicago, Illinois Dr. Montminy[/caption] Eric Montminy MD Interventional Endoscopist Cook County Health and Hospitals System Chicago, Illinois   MedicalResearch.com: What is the background for this study? Response: This study was performed in the backdrop of recent colorectal cancer screening guideline updates.  Two national organizations are recommending screening initiation at two different ages: USPSTF recommends initiation at age 45 and the American College of Physicians (ACP) recommends initiation at age 50. With now two national organizations recommending different ages to start screening, patients may become confused (particularly those between 45-50).  Prior confusion has been documented when breast cancer screening recommendations were being changed as well.  Our focus was to examine colorectal adenocarcinoma incidence rates with stage stratification of those who are between the ACP and USPSTF recommendations (ages 46-49). Our study utilized SEER17 data registries over 2000-2020 to collect incidence rates within the U.S. 
Author Interviews, Environmental Risks, Infections, PNAS / 14.03.2024

MedicalResearch.com Interview with: [caption id="attachment_61436" align="alignleft" width="125"]Dr. Fangqun Yu Dr. Fangqun Yu[/caption] Dr. Fangqun Yu PhD Senior Research Faculty Atmospheric Sciences Research Center University Albany, State University of New York https://www.albany.edu/~yfq   [caption id="attachment_61437" align="alignleft" width="125"]Dr. Arshad Arjunan Nair Dr. Arshad Nair[/caption] Dr. Arshad Arjunan Nair PhD Postdoctoral Associate Atmospheric Sciences Research Center University at Albany, State University of New York https://www.albany.edu/~an688965   MedicalResearch.com: What is the background for this study? What are the main findings? Dr. Fangqun Yu: Legionnaires’ disease is a severe form of pneumonia with a fatality rate of 10-25% caused by inhaling or aspirating Legionella, bacteria that thrive in built environment water systems. Those most vulnerable to this disease are male, over 50 years of age, have a history of smoking, have chronic respiratory diseases, diabetes, are immunocompromised, and/or minorities. The US observed a nearly nine-fold increase in Legionnaires’ disease between 2000 and 2018, with New York State having one of the highest increases in disease rates. The reasons for the increase in incidence were unclear prior to this study. In our study, we found: (1) Declining sulfur dioxide concentrations (SO2) are strongly correlated with the increase in legionellosis cases and a physical mechanism explaining this link is proposed, (2) A geostatistical epidemiological analysis links the disease with exposure to cooling towers, and (3) Climate and weather are ruled out as factors responsible for the long-term increase in case numbers (outside of seasonal trends).
ADHD, Author Interviews, Dermatology, JAMA, Mental Health Research / 08.03.2024

MedicalResearch.com Interview with: [caption id="attachment_61409" align="alignleft" width="125"]Dr. Joy Wan M.D., M.S.C.E.Assistant Professor of Dermatology Johns Hopkins University School of Medicine Dr. Wan[/caption] Dr. Joy Wan M.D., M.S.C.E. Assistant Professor of Dermatology Johns Hopkins University School of Medicine MedicalResearch.com: What is the background for this study? Response: There has been a growing body of literature linking atopic dermatitis with diagnoses such as ADHD and learning disabilities, but studies focusing on symptoms of cognitive impairment (in contrast to relying on reported diagnoses as proxy measures of such) have been fewer and demonstrate inconsistent findings. Thus, we were interested in using data from this nationally representative sample of U.S. children to examine whether atopic dermatitis was associated with symptoms of learning or memory difficulties. Moreover, we wanted to examine how this relationship is influenced by known neurodevelopmental conditions to further characterize whether specific subgroups of children with atopic dermatitis are more susceptible to cognitive impairments.
Author Interviews, Cognitive Issues, COVID -19 Coronavirus, Imperial College, NEJM / 29.02.2024

MedicalResearch.com Interview with: [caption id="attachment_61356" align="alignleft" width="150"]Prof. Adam Hampshire Ph.D.Faculty of Medicine, Department of Brain Sciences Professor in Restorative Neurosciences Imperial College London Prof. Hampshire[/caption] Prof. Adam Hampshire Ph.D. Faculty of Medicine, Department of Brain Sciences Professor in Restorative Neurosciences Imperial College London MedicalResearch.com: What is the background for this study? Response: Cognitive symptoms after coronavirus disease 2019 (Covid-19), the disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), are well-recognized. Whether objectively measurable cognitive deficits exist and how long they persist are unclear.
AHA Journals, Author Interviews, Biomarkers, Brigham & Women's - Harvard, Heart Disease / 27.02.2024

MedicalResearch.com Interview with: [caption id="attachment_61359" align="alignleft" width="150"]Dr. Hoshi Dr. Hoshi[/caption] Rosangela Akemi Hoshi, Ph.D. Lemann Foundation Cardiovascular Research Postdoctoral Fellowship Center for Lipid Metabolomics Divisions of Preventive and Cardiovascular Medicine Brigham and Women's Hospital Boston, MA  MedicalResearch.com: What is the background for this study? Would you describe the IgG N-glycan profile? Response: Glycans are sugar coatings of proteins, made of monosaccharide building blocks, that are involved in a variety of biological pathways.  Different sugar structures can dictate or modify the protein’s activity through specific interactions with cellular receptors. For example, proteins lacking glycans have a reduced level or a complete loss of function. Glycans are of such importance that the 2022 Nobel Prize in chemistry was awarded for glycan-based science. In this study, we examined glycans attached to Immunoglobulins G (IgG) and their link with incidence of cardiovascular disease (CVD) due to their impact on IgG inflammatory properties. Since inflammation is not only a cause, but also an aggravating factor and a mediator of a worse prognosis in cardiometabolic disorders and CVD, we investigated whether different glycan structures may characterize an at-risk phenotype for CVD development. Determining glycan profiles involved in multiple conditions can serve prognostic and diagnostic purposes. Yet, unlike other types of macromolecules, glycans are still not as much explored, characterizing a promising but underappreciated class that should be further investigated.
Author Interviews, Nature, Technology, University of Pittsburgh / 26.02.2024

MedicalResearch.com Interview with: [caption id="attachment_61350" align="alignleft" width="150"]Jishnu Das, Ph.D.Center for Systems Immunology Departments of Immunology and Computational & Systems Biology, Assistant Professor School of Medicine University of Pittsburgh Dr. Das[/caption] Jishnu Das, Ph.D. Center for Systems Immunology Departments of Immunology and Computational & Systems Biology, Assistant Professor School of Medicine University of Pittsburgh MedicalResearch.com:  What is the background for this study? How does this new AI model work?  How is it different from other models? Response: Modern multi-omic technologies generate an enormous amount of data across scales of organization, and with differing resolution. While recent machine learning methods have harnessed these to predict clinical/physiological outcomes, they are often black boxes that do not provide meaningful inference beyond prediction. Differences in data generation modalities, redundancy in the data, as well as large numbers of irrelevant features make inference of biological mechanisms from high-dimensional omic datasets challenging. To address these challenges, we developed a machine learning technique called SLIDE (Significant Latent Factor Interaction Discovery and Exploration). We reasoned that features that are directly measured by current technologies are constrained by strengths and weaknesses of current platforms. So, while some observed features may be excellent correlates of outcomes of interest, inferring biological mechanisms from these multi-omic datasets requires us to delve beyond the observable into the hidden states, i.e., latent factors. These hidden states encapsulate the true drivers of underlying biological processes and capture a complex multi-scale interplay between entities measured by these datasets. Our method moves beyond simple biomarkers/correlates (“the what”) to hidden states that actually explain clinical/physiological outcomes (“the how” and “the why”).
Accidents & Violence, Author Interviews, JAMA / 22.02.2024

MedicalResearch.com Interview with: Benjamin N. Breyer, MD, MAS Department of Urology Department of Epidemiology and Biostatistics University of California, San Francisco Adrian M. Fernandez, MD Department of Urology University of California, San Francisco MedicalResearch.com: What is the background for this study? Response: This is a cross-sectional study utilizing data from the National Electronic Injury Surveillance System (NEISS) to identify injuries and hospitalizations related to electric bicycles accidents in the United States from 2017-2022.  The NEISS database collates injury data associated with products, including electric bicycles, and samples a nationally representative selection of emergency departments. National estimates of e-bicycle injuries and hospitalizations were derived using estimates accounting for NEISS complex survey design.
Author Interviews, Inflammation, Kidney Disease, Nature, Rheumatology / 08.02.2024

MedicalResearch.com Interview with: [caption id="attachment_61322" align="alignleft" width="150"]A/Prof. Joshua Ooi, PhDHead, Regulatory T-cell Therapies Translational Research Facility Clinical Sciences at Monash Health, Monash University Dr. Ooi[/caption] A/Prof. Joshua Ooi, PhD Head, Regulatory T-cell Therapies Translational Research Facility Clinical Sciences at Monash Health, Monash University MedicalResearch.com: What is the background for this study? Response: In 2017, we published a landmark Nature paper showing that people who are protected from autoimmune disease have specialized molecules on immune cells. These specific molecules are missing in patients that develop autoimmune disease.
Author Interviews, Brigham & Women's - Harvard, Genetic Research, Hearing Loss, Lancet, Pediatrics / 29.01.2024

MedicalResearch.com Interview with: [caption id="attachment_61287" align="alignleft" width="180"]Zheng-Yi Chen, D.Phil.Department of Otolaryngology-Head and Neck Surger Harvard Medical School Boston, MA Dr. Zheng-Yi Chen[/caption] Zheng-Yi Chen, D.Phil. Department of Otolaryngology-Head and Neck Surger Harvard Medical School Boston, MA MedicalResearch.com: What is the background for this study?  Would you briefly explain the process and indication Response: This clinical trial is to use gene therapy to treat a type of genetic hearing loss. Genetic hearing loss mainly affects children. One in 600 newborns can have genetic hearing loss. There is no drug treatment for any type of hearing loss except for cochlear implants, which have limitations. This study focuses on a type of genetic hearing loss, DFNB9, due to a missing gene called Otoferlin. Without Otoferlin,  children are born with complete hearing loss and without the capacity to speak. The goal of the trial is to study if gene therapy is safe and efficacious in treating children so they can regain hearing and the ability to speak.
Author Interviews, Hearing Loss, JAMA, Pediatrics, USPSTF / 28.01.2024

MedicalResearch.com Interview with: [caption id="attachment_61045" align="alignleft" width="150"]Li Li, M.D., Ph.D., M.P.H. The Walter M. Seward Professor and Chair of Family Medicine University of Virginia (UVA) School of Medicine Director of Population Health at UVA Health Dr. Li Li[/caption] Li Li, M.D., Ph.D., M.P.H Walter M. Seward Professor Chair of Family Medicine Director of population health University of Virginia School of Medicine Editor-in-chief of The BMJ Family Medicine Dr. Li joined the U.S. Preventive Services Task Force in January 2021   MedicalResearch.com: What is the background for this study? What are the main findings? Response: Speech and language delays and disorders can be challenging for children and their families and can lead to difficulties with reading and writing as children grow up. The Task Force looked at the evidence on screening for speech and language delays and, unfortunately, there is not enough evidence to tell us whether or not it is helpful to screen all children 5 years old and younger for speech and language delays and disorders.
Accidents & Violence, Aging, Author Interviews, Cannabis, JAMA / 19.01.2024

MedicalResearch.com Interview with: [caption id="attachment_61266" align="alignleft" width="150"]Patricia Di Ciano, PhDScientist, Institute for Mental Health Policy Research, Centre for Addiction and Mental Health Assistant Professor, Department of Pharmacology and Toxicology University of Toronto Campbell Family Mental Health Research Institute Collaborative Program in Neuroscience Dr. Di Ciano[/caption] Patricia Di Ciano, PhD Scientist, Institute for Mental Health Policy Research, Centre for Addiction and Mental Health Assistant Professor, Department of Pharmacology and Toxicology University of Toronto Campbell Family Mental Health Research Institute Collaborative Program in Neuroscience MedicalResearch.com: What is the background for this study? Response: It is now fairly well established that cannabis has a detrimental effect on driving. The most consistently reported effect of cannabis on driving is to increase ‘weaving’ on the road. We know that cannabis use is on the rise in people over 65 years of age. In fact, over the past few years cannabis use is increasing the most in this age group. Despite this, there are few studies of the effects of cannabis on people over 65; most studies have been conducted on younger adults. We know that there are important age-related changes in the way the body works that may alter the impact of cannabis on the body. Also, older adults may have more experience with cannabis and this can change the effects of cannabis.
Author Interviews, Heart Disease, NEJM / 18.01.2024

MedicalResearch.com Interview with: [caption id="attachment_61263" align="alignleft" width="214"]John Sapp MD FRCPC FHRSHeart Rhythm, Division of Cardiology QEII Health Sciences Centre Dalhousie University Dr. Sapp[/caption] John Sapp MD FRCPC FHRSHeart Rhythm, Division of Cardiology QEII Health Sciences Centre Dalhousie University MedicalResearch.com: What is the background for this study? Response: Cardiac resynchronization is a robust therapy for heart failure in patients with ventricular dysfunction, left bundle branch block and left bundle branch block. It has been shown to improve heart failure status, symptoms, survival and reduce new onset ventricular arrhythmias for appropriate candidates. The RAFT study (NEJM 2010) enrolled patients with functional class II and III heart failure, wide QRS duration on ECG and reduced left ventricular ejection fraction, and demonstrated a reduction in heart failure hospitalization and mortality during a mean follow-up of 44 months. The long-term outcomes are not known.
Author Interviews, Immunotherapy, Kidney Disease, NEJM / 15.01.2024

MedicalResearch.com Interview with: VisterraMohit Mathur MD, FASN, FNKF, FRCP (Glasgow) Clinical fellow in Nephrology at UofT DM (Nephrology), MRCP.UK (SCE in Nephrology). Director, Clinical Development Visterra Waltham, MA 02451 MedicalResearch.com: What is the background for this study? Would you briefly describe the condition of IgA Nephropathy? Response: IgA Nephropathy is the commonest primary glomerular disease in the world. It is an autoimmune kidney disease that typically presents with urinary abnormalities, elevated blood pressure and reduced kidney function. Until recently IgAN was considered to be a benign disease, but recent studies have indicated that a majority of patients will progress to End stage kidney disease in their lifetime. Steroids have been the mainstay of treatment in IgAN, but they come at a very high burden of side effects. Thus, there is an urgent requirement to develop novel and safe treatment options for patients with IgAN. APRIL is considered to be a key cytokine implicated in the pathogenesis of IgAN, hence we decided to target APRIL as a therapeutic modality in IgAN.
Author Interviews, JAMA, Nutrition, Sugar / 12.01.2024

MedicalResearch.com Interview with: Scott Kaplan PhD Assistant Professor of Economics United States Naval Academy Annapolis, MD 21402 Scott Kaplan PhD Assistant Professor of Economics United States Naval Academy Annapolis, MD 21402   MedicalResearch.com: What is the background for this study? Response: Sugar-sweetened beverages (colloquially known as SSBs), which include sodas, fruit drinks, sports drinks, energy drinks, and sweetened coffee drinks, are the leading source of added sugars in the American diet, according to the CDC. They are associated with serious negative health outcomes, including type 2 diabetes, obesity, heart disease, kidney disease, non-alcoholic liver disease, gum disease, tooth decay, and other conditions. As a result, several cities across the US have implemented sugar-sweetened beverage excise (per ounce) taxes, generally ranging from 1-2 cents per ounce. Most existing studies evaluating the impact of SSB taxes on SSB volume purchased and prices focus on a single city; this study is among the first to provide a composite estimate of the impact of local SSB taxes on purchases and prices of SSBs using retail scanner data from five cities across the US that implemented SSB taxes between January 1, 2017 and January 1, 2018. The five taxed cities we examine are Philadelphia, San Francisco, Oakland, Boulder, and Seattle. 
Author Interviews, Cost of Health Care, JAMA, Kidney Disease, Medicare / 11.01.2024

MedicalResearch.com Interview with: [caption id="attachment_61226" align="alignleft" width="134"]Kalli Koukounas, MPHPh.D. Student, Health Services Research Brown University School of Public Health Providence, RI Kalli Koukounas[/caption] Kalli Koukounas, MPH Ph.D. Student, Health Services Research Brown University School of Public Health Providence, RI MedicalResearch.com: What is the background for this study? Response:  On Jan. 1st, 2021, the Centers for Medicare and Medicaid Services (CMS) implemented the End-Stage Renal Disease Treatment Choices (ETC) Model, one of the largest randomized tests of pay-for-performance incentives ever conducted in the US. The goal of the model was to enhance the use of home dialysis and kidney transplant or waitlisting among kidney failure patients in traditional Medicare. The model randomly assigned approximately 30% of US dialysis facilities and nephrologists to receive financial incentives, ranging from bonuses of 4% to penalties of 5%, based on their patients’ use of home dialysis and kidney transplant/waitlisiting. The payment adjustments apply to all Medicare-based reimbursement for dialysis services. Prior research has demonstrated that dialysis facilities that disproportionately serve populations with high social risk have lower use of home dialysis and kidney transplant, raising concerns that these sites may fare poorly in the payment model. Using data released by CMS, we examined the first year of ETC model performance and financial penalties across dialysis facilities, stratified by the measured social risk of the facilities’ incident patients.