Beth Israel Deaconess Medical Center

A multi-site benchmarking framework for scalable extraction of geriatric care constructs from electronic health records

Current Natural Language Processing (NLP) algorithms for detecting geriatric conditions are largely limited to domain-specific models that fail to capture the interdependent, multidimensional nature of comprehensive geriatric assessment. This study aimed to develop and evaluate a...

Auditing sex/gender disparities in emergency triage with LLM-based paired comparisons

We present a domain-agnostic paired-comparison approach that uses Large Language Models (LLMs) to quantify sex/gender-related asymmetries in documented clinical decision-making. The method trains an LLM to emulate observed decisions, then evaluates sex-swapped pairs in which only...

Intraoperative Botulinum Toxin and Sialocele Incidence After Parotidectomy

ABSTRACT Objectives Postoperative sialocele is a complication of parotidectomy and, in some cases, may require multiple follow‐ups or necessitate needle aspiration. The purpose of this study was to assess whether intraoperative botulinum toxin A injection is associated with decre...

Neurotransmitters as regulators of autoimmunity: mechanisms and translational targeting

Autoimmune diseases arise from sustained breakdown of immune tolerance, chronic activation of innate and adaptive immune responses, and progressive tissue damage. Although cytokines, antigen receptor signaling, and genetic susceptibility have traditionally been considered the pri...

Microglial GRB2 is essential for brain ventriculogenesis and CSF homeostasis

Microglia play essential yet poorly understood roles in brain development, including axon guidance, regulation of neurogenesis, and pruning of neuronal projections. Congenital hydrocephalus (CH), characterized by enlarged cerebrospinal fluid (CSF)-filled ventricles, is a leading...

Advances in Colorectal Anastomoses

Abstract Anastomotic leak (AL) remains a major source of morbidity in colorectal surgery, with leak rates showing little change despite advances in technique and perioperative care. This persistent risk has prompted the development of novel technologies and strategies targeting d...

Minimal-length CAG repeats in AR define a hyperactive AR–LSD1 axis driving metabolic reprogramming in prostate cancer

The polymorphic CAG trinucleotide repeat in the androgen receptor ( AR ) gene encodes a variable-length N-terminal polyglutamine (polyQ) tract that modulates AR transcriptional activity, with shorter tracts generally enhancing AR activity. While the majority of men harbor CAG rep...

Narcolepsy

This JAMA Insights discusses the etiology, clinical presentation, diagnostic evaluation, and treatment of narcolepsy.

Quality standards for preclinical research in cardio-oncology

Preclinical research in cancer therapy-related cardiovascular toxicity (CTR-CVT) is a major domain of cardio-oncology and has provided biological explanation for the cardiovascular adverse effects of many cancer therapies. However, the choice of the experimental models to investi...

Omic risk scores are associated with COPD-related traits across three cohorts

Background: Chronic obstructive pulmonary disease (COPD) exhibits marked heterogeneity in lung function decline, mortality, exacerbations, and other disease-related outcomes. Omic risk scores (ORS) estimate the cumulative contribution of omics, such as the transcriptome, proteome...

Intranodal Embolization of Lymphocele Following Anterior Lumbar Interbody Fusion: Case Report

Postsurgical lymphocele is a rare complication following anterior lumbar interbody fusion (ALIF), for which ideal management remains controversial. Our study presents a case of a 70-year-old woman who underwent a multilevel anterior and posterior fusion from L3 to the pelvis with...

Longitudinal spatial multi-omics delineates tumor microenvironment remodeling across sequential EGFR-TKIs in EGFR-mutant NSCLC

Abstract Background Resistance to therapy is a frequent occurrence in patients with epidermal growth factor receptor (EGFR)-mutant non-small-cell lung cancer (NSCLC) who are treated with EGFR tyrosine kinase inhibitors (EGFR-TKIs). However, spatial information on how the tumor mi...

Superlarge-Bore Versus Large-Bore Aspiration Catheters in Mechanical Thrombectomy: A Multicenter Propensity-Matched Analysis

BACKGROUND AND OBJECTIVES: Aspiration catheters are an integral component of mechanical thrombectomy for acute ischemic stroke (AIS). Following early series demonstrating increasing procedural efficiency and improved outcomes with use of large-bore (LB) aspiration catheters, ther...

Immunogenicity and safety of seasonal influenza vaccine co-administered with other vaccines: a systematic review and meta-analysis

Abstract Seasonal influenza remains a leading cause of global morbidity and mortality, highlighting the need for vaccination strategies that improve coverage and streamline vaccine delivery. In this systematic review and meta-analysis, we searched PubMed, Embase, Web of Science,...

Data distribution impacts the performance and generalisability of contrastive learning-based foundation models of electrocardiograms

Contrastive learning is a widely adopted self-supervised pretraining strategy, yet its dependence on cohort composition remains underexplored. We present Contrasting by Augmented Patient Electrocardiograms (CAPE) foundation model and pretrain on four cohorts (n = 5,203,269), from...

Remote Recruitment to Diversify Infant Research Participation: Lessons From the Infant Vaccine Biepository

AIM: To determine whether remote recruitment, electronic consent and at-home blood collection enabled enrollment of a geographically and socioeconomically diverse infant cohort in the United States (US). METHODS: We describe the demographics of 256 infants included in this analys...

Development of adjuvanted HIV vaccines tailored for early life: immunologic rationale, clinical experience, and future directions

Purpose of review This review highlights the rationale for and clinical experience in advancing age-specific adjuvantation systems to develop well tolerated and effective pediatric HIV vaccines. Recent findings Due to both cellular and soluble factors, infant immunity is distinct...

Reference quality of OpenEvidence across five medical specialties

OpenEvidence (OE) is a retrieval-augmented clinical AI tool. We evaluated the references OE returned to 150 standardized prompts across five specialties, analyzing all 4979 citations. No reference was confirmed as fabricated; three abstracts had attribution errors. Most reference...

Antithrombotic therapy after percutaneous coronary intervention in patients with atrial fibrillation: an individual patient data network meta-analysis

BACKGROUND AND AIMS: Randomized trials demonstrated that in patients with atrial fibrillation (AF) undergoing percutaneous coronary intervention (PCI) direct oral anticoagulants (DOAC) and a P2Y12 inhibitor reduce bleeding compared with vitamin K antagonist (VKA) plus dual antipl...

Safety and Effectiveness of a Novel Dual-Energy Radiofrequency/Pulsed Field Ablation Catheter: 12 Month Results of the FlexPulse Study

BACKGROUND AND AIMS: Pulsed field (PF) ablation is increasingly used to treat paroxysmal atrial fibrillation (PAF). FlexPulse (NCT06676072) was conducted to evaluate safety and effectiveness of a novel dual-energy, flexible-tip focal ablation catheter with radiofrequency and PF f...