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  1. Article ; Online: [No title information]

    Ng, T S Brandon / Leblanc, Kori / Yeung, Darwin F / Tsang, Teresa S M

    Canadian family physician Medecin de famille canadien

    2021  Volume 67, Issue 3, Page(s) e69–e78

    Title translation Médicaments utilisés durant la COVID-19: Examen des données probantes récentes.
    MeSH term(s) COVID-19/epidemiology ; Drug Therapy ; Humans ; Pharmaceutical Preparations ; SARS-CoV-2 ; COVID-19 Drug Treatment
    Chemical Substances Pharmaceutical Preparations
    Language French
    Publishing date 2021-03-16
    Publishing country Canada
    Document type Journal Article ; Review
    ZDB-ID 603565-6
    ISSN 1715-5258 ; 0008-350X
    ISSN (online) 1715-5258
    ISSN 0008-350X
    DOI 10.46747/cfp.6703e69
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Medication use during COVID-19: Review of recent evidence.

    Ng, T S Brandon / Leblanc, Kori / Yeung, Darwin F / Tsang, Teresa S M

    Canadian family physician Medecin de famille canadien

    2021  Volume 67, Issue 3, Page(s) 171–179

    Abstract: Objective: To keep health care providers, in response to the ongoing coronavirus disease 2019 (COVID-19) pandemic, informed about the medications that have been proposed to treat the disease and the evidence supporting their use.: Quality of evidence!# ...

    Abstract Objective: To keep health care providers, in response to the ongoing coronavirus disease 2019 (COVID-19) pandemic, informed about the medications that have been proposed to treat the disease and the evidence supporting their use.
    Quality of evidence: A narrative review of medications most widely used to treat COVID-19 was conducted, outlining the best available evidence for each pharmacologic treatment to date. Searches were performed in PubMed, EMBASE, and MEDLINE using key words
    Main message: While current management of patients with COVID-19 largely involves supportive care, without a widely available vaccine, practitioners have also resorted to repurposing medications used for other indications. This has caused considerable controversy, as many of these treatments have limited clinical evidence supporting their use and therefore pose implications for patient safety, drug access, and public health. For instance, medications such as hydroxychloroquine and chloroquine, lopinavir-ritonavir, nonsteroidal anti-inflammatory drugs, angiotensin-converting enzyme inhibitors, and angiotensin receptor blockers gained widespread media attention owing to hype, misinformation, or misinterpretation of research evidence.
    Conclusion: Given the severity of the pandemic and the potential broad effects of implementing safe and effective treatment, this article provides a narrative review of the current evidence behind the most widely used medications to treat COVID-19 in order to enable health care practitioners to make informed decisions in the care of patients with this life-threatening disease.
    MeSH term(s) Angiotensin-Converting Enzyme Inhibitors/therapeutic use ; Antiviral Agents/therapeutic use ; Chloroquine/therapeutic use ; Drug Therapy, Combination ; Evidence-Based Medicine ; Humans ; Hydroxychloroquine/therapeutic use ; Immunoglobulins/therapeutic use ; COVID-19 Drug Treatment
    Chemical Substances Angiotensin-Converting Enzyme Inhibitors ; Antiviral Agents ; Immunoglobulins ; Hydroxychloroquine (4QWG6N8QKH) ; Chloroquine (886U3H6UFF)
    Language English
    Publishing date 2021-03-16
    Publishing country Canada
    Document type Journal Article ; Review
    ZDB-ID 603565-6
    ISSN 1715-5258 ; 0008-350X
    ISSN (online) 1715-5258
    ISSN 0008-350X
    DOI 10.46747/cfp.6703171
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  3. Article ; Online: KCC2 is required for the survival of mature neurons but not for their development.

    Kontou, Georgina / Josephine Ng, Shu Fun / Cardarelli, Ross A / Howden, Jack H / Choi, Catherine / Ren, Qiu / Rodriguez Santos, Miguel A / Bope, Christopher E / Dengler, Jake S / Kelley, Matt R / Davies, Paul A / Kittler, Josef T / Brandon, Nicholas J / Moss, Stephen J / Smalley, Joshua L

    The Journal of biological chemistry

    2021  Volume 296, Page(s) 100364

    Abstract: ... The ... ...

    Abstract The K
    MeSH term(s) Animals ; Apoptosis ; Chlorides/metabolism ; Female ; Male ; Mice ; Mice, Inbred C57BL ; Mice, Knockout ; Neurogenesis/drug effects ; Neurons/metabolism ; Neurons/physiology ; Potassium/metabolism ; Primary Cell Culture ; Receptors, GABA/metabolism ; Seizures ; Symporters/metabolism ; Symporters/physiology ; gamma-Aminobutyric Acid/metabolism ; K Cl- Cotransporters
    Chemical Substances Chlorides ; Receptors, GABA ; Symporters ; gamma-Aminobutyric Acid (56-12-2) ; Potassium (RWP5GA015D)
    Language English
    Publishing date 2021-02-02
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2997-x
    ISSN 1083-351X ; 0021-9258
    ISSN (online) 1083-351X
    ISSN 0021-9258
    DOI 10.1016/j.jbc.2021.100364
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  4. Article: Clinical variables for predicting type-1 and type-2 non-ST segment elevation myocardial infarction in those presenting with ischemic symptoms.

    Ha, Edward T / Ng, Brandon / Afshaq, Abeer / Fleischman, Eitan / Hosain, Batool / Sharma, Roohi / Gaeta, Theodore J / Parikh, Manish / Peterson, Stephen J / Aronow, Wilbert S

    Archives of medical sciences. Atherosclerotic diseases

    2022  Volume 7, Page(s) e42–e48

    Abstract: Introduction: The accuracy of detecting myocardial infarction (MI) has greatly improved with the advent of more sensitive assays, and this has led to etiologic subtyping. Distinguishing between type 1 and type 2 non-ST-segment elevation myocardial ... ...

    Abstract Introduction: The accuracy of detecting myocardial infarction (MI) has greatly improved with the advent of more sensitive assays, and this has led to etiologic subtyping. Distinguishing between type 1 and type 2 non-ST-segment elevation myocardial infarction (NSTEMI) early in the clinical course allows for the most appropriate advanced diagnostic procedures and most efficacious treatments. The purpose of this study was to investigate the predictive effect of demographic and clinical variables on predicting NSTEMI subtypes in patients presenting with ischemic symptoms.
    Material and methods: We performed a single institution retrospective cohort study of patients who presented to the emergency department (ED) with ischemic signs and symptoms consistent with non-ST-segment myocardial infarction, for whom results of coronary angiography were available. We analyzed demographic, laboratory, echocardiography and angiography data to determine predictors of NSTEMI sub-types.
    Results: Five hundred and forty-six patients were enrolled; 426 patients were found on coronary angiography to have type 1 acute MI (T1AMI), whereas 120 patients had type 2 acute MI (T2AMI). Age (OR per year = 1.03 (1.00, 1.05),
    Conclusions: Key clinical variables such as age, prior MI, L/H ratio, percentage change in troponin I, and presence of RWMA on echocardiogram may be utilized as significant predictors of T1AMI in patients presenting with ischemic symptoms to the ED.
    Language English
    Publishing date 2022-07-08
    Publishing country Poland
    Document type Journal Article
    ISSN 2451-0629
    ISSN 2451-0629
    DOI 10.5114/amsad/149921
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  5. Article ; Online: Biomarkers of pembrolizumab efficacy in advanced anal squamous cell carcinoma: analysis of a phase II clinical trial and a cohort of long-term responders.

    Huffman, Brandon M / Singh, Harshabad / Ali, Lestat R / Horick, Nora / Wang, S Jennifer / Hoffman, Megan T / Metayer, Katherine A / Murray, Shayla / Bird, Alexandra / Abrams, Thomas A / Biller, Leah H / Chan, Jennifer A / Meyerhardt, Jeffrey A / McCleary, Nadine J / Goessling, Wolfram / Patel, Anuj K / Wisch, Jeffrey S / Yurgelun, Matthew B / Mouw, Kent /
    Reardon, Brendan / Van Allen, Eliezer M / Zerillo, Jessica A / Clark, Jeffrey W / Parikh, Aparna / Mayer, Robert J / Schlechter, Benjamin / Ng, Kimmie / Kumar, Sunil / Del Vecchio Fitz, Catherine / Kuperwasser, Charlotte / Hanna, Glenn J / Coveler, Andrew L / Rubinson, Douglas A / Welsh, Emma L / Pfaff, Kathleen / Rodig, Scott / Dougan, Stephanie K / Cleary, James M

    Journal for immunotherapy of cancer

    2024  Volume 12, Issue 1

    Abstract: ... T cells on pretreatment biopsy. Patients who benefited from pembrolizumab had decreasing TTMV-HPV DNA ... anal cancers have low numbers of tumor-associated CD8+PD-1+ T cells and are resistant to pembrolizumab. ...

    Abstract Background: Recent trials suggest that programmed cell death 1 (PD-1)-directed immunotherapy may be beneficial for some patients with anal squamous cell carcinoma and biomarkers predictive of response are greatly needed.
    Methods: This multicenter phase II clinical trial (NCT02919969) enrolled patients with metastatic or locally advanced incurable anal squamous cell carcinoma (n=32). Patients received pembrolizumab 200 mg every 3 weeks. The primary endpoint of the trial was objective response rate (ORR). Exploratory objectives included analysis of potential predictive biomarkers including assessment of tumor-associated immune cell populations with multichannel immunofluorescence and analysis of circulating tumor tissue modified viral-human papillomavirus DNA (TTMV-HPV DNA) using serially collected blood samples. To characterize the clinical features of long-term responders, we combined data from our prospective trial with a retrospective cohort of patients with anal cancer treated with anti-PD-1 immunotherapy (n=18).
    Results: In the phase II study, the ORR to pembrolizumab monotherapy was 9.4% and the median progression-free survival was 2.2 months. Despite the high level of HPV positivity observed with circulating TTMV-HPV DNA testing, the majority of patients had low levels of tumor-associated CD8+PD-1+ T cells on pretreatment biopsy. Patients who benefited from pembrolizumab had decreasing TTMV-HPV DNA scores and a complete responder's TTMV-HPV DNA became undetectable. Long-term pembrolizumab responses were observed in one patient from the trial (5.3 years) and three patients (2.5, 6, and 8 years) from the retrospective cohort. Long-term responders had HPV-positive tumors, lacked liver metastases, and achieved a radiological complete response.
    Conclusions: Pembrolizumab has durable efficacy in a rare subset of anal cancers. However, despite persistence of HPV infection, indicated by circulating HPV DNA, most advanced anal cancers have low numbers of tumor-associated CD8+PD-1+ T cells and are resistant to pembrolizumab.
    MeSH term(s) Humans ; Retrospective Studies ; Prospective Studies ; Programmed Cell Death 1 Receptor ; Papillomavirus Infections ; Carcinoma, Squamous Cell/drug therapy ; Anus Neoplasms/drug therapy ; DNA ; Antibodies, Monoclonal, Humanized
    Chemical Substances pembrolizumab (DPT0O3T46P) ; Programmed Cell Death 1 Receptor ; DNA (9007-49-2) ; Antibodies, Monoclonal, Humanized
    Language English
    Publishing date 2024-01-25
    Publishing country England
    Document type Multicenter Study ; Clinical Trial, Phase II ; Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2719863-7
    ISSN 2051-1426 ; 2051-1426
    ISSN (online) 2051-1426
    ISSN 2051-1426
    DOI 10.1136/jitc-2023-008436
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: RAS/RAF Comutation and ERBB2 Copy Number Modulates HER2 Heterogeneity and Responsiveness to HER2-directed Therapy in Colorectal Cancer.

    Singh, Harshabad / Sahgal, Pranshu / Kapner, Kevin / Corsello, Steven M / Gupta, Hersh / Gujrathi, Rahul / Li, Yvonne Y / Cherniack, Andrew D / El Alam, Raquelle / Kerfoot, Joseph / Andrews, Elizabeth / Lee, Annette / Nambiar, Chetan / Hannigan, Alison M / Remland, Joshua / Brais, Lauren / Leahy, Meghan E / Rubinson, Douglas A / Schlechter, Benjamin L /
    Meyerson, Matthew / Kuang, Yanan / Paweletz, Cloud P / Lee, Jessica K / Quintanilha, Julia C F / Aguirre, Andrew J / Perez, Kimberly J / Huffman, Brandon M / Rossi, Humberto / Abrams, Thomas A / Kabraji, Sheheryar / Trusolino, Livio / Bertotti, Andrea / Sicinska, Ewa T / Parikh, Aparna R / Wolpin, Brian M / Schrock, Alexa B / Giannakis, Marios / Ng, Kimmie / Meyerhardt, Jeffrey A / Hornick, Jason L / Sethi, Nilay S / Cleary, James M

    Clinical cancer research : an official journal of the American Association for Cancer Research

    2024  Volume 30, Issue 8, Page(s) 1669–1684

    Abstract: Purpose: ERBB2-amplified colorectal cancer is a distinct molecular subtype with expanding treatments. Implications of concurrent oncogenic RAS/RAF alterations are not known.: Experimental design: Dana-Farber and Foundation Medicine Inc. Colorectal ... ...

    Abstract Purpose: ERBB2-amplified colorectal cancer is a distinct molecular subtype with expanding treatments. Implications of concurrent oncogenic RAS/RAF alterations are not known.
    Experimental design: Dana-Farber and Foundation Medicine Inc. Colorectal cancer cohorts with genomic profiling were used to identify ERBB2-amplified cases [Dana-Farber, n = 47/2,729 (1.7%); FMI, n = 1857/49,839 (3.7%)]. Outcomes of patients receiving HER2-directed therapies are reported (Dana-Farber, n = 9; Flatiron Health-Foundation Medicine clinicogenomic database, FH-FMI CGDB, n = 38). Multisite HER2 IHC and genomic profiling were performed to understand HER2 intratumoral and interlesional heterogeneity. The impact of concurrent RAS comutations on the effectiveness of HER2-directed therapies were studied in isogenic colorectal cancer cell lines and xenografts.
    Results: ERBB2 amplifications are enriched in left-sided colorectal cancer. Twenty percent of ERBB2-amplified colorectal cancers have co-occurring oncogenic RAS/RAF alterations. While RAS/RAF WT colorectal cancers typically have clonal ERBB2 amplification, colorectal cancers with co-occurring RAS/RAF alterations have lower level ERRB2 amplification, higher intratumoral heterogeneity, and interlesional ERBB2 discordance. These distinct genomic patterns lead to differential responsiveness and patterns of resistance to HER2-directed therapy. ERBB2-amplified colorectal cancer with RAS/RAF alterations are resistant to trastuzumab-based combinations, such as trastuzumab/tucatinib, but retain sensitivity to trastuzumab deruxtecan in in vitro and murine models. Trastuzumab deruxtecan shows clinical efficacy in cases with high-level ERBB2-amplified RAS/RAF coaltered colorectal cancer.
    Conclusions: Co-occurring RAS/RAF alterations define a unique subtype of ERBB2-amplified colorectal cancer that has increased intratumoral heterogeneity, interlesional discordance, and resistance to trastuzumab-based combinations. Further examination of trastuzumab deruxtecan in this previously understudied cohort of ERBB2-amplified colorectal cancer is warranted.
    MeSH term(s) Humans ; Animals ; Mice ; DNA Copy Number Variations ; Gene Amplification ; Colorectal Neoplasms/drug therapy ; Colorectal Neoplasms/genetics ; Colorectal Neoplasms/metabolism ; Receptor, ErbB-2/metabolism ; Trastuzumab/pharmacology ; Trastuzumab/therapeutic use ; Treatment Outcome ; Mutation
    Chemical Substances Receptor, ErbB-2 (EC 2.7.10.1) ; Trastuzumab (P188ANX8CK) ; ERBB2 protein, human (EC 2.7.10.1)
    Language English
    Publishing date 2024-02-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1225457-5
    ISSN 1557-3265 ; 1078-0432
    ISSN (online) 1557-3265
    ISSN 1078-0432
    DOI 10.1158/1078-0432.CCR-23-2581
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  7. Article ; Online: Development of Expert-Level Classification of Seizures and Rhythmic and Periodic Patterns During EEG Interpretation.

    Jing, Jin / Ge, Wendong / Hong, Shenda / Fernandes, Marta Bento / Lin, Zhen / Yang, Chaoqi / An, Sungtae / Struck, Aaron F / Herlopian, Aline / Karakis, Ioannis / Halford, Jonathan J / Ng, Marcus C / Johnson, Emily L / Appavu, Brian L / Sarkis, Rani A / Osman, Gamaleldin / Kaplan, Peter W / Dhakar, Monica B / Arcot Jayagopal, Lakshman /
    Sheikh, Zubeda / Taraschenko, Olga / Schmitt, Sarah / Haider, Hiba A / Kim, Jennifer A / Swisher, Christa B / Gaspard, Nicolas / Cervenka, Mackenzie C / Rodriguez Ruiz, Andres A / Lee, Jong Woo / Tabaeizadeh, Mohammad / Gilmore, Emily J / Nordstrom, Kristy / Yoo, Ji Yeoun / Holmes, Manisha G / Herman, Susan T / Williams, Jennifer A / Pathmanathan, Jay / Nascimento, Fábio A / Fan, Ziwei / Nasiri, Samaneh / Shafi, Mouhsin M / Cash, Sydney S / Hoch, Daniel B / Cole, Andrew J / Rosenthal, Eric S / Zafar, Sahar F / Sun, Jimeng / Westover, M Brandon

    Neurology

    2023  Volume 100, Issue 17, Page(s) e1750–e1762

    Abstract: Background and objectives: Seizures (SZs) and other SZ-like patterns of brain activity can harm the brain and contribute to in-hospital death, particularly when prolonged. However, experts qualified to interpret EEG data are scarce. Prior attempts to ... ...

    Abstract Background and objectives: Seizures (SZs) and other SZ-like patterns of brain activity can harm the brain and contribute to in-hospital death, particularly when prolonged. However, experts qualified to interpret EEG data are scarce. Prior attempts to automate this task have been limited by small or inadequately labeled samples and have not convincingly demonstrated generalizable expert-level performance. There exists a critical unmet need for an automated method to classify SZs and other SZ-like events with expert-level reliability. This study was conducted to develop and validate a computer algorithm that matches the reliability and accuracy of experts in identifying SZs and SZ-like events, known as "ictal-interictal-injury continuum" (IIIC) patterns on EEG, including SZs, lateralized and generalized periodic discharges (LPD, GPD), and lateralized and generalized rhythmic delta activity (LRDA, GRDA), and in differentiating these patterns from non-IIIC patterns.
    Methods: We used 6,095 scalp EEGs from 2,711 patients with and without IIIC events to train a deep neural network,
    Results: SPaRCNet
    Discussion: SPaRCNet
    Classification of evidence: This study provides Class II evidence that among patients with epilepsy or critical illness undergoing EEG monitoring,
    MeSH term(s) Humans ; Reproducibility of Results ; Hospital Mortality ; Seizures ; Electroencephalography/methods ; Epilepsy/diagnosis
    Language English
    Publishing date 2023-03-06
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S. ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 207147-2
    ISSN 1526-632X ; 0028-3878
    ISSN (online) 1526-632X
    ISSN 0028-3878
    DOI 10.1212/WNL.0000000000207127
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  8. Article ; Online: A prospective study of elderly initiating mirabegron versus antimuscarinics: Patient reported outcomes from the Overactive Bladder Satisfaction Scales and other instruments.

    Bunniran, Suvapun / Davis, Cralen / Kristy, Rita / Ng, Daniel / Schermer, Carol R / Uribe, Claudia / Suehs, Brandon T

    Neurourology and urodynamics

    2017  Volume 37, Issue 1, Page(s) 177–185

    Abstract: ... mirabegron or an antimuscarinic using a validated PRO instrument, OAB-Satisfaction (OAB-S).: Methods ... at any time or on any OAB-S scale. There were significant within-group differences at follow-up compared ... to baseline for OAB-S scales: "impact on daily living," with improvement over the 90-day survey period ...

    Abstract Aims: To understand differences in patient reported outcomes (PRO) between patients initiating mirabegron or an antimuscarinic using a validated PRO instrument, OAB-Satisfaction (OAB-S).
    Methods: This prospective observational study used real-time prescription claims from Humana to identify Medicare patients initiating mirabegron or an antimuscarinic to participate in a series of three phone surveys over ninety days.
    Results: A total of 1897 mirabegron and 2444 randomly selected antimuscarinic initiators were identified; 174 mirabegron and 193 antimuscarinic initiators completed all three surveys. Among responders, mirabegron initiators were slightly older (76 vs 75 years, P = 0.032), included more males (32% vs 23%, P = 0.044), more likely to have prior OAB treatment (21% vs 13%, P = 0.048), and had greater medication burden (number of unique medications: 10.0 vs 8.7, P = 0.014). There were no between-group differences at any time or on any OAB-S scale. There were significant within-group differences at follow-up compared to baseline for OAB-S scales: "impact on daily living," with improvement over the 90-day survey period for both mirabegron (P = 0.008) and antimuscarinic (P < 0.001); "interruption of day-to-day life," with improvement for both mirabegron (P < 0.001) and antimuscarinic (P < 0.001); and improvement in "OAB control" for mirabegron (P < 0.001) and antimuscarinic (P < 0.001).
    Conclusions: Mirabegron initiators tended to be older, had a greater number of unique medications and previously tried prescriptions to treat OAB; nonetheless, mirabegron, and antimuscarinic initiators reported similar trends in improvement in PROs over the first 90 days of treatment. Significant improvement in daily impact of OAB was observed after treatment initiation; however, no significant differences between groups were observed.
    MeSH term(s) Acetanilides/therapeutic use ; Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Muscarinic Antagonists/therapeutic use ; Patient Reported Outcome Measures ; Patient Satisfaction ; Prospective Studies ; Thiazoles/therapeutic use ; Treatment Outcome ; Urinary Bladder, Overactive/drug therapy ; Urological Agents/therapeutic use
    Chemical Substances Acetanilides ; Muscarinic Antagonists ; Thiazoles ; Urological Agents ; mirabegron (MVR3JL3B2V)
    Language English
    Publishing date 2017-03-31
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 604904-7
    ISSN 1520-6777 ; 0733-2467
    ISSN (online) 1520-6777
    ISSN 0733-2467
    DOI 10.1002/nau.23271
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  9. Article ; Online: Deep active learning for Interictal Ictal Injury Continuum EEG patterns.

    Ge, Wendong / Jing, Jin / An, Sungtae / Herlopian, Aline / Ng, Marcus / Struck, Aaron F / Appavu, Brian / Johnson, Emily L / Osman, Gamaleldin / Haider, Hiba A / Karakis, Ioannis / Kim, Jennifer A / Halford, Jonathan J / Dhakar, Monica B / Sarkis, Rani A / Swisher, Christa B / Schmitt, Sarah / Lee, Jong Woo / Tabaeizadeh, Mohammad /
    Rodriguez, Andres / Gaspard, Nicolas / Gilmore, Emily / Herman, Susan T / Kaplan, Peter W / Pathmanathan, Jay / Hong, Shenda / Rosenthal, Eric S / Zafar, Sahar / Sun, Jimeng / Brandon Westover, M

    Journal of neuroscience methods

    2020  Volume 351, Page(s) 108966

    Abstract: Objectives: Seizures and seizure-like electroencephalography (EEG) patterns, collectively referred to as "ictal interictal injury continuum" (IIIC) patterns, are commonly encountered in critically ill patients. Automated detection is important for ... ...

    Abstract Objectives: Seizures and seizure-like electroencephalography (EEG) patterns, collectively referred to as "ictal interictal injury continuum" (IIIC) patterns, are commonly encountered in critically ill patients. Automated detection is important for patient care and to enable research. However, training accurate detectors requires a large labeled dataset. Active Learning (AL) may help select informative examples to label, but the optimal AL approach remains unclear.
    Methods: We assembled >200,000 h of EEG from 1,454 hospitalized patients. From these, we collected 9,808 labeled and 120,000 unlabeled 10-second EEG segments. Labels included 6 IIIC patterns. In each AL iteration, a Dense-Net Convolutional Neural Network (CNN) learned vector representations for EEG segments using available labels, which were used to create a 2D embedding map. Nearest-neighbor label spreading within the embedding map was used to create additional pseudo-labeled data. A second Dense-Net was trained using real- and pseudo-labels. We evaluated several strategies for selecting candidate points for experts to label next. Finally, we compared two methods for class balancing within queries: standard balanced-based querying (SBBQ), and high confidence spread-based balanced querying (HCSBBQ).
    Results: Our results show: 1) Label spreading increased convergence speed for AL. 2) All query criteria produced similar results to random sampling. 3) HCSBBQ query balancing performed best. Using label spreading and HCSBBQ query balancing, we were able to train models approaching expert-level performance across all pattern categories after obtaining ∼7000 expert labels.
    Conclusion: Our results provide guidance regarding the use of AL to efficiently label large EEG datasets in critically ill patients.
    MeSH term(s) Cluster Analysis ; Electroencephalography ; Humans ; Neural Networks, Computer ; Seizures/diagnosis
    Language English
    Publishing date 2020-10-22
    Publishing country Netherlands
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 282721-9
    ISSN 1872-678X ; 0165-0270
    ISSN (online) 1872-678X
    ISSN 0165-0270
    DOI 10.1016/j.jneumeth.2020.108966
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  10. Article ; Online: Subcutaneous sodium valproate in palliative care: A systematic review.

    Tan, Sheryn / Ng, Jeng Swen / Tang, Charis / Stretton, Brandon / Kovoor, Joshua / Gupta, Aashray / Delloso, Thomson / Zhang, Tony / Goh, Rudy / El-Masri, Shaddy / Kiley, Michelle / Maddocks, Ian / Harroud, Adil / Stacpoole, Sybil / Crawford, Gregory / Bacchi, Stephen

    Palliative medicine

    2024  Volume 38, Issue 4, Page(s) 492–497

    Abstract: Background: Seizures are an important palliative symptom, the management of which can be complicated by patients' capacity to swallow oral medications. In this setting, and the wish to avoid intravenous access, subcutaneous infusions may be employed. ... ...

    Abstract Background: Seizures are an important palliative symptom, the management of which can be complicated by patients' capacity to swallow oral medications. In this setting, and the wish to avoid intravenous access, subcutaneous infusions may be employed. Options for antiseizure medications that can be provided subcutaneously may be limited. Subcutaneous sodium valproate may be an additional management strategy.
    Aim: To evaluate the published experience of subcutaneous valproate use in palliative care, namely with respect to effectiveness and tolerability.
    Design: A systematic review was registered (PROSPERO CRD42023453427), conducted and reported according to PRISMA reporting guidelines.
    Data sources: The databases PubMed, EMBASE and Scopus were searched for publications until August 11, 2023.
    Results: The searches returned 429 results, of which six fulfilled inclusion criteria. Case series were the most common study design, and most studies included <10 individuals who received subcutaneous sodium valproate. There were three studies that presented results on the utility of subcutaneous sodium valproate for seizure control, which described it to be an effective strategy. One study also described it as an effective treatment for neuropathic pain. The doses were often based on presumed 1:1 oral to subcutaneous conversion ratios. Only one study described a local site adverse reaction, which resolved with a change of administration site.
    Conclusions: There are limited data on the use of subcutaneous sodium valproate in palliative care. However, palliative symptoms for which subcutaneous sodium valproate have been used successfully are seizures and neuropathic pain. The available data have described few adverse effects, supporting its use with an appropriate degree of caution.
    MeSH term(s) Humans ; Valproic Acid/adverse effects ; Palliative Care ; Seizures/chemically induced ; Seizures/drug therapy ; Neuralgia/drug therapy
    Chemical Substances Valproic Acid (614OI1Z5WI)
    Language English
    Publishing date 2024-03-05
    Publishing country England
    Document type Systematic Review ; Journal Article
    ZDB-ID 639247-7
    ISSN 1477-030X ; 0269-2163
    ISSN (online) 1477-030X
    ISSN 0269-2163
    DOI 10.1177/02692163241234597
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