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The U-shaped relationship between admission peripheral oxygen saturation and all-cause hospital mortality in acute exacerbation of chronic obstructive pulmonary disease: a retrospective analysis using

2025-02-25
Highlight box Key findings • This study investigated the U-shaped nonlinear relationship between admission oxygen saturation (SpO2) and all-cause hospital mortality in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). The results showed that the lowest all-cause hospital mortality was observed at an SpO2 of 89.5%. Additionally, SpO2 was identified as an independent risk factor for predicting all-cause hospital mortality in AECOPD patients, providing valuable guidance for optimizing oxygen therapy in this population. What is known and what is new? • Most studies indicate that maintaining SpO2 levels between 88–92% provides ...

New research highlights wide variation in prostate cancer testing between GP practices

2025-02-25
A largescale study has found huge variation between GP practices on whether they are likely to pick up prostate cancer using a blood test. The University of Exeter led a study which aimed to investigate the proportion of patients whose prostate cancer was identified by using a prostate-specific antigen (PSA) test when patients had no symptoms. The research published in the British Journal of General Practice and funded by Cancer Research UK, and, has found that one in five patients with prostate cancer in England are diagnosed after PSA testing when they had no symptoms – fewer than previously thought. The PSA  test ...

Antidepressants linked to faster cognitive decline in dementia

2025-02-25
New research suggests that antidepressants can accelerate cognitive decline in people with dementia. At the same time, some drugs appear to be less harmful than others, which can help doctors make better treatment decisions, according to the study published in BMC Medicine. Antidepressants are often used to relieve symptoms such as anxiety, depression, aggressiveness, and sleep disturbances in dementia sufferers. However, a new observational study based on data from the Swedish Dementia Registry (SveDem) shows that patients with dementia who are treated with antidepressants experience an increased cognitive decline compared to patients who do not ...

DNA origami suggests route to reusable, multifunctional biosensors

DNA origami suggests route to reusable, multifunctional biosensors
2025-02-25
Using an approach called DNA origami, scientists at Caltech have developed a technique that could lead to cheaper, reusable biomarker sensors for quickly detecting proteins in bodily fluids, eliminating the need to send samples out to lab centers for testing. "Our work provides a proof-of-concept showing a path to a single-step method that could be used to identify and measure nucleic acids and proteins," says Paul Rothemund (BS '94), a visiting associate at Caltech in computing and mathematical sciences, and computation and neural systems. A paper describing the work recently appeared in the journal Proceedings of the National Academy of Sciences. The lead authors of ...

Virginia Tech study reveals that honeybee dance ‘styles’ sway food foraging success

Virginia Tech study reveals that honeybee dance ‘styles’ sway food foraging success
2025-02-25
As far as animals go, honeybees are world-class dancers. While not as deep and complex as a Super Bowl half-time show, the bees' moves, known as the “waggle" dance, convey very specific food foraging instructions to their nestmates. The direction the dancer moves explains to other bees which way to go, and the duration of the waggle dance, or the “run,” shows how far to go. Once other bees have been convinced to follow the directions, they are “recruited.” After receiving the instructions, these ...

Beehive sensors offer hope in saving honeybee colonies

2025-02-25
A UC Riverside computer science team has developed a sensor-based technology that could revolutionize commercial beekeeping by reducing colony losses and lowering labor costs. Called the Electronic Bee-Veterinarian, or EBV, the technology uses low-cost heat sensors and forecasting models to predict when hive temperatures may reach dangerous levels. The system provides remote beekeepers with early warnings, allowing them to take preventive action before their colonies collapse during extreme hot or cold weather or when the bees cannot regulate their hive temperature because of disease, pesticide exposure, food shortages, or other stressors. ...

Award-winning research may unlock universe’s origins

Award-winning research may unlock universe’s origins
2025-02-25
University of Texas at Arlington physicist Ben Jones has received an international honor for his contributions to developing advanced instruments used in particle physics research. Dr. Jones, an associate professor of physics, was awarded the 2025 International Committee for Future Accelerators (ICFA) Early Career Researcher Instrumentation Award. Presented by the ICFA Instrumentation Innovation and Development Panel, the award recognizes significant advancements in the innovation and development of new instrumentation for future accelerator experiments. He accepted the award last week at the 2025 Vienna ...

BRCA1 gene mutations may not be key to prostate cancer initiation, as previously thought

2025-02-25
Mutations in the BRCA1 gene that are either inherited (germline) or acquired (somatic) might not be key to the initiation of prostate cancer, as previously thought, suggests the first study of its kind, published online in the open access journal BMJ Oncology.   If confirmed in further studies, the findings suggest that it may be time to reassess current treatment with PARP (poly(ADP-ribose) polymerase) inhibitor drugs, which block the ability of cells, including cancer cells, to repair DNA damage, in men with BRCA1 genetic variants, say the researchers. A linked editorial suggests that the findings pave the way for greater refinement of genetic ...

Melatonin supplementation may help offset DNA damage linked to night shift work

2025-02-25
Melatonin supplementation may help offset the DNA damage associated with night shift work by boosting the body’s ability to repair it, suggest the findings of a small clinical trial published online in the journal Occupational & Environmental Medicine.   Larger studies looking at varying doses and the potential long term effects of melatonin supplementation are now warranted, conclude the researchers. Normal night-time production of the body clock hormone, melatonin, is suppressed in night shift workers. This compromises the body’s ability to repair oxidative DNA damage, the by-product of normal cellular processes, heightening the risk of ...

Common gynaecological disorders linked to raised heart and cerebrovascular disease risk

2025-02-25
Having one or more common gynaecological disorders, such as endometriosis or heavy or irregular periods, may be linked to a heightened risk of heart disease and conditions that affect blood flow to the brain (cerebrovascular disease), finds a pooled data analysis of the available evidence published online in the journal Heart. Although the quality of the studies included in the analysis was variable, the researchers nevertheless conclude that clinicians and the public need to be more aware of these associations to potentially mitigate the risks. Long term non-cancerous gynaecological disorders ...

Nerve fibers in the inner ear adjust sound levels and help compensate for hearing loss in mice, study finds

2025-02-25
The brain may play a role in helping the ear regulate its sensitivity to sound and compensate for hearing loss by sending a signal to a structure in the inner ear known as the cochlea, according to a study that was just published in the Journal of Neuroscience. The discovery could help researchers develop treatments for tough-to-treat hearing disorders such as hyperacusis, where everyday sounds seem uncomfortably loud, and tinnitus, a sensation of ringing, buzzing or other sound in the ear when there is no external source. The findings were powered by a new ...

ECMWF – Europe’s leading centre for weather prediction makes forecast data from AI model available to all

ECMWF – Europe’s leading centre for weather prediction makes forecast data from AI model available to all
2025-02-25
Embargo: 25 February 2025 00.01 AM GMT ECMWF – Europe’s leading centre for weather prediction makes forecast data from AI model available to all A newly operational model, known as the Artificial Intelligence Forecasting System (AIFS), has been launched by the European Centre for Medium-Range Weather Forecasts (ECMWF), an intergovernmental centre and leader in numerical weather prediction. For many measures including tropical cyclone tracks, the AIFS outperforms state-of-the-art physics-based models, with gains ...

New paper-based device boosts HIV test accuracy from dried blood samples

New paper-based device boosts HIV test accuracy from dried blood samples
2025-02-24
In parts of the world where traveling to a clinic for routine blood tests is a financial and logistical challenge, HIV patients increasingly have the option to collect and ship a drop of their blood in paper-based devices that absorb the sample and store it for analysis in far-away labs.  While this technology is helpful for tracking someone’s adherence to their drug regimen or monitoring disease progression, the most frequently used devices don’t control how much blood they collect, potentially leading to inaccurate readings of a person’s infection. Understanding this limitation, Charlie Mace, an associate professor at Tufts University’s ...

Pay-for-performance metrics must be more impactful and physician-controlled

2025-02-24
Pay-for-Performance Metrics Must Be More Impactful and Physician-Controlled Background: This editorial builds on a study by Brulin and Teoh, released ahead of the March/April 2025 issue of Annals of Family Medicine, which found that performance-based reimbursement is associated with lower perceived quality of care by increasing illegitimate tasks and moral distress for primary care physicians. Editorial Stance: Quality metrics and pay-for-performance initiatives are far more expensive than many patients, clinicians, or administrators realize. The authors call for more rigorous review through cluster randomized controlled trials both before and after implementation—and ...

GLP-1RAs may offer modest antidepressant effects compared to DPP4is but not SGLT-2is

2025-02-24
Follow @Annalsofim on X, Facebook, Instagram, threads, and Linkedin         Below please find summaries of new articles that will be published in the next issue of Annals of Internal Medicine. The summaries are not intended to substitute for the full articles as a source of information. This information is under strict embargo and by taking it into possession, media representatives are committing to the terms of the embargo not only on their own behalf, but also on behalf of the organization they represent.          ----------------------------       1. ...

Performance-based reimbursement increases administrative burden and moral distress, lowers perceived quality of care

Performance-based reimbursement increases administrative burden and  moral distress, lowers perceived quality of care
2025-02-24
Performance-Based Reimbursement Increases Administrative Burden and  Moral Distress, Lowers Perceived Quality of Care Background and Goal: Performance-based reimbursement (PBR) is a payment system in which clinics receive compensation based on the quality and outcomes of care they deliver, rather than the volume of services provided. Although designed to improve efficiency and effectiveness, the growth of PBR systems has been linked to increased administrative work for physicians. This study examined how PBR affects doctors' perceived ability to provide quality ...

Survey finds many Americans greatly overestimate primary care spending

2025-02-24
Survey Finds Many Americans Greatly Overestimate Primary Care Spending Background and Goal: This study, based on an online survey of 1,135 adults demographically representative of the U.S. population, aimed to measure public perceptions of primary care spending. Key Insights: Respondents believed that 51.8% of overall health care spending goes to primary care—more than 10 times the documented share of 4.7%. Additionally, respondents believed that primary care addresses 58.7% of health care needs, very close to actual primary care utilization as a percentage of all ambulatory physician ...

Researchers advance RNA medical discovery decades ahead of schedule

Researchers advance RNA medical discovery decades ahead of schedule
2025-02-24
Ribonucleic acid, commonly known as RNA, is involved in many biological functions, and some, including gene silencing, are utilitized to cure diseases. RNA has recently gained attention as a promising drug target. Unfortunately, only a small fraction of RNA structures have been determined experimentally, and the process of uncovering these structures requires significant time and effort. Using this time scale, the structures of many life saving RNA may not be discovered for years. As a result, there is a significant gap between the types of known ...

Immune ‘fingerprints’ aid diagnosis of complex diseases in Stanford Medicine study

2025-02-24
Your immune system harbors a lifetime’s worth of information about threats it’s encountered — a biological Rolodex of baddies. Often the perpetrators are viruses and bacteria you’ve conquered; others are undercover agents like vaccines given to trigger protective immune responses or even red herrings in the form of healthy tissue caught in immunological crossfire. Now researchers at Stanford Medicine have devised a way to mine this rich internal database to diagnose diseases as diverse as diabetes COVID-19 responses to influenza vaccines. Although they envision the approach as a way to screen for multiple diseases ...

Ancient beaches testify to long-ago ocean on Mars

Ancient beaches testify to long-ago ocean on Mars
2025-02-24
A Chinese rover that landed on Mars in 2021 detected evidence of underground beach deposits in an area thought to have once been the site of an ancient sea, providing further evidence that the planet long ago had a large ocean. The now-inactive rover, called Zhurong, operated for a year, between May 2021 and May 2022. It traveled 1.9 kilometers (1.2 miles) roughly perpendicular to escarpments thought to be an ancient shoreline from a time — 4 billion years ago — when Mars had a thicker atmosphere and a warmer climate. Along its path, the rover used ground penetrating radar (GPR) to probe up to 80 meters (260 feet) beneath the surface. This ...

Gulf of Mars: Rover finds evidence of ‘vacation-style’ beaches on Mars

2025-02-24
UNIVERSITY PARK, Pa. — Mars may have once been home to sun-soaked, sandy beaches with gentle, lapping waves according to a new study published today (Feb. 24) in the Proceedings of the National Academy of Sciences (PNAS). An international team of scientists, including Penn State researchers, used data from the Zhurong Mars rover to identify hidden layers of rock under the planet’s surface that strongly suggest the presence of an ancient northern ocean. The new research offers the clearest evidence yet that the planet ...

MSU researchers use open-access data to study climate change effects in 24,000 US lakes

2025-02-24
Feb. 24, 2025  MSU has a satellite uplink/LTN TV studio and Comrex line for radio interviews upon request.   Contact: Emilie Lorditch: 517-355-4082, lorditch@msu.edu   Images  MSU researchers use open-access data to study climate change effects in 24,000 US lakes  EAST LANSING, Mich. – Each summer, more and more lake beaches are forced to close due to toxic algae blooms. While climate change is often blamed, new research suggests a more complex story: climate interacts with human activities like agriculture and urban runoff, which funnel excess ...

More than meets the eye: An adrenal gland tumor is more complex than previously thought

2025-02-24
Fukuoka, Japan - Kyushu University researchers have uncovered a surprising layer of complexity in aldosterone-producing adenomas (APAs)—adrenal gland tumors that drive high blood pressure. Using cutting-edge analysis techniques, they discovered that these tumors harbor at least four distinct cell types, including ones that produce cortisol, the body’s main stress hormone. Published in the week beginning 24 February in PNAS, their findings not only explain why some patients with APAs develop unexpected health issues, like weakened bones, but also pave the way toward new treatment strategies. “Currently, the only ...

Origin and diversity of Hun Empire populations

Origin and diversity of Hun Empire populations
2025-02-24
The Huns suddenly appeared in Europe in the 370s, establishing one of the most influential although short-lived empires in Europe. Scholars have long debated whether the Huns were descended from the Xiongnu. In fact, the Xiongnu Empire dissolved around 100 CE, leaving a 300-year gap before the Huns appeared in Europe. Can DNA lineages that bridge these three centuries be found? To address this question, researchers analyzed the DNA of 370 individuals that lived in historical periods spanning around 800 years, from 2nd century BCE to 6th century CE, encompassing sites in the Mongolian steppe, Central Asia, and the Carpathian Basin of Central Europe. ...

New AI model measures how fast the brain ages

New AI model measures how fast the brain ages
2025-02-24
A new artificial intelligence model measures how fast a patient’s brain is aging and could be a powerful new tool for understanding, preventing and treating cognitive decline and dementia, according to USC researchers. The first-of-its-kind tool can non-invasively track the pace of brain changes by analyzing magnetic resonance imaging (MRI) scans. Faster brain aging closely correlates with a higher risk of cognitive impairment, said Andrei Irimia, associate professor of gerontology, biomedical engineering, quantitative ...
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