DR. MARILYN DIANE MILLER, M.D.

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The study looked at how a medication called icosapent ethyl (IPE) impacts patients with a condition called cardiovascular-kidney-metabolic (CKM) syndrome, which includes metabolic syndrome and kidney issues but without diabetes. The findings showed that patients with lower kidney function (eGFR < 60 mL/min) experienced a 45% reduced risk of heart-related events when treated with IPE compared to those who received a placebo, and overall, IPE reduced the absolute risk of these events by 11.2%. This is important because it highlights that IPE can significantly help patients with both heart disease and kidney problems, lowering their risk of serious cardiovascular events. Who this helps: This helps patients with cardiovascular disease and kidney issues.

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This study looked at how doctors manage patients with prolonged disorders of consciousness after a sudden brain injury. It found that 63.5% of responding specialists were involved in caring for these patients, with 44% choosing to stop providing life-sustaining nutrition and hydration at the patient's usual care location. Most clinicians effectively manage symptoms during this process, and many now use a subcutaneous method for medication to ensure comfort. Who this helps: This information benefits patients and their families facing difficult decisions about end-of-life care.

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This study looked at a new, less invasive way to continuously monitor lactate levels in critically ill patients, which can help doctors quickly spot issues like sepsis. Researchers tested a microneedle sensor on 21 patients and found that it could accurately measure lactate levels for four hours, matching traditional blood tests very closely with a strong agreement score of 0.94. This matters because it provides a more convenient and efficient method for doctors to monitor patients' health in real-time, potentially improving treatments and outcomes. Who this helps: This benefits critically ill patients and their doctors.

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This study looked at how older adults feel about two types of physical therapy: Coach2Move and the usual therapy they receive. Researchers interviewed 15 seniors who had issues like pain or balance problems after they tried both therapies. They found that while both methods were well-received, many participants liked Coach2Move better because it felt more challenging, focused on their personal needs, and helped them change their behavior towards more physical activity. Who this helps: This benefits older adults who are trying to stay active and improve their health.

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This research paper looks at various foods and ingredients to see how they affect heart health. It found that beef tallow, ultraprocessed foods, and artificial sweeteners are linked to worse heart health, while seafood and seed oils can help improve it. Overall, this matters because it helps clarify which foods may harm or benefit heart health, guiding better dietary choices. Who this helps: This helps patients looking to improve their heart health.

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This study focused on chronic kidney disease (CKD) in children, highlighting that it is a leading cause of death but often goes unnoticed, especially in poorer communities. Researchers found that many children receive late diagnoses due to a lack of access to care, leading to severe health impacts and high costs for families. Improving community awareness and screening for kidney disease, especially in schools, can help catch these problems early and provide better, more affordable treatment. Who this helps: This helps children at risk for kidney disease and their families.

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This study looked at how distance affects who uses telemedicine for cancer surgeries at a hospital in Northern California, analyzing nearly 39,000 visits from 2021 to 2023. They found that patients living more than 20 miles from the clinic who identified as Hispanic, Asian/Pacific Islander, needed an interpreter, or were on Medicaid were less likely to use telemedicine, while low-income patients were more likely to use it. This shows that distance can impact access to telemedicine services, highlighting the need to improve access for certain groups, especially those living farther away. Who this helps: This benefits patients who rely on telemedicine, particularly those from diverse backgrounds and those living at a distance from healthcare facilities.

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This study looked at how a special implanted device can help manage low blood pressure in a woman with a spinal cord injury. The patient, age 59, felt better overall and had less dizziness and blurred vision when using the device, which helped her trunk and hips work better. When tested in a lab, her blood pressure improved, showing this device can play a significant role in helping people with spinal cord injuries maintain better blood pressure. Who this helps: This helps patients with spinal cord injuries who struggle with low blood pressure.

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This study looked at whether the bacteria in infants' guts early in life are linked to the development of autism spectrum disorder (ASD) later on. Researchers analyzed poop samples from babies, focusing on those at a higher risk for autism, and found that while there were some slight differences in gut bacteria between those who developed ASD and those who didn’t, overall, there were no clear patterns to suggest a strong link. This matters because understanding any early signs could help identify at-risk children sooner and guide interventions. Who this helps: This helps parents and healthcare providers who work with children at risk for autism.

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This study looked at privately made firearms (PMFs) in the U.S. to understand how many are owned and how they are obtained. Researchers found that about 2.9 million adults own around 10.1 million PMFs, with many made from kits (34%) or unfinished parts (32%). It also noted that nearly half (49%) of these guns don’t have serial numbers, but those acquired recently are more likely to be checked for background checks and serialization, indicating a shift in the way these firearms are handled. Who this helps: This information benefits policymakers and law enforcement by providing insights into the private gun market.

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This study explored how body-scan meditation, a practice rooted in Theravada Buddhism, affects our perception of our bodily boundaries. Researchers found that during deep meditation, the technique helps to reduce our awareness of our body by decreasing the brain's attention to bodily sensations, leading to a feeling of losing physical boundaries. This is important because it suggests that body-scan meditation could help improve well-being, particularly for people struggling with issues like addiction or emotional difficulties. Who this helps: This benefits patients dealing with addiction and emotional regulation issues.

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This study looked at how spirituality relates to health among Black adults in the Midwest, focusing on issues like blood pressure and pain. Researchers surveyed 203 Black adults and found that neither belief in God (theistic spirituality) nor non-religious spiritual experiences showed significant effects on their blood pressure, pain levels, or overall health ratings. This is important because it suggests that spirituality's impact on health might be more complicated than previously thought, indicating a need for further studies on how it affects marginalized Black communities. Who this helps: This helps patients, particularly those in Black communities, by highlighting the complexity of health and spirituality.

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This study focused on developing a simple and affordable test to detect specific genetic mutations that lead to resistance against rifampicin, a key antibiotic used to treat tuberculosis. The researchers created a method that can accurately identify mutations at two important locations in the gene with 100% accuracy for one site and 94% for the other. This matters because it allows for quick and precise detection of drug resistance, which is crucial for effectively treating infections and preventing the spread of resistant strains. Who this helps: This benefits patients with tuberculosis, as well as healthcare providers who need accurate diagnostic tools.

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This study looked at how often people with HIV, especially those also infected with Hepatitis C (HCV), used Ryan White support services in Philadelphia and how that affected their ability to suppress the HIV virus. It found that people with HCV took longer to reach HIV viral suppression than those without it—235 days compared to 80 days. However, those who received more frequent Ryan White services were significantly more likely to achieve viral suppression, with a 60% higher likelihood for weekly services and a whopping 117% higher likelihood for those receiving two or more services weekly. Who this helps: This benefits patients living with HIV and HCV by improving their health outcomes.

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This study looked at how effective Extreme Risk Protection Orders (ERPOs) are in preventing suicides and whether they are being used for the right people at risk. The researchers proposed a new way to analyze data about ERPOs and suicides, aiming to determine how well these laws are helping and whom they serve best. Understanding this can lead to better prevention strategies and potentially save lives. Who this helps: This helps patients at risk of suicide, their families, and public health officials working to improve safety measures.

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This study examined the prevalence of silicosis—a serious lung disease—among tin miners in eastern Rwanda. Out of 1,021 miners studied, 94 (or 9%) were found to have silicosis. The research revealed that working in certain risky tasks, using tobacco, and having longer careers in mining increased the likelihood of developing the disease. Who this helps: This information benefits miners, their families, and healthcare providers by highlighting the risks associated with mining work.

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This study looked at how changes in farming practices and diet could reduce air pollution from agriculture and improve health outcomes. The researchers found that lowering meat and dairy consumption by 21.5% through a tax, while increasing fruit and vegetable intake by 13.5% with subsidies, could prevent 67,000 early deaths and 270,000 respiratory disease cases over 30 years. These changes not only benefit public health but also help the environment by reducing greenhouse gas emissions and water use. Who this helps: This helps patients, especially older adults and lower-income groups who would gain the most health benefits.

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This study looked at how adding folate to the diet of male mice affects changes in DNA that happen when exposed to arsenic, a harmful chemical. The researchers found that mice on a folate-rich diet showed different patterns of DNA changes compared to those without folate after exposure to arsenic. Specifically, genes linked to diabetes and insulin function were affected in the folate-supplemented mice, suggesting that folate might help protect against some of the harmful effects of arsenic. Who this helps: This research benefits patients at risk of arsenic exposure and could inform dietary recommendations for improving health outcomes.

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This study looked at how cancer survivors and healthcare professionals in Australia manage the risk of heart disease after cancer treatment. Researchers talked to survivors and medical staff and found that many cancer survivors are not aware of their heart disease risk, and they often feel overwhelmed by information. There’s a strong need for a better care model that includes support for managing heart health, but barriers like limited time and resources for healthcare workers were identified. Who this helps: This benefits cancer survivors who need better support in managing their heart health.

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This study looked at how the aging process affects gene activity and structure in the brains of mice at different ages (2, 9, and 18 months). Researchers found that as the mice aged, there was a significant decline in certain brain cell types and notable changes in gene expression and gene accessibility, especially in neurons, with alterations in stress-response mechanisms. This matters because understanding these changes can help identify which parts of the brain are most affected by aging and may lead to better strategies to address age-related brain issues. Who this helps: This helps patients and researchers studying neurodegenerative diseases.

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This study looked at how well children with different types of bedwetting (enuresis) stick to their treatment and how many drop out of treatment. Researchers found that out of 961 children, 51.4% stopped treatment within a few months, with the highest dropout rate of 58% among those with bowel-bladder dysfunction. This matters because understanding these dropout patterns can help doctors improve support for families, especially for those with more complex cases. Who this helps: Patients and their families dealing with bedwetting.

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The study examined the health issues affecting the critically endangered black rhinoceros, particularly focusing on their immune systems and inflammatory responses. Researchers identified 1,311 proteins related to immune cells and found 43 proteins linked to inflammation that differed between healthy and unhealthy animals. This is important because understanding these inflammatory markers can help improve the health and management of black rhinoceroses in captivity, ensuring their survival. Who this helps: This benefits conservationists and veterinarians working to protect black rhinoceros populations.

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This study examined firearm purchases in the U.S. from 2021 to 2024 to see how many new gun owners emerged and how many people were newly exposed to firearms in their homes. It found that about 29.8 million adults acquired firearms during this period, with 11.2 million of them becoming new owners, including a significant number of women and people of color. The findings indicate that millions of adults and children are now living in homes with firearms, which raises concerns about the potential for increased risk of violence and accidents. Who this helps: This information is crucial for policymakers, public health officials, and communities as they aim to address the risks associated with increased household firearms.

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The study looked at how stress affects learning in elementary students and tested a program designed to help them manage stress better while improving their learning. Over two weeks, Grade 4 and 5 students who participated showed an increase in their positive views about stress, with more students believing that stress can be beneficial. Specifically, the group using memory reconsolidation methods experienced more improvement in their attitudes towards stress than those using reflective thinking. Who this helps: This benefits students by giving them tools to handle stress better, which can improve their learning and overall well-being.

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This research focused on developing a new imaging agent to observe a receptor called GPR39, which plays a key role in brain and metabolism processes and is linked to Alzheimer's disease. The team created a compound named [C]TMN-OMe that showed a strong ability to attach to GPR39, with tests indicating it worked well in living mice, particularly showing lower brain levels in specific experimental conditions. This is important because it could help researchers better understand GPR39's function and aid in developing new treatments for neurological disorders. Who this helps: This benefits researchers and doctors working to understand and treat Alzheimer's and other neurological diseases.

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This study looked at children and teenagers with gut-brain interaction disorders, which affect about 40% of this age group, and how having conditions like hypermobility and orthostatic intolerance influences their health outcomes. Out of 175 patients, 46% had hypermobility and 43% had orthostatic intolerance. Those with both issues reported much worse symptoms of nausea, depression, and disability compared to those without these conditions, highlighting the need for accurate diagnosis and targeted treatment to improve their quality of life. Who this helps: Patients with gut-brain interaction disorders and their healthcare providers.

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This study looked at whether using a medication called gabapentin after a type of spinal surgery (ACDF) helps reduce the need for opioids. Researchers found that patients who took gabapentin actually used more opioids in the long term—2.29% at five years compared to 0.51% for those who didn’t take it. Additionally, those on gabapentin were more likely to develop complications, like pneumonia and respiratory failure. Who this helps: This information is valuable for doctors and patients considering pain management options after spinal surgery.

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This study looked at the Heartland virus, a tick-borne infection that can cause serious illness, in North Carolina. Researchers tested over 800 patients and found that 53 qualified for the study, with 2 (3.8%) confirmed to have the virus in their blood. One had mild symptoms, while the other needed intensive care, showing that the virus can cause varying degrees of illness. Who this helps: This information helps doctors better understand and diagnose Heartland virus infections in patients.

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This study focused on preventing gambling-related harm among teenagers aged 13 to 15 in six schools across Scotland. The researchers found that a peer-led program, where trained students shared information about gambling and its risks, was effective and accepted by both students and staff. All criteria to advance to a larger trial were met, including having 80% adherence to the program, and it cost about £28 per student to run. Who this helps: This helps adolescents by providing them with tools and support to understand and avoid the harms associated with gambling.

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This study looked at how the COVID-19 pandemic affected the biological ageing of young children from birth to 30 months. Researchers collected saliva samples from 93 infants to measure changes in their biological age, both when they were 1 month old and again when they were 30 months old. They found no significant effects of pandemic exposure on how these children aged biologically during that time. Who this helps: This information is useful for parents and healthcare providers monitoring child development during stressful events.

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This study looked at how axolotls regenerate their digits, which are their finger-like structures. The researchers found that while axolotl digit regeneration shares some similarities with other types of limb regrowth, it also has unique aspects, particularly in how certain genes related to growth are used; specifically, genes like Shh, Fgf8, and Grem1 didn't play a major role. A key discovery was that Hedgehog signaling is crucial for regrowing the joints between the digits, but just turning on this signal doesn't guarantee better outcomes for all digits. Who this helps: This benefits researchers studying tissue regeneration and could improve treatments for patients needing limb repairs.

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This study looked at six popular artificial intelligence platforms—Elicit, Scite, Trinka, SciSpace, Scholarcy, and Litmaps—that help with writing research papers. The researchers found that these tools can significantly improve the writing process by efficiently analyzing data and identifying patterns. It's important to note that while AI can be very helpful, it works best when used alongside human knowledge and skills, rather than taking over entirely. Who this helps: This benefits researchers and writers in academic fields.

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This study looked at online patient education materials about cervical laminoplasty, a surgery for spinal issues. It found that the average reading level of these materials was 11.1, which means they are too difficult for most patients, as they should be at a 6th-grade level for better understanding. Only one of the 25 websites analyzed met this guideline, highlighting that patients may struggle to understand important information about their surgery. Who this helps: This benefits patients seeking clear and accessible information about their treatment options.

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This study looked at how often teens, aged 12-17, were referred to cannabis treatment through the legal system from 2010 to 2022, focusing on different racial and ethnic groups. Overall, the number of referrals dropped significantly by 81.6%, going from about 17 per 10,000 adolescents in 2010 to just 3 per 10,000 in 2022. However, American Indian/Alaska Native and Black teens had higher rates of legal system referrals compared to White teens, emphasizing the need for tailored support and treatment options for these groups. Who this helps: This helps patients, particularly those from American Indian/Alaska Native and Black communities, by highlighting the need for better treatment pathways.

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This study looked at a type of fat molecule called plasmalogens in red blood cells and how their levels change with age. The researchers tested samples from 441 healthy people, discovering that these plasmalogens are lower in newborns compared to children and adults, and they require different reference levels for children and adults. This finding is important because it establishes a clear baseline for measuring plasmalogen levels in patients, which can aid in diagnosing metabolic and degenerative diseases. Who this helps: This benefits doctors and patients needing accurate plasmalogen testing.

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This study looked at whether patients who regularly take beta blockers before undergoing lumbar fusion surgery use fewer opioids afterward. Researchers compared 115 patients who used beta blockers with another 115 patients who did not. They found no significant difference in opioid use after surgery, although those on beta blockers stayed in the hospital longer (4.19 days compared to 3.55 days for the control group). Who this helps: This information benefits doctors and patients considering lumbar fusion surgery.

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This study focused on how cancer care teams talk to patients about medical aid in dying (MAiD). The researchers found that four key areas are important for these discussions: understanding the complexities of MAiD, doing thorough assessments of patient needs, using effective strategies to improve conversations about MAiD, and ensuring that care is centered around the patient's personal experience. These findings emphasize that discussions about MAiD in cancer care should be carefully tailored to meet the unique needs of patients rather than following typical end-of-life communication practices. Who this helps: This benefits patients facing terminal cancer and their healthcare providers.

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This study looked at how long-term stress affects our DNA and health, focusing on two types of stress: how we feel about stress (psychological stress) and the levels of a stress hormone called cortisol (biological stress). Among 69 young adults over nine weeks, researchers found that higher psychological stress was linked to changes in DNA that typically reduce its activity, while higher cortisol was associated with changes that generally increase DNA activity. This matters because it helps us understand how stress can impact our health at a biological level, potentially leading to better ways to manage stress-related health issues. Who this helps: This helps patients dealing with stress-related health problems.

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This study looked at how genetic testing can help identify the causes of kidney failure in transplant patients and assess risks for living kidney donors. Researchers found that 23% of transplant recipients had genetic mutations linked to kidney disease, while 4% of potential living kidney donors had similar mutations. Knowing these genetic risks is important because it can improve the selection process for kidney donors and ensure better outcomes for both donors and recipients. Who this helps: This benefits kidney transplant patients and living kidney donors.

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This study looked at the use of antibiotics in patients who experienced a severe heart attack that led to heart dysfunction. It found that 55% of the patients received antibiotics, often within two days of being admitted, even though only a small number had infections confirmed by tests (about 13% in blood tests and 20% in urine tests). Most patients stayed in the hospital longer if they were given antibiotics, but their chances of survival were similar to those who didn't receive them, highlighting the need for better guidelines on antibiotic use in these cases. Who this helps: This research benefits doctors and healthcare providers by informing their antibiotic prescribing practices in heart attack patients.

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This study looked at how eight different countries (Australia, Finland, Germany, the Netherlands, Norway, Thailand, the UK, and the USA) regulate alcohol-free and low-alcohol drinks, focusing on labeling, taxes, and sales rules. It found that rules about what qualifies as alcohol-free or low-alcohol and the associated regulations vary widely; for example, the UK classifies drinks as alcohol-free if they contain 0.05% alcohol, while some parts of Australia allow up to 1.15%. Understanding these differences is important because it can help shape better policies for public health regarding these beverages. Who this helps: This benefits consumers, public health officials, and policymakers who are working on alcohol consumption-related issues.

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Researchers studied a 19-year-old girl with a specific type of brain tumor called a high-grade glioma that didn’t show typical signs on imaging. After treatment with radiation and a drug called temozolomide, she experienced a quick and significant improvement in her condition, with her performance status improving from 70 to 90. This case emphasizes how advanced imaging techniques and detailed genetic analysis can lead to better treatment strategies for difficult-to-diagnose brain tumors. Who this helps: This helps patients with rare brain tumors, their families, and doctors treating these conditions.

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This study focused on improving how lung cancer screening programs help people quit smoking, which is a major cause of lung cancer. The research found that offering educational resources, counseling, and medication significantly boosts the chances of quitting smoking for those participating in screening. It also highlighted the need for continuous support and advised against using alternatives like e-cigarettes, which can be harmful and addictive. Who this helps: This benefits lung cancer patients and anyone at risk of smoking-related diseases.

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This study explored how structural racism affects racial and ethnic minority communities living with HIV during the COVID-19 pandemic. Researchers held discussions with 98 participants and found that structural racism shows up in three main ways: limited representation in decision-making, unequal access to resources, and ongoing mistrust and trauma. Understanding these issues is crucial for addressing the deep-rooted inequalities these communities face. Who this helps: This benefits patients, particularly those from racial and ethnic minority groups affected by HIV.