Add-on ralinepag delays first clinical worsening event in PAH

ORLANDO — Ralinepag, a prostacyclin receptor agonist, added to background therapy decreased the risk for a clinical worsening event in patients with pulmonary arterial hypertension, according to phase 3 ADVANCE OUTCOMES trial results.
These findings were presented at the American Thoracic Society International Conference.
“The primary efficacy endpoint of delayed time to first clinical worsening event was met,” Vallerie V. McLaughlin, MD, Kim A. Eagle, MD, Endowed Professor of Cardiovascular Medicine, director of the pulmonary hypertension program at University of Michigan and chair of the

AI helps predict postmastectomy reconstruction complication risk

Machine learning models could help clinicians estimate individualized risk for major complications among women undergoing postmastectomy reconstruction.
An analysis of more than 400 patients showed machine learning could help predict risk for unplanned reoperations or rehospitalizations within a year of their reconstruction, with the strongest predictors including established risk factors such as age, BMI and smoking.
“We expect these models to eventually support a more patient-centered approach to reconstructive decision-making,” Mohammed S. Shaheen, JD, medical student at Stanford Medicine,

Cutting parenteral nutrition time eases short bowel syndrome care

CHICAGO — For patients with short bowel syndrome, reduced time on parenteral support may mitigate burdens such as central line complications, fatigue and decreased quality of life, according to a survey of health care professionals.
Results, presented at Digestive Disease Week, indicated that limiting the days per week and hours per day that patients spend receiving total parenteral nutrition (TPN) may benefit those with short bowel syndrome (SBS) reliant on this support.
“Reducing the risks associated with parenteral support — especially central venous access complications — should be a

Sex differences in dementia risks reveal stronger cognitive impacts in women

Researchers from the University of California San Diego School of Medicine have found that women not only experience a higher burden of certain modifiable dementia risk factors, but also appear more vulnerable to their effects on cognitive function. The study, which analyzed data from more than 17,000 middle-aged and older adults, is published in Biology of Sex Differences.

Sedative choice in pediatric intensive care may influence long-term neurocognitive outcomes

A new Penn Nursing study suggests that the specific sedatives used during critical illness in early childhood may have long-term implications for a child's neurocognitive development. Martha A.Q. Curley, Ph.D., RN, FAAN, Professor in the Department of Family and Community Health, and the Ruth M. Colket Endowed Chair in Pediatric Nursing at Children's Hospital of Philadelphia, co-led the study with R. Scott Watson, MD, from Seattle Children's Hospital.