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Benchmarking Clinical Prediction in Intracerebral Hemorrhage

Spontaneous Intracerebral Hemorrhage: A Global Validation of Prognostic Scores Spontaneous intracerebral hemorrhage (ICH) remains the deadliest and most functionally devastating subtype of stroke, accounting for nearly half of all stroke-related disability-adjusted life years worldwide. In acute neurology and neurocritical care units, clinical decision-making relies heavily on risk stratification scores to forecast patient trajectories, allocate intensive …

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Reframing Chronic Metabolic Disease

Reframing Chronic Metabolic Disease: Dr. Jeffrey I. Mechanick Unveils the Malnutrition-Based Chronic Disease (MBCD) Model in Endocrine Practice Chronic metabolic noncommunicable diseases represent an overwhelming global epidemic: more than 75% of adults in the United States live with at least one chronic condition, over 50% suffer from multimorbidity, and globally more than a third of …

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Early Thrombolysis Unlocks Maximum Benefit

Early Thrombolysis Unlocks Maximum Benefit Prior to Thrombectomy in Acute Ischemic Stroke In acute ischemic stroke driven by anterior-circulation large-vessel occlusion (LVO), the clinical debate surrounding whether to administer intravenous thrombolysis (IVT) prior to endovascular thrombectomy (EVT) vs. proceeding directly to EVT has centered on real-world effectiveness and time-sensitivity. A landmark multinational study utilizing data …

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Pediatric Obesity Clinical Intelligence Report

Preschool Years Identified as Critical Window for Obesity Reversal, Before ‘Adiposity Trap’ Sets in Post-Age Five A breakthrough study of over 37,000 Spanish children reveals that while nearly all overweight toddlers (2-5 years) can revert to a healthy weight, this flexibility abruptly vanishes by age six. The clinical narrative surrounding pediatric adiposity has long been …

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Migraine and Ischemic Stroke

Migraine History Linked to Elevated Ischemic Stroke Risk in Postmenopausal Women: WHI Analysis Postmenopausal women with a history of physician-diagnosed migraine face a modestly higher risk of incident ischemic stroke, independent of traditional cardiovascular and sex-specific risk factors, according to a major new analysis of the Women’s Health Initiative (WHI) cohort published in Neurology. The …

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Transculturalizing Cardiometabolic Care in Chile

Transculturalizing Cardiometabolic Care: How Chile is Redefining Type 2 Diabetes Prevention Beyond Glycemic Control SANTIAGO, CHILE — Traditional management models for type 2 diabetes (T2D) are facing a paradigm shift. A landmark consensus paper published by the Mechanick Transculturalization Research and Innovation ConSortium (METRICS)—led by Dr. Ramfis Nieto-Martínez in collaboration with Dr. Goodarz Danaei (Bernard …

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Non-Gated Chest CTs Rival ECG-Gated Scans for Heart Failure and AFib Prediction, MESA Study Finds

AI Transforms Standard Chest CTs into Powerful Predictors of Heart Failure and AFib In a paradigm-shifting breakthrough for opportunistic screening, AI-driven cardiac chamber volumetry from non-ECG-gated chest CT scans—the overwhelming majority of scans performed annually—can reliably predict incident Heart Failure (HF) and Atrial Fibrillation (AF), matching the performance of specialized ECG-gated cardiac CTs, according to …

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Book Chapters

Book Chapters Our team regularly participates in writing book chapters related to lifestyle medicine and transcultural factors. Creating a Lifestyle Medicine Center From Concept to Clinical Practice. 2020 Editors: Jeffrey I. Mechanick, Robert F. Kushner Bridges the gap between theory and practice by providing detailed information on the real-world development and implementation of a Lifestyle …

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Chilean Cohort

Chilean Cohort The Chilean cohort includes data from medical records of 509 children and adolescents (6-19 years old) and 4,969 adults (range 20-101 years) evaluated at the Center for Medical and Surgical Treatment of Diabetes and Obesity in Santiago de Chile between 2000 – 2007. With this database, we assessed the frequency of prediabetes and …

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Czech Database

Czech Database Data from the Czech European Health Examination Survey (EHES) was used. The initial EHES was conducted in 2014. The survey’s main goal was to obtain actual and relevant information about non-communicable diseases and their risk factors among the Czech middle-aged population. EHES study was a cross-sectional survey conducted in the Czech Republic in …

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