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Nunes JPF, Williams M, Yang J, Wolf TJA, Rankine CD, Parrish R, Moore B, Wilkin K, Shen X, Lin MF, Hegazy K, Li R, Weathersby S, Martinez TJ, Wang XJ, Centurion M. Photo-induced structural dynamics of o-nitrophenol by ultrafast electron diffraction. Phys Chem Chem Phys 2024. [PMID: 38764355 DOI: 10.1039/d3cp06253h] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/21/2024]
Abstract
The photo-induced dynamics of o-nitrophenol, particularly its photolysis, has garnered significant scientific interest as a potential source of nitrous acid in the atmosphere. Although the photolysis products and preceding photo-induced electronic structure dynamics have been investigated extensively, the nuclear dynamics accompanying the non-radiative relaxation of o-nitrophenol on the ultrafast timescale, which include an intramolecular proton transfer step, have not been experimentally resolved. Herein, we present a direct observation of the ultrafast nuclear motions mediating photo-relaxation using ultrafast electron diffraction. This work spatiotemporally resolves the loss of planarity which enables access to a conical intersection between the first excited state and the ground state after the proton transfer step, on the femtosecond timescale and with sub-Angstrom resolution. Our observations, supported by ab initio multiple spawning simulations, provide new insights into the proton transfer mediated relaxation mechanism in o-nitrophenol.
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Affiliation(s)
- J P F Nunes
- Department of Physics and Astronomy, University of Nebraska-Lincoln, Lincoln, USA.
| | - M Williams
- SLAC National Accelerator Laboratory, Menlo Park, USA
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, USA
- Department of Chemistry, Stanford University, Stanford, USA
| | - J Yang
- SLAC National Accelerator Laboratory, Menlo Park, USA
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, USA
- Center of Basic Molecular Science, Department of Chemistry, Tsinghua University, Beijing, China
| | - T J A Wolf
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, USA
| | - C D Rankine
- School of Natural and Environmental Sciences, Newcastle University, UK
| | - R Parrish
- SLAC National Accelerator Laboratory, Menlo Park, USA
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, USA
- Department of Chemistry, Stanford University, Stanford, USA
| | - B Moore
- Department of Physics and Astronomy, University of Nebraska-Lincoln, Lincoln, USA.
| | - K Wilkin
- Department of Physics and Astronomy, University of Nebraska-Lincoln, Lincoln, USA.
| | - X Shen
- SLAC National Accelerator Laboratory, Menlo Park, USA
| | - Ming-Fu Lin
- SLAC National Accelerator Laboratory, Menlo Park, USA
| | - K Hegazy
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, USA
- Department of Physics, Stanford University, Stanford, USA
| | - R Li
- SLAC National Accelerator Laboratory, Menlo Park, USA
| | - S Weathersby
- SLAC National Accelerator Laboratory, Menlo Park, USA
| | - T J Martinez
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, USA
- Department of Chemistry, Stanford University, Stanford, USA
| | - X J Wang
- SLAC National Accelerator Laboratory, Menlo Park, USA
- Physics Department, Universität Duisburg Essen, 47052 Duisburg, Research Center Chemical Sciences and Sustainability, Research Alliance Ruhr, 44780 Bochum, Germany
- Physics Department, Technische Universität Dortmund, 44221 Dortmund, Research Center Chemical Sciences and Sustainability, Research Alliance Ruhr, 44780 Bochum, Germany
| | - M Centurion
- Department of Physics and Astronomy, University of Nebraska-Lincoln, Lincoln, USA.
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Hirsch-Moverman Y, Hsu A, Abrams EJ, Killam WP, Moore B, Howard AA. Guidelines for tuberculosis screening and preventive treatment among pregnant and breastfeeding women living with HIV in PEPFAR-supported countries. PLoS One 2024; 19:e0296993. [PMID: 38625930 PMCID: PMC11021021 DOI: 10.1371/journal.pone.0296993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Accepted: 12/21/2023] [Indexed: 04/18/2024] Open
Abstract
BACKGROUND Tuberculosis (TB) preventive treatment (TPT) is recommended by the World Health Organization (WHO) for persons living with HIV, including pregnant and breastfeeding women. Given the President's Emergency Plan for AIDS Relief (PEPFAR)'s investment in TPT services for persons living with HIV as a strategy to prevent TB as well as uncertainty in guidelines and policy regarding use of TPT during pregnancy and the postpartum period, we conducted a review of current relevant national guidelines among PEPFAR-supported countries. METHODS Our review included 44/49 PEPFAR-supported countries to determine if TB screening and TPT are recommended specifically for pregnant and breastfeeding women living with HIV (WLHIV). National guidelines reviewed and abstracted included TB, HIV, prevention of vertical HIV transmission, TPT, and any other relevant guidelines. We abstracted information regarding TB screening, including screening tools and frequency; and TPT, including timing, regimen, frequency, and laboratory monitoring. RESULTS Of 44 PEPFAR-supported countries for which guidelines were reviewed, 66% were high TB incidence countries; 41% were classified by WHO as high TB burden countries, and 43% as high HIV-associated TB burden countries. We found that 64% (n = 28) of countries included TB screening recommendations for pregnant WLHIV in their national guidelines, and most (n = 35, 80%) countries recommend TPT for pregnant WLHIV. Fewer countries included recommendations for breastfeeding as compared to pregnant WLHIV, with only 32% (n = 14) mentioning TB screening and 45% (n = 20) specifically recommending TPT for this population; most of these recommend isoniazid-based TPT regimens for pregnant and breastfeeding WLHIV. However, several countries also recommend isoniazid combined with rifampicin (3RH) or rifapentine (3HP). CONCLUSIONS Despite progress in the number of PEPFAR-supported countries that specifically include TB screening and TPT recommendations for pregnant and breastfeeding WLHIV in their national guidelines, many PEPFAR-supported countries still do not include specific screening and TPT recommendations for pregnant and breastfeeding WLHIV.
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Affiliation(s)
- Yael Hirsch-Moverman
- ICAP at Columbia University, New York, New York, United States of America
- Department of Epidemiology, Mailman School of Public Health Columbia University, New York, New York, United States of America
| | - Allison Hsu
- ICAP at Columbia University, New York, New York, United States of America
| | - Elaine J. Abrams
- ICAP at Columbia University, New York, New York, United States of America
- Department of Epidemiology, Mailman School of Public Health Columbia University, New York, New York, United States of America
- Department of Pediatrics, Vagelos College of Physicians & Surgeons, Columbia University, New York, New York, United States of America
| | - William P. Killam
- Division of Global HIV and TB, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Brittany Moore
- Division of Global HIV and TB, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Andrea A. Howard
- ICAP at Columbia University, New York, New York, United States of America
- Department of Epidemiology, Mailman School of Public Health Columbia University, New York, New York, United States of America
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Heaton D, Wang Y, Moore B, Frager L, Everist BM, Crist J. Utility of 3D reformatted images in the diagnosis of sternoclavicular joint injury. Arch Orthop Trauma Surg 2024; 144:741-745. [PMID: 38055015 DOI: 10.1007/s00402-023-05135-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Accepted: 11/13/2023] [Indexed: 12/07/2023]
Abstract
INTRODUCTION The purpose of this study is to evaluate the ability of musculoskeletal radiologists to diagnose sternoclavicular joint injuries in the standard CT imaging planes compared to 3D volume rendered images to define the most accurate plane to improve prospective diagnosis. MATERIALS AND METHODS A retrospective query of our institutional database was performed. Twenty-six patients with a diagnosis of sternoclavicular joint injury, who had been evaluated with CT and treated by orthopedic surgery, and 30 control patients who did not have a sternoclavicular joint injury were included for analysis. Two blinded radiologists with specialty training in musculoskeletal radiology independently reviewed axial, coronal, sagittal, and 3D reformatted CT images and documented whether injury was present or not present. RESULTS Accuracy was good for both radiologists on all views. It was lowest on the sagittal view for both readers. Accuracy was highest for the 3D view. When comparing the accuracy of the four views for each radiologist, there was a significant difference for Radiologist A, whose 3D images were more accurate compared to the axial and sagittal views. There was no significant difference for Radiologist B. There was good inter-reader agreement, which was highest on the 3D images. CONCLUSION 3D volume renderings of the sternoclavicular joints have the potential to improve radiologist accuracy for detection of sternoclavicular joint injury/dislocation in the setting of chest well trauma, which could decrease instances of missed or delayed diagnosis.
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Affiliation(s)
- Dennis Heaton
- University of Kansas Health System, 3901 Rainbow Boulevard, Kansas City, KS, 66160, USA
| | - Yang Wang
- University of Kansas Health System, 3901 Rainbow Boulevard, Kansas City, KS, 66160, USA
| | - Brittany Moore
- Kansas City Orthopedic Alliance, 10777 Nall Ave Suite 300, Overland Park, KS, 66211, USA
| | - Luke Frager
- University of Kansas Health System, 3901 Rainbow Boulevard, Kansas City, KS, 66160, USA
| | - Brian M Everist
- University of Kansas Health System, 3901 Rainbow Boulevard, Kansas City, KS, 66160, USA
| | - Jamie Crist
- University of Kansas Health System, 3901 Rainbow Boulevard, Kansas City, KS, 66160, USA.
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Judkins J, Moore B, Stone E, Welsh A, Carbon G, Rendell B, Peterson A. Pilot investigation of an activity-based approach to building hardiness. BMJ Mil Health 2023; 169:350-354. [PMID: 34413115 DOI: 10.1136/bmjmilitary-2020-001661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Accepted: 08/13/2021] [Indexed: 11/03/2022]
Abstract
BACKGROUND The purpose was to describe an activity-based psychological hardiness training programme delivered by an occupational therapist and examine its acceptability and effectiveness in improving hardiness. METHOD Participants (N=28) completed the 6-hour programme, which included pre/post-programme completion of the Dispositional Resilience Scale-15 (DRS-15) and a Program Evaluation Form. Paired t-tests were used to determine differences between pre-training and post-training scores on the DRS-15. RESULTS Results showed a significant increase (p<0.05) in total hardiness, commitment, and control scores on the DRS-15 from pre-training to post-training and good-excellent ratings for all categories on the Program Evaluation Form. CONCLUSIONS This programme evaluation described an occupational therapist's role in providing an activity-based psychological hardiness training programme and provided preliminary support for the acceptability of an activity-based approach to training psychological hardiness for service members.
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Affiliation(s)
- Jason Judkins
- Military Performance Department, US Army Research Institute of Environmental Medicine, Natick, Massachusetts, USA
| | - B Moore
- Department of Psychological Science, Kennesaw State University, Kennesaw, Georgia, USA
| | - E Stone
- 5-20 Infantry Battalion, 1-2 Stryker Brigade Combat Team, Joint Base Lewis-McChord, Washington, USA
| | - A Welsh
- US Army Institute of Surgical Research, Fort Sam Houston, Texas, USA
| | - G Carbon
- Center for Army Analysis, Fort Belvior, Virginia, USA
| | - B Rendell
- AFROTC Detachment 842, University of Texas at San Antonio, San Antonio, Texas, USA
| | - A Peterson
- Department of Psychiatry & Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA
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5
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Quesada O, Pico M, Palmer C, Yildiz M, Miranda R, Malhotra R, Setegn E, Legreaux S, Moore B, Philip R, Shrivastava P, Takla R, Henry T. Magnetocardiography as a noninvasive diagnostic strategy for suspected coronary microvascular dysfunction. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Coronary microvascular dysfunction (CMD) is increasingly recognized as an independent predictor of mortality with a 4-fold higher risk. However current diagnostic modalities are limited by the need for an invasive procedure, access, cost, and exposure of ionizing radiation.
Purpose
To investigate the ability of magnetocardiography (MCG) to identify CMD in patients with suspected ischemia and no obstructive coronary artery disease (INOCA).
Methods
This is an observational, prospective pilot study of patients scheduled for coronary functional angiography (CFA), gold standard for evaluation for CMD (defined as coronary flow reserve (CFR) ≤2). 13 patients underwent both CFA and a noninvasive 36-channel MCG scan. A machine learning model was developed to characterize the presence of CMD in these patients against age matched controls (AMCs). The model consists of a logistic regression classifier which takes features representing the relative strengths of the “characteristic dipoles” of the MCG scan as input. The characteristic dipoles are parameterizations of the three strongest magnetic field map components resulting from a singular value decomposition of the MCG signal. A total of 37 patients were included in this analysis including 13 patients who completed CFA (7 had CMD and 6 had CFR >2 and included in the AMCs group). An additional 24 asymptomatic, healthy patients that did not undergo CFR were also included in the AMC group.
Results
The mean age for AMCs was 57 years (70% women) and mean age for CMD patients was 54 years (100% women). The performance of the model was evaluated using repeated stratified cross-validation with 5 folds and 3 repeats, resulting in 15 different 80%/20% train/test splits. Figure 1 shows the distribution of samples belonging to the CMD and AMC groups in a 2-dimensional representation of the feature space. The clear separation of the two groups and the clustering of the AMCs demonstrates the ability of the model to identify patients with CMD. We found that MCG had a mean accuracy of 94.8% (±6.4%), sensitivity of 100% (±0.0%) and specificity of 93.3% (±8.2%) for the detection of CMD using gold standard CFR ≤2 as reference.
Conclusion(s)
First study to show that MCG can be used with 94.8% accuracy to identify CMD among patients suspicious for INOCA with no exposure to ionization, 90 seconds of scan time and minimal cost. The use of this noninvasive modality to identify CMD warrants further investigation.
Funding Acknowledgement
Type of funding sources: Private company. Main funding source(s): Genetesis
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Affiliation(s)
- O Quesada
- The Christ Hospital, Women's Heart Center, The Christ Hospital Heart and Vascular Institute , Cincinnati , United States of America
| | - M Pico
- The Christ Hospital, Women's Heart Center, The Christ Hospital Heart and Vascular Institute , Cincinnati , United States of America
| | - C Palmer
- The Christ Hospital, Women's Heart Center, The Christ Hospital Heart and Vascular Institute , Cincinnati , United States of America
| | - M Yildiz
- The Christ Hospital, The Carl and Edyth Lindner Center for Research and Education , Cincinnati , United States of America
| | - R Miranda
- Genetesis , Cincinnati , United States of America
| | - R Malhotra
- Genetesis , Cincinnati , United States of America
| | - E Setegn
- Genetesis , Cincinnati , United States of America
| | - S Legreaux
- Genetesis , Cincinnati , United States of America
| | - B Moore
- Genetesis , Cincinnati , United States of America
| | - R Philip
- Genetesis , Cincinnati , United States of America
| | | | - R Takla
- Genetesis , Cincinnati , United States of America
| | - T Henry
- The Christ Hospital, The Carl and Edyth Lindner Center for Research and Education , Cincinnati , United States of America
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Zhang L, Yin FF, Lu K, Moore B, Han S, Cai J. Improving liver tumor image contrast and synthesizing novel tissue contrasts by adaptive multiparametric MRI fusion. Precis Radiat Oncol 2022; 6:190-198. [PMID: 36590077 PMCID: PMC9797133 DOI: 10.1002/pro6.1167] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 06/23/2022] [Indexed: 01/05/2023] Open
Abstract
Purpose Multiparametric MRI contains rich and complementary anatomical and functional information, which is often utilized separately. This study aims to propose an adaptive multiparametric MRI (mpMRI) fusion method and examine its capability in improving tumor contrast and synthesizing novel tissue contrasts among liver cancer patients. Methods An adaptive mpMRI fusion method was developed with five components: image pre-processing, fusion algorithm, database, adaptation rules, and fused MRI. Linear-weighted summation algorithm was used for fusion. Weight-driven and feature-driven adaptations were designed for different applications. A clinical-friendly graphic-user-interface (GUI) was developed in Matlab and used for mpMRI fusion. Twelve liver cancer patients and a digital human phantom were included in the study. Synthesis of novel image contrast and enhancement of image signal and contrast were examined in patient cases. Tumor contrast-to-noise ratio (CNR) and liver signal-to-noise ratio (SNR) were evaluated and compared before and after mpMRI fusion. Results The fusion platform was applicable in both XCAT phantom and patient cases. Novel image contrasts, including enhancement of soft-tissue boundary, vertebral body, tumor, and composition of multiple image features in a single image were achieved. Tumor CNR improved from -1.70 ± 2.57 to 4.88 ± 2.28 (p < 0.0001) for T1-w, from 3.39 ± 1.89 to 7.87 ± 3.47 (p < 0.01) for T2-w, and from 1.42 ± 1.66 to 7.69 ± 3.54 (p < 0.001) for T2/T1-w MRI. Liver SNR improved from 2.92 ± 2.39 to 9.96 ± 8.60 (p < 0.05) for DWI. The coefficient of variation (CV) of tumor CNR lowered from 1.57, 0.56, and 1.17 to 0.47, 0.44, and 0.46 for T1-w, T2-w and T2/T1-w MRI, respectively. Conclusion A multiparametric MRI fusion method was proposed and a prototype was developed. The method showed potential in improving clinically relevant features such as tumor contrast and liver signal. Synthesis of novel image contrasts including the composition of multiple image features into single image set was achieved.
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Affiliation(s)
- Lei Zhang
- Medical Physics Graduate Program, Duke University, Durham, North Carolina 27705, USA
- Department of Radiation Oncology, Duke University Medical Center, Durham, North Carolina 27710, USA
- Medical Physics Graduate Program, Duke Kunshan University, Kunshan, Jiangsu, 215316 China
| | - Fang-Fang Yin
- Medical Physics Graduate Program, Duke University, Durham, North Carolina 27705, USA
- Department of Radiation Oncology, Duke University Medical Center, Durham, North Carolina 27710, USA
- Medical Physics Graduate Program, Duke Kunshan University, Kunshan, Jiangsu, 215316 China
| | - Ke Lu
- Medical Physics Graduate Program, Duke University, Durham, North Carolina 27705, USA
- Department of Radiation Oncology, Duke University Medical Center, Durham, North Carolina 27710, USA
| | - Brittany Moore
- Medical Physics Graduate Program, Duke University, Durham, North Carolina 27705, USA
- Department of Radiation Oncology, Duke University Medical Center, Durham, North Carolina 27710, USA
| | - Silu Han
- Medical Physics Graduate Program, Duke University, Durham, North Carolina 27705, USA
- Department of Radiation Oncology, Duke University Medical Center, Durham, North Carolina 27710, USA
| | - Jing Cai
- Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong
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Chieng D, Segan L, Sugumar H, Al-Kaisey A, Hawson J, Moore B, Nam M, Voskoboinik A, Prabhu S, Ling L, Ng J, Brown G, Lee G, Morton J, Debinski H, Kalman J, Kistler P. High Power Short Duration (HPSD) is Safe and Improves Outcomes for Atrial Fibrillation Ablation vs Lower Power Longer Duration (LPLD): A Prospective Multi-Centre Randomised Controlled Study (Hi-Lo HEAT trial). Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Champenois EG, Sanchez DM, Yang J, Figueira Nunes JP, Attar A, Centurion M, Forbes R, Gühr M, Hegazy K, Ji F, Saha SK, Liu Y, Lin MF, Luo D, Moore B, Shen X, Ware MR, Wang XJ, Martínez TJ, Wolf TJA. Conformer-specific photochemistry imaged in real space and time. Science 2021; 374:178-182. [PMID: 34618569 DOI: 10.1126/science.abk3132] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
[Figure: see text].
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Affiliation(s)
- E G Champenois
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, CA, USA
| | - D M Sanchez
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, CA, USA.,Department of Chemistry, Stanford University, Stanford, CA, USA
| | - J Yang
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, CA, USA.,SLAC National Accelerator Laboratory, Menlo Park, CA, USA.,Center of Basic Molecular Science, Department of Chemistry, Tsinghua University, Beijing, China
| | - J P Figueira Nunes
- Department of Physics and Astronomy, University of Nebraska, Lincoln, NE, USA
| | - A Attar
- SLAC National Accelerator Laboratory, Menlo Park, CA, USA
| | - M Centurion
- Department of Physics and Astronomy, University of Nebraska, Lincoln, NE, USA
| | - R Forbes
- SLAC National Accelerator Laboratory, Menlo Park, CA, USA
| | - M Gühr
- Institut für Physik und Astronomie, Universität Potsdam, Potsdam, Germany
| | - K Hegazy
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, CA, USA.,Department of Physics, Stanford University, Stanford, CA, USA
| | - F Ji
- SLAC National Accelerator Laboratory, Menlo Park, CA, USA
| | - S K Saha
- Department of Physics and Astronomy, University of Nebraska, Lincoln, NE, USA
| | - Y Liu
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, NY, USA
| | - M-F Lin
- SLAC National Accelerator Laboratory, Menlo Park, CA, USA
| | - D Luo
- SLAC National Accelerator Laboratory, Menlo Park, CA, USA
| | - B Moore
- Department of Physics and Astronomy, University of Nebraska, Lincoln, NE, USA
| | - X Shen
- SLAC National Accelerator Laboratory, Menlo Park, CA, USA
| | - M R Ware
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, CA, USA
| | - X J Wang
- SLAC National Accelerator Laboratory, Menlo Park, CA, USA
| | - T J Martínez
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, CA, USA.,Department of Chemistry, Stanford University, Stanford, CA, USA
| | - T J A Wolf
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, CA, USA
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9
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Moore B, van der Meulen Rodgers Y, Coast E, Lattof SR, Poss C. History and scientific background on the economics of abortion. PLoS One 2021; 16:e0257360. [PMID: 34516575 PMCID: PMC8437296 DOI: 10.1371/journal.pone.0257360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Approximately one quarter of all pregnancies globally end in abortion, making it one of the most common gynecological practices worldwide. Despite the high incidence of abortion around the globe, the synthesis of known economic outcomes of abortion care and policies is lacking. Using data from a systematic scoping review, we synthesized the literature on the economics of abortion at the microeconomic, mesoeconomic, and mesoeconomic levels and presented the results in a collection of studies. This article describes the history and scientific background for collection, presents the scoping review framework, and discusses the value of this knowledge base. METHODS AND FINDINGS We conducted a scoping review using the PRISMA extension for Scoping Reviews. Studies reporting on qualitative and/or quantitative data from any world region were considered. For inclusion, studies must have examined one of the following outcomes: costs, impacts, benefits, and/or value of abortion-related care or policies. Our searches yielded 19,653 unique items, of which 365 items were included in our final inventory. Studies most often reported costs (n = 262), followed by impacts (n = 140), benefits (n = 58), and values (n = 40). Approximately one quarter (89/365) of studies contained information on the secondary outcome on stigma. Economic factors can lead to a delay in abortion care-seeking and can restrict health systems from adequately meeting the demand for abortion services. Provision of post-abortion care (PAC) services requires more resources then safe abortion services. Lack of insurance or public funding for abortion services can increase the cost of services and the overall economic impact on individuals both seeking and providing care. CONCLUSIONS Consistent economic themes emerge from research on abortion, though evidence gaps remain that need to be addressed through more standardized methods and consideration to framing of abortion issues in economics terms. Given the highly charged political nature of abortion around the world, it is imperative that researchers continue to build the evidence base on economic outcomes of abortion services and regulations.
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Affiliation(s)
- Brittany Moore
- Ipas, Chapel Hill, North Carolina, United States of America
| | - Yana van der Meulen Rodgers
- Department of Labor Studies and Employment Relations, Department of Women’s and Gender Studies, Rutgers University, Piscataway, New Jersey, United States of America
| | - Ernestina Coast
- Department of International Development, London School of Economics and Political Science, London, United Kingdom
| | - Samantha R. Lattof
- Department of International Development, London School of Economics and Political Science, London, United Kingdom
| | - Cheri Poss
- Ipas, Chapel Hill, North Carolina, United States of America
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10
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Coast E, Lattof SR, van der Meulen Rodgers Y, Moore B, Poss C. The microeconomics of abortion: A scoping review and analysis of the economic consequences for abortion care-seekers. PLoS One 2021; 16:e0252005. [PMID: 34106927 PMCID: PMC8189560 DOI: 10.1371/journal.pone.0252005] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2020] [Accepted: 05/10/2021] [Indexed: 11/19/2022] Open
Abstract
Background The economic consequences of abortion care and abortion policies for
individuals occur directly and indirectly. We lack synthesis of the economic
costs, impacts, benefit or value of abortion care at the micro-level (i.e.,
individuals and households). This scoping review examines the microeconomic
costs, benefits and consequences of abortion care and policies. Methods and findings Searches were conducted in eight electronic databases and applied
inclusion/exclusion criteria using the PRISMA extension for Scoping Reviews.
For inclusion, studies must have examined at least one of the following
outcomes: costs, impacts, benefits, and value of abortion care or abortion
policies. Quantitative and qualitative data were extracted for descriptive
statistics and thematic analysis. Of the 230 included microeconomic studies,
costs are the most frequently reported microeconomic outcome (n = 180),
followed by impacts (n = 84), benefits (n = 39), and values (n = 26).
Individual-level costs of abortion-related care have implications for the
timing and type of care sought, globally. In contexts requiring multiple
referrals or follow-up visits, these costs are multiplied. The ways in which
people pay for abortion-related costs are diverse. The intersection between
micro-level costs and delay(s) to abortion-related care is substantial.
Individuals forego other costs and expenditures, or are pushed further into
debt and/or poverty, in order to fund abortion-related care. The evidence
base on the economic impacts of policy or law change is from high-income
countries, dominated by studies from the United States. Conclusions Delays underpinned by economic factors can thwart care-seeking, affect the
type of care sought, and impact the gestational age at which care is sought
or reached. The evidence base includes little evidence on the micro-level
costs for adolescents. Specific sub-groups of abortion care-seekers
(transgendered and/or disabled people) are absent from the evidence and it
is likely that they may experience higher direct and indirect costs because
they may experience greater barriers to abortion care.
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Affiliation(s)
- Ernestina Coast
- Department of International Development, London School of Economics and
Political Science, London, United Kingdom
- * E-mail:
| | - Samantha R. Lattof
- Department of International Development, London School of Economics and
Political Science, London, United Kingdom
| | - Yana van der Meulen Rodgers
- Department of Labor Studies and Employment Relations, Rutgers University,
Piscataway, New Jersey, United States of America
- Department of Women’s and Gender Studies, Rutgers University, Piscataway,
New Jersey, United States of America
| | - Brittany Moore
- Ipas, Chapel Hill, North Carolina, United States of
America
| | - Cheri Poss
- Ipas, Chapel Hill, North Carolina, United States of
America
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11
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Moore B, Comeau S, Bekaert M, Cossais A, Purdy A, Larcombe E, Puerzer F, McCulloch MT, Cornwall CE. Rapid multi-generational acclimation of coralline algal reproductive structures to ocean acidification. Proc Biol Sci 2021; 288:20210130. [PMID: 33975470 PMCID: PMC8113899 DOI: 10.1098/rspb.2021.0130] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Accepted: 04/15/2021] [Indexed: 12/25/2022] Open
Abstract
The future of coral reef ecosystems is under threat because vital reef-accreting species such as coralline algae are highly susceptible to ocean acidification. Although ocean acidification is known to reduce coralline algal growth rates, its direct effects on the development of coralline algal reproductive structures (conceptacles) is largely unknown. Furthermore, the long-term, multi-generational response of coralline algae to ocean acidification is extremely understudied. Here, we investigate how mean pH, pH variability and the pH regime experienced in their natural habitat affect coralline algal conceptacle abundance and size across six generations of exposure. We show that second-generation coralline algae exposed to ocean acidification treatments had conceptacle abundances 60% lower than those kept in present-day conditions, suggesting that conceptacle development is initially highly sensitive to ocean acidification. However, this negative effect of ocean acidification on conceptacle abundance disappears after three generations of exposure. Moreover, we show that this transgenerational acclimation of conceptacle development is not facilitated by a trade-off with reduced investment in growth, as higher conceptacle abundances are associated with crusts with faster growth rates. These results indicate that the potential reproductive output of coralline algae may be sustained under future ocean acidification.
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Affiliation(s)
- B. Moore
- Marine Climate Change Unit, Okinawa Institute of Science and Technology Graduate University, Okinawa, Japan
- ARC Centre of Excellence for Coral Reef Studies, The University of Western Australia, Crawley, Western Australia, Australia
| | - S. Comeau
- ARC Centre of Excellence for Coral Reef Studies, The University of Western Australia, Crawley, Western Australia, Australia
- Sorbonne Université, CNRS-INSU, Laboratoire d'Océanographie de Villefranche, Villefranche-sur-mer, France
| | - M. Bekaert
- School of Biological Sciences, Victoria University of Wellington, Wellington, New Zealand
| | - A. Cossais
- School of Biological Sciences, Victoria University of Wellington, Wellington, New Zealand
| | - A. Purdy
- School of Biological Sciences, Victoria University of Wellington, Wellington, New Zealand
| | - E. Larcombe
- ARC Centre of Excellence for Coral Reef Studies, The University of Western Australia, Crawley, Western Australia, Australia
| | - F. Puerzer
- ARC Centre of Excellence for Coral Reef Studies, The University of Western Australia, Crawley, Western Australia, Australia
| | - M. T. McCulloch
- ARC Centre of Excellence for Coral Reef Studies, The University of Western Australia, Crawley, Western Australia, Australia
| | - C. E. Cornwall
- ARC Centre of Excellence for Coral Reef Studies, The University of Western Australia, Crawley, Western Australia, Australia
- School of Biological Sciences, Victoria University of Wellington, Wellington, New Zealand
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12
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Rodgers YVDM, Coast E, Lattof SR, Poss C, Moore B. The macroeconomics of abortion: A scoping review and analysis of the costs and outcomes. PLoS One 2021; 16:e0250692. [PMID: 33956826 PMCID: PMC8101771 DOI: 10.1371/journal.pone.0250692] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2020] [Accepted: 03/25/2021] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Although abortion is a common gynecological procedure around the globe, we lack synthesis of the known macroeconomic costs and outcomes of abortion care and abortion policies. This scoping review synthesizes the literature on the impact of abortion-related care and abortion policies on economic outcomes at the macroeconomic level (that is, for societies and nation states). METHODS AND FINDINGS Searches were conducted in eight electronic databases. We conducted the searches and application of inclusion/exclusion criteria using the PRISMA extension for Scoping Reviews. For inclusion, studies must have examined one of the following macroeconomic outcomes: costs, impacts, benefits, and/or value of abortion care or abortion policies. Quantitative and qualitative data were extracted for descriptive statistics and thematic analysis. Of the 189 data extractions with macroeconomic evidence, costs at the national level are the most frequently reported economic outcome (n = 97), followed by impacts (n = 66), and benefits/value (n = 26). Findings show that post-abortion care services can constitute a substantial portion of national expenditures on health. Public sector coverage of abortion costs is sparse, and individuals bear most of the costs. Evidence also indicates that liberalizing abortion laws can have positive spillover effects for women's educational attainment and labor supply, and that access to abortion services contributes to improvements in children's human capital. However, the political economy around abortion legislation remains complicated and controversial. CONCLUSIONS Given the highly charged political nature of abortion around the global and the preponderance of rhetoric that can cloud reality in policy dialogues, it is imperative that social science researchers build the evidence base on the macroeconomic outcomes of abortion services and regulations.
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Affiliation(s)
- Yana van der Meulen Rodgers
- Department of Labor Studies and Employment Relations, Rutgers University, Piscataway, New Jersey, United States of America
- Department of Women’s and Gender Studies, Rutgers University, Piscataway, New Jersey, United States of America
- * E-mail:
| | - Ernestina Coast
- Department of International Development, London School of Economics and Political Science, London, United Kingdom
| | - Samantha R. Lattof
- Department of International Development, London School of Economics and Political Science, London, United Kingdom
| | - Cheri Poss
- Ipas, Chapel Hill, North Carolina, United States of America
| | - Brittany Moore
- Ipas, Chapel Hill, North Carolina, United States of America
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Melgar M, Shiraishi RW, Tende C, Mwanza S, Mulenga J, Khondowe S, Mwakazanga D, Kapungu K, Tembo M, Nota A, Lungu P, Moore B, Podewils LJ. Assessment of the tuberculosis case-finding and prevention cascade among people living with HIV in Zambia - 2018: a cross-sectional cluster survey. BMC Public Health 2021; 21:859. [PMID: 33947361 PMCID: PMC8094475 DOI: 10.1186/s12889-021-10929-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Accepted: 04/26/2021] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND The Ministry of Health Zambia recommends tuberculosis preventive treatment (TPT) with 6 months daily isoniazid for all people living with human immunodeficiency virus (HIV) after ruling out active tuberculosis disease. We sought to estimate the percentage of people living with HIV who progress through each stage of the tuberculosis case-finding and prevention cascade in two provinces with the highest tuberculosis burden in Zambia. METHODS In this cross-sectional survey, we used a two-stage cluster sampling method. We sampled 12 healthcare facilities with probability proportional to size. Patient volume determined facility cluster size. During October 2018, from each facility we systematically sampled medical records of adults and children living with HIV. Our primary outcome of interest was TPT initiation rate among eligible people living with HIV, weighted for complex survey design. The Rao-Scott adjusted chi-square test was used to test for differences in TPT initiation rate and other indicators from the tuberculosis prevention cascade by age group and province of residence. Additionally, we conducted semi-structured interviews with healthcare workers at each facility to assess TPT knowledge and identify challenges to its implementation. RESULTS We sampled 482 records of people living with HIV (including 128 children living with HIV). Excluding two people diagnosed with tuberculosis disease before enrollment in HIV care, 93.4% underwent tuberculosis symptom screening. Of those, 4.7% were diagnosed with tuberculosis disease and 95.3% were TPT-eligible, of whom 24.7% initiated TPT. TPT initiation was lower among eligible children (7.7%) compared with adults (25.2%, p = 0.03) and Copperbelt residents (3.1%) compared with Lusaka residents (35.8%, p < 0.01). TPT completion rate was 38.4% among people living with HIV who initiated the 6-month course. Among interviewed healthcare workers, 58.3% (unweighted) incorrectly relayed the number of symptoms needed for a positive tuberculosis symptom screen, 83.3% (unweighted) reported insufficient isoniazid stockpile for completion at the time of TPT initiation, and only 27.3% (unweighted) reported receiving TPT-specific training. CONCLUSIONS TPT uptake among people living with HIV in Zambia is challenged by inconsistent tuberculosis screening, lack of TPT training for healthcare workers, and supply chain inefficiencies. Addressing these barriers may increase TPT initiations and improve outcomes among people living with HIV.
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Affiliation(s)
- Michael Melgar
- Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, 1600 Clifton Road, Mailstop US1-1, Atlanta, GA 30030 USA
| | - Ray W. Shiraishi
- Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, 1600 Clifton Road, Mailstop US1-1, Atlanta, GA 30030 USA
| | | | | | | | | | | | | | | | - Amos Nota
- National Tuberculosis and Leprosy Control Programme, Ministry of Health, Lusaka, Zambia
| | - Patrick Lungu
- National Tuberculosis and Leprosy Control Programme, Ministry of Health, Lusaka, Zambia
| | - Brittany Moore
- Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, 1600 Clifton Road, Mailstop US1-1, Atlanta, GA 30030 USA
| | - Laura J. Podewils
- Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, 1600 Clifton Road, Mailstop US1-1, Atlanta, GA 30030 USA
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Chang A, Moore B, Singh G, Mirshahi T. POS-419 GENOTYPE-PHENOTYPE CORRELATIONS OF PREDICTED LOSS OF FUNCTION MUTATIONS IN ATYPICAL ADPKD GENES. Kidney Int Rep 2021. [DOI: 10.1016/j.ekir.2021.03.442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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15
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Moore B, Poss C, Coast E, Lattof SR, van der Meulen Rodgers Y. The economics of abortion and its links with stigma: A secondary analysis from a scoping review on the economics of abortion. PLoS One 2021; 16:e0246238. [PMID: 33600471 PMCID: PMC7891754 DOI: 10.1371/journal.pone.0246238] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2020] [Accepted: 01/18/2021] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Although abortions are a common aspect of people's reproductive lives, the economic implications of abortion and the stigmas that surround abortion are poorly understood. This article provides an analysis of secondary data from a scoping review on the economic impact of abortion to understand the intersections between stigma and economics outcomes at the microeconomic (i.e., abortion seekers and their households), mesoeconomic (i.e., communities and health systems), and macroeconomic (i.e., societies and nation states) levels. METHODS AND FINDINGS We conducted a scoping review using the PRISMA extension for Scoping Reviews. Studies reporting on qualitative and/or quantitative data from any world region were considered. For inclusion, studies must have examined one of the following microeconomic, mesoeconomic, or macroeconomic outcomes: costs, benefits, impacts, and/or value of abortion-related care or abortion policies. Our searches yielded 19,653 items, of which 365 items were included in our final inventory. As a secondary outcome, every article in the final inventory was screened for abortion-related stigma, discrimination, and exclusion. One quarter (89/365) of the included studies contained information on stigma, though only 32 studies included stigma findings directly tied to economic outcomes. Studies most frequently reported stigma's links with costs (n = 24), followed by economic impact (n = 11) and economic benefit (n = 1). Abortion stigma can prevent women from obtaining correct information about abortion services and laws, which can lead to unnecessary increases in costs of care and sizeable delays in care. Women who are unable to confide in and rely on their social support network are less likely to have adequate financial resources to access abortion. CONCLUSIONS Abortion stigma has a clear impact on women seeking abortion or post-abortion care at each level. Programmatic interventions and policies should consider how stigma affects delays to care, access to accurate information, and available social and financial support, all of which have economic and health implications.
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Affiliation(s)
- Brittany Moore
- Ipas, Chapel Hill, North Carolina, United States of America
| | - Cheri Poss
- Ipas, Chapel Hill, North Carolina, United States of America
| | - Ernestina Coast
- Department of International Development, London School of Economics and Political Science, London, United Kingdom
| | - Samantha R. Lattof
- Department of International Development, London School of Economics and Political Science, London, United Kingdom
| | - Yana van der Meulen Rodgers
- Department of Labor Studies and Employment Relations, Rutgers University, Piscataway, New Jersey, United States of America
- Department of Women’s and Gender Studies, Rutgers University, Piscataway, New Jersey, United States of America
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16
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Moore B, Khang S, Francis JT. Noise-Correlation Is Modulated by Reward Expectation in the Primary Motor Cortex Bilaterally During Manual and Observational Tasks in Primates. Front Behav Neurosci 2020; 14:541920. [PMID: 33343308 PMCID: PMC7739882 DOI: 10.3389/fnbeh.2020.541920] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2020] [Accepted: 09/30/2020] [Indexed: 11/17/2022] Open
Abstract
Reward modulation is represented in the motor cortex (M1) and could be used to implement more accurate decoding models to improve brain-computer interfaces (BCIs; Zhao et al., 2018). Analyzing trial-to-trial noise-correlations between neural units in the presence of rewarding (R) and non-rewarding (NR) stimuli adds to our understanding of cortical network dynamics. We utilized Pearson's correlation coefficient to measure shared variability between simultaneously recorded units (32-112) and found significantly higher noise-correlation and positive correlation between the populations' signal- and noise-correlation during NR trials as compared to R trials. This pattern is evident in data from two non-human primates (NHPs) during single-target center out reaching tasks, both manual and action observation versions. We conducted a mean matched noise-correlation analysis to decouple known interactions between event-triggered firing rate changes and neural correlations. Isolated reward discriminatory units demonstrated stronger correlational changes than units unresponsive to reward firing rate modulation, however, the qualitative response was similar, indicating correlational changes within the network as a whole can serve as another information channel to be exploited by BCIs that track the underlying cortical state, such as reward expectation, or attentional modulation. Reward expectation and attention in return can be utilized with reinforcement learning (RL) towards autonomous BCI updating.
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Affiliation(s)
- Brittany Moore
- Department of Biomedical Engineering, Cullen College of Engineering, The University of Houston, Houston, TX, United States
| | - Sheng Khang
- Department of Biomedical Engineering, Cullen College of Engineering, The University of Houston, Houston, TX, United States
| | - Joseph Thachil Francis
- Department of Biomedical Engineering, Cullen College of Engineering, The University of Houston, Houston, TX, United States
- Department of Electrical and Computer Engineering, Cullen College of Engineering, The University of Houston, Houston, TX, United States
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17
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Lattof SR, Coast E, Rodgers YVDM, Moore B, Poss C. The mesoeconomics of abortion: A scoping review and analysis of the economic effects of abortion on health systems. PLoS One 2020; 15:e0237227. [PMID: 33147223 PMCID: PMC7641432 DOI: 10.1371/journal.pone.0237227] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2020] [Accepted: 07/08/2020] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Despite the high incidence of abortion around the globe, we lack synthesis of the known economic consequences of abortion care and abortion policies at the mesoeconomic level (i.e. health systems and communities). This scoping review examines the mesoeconomic costs, benefits, impacts, and values of abortion care and policies. METHODS AND FINDINGS Searches were conducted in eight electronic databases. We conducted the searches and application of inclusion/exclusion criteria using the PRISMA extension for Scoping Reviews. For inclusion, studies must have examined at least one of the following outcomes: costs, benefits, impacts, and value of abortion care or abortion policies. Quantitative and qualitative data were extracted for descriptive statistics and thematic analysis. Of the 150 included mesoeconomic studies, costs to health systems are the most frequently reported mesoeconomic outcome (n = 116), followed by impacts (n = 40), benefits (n = 17), and values (n = 11). Within health facilities and health systems, the costs of providing abortion services vary greatly, particularly given the range with which researchers identify and cost services. Financial savings can be realized while maintaining or even improving quality of abortion services. Adapting to changing laws and policies is costly for health facilities. American policies on abortion economically impact health systems and facilities both domestically and abroad. Providing post-abortion care requires a disproportionate amount of health facility resources. CONCLUSIONS The evidence base has consolidated around abortion costs to health systems and health facilities in high-income countries more than in low- or middle-income countries. Little is known about the economic impacts of abortion on communities or the mesoeconomics of abortion in the Middle East and North Africa. Methodologically, review papers are the most frequent study type, indicating that researchers rely on evidence from a core set of costing papers. Studies generating new primary data on mesoeconomic outcomes are needed to strengthen the evidence base.
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Affiliation(s)
- Samantha R. Lattof
- Department of International Development, London School of Economics and Political Science, London, United Kingdom
| | - Ernestina Coast
- Department of International Development, London School of Economics and Political Science, London, United Kingdom
| | - Yana van der Meulen Rodgers
- Department of Labor Studies and Employment Relations, Rutgers University, Piscataway, New Jersey, United States of America
- Department of Women’s and Gender Studies, Rutgers University, Piscataway, New Jersey, United States of America
| | - Brittany Moore
- Ipas, Chapel Hill, North Carolina, United States of America
| | - Cheri Poss
- Ipas, Chapel Hill, North Carolina, United States of America
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18
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Madden L, Hockstein M, Franczak M, Moore B, Ratcliff J, Strickler S, Nugent K, Atallah H, Tekwani S, Patel D. 209 Assessment of a Novel Emergency Department-Based Critical Care Consult Service in an Urban Level-1 Trauma Center. Ann Emerg Med 2020. [DOI: 10.1016/j.annemergmed.2020.09.222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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19
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Boyd AT, Moore B, Shah M, Tran C, Kirking H, Cavanaugh JS, Al-Samarrai T, Pathmanathan I. Implementing TB preventive treatment within differentiated HIV service delivery models in global programs. Public Health Action 2020; 10:104-110. [PMID: 33134124 DOI: 10.5588/pha.20.0014] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Accepted: 06/15/2020] [Indexed: 11/10/2022] Open
Abstract
Global HIV program stakeholders, including the US President's Emergency Plan for AIDS Relief (PEPFAR), are undertaking efforts to ensure that eligible people living with HIV (PLHIV) receiving antiretroviral treatment (ART) receive a course of TB preventive treatment (TPT). In PEPFAR programming, this effort may require providing TPT not only to newly diagnosed PLHIV as part of HIV care initiation, but also to treatment-experienced PLHIV stable on ART who may not have been previously offered TPT. TPT scale-up is occurring at the same time as a trend to provide more person-centered HIV care through differentiated service delivery (DSD). In DSD, PLHIV stable on ART may receive less frequent clinical follow-up or receive care outside the traditional clinic-based model. The misalignment between traditional delivery of TPT and care delivery in innovative DSD may require adaptations to TPT delivery practices for PLHIV. Adaptations include components of planning and operationalization of TPT in DSD, such as determination of TPT eligibility and TPT initiation, and clinical management of PLHIV while on TPT. A key adaptation is alignment of timing and location for TPT and ART prescribing, monitoring, and dispensing. Conceptual examples of TPT delivery in DSD may help program managers operationalize TPT in HIV care.
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Affiliation(s)
- A T Boyd
- Division of Global HIV and TB, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - B Moore
- Division of Global HIV and TB, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - M Shah
- Division of Global HIV and TB, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - C Tran
- Division of Global HIV and TB, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - H Kirking
- Division of Global HIV and TB, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - J S Cavanaugh
- Division of Global HIV and TB, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - T Al-Samarrai
- Office of the Global AIDS Coordinator, Washington DC, USA
| | - I Pathmanathan
- Division of Global HIV and TB, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
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20
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Peszka J, Michelle S, Collins BT, Abu-Halimeh N, Quattom M, Henderson M, Sanders M, Critton J, Moore B, Mastin DF. 0180 Sleep, Sleepiness, and Sleep Hygiene Related to Nomophobia (No Mobile Phone Phobia). Sleep 2020. [DOI: 10.1093/sleep/zsaa056.178] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Previously, active phone use at bedtime has been implicated in disrupted sleep and related complaints. To improve sleep, a recommendation following such findings is limiting phone use before and during bedtime. However, for those with the characteristic of “nomophobia”, fear of being out of mobile phone contact, this recommendation could exacerbate anxiety at and around bedtime and disrupt, rather than improve, sleep. In 2012, an estimated 77% of 18-24-year-olds could be identified as nomophobic. Because of the prevalence of nomophobia and its possible interaction with sleep, we explored the existence of nomophobia in a college-age population and its relationship to sleep, sleepiness, and sleep hygiene behaviors.
Methods
327 university students (age: M=19.7 years, SD=3.78) recruited from introductory psychology courses and campus newsletters were given extra credit or a chance to win $25 gift cards for participation. Participants completed demographic information, the Nomophobia Questionnaire (NMP-Q), the Epworth Sleepiness Scale (ESS), the Pittsburgh Sleep Quality Index, questions regarding associated features of inadequate sleep hygiene, and the Sleep Hygiene Index. Additional sleep hygiene questions assessed frequency of active and passive technology use during sleep time.
Results
89.4% of the participants had moderate or severe nomophobia. Greater nomophobia was significantly related to greater daytime sleepiness (ESS) (r(293)=.150, p<.05), associated features of poor sleep (daytime sleepiness: r(297)=.097, p<.05, and avolition: r(297)=.100, p<.05), more maladaptive sleep hygiene behaviors including active technology use during sleep time (r(298)=.249, p<.05), long daytime naps, inconsistent wake and bed times, using bed for non-sleep purposes, uncomfortable bed, and bedtime cognitive rumination (r’s=0.097 to 0.182).
Conclusion
Most participants experienced moderate to severe nomophobia with greater nomophobia associated with greater sleepiness, avolition, and poorer sleep hygiene. Nomophobia is likely to be an important consideration when treating sleep disorders and/or making any sleep hygiene recommendations.
Support
Hendrix College Charles Brewer Fund for Psychology
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Affiliation(s)
| | - S Michelle
- University of Arkansas at Little Rock, Little Rock, AR
| | - B T Collins
- University of Arkansas at Little Rock, Little Rock, AR
| | - N Abu-Halimeh
- University of Arkansas at Little Rock, Little Rock, AR
| | - M Quattom
- University of Arkansas at Little Rock, Little Rock, AR
| | - M Henderson
- University of Arkansas at Little Rock, Little Rock, AR
| | - M Sanders
- University of Arkansas at Little Rock, Little Rock, AR
| | - J Critton
- University of Arkansas at Little Rock, Little Rock, AR
| | - B Moore
- University of Arkansas at Little Rock, Little Rock, AR
| | - D F Mastin
- University of Arkansas at Little Rock, Little Rock, AR
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21
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Mastin D, Abu-Halimeh N, Collins BT, Critton J, Henderson M, Michelle S, Quattom M, Sanders M, Moore B, Peszka J. 0194 Bedtime Technology Use and New Questions for the Sleep Hygiene Index. Sleep 2020. [DOI: 10.1093/sleep/zsaa056.192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Introduction
We examined the relationship between bedtime active and passive social technology use (self and bedpartner) and daytime sleepiness/sleep. We generated questions to differentiate participants with and without bedpartners and updated passive personal, active bedpartner, and passive bedpartner social technology questions of the Sleep Hygiene Index.
Methods
327 students (age: M=19.7 years, SD=3.78) recruited through psychology courses and campus newsletters received extra credit or chances to win $25 gift cards. Participants completed demographic information, the Epworth Sleepiness Scale (ESS), the Pittsburgh Sleep Quality Index, questions regarding associated features of inadequate sleep hygiene, and the Sleep Hygiene Index. Five questions assessed active and passive social technology use, presence of a bedpartner, and awareness of bedpartner active and passive social technology use during sleep time.
Results
61.8% and 62.7% of students reported frequently or always using active and passive bedtime social technology, respectively; and 23.5% and 29.1% reported noticing a partner’s active or passive use. More frequent active technology use was significantly related to greater daytime sleepiness (ESS) (r(305)=.193, p<.05), sleep disturbances (PSQI-global: r(302)=.120, p<.05), and associated features of inadequate sleep hygiene (daytime sleepiness, worry about sleep, mood disturbance, avolition, and reduced cognition (r(306)=.212, p<.05)). Neither passive use nor passive or active partner use was significantly related to any sleep/sleepiness variables.
Conclusion
We continue to find students are frequent users of bedtime social technology which is related to daytime sleepiness, disrupted sleep, and related complaints. Passive and partner active/passive bedtime technology use may not have a significant impact on daytime sleepiness. It is possible younger participants are not good judges of passive or partner technology use or this younger population is resilient to these disruptions.
Support
none
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Affiliation(s)
- D Mastin
- University of Arkansas Little Rock, Little Rock, AR
| | | | - B T Collins
- University of Arkansas Little Rock, Little Rock, AR
| | - J Critton
- University of Arkansas Little Rock, Little Rock, AR
| | - M Henderson
- University of Arkansas Little Rock, Little Rock, AR
| | - S Michelle
- University of Arkansas Little Rock, Little Rock, AR
| | - M Quattom
- University of Arkansas Little Rock, Little Rock, AR
| | - M Sanders
- University of Arkansas Little Rock, Little Rock, AR
| | - B Moore
- University of Arkansas Little Rock, Little Rock, AR
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Kirby J, Moore B, Leiphart P, Shumaker K, Mammis-Gierbolini A, Benhadou F, del Marmol V. 一项关于在化脓性汗腺炎研究中使用词语“加剧”的回顾. Br J Dermatol 2020. [DOI: 10.1111/bjd.18677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Shen X, Nunes JPF, Yang J, Jobe RK, Li RK, Lin MF, Moore B, Niebuhr M, Weathersby SP, Wolf TJA, Yoneda C, Guehr M, Centurion M, Wang XJ. Femtosecond gas-phase mega-electron-volt ultrafast electron diffraction. Struct Dyn 2019; 6:054305. [PMID: 31649964 PMCID: PMC6796191 DOI: 10.1063/1.5120864] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/22/2019] [Accepted: 09/24/2019] [Indexed: 05/16/2023]
Abstract
The development of ultrafast gas electron diffraction with nonrelativistic electrons has enabled the determination of molecular structures with atomic spatial resolution. It has, however, been challenging to break the picosecond temporal resolution barrier and achieve the goal that has long been envisioned-making space- and-time resolved molecular movies of chemical reaction in the gas-phase. Recently, an ultrafast electron diffraction (UED) apparatus using mega-electron-volt (MeV) electrons was developed at the SLAC National Accelerator Laboratory for imaging ultrafast structural dynamics of molecules in the gas phase. The SLAC gas-phase MeV UED has achieved 65 fs root mean square temporal resolution, 0.63 Å spatial resolution, and 0.22 Å-1 reciprocal-space resolution. Such high spatial-temporal resolution has enabled the capturing of real-time molecular movies of fundamental photochemical mechanisms, such as chemical bond breaking, ring opening, and a nuclear wave packet crossing a conical intersection. In this paper, the design that enables the high spatial-temporal resolution of the SLAC gas phase MeV UED is presented. The compact design of the differential pump section of the SLAC gas phase MeV UED realized five orders-of-magnitude vacuum isolation between the electron source and gas sample chamber. The spatial resolution, temporal resolution, and long-term stability of the apparatus are systematically characterized.
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Affiliation(s)
- X. Shen
- SLAC National Accelerator Laboratory, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - J. P. F. Nunes
- Department of Physics and Astronomy, University of Nebraska-Lincoln, Lincoln, Nebraska 68588, USA
| | | | - R. K. Jobe
- SLAC National Accelerator Laboratory, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - R. K. Li
- SLAC National Accelerator Laboratory, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - Ming-Fu Lin
- Linac Coherent Light Source, SLAC National Accelerator Laboratory, Menlo Park, California 94025, USA
| | - B. Moore
- Department of Physics and Astronomy, University of Nebraska-Lincoln, Lincoln, Nebraska 68588, USA
| | - M. Niebuhr
- Institut für Physik und Astronomie, Universität Potsdam, 14476 Potsdam, Germany
| | - S. P. Weathersby
- SLAC National Accelerator Laboratory, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - T. J. A. Wolf
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, California 94025, USA
| | - C. Yoneda
- SLAC National Accelerator Laboratory, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - Markus Guehr
- Institut für Physik und Astronomie, Universität Potsdam, 14476 Potsdam, Germany
| | - Martin Centurion
- Department of Physics and Astronomy, University of Nebraska-Lincoln, Lincoln, Nebraska 68588, USA
| | - X. J. Wang
- SLAC National Accelerator Laboratory, 2575 Sand Hill Road, Menlo Park, California 94025, USA
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Abstract
INTRODUCTION Abortion is a common feature of people's reproductive lives. However, the economic implications of abortion and policies affecting abortion provision are poorly understood. This scoping review aims to systematically review social science literature for studies that have investigated the impact of abortion care (ie, un/safe abortion, post-abortion care) or abortion policies on economic outcomes at the micro-levels (ie, abortion seekers and their households), meso-levels (ie, communities and health systems) and macro-levels (ie, societies and nation states). Informed by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guideline for protocols, this protocol details the scoping review's methodological and analytical approaches. METHODS AND ANALYSIS This scoping review will utilise the PRISMA extension for Scoping Reviews (PRISMA-ScR) tool. Studies reporting on qualitative and/or quantitative data from any world region will be considered. For inclusion, studies must examine one of the following economic outcomes at the micro-levels, meso-levels and/or macro-levels: costs, benefits, impacts and/or value of abortion care or abortion policies. Searches will be conducted in eight electronic databases. We will conduct the searches and application of inclusion/exclusion criteria according to the PRISMA-ScR flow approach. No assessments of items' quality will be made, as the purpose of this scoping review is to synthesise and describe the coverage of the evidence. After extracting all data, we will inductively develop an economic framework around the economics of abortion. The analysis will synthesise the evidence base and identify knowledge gaps on the costs and benefits of abortion to stakeholders at various levels. ETHICS AND DISSEMINATION Formal ethical approval is not required, as primary data will not be collected in this study. The findings of this study will be disseminated through peer-reviewed publications, conference presentations, and condensed summaries for key stakeholders and partners in the field.
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Affiliation(s)
- Ernestina Coast
- International Development, London School of Economics, London, UK
| | - Samantha R Lattof
- International Development, London School of Economics and Political Science, London, UK
| | | | - Brittany Moore
- Scientific and Technical Divison, IPAS, Chapel Hill, North Carolina, USA
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Robin R, Moore B, Newcomer K. Fifth Metacarpal Pain With Extensor Lag In An 18 Year Old Football Player. Med Sci Sports Exerc 2019. [DOI: 10.1249/01.mss.0000562390.54220.f6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Kirby J, Moore B, Leiphart P. 273 Defining flare in hidradenitis suppurativa: A systematic review. J Invest Dermatol 2019. [DOI: 10.1016/j.jid.2019.03.349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Kirby JS, Moore B, Leiphart P, Shumaker K, Mammis-Gierbolini A, Benhadou F, Del Marmol V. A narrative review of the definition of 'flare' in hidradenitis suppurativa. Br J Dermatol 2019; 182:24-28. [PMID: 31025310 DOI: 10.1111/bjd.18035] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/23/2019] [Indexed: 12/27/2022]
Abstract
BACKGROUND Hidradenitis suppurativa (HS) is a chronic, inflammatory condition that can have periodic worsening or flares. Measurement of flare is important because it can inform treatment efficacy; however, it is unclear how HS flare should be defined. OBJECTIVES This study reviewed the literature for definitions of HS flare. METHODS The PubMed MEDLINE online database was searched on 10 January 2018 and the search was repeated on 8 December 2018 for new publications. Titles and abstracts were screened for inclusion. Subsequently, full articles were screened for inclusion. Papers were included if the publication was a systematic review, clinical trial, cohort study, case report or series, or cross-sectional study. Studies were excluded if they were journalistic reviews, did not discuss clinical findings of HS or did not use the words 'flare', 'exacerbation', 'relapse' or 'recurrence'. RESULTS Two hundred and seventy-four papers were identified and 154 fulfilled the study criteria. Of these, 27 (17.5%) included the term 'flare' and 16 (10.4%) included the term 'exacerbation'. Two of the 27 papers (7%) defined the term flare and both included patient report of changes in symptoms or signs. One of 16 papers (6%) defined exacerbation, which was taken as one new HS lesion. The terms 'recurrence' and 'relapse' were more apt to be defined: 13% (13 of 100) and 14% (six of 44), respectively. CONCLUSIONS The lack of a specific and measurable definition of HS flare is a barrier to assessment of this important outcome. Once a specific and measurable definition is established, validated and reliable measures of HS flare can be incorporated into future studies. What's already known about this topic? Hidradenitis suppurativa (HS) is a chronic, relapsing inflammatory skin condition. The ability to assess flares is important to people who have HS; however, it is unclear how this is defined. HS flare is one of the core outcomes in the core outcome set for HS clinical trials; however, it is unclear how this should be assessed. What does this study add? This literature review reveals the paucity of measurable definitions associated with the use of the term 'flare' in the HS literature. It also highlights the variation and lack of a validated and reliable measure of HS flare.
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Affiliation(s)
- J S Kirby
- Department of Dermatology, Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA, 17033, U.S.A
| | - B Moore
- Penn State College of Medicine, Hershey, PA, U.S.A
| | - P Leiphart
- Penn State College of Medicine, Hershey, PA, U.S.A
| | - K Shumaker
- Department of Dermatology, Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA, 17033, U.S.A
| | | | - F Benhadou
- Department of Dermatology, Hôpital Erasme - Universite Libre de Bruxelles, Bruxelles, Belgium
| | - V Del Marmol
- Department of Dermatology, Hôpital Erasme - Universite Libre de Bruxelles, Bruxelles, Belgium
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Fitzpatrick F, Skally M, O'Hanlon C, Foley M, Houlihan J, Gaughan L, Smith O, Moore B, Cunneen S, Sweeney E, Dinesh B, O'Connell K, Smyth E, Humphreys H, Burns K. Food for thought. Malnutrition risk associated with increased risk of healthcare-associated infection. J Hosp Infect 2018; 101:300-304. [PMID: 30590089 DOI: 10.1016/j.jhin.2018.12.012] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2018] [Accepted: 12/19/2018] [Indexed: 02/08/2023]
Abstract
BACKGROUND Infection and malnutrition are interconnected. UK and Irish guidelines recommend the Malnutrition Universal Screening Tool (MUST) for nutritional risk screening. Patients with a MUST score of ≥2 are considered at high risk of malnutrition and referral for nutritional assessment is recommended. AIM To explore the association between healthcare-associated infection (HCAI) and the MUST score categories of patients. METHODS This was a cross-sectional study in May 2017 on ten representative wards in our institution. Patient demographics, MUST score, presence of medical devices, HCAI and antimicrobial use were collected. FINDINGS Of 240 patients, the HCAI prevalence was 10.4% (N = 25) and 26% (N = 63) were at high risk of malnutrition (MUST score ≥2). Patients with HCAI were more likely to have had surgery (odds ratio (OR): 5.5; confidence interval (CI): 2.1-14.3; P < 0.001), a central vascular catheter (OR: 10.0; CI: 3.6-27.2; P < 0.001), or a urinary catheter in situ (OR: 7.5; CI: 2.8-20.0; P < 0.001), and to have a high risk of malnutrition (OR: 4.3; CI: 1.7-11.2; P < 0.001). A higher MUST score remained a significant predictor of a patient having HCAI on multivariate regression analysis (CI: 0.2-0.6; P < 0.001). CONCLUSION Patients at risk of malnutrition when assessed with the MUST were more likely to have HCAI. However, prospective studies are required to investigate the temporal association between MUST and HCAI and which interventions best address malnutrition risk and HCAI reduction in different settings.
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Affiliation(s)
- F Fitzpatrick
- Department of Microbiology, Beaumont Hospital, Dublin, Ireland; Department of Clinical Microbiology, The Royal College of Surgeons in Ireland, Dublin, Ireland.
| | - M Skally
- Department of Microbiology, Beaumont Hospital, Dublin, Ireland
| | - C O'Hanlon
- Department of Nutrition and Dietetics, Beaumont Hospital, Dublin, Ireland
| | - M Foley
- Department of Microbiology, Beaumont Hospital, Dublin, Ireland
| | - J Houlihan
- Department of Microbiology, Beaumont Hospital, Dublin, Ireland
| | - L Gaughan
- Department of Pharmacy, Beaumont Hospital, Dublin, Ireland
| | - O Smith
- Department of Nutrition and Dietetics, Beaumont Hospital, Dublin, Ireland
| | - B Moore
- Department of Nutrition and Dietetics, Beaumont Hospital, Dublin, Ireland
| | - S Cunneen
- Department of Nutrition and Dietetics, Beaumont Hospital, Dublin, Ireland
| | - E Sweeney
- Department of Nutrition and Dietetics, Beaumont Hospital, Dublin, Ireland
| | - B Dinesh
- Department of Microbiology, Beaumont Hospital, Dublin, Ireland
| | - K O'Connell
- Department of Microbiology, Beaumont Hospital, Dublin, Ireland
| | - E Smyth
- Department of Microbiology, Beaumont Hospital, Dublin, Ireland
| | - H Humphreys
- Department of Microbiology, Beaumont Hospital, Dublin, Ireland; Department of Clinical Microbiology, The Royal College of Surgeons in Ireland, Dublin, Ireland
| | - K Burns
- Department of Microbiology, Beaumont Hospital, Dublin, Ireland; Health Protection Surveillance Centre, Dublin, Ireland
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Cornwall CE, Comeau S, DeCarlo TM, Moore B, D'Alexis Q, McCulloch MT. Resistance of corals and coralline algae to ocean acidification: physiological control of calcification under natural pH variability. Proc Biol Sci 2018; 285:rspb.2018.1168. [PMID: 30089625 DOI: 10.1098/rspb.2018.1168] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2018] [Accepted: 07/13/2018] [Indexed: 12/31/2022] Open
Abstract
Ocean acidification is a threat to the continued accretion of coral reefs, though some undergo daily fluctuations in pH exceeding declines predicted by 2100. We test whether exposure to greater pH variability enhances resistance to ocean acidification for the coral Goniopora sp. and coralline alga Hydrolithon reinboldii from two sites: one with low pH variability (less than 0.15 units daily; Shell Island) and a site with high pH variability (up to 1.4 pH units daily; Tallon Island). We grew populations of both species for more than 100 days under a combination of differing pH variability (high/low) and means (ambient pH 8.05/ocean acidification pH 7.65). Calcification rates of Goniopora sp. were unaffected by the examined variables. Calcification rates of H. reinboldii were significantly faster in Tallon than in Shell Island individuals, and Tallon Island individuals calcified faster in the high variability pH 8.05 treatment compared with all others. Geochemical proxies for carbonate chemistry within the calcifying fluid (cf) of both species indicated that only mean seawater pH influenced pHcf pH treatments had no effect on proxies for Ωcf These limited responses to extreme pH treatments demonstrate that some calcifying taxa may be capable of maintaining constant rates of calcification under ocean acidification by actively modifying Ωcf.
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Affiliation(s)
- C E Cornwall
- Oceans Graduate School and Oceans Institute, The University of Western Australia, 35 Stirling Highway, Crawley 6009 Western Australia, Australia .,ARC Centre for Coral Reef Studies, 35 Stirling Highway, Crawley, 6009 Western Australia, Australia
| | - S Comeau
- Oceans Graduate School and Oceans Institute, The University of Western Australia, 35 Stirling Highway, Crawley 6009 Western Australia, Australia.,ARC Centre for Coral Reef Studies, 35 Stirling Highway, Crawley, 6009 Western Australia, Australia
| | - T M DeCarlo
- Oceans Graduate School and Oceans Institute, The University of Western Australia, 35 Stirling Highway, Crawley 6009 Western Australia, Australia.,ARC Centre for Coral Reef Studies, 35 Stirling Highway, Crawley, 6009 Western Australia, Australia
| | - B Moore
- Oceans Graduate School and Oceans Institute, The University of Western Australia, 35 Stirling Highway, Crawley 6009 Western Australia, Australia
| | - Q D'Alexis
- Oceans Graduate School and Oceans Institute, The University of Western Australia, 35 Stirling Highway, Crawley 6009 Western Australia, Australia
| | - M T McCulloch
- Oceans Graduate School and Oceans Institute, The University of Western Australia, 35 Stirling Highway, Crawley 6009 Western Australia, Australia.,ARC Centre for Coral Reef Studies, 35 Stirling Highway, Crawley, 6009 Western Australia, Australia
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Pallas SW, Courey M, Hy C, Killam WP, Warren D, Moore B. Cost Analysis of Tuberculosis Diagnosis in Cambodia with and without Xpert ® MTB/RIF for People Living with HIV/AIDS and People with Presumptive Multidrug-resistant Tuberculosis. Appl Health Econ Health Policy 2018; 16:537-548. [PMID: 29862440 PMCID: PMC6050005 DOI: 10.1007/s40258-018-0397-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
BACKGROUND The Xpert® MTB/RIF (Xpert) test has been shown to be effective and cost-effective for diagnosing tuberculosis (TB) under conditions with high HIV prevalence and HIV-TB co-infection but less is known about Xpert's cost in low HIV prevalence settings. Cambodia, a country with low HIV prevalence (0.7%), high TB burden, and low multidrug-resistant (MDR) TB burden (1.4% of new TB cases, 11% of retreatment cases) introduced Xpert into its TB diagnostic algorithms for people living with HIV (PLHIV) and people with presumptive MDR TB in 2012. The study objective was to estimate these algorithms' costs pre- and post-Xpert introduction in four provinces of Cambodia. METHODS Using a retrospective, ingredients-based microcosting approach, primary cost data on personnel, equipment, maintenance, supplies, and specimen transport were collected at four sites through observation, records review, and key informant consultations. RESULTS Across the sample facilities, the cost per Xpert test was US$33.88-US$37.11, clinical exam cost US$1.22-US$1.84, chest X-ray cost US$2.02-US$2.14, fluorescent microscopy (FM) smear cost US$1.56-US$1.93, Ziehl-Neelsen (ZN) smear cost US$1.26, liquid culture test cost US$11.63-US$22.83, follow-on work-up for positive culture results and Mycobacterium tuberculosis complex (MTB) identification cost US$11.50-US$14.72, and drug susceptibility testing (DST) cost US$44.26. Specimen transport added US$1.39-US$5.21 per sample. Assuming clinician adherence to the algorithms and perfect test accuracy, the normative cost per patient correctly diagnosed under the post-Xpert algorithms would be US$25-US$29 more per PLHIV and US$34-US$37 more per person with presumptive MDR TB (US$41 more per PLHIV when accounting for variable test sensitivity and specificity). CONCLUSIONS Xpert test unit costs could be reduced through lower cartridge prices, longer usable life of GeneXpert® (Cepheid, USA) instruments, and increased test volumes; however, epidemiological and test eligibility conditions in Cambodia limit the number of specimens received at laboratories, leading to sub-optimal utilization of current instruments. Improvements to patient referral and specimen transport could increase test volumes and reduce Xpert test unit costs in this setting.
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Affiliation(s)
- Sarah Wood Pallas
- Division of Global HIV/AIDS, Center for Global Health, US Centers for Disease Control and Prevention (CDC), 1600 Clifton Road NE, MS A-04, Atlanta, GA, 30329-4027, USA.
| | - Marissa Courey
- Division of Global HIV/AIDS, Center for Global Health, US Centers for Disease Control and Prevention (CDC), 1600 Clifton Road NE, MS A-04, Atlanta, GA, 30329-4027, USA
| | - Chhaily Hy
- Division of Global HIV/AIDS, Center for Global Health, US Centers for Disease Control and Prevention (CDC), National Institute of Public Health, #80, 289 Samdach Penn Nouth St. (289), Phnom Penh, Cambodia
| | - Wm Perry Killam
- Division of Global HIV/AIDS, Center for Global Health, US Centers for Disease Control and Prevention (CDC), National Institute of Public Health, #80, 289 Samdach Penn Nouth St. (289), Phnom Penh, Cambodia
| | - Dora Warren
- Division of Global HIV/AIDS, Center for Global Health, US Centers for Disease Control and Prevention (CDC), National Institute of Public Health, #80, 289 Samdach Penn Nouth St. (289), Phnom Penh, Cambodia
| | - Brittany Moore
- Division of Tuberculosis Elimination, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, US Centers for Disease Control and Prevention (CDC), 1600 Clifton Road NE, Atlanta, GA, 30329-4027, USA
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Mastin DF, Bland J, Greene S, Moore B, Peszka J. 0431 Relationship of Partner Passive Phone Use in Bed with Daytime Sleepiness and Sleep. Sleep 2018. [DOI: 10.1093/sleep/zsy061.430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- D F Mastin
- University of Arkansas at Little Rock, Little Rock, AR
| | - J Bland
- University of Arkansas at Little Rock, Little Rock, AR
| | - S Greene
- University of Arkansas at Little Rock, Little Rock, AR
| | - B Moore
- University of Arkansas at Little Rock, Little Rock, AR
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Abstract
The south-west Mentoring Scheme has developed in the context of a general and increasing concern for the health and morale of senior doctors (British Medical Association (BMA), 2000). Their problems are now well described (Allen, 1999; Ghodseet al, 2000), but there is little evidence of effective intervention. The aspirations of the National Service Framework and the NHS Plan will come to nothing if there are not sufficient trained and experienced staff to implement them, and senior staff are increasingly looking forward to early retirement rather than the continued satisfactions of working within the NHS. Recruitment and retention of consultant psychiatrists is the most problematic of all medical specialities, with 14% of posts empty or occupied by locums (Sainsbury Centre for Mental Health, 2000). There is a clear need to find ways of preventing work-related ill health, stress and burn-out among practitioners (Roberts, 1997; Department of Health, 1999: p 115), and to sustain their creative and productive engagement in health care. A demotivated profession cannot be expected to deliver an effective service (McBride & Metcalf, 1995; Appletonet al, 1998) and policy is not a substitute for personnel.
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Cai J, Zhang L, Yin FF, Moore B, Han S. A multisource adaptive magnetic resonance image fusion technique for versatile contrast magnetic resonance imaging. Cancer Transl Med 2018. [DOI: 10.4103/ctm.ctm_21_18] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Kapil S, Hamm E, Atallah H, Zalesky C, Ahmad F, Ratcliff J, Moore B, Rhee P, Wheatley M. 331 Observation of Minor Traumatic Brain Injury in Emergency Department Observation Units Significantly Reduces Length-of-Stay. Ann Emerg Med 2017. [DOI: 10.1016/j.annemergmed.2017.07.402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Mastin D, Yang J, Orr L, McFarlin S, Nix S, Ramirez M, Moore B, Peszka J. 0161 ACTIVE AND PASSIVE BEDTIME SOCIAL TECHNOLOGY USE RELATED TO DAYTIME SLEEPINESS AND SLEEP. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.160] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Jones C, Miller R, Sharkey R, Friel A, Clifford D, Darcy C, Moore B, Hall M. P209 Specialist respiratory pharmacist case management copd medicines optimisation clinics: implementation and outcomes. Thorax 2016. [DOI: 10.1136/thoraxjnl-2016-209333.352] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Shaw T, Yates P, Moore B, Ash K, Nolte L, Krishnasamy M, Nicholson J, Rynderman M, Avery J, Jefford M. Development and evaluation of an online educational resource about cancer survivorship for cancer nurses: a mixed-methods sequential study. Eur J Cancer Care (Engl) 2016; 26. [PMID: 27726221 DOI: 10.1111/ecc.12576] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/10/2016] [Indexed: 11/26/2022]
Abstract
Cancer survivorship is recognised globally as a key issue. In spite of the key role played by nurses in survivorship care, there is an identified gap in nurse's knowledge in this area. This study reports on the development and evaluation of an educational resource for nurses working with people affected by cancer. The resource was designed using adult learning principles and includes a variety of learning materials and point of care resources. A mixed-methods sequential exploratory design was used to undertake an evaluation of the programme. This included the use of online surveys and semi-structured interviews with pilot participants. A total of 21 participants completed an online survey and 11 participants completed a telephone interview. Overall, the participants found the Cancer Survivorship resource to be engaging, practical and intuitive. A major theme emerging from the survey and interview data was that the resource was applicable to practice and useful in developing survivorship care plans. Respondents requested additional information be included on the role of various health professionals working in survivorship as well as guidelines on when to make referrals. This study provides evidence that the Cancer Survivorship tool may be a promising vehicle for delivering evidence-based education on survivorship care.
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Affiliation(s)
- T Shaw
- Faculty of Health Sciences, Charles Perkins Center, University of Sydney, Sydney, NSW, Australia
| | - P Yates
- Queensland University of Technology, Brisbane, QLD, Australia
| | - B Moore
- Faculty of Health Sciences, Charles Perkins Center, University of Sydney, Sydney, NSW, Australia
| | - K Ash
- Queensland University of Technology, Brisbane, QLD, Australia
| | - L Nolte
- Australian Cancer Survivorship Centre, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia
| | - M Krishnasamy
- Peter MacCallum Cancer Centre, Melbourne, VIC, Australia
| | - J Nicholson
- Faculty of Health Sciences, Charles Perkins Center, University of Sydney, Sydney, NSW, Australia
| | - M Rynderman
- Australian Cancer Survivorship Centre, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia
| | - J Avery
- Faculty of Health Sciences, Charles Perkins Center, University of Sydney, Sydney, NSW, Australia
| | - M Jefford
- Australian Cancer Survivorship Centre, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia
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Affiliation(s)
- B. Moore
- Public Health Laboratory, Church Lane, Heavitree, Exeter
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Dennis M, Moore B, Kotchetkova I, Pressley L, Tanous D, Cordina R, Celermajer D. Adult Survival with Repaired Tetralogy; Low Mortality but High Morbidity, Up To Middle Age. Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Fornazari GA, Montiani-Ferreira F, Filho IRDB, Somma AT, Moore B. The eye of the Barbary sheep or aoudad (Ammotragus lervia): reference values for selected ophthalmic diagnostic tests, morphologic and biometric observations. Open Vet J 2016; 6:102-13. [PMID: 27419103 PMCID: PMC4935764 DOI: 10.4314/ovj.v6i2.6] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2016] [Accepted: 06/18/2016] [Indexed: 11/23/2022] Open
Abstract
The purpose of this study was to describe the normal ocular anatomy and establish reference values for ophthalmic tests in the Barbary sheep or aoudad (Ammotragus lervia). Aoudad eyes are large and laterally positioned in the head with several specialized anatomic features attributed to evolutionary adaptations for grazing. Normal values for commonly used ophthalmic tests were established, Schirmer tear test (STT) - 27.22 ± 3.6 mm/min; Predominant ocular surface bacterial microbiota - Staphylococcus sp.; Corneal esthesiometry- 1.3 ± 0.4 cm; Intraocular pressure by rebound tonometry- 19.47 ± 3.9 mmHg; Corneal thickness- 630.07 ± 20.67 µm, B-mode ultrasonography of the globe-axial eye globe length 29.94 ± 0.96 mm, anterior chamber depth 5.03 ± 0.17 mm, lens thickness 9.4 ± 0.33 mm, vitreous chamber depth 14.1 ± 0.53 mm; Corneal diameter-horizontal corneal diameter 25.05 ± 2.18 mm, vertical corneal diameter 17.95 ± 1.68 mm; Horizontal palpebral fissure length- 34.8 ± 3.12 mm. Knowledge of these normal anatomic variations, biometric findings and normal parameters for ocular diagnostic tests may assist veterinary ophthalmologists in the diagnosis of ocular diseases in this and other similar species.
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Affiliation(s)
- G A Fornazari
- Universidade Federal do Paraná, Programa de Pós-Graduação em Ciências Veterinárias, Rua dos Funcionários 1540, 8035-050, Curitiba, PR. Brazil
| | - F Montiani-Ferreira
- Universidade Federal do Paraná, Programa de Pós-Graduação em Ciências Veterinárias, Rua dos Funcionários 1540, 8035-050, Curitiba, PR. Brazil
| | - I R de Barros Filho
- Universidade Federal do Paraná, Programa de Pós-Graduação em Ciências Veterinárias, Rua dos Funcionários 1540, 8035-050, Curitiba, PR. Brazil
| | - A T Somma
- Universidade Federal do Paraná, Programa de Pós-Graduação em Ciências Veterinárias, Rua dos Funcionários 1540, 8035-050, Curitiba, PR. Brazil
| | - B Moore
- Veterinary Specialty Hospital of San Diego, 10435 Sorrento Valley Road, San Diego, CA 92121, USA
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Broglio SP, Rettmann A, Greer J, Brimacombe S, Moore B, Narisetty N, He X, Eckner J. Investigating a Novel Measure of Brain Networking Following Sports Concussion. Int J Sports Med 2016; 37:714-22. [PMID: 27286176 DOI: 10.1055/s-0042-107250] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
Clinicians managing sports-related concussions are left to their clinical judgment in making diagnoses and return-to-play decisions. This study was designed to evaluate the utility of a novel measure of functional brain networking for concussion management. 24 athletes with acutely diagnosed concussion and 21 control participants were evaluated in a research laboratory. At each of the 4 post-injury time points, participants completed the Axon assessment of neurocognitive function, a self-report symptom inventory, and the auditory oddball and go/no-go tasks while electroencephalogram (EEG) readings were recorded. Brain Network Activation (BNA) scores were calculated from EEG data related to the auditory oddball and go/no-go tasks. BNA scores were unable to differentiate between the concussed and control groups or by self-report symptom severity. These findings conflict with previous work implementing electrophysiological assessments in concussed athletes, suggesting that BNA requires additional investigation and refinement before clinical implementation.
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Affiliation(s)
- S P Broglio
- University of Michigan, Neurotrauma Research Laboratory, Ann Arbor, United States
| | - A Rettmann
- NeuroTrauma Research Laboratory, University of Michigan, Ann Arbor, United States
| | - J Greer
- Michigan NeuroSport, University of Michigan, Ann Arbor, United States
| | - S Brimacombe
- Michigan NeuroSport, University of Michigan, Ann Arbor, United States
| | - B Moore
- Michigan NeuroSport, University of Michigan, Ann Arbor, United States
| | - N Narisetty
- Department of Statistics, University of Michigan, Ann Arbor, United States
| | - X He
- Department of Statistics, University of Michigan, Ann Arbor, United States
| | - J Eckner
- Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, Michigan, United States
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Moore B, Yin F, Czito B, Palta M, Cai J. SU-F-J-103: Assessment of Liver Tumor Contrast for Radiation Therapy: Inter-Patient and Inter-Sequence Variability. Med Phys 2016. [DOI: 10.1118/1.4956011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Raudabaugh J, Nguyen G, Moore B, Lowry C, Nelson R, Yoshizumi T. SU-G-IeP3-04: Effective Dose Measurements in Fast Kvp Switch Dual Energy Computed Tomography. Med Phys 2016. [DOI: 10.1118/1.4957054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Belley MD, Faught A, Moore B, Subashi E, Langloss B, Therien MJ, Yoshizumi TT, Chino JP, Craciunescu O. WE-DE-201-07: Measurement of Real-Time Dose for Tandem and Ovoid Brachytherapy Procedures Using a High Precision Optical Fiber Radiation Detector. Med Phys 2016. [DOI: 10.1118/1.4957812] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Dong J, Xiao X, Zhang G, Menarguez MA, Choi CY, Qin Y, Luo P, Zhang Y, Moore B. Northward expansion of paddy rice in northeastern Asia during 2000-2014. Geophys Res Lett 2016; 43:3754-3761. [PMID: 27667876 PMCID: PMC5033055 DOI: 10.1002/2016gl068191] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Paddy rice in monsoon Asia plays an important role in global food security and climate change. Here we documented annual dynamics of paddy rice areas in the northern frontier of Asia, including Northeastern (NE) China, North Korea, South Korea, and Japan, from 2000-2014 through analysis of satellite images. The paddy rice area has increased by 120% (2.5 to 5.5 million ha) in NE China, in comparison to a decrease in South Korea and Japan, and the paddy rice centroid shifted northward from 41.16 °N to 43.70 °N (~310 km) in this period. Market, technology, policy, and climate together drove the rice expansion in NE China. The increased use of greenhouse nurseries, improved rice cultivars, agricultural subsidy policy, and a rising rice price generally promoted northward paddy rice expansion. The potential effects of large rice expansion on climate change and ecological services should be paid more attention in the future.
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Affiliation(s)
- J Dong
- Department of Microbiology and Plant Biology, and Center for Spatial Analysis, University of Oklahoma, Norman, OK 73019, USA
| | - X Xiao
- Department of Microbiology and Plant Biology, and Center for Spatial Analysis, University of Oklahoma, Norman, OK 73019, USA; Institute of Biodiversity Science, Fudan University, Shanghai, 200433, China
| | - G Zhang
- Department of Microbiology and Plant Biology, and Center for Spatial Analysis, University of Oklahoma, Norman, OK 73019, USA
| | - M A Menarguez
- Department of Microbiology and Plant Biology, and Center for Spatial Analysis, University of Oklahoma, Norman, OK 73019, USA
| | - C Y Choi
- Department of Microbiology and Plant Biology, and Center for Spatial Analysis, University of Oklahoma, Norman, OK 73019, USA
| | - Y Qin
- Department of Microbiology and Plant Biology, and Center for Spatial Analysis, University of Oklahoma, Norman, OK 73019, USA
| | - P Luo
- Disaster Prevention Research Institute (DPRI), Kyoto University, Kyoto 611-0011, Japan; Institute for the Advanced Study of Sustainability (UNU-IAS), United Nations University, Shibuya, Tokyo, Japan
| | - Y Zhang
- Department of Microbiology and Plant Biology, and Center for Spatial Analysis, University of Oklahoma, Norman, OK 73019, USA
| | - B Moore
- College of Atmospheric and Geographic Sciences, University of Oklahoma, Norman, OK, 73019, USA
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Warshak CR, Regan J, Moore B, Magner K, Kritzer S, Van Hook J. Association between marijuana use and adverse obstetrical and neonatal outcomes. J Perinatol 2015; 35:991-5. [PMID: 26401751 DOI: 10.1038/jp.2015.120] [Citation(s) in RCA: 88] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2015] [Revised: 08/11/2015] [Accepted: 08/18/2015] [Indexed: 11/09/2022]
Abstract
OBJECTIVE To evaluate associations between marijuana exposure and adverse outcomes excluding women with polysubstance abuse and stratifying for concurrent maternal tobacco use. STUDY DESIGN We performed a retrospective cohort study evaluating various obstetrical and neonatal outcomes including: preterm delivery, pre-eclampsia, gestational diabetes, cesarean delivery, fetal growth restriction, a composite which included stillbirth or neonatal intensive care unit admission, and perinatal mortality. We stratified study groups according to the maternal tobacco use and performed a logistic regression analysis. RESULTS We included 6468 women, 6107 nonusers and 361 marijuana users. After adjustment for maternal age, race, parity, body mass index and no prenatal care, we found higher rates of small for gestational age (aOR 1.30 (95% CI 1.03 to 1.62)) and neonatal intensive care unit admission (aOR 1.54 (1.14 to 2.07)) in women who were not tobacco users. Other obstetrical outcomes including preterm delivery and fetal anomalies were not increased with maternal marijuana use. CONCLUSION Maternal marijuana use does not increase the risk of adverse obstetrical outcomes or fetal anomalies, but does increase the risk for small for gestational age and neonatal intensive care unit admission.
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Affiliation(s)
- C R Warshak
- Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - J Regan
- Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - B Moore
- Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - K Magner
- Department of Obstetrics and Gynecology, The Christ Hospital, Cincinnati, OH, USA
| | - S Kritzer
- Department of Obstetrics and Gynecology, Northwestern University of Feinberg School of Medicine, Chicago, IL, USA
| | - J Van Hook
- Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, OH, USA
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Friedman G, Nan L, Moore B, Etminan T, Orr B, Chewning J, Crossman D, Gillespie GY. PM-05 * TUMOR LOCATION REMODELS TRANSCRIPTOMIC PROFILES IN A PEDIATRIC MEDULLOBLASTOMA XENOGRAFT. Neuro Oncol 2015. [DOI: 10.1093/neuonc/nov061.127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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50
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Mulvenna P, Nankivell M, Barton R, Wilson P, Faivre-Finn C, Stephens R, Ardron D, McColl E, Moore B, Brisbane I, Sydes B, Langley R. 188: Quality of life after treatment for brain metastases: final demographic data from the QUARTZ trial. Lung Cancer 2015. [DOI: 10.1016/s0169-5002(15)50182-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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