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Järvinen KM, Davis EC, Bevec E, Jackson CM, Pizzarello C, Catlin E, Klein M, Sunkara A, Diaz N, Miller J, Martina CA, Thakar J, Seppo AE, Looney RJ. Biomarkers of Development of Immunity and Allergic Diseases in Farming and Non-farming Lifestyle Infants: Design, Methods and 1 Year Outcomes in the "Zooming in to Old Order Mennonites" Birth Cohort Study. Front Pediatr 2022; 10:916184. [PMID: 35874571 PMCID: PMC9299374 DOI: 10.3389/fped.2022.916184] [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] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Accepted: 06/08/2022] [Indexed: 11/13/2022] Open
Abstract
Traditional farming lifestyle has been shown to be protective against asthma and allergic diseases. The individual factors that appear to be associated with this "farm-life effect" include consumption of unpasteurized farm milk and exposure to farm animals and stables. However, the biomarkers of the protective immunity and those associated with early development of allergic diseases in infancy remain unclear. The "Zooming in to Old Order Mennonites (ZOOM)" study was designed to assess the differences in the lifestyle and the development of the microbiome, systemic and mucosal immunity between infants born to traditional farming lifestyle at low risk for allergic diseases and those born to urban/suburban atopic families with a high risk for allergic diseases in order to identify biomarkers of development of allergic diseases in infancy. 190 mothers and their infants born to Old Order Mennonite population protected from or in Rochester families at high risk for allergic diseases were recruited before birth from the Finger Lakes Region of New York State. Questionnaires and samples are collected from mothers during pregnancy and after delivery and from infants at birth and at 1-2 weeks, 6 weeks, 6, 12, 18, and 24 months, with 3-, 4-, and 5-year follow-up ongoing. Samples collected include maternal blood, stool, saliva, nasal and skin swabs and urine during pregnancy; breast milk postnatally; infant blood, stool, saliva, nasal and skin swabs. Signs and symptoms of allergic diseases are assessed at every visit and serum specific IgE is measured at 1 and 2 years of age. Allergic diseases are diagnosed by clinical history, exam, and sensitization by skin prick test and/or serum specific IgE. By the end of the first year of life, the prevalence of food allergy and atopic dermatitis were higher in ROC infants compared to the rates observed in OOM infants as was the number of infants sensitized to foods. These studies of immune system development in a population protected from and in those at risk for allergic diseases will provide critical new knowledge about the development of the mucosal and systemic immunity and lay the groundwork for future studies of prevention of allergic diseases.
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Affiliation(s)
- Kirsi M. Järvinen
- Division of Allergy and Immunology, Center for Food Allergy, Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Golisano Children’s Hospital, Rochester, NY, United States
- Department of Microbiology & Immunology, University of Rochester School of Medicine and Dentistry, Rochester, NY, United States
- Division of Allergy, Immunology, and Rheumatology, Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY, United States
| | - Erin C. Davis
- Division of Allergy and Immunology, Center for Food Allergy, Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Golisano Children’s Hospital, Rochester, NY, United States
| | - Erin Bevec
- Department of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry, Rochester, NY, United States
| | - Courtney M. Jackson
- Division of Allergy and Immunology, Center for Food Allergy, Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Golisano Children’s Hospital, Rochester, NY, United States
| | - Catherine Pizzarello
- Division of Allergy and Immunology, Center for Food Allergy, Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Golisano Children’s Hospital, Rochester, NY, United States
- Department of Microbiology & Immunology, University of Rochester School of Medicine and Dentistry, Rochester, NY, United States
| | - Elizabeth Catlin
- Division of Allergy and Immunology, Center for Food Allergy, Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Golisano Children’s Hospital, Rochester, NY, United States
| | - Miranda Klein
- Division of Allergy and Immunology, Center for Food Allergy, Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Golisano Children’s Hospital, Rochester, NY, United States
| | - Akhila Sunkara
- Division of Allergy and Immunology, Center for Food Allergy, Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Golisano Children’s Hospital, Rochester, NY, United States
| | - Nichole Diaz
- Division of Allergy and Immunology, Center for Food Allergy, Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Golisano Children’s Hospital, Rochester, NY, United States
| | - James Miller
- Division of Allergy and Immunology, Center for Food Allergy, Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Golisano Children’s Hospital, Rochester, NY, United States
| | - Camille A. Martina
- Department of Public Health and Environmental Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY, United States
| | - Juilee Thakar
- Department of Microbiology & Immunology, University of Rochester School of Medicine and Dentistry, Rochester, NY, United States
- Department of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry, Rochester, NY, United States
| | - Antti E. Seppo
- Division of Allergy and Immunology, Center for Food Allergy, Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Golisano Children’s Hospital, Rochester, NY, United States
| | - R. John Looney
- Division of Allergy, Immunology, and Rheumatology, Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY, United States
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Seppo AE, Bu K, Jumabaeva M, Thakar J, Choudhury RA, Yonemitsu C, Bode L, Martina CA, Allen M, Tamburini S, Piras E, Wallach DS, Looney RJ, Clemente JC, Järvinen KM. Infant gut microbiome is enriched with Bifidobacterium longum ssp. infantis in Old Order Mennonites with traditional farming lifestyle. Allergy 2021; 76:3489-3503. [PMID: 33905556 DOI: 10.1111/all.14877] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [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: 12/08/2020] [Revised: 03/16/2021] [Accepted: 03/24/2021] [Indexed: 12/24/2022]
Abstract
BACKGROUND Growing up on traditional, single-family farms is associated with protection against asthma in school age, but the mechanisms against early manifestations of atopic disease are largely unknown. We sought determine the gut microbiome and metabolome composition in rural Old Order Mennonite (OOM) infants at low risk and Rochester, NY urban/suburban infants at high risk for atopic diseases. METHODS In a cohort of 65 OOM and 39 Rochester mother-infant pairs, 101 infant stool and 61 human milk samples were assessed by 16S rRNA gene sequencing for microbiome composition and qPCR to quantify Bifidobacterium spp. and B. longum ssp. infantis (B. infantis), a consumer of human milk oligosaccharides (HMOs). Fatty acids (FAs) were analyzed in 34 stool and human 24 milk samples. Diagnoses and symptoms of atopic diseases by 3 years of age were assessed by telephone. RESULTS At a median age of 2 months, stool was enriched with Bifidobacteriaceae, Clostridiaceae, and Aerococcaceae in the OOM compared with Rochester infants. B. infantis was more abundant (p < .001) and prevalent, detected in 70% of OOM compared with 21% of Rochester infants (p < .001). Stool colonized with B. infantis had higher levels of lactate and several medium- to long/odd-chain FAs. In contrast, paired human milk was enriched with a distinct set of FAs including butyrate. Atopic diseases were reported in 6.5% of OOM and 35% of Rochester children (p < .001). CONCLUSION A high rate of B. infantis colonization, similar to that seen in developing countries, is found in the OOM at low risk for atopic diseases.
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Affiliation(s)
- Antti E. Seppo
- Division of Allergy and Immunology Center for Food Allergy Department of Pediatrics University of Rochester School of Medicine and Dentistry Golisano Children's Hospital Rochester New York USA
| | - Kevin Bu
- Department of Genetics and Genomic Sciences Icahn Institute for Data Science and Genomic Technology Precision Immunology Institute Icahn School of Medicine at Mount Sinai New York City NY USA
| | - Madina Jumabaeva
- Division of Allergy and Immunology Center for Food Allergy Department of Pediatrics University of Rochester School of Medicine and Dentistry Golisano Children's Hospital Rochester New York USA
| | - Juilee Thakar
- Department of Microbiology and Immunology and Department of Biostatistics University of Rochester School of Medicine and Dentistry Rochester New York USA
| | - Rakin A. Choudhury
- Department of Microbiology and Immunology and Department of Biostatistics University of Rochester School of Medicine and Dentistry Rochester New York USA
| | - Chloe Yonemitsu
- Division of Neonatology and Division of Gastroenterology, Hepatology and Nutrition Department of Pediatrics University of California San Diego La Jolla California USA
| | - Lars Bode
- Division of Neonatology and Division of Gastroenterology, Hepatology and Nutrition Department of Pediatrics University of California San Diego La Jolla California USA
- Mother‐Milk‐Infant Center of Research Excellence (MOMI CORE) University of California, San Diego La Jolla California USA
| | - Camille A. Martina
- Department of Public Health & Environmental Medicine University of Rochester School of Medicine and Dentistry Rochester New York USA
| | - Maria Allen
- Division of Allergy, Immunology, and Rheumatology Department of Medicine University of Rochester School of Medicine and Dentistry Rochester New York USA
| | - Sabrina Tamburini
- Department of Genetics and Genomic Sciences Icahn Institute for Data Science and Genomic Technology Precision Immunology Institute Icahn School of Medicine at Mount Sinai New York City NY USA
| | - Enrica Piras
- Department of Genetics and Genomic Sciences Icahn Institute for Data Science and Genomic Technology Precision Immunology Institute Icahn School of Medicine at Mount Sinai New York City NY USA
| | - David S. Wallach
- Department of Genetics and Genomic Sciences Icahn Institute for Data Science and Genomic Technology Precision Immunology Institute Icahn School of Medicine at Mount Sinai New York City NY USA
| | - R. John Looney
- Division of Allergy, Immunology, and Rheumatology Department of Medicine University of Rochester School of Medicine and Dentistry Rochester New York USA
| | - Jose C. Clemente
- Department of Genetics and Genomic Sciences Icahn Institute for Data Science and Genomic Technology Precision Immunology Institute Icahn School of Medicine at Mount Sinai New York City NY USA
| | - Kirsi M. Järvinen
- Division of Allergy and Immunology Center for Food Allergy Department of Pediatrics University of Rochester School of Medicine and Dentistry Golisano Children's Hospital Rochester New York USA
- Department of Microbiology and Immunology University of Rochester School of Medicine and Dentistry Rochester New York USA
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Ianni PA, Perorazio TE, Samuels EM, Eakin BL, Jones CT, Bigelow VJ, Chung H, Martina CA, Murphy SL, Rushforth AM, Peyre SE, Ellingrod VL. The DIAMOND portal: An innovative platform for sharing translational research workforce training and assessment resources. J Clin Transl Sci 2020; 4:480-484. [PMID: 33948223 PMCID: PMC8057381 DOI: 10.1017/cts.2020.507] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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: 03/31/2020] [Revised: 06/26/2020] [Accepted: 06/29/2020] [Indexed: 11/26/2022] Open
Abstract
Although several initiatives have produced core competency domains for training the translational science workforce, training resources to help clinical research professionals advance these skills reside primarily within local departments or institutions. The Development, Implementation, and AssessMent of Novel Training in Domain (DIAMOND) project was designed to make this training more readily and publicly available. DIAMOND includes a digital portal to catalog publicly available educational resources and an ePortfolio to document professional development. DIAMOND is a nationally crowdsourced, federated, online catalog providing a platform for practitioners to find and share training and assessment materials. Contributors can share their own educational materials using a simple intake form that creates an electronic record; the portal enables users to browse or search this catalog of digital records and access the resources. Since September 2018, the portal has been visited more than 5,700 times and received over 280 contributions from professionals. The portal facilitates opportunities to connect and collaborate regarding future applications of these resources. Consequently, growing the collection and increasing numbers of both contributors and users remains a priority. Results from a small subset of users indicated over half accomplished their purpose for visiting the site, while qualitative results showed that users identified several benefits and helpful features of the ePortfolio.
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Affiliation(s)
- Phillip A. Ianni
- Michigan Institute for Clinical and Health Research, University of Michigan, Ann Arbor, MI, USA
| | - Thomas E. Perorazio
- Michigan Institute for Clinical and Health Research, University of Michigan, Ann Arbor, MI, USA
| | - Elias M. Samuels
- Michigan Institute for Clinical and Health Research, University of Michigan, Ann Arbor, MI, USA
| | - Brenda L. Eakin
- Michigan Institute for Clinical and Health Research, University of Michigan, Ann Arbor, MI, USA
| | - Carolynn T. Jones
- The Ohio State University, Center for Clinical and Translational Science and College of Nursing, Columbus, OH, USA
| | - Victoria J. Bigelow
- Center for Education Design, Evaluation, and Research, University of Michigan, Ann Arbor, MI, USA
| | - Haejung Chung
- Tufts Clinical and Translational Science Institute, Boston, MA, USA
| | - Camille A. Martina
- University of Rochester Clinical and Translational Science Institute, Rochester, NY, USA
| | - Susan L. Murphy
- Michigan Institute for Clinical and Health Research, University of Michigan, Ann Arbor, MI, USA
- Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA
| | | | - Sarah E. Peyre
- University of Rochester Clinical and Translational Science Institute, Rochester, NY, USA
| | - Vicki L. Ellingrod
- Michigan Institute for Clinical and Health Research, University of Michigan, Ann Arbor, MI, USA
- College of Pharmacy, University of Michigan, Ann Arbor, MI, USA
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Lynn MA, Butcher E, Cuculick JA, Barnett S, Martina CA, Smith SR, Pollard RQ, Simpson-Haidaris PJ. A review of mentoring deaf and hard-of-hearing scholars. ACTA ACUST UNITED AC 2020; 28:211-228. [PMID: 32489313 DOI: 10.1080/13611267.2020.1749350] [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] [Indexed: 10/24/2022]
Abstract
Diversification of the scientific workforce usually focuses on recruitment and retention of women and underrepresented racial and ethnic minorities but often overlooks deaf and hard-of hearing (D/HH) persons. Usually classified as a disability group, such persons are often members of their own sociocultural linguistic minority and deserve unique support. For them, access to technical and social information is often hindered by communication- and/or language-centered barriers, but securing and using communication access services is just a start. Critical aspects of training D/HH scientists as part of a diversified workforce necessitates: (a) educating hearing persons in cross-cultural dynamics pertaining to deafness, sign language, and Deaf culture; (b) ensuring access to formal and incidental information to support development of professional soft skills; and (c) understanding that institutional infrastructure change may be necessary to ensure success. Mentorship and training programs that implement these criteria are now creating a new generation of D/HH scientists.
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Affiliation(s)
- Matthew A Lynn
- Department of Science and Mathematics, National Technical Institute for the Deaf, Rochester Institute of Technology, Rochester, NY 14623
| | - Elizabeth Butcher
- Access Services, University of Rochester School of Medicine & Dentistry, Rochester, NY 14642
| | - Jessica A Cuculick
- Center on Cognition and Language, National Technical Institute for the Deaf, Rochester Institute of Technology, Rochester, NY 14623
| | - Steven Barnett
- Departments of Family Medicine, Public Health Sciences and the National Center for Deaf Health Research, University of Rochester School of Medicine & Dentistry, Rochester, NY 14642
| | - Camille A Martina
- Departments of Public Health Sciences and Environmental Medicine, University of Rochester School of Medicine & Dentistry, Rochester, NY 14642
| | - Scott R Smith
- Office of the Associate Dean of Research, National Technical Institute for the Deaf, Rochester Institute of Technology, Rochester, NY 14623
| | - Robert Q Pollard
- Office of the Associate Dean of Research, National Technical Institute for the Deaf, Rochester Institute of Technology, Rochester, NY 14623.,Deaf Wellness Center, University of Rochester School of Medicine & Dentistry, Rochester NY, 14642
| | - Patricia J Simpson-Haidaris
- Departments of Medicine, Microbiology & Immunology and Pathology, University of Rochester School of Medicine & Dentistry, Rochester, NY 14642
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Piper KF, Gold JR, Bodkin RP, Rueckmann EA, Rizzone K, Martina CA. Rock climbers’ management of hand injuries and perceptions on seeking healthcare: A mixed methods analysis. Cogent Medicine 2017. [DOI: 10.1080/2331205x.2017.1395724] [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: 10/18/2022] Open
Affiliation(s)
- Keaton F. Piper
- University of Rochester School of Medicine and Dentistry, Rochester, NY, USA
| | - Jillian R. Gold
- University of Rochester School of Medicine and Dentistry, Rochester, NY, USA
| | - Ryan P. Bodkin
- University of Rochester Medical Center Department of Emergency Medicine, Rochester, NY, USA
| | - Erik A. Rueckmann
- University of Rochester Medical Center Department of Emergency Medicine, Rochester, NY, USA
| | - Katherine Rizzone
- University of Rochester Medical Center Department of Orthopedics, Rochester, NY, USA
| | - Camille A. Martina
- University of Rochester Medical Center Department of Public Health Sciences, Rochester, NY, USA
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Lewis V, Martina CA, McDermott MP, Chaudron L, Trief PM, LaGuardia JG, Sharp D, Goodman SR, Morse GD, Ryan RM. Mentoring Interventions for Underrepresented Scholars in Biomedical and Behavioral Sciences: Effects on Quality of Mentoring Interactions and Discussions. CBE Life Sci Educ 2017; 16:16/3/ar44. [PMID: 28747354 PMCID: PMC5589424 DOI: 10.1187/cbe.16-07-0215] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/10/2016] [Revised: 03/29/2017] [Accepted: 04/13/2017] [Indexed: 05/25/2023]
Abstract
Mentors rarely receive education about the unique needs of underrepresented scholars in the biomedical and behavioral sciences. We hypothesized that mentor-training and peer-mentoring interventions for these scholars would enrich the perceived quality and breadth of discussions between mentor-protégé dyads (i.e., mentor-protégé pairs). Our multicenter, randomized study of 150 underrepresented scholar-mentor dyads compared: 1) mentor training, 2) protégé peer mentoring, 3) combined mentor training and peer mentoring, and 4) a control condition (i.e., usual practice of mentoring). In this secondary analysis, the outcome variables were quality of dyad time and breadth of their discussions. Protégé participants were graduate students, fellows, and junior faculty in behavioral and biomedical research and healthcare. Dyads with mentor training were more likely than those without mentor training to have discussed teaching and work-life balance. Dyads with peer mentoring were more likely than those without peer mentoring to have discussed clinical care and career plans. The combined intervention dyads were more likely than controls to perceive that the quality of their time together was good/excellent. Our study supports the value of these mentoring interventions to enhance the breadth of dyad discussions and quality of time together, both important components of a good mentoring relationship.
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Affiliation(s)
- Vivian Lewis
- Department of Obstetrics and Gynecology, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642
| | - Camille A Martina
- Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642
| | | | - Linda Chaudron
- Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642
| | - Paula M Trief
- Departments of Psychiatry and Behavioral Sciences and Medicine, State University of New York Upstate Medical University, Syracuse, NY 13210
| | - Jennifer G LaGuardia
- Counseling & Psychological Services, University of California, Santa Barbara, Santa Barbara, CA 93106
| | - Daryl Sharp
- University of Rochester School of Nursing, Rochester NY 14642
| | - Steven R Goodman
- **Departments of Pediatrics and Physiology, University of Tennessee Health Science Center, Memphis, TN 38163
| | - Gene D Morse
- School of Pharmacy and Pharmaceutical Sciences, University at Buffalo, Buffalo, NY 14203
| | - Richard M Ryan
- Department of Clinical and Social Science in Psychology, University of Rochester, Rochester, NY 14627
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Lewis V, Martina CA, McDermott MP, Trief PM, Goodman SR, Morse GD, LaGuardia JG, Sharp D, Ryan RM. A Randomized Controlled Trial of Mentoring Interventions for Underrepresented Minorities. Acad Med 2016; 91:994-1001. [PMID: 26717501 PMCID: PMC4925237 DOI: 10.1097/acm.0000000000001056] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
PURPOSE To conduct a randomized controlled trial to evaluate the effects of different mentoring interventions on the basic psychological need satisfaction of underrepresented minorities and women in academia. METHOD Participants were 150 mentor/protégé dyads from three academic medical centers and eight other colleges and universities in western and central New York, randomized from 2010 to 2013 into mentor training (using principles of self-determination theory); peer mentoring for protégés; mentor training and peer mentoring for protégés combined; or control/usual practice. Protégé participants were graduate students, fellows, and junior faculty who were from underrepresented groups based on race, ethnicity, gender, or disability.The primary analysis was a comparison of intervention effects on changes in protégés' satisfaction of their basic psychological needs (competence, autonomy, and relatedness) with their mentor. They completed a well-validated, online questionnaire every two months for one year. RESULTS There was no significant effect at the end of one year of either mentor training or peer mentoring on protégés' psychological basic need satisfaction with mentor specifically or at work in general. Exploratory analyses showed a significant effect of the mentor-based intervention on the protégés' overall psychological need satisfaction with their mentor at two months, the time point closest to completing mentor training. CONCLUSIONS This randomized controlled trial showed a potential short-term effect of mentor training on changing basic psychological need satisfaction of underrepresented scholars with their mentors. Despite the lack of sustained effect of either mentor training or peer mentoring, these short-term changes suggest feasibility and potential for future study.
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Affiliation(s)
- Vivian Lewis
- V. Lewis is professor, Department of Obstetrics and Gynecology, and vice provost for faculty development and diversity, University of Rochester School of Medicine and Dentistry, Rochester, New York. C.A. Martina is research assistant professor, Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, New York. M.P. McDermott is professor, Departments of Biostatistics and Computational Biology and Neurology, University of Rochester School of Medicine and Dentistry, Rochester, New York. P.M. Trief is professor, Departments of Psychiatry and Behavioral Sciences and Medicine, and senior associate dean for faculty affairs and faculty development, SUNY Upstate Medical University, Syracuse, New York. S.R. Goodman is professor, Department of Pediatrics and Physiology, and vice chancellor for research, University of Tennessee Health Science Center, Memphis Tennessee. G.D. Morse is SUNY distinguished professor of pharmacy practice, School of Pharmacy and Pharmaceutical Sciences, University at Buffalo, Buffalo, New York. J.G. LaGuardia is affiliated with the Department of Psychology, University of California, Santa Barbara, Santa Barbara, California. D. Sharp is professor of clinical nursing, University of Rochester School of Nursing, Rochester, New York. R.M. Ryan is professor, Department of Psychology, University of Rochester, Rochester, New York
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Mortezavi M, Jarvinen-Seppo KE, Martina CA, Looney RJ, Jarvinen-Seppo KM. Breast Milk IgA Levels in the Old Order Mennonite Vs. City Mothers. J Allergy Clin Immunol 2016. [DOI: 10.1016/j.jaci.2015.12.695] [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: 10/22/2022]
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Fernandez ID, Chin NP, Devine CM, Dozier AM, Martina CA, McIntosh S, Thevenet-Morrison K, Yang H. Images of a Healthy Worksite: A Group-Randomized Trial for Worksite Weight Gain Prevention With Employee Participation in Intervention Design. Am J Public Health 2015; 105:2167-74. [PMID: 25790416 DOI: 10.2105/ajph.2014.302397] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVES We assessed the effects of a worksite multiple-component intervention addressing diet and physical activity on employees' mean body mass index (BMI) and the percentage of employees who were overweight or obese. METHODS This group-randomized trial (n = 3799) was conducted at 10 worksites in the northeastern United States. Worksites were paired and allocated into intervention and control conditions. Within- and between-groups changes in mean BMIs and in the percentage of overweight or obese employees were examined in a volunteer sample. RESULTS Within-group mean BMIs decreased by 0.54 kilograms per meter squared (P = .02) and 0.12 kilograms per meter squared (P = .73) at the intervention and control worksites, respectively, resulting in a difference in differences (DID) decrease of 0.42 kilograms per meter squared (P = .33). The within-group percentage of overweight or obese employees decreased by 3.7% (P = .07) at the intervention worksites and increased by 4.9% (P = .1) at the control worksites, resulting in a DID decline of 8.6% (P = .02). CONCLUSIONS Our findings support a worksite population strategy that might eventually reduce the prevalence of overweight and obesity by minimizing environmental exposures to calorically dense foods and increasing exposures to opportunities for energy expenditure within worksite settings.
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Affiliation(s)
- I Diana Fernandez
- I. Diana Fernandez, Nancy P. Chin, Ann M. Dozier, Camille A. Martina, Scott McIntosh, and Kelly Thevenet-Morrison are with the Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY. Carol M. Devine is with the Division of Nutritional Sciences, Cornell University, Ithaca, NY. Hongmei Yang is with the Department of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry
| | - Nancy P Chin
- I. Diana Fernandez, Nancy P. Chin, Ann M. Dozier, Camille A. Martina, Scott McIntosh, and Kelly Thevenet-Morrison are with the Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY. Carol M. Devine is with the Division of Nutritional Sciences, Cornell University, Ithaca, NY. Hongmei Yang is with the Department of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry
| | - Carol M Devine
- I. Diana Fernandez, Nancy P. Chin, Ann M. Dozier, Camille A. Martina, Scott McIntosh, and Kelly Thevenet-Morrison are with the Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY. Carol M. Devine is with the Division of Nutritional Sciences, Cornell University, Ithaca, NY. Hongmei Yang is with the Department of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry
| | - Ann M Dozier
- I. Diana Fernandez, Nancy P. Chin, Ann M. Dozier, Camille A. Martina, Scott McIntosh, and Kelly Thevenet-Morrison are with the Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY. Carol M. Devine is with the Division of Nutritional Sciences, Cornell University, Ithaca, NY. Hongmei Yang is with the Department of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry
| | - Camille A Martina
- I. Diana Fernandez, Nancy P. Chin, Ann M. Dozier, Camille A. Martina, Scott McIntosh, and Kelly Thevenet-Morrison are with the Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY. Carol M. Devine is with the Division of Nutritional Sciences, Cornell University, Ithaca, NY. Hongmei Yang is with the Department of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry
| | - Scott McIntosh
- I. Diana Fernandez, Nancy P. Chin, Ann M. Dozier, Camille A. Martina, Scott McIntosh, and Kelly Thevenet-Morrison are with the Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY. Carol M. Devine is with the Division of Nutritional Sciences, Cornell University, Ithaca, NY. Hongmei Yang is with the Department of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry
| | - Kelly Thevenet-Morrison
- I. Diana Fernandez, Nancy P. Chin, Ann M. Dozier, Camille A. Martina, Scott McIntosh, and Kelly Thevenet-Morrison are with the Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY. Carol M. Devine is with the Division of Nutritional Sciences, Cornell University, Ithaca, NY. Hongmei Yang is with the Department of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry
| | - Hongmei Yang
- I. Diana Fernandez, Nancy P. Chin, Ann M. Dozier, Camille A. Martina, Scott McIntosh, and Kelly Thevenet-Morrison are with the Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY. Carol M. Devine is with the Division of Nutritional Sciences, Cornell University, Ithaca, NY. Hongmei Yang is with the Department of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry
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10
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Dozier AM, Martina CA, O'Dell NL, Fogg TT, Lurie SJ, Rubinstein EP, Pearson TA. Identifying emerging research collaborations and networks: method development. Eval Health Prof 2014; 37:19-32. [PMID: 24019209 PMCID: PMC4036805 DOI: 10.1177/0163278713501693] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [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] [Indexed: 11/17/2022]
Abstract
Clinical and translational research is a multidisciplinary, collaborative team process. To evaluate this process, we developed a method to document emerging research networks and collaborations in our medical center to describe their productivity and viability over time. Using an e-mail survey, sent to 1,620 clinical and basic science full- and part-time faculty members, respondents identified their research collaborators. Initial analyses, using Pajek software, assessed the feasibility of using social network analysis (SNA) methods with these data. Nearly 400 respondents identified 1,594 collaborators across 28 medical center departments resulting in 309 networks with 5 or more collaborators. This low-burden approach yielded a rich data set useful for evaluation using SNA to: (a) assess networks at several levels of the organization, including intrapersonal (individuals), interpersonal (social), organizational/institutional leadership (tenure and promotion), and physical/environmental (spatial proximity) and (b) link with other data to assess the evolution of these networks.
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Affiliation(s)
- Ann M Dozier
- Public Health Sciences, University of Rochester, Rochester, NY, USA
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11
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Begg MD, Crumley G, Fair AM, Martina CA, McCormack WT, Merchant C, Patino-Sutton CM, Umans JG. Approaches to preparing young scholars for careers in interdisciplinary team science. J Investig Med 2014; 62:14-25. [PMID: 24169319 PMCID: PMC3970261 DOI: 10.2310/jim.0000000000000021] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
To succeed as a biomedical researcher, the ability to flourish in interdisciplinary teams of scientists is becoming ever more important. Institutions supported by the Clinical and Translational Science Awards (CTSAs) from the National Institutes of Health have a specific mandate to educate the next generation of clinical and translational researchers. While they strive to advance integrated and interdisciplinary approaches to education and career development in clinical and translational science, general approaches and evaluation strategies may differ, as there is no single, universally accepted or standardized approach. It is important, therefore, to learn about the different approaches used to determine what is effective. We implemented a Web-based survey distributed to education leaders at the 60 funded CTSA institutions; 95% responded to the survey, which included questions on the importance of preparation for interdisciplinary team science careers, methods used to provide such training, and perceived effectiveness of these training programs. The vast majority (86%) of education leaders reported that such training is important, and about half (52%) of the institutions offer such training. Methods of training most often take the form of courses and seminars, both credit bearing and noncredit. These efforts are, by and large, perceived as effective by the training program leaders, although long-term follow-up of trainees would be required to fully evaluate ultimate effectiveness. Results from the survey suggest that CTSA education directors believe that specific training in interdisciplinary team science for young investigators is very important, but few methodologies are universally practiced in CTSA institutions to provide training or to assess performance. Four specific recommendations are suggested to provide measurable strategic goals for education in team science in the context of clinical and translational research.
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Affiliation(s)
- Melissa D. Begg
- Professor and Vice Dean for Education, Mailman School of Public Health, Co-Director, Irving Institute for Clinical and Translational Research, Columbia University, Office of the Dean, Mailman School of Public Health, New York, New York
| | - Gene Crumley
- Department Chair, Business and Leadership, University of California, Davis Extension, Davis, California
| | - Alecia M. Fair
- Research Services Consultant II, Research Support Services, Vanderbilt Institute for Clinical Translational Research (VICTR), Vanderbilt University, Nashville, Tennessee
| | - Camille A. Martina
- Research Assistant Professor, University of Rochester School of Medicine and Dentistry, Department of Public Health Sciences and Environmental Medicine, University of Rochester, Rochester, New York
| | - Wayne T. McCormack
- Director, Clinical & Translational Science Predoctoral Training Programs, University of Florida Clinical & Translational Science Institute, Associate Professor, Department of Pathology, Immunology & Laboratory Medicine, University of Florida College of Medicine, Gainesville, Florida
| | - Carol Merchant
- Program Director Common Fund Career Development Programs, National Center for Advancing Translational Sciences (NCATS) National Institutes of Health (NIH), Bethesda, MD
| | - Cecilia M. Patino-Sutton
- Assistant Professor, Department of Preventive Medicine, Keck School of Medicine, University of Southern California, SC CTSI Director of Education, Los Angeles, California
| | - Jason G. Umans
- Scientific Director, Georgetown University MedStar Health Research Institute, Hyattsville, Maryland, Associate Professor of Medicine, Division of Nephrology and Hypertension, Georgetown University, Washington, DC
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12
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Begg MD, Crumley G, Fair AM, Martina CA, McCormack WT, Merchant C, Patino-Sutton CM, Umans JG. Approaches to preparing young scholars for careers in interdisciplinary team science. J Investig Med 2014. [PMID: 24169319 PMCID: PMC3970261 DOI: 10.231/jim.0000000000000021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
To succeed as a biomedical researcher, the ability to flourish in interdisciplinary teams of scientists is becoming ever more important. Institutions supported by the Clinical and Translational Science Awards (CTSAs) from the National Institutes of Health have a specific mandate to educate the next generation of clinical and translational researchers. While they strive to advance integrated and interdisciplinary approaches to education and career development in clinical and translational science, general approaches and evaluation strategies may differ, as there is no single, universally accepted or standardized approach. It is important, therefore, to learn about the different approaches used to determine what is effective. We implemented a Web-based survey distributed to education leaders at the 60 funded CTSA institutions; 95% responded to the survey, which included questions on the importance of preparation for interdisciplinary team science careers, methods used to provide such training, and perceived effectiveness of these training programs. The vast majority (86%) of education leaders reported that such training is important, and about half (52%) of the institutions offer such training. Methods of training most often take the form of courses and seminars, both credit bearing and noncredit. These efforts are, by and large, perceived as effective by the training program leaders, although long-term follow-up of trainees would be required to fully evaluate ultimate effectiveness. Results from the survey suggest that CTSA education directors believe that specific training in interdisciplinary team science for young investigators is very important, but few methodologies are universally practiced in CTSA institutions to provide training or to assess performance. Four specific recommendations are suggested to provide measurable strategic goals for education in team science in the context of clinical and translational research.
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Affiliation(s)
- Melissa D. Begg
- Professor and Vice Dean for Education, Mailman School of Public Health, Co-Director, Irving Institute for Clinical and Translational Research, Columbia University, Office of the Dean, Mailman School of Public Health, New York, New York
| | - Gene Crumley
- Department Chair, Business and Leadership, University of California, Davis Extension, Davis, California
| | - Alecia M. Fair
- Research Services Consultant II, Research Support Services, Vanderbilt Institute for Clinical Translational Research (VICTR), Vanderbilt University, Nashville, Tennessee
| | - Camille A. Martina
- Research Assistant Professor, University of Rochester School of Medicine and Dentistry, Department of Public Health Sciences and Environmental Medicine, University of Rochester, Rochester, New York
| | - Wayne T. McCormack
- Director, Clinical & Translational Science Predoctoral Training Programs, University of Florida Clinical & Translational Science Institute, Associate Professor, Department of Pathology, Immunology & Laboratory Medicine, University of Florida College of Medicine, Gainesville, Florida
| | - Carol Merchant
- Program Director Common Fund Career Development Programs, National Center for Advancing Translational Sciences (NCATS) National Institutes of Health (NIH), Bethesda, MD
| | - Cecilia M. Patino-Sutton
- Assistant Professor, Department of Preventive Medicine, Keck School of Medicine, University of Southern California, SC CTSI Director of Education, Los Angeles, California
| | - Jason G. Umans
- Scientific Director, Georgetown University MedStar Health Research Institute, Hyattsville, Maryland, Associate Professor of Medicine, Division of Nephrology and Hypertension, Georgetown University, Washington, DC
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13
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Lee LS, Pusek SN, McCormack WT, Helitzer DL, Martina CA, Dozier AM, Ahluwalia JS, Schwartz LS, McManus LM, Reynolds BD, Haynes EN, Rubio DM. Clinical and translational scientist career success: metrics for evaluation. Clin Transl Sci 2012; 5:400-7. [PMID: 23067352 PMCID: PMC3476049 DOI: 10.1111/j.1752-8062.2012.00422.x] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
Despite the increased emphasis on formal training in clinical and translational research and the growth in the number and scope of training programs over the past decade, the impact of training on research productivity and career success has yet to be fully evaluated at the institutional level. In this article, the Education Evaluation Working Group of the Clinical and Translational Science Award Consortium introduces selected metrics and methods associated with the assessment of key factors that affect research career success. The goals in providing this information are to encourage more consistent data collection across training sites, to foster more rigorous and systematic exploration of factors associated with career success, and to help address previously identified difficulties in program evaluation.
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Affiliation(s)
- Linda S. Lee
- Department of Biostatistics & Bioinformatics, School of Medicine, Duke University, Durham, North Carolina, USA
| | - Susan N. Pusek
- NC TraCS Institute, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Wayne T. McCormack
- Pathology, Immunology & Laboratory Medicine, College of Medicine, University of Florida, Gainesville, Florida, USA
| | - Deborah L. Helitzer
- Department of Family and Community Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA
| | - Camille A. Martina
- Department of Community and Preventive Medicine, School of Medicine and Dentistry, University of Rochester, Rochester, New York, USA
| | - Ann M. Dozier
- Department of Community and Preventive Medicine, School of Medicine and Dentistry, University of Rochester, Rochester, New York, USA
| | - Jasjit S. Ahluwalia
- Department of Medicine and Center for Health Equity, Medical School, University of Minnesota, Minneapolis, Minnesota, USA
| | - Lisa S. Schwartz
- Department of Clinical Research and Leadership, School of Medicine and Health Sciences, The George Washington University, Washington, District of Columbia, USA
| | - Linda M. McManus
- Departments of Pathology and Periodontics, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA
| | - Brian D. Reynolds
- Duke Translational Medicine Institute, School of Medicine, Duke University, Durham, North Carolina, USA
| | - Erin N. Haynes
- Department of Environmental Health, Division of Epidemiology and Biostatistics, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA
| | - Doris M. Rubio
- Departments of Medicine, Biostatistics, Nursing, Institute for Clinical Research Education, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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14
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Martina CA, Weiss B, Swan SH. Lifestyle behaviors associated with exposures to endocrine disruptors. Neurotoxicology 2012; 33:1427-1433. [PMID: 22739065 DOI: 10.1016/j.neuro.2012.05.016] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2012] [Revised: 05/18/2012] [Accepted: 05/18/2012] [Indexed: 01/30/2023]
Abstract
Identifying and characterizing sources of exposure to phthalates and bisphenol A (BPA) have proved challenging due to the presence of multiple co-exposures resulting from a wide variety of home environments and lifestyles. We hypothesized that the consistent lifestyle of an Old Order Mennonite (OOM) community would provide an ideal setting in which to characterize sources of exposure to BPA and phthalates. We obtained urine samples from ten mid-term pregnant OOM women (ages-21-39) to determine concentrations of 9 phthalate metabolites and BPA and collected a self-reported survey of participants' household environment, product use, and lifestyle within a 48-h period prior to urine collection. We compared their metabolite concentrations to pregnant women included in the National Health and Nutrition Examination Survey (NHANES 2007-2008). Although OOM participants reported some use of plastic and fragranced household products, concentrations of metabolites were lower and significantly less for BPA (p=0.002) and phthalate metabolites MEHP (p=0.0215), MiBP (p=0.0020) and MEP (p=0.021), when compared to NHANES pregnant women. Levels of other phthalate metabolites were also lower in this population. Our data suggest three practices that may contribute to these lower levels: (1) consuming mostly homegrown produce (ingestion), (2) no cosmetics and limited use of personal care products, and (3) transportation primarily by sources other than automobiles.
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Affiliation(s)
- Camille A Martina
- Department of Community and Preventive Medicine, School of Medicine and Dentistry, University of Rochester, 265 Crittenden Blvd., CU 420644, Rochester, NY 14642-0644, USA.
| | - Bernard Weiss
- Department of Environmental Medicine, School of Medicine and Dentistry, University of Rochester, 601 Elmwood Avenue, Box EHSC, Rochester, NY 14642, USA.
| | - Shanna H Swan
- Department of Preventive Medicine, Mount Sinai Medical Center, 1 Gustave L. Levy Place (Box 1057), New York, NY 10029, USA.
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