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Kremer P, Leyzerovskaya A, DuBois S, Lipsitt J, Haruna F, Lebed O. Bringing underserved communities life-saving aid through aerial logistics. Sci Robot 2023; 8:eadm7020. [PMID: 38117867 DOI: 10.1126/scirobotics.adm7020] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Accepted: 11/28/2023] [Indexed: 12/22/2023]
Abstract
Autonomous drone delivery of medical supplies has improved access to health care for local communities in Africa.
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Affiliation(s)
- Pedro Kremer
- Zipline International, South San Francisco, CA 94080, USA
| | | | - Shelley DuBois
- Zipline International, South San Francisco, CA 94080, USA
| | - Jonah Lipsitt
- Zipline International, South San Francisco, CA 94080, USA
| | | | - Olga Lebed
- Zipline International, South San Francisco, CA 94080, USA
- University of Delaware, Newark, DE 19716, USA
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Lebed O, Sabina C, Pacanowski CR, Jaremka LM. Are child maltreatment and intimate partner violence associated with adult disordered eating? Int J Eat Disord 2023; 56:1667-1673. [PMID: 37283219 DOI: 10.1002/eat.23972] [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] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Revised: 04/05/2023] [Accepted: 04/05/2023] [Indexed: 06/08/2023]
Abstract
OBJECTIVE Disordered eating is one of the most prevalent mental health concerns (Galmiche et al., 2019, Quick & Byrd-Bredbenner, 2013, Neumark-Sztainer et al., 2006). Studies show that child maltreatment increases the likelihood of disordered eating symptoms in adulthood (Caslini et al., 2016, Hazzard et al., 2019). However, these studies overlook abuse experiences later in life, such as intimate partner violence which may also be a significant contributing factor (Bundock et al., 2013). The proposed study will help identify whether childhood maltreatment and IPV are independent predictors and/or if the combination of the two are synergistic risk factors for adult disordered eating. METHOD We use data from 14,332 people from Wave III of the National Longitudinal Study of Adolescent to Adult Health (Add Health). Participants completed questionnaires assessing child maltreatment, intimate partner violence, and disordered eating symptoms. We will perform a series of logistic regression models to examine a) whether child maltreatment and intimate partner violence are independently associated with disordered eating and b) whether exposure to the combination of both child maltreatment and intimate partner violence is associated with worse outcomes for adult disordered eating compared to exposure to only one or none at all. We also propose a supplemental analysis to establish the robustness of these effects when accounting for the highest parental education, federal poverty percentage level, race/ethnicity, gender, and age. PUBLIC SIGNIFICANCE Disordered eating is a serious mental health concern, especially in an emerging adult population. Child maltreatment is consistently associated with disordered eating in adulthood. However, the independent or synergistic role of more recent abuse experiences, such as intimate partner violence, remains largely unknown. The proposed study provides insight into how both childhood abuse and intimate partner violence may be associated with disordered eating independently or in combination.
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Affiliation(s)
- Olga Lebed
- Department of Psychological and Brain Sciences, University of Delaware, Newark, Delaware, USA
| | - Chiara Sabina
- School of Social Work, Rutgers University, New Brunswick, New Jersey, USA
| | - Carly R Pacanowski
- Behavioral Health and Nutrition, University of Delaware, Newark, Delaware, USA
| | - Lisa M Jaremka
- Department of Psychological and Brain Sciences, University of Delaware, Newark, Delaware, USA
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Jaremka LM, Kane HS, Sunami N, Lebed O, Austin KA. Romantic relationship distress, gender, socioeconomic status, and inflammation: A preregistered report. Pers Relatsh 2020; 27:708-727. [PMID: 35958043 PMCID: PMC9364962 DOI: 10.1111/pere.12338] [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] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Poor quality romantic relationships increase risk for health problems; elevated systemic inflammation is one promising underlying mechanism. This registered report utilized data from 3 publicly available datasets with large sample sizes (Add Health, MIDUS, NSHAP) to test this possibility. An internal meta-analysis across all 3 studies determined that romantic relationship distress was unrelated to inflammation (assessed via C-Reactive Protein levels). In addition, this link was not moderated by gender, socioeconomic status (SES), or the combination of gender and SES.
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Affiliation(s)
- Lisa M Jaremka
- Department of Psychological and Brain Sciences, University of Delaware
| | - Heidi S Kane
- Department of Psychological Sciences, University of Texas at Dallas
| | - Naoyuki Sunami
- Department of Psychological and Brain Sciences, University of Delaware
| | - Olga Lebed
- Department of Psychological and Brain Sciences, University of Delaware
| | - Kathryn A Austin
- Department of Psychological Sciences, University of Texas at Dallas
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Lutsenko L, Panova T, Bukina G, Lebed O. P375The impact of hypothyroidism on hospitalization frequency and cost-effectiveness among patients with atrial fibrillation. Europace 2020. [DOI: 10.1093/europace/euaa162.096] [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: 11/12/2022] Open
Abstract
Abstract
Background
thyroid disorders are a well-known fact of high risk developing of atrial fibrillation (AF). While it is established that hyperthyroidism increases AF incidence, data of the effect of hypothyroidism on AF and heart failure is contradictory.
Purpose
to examine effect of untreated hypothyroidism on frequency of paroxysmal AF, state of the permanent AF and chronic heart failure (CHF) which is the main cause of high rate repeated hospitalizations.
Methods
This retrospective study was conducted among patients (pts) with AF, who were admitted to the hospital from June 2018 till June 2019. They were divided into 2 groups: 1-st group – pts with AF and hypothyroidism and 2-nd group – euthyroid pts (by using hormonal replacement therapy) with AF. All pts were surveyed about their age, gender, medical history, therapy, number and reasons for hospitalization for the past 12 months. Reference range of TSH was 0,4-4,0 mU/L.
Results
A total of 75 pts, 57,3% (n = 43) women, 41,3% (n = 31) men, mean age 70,5 years (SD 6,7) were enrolled in the research. 1-st group consist of 66,7% (n = 24) women, 33,3% (n = 12) men, mean age 70,3 years (SD 6,8), paroxysmal AF 38,9% (n = 14), permanent AF 61,1% (n = 22), first diagnosed hypothyroidism during hospitalization 61,1% (n = 22), mean TSH 9,3 mU/L (SD 3,7), 33,3 % (n = 12) were re-admitted 2 and more times, mean hospitalization duration 7,1 day (SD 1,1).
2-nd group consist of 51,3% (n = 20) women, 48,7% (n = 19) men, mean age 70,6 years (SD 10,6), paroxysmal AF 35,9% (n = 14), permanent AF 64,1% (n = 25), mean TSH 2,1 mU/L (SD 1,12), 17,9 % (n = 7) were hospitalized 2 times, mean hospitalization duration 5,9 day (SD 0,9). Reasons for hospitalization in the 1-st group were pharmacological cardioversion (n = 8) and decompensated CHF (n = 4), in the 2-nd group were pharmacological cardioversion (n = 2) and decompensated CHF (n = 5).
Average cost of whole hospitalization in the 1-st group was 252$ (SD 8,1), in the 2-st group – 221 $ (SD 5,2). As an example, average cost for patient with CHF and AF per month in Ukraine is 45 $.
Conclusion
Tight control of thyroid function ensures optimal dose of hormonal replacement therapy and decrease number of repeated hospitalizations and average hospitalization duration in patients with AF and hypothyroidism. As a result, we receive improving of cost-effectiveness of hospitalization AF pts.
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Affiliation(s)
- L Lutsenko
- Kherson clinical hospital named after Ye.Ye. Karabelesha, Kherson, Ukraine
| | - T Panova
- Kherson clinical hospital named after Ye.Ye. Karabelesha, Kherson, Ukraine
| | - G Bukina
- Kherson clinical hospital named after Ye.Ye. Karabelesha, Kherson, Ukraine
| | - O Lebed
- Kherson clinical hospital named after Ye.Ye. Karabelesha, Kherson, Ukraine
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Abstract
PURPOSE OF REVIEW The first goal of this review is to discuss the evidence linking belonging threats to immune function and food intake. The second goal is to evaluate whether the links among belonging threats, immune function, and eating behavior differ based on gender. RECENT FINDINGS Threats to belonging are linked to elevated herpesvirus antibody titers, dysregulated appetite-relevant hormones, and increased food consumption. Furthermore, these relationships are largely consistent for both men and women. Threats to belonging are also linked to elevated inflammation. However, some studies showed that these effects were stronger among women, others demonstrated that they were stronger among men, and others determined that the links were consistent for men and women. Understanding why belonging threats are inconsistently linked to inflammation across men and women is an important next step. We conclude the review with four concrete recommendations for researchers studying belonging threats, immune function, and eating behavior.
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Affiliation(s)
- Lisa M Jaremka
- Department of Psychological and Brain Sciences, University of Delaware, 212 Wolf Hall, Newark, DE, 19716, USA.
| | - Olga Lebed
- Department of Psychological and Brain Sciences, University of Delaware, 212 Wolf Hall, Newark, DE, 19716, USA
| | - Naoyuki Sunami
- Department of Psychological and Brain Sciences, University of Delaware, 212 Wolf Hall, Newark, DE, 19716, USA
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