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Article ; Online: Menstrual cup use and intrauterine device expulsion in a copper intrauterine device randomized trial.

Brown, Jill E / Creinin, Mitchell D / Wu, Hongsheng / Hubacher, David / Schreiber, Courtney A / Kaneshiro, Bliss / Nanda, Kavita / Blithe, Diana L

Contraception

2024 , Page(s) 110415

Abstract: Objective: To evaluate menstrual cup use and intrauterine device (IUD) expulsion.: Study design: We performed a secondary analysis of a 3-year contraceptive efficacy trial comparing two copper 380 mm: Results: This analysis included 1046 ... ...

Abstract	Objective: To evaluate menstrual cup use and intrauterine device (IUD) expulsion. Study design: We performed a secondary analysis of a 3-year contraceptive efficacy trial comparing two copper 380 mm Results: This analysis included 1046 participants (203 TCu380A and 843 NTCu380-Mini), with 879 (84.0%) nulliparas. Through 12 and 36 months, expulsion occurred in 74 (7.1%, 95% CI 5.5-8.6%) and 133 (12.7%, 95% CI 10.7-14.7%) participants, respectively. Overall, 250 (23.9%) reported menstrual cup use. More menstrual cup users than non-users experienced expulsion through 12 months (32/203 [15.8%] vs. 42/843 [5.0%]) and 36 months (58/250 [23.2%] vs. 75/796 [9.4%]). Through 36 months, NTCu380-Mini menstrual cup users had higher expulsion odds, while TCu380A cup users did not. Menstrual cup users more frequently experienced accidental self-removal than non-users in participants using the TCu380A (3/53 [5.7%] vs. 0/150 [0.0%]) and the NTCu380-Mini (20/197 [10.2%] vs. 7/646 [1.1%]). In multivariable regression, we found increased odds of expulsion through 36 months in participants using menstrual cups with the NTCu380-Mini (aOR 3.13, 95% CI 1.16-8.46) and <25 years (aOR 1.59, 95% CI 1.07-2.34). Conclusions: We found higher odds of IUD expulsion with menstrual cup and concurrent NTCu380-Mini IUD use over 36 months of use, but not with concurrent TCu380A IUD use. Menstrual cup users experienced higher likelihood of accidental self-removal regardless of IUD type. Implications: Menstrual cup and NTCu380-Mini use may increase IUD expulsion risk and may increase accidental self-removal risk with TCu380A and NTCu380-Mini use. Clinicians should advise patients of these risks and consider warning patients using an IUD shaped like the NTCu380-Mini (Nova-T frames) of expulsion risk with menstrual cup use.
Language	English
Publishing date	2024-02-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	80106-9
ISSN	1879-0518 ; 0010-7824
ISSN (online)	1879-0518
ISSN	0010-7824
DOI	10.1016/j.contraception.2024.110415
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Article ; Online: Tuning the Biodegradation Rate of Silk Materials via Embedded Enzymes.

Wu, Junqi / Cortes, Kareen A Fajardo / Li, Chunmei / Wang, Yushu / Guo, Chengchen / Momenzadeh, Kaveh / Yeritsyan, Diana / Hanna, Philip / Lechtig, Aron / Nazarian, Ara / Lin, Samuel J / Kaplan, David L

ACS biomaterials science & engineering

2024 Volume 10, Issue 4, Page(s) 2607–2615

Abstract: Conventional thinking when designing biodegradable materials and devices is to tune the intrinsic properties and morphological features of the material to regulate their degradation rate, modulating traditional factors such as molecular weight and ... ...

Abstract	Conventional thinking when designing biodegradable materials and devices is to tune the intrinsic properties and morphological features of the material to regulate their degradation rate, modulating traditional factors such as molecular weight and crystallinity. Since regenerated silk protein can be directly thermoplastically molded to generate robust dense silk plastic-like materials, this approach afforded a new tool to control silk degradation by enabling the mixing of a silk-degrading protease into bulk silk material prior to thermoplastic processing. Here we demonstrate the preparation of these silk-based devices with embedded silk-degrading protease to modulate the degradation based on the internal presence of the enzyme to support silk degradation, as opposed to the traditional surface degradation for silk materials. The degradability of these silk devices with and without embedded protease XIV was assessed both in vitro and in vivo. Ultimately, this new process approach provides direct control of the degradation lifetime of the devices, empowered through internal digestion via water-activated proteases entrained and stabilized during the thermoplastic process.
MeSH term(s)	Silk ; Biocompatible Materials ; Peptide Hydrolases ; Water
Chemical Substances	Silk ; Biocompatible Materials ; Peptide Hydrolases (EC 3.4.-) ; Water (059QF0KO0R)
Language	English
Publishing date	2024-03-13
Publishing country	United States
Document type	Journal Article
ISSN	2373-9878
ISSN (online)	2373-9878
DOI	10.1021/acsbiomaterials.3c01758
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Article: Recent advances in the molecular prognostication of meningiomas.

Wang, Elaina J / Haddad, Alexander F / Young, Jacob S / Morshed, Ramin A / Wu, Joshua P H / Salha, Diana M / Butowski, Nicholas / Aghi, Manish K

Frontiers in oncology

2023 Volume 12, Page(s) 910199

Abstract: Meningiomas are the most common primary intracranial neoplasm. While traditionally viewed as benign, meningiomas are associated with significant patient morbidity, and certain meningioma subgroups display more aggressive and malignant behavior with ... ...

Abstract	Meningiomas are the most common primary intracranial neoplasm. While traditionally viewed as benign, meningiomas are associated with significant patient morbidity, and certain meningioma subgroups display more aggressive and malignant behavior with higher rates of recurrence. Historically, the risk stratification of meningioma recurrence has been primarily associated with the World Health Organization histopathological grade and surgical extent of resection. However, a growing body of literature has highlighted the value of utilizing molecular characteristics to assess meningioma aggressiveness and recurrence risk. In this review, we discuss preclinical and clinical evidence surrounding the use of molecular classification schemes for meningioma prognostication. We also highlight how molecular data may inform meningioma treatment strategies and future directions.
Language	English
Publishing date	2023-01-04
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2649216-7
ISSN	2234-943X
ISSN	2234-943X
DOI	10.3389/fonc.2022.910199
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Article: Corrigendum: Cannabidiol-treated ovariectomized mice show improved glucose, energy, and bone metabolism with a bloom in

Sui, Ke / Tveter, Kevin M / Bawagan, Fiona G / Buckendahl, Patricia / Martinez, Savannah A / Jaffri, Zehra H / MacDonell, Avery T / Wu, Yue / Duran, Rocio M / Shapses, Sue A / Roopchand, Diana E

Frontiers in pharmacology

2022 Volume 13, Page(s) 1026500

Abstract: This corrects the article DOI: 10.3389/fphar.2022.900667.]. ...

Abstract	[This corrects the article DOI: 10.3389/fphar.2022.900667.].
Language	English
Publishing date	2022-10-11
Publishing country	Switzerland
Document type	Published Erratum
ZDB-ID	2587355-6
ISSN	1663-9812
ISSN	1663-9812
DOI	10.3389/fphar.2022.1026500
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Article: Aliovalent Calcium Doping of Yttrium Oxyhydride Thin Films and Implications for Photochromism.

Chaykina, Diana / Usman, Ismene / Colombi, Giorgio / Schreuders, Herman / Tyburska-Pueschel, Beata / Wu, Ziying / Eijt, Stephan W H / Bannenberg, Lars J / de Wijs, Gilles A / Dam, Bernard

The journal of physical chemistry. C, Nanomaterials and interfaces

2022 Volume 126, Issue 34, Page(s) 14742–14749

Abstract: To develop an understanding of the photochromic effect in rare-earth metal oxyhydride thin films ( ... ...

Abstract	To develop an understanding of the photochromic effect in rare-earth metal oxyhydride thin films (REH
Language	English
Publishing date	2022-08-19
Publishing country	United States
Document type	Journal Article
ISSN	1932-7447
ISSN	1932-7447
DOI	10.1021/acs.jpcc.2c04456
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Article: Correction to "Aliovalent Calcium Doping of Yttrium Oxyhydride Thin Films and Implications for Photochromism".

Chaykina, Diana / Usman, Ismene / Colombi, Giorgio / Schreuders, Herman / Tyburska-Pueschel, Beata / Wu, Ziying / Eijt, Stephan W H / Bannenberg, Lars J / de Wijs, Gilles A / Dam, Bernard

The journal of physical chemistry. C, Nanomaterials and interfaces

2022 Volume 126, Issue 43, Page(s) 18586

Abstract: This corrects the article DOI: 10.1021/acs.jpcc.2c04456.]. ...

Abstract	[This corrects the article DOI: 10.1021/acs.jpcc.2c04456.].
Language	English
Publishing date	2022-10-24
Publishing country	United States
Document type	Published Erratum
ISSN	1932-7447
ISSN	1932-7447
DOI	10.1021/acs.jpcc.2c06852
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Article ; Online: Clinical predictors of right ventricular dysfunction and association with adverse outcomes in peripartum cardiomyopathy.

Imran, Tasnim F / Ataklte, Feven / Khalid, Mahnoor / Lopez, Diana / Mohebali, Donya / Bello, Natalie A / Gaziano, J Michael / Djousse, Luc / Arany, Zolt / Sabe, Marwa A / French, Katharine / Poppas, Athena / Wu, Wen-Chih / Choudhary, Gaurav

ESC heart failure

2023 Volume 11, Issue 1, Page(s) 422–432

Abstract: Aims: We sought to identify factors associated with right ventricular (RV) dysfunction and elevated pulmonary artery systolic pressure (PASP) and association with adverse outcomes in peripartum cardiomyopathy (PPCM).: Methods and results: We ... ...

Abstract	Aims: We sought to identify factors associated with right ventricular (RV) dysfunction and elevated pulmonary artery systolic pressure (PASP) and association with adverse outcomes in peripartum cardiomyopathy (PPCM). Methods and results: We conducted a multi-centre cohort study to identify subjects with PPCM with the following criteria: left ventricular ejection fraction (LVEF) < 40%, development of heart failure within the last month of pregnancy or 5 months of delivery, and no other identifiable cause of heart failure with reduced ejection fraction. Outcomes included a composite of (i) major adverse events (need for extracorporeal membrane oxygenation, ventricular assist device, orthotopic heart transplantation, or death) or (ii) recurrent heart failure hospitalization. RV function was obtained from echocardiogram reports. In total, 229 women (1993-2017) met criteria for PPCM. Mean age was 32.4 ± 6.8 years, 28% were of African descent, 50 (22%) had RV dysfunction, and 38 (17%) had PASP ≥ 30 mmHg. After a median follow-up of 3.4 years (interquartile range 1.0-8.8), 58 (25%) experienced the composite outcome of adverse events. African descent, family history of cardiomyopathy, LVEF, and PASP were significant predictors of RV dysfunction. Using Cox proportional hazards models, we found that women with RV dysfunction were three times more likely to experience the adverse composite outcome: hazard ratio 3.21 (95% confidence interval: 1.11-9.28), P = 0.03, in a multivariable model adjusting for age, race, body mass index, preeclampsia, hypertension, diabetes, kidney disease, and LVEF. Women with PASP ≥ 30 mmHg had a lower probability of survival free from adverse events (log-rank P = 0.04). Conclusions: African descent and family history of cardiomyopathy were significant predictors of RV dysfunction. RV dysfunction and elevated PASP were significantly associated with a composite of major adverse cardiac events. This at-risk group may prompt closer monitoring or early referral for advanced therapies.
MeSH term(s)	Pregnancy ; Humans ; Female ; Adult ; Stroke Volume ; Ventricular Function, Left ; Cohort Studies ; Ventricular Dysfunction, Right/etiology ; Peripartum Period ; Prospective Studies ; Cardiomyopathies ; Heart Failure/complications ; Heart Failure/epidemiology
Language	English
Publishing date	2023-11-29
Publishing country	England
Document type	Journal Article
ZDB-ID	2814355-3
ISSN	2055-5822 ; 2055-5822
ISSN (online)	2055-5822
ISSN	2055-5822
DOI	10.1002/ehf2.14583
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Article ; Online: Grape Polyphenols May Prevent High-Fat Diet-Induced Dampening of the Hypothalamic-Pituitary-Adrenal Axis in Male Mice.

Mezhibovsky, Esther / Tveter, Kevin M / Villa-Rodriguez, Jose A / Bacalia, Karen / Kshatriya, Dushyant / Desai, Nikhil / Cabales, Alrick / Wu, Yue / Sui, Ke / Duran, Rocio M / Bello, Nicholas T / Roopchand, Diana E

Journal of the Endocrine Society

2023 Volume 7, Issue 9, Page(s) bvad095

Abstract: Context : Chronic high-fat diet (HFD) consumption causes obesity associated with retention of bile acids (BAs) that suppress important regulatory axes, such as the hypothalamic-pituitary-adrenal axis (HPAA). HFD impairs nutrient sensing and energy ... ...

Abstract	Context : Chronic high-fat diet (HFD) consumption causes obesity associated with retention of bile acids (BAs) that suppress important regulatory axes, such as the hypothalamic-pituitary-adrenal axis (HPAA). HFD impairs nutrient sensing and energy balance due to a dampening of the HPAA and reduced production and peripheral metabolism of corticosterone (CORT). Objective: We assessed whether proanthocyanidin-rich grape polyphenol (GP) extract can prevent HFD-induced energy imbalance and HPAA dysregulation. Methods: Male C57BL6/J mice were fed HFD or HFD supplemented with 0.5% w/w GPs (HFD-GP) for 17 weeks. Results: GP supplementation reduced body weight gain and liver fat while increasing circadian rhythms of energy expenditure and HPAA-regulating hormones, CORT, leptin, and PYY. GP-induced improvements were accompanied by reduced mRNA levels of Conclusion: GPs may attenuate HFD-induced weight gain by improving hormonal control of the HPAA and inducing a BA profile with less cytotoxicity and HPAA inhibition, but greater FXR antagonism.
Language	English
Publishing date	2023-07-24
Publishing country	United States
Document type	Journal Article
ISSN	2472-1972
ISSN (online)	2472-1972
DOI	10.1210/jendso/bvad095
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Article ; Online: Trajectories of depressive symptoms early in the course of bereavement: Patterns, psychosocial factors and risk of prolonged grief.

Majd, Marzieh / Chen, Michelle A / Chirinos, Diana A / Brown, Ryan L / LeRoy, Angie S / Murdock, Kyle W / Wu-Chung, E Lydia / Thayer, Julian F / Fagundes, Christopher P

Stress and health : journal of the International Society for the Investigation of Stress

2023 , Page(s) e3340

Abstract: In the context of bereavement, little is known about the mechanisms that differentiate normative adjustment patterns from those that may indicate potential psychopathology. This study aimed to replicate and extend previous work by (1) characterizing the ... ...

Abstract	In the context of bereavement, little is known about the mechanisms that differentiate normative adjustment patterns from those that may indicate potential psychopathology. This study aimed to replicate and extend previous work by (1) characterizing the trajectories of depressive symptoms from 3 to 12 months after the loss of a spouse, (2) examining whether (a) childhood maltreatment and attachment style predicted distinct depression trajectories, and (b) different depression trajectories were associated with the risk of prolonged grief at 12 months post-loss. Recently bereaved individuals (N = 175) completed self-report assessments at 3, 4, 6, and 12-months post-loss. Trajectories of depressive symptoms were estimated using group-based trajectory modelling. Four distinct trajectories of depressive symptoms were identified: (1) resilience (minimal/no depression across time points; 45%), (2) moderate depression-improved (alleviated to 'mild' by 12 months; 31%), (3) severe depression-improved (alleviated to 'moderate' by 12 months; 15%), and (4) chronic depression ('severe' symptoms across time points; 9%). Higher childhood maltreatment predicted a greater likelihood of belonging to the 'severe depression-improved' and 'chronic depression' groups than the 'resilient' and 'moderate depression-improved' groups. Widow(er)s with higher attachment anxiety were more likely to belong to the 'severe depression-improved' and 'chronic depression' groups than the 'resilient' group. The trajectory groups with persistent levels of depressive symptoms up until 6 months were more likely to exhibit prolonged grief at 12 months post-loss. Changes from pre-loss functioning cannot be estimated. Our findings provide insight into the early identification of post-loss prolonged grief.
Language	English
Publishing date	2023-11-05
Publishing country	England
Document type	Journal Article
ZDB-ID	2042041-9
ISSN	1532-2998 ; 1532-3005
ISSN (online)	1532-2998
ISSN	1532-3005
DOI	10.1002/smi.3340
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Zs.A 2060: Show issues

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Article: Restriction of oxycodone in the emergency department (ROXY-ED): A randomised controlled trial.

Mitra, Biswadev / Roman, Cristina / Wu, Bertha / Luckhoff, Carl / Goubrial, Diana / Amos, Timothy / Bannon-Murphy, Holly / Huynh, Ronald / Dooley, Michael / Smit, De Villiers / Cameron, Peter A

British journal of pain

2023 Volume 17, Issue 5, Page(s) 491–500

Abstract: Background: The prescription of opioids in emergency care has been associated with harm, including overdose and dependence. The aim of this trial was to assess restriction of access to oxycodone (ROXY), in combination with education and guideline ... ...

Abstract	Background: The prescription of opioids in emergency care has been associated with harm, including overdose and dependence. The aim of this trial was to assess restriction of access to oxycodone (ROXY), in combination with education and guideline modifications, versus education and guideline modifications alone (standard care) to reduce oxycodone administration in the Emergency Department (ED). Methods: An unblinded, active control, randomised controlled trial was conducted in an adult tertiary ED. Participants were patients aged 18-75 years who had analgesics administered in the ED. The primary intervention was ROXY, through removal of all oxycodone immediate release tablets from the ED imprest, with availability of a small supply after senior clinician approval. The intervention did not restrict prescription of discharge medications. The primary outcome measure was oxycodone administration rates. Secondary outcomes were administration rates of other analgesic medications, time to initial analgesics and oxycodone prescription on discharge. Results: There were 2258 patients eligible for analysis. Oxycodone was administered to 80 (6.1%) patients in the ROXY group and 221 (23.3%) patients in the standard care group (relative risk (RR) 0.26; 95% CI: 0.21 to 0.33; Conclusions: Restricted access to oxycodone was superior to education and guideline modifications alone for reducing oxycodone use in the ED and reducing discharge prescriptions of oxycodone from the ED. The addition of simple restrictive interventions is recommended to enable rapid changes to clinician behaviour to reduce the potential harm associated with the prescribing of oxycodone in the ED.
Language	English
Publishing date	2023-07-12
Publishing country	England
Document type	Journal Article
ZDB-ID	2670872-3
ISSN	2049-4645 ; 2049-4637
ISSN (online)	2049-4645
ISSN	2049-4637
DOI	10.1177/20494637231189031
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