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Article: Effect of a Financial Education and Coaching Program for Low-Income, Single Mother Households on Child Health Outcomes.

Fuji, Kevin T / White, Nicole D / Packard, Kathleen A / Kalkowski, Julie C / Walters, Ryan W

2024 Volume 12, Issue 2

Abstract: The financial difficulties of parents have a negative impact on the health of their children. This problem is more pronounced in single mother families. There is limited research on low-income, single mothers and how interventions to help them address ... ...

Abstract	The financial difficulties of parents have a negative impact on the health of their children. This problem is more pronounced in single mother families. There is limited research on low-income, single mothers and how interventions to help them address financial difficulties may also benefit their children. The purpose of this study was to evaluate the effect of a year-long financial education and coaching program on school absenteeism and health care utilization of children in employed, low-income, single mother households. This was a post hoc analysis of the Finances First study, a randomized controlled trial conducted in 2017-2020 examining the impact of a financial coaching and education program on economic stability and health outcomes in 345 low-income, single mothers. Either generalized estimating equations (GEEs) or generalized linear mixed models (GLMMs) were used to account for relationships between participants. For the continuous outcomes of child absenteeism, physician visits, emergency room visits, and hospitalization days, a linear mixed-effects model was used. The Finances First study demonstrated improvements in various financial strain measures. Compared to the control group, children of intervention group participants experienced 1 fewer day of school absence (
Language	English
Publishing date	2024-01-05
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2721009-1
ISSN	2227-9032
ISSN	2227-9032
DOI	10.3390/healthcare12020127
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Article ; Online: Discrepancies in Financial Conflicts of Interest in Robotic Cardiothoracic Surgery Studies.

Karamchandani, Manish M / Tian, Tina / Hall, Ryan / Nickel, Ian / Aalberg, Jeffrey / Lassaletta, Antonio D / Chatterjee, Abhishek / Walters, Dustin M

The Annals of thoracic surgery

2023 Volume 117, Issue 2, Page(s) 466–472

Abstract: Background: In academic surgery publications, self-reporting of conflicts of interest (COI) has often proved to be inaccurate. Here, we review the accuracy of COI disclosures for studies related to the use of robotic technology in cardiothoracic surgery ...

Abstract	Background: In academic surgery publications, self-reporting of conflicts of interest (COI) has often proved to be inaccurate. Here, we review the accuracy of COI disclosures for studies related to the use of robotic technology in cardiothoracic surgery and evaluate factors associated with increased discrepancies. Methods: A literature search identified robotic surgery-related studies with at least 1 American author published between January 2015 and December 2020 from 3 major American cardiothoracic surgery journals (The Journal of Thoracic and Cardiovascular Surgery, The Annals of Thoracic Surgery, and Annals of Cardiothoracic Surgery). Industry payments from Intuitive Surgical (Intuitive) were collected with use of the Centers for Medicare and Medicaid Open Payments database. COI discrepancies were identified by comparing author declaration statements with payments found for the year of publication and the year prior (24-month period). Results: A total of 144 studies (764 authors) were identified. At least 1 author of 112 studies (78%) had received payments from Intuitive. At least 1 author of 98 studies (68%) had received an undeclared payment from Intuitive. Authors who accurately disclosed payments received significantly higher median payments compared with authors who did not ($16,511 [interquartile range, $6389-$159,035] vs $1762 [interquartile range, $338-$7500]; P < .0001). Last authors were significantly more likely to have a COI discrepancy compared with middle and first authors (P = .018; P = .0015). Conclusions: Most studies investigating the use of robotic technology in cardiothoracic surgery did not accurately declare COI with Intuitive. This study highlights the need for improved accuracy of reporting industry sponsorship by publishing authors.
MeSH term(s)	Aged ; Humans ; United States ; Robotic Surgical Procedures ; Conflict of Interest ; Medicare ; Disclosure ; Industry
Language	English
Publishing date	2023-06-03
Publishing country	Netherlands
Document type	Review ; Journal Article
ZDB-ID	211007-6
ISSN	1552-6259 ; 0003-4975
ISSN (online)	1552-6259
ISSN	0003-4975
DOI	10.1016/j.athoracsur.2023.04.047
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Article ; Online: Transcatheter Aortic Valve Implantation in Mixed Aortic Valve Disease: A Multicenter Study.

Guddeti, Raviteja R / Gill, Gauravpal S / Parekh, Jai D / Jhand, Aravdeep S / Walters, Ryan W / Panaich, Sidakpal S / Goldsweig, Andrew M / Alla, Venkata Mahesh

The American journal of cardiology

2023 Volume 203, Page(s) 394–402

Abstract: Mixed aortic valve disease (MAVD), defined by the concurrent presence of aortic stenosis (AS) and insufficiency is frequently seen in patients who have undergone transcatheter aortic valve implantation (TAVI). However, studies comparing the outcomes of ... ...

Abstract	Mixed aortic valve disease (MAVD), defined by the concurrent presence of aortic stenosis (AS) and insufficiency is frequently seen in patients who have undergone transcatheter aortic valve implantation (TAVI). However, studies comparing the outcomes of TAVI in MAVD versus isolated AS have demonstrated conflicting results. Therefore, we aim to assess the outcomes of TAVI in patients with MAVD in comparison with those with isolated severe AS. Patients who underwent native valve TAVI for severe AS at 3 tertiary care academic centers between January 2012 and December 2020 were included and categorized into 3 groups based on concomitant aortic insufficiency (AI) as follows: group 1, no AI; group 2, mild AI; and group 3, moderate to severe AI. Outcomes of interest included all-cause mortality and all-cause readmission rates at 30 days and 1 year. Other outcomes include bleeding, stroke, vascular complications, and the incidence of paravalvular leak at 30 days after the procedure. Of the 1,588 patients who underwent TAVI during the study period, 775 patients (49%) had isolated AS, 606 (38%) had mild AI, and 207 (13%) had moderate to severe AI. Society of Thoracic Surgeons risk scores were significantly different among the 3 groups (5% in group 1, 5.5% in group 2, and 6% in group 3, p = 0.003). Balloon-expandable valves were used in about 2/3 of the population. No statistically significant differences in 30-day or 1-year all-cause mortality and all-cause readmission rates were noted among the 3 groups. Post-TAVI paravalvular leak at follow-up was significantly lower in group 1 (2.3%) and group 2 (2%) compared with group 3 (5.6%) (p = 0.01). In summary, TAVI in MAVD is associated with comparable outcomes at 1 year compared with patients with isolated severe AS.
MeSH term(s)	Humans ; Transcatheter Aortic Valve Replacement/methods ; Aortic Valve/surgery ; Heart Valve Prosthesis/adverse effects ; Treatment Outcome ; Aortic Valve Stenosis ; Aortic Valve Insufficiency/epidemiology ; Aortic Valve Insufficiency/surgery ; Aortic Valve Insufficiency/etiology ; Postoperative Complications/etiology
Language	English
Publishing date	2023-07-29
Publishing country	United States
Document type	Multicenter Study ; Journal Article
ZDB-ID	80014-4
ISSN	1879-1913 ; 0002-9149
ISSN (online)	1879-1913
ISSN	0002-9149
DOI	10.1016/j.amjcard.2023.07.064
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Article ; Online: Human placental lactogen (human chorionic somatomammotropin) and oxytocin during pregnancy: Individual patterns and associations with maternal-fetal attachment, anxiety, and depression.

Coté, John J / Coté, Remington D / Dilsaver, Danielle B / Stessman, Holly A F / Watson, Cynthia / Handelzalts, Jonathan / Doehrman, Pooja / Walters, Ryan W / Badura-Brack, Amy S

Hormones and behavior

2024 Volume 163, Page(s) 105560

Abstract: Previous studies support links among maternal-fetal attachment, psychological symptoms, and hormones during pregnancy and the post-partum period. Other studies connect maternal feelings and behaviors to oxytocin and suggest that an increase in oxytocin ... ...

Abstract	Previous studies support links among maternal-fetal attachment, psychological symptoms, and hormones during pregnancy and the post-partum period. Other studies connect maternal feelings and behaviors to oxytocin and suggest that an increase in oxytocin during pregnancy may prime maternal-fetal attachment. To date, researchers have not examined a possible association between maternal-fetal attachment with human placental lactogen although animal models are suggestive. In the current study, we sought to describe oxytocin and human placental lactogen levels as related to psychological constructs across pregnancy. Seventy women participated in the study. At each of three time-points (early, mid, and late pregnancy), the women had their blood drawn to assess oxytocin and human placental lactogen levels, and they completed psychological assessments measuring maternal-fetal attachment, anxiety, and depression. Our results indicate that oxytocin levels were statistically similar across pregnancy, but that human placental lactogen significantly increased across pregnancy. Results did not indicate significant associations of within-person (comparing individuals to themselves) oxytocin or human placental lactogen levels with maternal-fetal attachment. Additionally, results did not show between-person (comparing individuals to other individuals) oxytocin or human placental lactogen levels with maternal-fetal attachment. Oxytocin levels were not associated with anxiety; rather the stage of pregnancy moderated the effect of the within-person OT level on depression. Notably, increasing levels of human placental lactogen were significantly associated with increasing levels of both anxiety and depression in between subject analyses. The current study is important because it describes typical hormonal and maternal fetal attachment levels during each stage of pregnancy, and because it suggests an association between human placental lactogen and psychological symptoms during pregnancy. Future research should further elucidate these relationships.
Language	English
Publishing date	2024-05-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	214409-8
ISSN	1095-6867 ; 0018-506X
ISSN (online)	1095-6867
ISSN	0018-506X
DOI	10.1016/j.yhbeh.2024.105560
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Article ; Online: Salinity and temperature affect the symbiont profile and host condition of Florida USA blue crabs Callinectes sapidus

Walters, Erin A. / Bojko, Jamie / Crowley, Claire E. / Gandy, Ryan L. / Martin, Charles W. / Shea, Colin P. / Bateman, Kelly S. / Stentiford, Grant D. / Behringer, Donald C.

Journal of Invertebrate Pathology. 2023 June, v. 198 p.107930-

2023

Abstract: Subtropical Florida blue crabs, Callinectes sapidus, exhibit differing life history traits compared to their temperate counterparts, likely influencing symbiont infection dynamics. Little information exists for Florida C. sapidus symbiont profiles, their ...

Abstract	Subtropical Florida blue crabs, Callinectes sapidus, exhibit differing life history traits compared to their temperate counterparts, likely influencing symbiont infection dynamics. Little information exists for Florida C. sapidus symbiont profiles, their distribution among various habitats, and influence on crab condition. Using histopathology, genomics, and transmission electron microscopy, we describe the first symbiont profiles for Florida C. sapidus occupying freshwater to marine habitats. Twelve symbiont groups were identified from 409 crabs including ciliophorans, digenean, microsporidian, Haplosporidia, Hematodinium sp., Nematoda, filamentous bacteria, gregarine, Callinectes sapidus nudivirus, Octolasmis sp., Cambarincola sp., and putative microcell. Overall, 78% of C. sapidus were documented with one or more symbiont groups demonstrating high infection rates in wild populations. Environmental variables water temperature and salinity explained 48% of the variation in symbiont groups among Florida habitats, and salinity was positively correlated with C. sapidus symbiont diversity. This suggests freshwater C. sapidus possess fewer symbionts and represent healthier individuals compared to saltwater populations. Crab condition was examined using the reflex action mortality predictor (RAMP) to determine if reflex impairment could be linked to symbiont prevalence. Symbionts were found positively correlated with crab condition, and impaired crabs were more likely to host symbionts, demonstrating symbiont inclusion may boost predictive ability of the RAMP application. The microsporidian symbiont group had a particularly strong effect on C. sapidus reflex response, and impairment was on average 1.57 times higher compared to all other symbiont groups. Our findings demonstrate the importance of considering full symbiont profiles and their associations with a spatially and temporally variable environment to fully assess C. sapidus population health.
Keywords	Callinectes sapidus ; Microsporidia ; Nematoda ; Nudiviridae ; crabs ; freshwater ; genomics ; histopathology ; life history ; mortality ; saline water ; salinity ; symbionts ; transmission electron microscopy ; water temperature ; Florida ; Blue crab ; Pathology ; Histology ; Reflex impairment
Language	English
Dates of publication	2023-06
Publishing place	Elsevier Inc.
Document type	Article ; Online
Note	Use and reproduction
ZDB-ID	390885-9
ISSN	1096-0805 ; 0022-2011
ISSN (online)	1096-0805
ISSN	0022-2011
DOI	10.1016/j.jip.2023.107930
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: The relationship between felt stigma and non-fatal overdose among rural people who use drugs.

Sibley, Adams L / Klein, Emma / Cooper, Hannah L F / Livingston, Melvin D / Baker, Robin / Walters, Suzan M / Gicquelais, Rachel E / Ruderman, Stephanie A / Friedmann, Peter D / Jenkins, Wiley D / Go, Vivian F / Miller, William C / Westergaard, Ryan P / Crane, Heidi M

Harm reduction journal

2024 Volume 21, Issue 1, Page(s) 77

Abstract: Background: Drug overdose deaths in the United States exceeded 100,000 in 2021 and 2022. Substance use stigma is a major barrier to treatment and harm reduction utilization and is a priority target in ending the overdose epidemic. However, little is ... ...

Abstract	Background: Drug overdose deaths in the United States exceeded 100,000 in 2021 and 2022. Substance use stigma is a major barrier to treatment and harm reduction utilization and is a priority target in ending the overdose epidemic. However, little is known about the relationship between stigma and overdose, especially in rural areas. We aimed to characterize the association between felt stigma and non-fatal overdose in a multi-state sample of rural-dwelling people who use drugs. Methods: Between January 2018 and March 2020, 2,608 people reporting past 30-day opioid use were recruited via modified chain-referral sampling in rural areas across 10 states. Participants completed a computer-assisted survey of substance use and substance-related attitudes, behaviors, and experiences. We used multivariable logistic regression with generalized estimating equations to test the association between felt stigma and recent non-fatal overdose. Results: 6.6% of participants (n = 173) reported an overdose in the past 30 days. Recent non-fatal overdose was significantly associated with felt stigma after adjusting for demographic and substance use-related covariates (aOR: 1.47, 95% CI: 1.20-1.81). The association remained significant in sensitivity analyses on component fear of enacted stigma items (aOR: 1.48, 95% CI: 1.20-1.83) and an internalized stigma item (aOR: 1.51, 95% CI: 1.07-2.14). Conclusions: Felt stigma related to substance use is associated with higher risk of non-fatal overdose in rural-dwelling people who use drugs. Stigma reduction interventions and tailored services for those experiencing high stigma are underutilized approaches that may mitigate overdose risk.
MeSH term(s)	Humans ; Drug Overdose/epidemiology ; Opioid-Related Disorders/epidemiology ; Fear ; Harm Reduction ; Social Stigma ; Analgesics, Opioid
Chemical Substances	Analgesics, Opioid
Language	English
Publishing date	2024-04-06
Publishing country	England
Document type	Journal Article
ZDB-ID	2146691-9
ISSN	1477-7517 ; 1477-7517
ISSN (online)	1477-7517
ISSN	1477-7517
DOI	10.1186/s12954-024-00988-x
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Article ; Online: The Relationship Between an Individual's Birthday and Admission for Traumatic Injury.

Veatch, Jessica M / Narveson, Joel R / Walters, Ryan W / Patel, Neil D / Punja, Viren P / Fernandez, Carlos A / Ewing, Kaily L / Aucar, John A / Kuncir, Eric J

The American surgeon

2023 Volume 89, Issue 12, Page(s) 5750–5756

Abstract: Background: Birthdays provide an opportunity to celebrate; however, they can also be associated with various adverse medical events. This is the first study to examine the association between birthdays and in-hospital trauma team evaluation.: Methods!# ...

Abstract	Background: Birthdays provide an opportunity to celebrate; however, they can also be associated with various adverse medical events. This is the first study to examine the association between birthdays and in-hospital trauma team evaluation. Methods: This retrospective study analyzed trauma registry patients 19-89 years of age, who were evaluated by in-hospital trauma services from 1/1/2011 to 12/31/2021. Results: 14,796 patients were analyzed and an association between trauma evaluation and birthdays was found. The strongest incidence rate ratios (IRRs) were on the day of birth (IRR: 1.78; Discussion: Birthdays and trauma evaluations were found to have a group-dependent association, with the greatest incidence for the youngest age group being on their birthday, and the oldest age group within ±3 days. The presence of alcohol was found to be the best patient-level predictor of trauma evaluation.
MeSH term(s)	Humans ; Young Adult ; Adult ; Infant, Newborn ; Retrospective Studies ; Hospitalization ; Incidence ; Ethanol
Chemical Substances	Ethanol (3K9958V90M)
Language	English
Publishing date	2023-05-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	202465-2
ISSN	1555-9823 ; 0003-1348
ISSN (online)	1555-9823
ISSN	0003-1348
DOI	10.1177/00031348231175456
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Article ; Online: The Impact of Relocating a Trauma Center: Retrospective Observations on Payer Demographics and Cost-Analysis.

Punja, Viren / Capasso, Thomas / Stokes, Laura / Ray, Kelley / Narveson, Joel R / Walters, Ryan W / Fernandez, Carlos / Patel, Neil D / Ewing, Kaily / Kuncir, Eric

The American surgeon

2023 Volume 89, Issue 12, Page(s) 5682–5689

Abstract: Background: Standardization of trauma centers improves quality of care, yet that comes with financial challenges. The decision to designate a trauma center typically focuses on access, quality of care, and the needs of the local community, but less ... ...

Abstract	Background: Standardization of trauma centers improves quality of care, yet that comes with financial challenges. The decision to designate a trauma center typically focuses on access, quality of care, and the needs of the local community, but less often considers the financial viability of the trauma center. A level-1 trauma center was relocated in 2017 and this presented an opportunity to compare financial data at two separate locations in the same city. Methods: A retrospective review was performed on the local trauma registry and billing database in all patients aged ≥19 years on the trauma service before and after the move. Results: 3041 patients were included (pre-move: 1151; post-move: 1890). After the move, patients were older (9.5 years), and more were females (14.9%) and white (16.5%). Increases in blunt injuries (7.6%), falls (14.8%), and motor vehicle accidents (1.7%) were observed after the move. After the move, patients were less likely to be discharged home (6.5%) and more likely to go to a skilled nursing facility (3%) or inpatient rehabilitation (5.5%). Post-move more patients had Medicare (12.6%) or commercial (8.5%) insurance and charges per patient decreased by $2,833, while charges collected per patient increased by $2425. Patients were seen from a broader distribution of zip codes post-move. Discussion: Relocating a trauma center did improve financial viability for this institution. Future studies should consider the impact on the surrounding community and other trauma centers. Level of evidence: Level IV.
MeSH term(s)	Female ; Humans ; Aged ; United States/epidemiology ; Male ; Medicare ; Trauma Centers ; Retrospective Studies ; Costs and Cost Analysis ; Demography
Language	English
Publishing date	2023-05-04
Publishing country	United States
Document type	Observational Study ; Journal Article
ZDB-ID	202465-2
ISSN	1555-9823 ; 0003-1348
ISSN (online)	1555-9823
ISSN	0003-1348
DOI	10.1177/00031348231175482
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Article ; Online: Salinity and temperature affect the symbiont profile and host condition of Florida USA blue crabs Callinectes sapidus.

Walters, Erin A / Bojko, Jamie / Crowley, Claire E / Gandy, Ryan L / Martin, Charles W / Shea, Colin P / Bateman, Kelly S / Stentiford, Grant D / Behringer, Donald C

Journal of invertebrate pathology

2023 Volume 198, Page(s) 107930

Abstract	Subtropical Florida blue crabs, Callinectes sapidus, exhibit differing life history traits compared to their temperate counterparts, likely influencing symbiont infection dynamics. Little information exists for Florida C. sapidus symbiont profiles, their distribution among various habitats, and influence on crab condition. Using histopathology, genomics, and transmission electron microscopy, we describe the first symbiont profiles for Florida C. sapidus occupying freshwater to marine habitats. Twelve symbiont groups were identified from 409 crabs including ciliophorans, digenean, microsporidian, Haplosporidia, Hematodinium sp., Nematoda, filamentous bacteria, gregarine, Callinectes sapidus nudivirus, Octolasmis sp., Cambarincola sp., and putative microcell. Overall, 78% of C. sapidus were documented with one or more symbiont groups demonstrating high infection rates in wild populations. Environmental variables water temperature and salinity explained 48% of the variation in symbiont groups among Florida habitats, and salinity was positively correlated with C. sapidus symbiont diversity. This suggests freshwater C. sapidus possess fewer symbionts and represent healthier individuals compared to saltwater populations. Crab condition was examined using the reflex action mortality predictor (RAMP) to determine if reflex impairment could be linked to symbiont prevalence. Symbionts were found positively correlated with crab condition, and impaired crabs were more likely to host symbionts, demonstrating symbiont inclusion may boost predictive ability of the RAMP application. The microsporidian symbiont group had a particularly strong effect on C. sapidus reflex response, and impairment was on average 1.57 times higher compared to all other symbiont groups. Our findings demonstrate the importance of considering full symbiont profiles and their associations with a spatially and temporally variable environment to fully assess C. sapidus population health.
MeSH term(s)	Animals ; Brachyura ; Florida ; Temperature ; Salinity ; Dinoflagellida/physiology
Language	English
Publishing date	2023-05-04
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	390885-9
ISSN	1096-0805 ; 0022-2011
ISSN (online)	1096-0805
ISSN	0022-2011
DOI	10.1016/j.jip.2023.107930
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Article: Reproductive Performance of Mares Fed Dietary Zearalenone.

Vance, Carrie K / King, E Heath / Bowers, Susan D / Ryan, Peter L / Walters, Kevin / Shappell, Nancy W

Frontiers in veterinary science

2019 Volume 6, Page(s) 423

Abstract: It is known that zearalenone (ZON) interacts directly with estrogen receptors, and ... ...

Abstract	It is known that zearalenone (ZON) interacts directly with estrogen receptors, and its
Language	English
Publishing date	2019-11-26
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2834243-4
ISSN	2297-1769
ISSN	2297-1769
DOI	10.3389/fvets.2019.00423
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