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  1. Article ; Online: Incidence and predictors of hepatocellular carcinoma in NAFLD without diagnosed cirrhosis: a nationwide real-world U.S. study.

    Huang, Daniel Q / Tran, Sally / Barnett, Scott / Zou, Biyao / Yeo, Yee Hui / Cheung, Ramsey / Nguyen, Mindie H

    Hepatology international

    2023  Volume 18, Issue 2, Page(s) 540–549

    Abstract: Background: A substantial proportion of patients with nonalcoholic fatty liver disease (NAFLD)-related hepatocellular carcinoma (HCC) do not have cirrhosis. Data regarding the incidence and predictors of HCC development in NAFLD without cirrhosis are ... ...

    Abstract Background: A substantial proportion of patients with nonalcoholic fatty liver disease (NAFLD)-related hepatocellular carcinoma (HCC) do not have cirrhosis. Data regarding the incidence and predictors of HCC development in NAFLD without cirrhosis are limited. We conducted a large, national study of NAFLD patients without documented cirrhosis to examine the incidence and predictors for HCC development.
    Methods: This retrospective study included 751,603 NAFLD patients (54% female) without documented cirrhosis derived from the deidentified Optum Clinformatics
    Results: The mean age was 53.7 ± 15.0 years, 45.9% were male, 39.5% had diabetes, 57.6% were White, 18.4% Hispanic, 8.2% Black and 4.9% were Asian. The mean platelet count was 264,000 ± 72,000/µL, and 96.3% of patients had a FIB-4 < 1.30. Over 1,686,607 person-years of follow-up, there were 76 incident cases of HCC, resulting in an HCC incidence rate of 0.05 per 1000 person-years. There was a higher HCC incidence rate among patients with platelets ≤ 150,000/µL, versus those with platelets > 150,000/µL (0.23 per 1000 person-years, vs. 0.04 per 1000 person-years, p = 0.02) but not in subgroup analyses for age, sex, race/ethnicity or diabetes. Using multivariable Cox proportional hazards model adjusted multiple confounders, platelet count ≤ 150,000/µL remained an independent predictor of HCC development (adjusted HR 5.80, 95% CI 1.67-20.1, p = 0.006).
    Conclusion: HCC incidence in NAFLD without documented cirrhosis was below the threshold for cost-effective HCC surveillance in overall and multiple subgroup analyses. Platelet count < 150,000/µL may be a useful predictor of HCC development in this population.
    MeSH term(s) Humans ; Male ; Female ; Adult ; Middle Aged ; Aged ; Carcinoma, Hepatocellular/diagnosis ; Carcinoma, Hepatocellular/epidemiology ; Carcinoma, Hepatocellular/etiology ; Non-alcoholic Fatty Liver Disease/complications ; Non-alcoholic Fatty Liver Disease/diagnosis ; Non-alcoholic Fatty Liver Disease/epidemiology ; Incidence ; Retrospective Studies ; Liver Neoplasms/diagnosis ; Liver Neoplasms/epidemiology ; Liver Neoplasms/etiology ; Risk Factors ; Liver Cirrhosis/complications ; Liver Cirrhosis/diagnosis ; Liver Cirrhosis/epidemiology ; Fibrosis ; Diabetes Mellitus
    Language English
    Publishing date 2023-12-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2270316-0
    ISSN 1936-0541 ; 1936-0533
    ISSN (online) 1936-0541
    ISSN 1936-0533
    DOI 10.1007/s12072-023-10616-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Mental health apps and U.S. military veterans: Perceived importance and utilization of the National Center for Posttraumatic Stress Disorder app portfolio.

    Jaworski, Beth K / Ramsey, Kelly M / Taylor, Katherine / Heinz, Adrienne J / Senti, Sarah / Mackintosh, Margaret-Anne / Rosen, Craig S / Owen, Jason E / Pietrzak, Robert H

    Psychological services

    2023  

    Abstract: U.S. veterans have historically experienced more mental health concerns as compared to the general ... such as mobile apps, are needed to respond to the unique needs of a diverse veteran population. The U.S ... sample of U.S. veterans, the present study sought to examine how veterans perceived the importance ...

    Abstract U.S. veterans have historically experienced more mental health concerns as compared to the general population, yet face a variety of barriers to accessing care. Evidence-based and accessible resources, such as mobile apps, are needed to respond to the unique needs of a diverse veteran population. The U.S. Department of Veterans Affairs (VA's) National Center for Posttraumatic Stress Disorder has created a one-of-a-kind portfolio of mental health apps to target the needs of veterans and support the self-management of common concerns related to posttraumatic stress disorder. Using data from a nationally representative sample of U.S. veterans, the present study sought to examine how veterans perceived the importance of making each self-management app available to other Veterans; factors impacting veterans' intent to try each app; and actual uptake of each app. Results revealed that while 46.7%-75.0% of veterans reported that the apps are important for veterans, 5.8%-19.2% reported that they would be likely to download the apps, and only 5.0% reported having ever used any of them. Veterans who used any of the apps were more likely to be employed, have served two or more deployments, be married or partnered, use the VA as their primary source of health care, had more medical conditions, and were less likely to identify as Black. With respect to future app use, Black veterans were to 2-5 times more likely than White veterans to indicate a desire to download each of the apps. Other variables that showed consistent associations with increased likelihood of app download included greater smartphone utilization, being married or having a partner, lower household income, and history of mental health treatment. Implications of these results for the broader dissemination of mental health apps and promotion of their uptake are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
    Language English
    Publishing date 2023-11-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2156662-8
    ISSN 1939-148X ; 1541-1559
    ISSN (online) 1939-148X
    ISSN 1541-1559
    DOI 10.1037/ser0000806
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Nationally representative social contact patterns among U.S. adults, August 2020-April 2021.

    Nelson, Kristin N / Siegler, Aaron J / Sullivan, Patrick S / Bradley, Heather / Hall, Eric / Luisi, Nicole / Hipp-Ramsey, Palmer / Sanchez, Travis / Shioda, Kayoko / Lopman, Benjamin A

    Epidemics

    2022  Volume 40, Page(s) 100605

    Abstract: The response to the COVID-19 pandemic in the U.S prompted abrupt and dramatic changes to social ...

    Abstract The response to the COVID-19 pandemic in the U.S prompted abrupt and dramatic changes to social contact patterns. Monitoring changing social behavior is essential to provide reliable input data for mechanistic models of infectious disease, which have been increasingly used to support public health policy to mitigate the impacts of the pandemic. While some studies have reported on changing contact patterns throughout the pandemic, few have reported differences in contact patterns among key demographic groups and none have reported nationally representative estimates. We conducted a national probability survey of US households and collected information on social contact patterns during two time periods: August-December 2020 (before widespread vaccine availability) and March-April 2021 (during national vaccine rollout). Overall, contact rates in Spring 2021 were similar to those in Fall 2020, with most contacts reported at work. Persons identifying as non-White, non-Black, non-Asian, and non-Hispanic reported high numbers of contacts relative to other racial and ethnic groups. Contact rates were highest in those reporting occupations in retail, hospitality and food service, and transportation. Those testing positive for SARS-CoV-2 antibodies reported a higher number of daily contacts than those who were seronegative. Our findings provide evidence for differences in social behavior among demographic groups, highlighting the profound disparities that have become the hallmark of the COVID-19 pandemic.
    MeSH term(s) Adult ; COVID-19/epidemiology ; Humans ; Pandemics ; Racial Groups ; SARS-CoV-2 ; Vaccines
    Chemical Substances Vaccines
    Language English
    Publishing date 2022-06-30
    Publishing country Netherlands
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 2467993-8
    ISSN 1878-0067 ; 1755-4365
    ISSN (online) 1878-0067
    ISSN 1755-4365
    DOI 10.1016/j.epidem.2022.100605
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Nationally Representative Social Contact Patterns among U.S. adults, August 2020-April 2021.

    Nelson, Kristin N / Siegler, Aaron J / Sullivan, Patrick S / Bradley, Heather / Hall, Eric / Luisi, Nicole / Hipp-Ramsey, Palmer / Sanchez, Travis / Shioda, Kayoko / Lopman, Benjamin A

    medRxiv : the preprint server for health sciences

    2022  

    Abstract: The response to the COVID-19 pandemic in the U.S prompted abrupt and dramatic changes to social ...

    Abstract The response to the COVID-19 pandemic in the U.S prompted abrupt and dramatic changes to social contact patterns. Monitoring changing social behavior is essential to provide reliable input data for mechanistic models of infectious disease, which have been increasingly used to support public health policy to mitigate the impacts of the pandemic. While some studies have reported on changing contact patterns throughout the pandemic., few have reported on differences in contact patterns among key demographic groups and none have reported nationally representative estimates. We conducted a national probability survey of US households and collected information on social contact patterns during two time periods: August-December 2020 (before widespread vaccine availability) and March-April 2021 (during national vaccine rollout). Overall, contact rates in Spring 2021 were similar to those in Fall 2020, with most contacts reported at work. Persons identifying as non-White, non-Black, non-Asian, and non-Hispanic reported high numbers of contacts relative to other racial and ethnic groups. Contact rates were highest in those reporting occupations in retail, hospitality and food service, and transportation. Those testing positive for SARS-CoV-2 antibodies reported a higher number of daily contacts than those who were seronegative. Our findings provide evidence for differences in social behavior among demographic groups, highlighting the profound disparities that have become the hallmark of the COVID-19 pandemic.
    Language English
    Publishing date 2022-03-30
    Publishing country United States
    Document type Preprint
    DOI 10.1101/2021.09.22.21263904
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Nanoparticles for Bioapplications: Study of the Cytotoxicity of Water Dispersible CdSe(S) and CdSe(S)/ZnO Quantum Dots.

    Mirnajafizadeh, Fatemeh / Ramsey, Deborah / McAlpine, Shelli / Wang, Fan / Stride, John Arron

    Nanomaterials (Basel, Switzerland)

    2019  Volume 9, Issue 3

    Abstract: ... in such applications. Here, we report an investigation into the cytotoxicity of aqueously dispersed CdSe(S) and CdSe(S ... fibroblast cell line (WS1). The cytotoxicity of the precursor solutions used in the synthesis of the CdSe(S ... QDs was also determined in the presence of HCT-116 cells. CdSe(S) QDs were found to have a low ...

    Abstract Semiconductor nanocrystals or quantum dots (QDs) have unique optical and physical properties that make them potential imaging tools in biological and medical applications. However, concerns over the aqueous dispersivity, toxicity to cells, and stability in biological environments may limit the use of QDs in such applications. Here, we report an investigation into the cytotoxicity of aqueously dispersed CdSe(S) and CdSe(S)/ZnO core/shell QDs in the presence of human colorectal carcinoma cells (HCT-116) and a human skin fibroblast cell line (WS1). The cytotoxicity of the precursor solutions used in the synthesis of the CdSe(S) QDs was also determined in the presence of HCT-116 cells. CdSe(S) QDs were found to have a low toxicity at concentrations up to 100 µg/mL, with a decreased cell viability at higher concentrations, indicating a highly dose-dependent response. Meanwhile, CdSe(S)/ZnO core/shell QDs exhibited lower toxicity than uncoated QDs at higher concentrations. Confocal microscopy images of HCT-116 cells after incubation with CdSe(S) and CdSe(S)/ZnO QDs showed that the cells were stable in aqueous concentrations of 100 µg of QDs per mL, with no sign of cell necrosis, confirming the cytotoxicity data.
    Language English
    Publishing date 2019-03-20
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662255-5
    ISSN 2079-4991
    ISSN 2079-4991
    DOI 10.3390/nano9030465
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Lessons Learned From the U.S. Military Experience With Hantavirus During the Korean War.

    Rouabhia, Ramsey / Dinh, Dung T / Kua, Siang C / Washington, Michael A

    Military medicine

    2022  Volume 188, Issue 9-10, Page(s) 3205–3209

    Abstract: ... Wang Lee succeeded in isolating Hantavirus from field rodents. The U.S. Military experience ... A literature review of all available records with respect to the U.S. Military experience with Hantavirus was ... public health data regarding hemorrhagic fever outbreaks among U.S. forces during the Korean War ...

    Abstract Introduction: The Korean War (1950-1953) consisted of two phases. The first was a rapid mobile phase, and the second was a slow and stationary phase. During the stationary phase, approximately 3,000 UN troops became infected with a then unknown agent. The resulting illness began with flu-like symptoms and often progressed to a severe hemorrhagic fever leading to kidney failure and death. However, the cause was not to be identified until well over 20 years following the conclusion of the war when Dr. Ho Wang Lee succeeded in isolating Hantavirus from field rodents. The U.S. Military experience with Hantavirus during the Korean War is a case study of the potential impact of war-related environmental change on disease transmission. The lessons learned from this experience should inform future military medical planning and serve as a reminder of the impact that an unknown agent can have on military operations.
    Materials and methods: A literature review of all available records with respect to the U.S. Military experience with Hantavirus was conducted. PubMed was the primary search engine used for this review. However, primary literature and historical accounts were also evaluated. All records were examined for environmental, epidemiological, and public health data regarding hemorrhagic fever outbreaks among U.S. forces during the Korean War. The quantitative and qualitative data from these sources were analyzed and evaluated within the context of military medical planning and force health protection to derive lessons learned that should be applied to the management and mitigation of viral disease in future wars.
    Results: Widespread deforestation resulting from war-related efforts most likely played a significant role in the outbreaks of Hantavirus among UN forces during the war. A lack of cultural literacy and an overreliance on erroneous assumptions most likely delayed the identification of the true causative agent. It is conceivable that these delays led to an increased casualty rate and that they had a negative impact on military operations during the war.
    Conclusions: A basic understanding of the ecological mechanisms that maintain species diversity in the local environment coupled with an appreciation for the impact of environmental change on this diversity is of paramount importance for the prevention and mitigation of viral disease outbreaks in the deployed setting. Military medical planners should become familiar with the medical literature of the region in which they will be operating as this literature often describes the agents that will most likely be encountered by U.S. forces.
    MeSH term(s) Humans ; Military Personnel ; Korean War ; Communicable Diseases ; Public Health ; Disease Outbreaks
    Language English
    Publishing date 2022-09-15
    Publishing country England
    Document type Review ; Journal Article
    ZDB-ID 391061-1
    ISSN 1930-613X ; 0026-4075
    ISSN (online) 1930-613X
    ISSN 0026-4075
    DOI 10.1093/milmed/usac255
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Impacts of COVID-19 and Price Transmission in U.S. Meat Markets.

    Ramsey, A Ford / Goodwin, Barry K / Hahn, William F / Holt, Matthew T

    Agricultural economics (Amsterdam, Netherlands)

    2021  Volume 52, Issue 3, Page(s) 441–458

    Abstract: Coronavirus 2019 (COVID-19) has caused ongoing disruptions to U.S. meat markets via demand and ... of beef, pork, and poultry, we characterize the time series behavior and dynamic linkages of U.S. meat ... of transmission prior to the pandemic. This well-functioning market process suggests a degree of resilience in U.S ...

    Abstract Coronavirus 2019 (COVID-19) has caused ongoing disruptions to U.S. meat markets via demand and supply-side shocks. Abnormally high prices have been reported at retail outlets and meat packers have been accused of unfair business practices because of widening price spreads. Processing facilities have experienced COVID-19 outbreaks resulting in shutdowns. Using weekly data on wholesale and retail prices of beef, pork, and poultry, we characterize the time series behavior and dynamic linkages of U.S. meat prices before the COVID-19 pandemic. We model vertical price transmission using both linear and threshold autoregressive (AR) models and vector error correction (VEC) models. With the estimated models, we then compare price movements under COVID-19 to model predictions. All three meat markets are well-integrated and we observe unexpected, large price movements in April and May of 2020. Early COVID-19 related shocks appear to be transitory with prices returning to expected levels at a pace consistent with the speed of transmission prior to the pandemic. This well-functioning market process suggests a degree of resilience in U.S. meat supply chains.
    Language English
    Publishing date 2021-05-04
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 742889-3
    ISSN 0169-5150
    ISSN 0169-5150
    DOI 10.1111/agec.12628
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Cyberbiosecurity: A New Perspective on Protecting U.S. Food and Agricultural System.

    Duncan, Susan E / Reinhard, Robert / Williams, Robert C / Ramsey, Ford / Thomason, Wade / Lee, Kiho / Dudek, Nancy / Mostaghimi, Saied / Colbert, Edward / Murch, Randall

    Frontiers in bioengineering and biotechnology

    2019  Volume 7, Page(s) 63

    Abstract: ... rapidly. Simultaneously, the conversation about cyber security of the U.S. food and agricultural system ... over 20% of the nation's economy ($6.7T) and 15% of U.S. employment (43.3M jobs ...

    Abstract Our national data and infrastructure security issues affecting the "bioeconomy" are evolving rapidly. Simultaneously, the conversation about cyber security of the U.S. food and agricultural system (cyber biosecurity) is incomplete and disjointed. The food and agricultural production sectors influence over 20% of the nation's economy ($6.7T) and 15% of U.S. employment (43.3M jobs). The food and agricultural sectors are immensely diverse and they require advanced technologies and efficiencies that rely on computer technologies, big data, cloud-based data storage, and internet accessibility. There is a
    Language English
    Publishing date 2019-03-29
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2719493-0
    ISSN 2296-4185
    ISSN 2296-4185
    DOI 10.3389/fbioe.2019.00063
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Naloxone’s dose-dependent displacement of [11C]carfentanil and duration of receptor occupancy in the rat brain

    Yeona Kang / Kelly A. O’Conor / Andrew C. Kelleher / Joseph Ramsey / Abolghasem Bakhoda / Seth M. Eisenberg / Wenjing Zhao / Tyler Stodden / Torben D. Pearson / Min Guo / Nina Brown / Jeih-San Liow / Joanna S. Fowler / Sung Won Kim / Nora D. Volkow

    Scientific Reports, Vol 12, Iss 1, Pp 1-

    2022  Volume 8

    Abstract: ... positron emission tomography (PET) to assess NLX’s dose-dependence on both its rate of displacement of [11C]carfentanil ([11C ...

    Abstract Abstract The continuous rise in opioid overdoses in the United States is predominantly driven by very potent synthetic opioids, mostly fentanyl and its derivatives (fentanyls). Although naloxone (NLX) has been shown to effectively reverse overdoses by conventional opioids, there may be a need for higher or repeated doses of NLX to revert overdoses from highly potent fentanyls. Here, we used positron emission tomography (PET) to assess NLX’s dose-dependence on both its rate of displacement of [11C]carfentanil ([11C]CFN) binding and its duration of mu opioid receptor (MOR) occupancy in the male rat brain. We showed that clinically relevant doses of intravenously (IV) administered NLX (0.035 mg/kg, Human Equivalent Dose (HED) 0.4 mg; 0.17 mg/kg, HED 2 mg) rapidly displaced the specific binding of [11C]CFN in the thalamus in a dose-dependent manner. Brain MOR occupancy by IV NLX was greater than 90% at 5 min after NLX administration for both doses, but at 27.3 min after 0.035 mg/kg dose and at 85 min after 0.17 mg/kg NLX, only 50% occupancy remained. This indicates that the duration of NLX occupancy at MORs is short-lived. Overall, these results show that clinically relevant doses of IV NLX can promptly displace fentanyls at brain MORs, but repeated or higher NLX doses may be required to prevent re-narcotization following overdoses with long-acting fentanyls.
    Keywords Medicine ; R ; Science ; Q
    Subject code 610
    Language English
    Publishing date 2022-04-01T00:00:00Z
    Publisher Nature Portfolio
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Characterizing Pharmacogenetic Testing Among Children’s Hospitals

    Jacob T. Brown / Laura B. Ramsey / Sara L. Van Driest / Ida Aka / Susan I. Colace

    Clinical and Translational Science, Vol 14, Iss 2, Pp 692-

    2021  Volume 701

    Abstract: ... among children’s hospitals. The primary objective of this nationwide survey was to characterize the availability ... concerns, and barriers to pharmacogenetic testing in children’s hospitals in the Children’s Hospital ...

    Abstract Although pharmacogenetic testing is becoming increasingly common across medical subspecialties, a broad range of utilization and implementation exists across pediatric centers. Large pediatric institutions that routinely use pharmacogenetics in their patient care have published their practices and experiences; however, minimal data exist regarding the full spectrum of pharmacogenetic implementation among children’s hospitals. The primary objective of this nationwide survey was to characterize the availability, concerns, and barriers to pharmacogenetic testing in children’s hospitals in the Children’s Hospital Association. Initial responses identifying a contact person were received from 18 institutions. Of those 18 institutions, 14 responses (11 complete and 3 partial) to a more detailed survey regarding pharmacogenetic practices were received. The majority of respondents were from urban institutions (72%) and held a Doctor of Pharmacy degree (67%). Among all respondents, the three primary barriers to implementing pharmacogenetic testing identified were test reimbursement, test cost, and money. Conversely, the three least concerning barriers were potential for genetic discrimination, sharing results with family members, and availability of tests in certified laboratories. Low‐use sites rated several barriers significantly higher than the high‐use sites, including knowledge of pharmacogenetics (P = 0.03), pharmacogenetic interpretations (P = 0.04), and pharmacogenetic‐based changes to therapy (P = 0.03). In spite of decreasing costs of pharmacogenetic testing, financial barriers are one of the main barriers perceived by pediatric institutions attempting clinical implementation. Low‐use sites may also benefit from education/outreach in order to reduce perceived barriers to implementation.
    Keywords Therapeutics. Pharmacology ; RM1-950 ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2021-03-01T00:00:00Z
    Publisher Wiley
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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