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  1. Article: Understanding Laboratory Testing for SARS-CoV-2.

    Cheema, Ritu / Blumberg, Dean A

    Children (Basel, Switzerland)

    2021  Volume 8, Issue 5

    Abstract: The SARS-CoV-2 pandemic has impacted millions of lives worldwide. Molecular assays and serological tests have been approved under EUA (emergency use authorization) by the FDA (food and drug administration), given these unprecedented times. These tests ... ...

    Abstract The SARS-CoV-2 pandemic has impacted millions of lives worldwide. Molecular assays and serological tests have been approved under EUA (emergency use authorization) by the FDA (food and drug administration), given these unprecedented times. These tests are not only critical for confirming the clinical diagnosis and making therapeutic decisions but also play an important role in the understanding of the epidemiology of the pandemic. There is limited experience with currently available tests and differences may exist among tests even using similar technology. The focus of this review is to improve clinicians' understanding of SARS-CoV-2 test procedures including their limitations. We discuss the impact of different host and environmental factors on test results.
    Language English
    Publishing date 2021-04-29
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2732685-8
    ISSN 2227-9067
    ISSN 2227-9067
    DOI 10.3390/children8050355
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Vertical Transmission of SARS-CoV-2: What is the Optimal Definition?

    Blumberg, Dean A / Underwood, Mark A / Hedriana, Herman L / Lakshminrusimha, Satyan

    American journal of perinatology

    2020  Volume 37, Issue 8, Page(s) 769–772

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Female ; Humans ; Pandemics ; Pneumonia, Viral ; Pregnancy ; Severe acute respiratory syndrome-related coronavirus ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-06-05
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 605671-4
    ISSN 1098-8785 ; 0735-1631
    ISSN (online) 1098-8785
    ISSN 0735-1631
    DOI 10.1055/s-0040-1712457
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Multi-System Inflammatory Syndrome in Children (MIS-C) Following SARS-CoV-2 Infection: Review of Clinical Presentation, Hypothetical Pathogenesis, and Proposed Management.

    Nakra, Natasha A / Blumberg, Dean A / Herrera-Guerra, Angel / Lakshminrusimha, Satyan

    Children (Basel, Switzerland)

    2020  Volume 7, Issue 7

    Abstract: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection may result in the multisystem inflammatory syndrome in children (MIS-C). The clinical presentation of MIS-C includes fever, severe illness, and the involvement of two or more organ ... ...

    Abstract Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection may result in the multisystem inflammatory syndrome in children (MIS-C). The clinical presentation of MIS-C includes fever, severe illness, and the involvement of two or more organ systems, in combination with laboratory evidence of inflammation and laboratory or epidemiologic evidence of SARS-CoV-2 infection. Some features of MIS-C resemble Kawasaki Disease, toxic shock syndrome, and secondary hemophagocytic lymphohistiocytosis/macrophage activation syndrome. The relationship of MIS-C to SARS-CoV-2 infection suggests that the pathogenesis involves post-infectious immune dysregulation. Patients with MIS-C should ideally be managed in a pediatric intensive care environment since rapid clinical deterioration may occur. Specific immunomodulatory therapy depends on the clinical presentation. The relationship between the immune response to SARS-CoV-2 vaccines in development and MIS-C requires further study.
    Keywords covid19
    Language English
    Publishing date 2020-07-01
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2732685-8
    ISSN 2227-9067
    ISSN 2227-9067
    DOI 10.3390/children7070069
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: COVID-19 Vaccine Considerations during Pregnancy and Lactation.

    Blumberg, Dean / Sridhar, Aparna / Lakshminrusimha, Satyan / Higgins, Rosemary D / Saade, George

    American journal of perinatology

    2021  Volume 38, Issue 6, Page(s) 523–528

    MeSH term(s) Breast Feeding ; COVID-19/epidemiology ; COVID-19/immunology ; COVID-19/prevention & control ; COVID-19 Vaccines/classification ; COVID-19 Vaccines/pharmacology ; Clinical Trials as Topic ; Drug Approval/methods ; Female ; Humans ; Lactation/drug effects ; Lactation/immunology ; Milk, Human/chemistry ; Milk, Human/immunology ; Patient Selection ; Pregnancy ; Risk Assessment ; SARS-CoV-2/immunology
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2021-05-01
    Publishing country United States
    Document type Editorial
    ZDB-ID 605671-4
    ISSN 1098-8785 ; 0735-1631
    ISSN (online) 1098-8785
    ISSN 0735-1631
    DOI 10.1055/s-0041-1726390
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Patient and clinician factors associated with uptake of the human papillomavirus (HPV) vaccine among adolescent patients of a primary care network.

    Dang, Julie H T / Stewart, Susan L / Blumberg, Dean A / Rodriguez, Hector P / Chen, Moon S

    Vaccine

    2021  Volume 39, Issue 26, Page(s) 3528–3535

    Abstract: Background: Human papillomavirus (HPV) vaccination rates for adolescents remain relatively low. The purpose of this study is to examine patient and clinician factors associated with HPV vaccination among patients, ages 11-17, of a large community-based ... ...

    Abstract Background: Human papillomavirus (HPV) vaccination rates for adolescents remain relatively low. The purpose of this study is to examine patient and clinician factors associated with HPV vaccination among patients, ages 11-17, of a large community-based primary care network.
    Methods: Electronic health records and administrative data from a large primary care network from January 2017 - June 2018 for patients ages 11-17 (n = 10,682) and the 198 primary care clinicians that saw them were analyzed. Mixed effects logistic regression models examined the association of patient and clinician factors with HPV vaccine uptake.
    Results: Most patients (63.0%) had at least one dose of the HPV vaccine, and 37.7% were up to date. In adjusted analyses, patients who received the tetanus, diphtheria, and pertussis (Tdap) vaccine (OR = 2.8, 95% CI: 2.1-3.9) compared to those who did not receive the vaccine and patients with five or more medical visits (OR = 1.9, 95% CI: 1.6-2.2) had the greatest odds of being up to date with the HPV vaccine series. Compared to White patients, African American/Black (OR = 0.8, 95% CI: 0.6 - 1.0) and Alaskan Native/American Indian (OR = 0.5, 95% CI: 0.3-0.9) patients were less likely to be up to date. Boys were also less likely to be up to date with the HPV vaccine series compared to girls (OR = 0.7, 95% CI: 0.7-0.8). Additionally, patients with family/general practice primary care clinicians were less likely to have their patients up to date than those with pediatricians (OR = 0.8, 95% CI: 0.6 - 1.0).
    Conclusion: HPV vaccine uptake varied by patient characteristics, heath care utilization and primary care clinician specialty. These findings may inform future evidence-based interventions aimed at increasing HPV vaccine uptake among adolescents by targeting patient sub-groups and reducing missed opportunities for vaccination.
    MeSH term(s) Adolescent ; Alphapapillomavirus ; Child ; Female ; Humans ; Male ; Papillomavirus Infections/prevention & control ; Papillomavirus Vaccines ; Primary Health Care ; Vaccination
    Chemical Substances Papillomavirus Vaccines
    Language English
    Publishing date 2021-05-19
    Publishing country Netherlands
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 605674-x
    ISSN 1873-2518 ; 0264-410X
    ISSN (online) 1873-2518
    ISSN 0264-410X
    DOI 10.1016/j.vaccine.2021.04.055
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Vertical Transmission of SARS-CoV-2: What is the Optimal Definition?

    Blumberg, Dean A. / Underwood, Mark A. / Hedriana, Herman L. / Lakshminrusimha, Satyan

    American Journal of Perinatology

    2020  Volume 37, Issue 08, Page(s) 769–772

    Language English
    Publishing date 2020-06-01
    Publisher Thieme Medical Publishers
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 605671-4
    ISSN 1098-8785 ; 0735-1631
    ISSN (online) 1098-8785
    ISSN 0735-1631
    DOI 10.1055/s-0040-1712457
    Database Thieme publisher's database

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  7. Article: COVID-19 Vaccine Considerations during Pregnancy and Lactation

    Blumberg, Dean / Sridhar, Aparna / Lakshminrusimha, Satyan / Higgins, Rosemary D. / Saade, George

    American Journal of Perinatology

    2021  Volume 38, Issue 06, Page(s) 523–528

    Language English
    Publishing date 2021-05-01
    Publisher Thieme Medical Publishers, Inc.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 605671-4
    ISSN 1098-8785 ; 0735-1631
    ISSN (online) 1098-8785
    ISSN 0735-1631
    DOI 10.1055/s-0041-1726390
    Database Thieme publisher's database

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  8. Article ; Online: Vertical Transmission of SARS-CoV-2

    Blumberg, Dean A. / Underwood, Mark A. / Hedriana, Herman L. / Lakshminrusimha, Satyan

    American Journal of Perinatology

    What is the Optimal Definition?

    2020  Volume 37, Issue 08, Page(s) 769–772

    Keywords Obstetrics and Gynaecology ; Pediatrics, Perinatology, and Child Health ; covid19
    Language English
    Publisher Georg Thieme Verlag KG
    Publishing country de
    Document type Article ; Online
    ZDB-ID 605671-4
    ISSN 1098-8785 ; 0735-1631
    ISSN (online) 1098-8785
    ISSN 0735-1631
    DOI 10.1055/s-0040-1712457
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: "There's Always Next Year": Primary Care Team and Parent Perspectives on the Human Papillomavirus Vaccine.

    Dang, Julie H T / Stewart, Susan L / Blumberg, Dean A / Rodriguez, Hector P / Chen, Moon S

    Human vaccines & immunotherapeutics

    2020  Volume 16, Issue 8, Page(s) 1814–1823

    Abstract: Acceptance of the human papillomavirus (HPV) vaccination among parents and clinicians is high, but uptake remains low. Little is known about organizational and primary care team factors that influence the uptake of the HPV vaccine. Interviews with ... ...

    Abstract Acceptance of the human papillomavirus (HPV) vaccination among parents and clinicians is high, but uptake remains low. Little is known about organizational and primary care team factors that influence the uptake of the HPV vaccine. Interviews with clinicians, clinic support staff, and parents of adolescent patients were conducted to better understand the interrelationships among the people and the organizational processes that influence HPV vaccine uptake at the point of care. Between July 2016 and February 2017, semi-structured interviews of 40 participants (18 clinicians, 12 clinic support staff, and 10 parents of adolescent patients) in a primary care network were conducted. Organizational structures and processes, such as electronic provider reminders, availability of "vaccination only" appointments, and knowledgeable primary care team members contributed to HPV vaccine uptake. Consistently high support of HPV vaccination was found among key informants; however, rather than refuse HPV vaccination, parents are opting to delay vaccination to a future visit. When parents express the desire to delay, clinicians and care team members described often recommending addressing HPV vaccination at a future visit, giving parents the impression that receiving the vaccine was not time-sensitive for their child. Discordance in HPV vaccination recommendations among providers and clinic support staff may contribute to delayed HPV vaccination. Strong, high-quality HPV vaccine recommendations are needed from all primary team members. Clinic interventions to accelerate HPV vaccine uptake may benefit from a team-based approach where every member of the primary care team is delivering the same consistent messaging about the importance of timely HPV vaccination.
    MeSH term(s) Adolescent ; Ambulatory Care Facilities ; Child ; Health Knowledge, Attitudes, Practice ; Humans ; Papillomavirus Infections/prevention & control ; Papillomavirus Vaccines ; Parents ; Patient Acceptance of Health Care ; Primary Health Care ; Vaccination
    Chemical Substances Papillomavirus Vaccines
    Language English
    Publishing date 2020-02-12
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2664176-8
    ISSN 2164-554X ; 2164-5515
    ISSN (online) 2164-554X
    ISSN 2164-5515
    DOI 10.1080/21645515.2019.1710410
    Database MEDical Literature Analysis and Retrieval System OnLINE

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