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  1. Article ; Online: Seasonality and Climatic Factors Associated With Human Rhinovirus/Enterovirus Nasopharyngeal Sample Positivity on Oahu, Hawai'i, 2016-2019.

    Marcelo, Raymundo Z / Lustik, Michael B / Jones, Milissa U

    Military medicine

    2023  Volume 189, Issue 1-2, Page(s) e34–e39

    Abstract: Introduction: Globally, human rhinoviruses/enteroviruses (HRVs/ENTs), indistinguishable on many widely available molecular platforms, are among the leading causes of the common cold. Geographic and climatic factors impact the peak activity of these ... ...

    Abstract Introduction: Globally, human rhinoviruses/enteroviruses (HRVs/ENTs), indistinguishable on many widely available molecular platforms, are among the leading causes of the common cold. Geographic and climatic factors impact the peak activity of these viruses. In temperate climates, the peak activity of HRV occurs during autumn and spring whereas that of ENT occurs during autumn and summer. Both viruses are thought to peak during the rainy season in tropical climates like Hawai'i; however, data remain limited. We describe HRV/ENT seasonality and evaluate the climatic factors associated with peak activity among respiratory viral samples processed on Oahu, Hawai'i.
    Materials and methods: We conducted a retrospective analysis of all respiratory specimens submitted to Tripler Army Medical Center for multiplex polymerase chain reaction testing between May 2016 and May 2019. Among HRV/ENT-positive samples, we recorded the month and year of positivity. Summative monthly positive detection was calculated with peak months above the mean. Associations between temperature, precipitation levels, relative humidity, and wind speed by week and the number of positive samples for HRV/ENT were evaluated using Poisson regression. This analysis was conducted via IRB exempt protocol number 19R18.
    Results: During our study period, there were 7,143 nasopharyngeal respiratory samples sent for multiplex polymerase chain reaction testing, with 1,572 positive for HRV/ENT (22%). Nineteen percent of respiratory samples positive for HRV/ENT were additionally positive for one or more respiratory pathogens. The majority of HRV/ENT-positive samples arose from children < 5 years of age (n = 959, 61%). Peak months were February, March, May, August, November, and December. After controlling for lagged count and year, average wind speed was the only climatic factor significantly associated with HRV/ENT sample positivity.
    Conclusions: The peak monthly activity of HRV/ENT was similar to temperate climates with the exception of peak activity in February. Unlike other tropical climates, lower wind speed was associated with increased weekly HRV/ENT positivity and should be further explored as a transmission factor. Our study contributes to understanding the annual variability of HRV/ENT activity in tropical environments, which can inform clinician expectations regarding respiratory viral symptomatology in this region.
    MeSH term(s) Child ; Humans ; Infant ; Rhinovirus ; Hawaii/epidemiology ; Respiratory Tract Infections/epidemiology ; Retrospective Studies ; Enterovirus
    Language English
    Publishing date 2023-05-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 391061-1
    ISSN 1930-613X ; 0026-4075
    ISSN (online) 1930-613X
    ISSN 0026-4075
    DOI 10.1093/milmed/usad125
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A Case of Reactivated Acute Hepatitis in a 12-month-old Infant With Multiviral Infection, Including SARS-CoV-2 and Adenovirus.

    Dawood, Jimmy / Wickersham, Emily L / Witmer, Claire P / Jones, Milissa U

    JPGN reports

    2023  Volume 4, Issue 4, Page(s) e346

    Abstract: Adenovirus hepatitis is of global concern due to its increasing incidence and poorly understood pathogenesis. Historically, adenovirus has contributed to the development of severe hepatitis in immunocompromised patients. The clinical course and ... ...

    Abstract Adenovirus hepatitis is of global concern due to its increasing incidence and poorly understood pathogenesis. Historically, adenovirus has contributed to the development of severe hepatitis in immunocompromised patients. The clinical course and management of such infections in previously healthy children remains elusive. We present a case of severe acute hepatitis in a previously healthy 12-month-old infant with a history of SARS-CoV-2 infection followed by multiviral infection including adenovirus. Additional evaluation revealed acute hepatitis without evidence of acute liver failure except for mild coagulopathy. She demonstrated clinical improvement with supportive therapy but later experienced reactivated hepatitis in the setting of a third new viral infection thereby warranting a second hospitalization. A liver biopsy was obtained due to concern for an underlying immunologic or metabolic etiology of her prolonged hepatitis. Our case provides insight into the medical management and clinical course of a previously healthy child with a history of SARS-CoV-2 and adenovirus infections leading to reactivated acute hepatitis.
    Language English
    Publishing date 2023-08-18
    Publishing country United States
    Document type Case Reports
    ISSN 2691-171X
    ISSN (online) 2691-171X
    DOI 10.1097/PG9.0000000000000346
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Evaluation of Racial Disparities in Suspected Child Abuse among Insured Children with Head Injury.

    Jones, Milissa U / Banaag, Amanda / Nafea, Shamim S / Koehlmoos, Tracey Perez

    Child maltreatment

    2022  Volume 28, Issue 4, Page(s) 713–722

    Abstract: Previous studies demonstrate racial disparities in child abuse evaluations even after controlling for health insurance coverage. We conducted a cross-sectional study using the Military Health System Data Repository (MDR) of Military Health System (MHS) ... ...

    Abstract Previous studies demonstrate racial disparities in child abuse evaluations even after controlling for health insurance coverage. We conducted a cross-sectional study using the Military Health System Data Repository (MDR) of Military Health System (MHS) beneficiaries born between fiscal years 2016 and 2018 to evaluate racial disparities and other factors in the suspicion of child abuse. We observed beneficiaries for 2.5 years after birth and assessed the incidence of head injury using diagnostic codes. Among children with head injury codes, we performed a multivariable logistic regression analysis to measure the association between race and the concurrent use of the diagnostic code for suspected child abuse (SCA) or for the performance of a skeletal survey. There were 195,893 infants included and 45,269 (23.1%) underwent evaluations for head injury. Less than one percent (
    MeSH term(s) Infant ; Child ; Humans ; United States/epidemiology ; Cross-Sectional Studies ; Child Abuse/diagnosis ; Craniocerebral Trauma/diagnosis ; Craniocerebral Trauma/epidemiology ; Healthcare Disparities ; Military Personnel
    Language English
    Publishing date 2022-12-26
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 1332193-6
    ISSN 1552-6119 ; 1077-5595
    ISSN (online) 1552-6119
    ISSN 1077-5595
    DOI 10.1177/10775595221148424
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  4. Article ; Online: The prevalence of M. tuberculosis among acid fast bacilli cultures from military health system and veterans affairs beneficiaries in Hawaii and the Pacific Islands from 2002 to 2019.

    Crecelius, Elena M / Lustik, Michael B / Horseman, Timothy S / Jones, Milissa U

    PloS one

    2021  Volume 16, Issue 7, Page(s) e0254312

    Abstract: The prevalence of tuberculosis among military health system (MHS) and Veterans Affairs (VA) beneficiaries in Hawaii and the Pacific Islands has not been previously reported. Our analysis evaluates the prevalence of M. tuberculosis (MTB) among acid fast ... ...

    Abstract The prevalence of tuberculosis among military health system (MHS) and Veterans Affairs (VA) beneficiaries in Hawaii and the Pacific Islands has not been previously reported. Our analysis evaluates the prevalence of M. tuberculosis (MTB) among acid fast bacilli culture(s) (AFB) tested at Tripler Army Medical Center (TAMC) on Oahu, HI and describes demographic factors associated with positive samples. We analyzed 9,768 AFBs from 4,129 individuals with AFB specimens processed at TAMC from January 2002 to November 2019: of those who were tested 3,178 were MHS beneficiaries and 951 were VA beneficiaries. There were a total of 40 individuals with MTB-positive cultures over the period of study: 31 MHS beneficiaries and 9 VA beneficiaries. Of the MTB-positive specimens, 93% were from pulmonary samples while the remainder were from lymph node aspirates (5%) and peritoneal samples (2%). Cumulative incidence rates of MTB-isolation were 1.8 per 100,000 MHS beneficiaries and 1.2 per 100,000 VA beneficiaries, both of which were lower than reported incidence rates in Hawaii, the U.S.-affiliated Pacific Islands and the United States for the study period. MHS beneficiaries of Asian-Pacific Islander race or ethnicity had nearly 20 times higher odds of positive AFB than white MHS beneficiaries (OR = 19.56, 95% CI 5.52, 69.29, p = < 0.001). This study demonstrated a higher odds of MTB-positivity associated with Asian-Pacific Islander race or ethnicity and low incidence rates of TB among MHS and VA beneficiaries in Hawaii and the Pacific Islands when compared with the civilian population.
    MeSH term(s) Hawaii ; Humans ; Military Health Services ; Mycobacterium tuberculosis ; Pacific Islands ; Prevalence ; Veterans
    Language English
    Publishing date 2021-07-09
    Publishing country United States
    Document type Journal Article
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0254312
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Comparing the Clinical Courses of Children With Human Rhinovirus/Enterovirus to Children With Other Respiratory Viruses in the Outpatient Setting.

    Jones, Milissa U / Montgomery, Agnes S / Coskun, Jennifer D / Marcelo, Raymundo Z / Sutton, Alyssa B / Raiciulescu, Sorana

    The Pediatric infectious disease journal

    2023  Volume 42, Issue 12, Page(s) e432–e439

    Abstract: Background: While infections caused by rhinoviruses and enteroviruses are common among children, the entirety of their clinical impact remains elusive. We compared the clinical outcomes of children with rhinovirus/enterovirus infections to other common ... ...

    Abstract Background: While infections caused by rhinoviruses and enteroviruses are common among children, the entirety of their clinical impact remains elusive. We compared the clinical outcomes of children with rhinovirus/enterovirus infections to other common respiratory viruses in outpatient settings.
    Methods: We conducted a retrospective analysis of nasopharyngeal samples singly positive for human rhinovirus/enterovirus (HRV/ENT), influenza A/B (FLU) or respiratory syncytial virus (RSV) from patients ≤17 years submitted for clinical testing via multiplex polymerase chain reaction between 2016 and 2019. We evaluated the following outpatient outcomes: days of respiratory symptoms before testing; visits for respiratory symptoms; receipt of a breathing treatment; receipt of antibiotics and hospital admission. Statistical analyses were conducted controlling for age and comorbid conditions.
    Results: There were 1355 positive samples included in this analysis (HRV/ENT: n = 743, FLU: n = 303 and RSV: n = 309). Compared to HRV/ENT, children with FLU had 28% fewer days of respiratory symptoms (β: -0.32; 95% confidence interval: -0.46 to -0.18; P < 0.001), fewer visits for respiratory symptoms, and significantly decreased odds of receiving a breathing treatment or antibiotics, and admission to the hospital. Children with RSV had a similar number of days of respiratory symptoms, outpatient visits and odds of hospital admission, but significantly increased odds of receiving a breathing treatment and antibiotics compared to those with HRV/ENT.
    Conclusion: Clinicians should have a high level of vigilance when managing children with positive respiratory viral testing for HRV/ENT given the potential for clinical outcomes similar to and, in some instances, worse than known highly pathogenic viruses.
    MeSH term(s) Humans ; Child ; Infant ; Rhinovirus ; Outpatients ; Retrospective Studies ; Viruses/genetics ; Enterovirus Infections/diagnosis ; Enterovirus Infections/epidemiology ; Influenza, Human ; Enterovirus/genetics ; Respiratory Syncytial Virus, Human ; Antigens, Viral ; Anti-Bacterial Agents ; Disease Progression ; Respiratory Tract Infections/diagnosis ; Respiratory Syncytial Virus Infections ; Picornaviridae Infections/diagnosis ; Picornaviridae Infections/epidemiology ; Picornaviridae Infections/pathology
    Chemical Substances Antigens, Viral ; Anti-Bacterial Agents
    Language English
    Publishing date 2023-09-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 392481-6
    ISSN 1532-0987 ; 0891-3668
    ISSN (online) 1532-0987
    ISSN 0891-3668
    DOI 10.1097/INF.0000000000004097
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  6. Article ; Online: Respiratory Viral Pathogens in Children Evaluated at Military Treatment Facilities in Oahu, Hawaii From 2014 to 2018: Seasonality and Climatic Factors.

    Montgomery, Agnes S / Lustik, Michael B / Jones, Milissa U / Horseman, Timothy S

    Journal of the Pediatric Infectious Diseases Society

    2020  Volume 10, Issue 4, Page(s) 517–520

    Abstract: Five-year retrospective analysis of respiratory viruses in children less than 18 years old at Tripler Army Medical Center and outlying clinics in Oahu. Respiratory syncytial virus and influenza A showed pronounced seasonality with peaks from September to ...

    Abstract Five-year retrospective analysis of respiratory viruses in children less than 18 years old at Tripler Army Medical Center and outlying clinics in Oahu. Respiratory syncytial virus and influenza A showed pronounced seasonality with peaks from September to December and December to March, respectively. Results provide a better understanding of the timing of viral preventive strategies in Oahu.
    MeSH term(s) Adolescent ; Child ; Hawaii/epidemiology ; Humans ; Infant ; Influenza, Human/epidemiology ; Influenza, Human/prevention & control ; Military Personnel ; Respiratory Syncytial Virus Infections/epidemiology ; Respiratory Syncytial Virus Infections/prevention & control ; Respiratory Syncytial Virus, Human ; Respiratory Tract Infections/epidemiology ; Retrospective Studies ; Seasons
    Language English
    Publishing date 2020-12-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 2668791-4
    ISSN 2048-7207 ; 2048-7193
    ISSN (online) 2048-7207
    ISSN 2048-7193
    DOI 10.1093/jpids/piaa131
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  7. Article ; Online: Ethanol lock and immunoglobulin load: Improving the clinical course of trichohepatoenteric syndrome.

    Popadiuk, Catherine A / Lindsey, Diana R / Jones, Milissa U / Mikita, Cecilia P

    Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology

    2019  Volume 122, Issue 4, Page(s) 415–417

    MeSH term(s) Anti-Bacterial Agents/therapeutic use ; Catheter-Related Infections/therapy ; Child, Preschool ; Diarrhea, Infantile/drug therapy ; Diarrhea, Infantile/therapy ; Ethanol/therapeutic use ; Facies ; Female ; Fetal Growth Retardation/drug therapy ; Fetal Growth Retardation/therapy ; Hair Diseases/drug therapy ; Hair Diseases/therapy ; Humans ; Immunoglobulins/blood ; Immunoglobulins/therapeutic use
    Chemical Substances Anti-Bacterial Agents ; Immunoglobulins ; Ethanol (3K9958V90M)
    Language English
    Publishing date 2019-01-24
    Publishing country United States
    Document type Case Reports ; Letter
    ZDB-ID 1228189-x
    ISSN 1534-4436 ; 0003-4738 ; 1081-1206
    ISSN (online) 1534-4436
    ISSN 0003-4738 ; 1081-1206
    DOI 10.1016/j.anai.2019.01.012
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  8. Article ; Online: Respiratory Viral Pathogens Among U.S. Military Personnel at a Medical Treatment Facility in Hawaii From 2014 to 2019.

    Montgomery, Agnes S / Lustik, Michael B / Reichert-Scrivner, Susan A / Woodbury, Ronald L / Jones, Milissa U / Horseman, Timothy S

    Military medicine

    2021  Volume 187, Issue 1-2, Page(s) 182–188

    Abstract: Introduction: Acute respiratory diseases account for a substantial number of outpatient visits and hospitalizations among U.S. military personnel, significantly affecting mission readiness and military operations. We conducted a retrospective analysis ... ...

    Abstract Introduction: Acute respiratory diseases account for a substantial number of outpatient visits and hospitalizations among U.S. military personnel, significantly affecting mission readiness and military operations. We conducted a retrospective analysis of respiratory viral pathogen (RVP) samples collected from U.S. military personnel stationed in Hawaii and tested at Tripler Army Medical Center from January 2014 to May 2019 in order to describe the etiology, distribution, and seasonality of RVP exposure in a military population.
    Materials and methods: Samples were analyzed by viral culture or multiplex PCR. Distribution of respiratory viruses over time was analyzed as well as subject demographic and encounter data. Presenting signs and symptoms were evaluated with each RVP.
    Results: A total of 2,576 military personnel were tested, of which 726 (28.2%) were positive for one or more RVP. Among positive tests, the three most common viral pathogens detected were influenza A (43.0%), rhinovirus (24.5%), and parainfluenza (7.6%). Symptoms were generally mild and most frequently included cough, fever, and body aches.
    Conclusion: Our study evaluated respiratory virus prevalence, seasonality, and association with clinical symptoms for military personnel in an urban tropical setting in Oahu, HI, over a 5-year period. We show that viral prevalence and seasonality in Hawaii are distinct from those of the CONUS. Results contribute to the broader understanding of seasonality, clinical manifestation, and demographics of RVP among active duty military personnel stationed in Hawaii.
    MeSH term(s) Hawaii/epidemiology ; Humans ; Influenza, Human/epidemiology ; Military Personnel ; Respiratory Tract Infections/epidemiology ; Retrospective Studies
    Language English
    Publishing date 2021-03-31
    Publishing country England
    Document type Journal Article
    ZDB-ID 391061-1
    ISSN 1930-613X ; 0026-4075
    ISSN (online) 1930-613X
    ISSN 0026-4075
    DOI 10.1093/milmed/usab191
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: The Impact of Vaccine Refusal on Physician Office Visits During the Subsequent 12 Months.

    Jones, Milissa U / Carter, Cassandra G / Cameron, Kenneth L / Smith, Tyler K

    Military medicine

    2017  Volume 182, Issue 9, Page(s) e1810–e1815

    Abstract: We hypothesized that families who are nonadherent to the routine vaccination schedule (RVS) present less frequently for physician visits. We conducted a retrospective chart review to compare the number of visits made over the subsequent 12-month period ... ...

    Abstract We hypothesized that families who are nonadherent to the routine vaccination schedule (RVS) present less frequently for physician visits. We conducted a retrospective chart review to compare the number of visits made over the subsequent 12-month period by families that refused the RVS versus those who were adherent. Subjects were aged 0 to 4 years, enrolled to Keller Army Hospital, and had a diagnosis indicating the RVS was refused. Age-matched controls, who were adherent to the RVS, were randomly chosen for each case. Subjects made significantly more total visits than CASES: 7 (interquartile range [IQR] = 1-20) versus 6 (IQR = 2-17), p = 0.0049. When each visit type was compared independently, there was no significant difference in the number of acute (p = 0.494) or emergency department (p = 0.077) visits between groups. However, subjects who refused to follow the RVS made significantly fewer routine care visits during the 1-year follow-up period compared to those that adhered to the RVS (p < 0.001).
    MeSH term(s) Child, Preschool ; Female ; Hospitalization/statistics & numerical data ; Humans ; Infant ; Male ; Office Visits/trends ; Physicians' Offices/trends ; Physicians' Offices/utilization ; Retrospective Studies ; Vaccination Refusal/trends
    Language English
    Publishing date 2017-09-26
    Publishing country England
    Document type Journal Article
    ZDB-ID 391061-1
    ISSN 1930-613X ; 0026-4075
    ISSN (online) 1930-613X
    ISSN 0026-4075
    DOI 10.7205/MILMED-D-16-00442
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The pregnancy factor: the prevalence of depression among women living with HIV enrolled in the African Cohort Study (AFRICOS) by pregnancy status.

    Jones, Milissa U / Esber, Allahna L / Dear, Nicole / Bahemana, Emmanuel / Kibuuka, Hannah / Iroezindu, Michael / Maswai, Jonah / Owuoth, John / Polyak, Christina S / Ake, Julie A / Crowell, Trevor A / Hickey, Patrick W

    Archives of women's mental health

    2021  Volume 24, Issue 4, Page(s) 649–658

    Abstract: Among Sub-Saharan African women living with HIV (WLWH), pregnancy creates unique stressors that may cause depression. We describe the prevalence of depression among WLWH enrolled in the African Cohort Study (AFRICOS) by pregnancy status and describe ... ...

    Abstract Among Sub-Saharan African women living with HIV (WLWH), pregnancy creates unique stressors that may cause depression. We describe the prevalence of depression among WLWH enrolled in the African Cohort Study (AFRICOS) by pregnancy status and describe factors associated with depression. WLWH < 45 years of age underwent six-monthly visits with depression diagnosed using the Center for Epidemiological Studies-Depression scale. Visits were categorized as "pregnant;" "postpartum" (the first visit made after the last pregnancy visit), and "non-pregnant." The prevalence of depression was calculated for each visit type and compared using prevalence odds ratios (POR) with 95% confidence intervals (CI). Logistic regression with generalized estimating equations was used to evaluate sociodemographic factors associated with depression. From January 2013 to March 1, 2020, 1333 WLWH were enrolled, and 214 had pregnancies during follow-up. As compared to the prevalence of depression during "non-pregnant" visits (9.1%), depression was less common at "pregnant" (6.3%; POR = 0.68 [CI: 0.42, 1.09]) and "postpartum" (3.4%; POR = 0.36 [CI: 0.17, 0.76]) visits. When controlling for other factors, the visit category was not independently associated with depression. Visit number, study site, employment status, and food security were independently associated with decreased odds of depression. We observed a lower prevalence of depression during pregnancy and the postpartum period than has been previously described among WLWH during similar time points. We observed protective factors against depression which highlight the impact that holistic and consistent health care at HIV-centered clinics may have on the well-being of WLWH in AFRICOS.
    MeSH term(s) Cohort Studies ; Depression/diagnosis ; Depression/epidemiology ; Female ; HIV Infections/epidemiology ; Humans ; Pregnancy ; Pregnancy Complications, Infectious/epidemiology ; Prevalence
    Language English
    Publishing date 2021-03-08
    Publishing country Austria
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 1463529-X
    ISSN 1435-1102 ; 1434-1816
    ISSN (online) 1435-1102
    ISSN 1434-1816
    DOI 10.1007/s00737-021-01117-4
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