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  1. Article ; Online: Ophthalmic imaging in abusive head trauma.

    Macher, Jared / Porter, Randall S / Levin, Alex V

    Child abuse & neglect

    2023  Volume 139, Page(s) 106106

    Abstract: Background: Ophthalmic imaging plays an increasingly important role the evaluation of abusive head trauma, however these imaging modalities may be unfamiliar to non-ophthalmologists.: Objective: To provide pediatricians and child abuse pediatric ... ...

    Abstract Background: Ophthalmic imaging plays an increasingly important role the evaluation of abusive head trauma, however these imaging modalities may be unfamiliar to non-ophthalmologists.
    Objective: To provide pediatricians and child abuse pediatric professionals with background on ophthalmic imaging techniques in the context of suspected abuse, as well as information on commercial options and costs for those interested in augmenting their ophthalmic imaging capabilities.
    Methods: We performed a review of the ophthalmic imaging literature for fundus photography, ocular coherence tomography, fluorescein angiography, ocular ultrasound, computed tomography, magnetic resonance imaging and postmortem imaging. We also contacted individual vendors for equipment pricing information.
    Results: For each ophthalmic imaging modality, we demonstrate its role in the evaluation of abusive head trauma including indications, potential findings, sensitivity and specificity of findings for abuse, and commercial options.
    Conclusions: Ophthalmic imaging is an important supportive component of the evaluation for abusive head trauma. When used in conjunction with clinical examination, ophthalmic imaging can improve diagnostic accuracy, support documentation, and possibly improve communication in medicolegal contexts.
    MeSH term(s) Humans ; Child ; Infant ; Craniocerebral Trauma/diagnostic imaging ; Child Abuse/diagnosis ; Tomography, X-Ray Computed ; Magnetic Resonance Imaging/methods ; Photography/methods
    Language English
    Publishing date 2023-03-01
    Publishing country England
    Document type Review ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 799143-5
    ISSN 1873-7757 ; 0145-2134
    ISSN (online) 1873-7757
    ISSN 0145-2134
    DOI 10.1016/j.chiabu.2023.106106
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Pasteurella

    Porter, Randall S / Hay, Christine M

    Case reports in infectious diseases

    2020  Volume 2020, Page(s) 8890211

    Abstract: ... ...

    Abstract Pasteurella
    Language English
    Publishing date 2020-07-20
    Publishing country Egypt
    Document type Case Reports
    ZDB-ID 2627642-2
    ISSN 2090-6633 ; 2090-6625
    ISSN (online) 2090-6633
    ISSN 2090-6625
    DOI 10.1155/2020/8890211
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A study of disparities in access to genetic care pre- and post-pandemic.

    Macalino, Ashlee Joan / Porter, Randall S / Smith, Lindsay / Wang, Hongyue / Levin, Alex V

    American journal of medical genetics. Part A

    2023  Volume 191, Issue 7, Page(s) 1704–1710

    Abstract: We aimed to explore the delivery of pediatric genetic care before and during the COVID-19 pandemic and assess if disparities in care existed or emerged. We retrospectively reviewed the electronic medical record for patients 18 years old or younger seen ... ...

    Abstract We aimed to explore the delivery of pediatric genetic care before and during the COVID-19 pandemic and assess if disparities in care existed or emerged. We retrospectively reviewed the electronic medical record for patients 18 years old or younger seen in the Division of Pediatric Genetics between September 2019-March 2020 and April-October 2020. Outcomes included time between referral and new visit, recommendation and completion of genetic testing and/or follow-up visit within 6 months, and telemedicine versus in-person format. Outcomes were compared pre- and post-COVID-19 emergence across ethnicity, race, age, health insurance, socioeconomic status (SES), and use of medical interpretation services. Three hundred thirteen total records were reviewed with comparable demographics between cohorts. Cohort 2 had shorter times between referral and new visit, greater telemedicine utilization, and a greater proportion of testing completed. Younger patients tended to have shorter times between referral and initial visit. In Cohort 1, those with Medicaid insurance or no coverage had longer referral-initial visit times. In Cohort 2, there were differences in testing recommendation based on age. For all outcomes, no disparities were observed across ethnicity, race, SES, or use of medical interpretation services. This study characterizes the impact of the pandemic on pediatric genetics care delivery at our center and may have wider implications.
    MeSH term(s) Child ; United States/epidemiology ; Humans ; Adolescent ; COVID-19/epidemiology ; Pandemics ; Retrospective Studies ; Insurance, Health ; Medicaid
    Language English
    Publishing date 2023-03-27
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2108614-X
    ISSN 1552-4833 ; 0148-7299 ; 1552-4825
    ISSN (online) 1552-4833
    ISSN 0148-7299 ; 1552-4825
    DOI 10.1002/ajmg.a.63191
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Implementation of PROMIS

    Porter, Randall S / Holt, Kathleen / Ramchandran, Rajeev S

    Patient related outcome measures

    2021  Volume 12, Page(s) 307–312

    Abstract: Purpose: The full utility of general health Patient-Reported Outcomes Measurement Information System: Patients and methods: Over 2 months, general health and functioning PROMIS surveys were offered to all patients in an optometric clinic in Rochester, ...

    Abstract Purpose: The full utility of general health Patient-Reported Outcomes Measurement Information System
    Patients and methods: Over 2 months, general health and functioning PROMIS surveys were offered to all patients in an optometric clinic in Rochester, NY. Demographic and clinical variables were recorded along with percent completion and time to completion of the survey.
    Results: Across 651 patients, 258 chose to attempt PROMIS. Patients with low visual acuity were less likely to attempt the survey (
    Conclusion: Our relatively high completion rate among those who attempted PROMIS indicates that PROMIS surveys are feasible to implement in an optometry clinic. While most patients completed the survey in little time, the large range of time to completion may indicate that some patients had difficulty completing the survey. Furthermore, the significant difference in visual acuity between those who participated in the survey and those who did not highlights the need to address the way PROMIS is delivered in order to foster greater inclusion.
    Language English
    Publishing date 2021-10-07
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 2586660-6
    ISSN 1179-271X
    ISSN 1179-271X
    DOI 10.2147/PROM.S329345
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A Review of the Antiviral Properties of Black Elder (Sambucus nigra L.) Products.

    Porter, Randall S / Bode, Robert F

    Phytotherapy research : PTR

    2017  Volume 31, Issue 4, Page(s) 533–554

    Abstract: Black elder (Sambucus nigra L.) has a long ethnobotanical history across many disparate cultures as a treatment for viral infection and is currently one of the most-used medicinal plants worldwide. Until recently, however, substantial scientific research ...

    Abstract Black elder (Sambucus nigra L.) has a long ethnobotanical history across many disparate cultures as a treatment for viral infection and is currently one of the most-used medicinal plants worldwide. Until recently, however, substantial scientific research concerning its antiviral properties has been lacking. Here, we evaluate the state of current scientific research concerning the use of elderberry extract and related products as antivirals, particularly in the treatment of influenza, as well as their safety and health impacts as dietary supplements. While the extent of black elder's antiviral effects are not well known, antiviral and antimicrobial properties have been demonstrated in these extracts, and the safety of black elder is reflected by the United States Food and Drug Administration approval as generally recognized as safe. A deficit of studies comparing these S. nigra products and standard antiviral medications makes informed and detailed recommendations for use of S. nigra extracts in medical applications currently impractical. Copyright © 2017 John Wiley & Sons, Ltd.
    MeSH term(s) Antiviral Agents/therapeutic use ; Fruit/chemistry ; Humans ; Influenza, Human/drug therapy ; Plant Extracts/therapeutic use ; Sambucus nigra/chemistry
    Chemical Substances Antiviral Agents ; Plant Extracts
    Language English
    Publishing date 2017-04
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 639136-9
    ISSN 1099-1573 ; 0951-418X
    ISSN (online) 1099-1573
    ISSN 0951-418X
    DOI 10.1002/ptr.5782
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: A Review of the Antiviral Properties of Black Elder (Sambucus nigra L.) Products

    Porter, Randall S / Robert F. Bode

    Phytotherapy research. 2017 Apr., v. 31, no. 4

    2017  

    Abstract: Black elder (Sambucus nigra L.) has a long ethnobotanical history across many disparate cultures as a treatment for viral infection and is currently one of the most‐used medicinal plants worldwide. Until recently, however, substantial scientific ... ...

    Abstract Black elder (Sambucus nigra L.) has a long ethnobotanical history across many disparate cultures as a treatment for viral infection and is currently one of the most‐used medicinal plants worldwide. Until recently, however, substantial scientific research concerning its antiviral properties has been lacking. Here, we evaluate the state of current scientific research concerning the use of elderberry extract and related products as antivirals, particularly in the treatment of influenza, as well as their safety and health impacts as dietary supplements. While the extent of black elder's antiviral effects are not well known, antiviral and antimicrobial properties have been demonstrated in these extracts, and the safety of black elder is reflected by the United States Food and Drug Administration approval as generally recognized as safe. A deficit of studies comparing these S. nigra products and standard antiviral medications makes informed and detailed recommendations for use of S. nigra extracts in medical applications currently impractical. Copyright © 2017 John Wiley & Sons, Ltd.
    Keywords antiviral agents ; antiviral properties ; dietary supplements ; elderberries ; ethnobotany ; Food and Drug Administration ; GRAS substances ; influenza ; medicinal plants ; Sambucus nigra
    Language English
    Dates of publication 2017-04
    Size p. 533-554.
    Publishing place John Wiley & Sons, Ltd
    Document type Article
    Note REVIEW
    ZDB-ID 639136-9
    ISSN 1099-1573 ; 0951-418X
    ISSN (online) 1099-1573
    ISSN 0951-418X
    DOI 10.1002/ptr.5782
    Database NAL-Catalogue (AGRICOLA)

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