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Washington University School of Medicine

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Six-Year Follow-Up Of A Trial Of Antenatal Vitamin D For Asthma Reduction, Augusto A. Litonjua, Vincent J. Carey, Nancy Laranjo, Benjamin J. Stubbs, Hooman Mirzakhani, George T. O'Connor, Megan Sandel, Avraham Beigelman, Leonard B. Bacharier, Robert S. Zeiger, Michael Schatz, Bruce W. Hollis, Scott T. Weiss Jan 2020

Six-Year Follow-Up Of A Trial Of Antenatal Vitamin D For Asthma Reduction, Augusto A. Litonjua, Vincent J. Carey, Nancy Laranjo, Benjamin J. Stubbs, Hooman Mirzakhani, George T. O'Connor, Megan Sandel, Avraham Beigelman, Leonard B. Bacharier, Robert S. Zeiger, Michael Schatz, Bruce W. Hollis, Scott T. Weiss

Open Access Publications

No abstract provided.


Self-Reported Sleep Disturbance In Crohn’S Disease Is Not Confrmed By Objective Sleep Measures, Heba N. Iskandar, Emily E. Linan, Ami Patel, Renee Moore, Yi Lasanajak, C. Prakash Gyawali, Gregory S. Sayuk, Matthew A. Ciorba Jan 2020

Self-Reported Sleep Disturbance In Crohn’S Disease Is Not Confrmed By Objective Sleep Measures, Heba N. Iskandar, Emily E. Linan, Ami Patel, Renee Moore, Yi Lasanajak, C. Prakash Gyawali, Gregory S. Sayuk, Matthew A. Ciorba

Open Access Publications

No abstract provided.


Patient-Derived Small Intestinal Myofibroblasts Direct Perfused, Physiologically Responsive Capillary Development In A Microfluidic Gut-On-A-Chip Model, Kristen M. Seiler, Adam Bajinting, David M. Alvarado, Mahama A. Traore, Michael M. Binkley, William H. Goo, Wyatt E. Lanik, Jocelyn Ou, Usama Ismail, Micah Iticovici, Cristi R. King, Kelli L. Vandussen, Elzbieta A. Swietlicki, Vered Gazit, Jun Guo, Cliff J. Luke, Thaddeus Stappenbeck, Matthew A. Ciorba, Steven C. George, J. Mark Meacham, Deborah C. Rubin, Misty Good, Brad W. Warner Jan 2020

Patient-Derived Small Intestinal Myofibroblasts Direct Perfused, Physiologically Responsive Capillary Development In A Microfluidic Gut-On-A-Chip Model, Kristen M. Seiler, Adam Bajinting, David M. Alvarado, Mahama A. Traore, Michael M. Binkley, William H. Goo, Wyatt E. Lanik, Jocelyn Ou, Usama Ismail, Micah Iticovici, Cristi R. King, Kelli L. Vandussen, Elzbieta A. Swietlicki, Vered Gazit, Jun Guo, Cliff J. Luke, Thaddeus Stappenbeck, Matthew A. Ciorba, Steven C. George, J. Mark Meacham, Deborah C. Rubin, Misty Good, Brad W. Warner

Open Access Publications

No abstract provided.


Inhibition Of Grb14, A Negative Modulator Of Insulin Signaling, Improves Glucose Homeostasis Without Causing Cardiac Dysfunction, Xunshan Ding, Rugmani Iyer, Christopher Novotny, Daniel Metzger, Heather H. Zhou, Gordon I. Smith, Mihoko Yoshino, Jun Yoshino, Samuel Klein, Gayathri Swaminath, Saswata Talukdar, Yingjiang Zhou Jan 2020

Inhibition Of Grb14, A Negative Modulator Of Insulin Signaling, Improves Glucose Homeostasis Without Causing Cardiac Dysfunction, Xunshan Ding, Rugmani Iyer, Christopher Novotny, Daniel Metzger, Heather H. Zhou, Gordon I. Smith, Mihoko Yoshino, Jun Yoshino, Samuel Klein, Gayathri Swaminath, Saswata Talukdar, Yingjiang Zhou

Open Access Publications

No abstract provided.


Nutrition In Necrotizing Enterocolitis And Following Intestinal Resection, Jocelyn Ou, Cathleen M Courtney, Allie E Steinberger, Maria E Tecos, Brad W Warner Jan 2020

Nutrition In Necrotizing Enterocolitis And Following Intestinal Resection, Jocelyn Ou, Cathleen M Courtney, Allie E Steinberger, Maria E Tecos, Brad W Warner

Open Access Publications

This review aims to discuss the role of nutrition and feeding practices in necrotizing enterocolitis (NEC), NEC prevention, and its complications, including surgical treatment. A thorough PubMed search was performed with a focus on meta-analyses and randomized controlled trials when available. There are several variables in nutrition and the feeding of preterm infants with the intention of preventing necrotizing enterocolitis (NEC). Starting feeds later rather than earlier, advancing feeds slowly and continuous feeds have not been shown to prevent NEC and breast milk remains the only effective prevention strategy. The lack of medical treatment options for NEC often leads to …


Deconstructing Tumor Heterogeneity: The Stromal Perspective, Renee E. Vickman, Douglas V. Faget, Sheila A. Stewart, Et Al Jan 2020

Deconstructing Tumor Heterogeneity: The Stromal Perspective, Renee E. Vickman, Douglas V. Faget, Sheila A. Stewart, Et Al

Open Access Publications

Significant advances have been made towards understanding the role of immune cell-tumor interplay in either suppressing or promoting tumor growth, progression, and recurrence, however, the roles of additional stromal elements, cell types and/or cell states remain ill-defined. The overarching goal of this NCI-sponsored workshop was to highlight and integrate the critical functions of non-immune stromal components in regulating tumor heterogeneity and its impact on tumor initiation, progression, and resistance to therapy. The workshop explored the opposing roles of tumor supportive


Identification Of New Helicobacter Pylori Subpopulations In Native Americans And Mestizos From Peru, Andrés Julián Gutiérrez-Escobar, Douglas E Berg, Et Al Jan 2020

Identification Of New Helicobacter Pylori Subpopulations In Native Americans And Mestizos From Peru, Andrés Julián Gutiérrez-Escobar, Douglas E Berg, Et Al

Open Access Publications

Region-specific


Campylobacter Colonization, Environmental Enteric Dysfunction, Stunting, And Associated Risk Factors Among Young Children In Rural Ethiopia: A Cross-Sectional Study From The Campylobacter Genomics And Environmental Enteric Dysfunction (Caged) Project, Dehao Chen, Mark J Manary, Et Al Jan 2020

Campylobacter Colonization, Environmental Enteric Dysfunction, Stunting, And Associated Risk Factors Among Young Children In Rural Ethiopia: A Cross-Sectional Study From The Campylobacter Genomics And Environmental Enteric Dysfunction (Caged) Project, Dehao Chen, Mark J Manary, Et Al

Open Access Publications

Livestock farming provides a possible mechanism by which smallholder farmers can meet their household need for animal source foods (ASF), which may reduce the risk of stunting. However, direct/indirect contacts with domestic animals may increase colonization by


Mental Distress And Human Rights Violations During Covid-19: A Rapid Review Of The Evidence Informing Rights, Mental Health Needs, And Public Policy Around Vulnerable Populations, Muhammad Rahman, Rabab Ahmed, Ross Brownson, Mary Mckay, Et Al Jan 2020

Mental Distress And Human Rights Violations During Covid-19: A Rapid Review Of The Evidence Informing Rights, Mental Health Needs, And Public Policy Around Vulnerable Populations, Muhammad Rahman, Rabab Ahmed, Ross Brownson, Mary Mckay, Et Al

Open Access Publications

No abstract provided.


Dementia Research In The Caribbean Hispanic Islands: Present Findings And Future Trends, Daisy Acosta, Jorge J Llibre-Guerra, Ivonne Z Jiménez-Velázquez, Juan J Llibre-Rodríguez Jan 2020

Dementia Research In The Caribbean Hispanic Islands: Present Findings And Future Trends, Daisy Acosta, Jorge J Llibre-Guerra, Ivonne Z Jiménez-Velázquez, Juan J Llibre-Rodríguez

Open Access Publications

During the last decade, the Caribbean Hispanic islands experienced accelerated demographic aging, representing the fastest aging region within Latin America. Age-related non-communicable diseases, including dementia, are now reported at high prevalence. The Caribbean islands share similar genetic ancestry, culture, migration patterns, and risk profiles, providing a unique setting to understand dementia in the Caribbean-Hispanics. This perspective article aimed to describe the impact of dementia in the Caribbean, at a local and regional level and reflect on research strategies to address dementia. We report on 10/66 project findings, described research projects and regional plans for the region. According to our results, …


Effects Of Diet Versus Gastric Bypass On Metabolic Function In Diabetes, Mihoko Yoshino, Brandon D. Kayser, Jun Yoshino, Richard I. Stein, Dominic Reeds, J. Christopher Eagon, Shaina R. Eckhouse, Jeramie D. Watrous, Mohit Jain, Rob Knight, Kenneth Schechtman, Bruce W. Patterson, Samuel Klein Jan 2020

Effects Of Diet Versus Gastric Bypass On Metabolic Function In Diabetes, Mihoko Yoshino, Brandon D. Kayser, Jun Yoshino, Richard I. Stein, Dominic Reeds, J. Christopher Eagon, Shaina R. Eckhouse, Jeramie D. Watrous, Mohit Jain, Rob Knight, Kenneth Schechtman, Bruce W. Patterson, Samuel Klein

Open Access Publications

No abstract provided.


The Complex Interactions Between Rotavirus And The Gut Microbiota, Andrew Hyoungjin Kim, Michael P Hogarty, Vanessa C Harris, Megan T Baldridge Jan 2020

The Complex Interactions Between Rotavirus And The Gut Microbiota, Andrew Hyoungjin Kim, Michael P Hogarty, Vanessa C Harris, Megan T Baldridge

Open Access Publications

Human rotavirus (HRV) is the leading worldwide cause of acute diarrhea-related death in children under the age of five. RV infects the small intestine, an important site of colonization by the microbiota, and studies over the past decade have begun to reveal a complex set of interactions between RV and the gut microbiota. RV infection can temporarily alter the composition of the gut microbiota and probiotic administration alleviates some symptoms of infection


A Recommended "Minimum Data Set" Framework For Sd-Oct Retinal Image Acquisition And Analysis From The Atlas Of Retinal Imaging In Alzheimer's Study (Arias), Jessica Alber, Gregory Van Stavern, Et Al Jan 2020

A Recommended "Minimum Data Set" Framework For Sd-Oct Retinal Image Acquisition And Analysis From The Atlas Of Retinal Imaging In Alzheimer's Study (Arias), Jessica Alber, Gregory Van Stavern, Et Al

Open Access Publications

Introduction: We propose a minimum data set framework for the acquisition and analysis of retinal images for the development of retinal Alzheimer's disease (AD) biomarkers. Our goal is to describe methodology that will increase concordance across laboratories, so that the broader research community is able to cross-validate findings in parallel, accumulate large databases with normative data across the cognitive aging spectrum, and progress the application of this technology from the discovery stage to the validation stage in the search for sensitive and specific retinal biomarkers in AD.

Methods: The proposed minimum data set framework is based on the Atlas of …


Acute Liver Failure Of Unclear Cause? Acetaminophen-Protein Adducts Make The Diagnosis, Michael E Mullins, Laura P James Jan 2020

Acute Liver Failure Of Unclear Cause? Acetaminophen-Protein Adducts Make The Diagnosis, Michael E Mullins, Laura P James

Open Access Publications

Acetaminophen poisoning remains a leading cause of acute liver failure. Some cases may be difficult to diagnose when clinical findings are equivocal, the patient's history is misleading or incomplete, or the acetaminophen concentration is low or undetectable at arrival to care. We describe a case of a medically complicated young child whose acute liver failure had two of these features. Measurement of acetaminophen-protein adducts confirmed acetaminophen as the primary cause of her liver failure.


Insights Into The Role Of The Jak/Stat Signaling Pathway In Graft-Versus-Host Disease, Ramzi Abboud, Jaebok Choi, Peter Ruminski, Mark A Schroeder, Sena Kim, Camille N Abboud, John F Dipersio Jan 2020

Insights Into The Role Of The Jak/Stat Signaling Pathway In Graft-Versus-Host Disease, Ramzi Abboud, Jaebok Choi, Peter Ruminski, Mark A Schroeder, Sena Kim, Camille N Abboud, John F Dipersio

Open Access Publications

Allogeneic hematopoietic transplantation (allo-HCT) is a curative therapy for a variety of hematologic malignancies, primarily through immune-mediated clearance of malignant cells. This graft-


Bjc Today Dec 2019

Bjc Today

BJC Today

No abstract provided.


Association Of Aspirin Use With Mortality Risk Among Older Adult Participants In The Prostate, Lung, Colorectal, And Ovarian Cancer Screening Trial, Holli A. Loomans-Kropp, Paul Pinsky, Yin Cao, Andrew T. Chan, Asad Umar Dec 2019

Association Of Aspirin Use With Mortality Risk Among Older Adult Participants In The Prostate, Lung, Colorectal, And Ovarian Cancer Screening Trial, Holli A. Loomans-Kropp, Paul Pinsky, Yin Cao, Andrew T. Chan, Asad Umar

Open Access Publications

Importance: Aspirin use has been associated with reduced risk of cancer mortality, particularly of the colorectum. However, aspirin efficacy may be influenced by biological characteristics, such as obesity and age. With the increasing prevalence of obesity and conflicting data regarding the effect of aspirin in older adults, understanding the potential association of aspirin use with cancer mortality according to body mass index (BMI) and age is imperative.

Objectives: To investigate the association of aspirin use with risk of all-cause, any cancer, gastrointestinal (GI) cancer, and colorectal cancer (CRC) mortality among older adults and to perform an exploratory analysis of the …


Linking The Effects Of Helminth Infection, Diet And The Gut Microbiota With Human Whole-Blood Signatures, Soo Ching Lee, Mei San Tang, Alice V. Easton, Joseph Cooper Devlin, Ling Ling Chua, Ilseung Cho, Foong Ming Moy, Tsung Fei Khang, Yvonne A. L. Lim, P'Ng Loke Dec 2019

Linking The Effects Of Helminth Infection, Diet And The Gut Microbiota With Human Whole-Blood Signatures, Soo Ching Lee, Mei San Tang, Alice V. Easton, Joseph Cooper Devlin, Ling Ling Chua, Ilseung Cho, Foong Ming Moy, Tsung Fei Khang, Yvonne A. L. Lim, P'Ng Loke

Open Access Publications

Helminth infection and dietary intake can affect the intestinal microbiota, as well as the immune system. Here we analyzed the relationship between fecal microbiota and blood profiles of indigenous Malaysians, referred to locally as Orang Asli, in comparison to urban participants from the capital city of Malaysia, Kuala Lumpur. We found that helminth infections had a larger effect on gut microbial composition than did dietary intake or blood profiles. Trichuris trichiura infection intensity also had the strongest association with blood transcriptional profiles. By characterizing paired longitudinal samples collected before and after deworming treatment, we determined that changes in serum zinc …


Bjc Today Nov 2019

Bjc Today

BJC Today

No abstract provided.


Bjc Today Nov 2019

Bjc Today

BJC Today

No abstract provided.


Neoadjuvant Cryotherapy Improves Dysphagia And May Impact Remission Rates In Advanced Esophageal Cancer, Tilak Shah, Vladimir Kushnir, Pritesh Mutha, Mankanchan Majhail, Bhaumik Patel, Matthew Schutzer, Drew Mogahanaki, George Smallfield, Milan Patel, Alvin Zfass Nov 2019

Neoadjuvant Cryotherapy Improves Dysphagia And May Impact Remission Rates In Advanced Esophageal Cancer, Tilak Shah, Vladimir Kushnir, Pritesh Mutha, Mankanchan Majhail, Bhaumik Patel, Matthew Schutzer, Drew Mogahanaki, George Smallfield, Milan Patel, Alvin Zfass

Open Access Publications

No abstract provided.


Changes In Serum Albumin And Other Nutritional Markers When Using Sucroferric Oxyhydroxide As Phosphate Binder Among Hemodialysis Patients: A Historical Cohort Study, Kamyar Kalantar-Zadeh, Linda H Ficociello, Vidhya Parameswaran, Nicolaos V Athienites, Claudy Mullon, Robert J Kossmann, Daniel W Coyne Oct 2019

Changes In Serum Albumin And Other Nutritional Markers When Using Sucroferric Oxyhydroxide As Phosphate Binder Among Hemodialysis Patients: A Historical Cohort Study, Kamyar Kalantar-Zadeh, Linda H Ficociello, Vidhya Parameswaran, Nicolaos V Athienites, Claudy Mullon, Robert J Kossmann, Daniel W Coyne

Open Access Publications

BACKGROUND: Elevated serum phosphorus concentrations are common among maintenance hemodialysis patients. Protein is a major source of dietary phosphate, but restriction of protein intake can result in hypoalbuminemia and protein-energy wasting. We hypothesized that sucroferric oxyhydroxide (SO), a potent phosphate binder with a low pill burden, may reduce serum phosphorus levels in hemodialysis patients with hypoalbuminemia without adversely impacting albumin levels or dietary intake of protein.

METHODS: We retrospectively examined de-identified data from 79 adult, in-center hemodialysis patients with baseline hypoalbuminemia (≤ 3.5 g/dL) switched to SO as part of routine clinical care for at least 1 year. Temporal changes …


Bjc Today Oct 2019

Bjc Today

BJC Today

No abstract provided.


Effect Of A Novel Transition Program On Disability After Stroke: A Trial Protocol, Emily Somerville, Marian Keglovits, Yan Yan, Susan Stark Oct 2019

Effect Of A Novel Transition Program On Disability After Stroke: A Trial Protocol, Emily Somerville, Marian Keglovits, Yan Yan, Susan Stark

Open Access Publications

Importance: A gap in care for stroke survivors exists at the point of transition from inpatient rehabilitation to home, when survivors encounter new environmental barriers because of the cognitive and sensorimotor sequelae of stroke. Resolving these barriers and improving independence in the community have the potential to significantly improve stroke survivors' long-term morbidity.

Objective: To investigate the efficacy and safety of a novel enhanced rehabilitation transition program to reduce environmental barriers and improve daily activity performance and community participation among stroke survivors.

Design, Setting, and Participants: This is a phase 2b, single-blind, parallel-group, randomized clinical trial. Participants will be randomized …


Keep The Cat, Change The Care Pathway: A Transformational Approach To Managing Fel D 1, The Major Cat Allergen, Ebenezer Satyaraj, Harold James Wedner, Jean Bousquet Oct 2019

Keep The Cat, Change The Care Pathway: A Transformational Approach To Managing Fel D 1, The Major Cat Allergen, Ebenezer Satyaraj, Harold James Wedner, Jean Bousquet

2010-2019 OA Pubs

BACKGROUND: Allergies to cats are the most common animal-origin allergy, and affect approximately 1 in 5 adults worldwide. The prevalence of allergy to furry animals has been increasing, and allergy to cats is a major risk factor for the development of asthma and rhinitis. The diagnosis of cat allergy is now well established. The exact significance of component-resolved diagnosis in the diagnosis of cat allergy remains to be fully understood. Allergen avoidance is effective but often has a psychologic impact. Allergen immunotherapy is not well demonstrated. There is a need for innovative approaches to better manage cat allergens. Next-generation care …


Optimizing Postprandial Glucose Management In Adults With Insulin-Requiring Diabetes: Report And Recommendations, John (Jack) L. Leahy, Grazia Aleppo, Vivian A. Fonseca, Satish K. Garg, Irl B. Hirsch, Anthony L. Mccall, Janet B. Mcgill, William H. Polonsky Oct 2019

Optimizing Postprandial Glucose Management In Adults With Insulin-Requiring Diabetes: Report And Recommendations, John (Jack) L. Leahy, Grazia Aleppo, Vivian A. Fonseca, Satish K. Garg, Irl B. Hirsch, Anthony L. Mccall, Janet B. Mcgill, William H. Polonsky

Open Access Publications

Faster-acting insulins, new noninsulin drug classes, more flexible insulin-delivery systems, and improved continuous glucose monitoring devices offer unprecedented opportunities to improve postprandial glucose (PPG) management and overall care for adults with insulin-treated diabetes. These developments led the Endocrine Society to convene a working panel of diabetes experts in December 2018 to assess the current state of PPG management, identify innovative ways to improve self-management and quality of life, and align best practices to current and emerging treatment and monitoring options. Drawing on current research and collective clinical experience, we considered the following issues for the ∼200 million adults worldwide with …


Bjc Today Sep 2019

Bjc Today

BJC Today

No abstract provided.


Assessing Organizational Supports For Evidence-Based Decision Making In Local Public Health Departments In The United States: Development And Psychometric Properties Of A New Measure, Stephanie Mazzucca, Renee G Parks, Rachel G Tabak, Peg Allen, Maureen Dobbins, Katherine A Stamatakis, Ross C Brownson Sep 2019

Assessing Organizational Supports For Evidence-Based Decision Making In Local Public Health Departments In The United States: Development And Psychometric Properties Of A New Measure, Stephanie Mazzucca, Renee G Parks, Rachel G Tabak, Peg Allen, Maureen Dobbins, Katherine A Stamatakis, Ross C Brownson

Open Access Publications

CONTEXT: Fostering evidence-based decision making (EBDM) within local public health departments and among local health department (LHD) practitioners is crucial for the successful translation of research into public health practice to prevent and control chronic disease.

OBJECTIVE: The purpose of this study was to identify organizational supports for EBDM within LHDs and determine psychometric properties of a measure of organizational supports for EBDM in LHDs.

DESIGN: Cross-sectional, observation study.

SETTING: Local public health departments in the United States.

PARTICIPANTS: Local health department practitioners (N = 376) across the United States participated in the study.

MAIN OUTCOME MEASURES: Local health department …


Elucidating Under-Studied Aspects Of The Link Between Obesity And Multiple Myeloma: Weight Pattern, Body Shape Trajectory, And Body Fat Distribution, Catherine R Marinac, Catherine A Suppan, Edward Giovannucci, Mingyang Song, Ane S Kværner, Mary K Townsend, Bernard A Rosner, Timothy R Rebbeck, Graham A Colditz, Brenda M Birmann Sep 2019

Elucidating Under-Studied Aspects Of The Link Between Obesity And Multiple Myeloma: Weight Pattern, Body Shape Trajectory, And Body Fat Distribution, Catherine R Marinac, Catherine A Suppan, Edward Giovannucci, Mingyang Song, Ane S Kværner, Mary K Townsend, Bernard A Rosner, Timothy R Rebbeck, Graham A Colditz, Brenda M Birmann

2010-2019 OA Pubs

BACKGROUND: Although obesity is an established modifiable risk factor for multiple myeloma (MM), several nuanced aspects of its relation to MM remain unelucidated, limiting public health and prevention messages.

METHODS: We analyzed prospective data from the Nurses' Health Study and Health Professionals Follow-Up Study to examine MM risk associated with 20-year weight patterns in adulthood, body shape trajectory from ages 5 to 60 years, and body fat distribution. For each aforementioned risk factor, we report hazard ratios (HRs) and 95% confidence intervals (CIs) for incident MM from multivariable Cox proportional-hazards models.

RESULTS: We documented 582 incident MM cases during 4 …


Stefan Friedrichsdorf Oral History. Aug 2019

Stefan Friedrichsdorf Oral History.

Pediatric Palliative Care Oral History Project

Dr. Stefan Friedrichsdorf begins the interview by describing his time as medical trainee in Germany and his observations that the medical treatments physicians were giving seriously ill children were often the cause of the distressing pain symptoms children experienced. In his pursuit to find out more about managing pain in children, he found there were no existing resources -- no books, no courses, no practices around him. In a chance opportunity, one of his peers was awarded funding to conduct an assessment of pediatric palliative care in Germany, and so Dr. Friedrichsdorf became the manager of that study and began …