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2023

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A Multilevel Mhealth Intervention Boosts Adherence To Hydroxyurea In Individuals With Sickle Cell Disease, Jane S Hankins, Allison A King, Ana A Baumann, Lisa M Klesges, Et Al. Dec 2023

A Multilevel Mhealth Intervention Boosts Adherence To Hydroxyurea In Individuals With Sickle Cell Disease, Jane S Hankins, Allison A King, Ana A Baumann, Lisa M Klesges, Et Al.

2020-Current year OA Pubs

Hydroxyurea reduces sickle cell disease (SCD) complications, but medication adherence is low. We tested 2 mobile health (mHealth) interventions targeting determinants of low adherence among patients (InCharge Health) and low prescribing among providers (HU Toolbox) in a multi-center, non-randomized trial of individuals with SCD ages 15-45. We compared the percentage of days covered (PDC), labs, healthcare utilization, and self-reported pain over 24 weeks of intervention and 12 weeks post-study with a 24-week preintervention interval. We enrolled 293 patients (51% male; median age 27.5 years, 86.8% HbSS/HbSβ0-thalassemia). The mean change in PDC among 235 evaluable subjects increased (39.7% to 56.0%; P < 0.001) and sustained (39.7% to 51.4%, P < 0.001). Mean HbF increased (10.95% to 12.78%; P = 0.03). Self-reported pain frequency reduced (3.54 to 3.35 events/year; P = 0.041). InCharge Health was used ≥1 day by 199 of 235 participants (84.7% implementation; median usage: 17% study days; IQR: 4.8-45.8%). For individuals with ≥1 baseline admission for pain, admissions per 24 weeks declined from baseline through 24 weeks (1.97 to 1.48 events/patient, P = 0.0045) and weeks 25-36 (1.25 events/patient, P = 0.0015). PDC increased with app use (P < 0.001), with the greatest effect in those with private insurance (P = 0.0078), older subjects (P = 0.033), and those with lower pain interference (P = 0.0012). Of the 89 providers (49 hematologists, 36 advanced care providers, 4 unreported), only 11.2% used HU Toolbox ≥1/month on average. This use did not affect change in PDC. Tailoring mHealth solutions to address barriers to hydroxyurea adherence can potentially improve adherence and provide clinical benefits. A definitive randomized study is warranted. This trial was registered at www.clinicaltrials.gov as #NCT04080167.


Single-Cell Atlas Of Healthy Human Blood Unveils Age-Related Loss Of Nkg2c+Gzmb−Cd8+ Memory T Cells And Accumulation Of Type 2 Memory T Cells, Marina Terekhova, Amanda Swain, Pavla Bohacova, Ekaterina Aladyeva, Laura Arthur, Anwesha Laha, Denis A Mogilenko, Samantha Burdess, Vladimir Sukhov, Denis Kleverov, Barbora Echalar, Petr Tsurinov, Roman Chernyatchik, Kamila Husarcikova, Maxim N Artyomov Dec 2023

Single-Cell Atlas Of Healthy Human Blood Unveils Age-Related Loss Of Nkg2c+Gzmb−Cd8+ Memory T Cells And Accumulation Of Type 2 Memory T Cells, Marina Terekhova, Amanda Swain, Pavla Bohacova, Ekaterina Aladyeva, Laura Arthur, Anwesha Laha, Denis A Mogilenko, Samantha Burdess, Vladimir Sukhov, Denis Kleverov, Barbora Echalar, Petr Tsurinov, Roman Chernyatchik, Kamila Husarcikova, Maxim N Artyomov

2020-Current year OA Pubs

Extensive, large-scale single-cell profiling of healthy human blood at different ages is one of the critical pending tasks required to establish a framework for the systematic understanding of human aging. Here, using single-cell RNA/T cell receptor (TCR)/BCR-seq with protein feature barcoding, we profiled 317 samples from 166 healthy individuals aged 25-85 years old. From this, we generated a dataset from ∼2 million cells that described 55 subpopulations of blood immune cells. Twelve subpopulations changed with age, including the accumulation of GZMK


Vol. 19 Entire Issue Dec 2023

Vol. 19 Entire Issue

The Journal of Economics and Politics

No abstract provided.


Index To Volumes 31 And 32, 2003-2004, Bird Observer Dec 2023

Index To Volumes 31 And 32, 2003-2004, Bird Observer

Bird Observer

No abstract provided.


Peregrine Falcons In Massachusetts In 2004, Thomas W. French Dec 2023

Peregrine Falcons In Massachusetts In 2004, Thomas W. French

Bird Observer

No abstract provided.


Watching Nighthawks In The Blackstone National Corridor, Mark Lynch Dec 2023

Watching Nighthawks In The Blackstone National Corridor, Mark Lynch

Bird Observer

No abstract provided.


Field Notes, Dan Furbish, Carolyn B. Marsh Dec 2023

Field Notes, Dan Furbish, Carolyn B. Marsh

Bird Observer

No abstract provided.


Health Tips For Birders, Petti Staub Dec 2023

Health Tips For Birders, Petti Staub

Bird Observer

No abstract provided.


The Phalarope Conspiracy, Kathleen S. Anderson Dec 2023

The Phalarope Conspiracy, Kathleen S. Anderson

Bird Observer

No abstract provided.


About Books: Four Anomalous Volumes: Pampered Birds, Missing Birds, Dead Birds, And Bird Leftovers, Mark Lynch Dec 2023

About Books: Four Anomalous Volumes: Pampered Birds, Missing Birds, Dead Birds, And Bird Leftovers, Mark Lynch

Bird Observer

No abstract provided.


The Snowy Owl Satellite Telemetry Project, Norman Smith Dec 2023

The Snowy Owl Satellite Telemetry Project, Norman Smith

Bird Observer

No abstract provided.


The Saw-Whet Owl Banding Project, Danielle Smith Dec 2023

The Saw-Whet Owl Banding Project, Danielle Smith

Bird Observer

No abstract provided.


Young Birders: A Winter Outing, David Allen Dec 2023

Young Birders: A Winter Outing, David Allen

Bird Observer

No abstract provided.


About Books: Opposite Sides Of The Same Coin, Mark Lynch Dec 2023

About Books: Opposite Sides Of The Same Coin, Mark Lynch

Bird Observer

No abstract provided.


Young Birders: The Benefits Of Bird Banding, Yelena Samsonenko Dec 2023

Young Birders: The Benefits Of Bird Banding, Yelena Samsonenko

Bird Observer

No abstract provided.


Young Birders: Close Encounters Of The Avian Kind, Andrew P. Brissette Dec 2023

Young Birders: Close Encounters Of The Avian Kind, Andrew P. Brissette

Bird Observer

No abstract provided.


Field Notes, Peter Trull, Aaron Roth, Maura J. Amrich Dec 2023

Field Notes, Peter Trull, Aaron Roth, Maura J. Amrich

Bird Observer

No abstract provided.


Modeling The Potential Impacts Of Climate Change On The Summer Distributions Of Massachusetts Passerines, Jeff Price Dec 2023

Modeling The Potential Impacts Of Climate Change On The Summer Distributions Of Massachusetts Passerines, Jeff Price

Bird Observer

No abstract provided.


Birding The Lower Emerald Necklace: Jamaica Pond To The Back Bay, Robert G. Mayer Dec 2023

Birding The Lower Emerald Necklace: Jamaica Pond To The Back Bay, Robert G. Mayer

Bird Observer

No abstract provided.


Silvicultural Options For Managing Birds In Northern Hardwoods Forests In Extensively Forested Landscapes, David I. King, Richard M. Degraaf Dec 2023

Silvicultural Options For Managing Birds In Northern Hardwoods Forests In Extensively Forested Landscapes, David I. King, Richard M. Degraaf

Bird Observer

No abstract provided.


Birding The Blackstone Valley: Uxbridge-Northbridge, Massachusetts, Richard W. Hildreth, Strickland Wheelock Dec 2023

Birding The Blackstone Valley: Uxbridge-Northbridge, Massachusetts, Richard W. Hildreth, Strickland Wheelock

Bird Observer

No abstract provided.


He Spanned Two Eras: Charles Foster Batchelder, Last Of The "Shotgun" Ornithologists, William E. Davis Jr. Dec 2023

He Spanned Two Eras: Charles Foster Batchelder, Last Of The "Shotgun" Ornithologists, William E. Davis Jr.

Bird Observer

No abstract provided.


Birding The Delaney Wildlife Management Area, Simon Hennin, Lisa Hennin Dec 2023

Birding The Delaney Wildlife Management Area, Simon Hennin, Lisa Hennin

Bird Observer

No abstract provided.


The Purple Martin In Massachusetts, David E. Clapp Dec 2023

The Purple Martin In Massachusetts, David E. Clapp

Bird Observer

No abstract provided.


The Mating Game, Marta Hersek Dec 2023

The Mating Game, Marta Hersek

Bird Observer

No abstract provided.


Birding The Great Woods Of Lynn, John Quigley, Joanne Benard Dec 2023

Birding The Great Woods Of Lynn, John Quigley, Joanne Benard

Bird Observer

No abstract provided.


Book Clubs In Massachusetts, Martha Steele Dec 2023

Book Clubs In Massachusetts, Martha Steele

Bird Observer

No abstract provided.


Bird Sightings: November-December 1994 Summary, Richard A. Forster, Marjorie W. Rines, Robert H. Stymeist Dec 2023

Bird Sightings: November-December 1994 Summary, Richard A. Forster, Marjorie W. Rines, Robert H. Stymeist

Bird Observer

No abstract provided.


A Decade Of Snowy Owls At Logan Airport, Norman Smith Dec 2023

A Decade Of Snowy Owls At Logan Airport, Norman Smith

Bird Observer

No abstract provided.


Blue State Exodus?, Jon D. Michaels, David L. Noll Dec 2023

Blue State Exodus?, Jon D. Michaels, David L. Noll

Pepperdine Law Review

American businesses and families are leaving Blue states in record numbers for destinations like Texas, Florida, and Georgia. This migration of people, businesses, and tax dollars has prompted claims of a “Blue state exodus” prompted by “leftist politicians imposing leftist ideology.” As expressed by Utah’s Senator Mike Lee, the “exodus” proves that “the Left’s policies don’t work.” But does the movement of taxpayers from Blue to Red states really signal a rejection of progressive policies? This Essay argues that, before accepting that interpretation, we should consider another possibility. Perhaps Blue states aren’t overly progressive, but insufficiently so. Paralyzed by political …