Digital Commons Network^™

Development Of Natural Product Analogs As Therapeutic Agents, Jacob Mara

Theses and Dissertations

Cancer stem cells (CSC) are cancer cells in a tumor mass that may self-renew and develop into various cell types, resulting in a heterogeneous tumor. CSCs have been shown to have a role in many facets of cancer formation, including tumor genesis, proliferation, and metastatic activity. They are also implicated in chemotherapeutic treatment resistance and the recurrence of some malignancies. Based on these capacities, CSCs have been identified as the next target for cancer therapy and control. Salinomycin's potential for therapeutic use based on ongoing research, as well as the synthesis of its derivatives and their biological activity, will also …

Integrated Single-Cell Multiomic Profiling Of Caudate Nucleus Suggests Key Mechanisms In Alcohol Use Disorder, Nicholas C Green, Arpana Agrawal, Et Al.

2020-Current year OA Pubs

Alcohol use disorder (AUD) induces complex transcriptional and regulatory changes across multiple brain regions including the caudate nucleus, which remains understudied. Using paired single-nucleus RNA-seq and ATAC-seq on caudate samples from 143 human postmortem brains, including 74 with AUD, we identified 17 distinct cell types. A significant portion of the alcohol-related differences in gene expression were accompanied by a corresponding difference in chromatin accessibility within the gene. We observed transcriptional differences in medium spiny neurons that impact RNA metabolism and immune response pathways. A small cluster of D1/D2 hybrid neurons showed AUD-induced differences distinct from the D1 and D2 types, …

10.13.2025 Ored Connect, Liz Williamson

ORED Newsletter

• ORED Small Grants Program RFP
• Mississippi Impact Grants RFP
• Contest to Promote Lab Practices
• Field Fest
• AAAS Membership for Faculty, Staff, and Students 

Development Of A Natural Language Processing Application For Lgbtq+ Status In Mental Health Records, Margaret Heslin, Jaya Chaturvedi, Anne Marie Bonnici Mallia, Ace Taaca, Diogo Pontes, Charvi Saraswat, Charlotte Woodhead, Katharine Rimes, David Chandran, Jyoti Sanyal, Ruimin Ma, Robert Stewart, Angus Roberts

School of Psychology

BackgroundLesbian, gay, bisexual, transgender, queer and related community (LGBTQ+) individuals have significantly increased risk for mental health problems. However, research on inequalities in LGBTQ+ mental healthcare is limited because LGBTQ+ status is usually only contained in unstructured, free-text sections of electronic health records.AimsThis study investigated whether natural language processing (NLP), specifically the large language model, Bi-directional Encoder Representations from Transformers (BERT), can identify LGBTQ+ status from this unstructured text in mental health records.MethodUsing electronic health records from a large mental healthcare provider in south London, UK, relevant search terms were identified and a random sample of 10 000 strings extracted. …

The Effect Of Telehealth-Based Medical Nutrition Therapy On Cardiovascular Disease Risk Factors In A Rural Population: A Secondary Analysis Of Outcomes Related To Nutrition, Health And Well-Being From The Healthy Rural Hearts Randomised Controlled Trial, Tracy L. Schumacher, Erin D. Clarke, Jaimee Herbert, Anna Jansson, Chris Oldmeadow, Megan E. Rollo, Penny Milson, Carissa Alderton, Leanne J. Brown, Jennifer T. May Phd, Rn, Anp-Bc, Annabelle Williams, Michelle Guppy, Shanthi Ramanathan, John Attia, Clare E. Collins

Publications

BACKGROUND: Adults in rural Australia are at elevated risk of cardiovascular disease (CVD). To date, no intervention trials have evaluated the impact of dietitian delivered nutrition therapy using telehealth exclusively in patients recruited in the primary care setting. The primary aim was to assess effectiveness of telehealth delivered Medical Nutrition Therapy (MNT) on change in dietary intake energy, reported as percent energy derived from nutrient-dense (core) foods. Secondary aims included assessment of the intervention effects on percentage weight loss, quality of life, health literacy and patient engagement in their health (patient activation).

METHODS: This was a secondary data analysis of …

Predictors Of Parental Behavior And Child Weight Status, Fidelia Senayah, Heba M. Athar, Allison G. Litton

Journal of Social, Behavioral, and Health Sciences

Childhood obesity is a major health issue globally. The prevalence rate remains high in Ohio, with associated complications among affected children and adolescents. The current study examined the association among obesity risk knowledge, risk perception, feeding behavior, and child weight outcome while controlling for race, gender, income, and education. We collected quantitative data through an online survey of parents in Northwest Ohio (n = 71) using the obesity risk knowledge scale and factors from the Child Feeding Questionnaire. We analyzed data using multiple linear regression. The primary outcome measures were feeding behavior and child weight status. Parental obesity risk …

Understanding The Nutrition Ecology And Related Distal And Proximal Research Gaps Impacting School-Aged Children's And Adolescents' Functioning-A Report From The "Biomarkers Of Nutrition For Development: Knowledge Indicating Dietary Sufficiency (Bond-Kids)" Project Working Group 2., Maureen M Black, Meg M Bruening, Amy Carroll-Scott, Jayna M Dave, Kristie L Ebi, Lora L Iannotti, Susan L Johnson, Lorrene D Ritchie, Elizabeth Y Jimenez, Alison L Steiber, Daniel J Raiten

Children’s Nutrition Research Center Staff Publications

Nutrition is critical to the health, development, and well-being of children and adolescents, operating through nutrients and the social and physical influences of dietary behaviors. Child and adolescent growth and development depend on complex biological systems interacting with the nutrition ecology. In this review, we focus on bidirectional interactions with the multilevel nutrition ecology, including distal systems (climate, geopolitical, and food systems) and proximal systems (community food options; health, social, and food services; and school policies and programs), all mediated by the family. Thus, the impact of nutrition on children's and adolescents' functional outcomes is dependent on understanding the multilevel …

Proteomic Characterization Of The Neuronal Bin1 Interactome In Homeostatic And Alzheimer’S Disease Mouse Brains, Joseph Mcmillan

USF Tampa Graduate Theses and Dissertations

The gene BIN1 is the second-largest genetic risk factor for late-onset Alzheimer’s disease (LOAD). It is expressed in neurons and glia in the brain as cell-type specific and ubiquitous isoforms. BIN1 is an adaptor protein that regulates membrane dynamics in many cell types. Previously, we reported that BIN1 predominantly localizes to presynaptic terminals in neurons and regulates presynaptic vesicular release. However, the function of neuronal BIN1 in relation to LOAD is not yet fully understood. A significant gap in the field is the unbiased characterization of neuronal BIN1-interacting proteins and proximal neighbors. To address this gap and help define the …

Learning From Covid-19: Clinical Trials, Health Information Technology, And Patient Mortality, Christos Nicolaides, Avinash Collis, Seth Benzell, Indranil Bardhan

Economics Faculty Articles and Research

During the COVID-19 pandemic, deaths per case in the United States decreased from 7.46% in April 2020 to 1.76% in April 2021. One mechanism that could explain this decline is a learning effect associated with testing of new treatments by hospitals. Hospitals that participated in clinical trials developed better organizational capabilities to diagnose and treat COVID-19 patients. Simultaneously, hospitals used health information technologies (IT) that integrated health information across healthcare providers to facilitate greater learning and sharing of best practices. Using US county-level data on clinical trial participation, use of health IT, and COVID-19 cases and deaths, we show that …

Advancements In Prenatal Genetic Screening And Testing: Emerging Technologies And Evolving Applications, Mona M Makhamreh, Mei Ling Chong, Ignatia B Van Den Veyver

Duncan NRI Faculty and Staff Publications

Advancements in genomic technologies have transformed prenatal genetic testing, offering more accurate, comprehensive, and noninvasive approaches to reproductive care. This review provides an in-depth overview of current methodologies and emerging innovations, including expanded carrier screening (ECS), cell-free DNA (cfDNA) testing, chromosomal microarray analysis (CMA), and sequencing-based diagnostics. We highlight how next-generation sequencing (NGS) technologies have revolutionized carrier screening and fetal genome analysis, enabling detection of a broad spectrum of genetic conditions. The clinical implementation of cfDNA has expanded from common aneuploidies to include copy number variants (CNVs), and single-gene disorders. Diagnostic testing has similarly evolved, with genome sequencing outperforming traditional …

“Part Of Our Work And Need To Deal With It”: A Thematic Analysis Of Emergency Department Doctors’ And Nurses’ Experiences And Attitudes Towards Workplace Violence In Oman – A National Study, Ibrahim S. Al-Busaidi, Badriya M. Al Riyami, Mohammed A. Al-Maskari, Shawana Al Harrasi

Sultan Qaboos University Medical Journal

Objectives: Emergency department (ED) staff are disproportionately affected by workplace violence (WPV). Despite its prevalence, qualitative insights into ED staff experiences remain limited, particularly in Oman. As part of the national Workplace Violence against Emergency Department Workers in Oman study (WPV-EDOM), this article explores the perceptions, experiences, and attitudes of ED doctors and nurses towards WPV. Methods: The study was conducted in Oman between June and October 2021. Doctors and nurses from EDs at secondary and tertiary hospitals across nine governorates who had participated in a validated online WPV survey were invited to respond to an open-ended question: …

Characterization Of Suspicious Prostate Lesions At Multiparametric Mri With Dynamic 68 Ga-Gozetotide Pet/Ct, Daniel Parrott, Qing Yuan, Daniella Pinho, Yin Xi, Daniel N Costa, Alberto Diaz De Leon, Marianna Dakanali, Xiankai Sun, Orhan K Oz, Spencer Bowen, Neil M Rofsky, Dana Mathews, Ivan Pedrosa

Faculty, Staff and Student Publications

Background: Prostate cancer (PCa) will affect approximately 12% of US men in their lifetime and remains the 2nd most common cause of cancer-specific death. However, there is a broad spectrum of severity of PCa; some require aggressive treatment and others can "watch-and-wait". Distinction of clinically significant prostate cancer (csPCa) from indolent PCA with current imaging methods remains challenging.

Objective: This study aims to evaluate dynamic prostate specific membrane antigen (PSMA) positron emission tomography (PET/CT) in the characterization of suspicious prostate lesions identified on multiparametric MRI (mpMRI).

Methods: Prospective study of biopsy-naïve patients with at least one Prostate Imaging and Reporting …

Inhibition Of Osteosarcoma Lung Metastases By Β-Glucan And Cd40 Agonist Is Mediated By Activation Of Macrophages And Nk Cells, Pradeep Shrestha, Rejeena Shrestha, Eugenie S Kleinerman

Faculty, Staff and Student Publications

Background: Osteosarcoma (OS) lung metastases remain a significant therapeutic challenge. Innate immune activation is a promising therapeutic approach. Innate immune agonists can modulate the tumor immune microenvironment and improve therapeutic response.

Methods: Using an experimental syngeneic OS lung metastasis BALB/c mouse model with K7M3-luc OS cells, we evaluated the antitumor effects of yeast-derived particulate β-glucan in prevention and therapeutic settings. We then assessed whether the CD40 agonist (CD40a) in combination with β-glucan increased therapeutic response in two different immune-competent mouse models of OS lung tumor burden.

Results: In the pretreatment settings, mice treated with β-glucan prior to OS cell infusion …

Shu World Review- October 13th 2025, Diplolab

SHU World Review

No abstract provided.

Using Photovoice To Explore Adults' Perceptions Towards Obesity And Factors Influencing Food Choice And Physical Activity In North Lebanon, Malika Al Kattan, Stephen Fallows, Lynne Kennedy

All Works

Objective: To explore adults' perceptions towards obesity and factors influencing eating behaviour and physical activity in North Lebanon, using a variation of the Photovoice method.Design: This research is part of a broader qualitative study exploring factors influencing the rising levels of obesity and understanding the barriers and enablers for effective policy for obesity prevention using a socio-ecological model as a guiding framework. For this study, a variation of 'Photovoice' was used to collect photographs to explore participants' perspectives of obesity and its causes in Lebanon, using these photographs to generate discussion in one-to-one face-to-face interviews. Inductive and deductive thematic analyses …

Chimes: October 13, 2025, Calvin University

Chimes

Creation care on Calvin's campus by Maya Oeverman

Breaking new ground: Calvin's ecosystem preserve adds a rock garden by Ian Tjoelker

Break-in News: Deer in Boer Bennink Kitchen by Maya Oeverman

A story worth seeing: Calvin's The Glass Menagerie by Ellery Johnson

Donald Trump vs. John Calvin by Joe Toly

Ode to the fallen deer by Marcail Schuurmann

Diabetes Care For People Experiencing Homelessness In The Uk: Insights From A National Survey Of Frontline Professionals And The Development Of An Integrated Care Model, Daniela Oehring, Martha Paisi, Mona Nasser, Theo Jackson, Ryan Young, Lynne Wooff, Helen Partridge, Jacqueline Conaty, Samantha Dorney-Smith

School of Health Professions

Introduction: People experiencing homelessness (PEH) face food insecurity, unstable housing and fragmented services that render conventional diabetes pathways unworkable and amplify complications. Methods: Between January and April 2024, we conducted a nationwide, cross-sectional mixed-methods survey of front-line professionals via NHS, inclusion-health and voluntary-sector networks, analysing quantitative data (n = 104) with ANOVA, Kruskal–Wallis tests and ordinal logistic regression, and subjecting free-text responses to reflexive thematic analysis, before converging findings to develop the Integrated Holistic Diabetes Care Model for Homelessness (IHD-CMPH). Results: Respondents comprised specialist diabetes clinicians (31%), homelessness/inclusion-health staff (38%) and VCSE providers (32%); median perceived Type 1 prevalence among …

Risk Factors And Clinical Significance Of Urologic Injury In Cesarean Hysterectomy For Placenta Accreta Spectrum, J Connor Mulhall, Kayla E Ireland, John J Byrne, Patrick S Ramsey, Georgia A Mccann, Jessian L Munoz

Faculty, Staff and Students Publications

Background/Objectives: Placenta accreta spectrum (PAS) is an obstetric condition with placental adherence to the underling myometrium characterized by significant surgical morbidity at time of delivery. PAS delivery is most commonly performed by cesarean hysterectomy. The most common morbidities associated with PAS cesarean hysterectomy are blood transfusion, intensive care unit admission and urinary tract injuries. This requires interdisciplinary team management including obstetricians and urologists. Our objective was to identify pre- and intra-operative risk factors for urologic injury in this high-risk condition.

Methods: A retrospective cohort study was performed at a single tertiary center with the Center for the Management …

Intracranial Neural Biomarkers Of Psychiatric Symptoms And Their Utility For Guiding Neuromodulation Therapy: A Systematic Review, Katherine E Kabotyanski, Nicole R Provenza, Sameer A Sheth

Faculty, Staff and Students Publications

The quest to develop and improve neuromodulatory therapies for treatment-resistant psychiatric disorders has been fueled by the discovery of intracranial neural biomarkers of symptom dimensions. These neural correlates shed light on the underlying neurophysiology of the disorder and may even be useful in guiding therapy delivery. This systematic review summarizes recent efforts in this field relating neural activity to behavior and symptomatology. For years, the majority of these neurobehavioral relationships had been studied in the hospital or clinic environment. Recent technological advances in implanted neuromodulation devices that permit not only stimulation, but also intracranial neural recording have enabled this research …

A Safety-Ii Approach To Learn From Practice Variation In The Diagnostic Process In The Emergency Department: An Action Research Study, Rick Roos, Laura Zwaan, Myrthe Maranus, Iwan A Meynaar, Vanessa J Valk, Cees Van Nieuwkoop, Gert-Jan Kamps, Hardeep Singh, Maarten O Van Aken

Faculty, Staff and Students Publications

Objectives: The focus on improving patient safety has mainly been by learning from errors and near misses (Safety-I). We applied a novel Safety-II approach to identify and learn from practice variations in the diagnostic process in the emergency department (ED), and subsequently design and implement practice changes.

Methods: In this single-center study, we used action research (cycles of micro-experiments to study and improve processes with active stakeholder involvement) in the diagnostic process. We used three subsequent observation cycles of the following six steps: observations, gathering of follow-up data, analyses, a co-creation session with involved stakeholders, sharing of best practices, and …

Managing Chickens From Chicks To Peak Egg Production, Joseph Okoh, Essence Perry

All Current Publications

Chickens were first domesticated for cultural purposes, but selective breeding has focused on egg production. Choosing the right breeds and good management practices are essential for farmers to maximize egg yield, quality, and safety. This fact sheet covers poultry history, top egg-laying breeds, egg anatomy, nutrition, and practical tips to help farmers improve productivity and run successful egg production ventures.

A Farmer's Guide To Egg Quality, Safety, And Flock Health, Joseph Okoh, Essence Perry

All Current Publications

Eggs are a valuable source of nutrition and income for many backyard and smallholder farmers. To ensure a steady supply of high-quality eggs, it's essential to understand the key factors that influence hens’ health and productivity. From proper nutrition to effective lighting and disease prevention, each decision you make affects your flock’s performance. This guide offers practical advice to help you raise resilient, high-laying hens and build a successful small-scale egg production system, no matter your level of experience.

Draft Final 2024 Residential Metals Abatement Program (Rmap) Baptist Student Union (Former Mckinley School) Soil Remedial Action Construction Completion Report, Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Peritoneal Mesothelioma Diagnosed On Frozen Section During Diagnostic Laparoscopy: A Case Report, Mae Visconti, Jenna Watts, Wade Weston, Jamie F. Cimino, Gerald Englund, Mark Jarosz

Student Publications

Malignant mesothelioma is a rare neoplasm arising from the proliferation of mesothelial cells. When this proliferation involves the lining of the abdomen, the peritoneum, it is referred to as malignant peritoneal mesothelioma (MPM). We present a case of MPM identified during diagnostic laparoscopy, detailing the patient’s symptoms and prior workup that prompted the procedure. This report describes a rare, rapidly progressive case in an elderly female patient, diagnosed via frozen section and immunohistochemistry, who experienced clinical deterioration over 24 days from initial presentation, highlighting both the diagnostic challenges and the aggressive nature of this disease.

Integration Of Uav And Remote Sensing Data For Early Diagnosis And Severity Mapping Of Diseases In Maize Crop Through Deep Learning And Reinforcement Learning, Jerry Gao, Krinal Gujarati, Meghana Hegde, Padmini Arra, Sejal Gupta, Neeraja Buch

Faculty Research, Scholarly, and Creative Activity

Highlights: What are the main findings? A framework combining UAV, satellite, and weather data to detect crop diseases. Ensemble deep learning and reinforcement learning improve classification and severity mapping. What is the implication of the main finding? Enables near real-time, scalable crop disease management to reduce yield losses. Early detection and hotspot mapping optimize water and pesticide use for sustainability. Accurate and timely prediction of diseases in water-intensive crops is critical for sustainable agriculture and food security. AI-based crop disease management tools are essential for an optimized approach, as they offer significant potential for enhancing yield and sustainability. This study …

Urine Cmv Pcr Positivity And Wheezing In Children Under Two Years Old: Implications For Management And Public Health, Jing Wang, Zhaocheng Zeng, Dushuang Zuo, Xiaoyan Zhang, Zehong Su

Journal of Pediatric Infectious Diseases

Objective: Wheezing in infants and toddlers poses a challenge to clinical management due to its multifaceted etiology, including viral infections. Cytomegalovirus (CMV) infection has been implicated in respiratory conditions, mostly in immunocompromised individuals, but its potential role in wheezing in young children remains understudied. Methods: A total of 82 children under two years of age with wheezing were enrolled in this study, including 61 infants (<12 months) and 21 toddlers (12 to 24 months). Children were categorized into CMV-positive (n=49) and CMV-negative (n=33) groups based on urine PCR tests. Hematological profiles were examined on admission in all children. For CMV positive children, additional hematological evaluations were conducted at 2 weeks and 4 weeks following initiation of antiviral therapy. These children received a ganciclovir regimen (Induction: 5 mg/kg IV, q12h for 2 weeks; Maintenance: 5mg/kg IV q24h, 24 weeks). Results: On admission, CMV-positive children had significantly higher white blood cell (WBC) counts (12.16 vs. 8.39 ×109/L, P=0.004), leukocyte counts (6.92 vs. 4.49 ×109/L, P=0.010), and platelet counts (341.02 vs. 258.27 ×109/L, P=0.002) compared to CMV-negative children. During ganciclovir treatment, the elevated WBC, leukocyte, and platelet levels in CMV-positive children showed significant reductions by the second week, with further notable decreases by the fourth week (P<0.05). Notably, wheezing symptoms in CMV-positive children significantly improved after ganciclovir treatment, with subsequent negative CMV test results, indicating a favorable clinical response to antiviral therapy. Conclusion: Considering the multifaceted etiology of wheezing in children under two years of age, this study suggests that CMV infection may be one of the potential causes of wheezing symptoms. These findings highlight the importance of including CMV testing as part of the diagnostic evaluation for wheezing in this population to ensure more comprehensive management.

Risk Factors For The Development Of Bronchiolitis Obliterans Following Adenovirus Infection In Children And Its Association With The Covid-19 Pandemic: Five Years Of Data From A Single Center, Fatih Ercan, Sevgi Pekcan, Nefise B. Ercan, Abdullah Akkuş, Hanife T. Çağlar, Ahmet Çağlar, Gökçen Ünal, Aslı İ. Yılmaz, Suat Savaş, Fatma N. Ayman, Özge M. Akcan, Mehmet Özdemir, Mustafa Genceli, Bahar E. Tokdemir, Ahsen N. Saylık, Sinan Saylık

Journal of Pediatric Infectious Diseases

Objective: Post-infectious bronchiolitis obliterans (PIBO) is a common form of bronchiolitis obliterans in children. It can arise from various respiratory tract infections, including adenovirus. This study aimed to identify risk factors for the development of PIBO in pediatric patients following confirmed adenovirus infection. In addition, to review if the COVID-19 pandemic altered the frequency this occurred. Methods: This retrospective study included 516 pediatric patients (age 0-17 years) with confirmed adenovirus infection, who subsequently developed PIBO. For each patient demographic data, clinical characteristics (including oxygen supplementation, mechanical ventilation, ICU admission, duration of hospitalization), laboratory parameters (complete blood count, erythrocyte sedimentation rate, …

Clinical Characteristics And Antimicrobial Resistance Trends In Neonatal Urinary Tract Infections: A Four-Year Retrospective Analysis And Clinical Implications, Bo Jiang, Xiuyi Gao

Journal of Pediatric Infectious Diseases

Objective: To investigate the clinical characteristics, pathogen distribution, and antibiotic resistance trends of neonatal urinary tract infections (UTIs), providing a basis for clinical diagnosis and treatment. Methods: A retrospective analysis was conducted on the clinical data of 82 neonates diagnosed with UTI in the NICU, including clinical manifestations, laboratory findings, and pathogen distribution. Results: Among 82 neonates with UTI, 59 were male and 23 were female, yielding a male-to-female ratio of 2.57:1. Of these, 9 were early neonatal infections and 73 were late neonatal infections; 65 were full-term and 17 were preterm. The main clinical manifestations included fever (52 cases), …

The Effects Of Non-Pharmacological Interventions During The Covid-19 Pandemic On Viral Respiratory Infections In Neonates During And Just After The Pandemic Era, Sevde N. Menemen, Ümit A. Tandırcıoğlu, Ayşegül Tuna, Serdar Alan

Journal of Pediatric Infectious Diseases

Objective: During the coronavirus disease 2019 (COVID-19) pandemic, these globally implemented nonpharmacological interventions (NPIs) have altered the circulation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) as well as other respiratory viruses in the community. To evaluate the impact of NPIs on the incidence and severity of viral respiratory tract infection (RTI) in newborns during and after the COVID-19 pandemic. Methods: The study was performed as a retrospective design between 2020-2023. Newborns with signs of upper or lower RTI who had undergone real-time polymerase chain reaction (RT-PCR) testing were included. The study was divided into 3 periods by considering the …

Entecavir Long-Term Treatment In Nucleoside/Nucleotide-Naïve Young Children With Perinatally-Acquired Hbeag-Positive Chronic Hepatitis: A Single Center Study, Hanan Fouad, Magda Sabry, Hany Abd Elaziz, Mohamed Rabea, Shaimaa El Abrak

Journal of Pediatric Infectious Diseases

Objective: We aimed to estimate Entecavir's long-term on-treatment safety and efficacy in young children with HBeAg-positive chronic hepatitis, who acquired perinatally Methods: This is an observational study of 14 nucleoside/nucleotide-naïve children with HBeAg-positive chronic hepatitis who were candidates for Entecavir. Treatment eligibility included persistent elevation of alanine aminotransferase (ALT) for at least 6 months, high HBV viremia, and moderate to severe hepatic inflammation and/or fibrosis. Results: Participants received Entecavir for up to 5 years (2-5). Their ages at baseline were 5.1 ± 1.6 years (range, 3-8), and they had an equal gender distribution. None had coinfection with hepatitis C or …