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Masses And The Gothic In The English Novel: 1700-1820, Szu Ying Chen

Electronic Theses & Dissertations (2024 - present)

This dissertation studies the eighteenth-century English novel and expands the understanding of realism by rereading realist novels through Gothic representations of the masses. The conventional understanding of realism is shaped by Ian Watt’s canonical concept of “formal realism” in The Rise of the Novel and Jürgen Habermas’s conception of the bourgeois public sphere. It identifies realism with a vision of civility grounded in the modern individual and bourgeois social reality. However, the masses and the Gothic challenge this conception of the novel’s realism by representing the social as constituted by collective agency, political violence, and struggles over power rather than …

Anti-Zionism, Antisemitism, Antidiscrimination, Zalman Rothschild

Articles

This Article uses recent anti-Zionism cases as a case study in hostile environment causation. It briefly surveys the approaches to the causation element that courts have taken in other contexts and then examines the anti-Zionism decisions in detail. It finds that courts in these cases have consistently converged on the narrowest variant of the motive-based approach, treating proof of animus—subjective hostility toward Jews—as the operative route to causation. That approach has its attractions. It preserves breathing space for political speech and resists the claim that opposition to Zionism is necessarily hostility toward Jews. But it is not the only approach …

Family Routines And Cognitive Emotion Regulation: The Role Of Harsh Parenting And Family Activities, Vidhi Jain

Electronic Theses & Dissertations (2024 - present)

Cognitive emotion regulation (CER), consisting of adaptive and maladaptive strategies, is a critical developmental process linked to various well-being outcomes across the lifespan. Family contexts such as daily routines, parenting, and engagement shape the development of emotion regulation. Existing literature generally links family routines to better CER outcomes (Selman & Dilworth-Bart, 2023), but has not yet investigated the impact of routines in adverse family environments. The present study examined whether harsh parenting and the frequency of shared family activities jointly moderate the relationship between family routines and adaptive and maladaptive CER. A sample of emerging adults (N = 210; …

Disentangling Exercise Motivation From Eating Disorder Symptom Severity: A Dominance Analysis Of Compulsive Exercise Predictors, Sarah E. Siegel

Electronic Theses & Dissertations (2024 - present)

Compulsive exercise (CE) appears frequently in eating disorder (ED) samples but also occurs in nonclinical populations, raising the possibility that different motivational processes drive the behavior, perhaps depending on ED pathology. This study examined the relative contribution of exercise motives to CE while separating motivational variance from ED symptom severity. Undergraduate women (N = 376; 38.3% White, 28.8% Black) completed the Exercise Motivations Inventory–2 (EMI-2), the Compulsive Exercise Test (CET), and the 7-item Eating Disorder Examination Questionnaire (EDE-Q7). An exploratory factor analysis of EMI-2 subscales yielded four factors: Affective Well-being (Enjoyment, Revitalization, Stress Management), Health/Function (Ill-health Avoidance, Nimbleness, Positive Health, …

Survival, Cause-Specific Mortality, Resource Selection, Movement Rates, And Population Dynamics Of White-Tailed Deer (Odocoileus Virginianus) In West Virginia, Usa, Brett P. Skelly

Graduate Theses, Dissertations, and Problem Reports (ETD)

White-tailed deer (Odocoileus virginianus) are one of the most culturally and economically important big game species in the United States. At the turn of the 20th century white-tailed deer were almost extirpated due to market hunting and unsustainable forestry practices that destroyed habitat. The creation of game laws that eliminated market hunting and created seasons and bag limits for deer hunting along with restocking efforts by sportsmen’s groups and state wildlife agencies aided in deer population recovery. These efforts have led to the abundant deer populations that are currently enjoyed by hunters and wildlife viewers. Deer populations require …

Assessment Of Emissions Factors For Produced Water And Other Atmospheric Liquid Storage Tanks On Natural Gas Sites, David Glenn Childs

Graduate Theses, Dissertations, and Problem Reports (ETD)

As the US natural gas (NG) sector continues to grow, concerns have increased regarding the effects and increasing volume of greenhouse gases emitted into the atmosphere. While NG is a cleaner burning fuel than diesel and gasoline, unburned methane (CH₄) has a global warming potential (GWP) 27-30 times that of carbon dioxide (CO₂). To better quantify CH₄ emissions on NG sites, the US Department of Energy (DOE) granted West Virginia University (WVU) funding to collect direct measurements at well sites and compressor stations.

In this work, a total of 18 sites, including controlled and uncontrolled …

Examining Drivers Of Brook Trout (Salvelinus Fontinalis) Fecundity And Recruitment In Central Appalachian Headwater Streams, Emilee Esther Briggs

Graduate Theses, Dissertations, and Problem Reports (ETD)

The persistence of fish populations depends on the repeated production and survival of new year classes, also referred to as recruitment. Recruitment is broadly defined as the number of individuals in a fish population or stock that survive to a specific stage. However, the broader recruitment process reflects the cumulative outcome of many earlier life stages, including egg survival, fry emergence, and survival through the recruitment period. As a result, recruitment can vary substantially among years and populations, producing strong or weak year classes that influence population abundance and persistence. Understanding why recruitment varies is therefore central to fisheries ecology …

An Assessment Of Disease Risks, Population Genetics, And Spatial Ecology Of Appalachian Cottontails (Sylvilagus Obscurus) And Snowshoe Hares (Lepus Americanus) In West Virginia, Usa, Madison Leigh Miller

Graduate Theses, Dissertations, and Problem Reports (ETD)

Snowshoe hares (Lepus americanus) occupy a large range across the United States and Canada. While snowshoe hare populations are generally considered stable in the interior of their range, populations along range edges are experiencing declines, possibly driven by climate-related factors such as seasonal coat color mismatch. West Virginia represents one of the southernmost extents of the species’ range, yet little is known about the population genetic status or population sizes of snowshoe hares in the state. Appalachian cottontails (Sylvilagus obscurus) are another lagomorph species found in West Virginia. This species experienced a historical decline and currently …

Factors Influencing Eastern Wild Turkey (Meleagris Gallopavo Silvestris) Productivity And Nesting Chronology In West Virginia, Kirstin Palumbo

Graduate Theses, Dissertations, and Problem Reports (ETD)

Identifying drivers of variation in the timing of breeding behaviors, such as courtship activities and nesting chronology, is important for the effective management of avian species. Likewise, productivity is an important component of game bird population dynamics and can be broken up into multiple components such as the probability of nesting, clutch size, and nest success. One species that experiences a relatively long reproductive season is the Eastern wild turkey (Meleagris gallopavo silvestris). Contemporary research in the southeastern United States has raised concerns regarding declines in both wild turkey populations and overall productivity. West Virginia, however, is unique …

Cell-To-Pack Modeling Of Lithium-Ion Batteries: From Bayesian Parameterization To Pack-Level Optimization, Derek Slack

Graduate Theses, Dissertations, and Problem Reports (ETD)

One of the major hurdles for electric or hybrid aviation is the comparative energy density between lithium-ion batteries and jet fuel. To help obtain maximal power-to-weight ratio in electric or hybrid powertrains the battery pack design should be optimized to be as light as possible while meeting thermal safety and power requirements. The proposed solution is an optimization routine beginning with a cell-level parameter estimation of lithium-ion battery cells, where data driven Bayesian Gaussian Processes replace empirically or analytically derived parameters in a first principles electrochemical model in PyBaMM, as functions of the transient state of the cell. The resulting …

Fairness Without Demographic Attributes In Medical Vision–Language Models, Ahsan Habib Akash

Graduate Theses, Dissertations, and Problem Reports (ETD)

Vision–language models (VLMs) and the embedding models that underlie them have become the default representation layer for multimodal artificial intelligence. Trained by contrastive alignment over enormous, loosely curated image–text corpora, they inherit the demographic skew of that data, and they encode it in the geometry of the shared embedding space itself. The consequence is a model that performs unevenly across demographic groups even when no protected attribute is ever supplied as an input. In consumer applications this is an equity problem; in medicine it is a safety problem, because an embedding that is systematically less discriminative for one subpopulation translates …

Essays On Public Policy, Labor Markets, And Regional Economics, Toby Heaney

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation consists of three empirical essays examining how economic and political outcomes respond to changes in public policy, information, and local economic conditions. Across the three studies, the dissertation applies empirical methods to questions in political economy, economic forecasting, and regional economics, with particular attention to how the effects of economic shocks and policy changes vary across individuals, markets, and geographic areas.

The first essay examines the role of policy salience in electoral outcomes. Building on rational-choice and median-voter models, it argues that voters may respond disproportionately to policies that impose concentrated and highly visible costs, even when those …

Technology-Driven Approaches For Invasive Species Detection And Management, Kushal Naharki

Graduate Theses, Dissertations, and Problem Reports (ETD)

Invasive species pose significant ecological, economic, and management challenges globally. Purple loosestrife (Lythrum salicaria), Japanese knotweed (Fallopia japonica), tree of heaven (Ailanthus altissima), and mile-a-minute (Persicaria perfoliata) are widespread invasive plants across the eastern United States and present persistent challenges, particularly in remote and inaccessible landscapes. Effective management of these species requires an integrated approach that combines early detection, targeted intervention, public engagement, and spatial modeling. This dissertation used emerging technologies to improve invasive species detection, monitoring, and management.

Unmanned aerial vehicle (UAV)-based platforms equipped with optical sensors were used to establish …

Data Augmentation And The Reliability Of Conformal Prediction For Uncertainty Quantification In Medical Imaging, Rizwan Ahamed

Graduate Theses, Dissertations, and Problem Reports (ETD)

The safe clinical deployment of deep learning models for high-stakes medical imaging tasks requires more than high average accuracy; it requires demonstrable, per-case reliability. Uncertainty quantification (UQ) provides the missing signal that tells a clinician when a model prediction can be trusted and when a case should be escalated for expert review. Among UQ approaches, conformal prediction (CP) is especially attractive because it produces prediction sets that are guaranteed, under the assumption of exchangeability, to contain the true label with a user chosen probability, and it does so without assumptions about the model or the data distribution. This report first …

The Coal Mining Kids: Constructing A Working-Class Gay World In West Virginia (1900-2001), Hannah Ford

Graduate Theses, Dissertations, and Problem Reports (ETD)

Located in southwestern West Virginia, Bluefield has been the site of Bluefield State University, the Norfolk & Western Railway headquarters, the Baldwin-Felts Detective Agency, and the Shamrock Bar. The Shamrock was a gay bar opened by Helen Compton, in operation from the late 1960’s until 2001. Bluefield’s early industrial success in coal mining and the railroad quickly urbanized the space between 1900 and 1930, facilitating a diverse, working-class cultural foundation for Bluefield’s gay world. In the 1960’s, urban renewal efforts initiated by the War on Poverty, in combination with public awareness of homosexuality induced by the Lavender Scare, set the …

Non-Destructive Characterization Of Variously Colored Gypsum And Aragonite/Calcite Speleothems From The Cigalère Cave (Ariège, France), Martin Vlieghe, Johan Wouters, Gérald Fanuel, Jean-François Drion Du Chapois, Anne Gallez, Stéphane Pire-Stevenne, Gaëtan Rochez, Johan Yans

International Journal of Speleology

The Cigalère Cave is a 21 km-long karstic cave located in the Ariège Department, in the French Pyrenees, and underlies directly the Bentaillou Pb-Zn-Fe sulfide ores. The cave hosts abundant gypsum mineralizations, some of them exhibiting various colorations including blue, yellow, purple, orange and black. Due to strict preservation policies, these colored mineralizations have not been studied much. Here we propose a non-destructive characterization of five distinct gypsum or carbonate speleothem structures from the Cigalère, exhibiting different colorations. To comply with the preservation policies, no sample was taken from the cave, and all speleothems were analyzed in situ using portable …

Insurance Disparities In Hidradenitis Suppurativa: A Comprehensive Review Of Demographics, Outcomes, And Access To Care, Alim Osman, Alexandra R. Nigro, Michael C. Povelaitis, Marc Z. Handler

Department of Medicine Faculty Publications

Background: Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition that disproportionately affects women, African Americans, and individuals of biracial descent. It is associated with substantial physical and psychiatric morbidity, reducing quality of life.

Objective: This review analyzed disparities in treatment outcomes, disease progression, and healthcare access among HS patients based on insurance type.

Methods: Using PRISMA guidelines, a comprehensive literature search identified 7 studies meeting inclusion criteria. Owing to data heterogeneity, studies were qualitatively analyzed.

Results: Findings consistently demonstrated that Medicaid patients experienced worse outcomes than those with private insurance or Medicare. Medicaid patients had higher rates of comorbid …

Healthcare Provider Perspectives On A Clinical Decision Tool To Support Individualized Exercise Prescriptions And Discussions For Breast Cancer Survivors, Jinani Jayasekera, Oliver W. A. Wilson, Kaitlyn M. Wojcik, Eleanor M. Kerr, Rachelle Brick, David Berrigan, Jennifer Yeong-Shin Sheng, Takeo Fujii, Kathleen Thomas, Henri K. Parson, Padma Sheila Rajagopal, Richard L. Street Jr.

Department of Medicine Faculty Publications

Purpose: We evaluated healthcare providers' current knowledge, practices, and perspectives on a novel clinical decision tool (beta-version) to facilitate individualized exercise prescriptions and discussions in clinical settings.

Methods: We recruited healthcare providers who had treated or provided care to breast cancer survivors aged >= 35-years in the past 12 months. The participants were presented with a tool to provide individualized exercise recommendations considering women's individual, clinical, and contextual characteristics. Validated and reliable pre-existing instruments were used to survey providers' current knowledge, practices regarding exercise discussions, and perspectives on the beta-version (paper-draft) of the novel tool.

Results: The sample consisted of …

Assessment Of Skin In Patients With Systematic Sclerosis Using High-Frequency Ultrasound And Shear Wave Elastography: A Comparative Study With Histology, Molecular, And Clinical Parameters, Ruhani Desai, Filemon Tan, Minghua Wu, Jeffery L. Browning, Samuel Theodore, Meng Zhang, Brian Skaug, Harshdeep Singh Chawla, Manmohan Singh, Salavat Aglyamov, Kirill V. Larin, Maureen Mayes, Shervin Assassi

Department of Medicine Faculty Publications

Objective: Ultrasound (US) has been proposed as a potential tool for assessing skin fibrosis in systemic sclerosis (SSc). However, a large-scale comparison of US-based assessment with histologic markers of skin fibrosis has not been reported. We evaluated US-based skin assessments for their face validity (differentiation between involved SSc and healthy control [HC] skin), construct validity (comparison to modified Rodnan skin score [mRSS]), and criterion validity (comparison to histologic and gene expression fibrosis markers).

Methods: Twenty HCs and 52 patients with SSc underwent clinical and US assessment followed by a forearm skin biopsy. Predefined areas were assessed on the finger, hand, …

Intraoperative Positioning System-Guided Antegrade In Situ Laser Fenestration In An Aortic Model, Emily Burnett, Emidio Germano, Allie Olmstead, Benjamin Samberg, Robert Meisner, Hannah Hofacker, Michael Bronez, Vikash Goel, Animesh Rathore

Department of Medicine Faculty Publications

Objective

Fenestrated endovascular aneurysm repair (fEVAR) is routinely being used for visceral vessel incorporation in complex aneurysmal pathology; however, it is associated with prolonged procedure times, high radiation exposure, high contrast use, and multiple staged procedures. To combat these limitations, Centerline Biomedical developed the three-dimensional surgical navigation and visualization technology: intraoperative positioning system (IOPS). We previously presented our IOPS-guided antegrade in situ laser fenestration in a standard aortic model. This case report details our experience using IOPS guidance during a fEVAR procedure in a representative thoracoabdominal aortic aneurysm phantom model.

Methods

A silicone thoracoabdominal aortic segment was three-dimensional printed based …

Comparison Of Mental Illness Comorbidity Pre-Pandemic Vs. Pandemic-Era And Associations With Clinical And Demographic Characteristics For Virginia Public Hospital Inpatient Discharges With A Substance Use Disorder, Marilyn Bartholmae, Tharidu Gunawardena

Department of Medicine Faculty Publications

The rise in mental illnesses after the COVID-19 pandemic is well documented. However, it is not known whether the rates of mental illness comorbidity increased. The objectives of this study were to compare mental illness comorbidity rates before and after the pandemic among inpatients with SUD and to test associations between mental illness comorbidity, physical illness, and demographics. We used a retrospective cross-sectional design in a sample of inpatient discharges (N = 233,017) at Virginia public hospitals from January 2018 to December 2022. We used Z tests to compare rates of mental illness comorbidity pre- and post-pandemic and Chi-square tests …

Visit Complexity Differs Between Scarring And Nonscarring Alopecia: A 5-Year Dataderm Analysis, Ian Noel Encarnacion, Noelle Desir, Nicholas Schell, Apoorva Mehta, Temitayo Ogunleye, Susan Taylor

Department of Medicine Faculty Publications

[Introduction] Accurate coding is a critical component of dermatologic practice, influencing reimbursement and documentation of clinical complexity. Although alopecia has significant psychosocial and financial burdens, Current Procedural Terminology (CPT) coding patterns in alopecia management remain largely understudied. Our population-level study using the American Academy of Dermatology's DataDerm clinical registry¹ evaluates alopecia CPT coding trends, pre-2021 and post-2021 evaluation and management (E/M) CPT coding updates,² aiming to inform coding practices and visit complexity, which have significant reimbursement implications.

Criterion Validity Of The Functional Status And Pain Assessment Scale Versus Pain And Length Of Stay In Hospitalized Adults With Scd, Wally R. Smith, Daniel M. Sop, Yue May Zhang, Margaret S. Guy, Rehan Qayyum

Department of Medicine Faculty Publications

Objectives

In prior research we demonstrated face, construct, discriminant, and preliminary convergent validity of the newly developed, 10-item Functional Status Pain Assessment (FSPA) scale (0-50) in adult SCD patients hospitalized with VOC. We aimed in this study to further demonstrate criterion validity of the FSPA.

Methods

This was a prospective observational study of 561 daily functional and pain assessments from 91 hospitalized adults with SCD from January 2018 to June of 2019. Principal Component Analysis (PCA) Partial Least Squares (PLS) models determined the relationship between LOS, pain intensity, and FSPA. A Generalized Linear Model (GLM) to quantified the impact of …

Micro- And Nanoplastics: A Paradigm Shift In The Pathogenesis Of Inflammatory Bowel Disease, Michael Saadeh, Priyata Dutta, Gordon Hong, Edward Oldfield, David A. Johnson

Department of Medicine Faculty Publications

Micro- and nanoplastics (MNPs) are pervasive environmental contaminants with growing recognition as potential contributors to human disease. Widespread human exposure occurs primarily through ingestion of contaminated food and water, and MNPs have been detected in multiple human tissues, including the gastrointestinal tract. Experimental evidence provides a plausible biological basis for disease associations, including impairment of intestinal barrier integrity, activation of mucosal immune pathways, and alteration of gut microbial communities caused by MNP exposure. Although human data remain limited, early studies demonstrate MNP detection in stool and suggest potential correlations with inflammatory biomarkers such as fecal calprotectin. These findings, together with …

Permanent Pacemaker Implantation Following Transcatheter Aortic Valve Replacement: Incidence, Predictors, And Association With Reduced Ischemic Stroke Risk, Omar Saleh, Nicholas J. Valle, Shinjer Li, Saleh Mostafa, Israa Saleh, Raymond Benza, Deepak R. Talreja, Matthew R. Summers

Department of Medicine Faculty Publications

Background

Development of conduction abnormalities requiring pacing after transcatheter aortic valve replacement (TAVR) is relatively common. The effects of post-TAVR permanent pacemaker (PPM) implantation on mortality, ischemic stroke, and cardiovascular outcomes remain incompletely characterized. AIMS: To evaluate the incidence, predictors, and cardiovascular outcomes of post-TAVR permanent pacemaker implantation, including its association with 1-year ischemic stroke risk.

Methods

Adults undergoing TAVR (2008-2019; n = 1101) were evaluated. Patients with prior PPM (n = 104) and/or valve-in-valve or redo TAVR (n = 11) were excluded. PPM placement was identified post-indexed TAVR admission based on procedure codes, including both in-hospital and post-discharge implantations. …

Aggressive Natural Killer Cell Leukemia: A Rare And Rapidly Progressive Hematologic Malignancy—Case Report And Literature Review, Jennifer Priessnitz, Ali Hariri, Yuliya Levkiavska, Kyle E. Bonner, Stephan I. Fisher, Joshua M. Sill

Department of Medicine Faculty Publications

Aggressive natural killer cell leukemia (ANKL) is a rare, fulminant hematologic malignancy characterized by neoplastic proliferation of mature NK cells. It is frequently associated with Epstein-Barr virus (EBV) infection, although EBV-negative cases have also been reported. While typically observed in young to middle-aged adults of East Asian descent, increasing recognition has led to identification of ANKL across diverse age groups and ethnicities. The disease is defined by a rapid clinical course and poor prognosis, underscoring the importance of early diagnosis and effective treatment. We present a case of a 71-year-old Caucasian male who developed fever, altered mental status, hepatosplenomegaly, pancytopenia, …

Circulating Biomarker Results From A Phase 2 Study Of Seralutinib In Pulmonary Arterial Hypertension, Robin Osterhout, Athénaïs Boucly, Raymond L. Benza, Richard N. Channick, Kelly M. Chin, Robert P. Frantz, Anna R. Hemnes, Luke S. Howard, Vallerie V. Mclaughlin, Olivier Sitbon, Jean-Luc Vachiéry, Rotham T. Zamanian, Richard Aranda, Matt Cravets, Zhaoqing Ding, Thao Duong-Verlé, David Mattola, Robert F. Roscigno, Ravikumar Sitapara, Lawrence S. Zisman, Jean-Marie Bruey, Hossein-Ardeschir Ghofrani

Department of Medicine Faculty Publications

[Introduction] To the Editor: Pulmonary arterial hypertension (PAH) is a progressive disease characterized by obstructive pulmonary arterial remodeling (1). Seralutinib, an investigational inhaled tyrosine kinase inhibitor, potently and selectively targets kinases relevant to PAH pathobiology including platelet-derived growth factor receptors (PDGFR) α and β, colony stimulating factor 1 receptor (CSF1R), and mast/stem cell growth factor receptor kit (c-KIT) (2). In preclinical models, seralutinib improved cardiopulmonary hemodynamics, reversed pulmonary vascular pathology and decreased right ventricular hypertrophy (3). In TORREY, a phase 2, multicenter, double-blind, randomized, placebo-controlled trial in PAH, seralutinib significantly reduced pulmonary vascular resistance (PVR) after 24 weeks with good …

Seasonal And Geographic Patterns Of Gastroschisis In Canada: Protective Effect Of Periconceptional Sunlight Exposure, Shiliang Liu, Shin Jie Yong, Dunjin Chen, Gavin C. Hughes, Claude L. Hughes

Department of Medicine Faculty Publications

Background: Gastroschisis is a right-sided, full-thickness defect with extra-amnionic herniation of abdominal contents directly into the amniotic cavity. The causes of gastroschisis remain obscure. We hypothesized that limited periconceptional sunlight exposure might lead to insufficient vitamin D during fetal development and play a role in gastroschisis etiology.

Methods: We conducted a population-based cohort study of infants conceived in Canada between April 2006 and March 2020. We used winter months (i.e., November and December) and northern geographic latitudes as indicators of insufficient sunlight exposure, while summer months (July and August) and southern geographic latitudes were considered as reference. We examined the …

Selenium And Liver Steatosis And Fibrosis: Opposing Direct And Steatosis-Mediated Associations In A Large Cohort, Neda Rehan, Jubilee Benedict, Rehan Qayyum

Department of Medicine Faculty Publications

Background and Aims

Epidemiologic studies have reported conflicting associations between selenium exposure and liver disease. Whether selenium exerts opposing direct and steatosis-mediated effects on liver fibrosis is unknown. To evaluate the associations of blood selenium with elastography-defined hepatic steatosis and fibrosis and to determine whether hepatic steatosis mediates the relationship between selenium and fibrosis.

Methods

We conducted a cross-sectional analysis of adults aged >= 18 years in NHANES 2017-2023. Hepatic steatosis was assessed using the controlled attenuation parameter (CAP) and fibrosis using liver stiffness measurement (LSM). Blood selenium was categorized into quartiles. Survey-weighted multivariable linear regression and structural equation modeling …

Glucagon-Like Peptide Receptor Agonists (Glp-1ras) As Cardiovascular Risk Modifiers In Obstructive Sleep Apnea And Obesity: A Real-World Study, Jaeun Ahn, Junmin Song, Kyle Admire, Yu Chang, Kuan-Yu Chi, Nathaniel T. Gordon, Joshua M. Sill

Department of Medicine Faculty Publications

Introduction

Obstructive sleep apnea (OSA) is a well-established risk factor for cardiovascular disease. Glucagon-like peptide-1 receptor agonists (GLP-1RAs) have demonstrated potential in reducing cardiovascular risk and improving OSA severity. However, a significant knowledge gap remains regarding the impact of GLP-1RAs on cardiovascular events in OSA patients.

Methods

We examined patients with a BMI over 30 diagnosed with OSA between January 2010 and November 2021 without a previous diagnosis of heart failure, pulmonary hypertension, or myocardial infarction. Two cohorts were created: those prescribed GLP-1RAs within 1 year of their OSA diagnosis and patients who were never prescribed GLP-1RAs. Propensity score matching …