Open Access. Powered by Scholars. Published by Universities.®

Medicine and Health Sciences Commons™

Open Access. Powered by Scholars. Published by Universities.®

2015

Discipline
Institution
Keyword
Publication
Publication Type
File Type

Articles 1801 - 1830 of 11981

Full-Text Articles in Medicine and Health Sciences

Enc 2210 Technical Writing For Health Science, Johanna Hillen Oct 2015

Enc 2210 Technical Writing For Health Science, Johanna Hillen

Service-Learning Syllabi

No abstract provided.


Enhanced Fitness And Renal Function In Type 2 Diabetes., Eric S. Nylen, S. M. Gandhi, Raya E. Kheirbek, Peter Kokkinos Oct 2015

Enhanced Fitness And Renal Function In Type 2 Diabetes., Eric S. Nylen, S. M. Gandhi, Raya E. Kheirbek, Peter Kokkinos

Medicine Faculty Publications

Aims

To investigate the renal effects of fitness in people with diabetes with mild renal dysfunction.

Methods

The effect of a 12-week exercise programme on estimated GFR in 128 people with diabetes was evaluated.

Results

All cardiometabolic variables improved after 12 weeks of supervised exercise. Although there was a modest 3.9% increase in estimated GFR from baseline in the 128 people who completed the study, those with baseline chronic kidney disease stages 2 and 3 were found to have significant (6 and 12%, respectively; p < 0.01) improvements in post-exercise estimated GFR. Moreover, 42% of the people with chronic kidney disease stage 3 improved to chronic kidney disease stage 2 after the intervention.

Conclusion

Short-term exercise improves renal function in those with more moderate baseline chronic kidney disease. …


Medicine + Health Magazine, Fall 2015, George Washington University, School Of Medicine And Health Sciences, Office Of Communications And Marketing Oct 2015

Medicine + Health Magazine, Fall 2015, George Washington University, School Of Medicine And Health Sciences, Office Of Communications And Marketing

Medicine + Health Magazine

No abstract provided.


Carcinogenic Parasite Secretes Growth Factor That Accelerates Wound Healing And Potentially Promotes Neoplasia., Michael J. Smout, Javier Sotillo, Thewarach Laha, Atiroch Papatpremsiri, Gabriel Rinaldi, Rafael N. Pimenta, Paul J. Brindley, +11 More Oct 2015

Carcinogenic Parasite Secretes Growth Factor That Accelerates Wound Healing And Potentially Promotes Neoplasia., Michael J. Smout, Javier Sotillo, Thewarach Laha, Atiroch Papatpremsiri, Gabriel Rinaldi, Rafael N. Pimenta, Paul J. Brindley, +11 More

Microbiology, Immunology, and Tropical Medicine Faculty Publications

Infection with the human liver fluke Opisthorchis viverrini induces cancer of the bile ducts, cholangiocarcinoma (CCA). Injury from feeding activities of this parasite within the human biliary tree causes extensive lesions, wounds that undergo protracted cycles of healing, and re-injury over years of chronic infection. We show that O. viverrini secreted proteins accelerated wound resolution in human cholangiocytes, an outcome that was compromised following silencing of expression of the fluke-derived gene encoding the granulin-like growth factor, Ov-GRN-1. Recombinant Ov-GRN-1 induced angiogenesis and accelerated mouse wound healing. Ov-GRN-1 was internalized by human cholangiocytes and induced gene and protein expression changes associated …


The P53 Tumor Suppressor Protein Protects Against Chemotherapeutic Stress And Apoptosis In Human Medulloblastoma Cells., Sarah Waye, Aisha Naeem, Muhammad Umer Choudhry, Erika Parasido, Lucas Tricoli, Brian R. Rood, +6 Additional Authors Oct 2015

The P53 Tumor Suppressor Protein Protects Against Chemotherapeutic Stress And Apoptosis In Human Medulloblastoma Cells., Sarah Waye, Aisha Naeem, Muhammad Umer Choudhry, Erika Parasido, Lucas Tricoli, Brian R. Rood, +6 Additional Authors

Pediatrics Faculty Publications

Medulloblastoma (MB), a primitive neuroectodermal tumor, is the most common malignant childhood brain tumor and remains incurable in about a third of patients. Currently, survivors carry a significant burden of late treatment effects. The p53 tumor suppressor protein plays a crucial role in influencing cell survival in response to cellular stress and while the p53 pathway is considered a key determinant of anti-tumor responses in many tumors, its role in cell survival in MB is much less well defined. Herein, we report that the experimental drug VMY-1-103 acts through induction of a partial DNA damage-like response as well induction of …


New-Onset Diabetes Mellitus With Exposure To Ledipasvir And Sofosbuvir., Resmi Premji, Nira Roopnarinesingh, Nazia Qazi, Eric S. Nylen Oct 2015

New-Onset Diabetes Mellitus With Exposure To Ledipasvir And Sofosbuvir., Resmi Premji, Nira Roopnarinesingh, Nazia Qazi, Eric S. Nylen

Medicine Faculty Publications

The combination therapy of ledipasvir/sofosbuvir was approved by the Food and Drug Administration in 2014 for the treatment of chronic hepatitis C. Although hyperglycemia is not well known to occur with its use, we present 2 cases of new-onset diabetes mellitus and a review of the literature suggesting an adverse event association. In the first patient with HIV, we postulate that ledipasvir/sofosbuvir increased the levels of tenofovir and thereby potentiated hyperglycemia. In the second case of a patient with prediabetes, ledipasvir/sofosbuvir appeared to increase insulin resistance. A literature review further supported an association of hyperglycemia and the use of ledipasvir/sofosbuvir. …


Improving Computerized Provider Order Entry Usage In A Community Hospital, Tammie Ann Williams Oct 2015

Improving Computerized Provider Order Entry Usage In A Community Hospital, Tammie Ann Williams

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

The healthcare industry is now faced with the balance between instituting computerized technology and providing safe, high quality, efficient, and lower cost patient care. An important aspect of computer technology is the direct entry of orders electronically by providers into the electronic health record, termed computerized provider order entry (CPOE). This translational research project begins by defining CPOE and discussing CPOE’s effect on patient safety and quality of care by reducing preventable medical errors and adverse drug events and CPOE’s effect on healthcare costs. Regulatory requirements pertaining to CPOE are discussed; providers are expected to be proficient in CPOE in …


Assessing The Effects Of An Std Educational Intervention On Greek Society College Students’ Knowledge And Attitudes Toward Safe Sex Behaviors, Jennifer W. Goldsberry Oct 2015

Assessing The Effects Of An Std Educational Intervention On Greek Society College Students’ Knowledge And Attitudes Toward Safe Sex Behaviors, Jennifer W. Goldsberry

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

This study measured the effectiveness of an evidence-based educational intervention targeting STD prevention in Greek society members attending college and examined relationships between sexual health knowledge, attitudes toward safe sex behaviors, and sexual demographics. One hundred thirty-two Greek society members attending college participated. Instruments measured demographic characteristics, knowledge regarding sexually transmitted diseases (STDs), and attitudes toward practicing safe sex behaviors at baseline and one week post-intervention. There was a significant increase in STD knowledge from baseline (M=13.03, SD=6.5) to one week (M=20.27, SD=4.9) t (131) = -13.53, p = .000. Fraternity members were more …


Pertinacity Issue 1 Volume 2, Yuri Hosokawa Oct 2015

Pertinacity Issue 1 Volume 2, Yuri Hosokawa

Pertinacity

No abstract provided.


2015 Fall Newsletter, Morehead State University. Nursing Department. Oct 2015

2015 Fall Newsletter, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2015 Fall Newsletter of the Department of Nursing at Morehead State University.


Social Media In The Dental School Environment, Part B: Curricular Considerations, Heiko Spallek, Sharon P. Turner, Evelyn Donate-Bartfield, David Chambers, Maureen Mcandrew, Pamela Zarkowski, Nadeem Karimbux Oct 2015

Social Media In The Dental School Environment, Part B: Curricular Considerations, Heiko Spallek, Sharon P. Turner, Evelyn Donate-Bartfield, David Chambers, Maureen Mcandrew, Pamela Zarkowski, Nadeem Karimbux

Oral Health Practice Faculty Publications

The goal of this article is to describe the broad curricular constructs surrounding teaching and learning about social media in dental education. This analysis takes into account timing, development, and assessment of the knowledge, skills, attitudes, and behaviors needed to effectively use social media tools as a contemporary dentist. Three developmental stages in a student's path to becoming a competent professional are described: from undergraduate to dental student, from the classroom and preclinical simulation laboratory to the clinical setting, and from dental student to licensed practitioner. Considerations for developing the dental curriculum and suggestions for effective instruction at each stage …


Women With Disabilities: Reproductive Care And Women’S Health, Stephanie Stockburger, Hatim A. Omar Oct 2015

Women With Disabilities: Reproductive Care And Women’S Health, Stephanie Stockburger, Hatim A. Omar

Pediatrics Faculty Publications

Children, adolescents, and women with disabilities experience the same sexual development, pubertal changes, concerns, and desire to reproduce as their typically developing counterparts. However, society has tended to stigmatize women with disabilities as “asexual” and ignore this aspect of their health care. These women are less likely to receive gynecological exams, contraception, and evaluation of sexual dysfunction. Unfortunately, having a disability places women at risk for sexual exploitation and abuse as well as sexually transmitted infections. Therefore, reproductive health care for these women is imperative. A number of barriers to receiving reproductive care exist. However, with proper education and knowledge …


Ut Gsbs News, Fall/Winter 2015, Graduate School Of Biomedical Sciences, University Of Texas Health Science Center At Houston/M.D. Anderson Cancer Center Oct 2015

Ut Gsbs News, Fall/Winter 2015, Graduate School Of Biomedical Sciences, University Of Texas Health Science Center At Houston/M.D. Anderson Cancer Center

GSBS News

No abstract provided.


Preventing And Reducing Falls In Assisted Living Facilities: An Educational Intervention, Raquel F. Ramos, Jennifer A. Borcich, Taylor S. Wong Oct 2015

Preventing And Reducing Falls In Assisted Living Facilities: An Educational Intervention, Raquel F. Ramos, Jennifer A. Borcich, Taylor S. Wong

Student Research Posters

As the number of older adults continues to rise, falling in older adults has become a national health care issue. Many older adults who fall reside in assisted living facilities. Every time a fall incident occurs, first responders are called, utilizing a significant amount of first responder’s time and resources. Therefore, the purpose of this project was to implement a fall prevention program for residents of an assisted living facility (ALF) to reduce fall risk and fall-related calls to the local fire department. The project consisted of a four-week course given once weekly for 60 minutes to residents at an …


Developing And Pretesting A Text Messaging Program For Health Behavior Change, Lorien C. Abroms, Robyn Whittaker, Caroline Free, Judith Mendel Van Alstyne, Jennifer M. Schindler-Ruwisch Oct 2015

Developing And Pretesting A Text Messaging Program For Health Behavior Change, Lorien C. Abroms, Robyn Whittaker, Caroline Free, Judith Mendel Van Alstyne, Jennifer M. Schindler-Ruwisch

Prevention and Community Health Faculty Publications

Background: A growing body of evidence demonstrates that text messaging-based programs (short message service [SMS]) on mobile phones can help people modify health behaviors. Most of these programs have consisted of automated and sometimes interactive text messages that guide a person through the process of behavior change.

Objective: This paper provides guidance on how to develop text messaging programs aimed at changing health behaviors.

Methods: Based on their collective experience in designing, developing, and evaluating text messaging programs and a review of the literature, the authors drafted the guide. One author initially drafted the guide and the others provided input …


Community Health Workers: Health System Integration, Financing Opportunities, And The Evolving Role Of The Community Health Worker In A Post-Health Reform Landsacape, Mary-Beth Malcarney, Patricia Pittman, Leo Quigley, Naomi Seiler, Katie B. Horton Oct 2015

Community Health Workers: Health System Integration, Financing Opportunities, And The Evolving Role Of The Community Health Worker In A Post-Health Reform Landsacape, Mary-Beth Malcarney, Patricia Pittman, Leo Quigley, Naomi Seiler, Katie B. Horton

Health Workforce Research Center Publications

Community Health Workers (CHWs) have been gaining attention from policymakers because of their unique role in addressing health disparities and socioeconomic drivers of disease, and because of their potential integration into the health care delivery system. To date, there has been limited research specifically describing the variation in CHWs’ roles and relationships, and how that variation relates to management, to financing, to health system integration, and to the competencies CHWs should have in different contexts.

The purpose of this report is to better understand the varied landscape; to offer categories of analysis that may help inform policy, management, and research; …


Review Of Sampling And Evaluation Techniques For Diesel Exhaust Particulate Matter In The Mining Industry And The Application Of A Vapor Phase Organic Carbon Correction Factor, Ryley Bosch Oct 2015

Review Of Sampling And Evaluation Techniques For Diesel Exhaust Particulate Matter In The Mining Industry And The Application Of A Vapor Phase Organic Carbon Correction Factor, Ryley Bosch

Graduate Theses & Non-Theses

The health effects associated with diesel exhaust exposure have been documented for decades. However, methods used to assess diesel exhaust have experienced considerable revision over the past twenty years. The latest sampling methodology considers particulate matter elemental carbon (EC) and organic carbon (OC) analysis along with the vapor phase OC analysis. The objective of this study was to evaluate the influence of vapor phase OC on the current National Institute for Occupational Safety and Health (NIOSH) method 5040 sampling and evaluation techniques for diesel exhaust particulate matter.

A pilot study was conducted as part of a larger study evaluation biodiesel …


What Job Can You Get Without A Diploma? Gender Discrimination Against Relapsed Ex-Sex Workers, Resna Anggria Putri, Johanna Debora Imelda Oct 2015

What Job Can You Get Without A Diploma? Gender Discrimination Against Relapsed Ex-Sex Workers, Resna Anggria Putri, Johanna Debora Imelda

Jurnal Ilmu Kesejahteraan Sosial

This study aims at describing the subordination and marginalization of ex-commercial sex workers in Indramayu District. This qualitative research was conducted through in-depth interview and observation on 5 (five) interesting case studies whose data, then, was triangulated to ensure the valid-ity and reliability of the data. The results of the study showed that there were gender discrimination in the form of subordination and marginalization in education and employment which are applied at different periods, i.e.: before and after they worked as prostitutes. Hence, it is then caused them relapse working as prostitutes without any other opportunity to get more normative …


Current Opinion In The Role Of Testosterone In The Development Of Prostate Cancer: A Dynamic Model, Xiaohui Xu, Xinguang Chen, Hui Hu, Amy B. Dailey, Brandie D. Taylor Oct 2015

Current Opinion In The Role Of Testosterone In The Development Of Prostate Cancer: A Dynamic Model, Xiaohui Xu, Xinguang Chen, Hui Hu, Amy B. Dailey, Brandie D. Taylor

Health Sciences Faculty Publications

Background: Since the landmark study conducted by Huggins and Hodges in 1941, a failure to distinguish between the role of testosterone in prostate cancer development and progression has led to the prevailing opinion that high levels of testosterone increase the risk of prostate cancer. To date, this claim remains unproven.

Presentation of the Hypothesis: We present a novel dynamic mode of the relationship between testosterone and prostate cancer by hypothesizing that the magnitude of age-related declines in testosterone, rather than a static level of testosterone measured at a single point, may trigger and promote the development of prostate cancer.

Testing …


Autophosphorylation Of The Smk1 Mapk Is Spatially And Temporally Regulated By Ssp2 During Meiotic Development In Yeast., Chong Wai Tio, Gregory Omerza, Sham Sunder, Edward Winter Oct 2015

Autophosphorylation Of The Smk1 Mapk Is Spatially And Temporally Regulated By Ssp2 During Meiotic Development In Yeast., Chong Wai Tio, Gregory Omerza, Sham Sunder, Edward Winter

Department of Biochemistry and Molecular Biology Faculty Papers

Smk1 is a meiosis-specific MAPK that controls spore wall morphogenesis in Saccharomyces cerevisiae. Although Smk1 is activated by phosphorylation of the threonine (T) and tyrosine (Y) in its activation loop, it is not phosphorylated by a dual-specificity MAPK kinase. Instead, the T is phosphorylated by the cyclin-dependent kinase (CDK)-activating kinase, Cak1. The Y is autophosphorylated in an intramolecular reaction that requires a meiosis-specific protein named Ssp2. The meiosis-specific CDK-like kinase, Ime2, was previously shown to positively regulate Smk1. Here we show that Ime2 activity is required to induce the translation of SSP2 mRNA at anaphase II. Ssp2 protein is then …


Dietary Almonds Increase Serum Hdl Cholesterol In Coronary Artery Disease Patients In A Randomized Controlled Trial., Humaira Jamshed, Fateh Ali Tipoo Sultan, Romaina Iqbal, Anwar Gilani Oct 2015

Dietary Almonds Increase Serum Hdl Cholesterol In Coronary Artery Disease Patients In A Randomized Controlled Trial., Humaira Jamshed, Fateh Ali Tipoo Sultan, Romaina Iqbal, Anwar Gilani

Section of Cardiology

Background: More than one-half of coronary artery disease (CAD) patients have low HDL cholesterol despite having well-managed LDL cholesterol. Almond supplementation has not been shown to elevate circulating HDL cholesterol concentrations in clinical trials, perhaps because the baseline HDL cholesterol of trial subjects was not low.

Objective: This clinical trial was designed to test the effect of almond supplementation on low HDL cholesterol in CAD patients.

Methods: A total of 150 CAD patients (50 per group), with serum LDL cholesterol ≤100 mg/dL and HDL cholesterol ≤40 mg/dL in men and ≤50 mg/dL in women, were recruited from the Aga Khan …


Isoniazid Induced Motor-Dominant Neuropathy, Rabeeya Arsalan, Saniya Sabzwari Oct 2015

Isoniazid Induced Motor-Dominant Neuropathy, Rabeeya Arsalan, Saniya Sabzwari

Department of Family Medicine

Isoniazid though a very effective treatment for tuberculosis can cause severe motor-dominant neuropathy which can be reversible with pyridoxine supplementation. A 45-year-old female diagnosed with psoas abscess, culture positive for mycobacterium tuberculosis, was started on anti- tuberculous treatment with four drugs, including isoniazid at a dose of 5 mg/kg/day. Three months later she developed severe motor weakness of lower limbs with loss of ankle and knee reflexes. She was treated with vitamin B6 injections and isoniazid treatment was continued. Her motor weakness gradually improved in a few months, but mild sensory impairment persisted even after two years. There is need …


Nurses Alumni Association Bulletin, Fall 2015, Susan Albrecht Curcio, Aileen Ishuin Macmillan, Ruth Huff Iuliano Oct 2015

Nurses Alumni Association Bulletin, Fall 2015, Susan Albrecht Curcio, Aileen Ishuin Macmillan, Ruth Huff Iuliano

Nursing Alumni Bulletins

2014 – 2015 Meeting Dates Calendar

2015 Annual Luncheon & Meeting Notice

Officers, Committee Chairs, Satellite and Volunteers

2015 President’s Message

Treasurer’s Financial Report

Resume of Minutes

Alumni Office News

Committee Reports

  • Social
  • Relief Trust Fund
  • Satellite–Harrisburg Satellite Area
  • Scholarship
  • Nominating
  • Bulletin
  • By Laws

Jefferson Alumni Relations

125th Anniversary

Annual Giving Contributors

Janet C. Hindson Award

  • Janet C. Hindson 2015 Award winner

News About Our Graduates

History of the Cap

Pearls of Wisdom

Happy Birthday – To Be 80 or More

Annual Luncheon

  • 50th Anniversary Class List for 1965 – 2015 Luncheon
  • 2015 Luncheon Attendees
  • 50th Anniversary Class List for …


Llusd Articulator - Volume 26, Number 2, Loma Linda University School Of Dentistry, Jung-Wei Chen, Morris J. De Leon Oct 2015

Llusd Articulator - Volume 26, Number 2, Loma Linda University School Of Dentistry, Jung-Wei Chen, Morris J. De Leon

Articulator (Dentistry)

Contents:

4 | Dean's message
7 | Bracing for accreditation
14 | Developing IPE
17 | Shirley Lee's long commute
22 | Commencement 2015
32 | Science:
Accessing Zirconia crowns
40 | How to treat a lion
42 | News:
Noah's cleft cookies
LLUUSD Ironman eBook pedagogy
Healing Hands
Lobbying for kids
57 | Elmer Kelln: LLUSD pioneer
60 | Fond Farewells


Health And Mental Health Of Older Asian Americans: A Comparative Study Of Chinese, Filipino, Asian Indian, And Other Asian/Pacific Islander Elders, Jing Tan Oct 2015

Health And Mental Health Of Older Asian Americans: A Comparative Study Of Chinese, Filipino, Asian Indian, And Other Asian/Pacific Islander Elders, Jing Tan

Institute for Asian American Studies Publications

Purpose: This study examined the health and mental health status among U.S. Chinese, Filipino, Asian Indian, other Asian/Pacific Islander (API), and non-Hispanic White older adults, using nationally representative data. Method: An aggregated data file from the National Health Interview Survey from 2000 to 2009 was analyzed. The sample included 848 Chinese, 823 Filipino, 337 Asian Indian, 1,488 “other API,” and 74,042 non-Hispanic White older adults aged 65 and older. Bivariate and multivariate analyses were used to compare the health and mental health status among different ethnic groups of older adults and to identify related factors. Findings: The descriptive statistics reveal …


Jefferson Digital Commons Quarterly Report: July-September 2015,, Daniel G. Kipnis, Msi, Kelsey Duinkerken, Msi, James Copeland, Libt Oct 2015

Jefferson Digital Commons Quarterly Report: July-September 2015,, Daniel G. Kipnis, Msi, Kelsey Duinkerken, Msi, James Copeland, Libt

Jefferson Digital Commons Reports

This quarterly report includes:

  • Redesign update
  • Enhanced reporting statistics
  • New assets including:
  • 20 yearbooks!
  • Book chapters
  • New batch of OT capstone presentations
  • Assorted Grand Rounds
  • New journal issues including The Medicine Forum and JHN
  • New newsletters and much more
  • What people are saying about the JDC


Deadly Heat Wave In Karachi, July 2015: Negligence Or Mismanagement?, Adnan Salim, A. Ahmed, N. Ashraf, M. Asher Oct 2015

Deadly Heat Wave In Karachi, July 2015: Negligence Or Mismanagement?, Adnan Salim, A. Ahmed, N. Ashraf, M. Asher

Section of Neurosurgery

No abstract provided.


Toward A Deeper Understanding Of Disability: Physical Therapy Educators’ Reflections, Clarence Chan, Debra Engel, Jacqueline Ross Oct 2015

Toward A Deeper Understanding Of Disability: Physical Therapy Educators’ Reflections, Clarence Chan, Debra Engel, Jacqueline Ross

Publications and Research

This article describes the unique journey both of a blind student in our Physical Therapist Assistant (PTA) Program and of the faculty who taught him as they all navigated through uncharted territories. Despite the fact that the physical therapy profession trains practitioners to help clients with disabilities to maximize their physical function and teaches them how to adapt to the challenges of daily activity, we initially assumed that a blind student would not be able to complete the program or be able to become a self-sufficient practitioner. We were very wrong. This article describes our learning process over the course …


Rain Rhythms: Fall 2015, College Of Nursing & Professional Disciplines Oct 2015

Rain Rhythms: Fall 2015, College Of Nursing & Professional Disciplines

RAIN Rhythms

No abstract provided.


The Influence Of Age And Sex On Genetic Associations With Adult Body Size And Shape: A Large-Scale Genome-Wide Interaction Study, Thomas W. Winkler, Anne E. Justice, Mariaelisa Graff, Llilda Barata, Mary F. Feitosa, Su Chu, Jacek Czajkowski, Tõnu Esko, John Blangero Oct 2015

The Influence Of Age And Sex On Genetic Associations With Adult Body Size And Shape: A Large-Scale Genome-Wide Interaction Study, Thomas W. Winkler, Anne E. Justice, Mariaelisa Graff, Llilda Barata, Mary F. Feitosa, Su Chu, Jacek Czajkowski, Tõnu Esko, John Blangero

School of Medicine Publications

Genome-wide association studies (GWAS) have identified more than 100 genetic variants contributing to BMI, a measure of body size, or waist-to-hip ratio (adjusted for BMI, WHRadjBMI), a measure of body shape. Body size and shape change as people grow older and these changes differ substantially between men and women. To systematically screen for age- and/or sex-specific effects of genetic variants on BMI and WHRadjBMI, we performed meta-analyses of 114 studies (up to 320,485 individuals of European descent) with genome-wide chip and/or Metabochip data by the Genetic Investigation of Anthropometric Traits (GIANT) Consortium. Each study tested the association of up to …