Diseases Commons^™

Concepts In Animal Parasitology, Chapter 55: Filarioidea Weinland, 1858 (Superfamily) [Nemata, Secernentea], Juliana Notarnicola

Concepts in Animal Parasitology

An overview of the nematode (roundworm) superfamilty Filarioidea Weinland, 1858 covering general morphology, taxonomy, phylogeny, host associations, life cycles, and human, domestic animal, and wild animal health implications of several species.

Chapter 55 in Concepts in Animal Parasitology, by Juliana Notarnicola. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap055

Concepts In Animal Parasitology, Part 1: Introductory Concepts, Scott L. Gardner, Daniel R. Brooks, Klaus Rohde, Anindo Choudhury, Matthew G. Bolek, Kyle D. Gustafson, Gabriel J. Langford, Megan R. Wise De Valdez, Jenő Reiczigel, Marco Marozzi, Fábián Ibolya, Lajos Rózsa, A. Townsend Peterson

Concepts in Animal Parasitology

Part I: Introductory Concepts, chapters 1-8, pages 1-104, in Concepts in Animal Parasitology. 2024. Scott L. Gardner and Sue Ann Gardner, editors. Zea Books, Lincoln, Nebraska, United States; part I doi: 10.32873/unl.dc.ciap071

Introductory Concepts

Chapter 1: Introduction to Animal Parasitology by Scott L. Gardner, Daniel R. Brooks, and Klaus Rohde, pages 1-15

Chapter 2: Phylogenetic Systematics in Parasitology by Anindo Choudhury, pages 16-32

Chapter 3: Helminth Identification and Diagnostics: Basic Molecular Techniques by Anindo Choudhury and Scott L. Gardner, pages 33-38

Parasites in Relation to Other Organisms

Chapter 4: Hosts, Reservoirs, and Vectors by Matthew G. Bolek, Kyle D. Gustafson, …

Concepts In Animal Parasitology, Part 2: Protozoa, Myxozoa, Mesozoa, Donald W. Duszynski, Susan L. Perkins, Spencer C. Galen, Ana Maria Jansen, Samanta C. Chagas Xavier, André Luiz Rodrigues Roque, Mary Ann Mcdowell, Jennifer Robichaud, Terrence L. Miller, Sarah R. Catalano

Concepts in Animal Parasitology

Part II: Protozoa, Myxozoa, Mesozoa, chapters 9-14, pages 105-141, in Concepts in Animal Parasitology. 2024. Scott L. Gardner and Sue Ann Gardner, editors. Zea Books, Lincoln, Nebraska, United States; part II doi: 10.32873/unl.dc.ciap072

Protozoa: Apicomplexa

Chapter 9: The Coccidia Proper: Important Apicomplexa Other than Haemoprotozoa by Donald W. Duszynski, pages 107-139

Chapter 10: Haemosporida (Order): The “Malaria Parasites” by Susan L. Perkins and Spencer C. Galen, pages 140-155

Protozoa: Trypanosomatidae

Chapter 11: Trypanosoma (Genus) by Ana Maria Jansen, Samanta C. Chagas Xavier, and André Luiz Rodrigues Roque, pages 156-181

Chapter 12: Leishmania (Genus) and Leishmaniasis by Mary Ann McDowell and …

Concepts In Animal Parasitology, Part 4: Nemata, Nematomorpha, Acanthocephala, Pentastomida, Scott L. Gardner, María Del Rosario Robles, Rocío Callejón Fernández, John J. Janovy Jr., Steven A. Nadler, F. Agustín Jiménez-Ruiz, Haylee J. Weaver, Valentin Radev, Anindo Choudhury, Juliana Notarnicola, Matthew G. Bolek, Ben Hanelt, Scott Monks, Chris T. Mcallister

Concepts in Animal Parasitology

Part IV: Nemata, Nematomorpha, Acanthocephala, Pentastomida, chapters 48–59, pages 532–731, in Concepts in Animal Parasitology. 2024. Scott L. Gardner and Sue Ann Gardner, editors. Zea Books, Lincoln, Nebraska, United States; part IV doi: 10.32873/unl.dc.ciap074

Nemata: Endoparasitic Nematodes

Chapter 48: Introduction to Endoparasitic Nematodes (Phylum Nemata) by Scott L. Gardner, pages 533–544

Chapter 49: Trichuroidea and Trichinelloidea (Superfamilies) by María del Rosario Robles and Rocío Callejón Fernández, pages 545–565

Chapter 50: Ascarididae and Anisakidae (Families): Large Intestinal Nematodes by Larry S. Roberts, John J. Janovy, Jr., Steven Nadler, and Scott L. Gardner, pages 566–581

Chapter 51: Heterakoidea (Superfamily): Cosmopolitan Gut-Dwelling Parasites …

Concepts In Animal Parasitology, Part 3: Endoparasitic Platyhelminths, Larry S. Roberts, John J. Janovy Jr., Steven A. Nadler, Scott L. Gardner, Sumiya Ganzorig, Tomáš Scholz, Roman Kuchta, Jorge Falcon-Ordaz, Luis Garcia-Prieto, Francisco Zaragoza-Tapia, Scott Monks, Omar Lagunas-Calvo, Brenda Atziri García-García, Berenice Adán-Torres, Klaus Rohde, Willi E. R. Xylander, Lucrecia Acosta Soto, Rafael Toledo, Russell Q.-Y. Yong, Thomas H. Cribb, Scott C. Cutmore, Daniel C. Huston, Nicholas Q.-X. Wee, Sue Ann Gardner, Gerardo Pérez-Ponce De León, David Iván Hernández-Mena, Brenda Solórzano-García, Virginia León-Règagnon, Jeffrey M. Lotz, Storm B. Martin

Concepts in Animal Parasitology

Part III: Endoparasitic Platyhelminths, chapters 15-47, pages 231-531, in Concepts in Animal Parasitology. 2024. Scott L. Gardner and Sue Ann Gardner, editors. Zea Books, Lincoln, Nebraska, United States; part III doi: 10.32873/unl.dc.ciap073

PLATYHELMINTHES

Chapter 15: Introduction to Endoparasitic Platyhelminths (Phylum Platyhelminthes) by Larry S. Roberts, John J. Janovy, Jr., Steve Nadler, and Scott L. Gardner, pages 231-240

CESTODA

Chapter 16: Introduction to Cestodes (Class Cestoda) by Scott L. Gardner, pages 241-246

Eucestoda

Chapter 17: Cyclophyllidea Beneden in Braun, 1900 (Order) by Scott L. Gardner, pages 247-249

Chapter 18: Taenia (Genus) by Sumiya Ganzorig and Scott. L. Gardner, pages 251-261

Chapter …

Concepts In Animal Parasitology, Chapter 69: A Short Introduction To Marine Parasitology: Marine Parasites Of Economic And Medical Importance [Auxiliary Concepts], Klaus Rohde, Robin M. Overstreet

Concepts in Animal Parasitology

Chapter 69 in Concepts in Animal Parasitology, S. L. Gardner and S. A. Gardner, editors. 2024. Zea Books, Lincoln, Nebraska, United States

Introduction

Parasitism, in this chapter, is defined as “a close association of two organisms, in which one—the parasite—depends on the other—the host—deriving some benefit from it. The benefit is often food” (Rohde, 2005b). Many bacteria, viruses, and fungi are parasitic but usually not studied by parasitologists sensu stricto; they are the domain of microbiologists. Parasites as defined here do not always harm their host; the border between so-called genuine parasites and other symbionts such as commensals is often …

Concepts In Animal Parasitology, Chapter 50: Ascarididae And Anisakidae (Families): Large Intestinal Nematodes [Nemata, Secernentea], Larry S. Roberts, John J. Janovy Jr., Steven A. Nadler, Scott L. Gardner

Concepts in Animal Parasitology

An overview of the large intestinal nematodes (roundworms) in the families Ascarididae and Anisakidae. Includes a discussion of the taxonomy, as well as the biology and other aspects of ascarids and anasakids of human medical and veterinary importance, such as Ascaris lumbricoides, Toxocara canis, Anasakis spp., and other species.

Chapter 50 in Concepts in Animal Parasitology, by Larry S. Roberts, John J. Janovy, Jr., Steven Nadler, and Scott L. Gardner. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap050

Concepts In Animal Parasitology, Chapter 42: Opisthorchis (Genus) [Platyhelminthes, Trematoda, Digenea, Plagiorchiida], Sue Ann Gardner

Concepts in Animal Parasitology

A very brief overview of the trematode (fluke) genus Opisthorchis, including taxonomy, human medical importance, and life cycle.

Chapter 42 in Concepts in Animal Parasitology, compiled by Sue Ann Gardner from information from the United States Centers for Disease Control and Prevention, Division of Parasitic Diseases and Malaria. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap042

Concepts In Animal Parasitology, Chapter 37: Bivesiculata Olson Et Al., 2003 (Suborder): Small, Rare, But Important [Platyhelminthes, Trematoda, Digenea, Plagiorchiida], Thomas H. Cribb, Scott C. Cutmore

Concepts in Animal Parasitology

An overview of the the small, rare, but important group of trematodes (flukes) in suborder Bivesiculata Olson et al., 2003, found in the intestine of marine bony fishes in the class Osteichthyes. Includes identification methods, general morphology, life cycles, and taxonomy.

Chapter 37 in Concepts in Animal Parasitology by Thomas H. Cribb and Scott C. Cutmore. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap037

Concepts In Animal Parasitology, Chapter 18: Taenia (Genus) [Platyhelminthes, Cestoda, Eucestoda], Sumiya Ganzorig, Scott L. Gardner

Concepts in Animal Parasitology

Discusses the cestode (tapeworm) genus Taenia, several species of which infect humans, including their general morphology, the asexual reproduction of the metacestodes, identifcation, systematics, phylogeny, distribution, hosts, and their medical and veterinary importance.

Chapter 18 in Concepts in Animal Parasitology on the genus Taenia by Sumiya Ganzorig and Scott L. Gardner. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap018

Concepts In Animal Parasitology, Chapter 63: Siphonaptera Latreille, 1825 (Order): Fleas [Arthropoda], Marcela Lareschi

Concepts in Animal Parasitology

An overview of fleas, order Siphonaptera Latreille, 1825, the adults of which are highly specialized holometabolous arthropods adapted to parasitic life and are morphologically very different from other insects. Fleas are parasites of birds and mammals, but their greatest specific richness is associated with rodents. There are nearly 3,000 species and subspecies placed in 19 families that are currently known worldwide. Includes discussion of the general morphology of the imago, larva, pupa, and eggs, their morphological adaptation to parasitism, phylogeny, systematics, taxonomy, geographic distribution, host associations, biology, reproduction, and medical and veterinary importance.

Chapter 63 in Concepts in Animal Parasitology, …

Concepts In Animal Parasitology, Chapter 51: Heterakoidea (Superfamily): Cosmopolitan Gut-Dwelling Parasites Of Tetrapods [Nemata, Secernentea], F. Agustín Jiménez-Ruiz

Concepts in Animal Parasitology

An overview of the cosmopolitan gut-dwelling nematodes (roundworms) in the superfamily Heterakoidea, which occur most often in the cecum and large intestine of amphibians, reptiles, birds, and mammals. Discusses the general morphological characteristics, diagnosis, distribution and host associations, general biology, evolution, systematics, phylogeny, ecology, and conservation, including coverage of species of veterinary importance, Heterakis gallinarum and Histomonas meleagridis.

Chapter 51 in Concepts in Animal Parasitology, by F. Agustín Jiménez-Ruiz. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap051

Concepts In Animal Parasitology, Chapter 57: Nematomorpha (Phylum): Horsehair Worms, Matthew G. Bolek, Ben Hanelt

Concepts in Animal Parasitology

An overview of the horsehair worms, phylum Nematomorpha, including discussion of their general morphology, life cycle, distribution, diversity, taxonomy, phylogeny, ecology, and behavior.

Chapter 57 in Concepts in Animal Parasitology, by Matthew G. Bolek and Ben Hanelt. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap057

Concepts In Animal Parasitology, Chapter 09: The Coccidia Proper: Important Apicomplexa Other Than Haemoprotozoa [Protozoa, Apicomplexa], Donald W. Duszynski

Concepts in Animal Parasitology

Chapter 9 in Concepts in Animal Parasitology on the Coccidia Ppoper, important Apicomplexa other than Haemoprotozoa by Donald W. Duszynski. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap009

Multiple Sclerosis In Central America And Caribbean Countries: Frequency And Clinical Characterization Of An Emergent Disease, Fernando Gracia, Deyanira A Ramírez Navarro, Nicia E Ramírez Sánchez, Roberto Weiser, Alexander Parajeles-Vindas, Ligia I Portillo Rivera, Ericka López Torres, Luis A García Valle, Alfredo Sanabria-Castro, César Abdón López, Pahola Araujo, Maria J Ayerdis Zamora, Andrea Balmaceda-Meza, Aron Benzadon Cohen, Awilda Candelario Cueto, Diego Castillo, Romy Castro-Escobar, Karla Z Corea Urbina, Anyeri De Peña Rivas, Octavio Duarte Sotelo, Temís Enamorado Claros, José L Giroud Benítez, Karla Gracia, Mario Larreategui, Jorge A Martínez Cerrato, Josmarlin P Medina Báez, Carlos E Menjivar Samayoa, Gustavo Miranda-Loria, Priscilla Monterrey-Alvarez, Lilliam A Morales Arguello, Michelle Ortiz, Carlos D Pérez Baldioceda, Lizeth Pinilla Aguilar, Luis C Rodríguez Salinas, Virginia Rodríguez-Moreno, Sebastián Rojas-Chaves, Norbel Román-Garita, Biany Santos Pujols, Carlos Valderrama, Ivonne Van Sijtveld, Indhira Zabala Angeles, Victor M Rivera, Blas Armien

Faculty, Staff and Students Publications

BACKGROUND: Multiple Sclerosis (MS) is a common neurological disease among white populations of European origin. Frequencies among Latin Americans continue to be studied, however, epidemiologic, and clinical characterization studies lack from Central American and Caribbean countries. Ethnicity in these countries is uniformly similar with a prevalent Mestizo population.

METHODS AND RESULTS: Data from January 2014 to December 2019 from Guatemala, El Salvador, Honduras, Nicaragua, Costa Rica, Panama, Dominican Republic, and Aruba on demographic, clinical, MRI and phenotypic traits were determined in coordinated studies: ENHANCE, a population-based, retrospective, observational study on incidence and clinical characteristics, and from the subgroup with MS …

Increasing Social Determinants Of Health Screening Rates Among Six Endocrinology Centers Across The United States: Results From The T1d Exchange Quality Improvement Collaborative, Ori Odugbesan, Trevon Wright, Nana-Hawa Yayah Jones, Selorm Dei-Tutu, Mary Pat Gallagher, Emily Dewit, Roberto E Izquierdo, Marisa Desimone, Nicole Rioles, Osagie Ebekozien

Faculty, Staff and Students Publications

Social determinants of health (SDOH) are strongly associated with outcomes for people with type 1 diabetes. Six centers in the T1D Exchange Quality Improvement Collaborative applied quality improvement principles to design iterative Plan-Do-Study-Act cycles to develop and expand interventions to improve SDOH screening rates. The interventions tested include staff training, a social risk index, an electronic health record patient-facing portal, partnerships with community organizations, and referrals to community resources. All centers were successful in improving SDOH screening rates, with individual site improvements ranging from 41 to 70% and overall screening across the six centers increasing from a baseline of 1% …

Population-Based Screening Strategies For Biliary Atresia In The Newborn: A Systematic Review And Meta-Analysis, Srirupa Hari Gopal, Rema Zebda, Arvind Mohan, Kristin Borovsky, Yemisi Takwoingi, Katie Scandrett, Mohan Pammi

Faculty, Staff and Students Publications

BACKGROUND: Newborn screening for biliary atresia (BA) may facilitate earlier diagnosis and intervention for improved clinical outcomes.

METHODS: We systematically reviewed the accuracy of population-based screening strategies for BA in the newborn using PRISMA-DTA guidelines. We included cohort or cross-sectional studies. The screening (index) tests included stool color card (SCC) and direct/conjugated bilirubin (DB/CB) and the reference standard was intraoperative cholangiogram. Meta-analysis was performed using random-effects logistic regression models.

RESULTS: We included 15 studies (1,816,722 participants) that assessed 5 different population-based screening strategies. QUADAS-2 assessment revealed high risk of bias for patient selection in one study and uncertain risks for …

Functional Genomics And Small Molecules In Mitochondrial Neurodevelopmental Disorders, Daniel G Calame, Lisa T Emrick

Faculty, Staff and Students Publications

Mitochondria are critical for brain development and homeostasis. Therefore, pathogenic variation in the mitochondrial or nuclear genome which disrupts mitochondrial function frequently results in developmental disorders and neurodegeneration at the organismal level. Large-scale application of genome-wide technologies to individuals with mitochondrial diseases has dramatically accelerated identification of mitochondrial disease-gene associations in humans. Multi-omic and high-throughput studies involving transcriptomics, proteomics, metabolomics, and saturation genome editing are providing deeper insights into the functional consequence of mitochondrial genomic variation. Integration of deep phenotypic and genomic data through allelic series continues to uncover novel mitochondrial functions and permit mitochondrial gene function dissection on an …

Crystal Structure Of Trichinella Spiralis Calreticulin And The Structural Basis Of Its Complement Evasion Mechanism Involving C1q, Zhihui Jia, Wen Yu, Jingmo Li, Mingming Zhang, Bin Zhan, Liming Yan, Zhenhua Ming, Yuli Cheng, Xiaolin Tian, Shuai Shao, Jingjing Huang, Xinping Zhu

Faculty, Staff and Students Publications

Helminths produce calreticulin (CRT) to immunomodulate the host immune system as a survival strategy. However, the structure of helminth-derived CRT and the structural basis of the immune evasion process remains unclarified. Previous study found that the tissue-dwelling helminth Trichinella spiralis produces calreticulin (TsCRT), which binds C1q to inhibit activation of the complement classical pathway. Here, we used x-ray crystallography to resolve the structure of truncated TsCRT (TsCRTΔ), the first structure of helminth-derived CRT. TsCRTΔ was observed to share the same binding region on C1q with IgG based on the structure and molecular docking, which explains the inhibitory effect of TsCRT …

Changes In Patterns Of Referral For Inpatient Rehabilitation Cancer Patients Due To Covid-19: A Retrospective Study, Ekta Gupta, Amy H Ng, Aline Rozman De Moraes, Jack B Fu, Jegy M Tennison, Maaheen Ahmed, Bryan M Fellman, Eduardo Bruera

Faculty, Staff and Students Publications

There is a paucity of literature on the effect of COVID-19 on hospital processes. We hypothesized that COVID-19 was associated with decreased cancer physiatry referrals in 2020. This is a retrospective cohort study of consecutive patients from April to July 2019 and 2020 admitted at an academic quaternary cancer center. The main outcomes were number of hospital admissions, rate, and characteristics of inpatient rehabilitation admissions and change in percentage of physiatry referrals as the primary endpoint. Results showed that in 2019, there were 387 referrals from 10,274 inpatient admissions (3.8%; 95% confidence interval, 2.4-4.2), compared with 337 referrals from 7051 …

Protein Biomarkers Gdf15 And Fgf21 To Differentiate Mitochondrial Hepatopathies From Other Pediatric Liver Diseases, Johan L K Van Hove, Marisa W Friederich, Dana K Strode, Roxanne A Van Hove, Kristen R Miller, Rohit Sharma, Hardik Shah, Jane Estrella, Linda Gabel, Simon Horslen, Rohit Kohli, Mark A Lovell, Alexander G Miethke, Jean P Molleston, Rene Romero, James E Squires, Estella M Alonso, Stephen L Guthery, Binita M Kamath, Kathleen M Loomes, Philip Rosenthal, Krupa R Mysore, Laurel A Cavallo, Pamela L Valentino, John C Magee, Shikha S Sundaram, Ronald J Sokol, Childhood Liver Disease Research Network (Children)

Faculty, Staff and Students Publications

BACKGROUND: Mitochondrial hepatopathies (MHs) are primary mitochondrial genetic disorders that can present as childhood liver disease. No recognized biomarkers discriminate MH from other childhood liver diseases. The protein biomarkers growth differentiation factor 15 (GDF15) and fibroblast growth factor 21 (FGF21) differentiate mitochondrial myopathies from other myopathies. We evaluated these biomarkers to determine if they discriminate MH from other liver diseases in children.

METHODS: Serum biomarkers were measured in 36 children with MH (17 had a genetic diagnosis); 38 each with biliary atresia, α1-antitrypsin deficiency, and Alagille syndrome; 20 with NASH; and 186 controls.

RESULTS: GDF15 levels compared to controls were …

Conduction System Pacing For Heart Failure, Nathan R Smith, Patrick Lynch, Mihail G Chelu

The Texas Heart Institute Journal

No abstract provided.

Effects Of Bioprosthetic Valve Fracturing On Valve-In-Valve Transcatheter Aortic Valve Implantation Transvalvular Gradients, Osama Hallak, Karley Fischer, Shaina Ailawadi, Damian Valencia, Yan Yatsynovich, Raja Nazir, Brian Schwartz

The Texas Heart Institute Journal

BACKGROUND: Valve-in-valve (ViV) transcatheter aortic valve implantation (TAVI) is quickly becoming a routine and effective means by which to treat degenerated bioprosthetic valves. A known complication of ViV-TAVI is patient-prosthesis mismatch, which substantially affects survival. Bioprosthetic valve fracture is a method by which to reduce the risk of patient-prosthesis mismatch and post-ViV-TAVI transvalvular gradients. This study sought to determine the safety and efficacy of post-ViV-TAVI bioprosthetic valve fracture.

METHODS: Patients with a history of surgical aortic valve replacement undergoing ViV-TAVI bioprosthetic valve fracture (N = 25) at the corresponding institution from 2015 to 2022 were cataloged for a retrospective analysis. …

Predictive Analytics In Bronchopulmonary Dysplasia: Past, Present, And Future, Bryan G Mcomber, Alvaro G Moreira, Kelsey Kirkman, Sebastian Acosta, Craig Rusin, Binoy Shivanna

Faculty, Staff and Students Publications

Bronchopulmonary dysplasia (BPD) remains a significant complication of prematurity, impacting approximately 18,000 infants annually in the United States. Advances in neonatal care have not reduced BPD, and its management is challenged by the rising survival of extremely premature infants and the variability in clinical practices. Leveraging statistical and machine learning techniques, predictive analytics can enhance BPD management by utilizing large clinical datasets to predict individual patient outcomes. This review explores the foundations and applications of predictive analytics in the context of BPD, examining commonly used data sources, modeling techniques, and metrics for model evaluation. We also highlight bioinformatics' potential role …

Standardized Definitions For Evaluation Of Acute Decompensated Heart Failure Therapies: Hf-Arc Expert Panel Paper, Anuradha Lala, Carine E Hamo, Biykem Bozkurt, Mona Fiuzat, Vanessa Blumer, Daniel Bukhoff, Javed Butler, Maria Rosa Costanzo, G Michael Felker, Gerasimos Filippatos, Marvin A Konstam, John J V Mcmurray, Robert J Mentz, Marco Metra, Mitchell A Psotka, Scott D Solomon, John Teerlink, William T Abraham, Christopher M O'Connor, Hf-Arc (Heart Failure Collaboratory And Academic Research Consortium)

Faculty, Staff and Students Publications

Acute decompensated heart failure (ADHF) is one of the most common reasons for hospitalizations or urgent care and is associated with poor outcomes. Therapies shown to improve outcomes are limited, however, and innovation in pharmacologic and device-based therapeutics are therefore actively being sought. Standardizing definitions for ADHF and its trajectory is complex, limiting the generalizability and translation of clinical trials to effect clinical care and policy change. The Heart Failure Collaboratory is a multistakeholder organization comprising clinical investigators, clinicians, patients, government representatives (including U.S. Food and Drug Administration and National Institutes of Health participants), payors, and industry collaborators. The following …

Proton Pump Inhibitors: Rational Use And Use-Reduction - The Windsor Workshop, Peter Kahrilas, Foteini Anastasiou, Albert J Bredenoord, Hashem B El Serag, Joachim Labenz, Juan Mendive, Edoardo V Savarino, Daniel Sifrim, Mihaela Udrescu, Rena Yadlapati, A Pali Hungin

Faculty, Staff and Students Publications

BACKGROUND: Despite deprescribing initiatives to curb overutilization of proton pump inhibitors (PPIs), achieving meaningful reductions in PPI use is proving a challenge.

SUMMARY: An international group of primary care doctors and gastroenterologists examined the literature surrounding PPI use and use-reduction to clarify: (i) what constitutes rational PPI prescribing; (ii) when and in whom PPI use-reduction should be attempted; and (iii) what strategies to use when attempting PPI use-reduction.

KEY MESSAGES: Before starting a PPI for reflux-like symptoms, patients should be educated on potential causes and alternative approaches including dietary and lifestyle modification, weight loss, and relaxation strategies. When commencing a …

Trends In Cardiovascular Disease-Related Mortality In Texas, Muhammad Shariq Usman, Adeena Jamil, Zainali Chunawala, Mahboob Alam, Vijay Nambi, Layla A Abushamat, Arunima Misra, Salim S Virani, Christie M Ballantyne, George E Taffet, Khurram Nasir, Sachin Goel, Sadeer Al-Kindi, Javed Butler, Abdul Mannan Khan Minhas

Faculty, Staff and Students Publications

BACKGROUND: Cardiovascular disease (CVD) is associated with high mortality in the United States, but the burden of CVD mortality is unevenly distributed between demographic and geographic subgroups, with poor characterization of state-specific trends. In this study, the disparities in CVD-related mortality trends in Texas and the United States from 1999 to 2019 were assessed.

METHODS: Trends in CVD-related mortality were evaluated through analysis of the Multiple Causes of Death Files from the National Center for Health Statistics. Crude and age-adjusted mortality rates (AAMRs) per 100,000 population with associated annual percentage changes were determined. Joinpoint regression was used to assess trends …

A Multi-Institutional Natural Language Processing Pipeline To Extract Performance Status From Electronic Health Records, Arash Maghsoudi, Yvonne H Sada, Sara Nowakowski, Danielle Guffey, Huili Zhu, Sudha R Yarlagadda, Ang Li, Javad Razjouyan

Faculty, Staff and Students Publications

PURPOSE: Performance status (PS), an essential indicator of patients' functional abilities, is often documented in clinical notes of patients with cancer. The use of natural language processing (NLP) in extracting PS from electronic medical records (EMRs) has shown promise in enhancing clinical decision-making, patient monitoring, and research studies. We designed and validated a multi-institute NLP pipeline to automatically extract performance status from free-text patient notes.

PATIENTS AND METHODS: We collected data from 19,481 patients in Harris Health System (HHS) and 333,862 patients from veteran affair's corporate data warehouse (VA-CDW) and randomly selected 400 patients from each data source to train …

The Great Masquerade: Not All Coronary Artery Stenosis Are Created Equal, Prasanti A Kotta, Ajit K Koduri, Jeffrey Berman, Veronica V Rosen, Waleed T Kayani

Faculty, Staff and Students Publications

We present the case of a 60-year-old male, with active smoking and cocaine use disorder, who reported progressive chest pain. Various anatomical and functional cardiac imaging, performed to further evaluate chest pain etiology, revealed changing severity and distribution of left main artery (LMA) stenosis, raising suspicion for vasospasm. Intracoronary nitroglycerin relieved the vasospasm, with resolution of the LMA pseudostenosis. A diagnosis of vasospastic angina (VA) led to starting appropriate medical therapy with lifestyle modification counselling. This case highlights VA, a frequently underdiagnosed etiology of angina pectoris. We discuss when to suspect VA, its appropriate work-up, and management.

Improving Nutrition Screening Practice In The Hospitalized Heart Failure Patient Population, Amanda J. Bourgeois

DNP Projects

Background: Heart Failure is a disease known to affect nearly 6.5 million adults in the United States. Characterized by recurrent hospitalizations, heart failure significantly contributes to morbidity, mortality, and healthcare costs in the United States and worldwide. Because malnutrition is prevalent in the heart failure population, healthcare providers must perform nutritional assessments on admission to intervene in the case of malnutrition, prevent deterioration, and improve patient prognosis. Without intervention and early identification of malnutrition, heart failure hospitalizations will remain a significant problem.

Purpose: The purpose of this study is to evaluate the effect of an evidence-based educational program for cardiac …