Department of Epidemiology

MS


May 20, 2022

Depressive Symptoms Over the Course of Adolescence among Latinx Youth from Small Towns in the United States: Comparing Children of Immigrants and Non-Immigrants

Purpose: To compare depressive symptoms over the course of adolescence among Latinx Children of Immigrants (COI), Latinx Children of Non-Immigrants (CONI), and non-Latinx White CONI from small towns in the United States and to examine whether differences vary by developmental age and by sex.Methods: We used 6 years of longitudinal data from 1,520 adolescents that…


Rabies Virus Neutralizing Antibody Levels in Veterinary Medical Professionals: A Cross Sectional Study from Samples Collected at U.S. Veterinary Continuing Education Conferences

Rabies is a viral pathogen primarily spread by animal bites; the resultant infection is a nearly 100% fatal. The American Veterinary Medical Association recommends all veterinary team members should receive pre-exposure rabies vaccination. The World Health Organization recommends that Rabies Virus Neutralizing Antibody (RVNA) levels should stay at or above 0.5 IU/mL. The goal of…


The Association of Severe Pain Experienced in the PICU and Health-Related Quality of Life Post-Discharge

BACKGROUND: A decline in health-related quality of life (HRQL) is common after pediatric intensive care unit (PICU) admission. There are few known modifiable risk factors during PICU admission for a clinically significant decline in HRQL. Chronic pain is known to be associated with low HRQL. We hypothesized that the duration of severe pain during PICU…


Concordance and discordance between patient-defined remission and remission based on validated patient-reported outcome measures among patients with ulcerative colitis and Crohns disease

Background: Patients with Inflammatory Bowel Disease (IBD, which includes ulcerative colitis and Crohn’s disease) experience periods of disease flares and remission. However, there may be differences in a patient’s own definition of remission and remission based on validated patient reported outcome (PRO) measures. This secondary data analysis seeks to inform our understanding of the concordance…


The effect of polygamy on loss of human papillomavirus detection in Senegalese women

Objectives: Persistent infection with human papillomavirus (HPV) can result in premalignant cervical lesions. Women in polygamous marriage are more likely to be re-exposed to HPV. Repeated exposure to HPV antigen may lead to shorter duration of infections by boosting the immune response. This study assessed the impact of polygamy on the clearance of HPV infection…


Migraine and the risk of different molecular subtypes of breast cancer

Survivors of hematopoietic cell transplant (HCT) are at risk for neurocognitive impairments, which can impact quality of life. Given limited long-term studies, we aimed to characterize the late neurocognitive outcomes in a cohort of adult HCT survivors. Eligible survivors (age ≥21y at time of HCT and alive ³2y followed HCT) completed a 60-question survey of…


Long-term Neurocognitive Outcomes in Adult Survivors of Hematopoietic Cell Transplant

Survivors of hematopoietic cell transplant (HCT) are at risk for neurocognitive impairments, which can impact quality of life. Given limited long-term studies, we aimed to characterize the late neurocognitive outcomes in a cohort of adult HCT survivors. Eligible survivors (age ≥21y at time of HCT and alive ³2y followed HCT) completed a 60-question survey of…


Invasive Mechanical Ventilation and Nutrition Intake in Association with Serious Outcomes among COVID-19 ICU Patients

Background: Worse clinical outcomes have been reported among critically ill COVID-19 patients who are admitted to an inpatient intensive care unit (ICU), especially those who require invasive mechanical ventilation (IMV). Patients on IMV do not receive any food or medication by mouth, during which their energy and protein needs are dependent on enteral nutrition (EN)…


Utilization of systemic therapy in cancer patients near the end-of-life in the pre- vs. post-checkpoint inhibitor eras

Introduction: Use of systemic therapy for advanced cancer patients near the end-of-life (EOL) is a low-value medical practice. However, immune checkpoint inhibitor (ICI) use at the EOL may be on the rise due to a favorable toxicity profile. We hypothesize that systemic therapy use in the last 30 days of life (DOL) increased since ICI…


May 16, 2022

Early Cumulative Fluid Balance and Outcomes in Pediatric Allogeneic Hematopoietic Cell Transplant Recipients with Acute Respiratory Failure

Objectives: To evaluate the associations between early cumulative fluid balance (CFB) and outcomes among critically ill pediatric allogeneic hematopoietic cell transplant (HCT) recipients with acute respiratory failure, and determine if these associations vary by treatment with renal replacement therapy (RRT). Methods: We performed a secondary analysis of a multicenter retrospective cohort of patients (1mo –…



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