Publications by authors named "AM Singh"

Rationale: Race-based estimates of pulmonary function in children could influence the evaluation of asthma in children from racial and ethnic minoritized backgrounds.

Objectives: To determine if race-neutral (GLI-Global) versus race-specific (GLI-Race-Specific) reference equations differentially impact spirometry evaluation of childhood asthma.

Methods: The analysis included 8,719 children aged 5 to <12 years from 27 cohorts across the United States grouped by parent-reported race and ethnicity.

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Prenatal and early life farm exposure, and breastfeeding, are associated with protection from allergic diseases. We hypothesize that farm exposure influences the human breast milk microbiome and immune proteins. The immune protein profiles and microbial communities of 152 human breast milk samples were compared among three maternal farm exposure groups (traditional agrarian, farm, and non-farm) in rural Wisconsin to identify signatures associated with farm status and atopic disease.

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  • * The research found that tissue samples from patients showed strong IFN-I (a type of immune response) activity and signs of inflammation, even when the virus was only minimally present in biopsies.
  • * Additionally, an experiment using hamsters demonstrated that while the virus was active in the lungs, local IFN-I responses occurred in other areas (like toes) without the body developing traditional immunity to the virus, suggesting a potential viral trigger for some pernio cases.
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  • Accidental ingestions of food allergens remain a significant issue despite known allergies, with surveys showing rates of 10% to 25% of participants reporting incidents each month.
  • Key triggers for these accidental ingestions include milk, wheat, and tree nuts, with the retrospective data indicating milk as the most common offender.
  • The occurrence of severe reactions, such as anaphylaxis, was notably high in both surveyed and retrospective cohorts, highlighting the need for continuous education on allergen avoidance.*
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There is an ongoing need to do more with less and provide highly multiplexed analysis from limited sample volumes. Improved "sample sparing" assays would have a broad impact across pediatric and other rare sample type studies in addition to enabling sequential sampling. This capability would advance both clinical and basic research applications.

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Background: Food specific immunoglobulin E (sIgE) levels are associated with the development of allergic responses and are used in the clinical evaluation of food allergy. Food sIgG4 levels have been associated with tolerance or clinical nonresponsiveness, particularly in interventional studies.

Objective: We aimed to characterize food-specific antibody responses and compare responses with different foods in food allergy.

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Background: Legume and sesame are emerging food allergens. The utility of specific immunoglobulin E (sIgE) testing to predict clinical reactivity to these allergens is not well described.

Objective: To describe clinical outcomes and sIgE in sesame and legume oral food challenges (OFC).

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Optimal management of food allergy is complex and multifaceted. Management of food allergy includes ensuring proper diagnosis, monitoring for the emergence of natural tolerance, screening for nutritional and psychosocial issues, and educating the patient and family on living with food allergies across childhood. Education must encompass successfully avoiding the trigger food, recognizing and treating allergic reactions, and navigating living with food allergies.

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  • They started a new research project called CANOE in January 2020 that needed to recruit people, but the COVID-19 pandemic made it harder to do.
  • To keep everyone safe and still recruit participants, they changed their methods, like using online tools and doctor referrals instead of meeting in person.
  • Their new strategies worked well, and they were able to enroll many mothers and their babies into the study while following health and safety guidelines.
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  • The study investigates the skin microbiome in pediatric patients with mild atopic dermatitis (AD), comparing it to age- and sex-matched controls while focusing on bacterial strains and metagenomic differences.
  • Significant changes were found in the composition of bacteria, particularly Staphylococci, between the AD and control groups, with specific strains exhibiting distinct toxin production.
  • The findings suggest that these strain-level variations in toxins may impact human keratinocyte function and could be relevant to the development and management of atopic dermatitis.
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India has increased its wheat production phenomenally in the last two decades and it now has a buffer stock of 9.7 million tonnes. However, despite the release of several wheat cultivars, the end-use quality traits of Indian wheat varieties have not been explored in-depth to determine the increasing demand of the domestic processing industry as well as export.

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Introduction: Hansen's disease (HD) is a major public health problem in developing countries. It causes peripheral neuropathy, and if left untreated, it leads to deformities. It is important to diagnose such cases early, and prompt treatment should be given to patients to preserve nerve function.

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Background: The atopic march refers to the coexpression and progression of atopic diseases in childhood, often beginning with atopic dermatitis (AD), although children may not progress through each atopic disease.

Objective: We hypothesized that future atopic disease expression is modified by AD phenotype and that these differences result from underlying dysregulation of cytokine signaling.

Methods: Children (n = 285) were enrolled into the Childhood Origins of Asthma (COAST) birth cohort and followed prospectively.

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  • The Pediatric Asthma Risk Score (PARS) is a tool created to predict the likelihood of toddlers developing asthma by evaluating six specific factors, including parental history and symptoms.
  • Researchers analyzed PARS in over 5,600 children from diverse backgrounds to see how well it predicted asthma development later in childhood, finding a consistent accuracy (area under the curve of 0.76) across different groups.
  • The study concluded that PARS effectively identifies children at risk for asthma, regardless of ethnicity or background, and performs comparably to the Asthma Predictive Index, although API misses some moderate-risk cases.
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  • Updated guidelines revise the 2014 recommendations for managing atopic dermatitis (AD) using phototherapy and systemic therapies.
  • A multidisciplinary team systematically reviewed evidence and used the GRADE approach to create 11 recommendations for adult AD management.
  • Strong support was found for biologic and immunomodulatory treatments like dupilumab and abrocitinib, while phototherapy and certain medications received conditional support, and systemic corticosteroids were not recommended.
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  • The text discusses updated guidelines for treating atopic dermatitis (AD) in adults, particularly using phototherapy and systemic therapies since multiple new treatments were approved after 2014.* -
  • A multidisciplinary workgroup established 11 evidence-based recommendations, emphasizing strong support for biologics and oral JAK inhibitors, while recommending caution with systemic corticosteroids.* -
  • Limitations in the review highlight that many trials are short-term, which hampers the assessment of long-term effectiveness and safety for these treatments.*
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  • Scientists are studying how bugs that spread diseases, like the one causing visceral leishmaniasis, are becoming resistant to insecticides, particularly in India.
  • They looked at specific mutations in the bugs' genes over five years to see how resistance changes.
  • Although some bugs showed resistance, the overall changes were not big enough to mean that resistance was spreading rapidly, which is good because the insecticides are still working for now.
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  • Researchers developed the Pandemic-Related Traumatic Stress Scale (PTSS) to measure the mental health effects of the COVID-19 pandemic on adolescents and adults, along with caregiver reports for younger children.
  • The study analyzed data from over 18,000 participants, assessing the PTSS's reliability and its relationships with factors like depression and anxiety.
  • Results showed that adult caregivers reported the highest stress levels, with variations based on age, gender, and the age of children being cared for.
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  • Food allergies (FA) and atopic dermatitis (AD) often appear in infants, making it crucial to understand their causes for better prevention and treatment strategies.
  • The SunBEAm birth cohort, funded by NIAID, is a multi-center study in the US that follows pregnant couples and their newborns, aiming to enroll 2,500 infants to explore environmental and biological factors influencing FA and AD.
  • The cohort will collect a diverse range of samples and data, allowing researchers to examine the mechanisms behind early allergic reactions, focusing specifically on common allergens like egg, milk, and peanut.
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Background: The extent to which physical and social attributes of neighborhoods play a role in childhood asthma remains understudied.

Objective: To examine associations of neighborhood-level opportunity and social vulnerability measures with childhood asthma incidence.

Design, Setting, And Participants: This cohort study used data from children in 46 cohorts participating in the Environmental Influences on Child Health Outcomes (ECHO) Program between January 1, 1995, and August 31, 2022.

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  • A study analyzed how different factors affected children's and caregivers' experiences during the COVID-19 pandemic using data from a large, diverse group of participants across the US and Puerto Rico.
  • The research looked at variables like caregiver education level, child age, and whether families lived in urban or rural areas, examining outcomes related to COVID-19 infections, school and healthcare disruptions, financial struggles, and remote work.
  • Results showed that caregivers with less education faced more difficulties with accessing tests, lower chances of working remotely, and greater food access issues compared to those with higher education levels.
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Pulsed electric field (PEF) is a potential pre-treatment technique to improve the quality of milk by reducing its microbial load. The present study aims at addressing this issue with respect to a popular fermented dairy product, that is, curd. Milk was treated with high voltage and frequency (55 kV and 90 Hz) square waves of pulse width 900 µs for 100 s.

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Antibody-drug conjugates (ADCs) have transformed the treatment landscape in oncology and become an essential therapeutic modality. In urothelial carcinoma (UC), the two ADCs that have been especially successful in clinical practice are enfortumab vedotin and sacituzumab govitecan. These drugs are currently approved as monotherapy for later lines of treatment in locally advanced or metastatic UC and have had a significant impact for patients with limited treatment options.

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