Publications by authors named "Evan Bradley"

Article Synopsis
  • The study is a retrospective comparison of outcomes for lumbar fusion surgeries at various hospital types: an orthopedic specialty hospital, a hybrid community hospital, a conventional community hospital, and a tertiary care hospital.
  • It found that patients at the tertiary care hospital had longer hospital stays and higher readmission rates compared to those at the orthopedic specialty hospital and hybrid community hospital, indicating a potential advantage for specialized care.
  • Overall, the results suggest that orthopedic specialty hospitals may lead to shorter recovery times and better discharge outcomes compared to more conventional hospital settings.
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The composition of the human gut microbiome has been observed to change over the course of an individual's life. From birth, it is shaped by mode of delivery, diet, environmental exposures, geographic location, exposures to medications, and by aging itself. Here, we present a narrative review of the gut microbiome across the lifespan with a focus on its impacts on aging and age-related diseases in humans.

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Introduction: Medications for addiction treatment (MAT) are the evidence-based standard of care for treatment of opioid use disorder (OUD), but stigma continues to surround their use. We conducted an exploratory study to characterize perceptions of different types of MAT among people who use drugs.

Methods: We conducted this qualitative study in adults with a history of non-medical opioid use who presented to an emergency department for complications of OUD.

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Background: Delta-8 tetrahydrocannabinol (THC) is a psychoactive cannabinoid from the cannabis plant that can be synthetically converted from cannabidiol (CBD). Most states permit the full or restricted sale of hemp and hemp-derived CBD products, and therefore, delta-8 THC products are on the rise. Delta-8 THC consumption can cause intoxication.

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  • The study investigates how the oropharyngeal microbiome, which is the community of microorganisms in the upper respiratory tract, affects the severity of COVID-19 in patients presenting with acute symptoms.
  • Among 115 patients tested for COVID-19, 50 had confirmed positive results; of these, 76% required supplemental oxygen support.
  • Machine learning methods revealed that certain low-abundance microorganisms and metabolic pathways in the microbiome can predict the need for respiratory support in COVID-19 patients.
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  • This study investigates how the oropharyngeal microbiome might influence the severity of COVID-19 in patients presenting with acute symptoms.
  • * Out of 115 patients, 74 tested positive for COVID-19, with a significant percentage (76%) requiring respiratory support.
  • * The analysis identified certain microbial characteristics and metabolic pathways that could predict the need for respiratory interventions, indicating that the microbiome may impact the progression of severe COVID-19 symptoms.*
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The community of bacteria that colonize the urinary tract, the urinary microbiome, is hypothesized to influence a wide variety of urinary tract conditions. Older adults who reside in nursing homes are frequently diagnosed and treated for urinary tract conditions such as urinary tract infection. We investigated the urinary microbiome of older adults residing in a nursing home to determine if there are features of the urinary microbiome that are associated with specific conditions and exposure in this population.

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  • The study investigates the relationship between the oral microbiome and long-lasting COVID-19 symptoms, known as long COVID, which are thought to be linked to immune system issues and inflammation.
  • Researchers collected tongue swabs from COVID-19 patients, identifying that those with prolonged symptoms had higher levels of inflammation-inducing bacteria, specifically from the genera Prevotella and Veillonella.
  • The findings suggest a potential connection between an unhealthy oral microbiome and long COVID, indicating that oral bacteria may play a role in the persistent symptoms experienced by some patients.
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  • - A study examined the effects of proton pump inhibitors (PPIs) on 180-day mortality in elderly patients treated for Clostridium difficile infection (CDI), finding that PPI use was linked to a 55% reduced risk of death.
  • - Conducted with 874 patients aged over 65 from the Umass Memorial Health Care system, results showed a 12.4% overall mortality rate within six months, influenced by factors like age, severity of CDI, and hospital-acquired infections.
  • - The conclusion suggests that while PPIs may increase the risk of CDI, their use during treatment is associated with improved survival rates in older adults.
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Despite widespread recognition of the opioid crisis, opioid overdose remains a common reason for Emergency Department (ED) utilization. Treatment for these patients after stabilization often involves the provision of information for outpatient treatment options. Ideally, an ED visit for overdose would present an opportunity to start treatment for opioid use disorder (OUD) immediately.

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Music and language share perceptual resources, and both map sound to invariant categories-invariant over and within speakers for language and over instruments and keys for music. The effects of stimulus variability on lexical tone and musical interval tasks among non-tone language speakers were compared using a matching (XAB) task under varying levels of stimulus variability. Listeners perceived Mandarin words better with single rather than multiple speakers and showed similar advantages in melodic interval perception for low (single instrument) versus high (multiple instruments) variability sets.

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  • A study examined how different medications affect the risk of recurrent Clostridium difficile infection (rCDI) in elderly individuals based on whether they live in nursing homes or in the community.
  • The research found that community-dwelling individuals had a higher risk of rCDI with antibiotic and acid-reducing medication use, whereas nursing home residents showed a significant increase in rCDI risk with acid-reducing medications and corticosteroids.
  • The results highlight that medication risks vary by living environment, with acid-reducing medications generally posing a greater threat to rCDI recurrence than antibiotics.
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The current study examined the relationship between verbal memory span and the latency with which a filler-gap dependency is constructed. A previous behavioral study found that low span listeners did not exhibit antecedent reactivation at gap sites in relative clauses, in comparison to high verbal memory span subjects (Roberts et al. in J Psycholinguist Res 36(2):175-188, 2007), which suggests that low span subjects are delayed at gap filling.

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Small RNAs (sRNAs) are becoming increasingly recognized as important regulators in bacteria. To investigate the contribution of sRNA mediated regulation to virulence in Vibrio cholerae, we performed high throughput sequencing of cDNA generated from sRNA transcripts isolated from a strain ectopically expressing ToxT, the major transcriptional regulator within the virulence gene regulon. We compared this data set with ToxT binding sites determined by pulldown and deep sequencing to identify sRNA promoters directly controlled by ToxT.

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Object category learning is a fundamental ability, requiring the combination of "bottom-up" stimulus-driven with "top-down" task-specific information. It therefore may be a fruitful domain for study of the general neural mechanisms underlying cortical plasticity. A simple model predicts that category learning involves the formation of a task-independent shape-selective representation that provides input to circuits learning the categorization task, with the computationally appealing prediction of facilitated learning of additional, novel tasks over the same stimuli.

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The development of effector and memory CD4 cell populations depends upon both T cell receptor (TCR) engagement of peptide/major histocompatibility complex (MHC) class II complexes and ligation of costimulatory molecules with counter receptors on antigen-presenting cells (APCs). We showed previously that sustained interactions with APCs could be crucial for optimal expansion of CD4 cells and for development of effectors that secrete cytokines associated with Th2 cells. Using an adoptive transfer model with TCR transgenic CD4 cells, we now show that responses of CD4 cells primed in B cell-deficient mice become aborted, but are fully restored upon the transfer of activated B cells.

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