Publications by authors named "H R Willard"

Calcification in photosynthetic scleractinian corals is a complicated process that involves many different biological, chemical, and physical sub-processes that happen within and around the coral tissue. Identifying and quantifying the role of separate processes in vivo or in vitro is difficult or not possible. A computational model can facilitate this research by simulating the sub-processes independently.

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Functional assessment of genomic variants provides a promising approach to systematically examine the potential pathogenicity of variants independent of associated clinical data. However, making such conclusions requires validation with appropriate clinical findings. To this end, here, we use variant calls from exome data and -related cancer diagnoses from electronic health records to demonstrate an association between published laboratory-based functional designations of variants and -related cancer diagnoses in an unselected cohort of patient-participants.

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Purpose: Three genetic conditions-hereditary breast and ovarian cancer syndrome, Lynch syndrome, and familial hypercholesterolemia-have tier 1 evidence for interventions that reduce morbidity and mortality, prompting proposals to screen unselected populations for these conditions. We examined the impact of genomic screening on risk management and early detection in an unselected population.

Methods: Observational study of electronic health records (EHR) among individuals in whom a pathogenic/likely pathogenic variant in a tier 1 gene was discovered through Geisinger's MyCode project.

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Article Synopsis
  • The study focuses on identifying disease-causing variants in the BRCA1 and BRCA2 genes within a large research group to aid in cancer prevention and diagnosis.
  • Conducted on over 50,000 adult volunteers, it utilized exome sequencing to assess the prevalence of these variants and their impact on personal and family cancer history.
  • Results showed that only 0.5% were BRCA1/2 carriers, with a significant portion of these individuals having no previous clinical testing for their variants.
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Health care delivery is increasingly influenced by the emerging concepts of precision health and the learning health care system. Although not synonymous with precision health, genomics is a key enabler of individualized care. Delivering patient-centered, genomics-informed care based on individual-level data in the current national landscape of health care delivery is a daunting challenge.

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