Publications by authors named "Lunn M"

Article Synopsis
  • The study aimed to determine if discussing contraception with healthcare providers influences contraceptive use among transgender men and gender-diverse individuals.
  • In a 2019 survey of 1,694 respondents, about 48% reported currently using contraception, with higher usage observed among those who had conversations about contraceptive options with providers, especially those who initiated the discussion themselves.
  • The findings highlight the importance of encouraging healthcare providers to engage in open dialogues about contraception with transgender and gender-diverse patients to improve their access to necessary services.
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Background: Pure autonomic failure (PAF) presents with progressive autonomic failure without other neurological features. Atypical presentations may lead to diagnostic uncertainty. We studied whether cutaneous phosphorylated-alpha-synuclein (p-syn) could distinguish between PAF, multiple system atrophy (MSA) and non-synucleinopathy-related autonomic failure, and examined its relationship with quantitative markers of cardiovascular autonomic failure.

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Objectives: The NIH All of Us Research Program (All of Us) is engaging a diverse community of more than 10 000 registered researchers using a robust engagement ecosystem model. We describe strategies used to build an ecosystem that attracts and supports a diverse and inclusive researcher community to use the All of Us dataset and provide metrics on All of Us researcher usage growth.

Materials And Methods: Researcher audiences and diversity categories were defined to guide a strategy.

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We conducted a longitudinal randomized controlled experiment between September 2021 and May 2022 to evaluate whether anti-tobacco industry beliefs and attitudes mediate the effect of culturally tailored anti-smoking messages on quit intentions among US young adult sexual minority women (SMW) ages 18-30 who smoke. Participants were randomized to view up to a total of 20 tailored versus non-tailored messages over one month. Outcomes were assessed at baseline and one-month follow-up.

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Background: INCbase is an international, multicenter prospective observational study using a customizable web-based modular registry to study the clinical, biological and electrophysiological variation and boundaries of chronic inflammatory demyelinating polyneuropathy (CIDP). The primary objective of INCbase is to develop and validate a clinical prediction model for treatment response.

Methods: All patients meeting clinical criteria for CIDP can be included in INCbase.

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The study aimed to document factors affecting willingness to engage in biospecimen donation for substance use research among Black and Hispanic/Latinx sexual and gender minority (SGM) people. From May to July 2022, we interviewed 22 Black and Hispanic/Latinx SGM people from The PRIDE Study, a cohort of SGM people in the United States and its territories, using Zoom videoconferencing software. Fourteen participants were sexual minority people, and eight participants were gender minority people.

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Article Synopsis
  • Muscle dysmorphia (MD) is a mental health condition where individuals have an intense focus on not being muscular enough, leading to harmful behaviors and emotional distress.
  • The Muscle Dysmorphic Disorder Inventory (MDDI), a tool for measuring MD symptoms, was examined for its accuracy and reliability among transgender women for the first time, using data from 181 participants aged 19-73.
  • The study found that a revised three-factor model of the MDDI fits well and confirmed its reliability, offering important insights for future research on MD in transgender and gender minority populations.
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Article Synopsis
  • * Researchers analyzed data from The PRIDE Study, focusing on participants who reported experiences of conversion practices and their current mental health symptoms using established scales for anxiety, depression, PTSD, and suicidal behavior.
  • * Findings indicate that experiencing conversion practices is linked to increased mental health symptoms, with separate analyses for cisgender and transgender individuals to better understand these effects.
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Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is a heterogeneous but clinically well-described disease within circumscribed parameters. It is immunologically mediated through several poorly understood mechanisms. First-line therapies with steroids, intravenous immunoglobulin (IVIG) or plasma exchange are each effective in about two-thirds of patients.

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Objectives: To describe contraceptive use for pregnancy prevention among transgender men and gender diverse (TGD) individuals assigned female or intersex at birth (AFIAB) and explore whether contraceptive use differs by testosterone use.

Study Design: We analyzed data from a cross-sectional, online survey of N = 1694 TGD individuals AFIAB recruited in 2019 through a community-facing website and a national community-engaged cohort study of sexual and/or gender minority (SGM) adults in the US. Descriptive and regression analyses characterized the current and ever use of contraceptive methods for pregnancy prevention, stratified by testosterone use, and described reasons for contraceptive use/non-use.

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Introduction: Sexual minority (e.g., bisexual, gay, lesbian, queer) and gender minority (e.

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Objective: To assess pathways to parenthood, pregnancy outcomes, future pregnancy desire, and fertility counseling experiences among a cross-sectional sample of transgender men and gender diverse individuals assigned female or intersex at birth in the United States.

Methods: Participants were recruited from The Population Research in Identity and Disparities for Equality (PRIDE) Study and the general public. Eligible participants for this analysis were able to read and understand English, assigned female or intersex at birth, US residents, 18+ years old, and identified as transgender, nonbinary, or gender diverse.

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Health studies using biospecimens have an underrepresentation of sexual and/or gender minority (SGM) participants, making it difficult to use data to advance SGM health knowledge. This study examined: 1) the willingness of SGM adults to provide research biospecimens, 2) if SGM groups differ in their willingness, 3) the relationship of demographic characteristics with willingness, and 4) the ideas/concerns of SGM adults toward providing research biospecimens. Data collected in 2018-2019 from The Population Research in Identity and Disparities for Equality Study were analyzed.

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Lesbian, gay, bisexual, transgender, queer, intersex, asexual, aromantic, and other sexual and/or gender minority (LGBTQIA+) communities are underrepresented in health research and subject to documented health disparities. In addition, LGBTQIA+ communities have experienced mistreatment, discrimination, and stigma in health care and health research settings. Effectively engaging LGBTQIA+ communities and individuals in health research is critical to developing representative data sets, improving health care provision and policy, and reducing disparities.

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Article Synopsis
  • Human immunoglobulin (IVIg) is used to treat various immune-mediated neurological disorders, focusing on its effects in both acute inflammatory diseases and chronic disease management.
  • The review examines how IVIg works and its evidence in treating conditions like Guillain-Barré syndrome and chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) in the UK and Australia.
  • It also discusses the pros and cons of IVIg, emphasizes practical aspects like informed consent and risk management, and addresses the careful use of this costly blood product.
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Background And Aims: Histopathological diagnosis is the gold standard in many acquired inflammatory, infiltrative and amyloid based peripheral nerve diseases and a sensory nerve biopsy of sural or superficial peroneal nerve is favoured where a biopsy is deemed necessary. The ability to determine nerve pathology by high-resolution imaging techniques resolving anatomy and imaging characteristics might improve diagnosis and obviate the need for biopsy in some. The sural nerve is anatomically variable and occasionally adjacent vessels can be sent for analysis in error.

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Article Synopsis
  • The study aims to compare the health of sexual and gender minority (SGM) parents with SGM non-parents using data from The PRIDE Study between 2018-2020.
  • Out of 9,625 SGM participants, 15% were parents, with older individuals more likely to be in this group; however, parenthood was linked to higher levels of depression, anxiety, and PTSD among parents.
  • Findings suggest that understanding the health impacts of parenthood on SGM individuals is essential for improving healthcare support for diverse families in the U.S.
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Background: There are limited data on pelvic pain among transgender men and gender diverse people, and the impact of testosterone on pelvic pain is poorly understood.

Objective: Characterize the prevalence and correlates of chronic pelvic pain (CPP) among transgender men and gender diverse people and examine the association between testosterone use and CPP.

Materials And Methods: We used 2020-2022 data from The Population Research in Identity and Disparities for Equality (PRIDE) Study, an online prospective cohort study of sexual and gender minority adults in the United States, to conduct complementary cross-sectional and longitudinal analyses.

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Article Synopsis
  • Researchers discovered a new gene that causes a type of Charcot-Marie-Tooth disease (CMT), which affects the nerves.
  • They studied people with CMT to see how this gene changes how mitochondria work, particularly a part called Complex IV.
  • The faulty gene makes a protein that doesn’t work well, leading to problems with energy production in cells, which can cause nerve damage and muscle weakness.
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  • Cryptococcal meningitis, caused by yeast infecting both the lungs and central nervous system, is a significant global health issue, particularly among people with advanced HIV but increasingly affecting other immunocompromised groups.
  • Recent advancements have transformed the diagnosis and treatment of this disease, emphasizing the need for proper management of symptoms like elevated intracranial pressure.
  • The review highlights differences in the clinical presentation and prognosis of cryptococcal meningitis between HIV-positive and HIV-negative patients and underscores the benefits of a collaborative approach among healthcare specialists.
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Article Synopsis
  • Biallelic expansions of the AAGGG repeat in the RFC1 gene have been linked to conditions like cerebellar ataxia and neuropathy.
  • A study tested 259 inflammatory neuropathy patients and 243 healthy controls for these expansions, using specific PCR methods.
  • Results showed no significant presence of the AAGGG repeat expansion in patients, indicating that it is not a contributing factor to inflammatory neuropathies, thus routine genetic screening for this mutation is unnecessary in these cases.
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Substance use disparities among sexual and gender minority (SGM) people are attributed to minority stress, but few studies have examined minority stress and cannabis use over time or investigated differences in cannabis use trajectories by less-studied gender subgroups. We examined if longitudinal cannabis use trajectories are related to baseline minority stressors and if gender differences persisted after accounting for minority stress. Cannabis use risk was measured annually over four years (2017-2021) within a longitudinal cohort study of SGM adults in the United States (N = 11,813).

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Article Synopsis
  • The study evaluated the effectiveness of the 2023 myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) criteria in diagnosing inflammatory demyelinating conditions in both adults and children.
  • It analyzed data from 1,879 patients, confirming MOGAD in 16% of those tested, with follow-up averaging 3.6 years.
  • The new diagnostic criteria demonstrated high sensitivity (96.5%) and specificity (98.9%), with MOG-Ab testing showing slightly lower specificity in adults, indicating the new criteria may improve diagnosis accuracy.
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  • This review talks about how blood disorders can affect the nerves, and how it can be hard to diagnose these problems.
  • New studies are helping to understand more about nerve damage in patients with certain blood conditions and some specific syndromes.
  • The article also discusses the challenges doctors face in diagnosing and treating nerve issues caused by cancer treatments and blood diseases.
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Background: Lesbian, gay, bisexual, transgender, queer, intersex, aromantic and asexual (LGBTQIA+) communities in the United States experience higher rates of alcohol use than the general population. While experiencing intimate partner violence (IPV) is thought to lead to increased alcohol use in LGBTQIA+ people, little research has investigated the temporal relationship between IPV and alcohol use in this population.

Methods: Data from two annual questionnaires of The Population Research in Identity and Disparities for Equality Study (The PRIDE Study) longitudinal cohort (n=3,783) were included.

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