Publications by authors named "Philip Weinstein"

Background: This study protocol describes a community-based intervention that will seek to reduce added sugar intake in Yup'ik Alaska Native children by targeting reductions in sugar-sweetened fruit drinks.

Methods: A two-group non-randomized design will be used to evaluate the intervention in three Yup'ik communities in Alaska focusing on children age 1 to less than age 12 years with a minimum enrollment target of 192 children. Families in the intervention arm will participate in a program consisting of five sessions plus four brief check-ins, all delivered by a Yup'ik Community Health Worker.

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  • Leptospirosis is a bacterial disease that is increasingly threatening public health, particularly in Pacific Island communities, where local factors influencing infections are not well understood.
  • A systematic review of 42 studies revealed that human infections in the Pacific Islands are linked to sociodemographic, lifestyle, and environmental factors, such as male gender, Indigenous ethnicity, heavy rainfall, and interactions with animals.
  • Suggested prevention strategies include improving disease reporting, enhancing community water safety and rodent control, public health campaigns, and specific occupational safety measures in regions like New Zealand where work-related exposures are common.
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  • - The study aimed to compare the motor examinations done by the clinical neurosurgery team with the ISNCSCI assessments, since the latter can be time-consuming and impractical during acute spinal cord injuries.
  • - Researchers analyzed data from the TRACK-SCI registry, which included 72 pairs of motor examinations from 63 patients, and found strong correlations between the two methods, indicating that neurosurgery motor examinations can effectively substitute for ISNCSCI exams.
  • - The results showed a very high agreement between the scores from both types of examinations with low bias, suggesting that clinical neurosurgery evaluations are reliable for assessing neurological function after spinal cord injuries.
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Humans have evolved in direct and intimate contact with their environment and the microbes that it contains, over a period of 2 million years. As a result, human physiology has become intrinsically linked to environmental microbiota. Urbanisation has reduced our exposure to harmful pathogens, however there is now increasing evidence that these same health-protective improvements in our environment may also be contributing to a hidden disease burden: immune dysregulation.

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Background: Although many molecules have been investigated as biomarkers for spinal cord injury (SCI) or ischemic stroke, none of them are specifically induced in central nervous system (CNS) neurons following injuries with low baseline expression. However, neuronal injury constitutes a major pathology associated with SCI or stroke and strongly correlates with neurological outcomes. Biomarkers characterized by low baseline expression and specific induction in neurons post-injury are likely to better correlate with injury severity and recovery, demonstrating higher sensitivity and specificity for CNS injuries compared to non-neuronal markers or pan-neuronal markers with constitutive expressions.

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Anthropogenic changes to forest cover have been linked to an increase in zoonotic diseases. In many areas, natural forests are being replaced with monoculture plantations, such as oil palm, which reduce biodiversity and create a mosaic of landscapes with increased forest edge habitat and an altered micro-climate. These altered conditions may be facilitating the spread of the zoonotic malaria parasite Plasmodium knowlesi in Sabah, on the island of Borneo, through changes to mosquito vector habitat.

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Objective: Venous thromboembolism (VTE) following traumatic spinal cord injury (SCI) is a significant clinical concern. This study sought to determine the incidence of VTE and hemorrhagic complications among patients with SCI who received low-molecular-weight heparin (LMWH) within 24 hours of injury or surgery and identify variables that predict VTE using the prospective Transforming Research and Clinical Knowledge in SCI (TRACK-SCI) database.

Methods: The TRACK-SCI database was queried for individuals with traumatic SCI from 2015 to 2022.

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Objective: To identify and synthesize patient-related barriers to and enablers of the implementation of high-value physiotherapy (HVP) for chronic pain. Furthermore, to review what patient-related interventions have been used to facilitate the implementation of HVP for chronic pain, as well as their efficacy.

Methods: We systematically searched the APA PsycInfo, Embase, CINAHL, Medline, Scopus, and PEDro databases for peer-reviewed studies (published in English) of adults with chronic pain.

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  • Clear definitions are essential for effective communication among health practitioners, policymakers, and the public regarding the term 'green prescription' as it has multiple meanings.
  • The term has been used since 1997 mainly to refer to written prescriptions for lifestyle changes like physical activity, but since 2014, it has also been associated with exposure to nature.
  • The study found that this inconsistency can lead to misinterpretations of research, and it recommends sticking to the original definition for 'green prescriptions' while suggesting the term 'nature prescriptions' for nature-related recommendations.*
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The pandemic of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), the virus responsible for coronavirus disease 2019 (COVID-19), has brought with it many changes in the way with live, work, and socialise. One such change is an increase in the use of videoconferencing for communication with friends, family and work colleagues, and doing presentations, while physically distancing. We demonstrate an increase in the use of ring lights during the pandemic, and argue that this increased exposure to blue light may lead to a growing burden of macular degeneration in coming years.

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  • - This study utilized the TRACK-SCI database to assess complications and outcomes in elderly patients (≥ 65 years) following spinal cord injuries between 2015 and 2019 at UCSF.
  • - Results revealed a high complication rate, with 100% of patients experiencing at least one complication—averaging about 6.6 each—primarily from cardiovascular and pulmonary issues, and a 10% in-hospital mortality rate.
  • - The use of vasopressors for maintaining blood pressure was prevalent, notably correlating with higher cardiovascular complications, and only a small percentage (7.5%) showed neurological improvement by discharge.
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Many reviews referred to as 'systematic reviews' in ecology are not consistent with best practice in that they generally lack appropriate critical appraisal of included studies. This limitation is particularly important in applied ecology, where there have been increasing calls for more systematic reviews to guide decision making. To identify the available critical appraisal tools (CATs) and hierarchies of evidence available for ecology studies, we systematically searched for: studies that described the development and/or examination of tools to assess the potential methodological bias in studies of ecology; and the tools used to assess potential methodological bias of included studies in ecological systematic reviews.

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COVID-19 has devastated global communities and economies. The pandemic has exposed socioeconomic disparities and weaknesses in health systems worldwide. Long-term health effects and economic recovery are major concerns.

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Musicians have been described as a 'high-risk' group for experiencing musculoskeletal symptoms (MSSs), yet few studies have tested this assumption. We aimed to determine whether the prevalence and profile of MSS outcomes differed between university music students and a reference group (science students). A survey was conducted of university music and science students.

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Concerns have been raised for the health and wellbeing of self-employed workers. Musicians are the 'original' gig workers, and musicians have a high prevalence of musculoskeletal symptoms (MSSs). Studies of musicians' MSSs have typically focused on classical, employer-employed musicians; leaving self-employed musicians under-investigated.

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Toxoplasma infection in intermediate host species closely associates with inflammation. This association has led to suggestions that the behavioural changes associated with infection may be indirectly driven by the resulting sustained inflammation rather than a direct behavioural manipulation by the parasite. If this is correct, sustained inflammation in chronically infected rodents should present as widespread differences in the gastrointestinal microbiota due to the dependency between the composition of these microbiota and sustained inflammation.

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Artificial intelligence and machine learning (AI/ML) is becoming increasingly more accessible to biomedical researchers with significant potential to transform biomedicine through optimization of highly-accurate predictive models and enabling better understanding of disease biology. Automated machine learning (AutoML) in particular is positioned to democratize artificial intelligence (AI) by reducing the amount of human input and ML expertise needed. However, successful translation of AI/ML in biomedicine requires moving beyond optimizing only for prediction accuracy and towards establishing reproducible clinical and biological inferences.

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  • The study aimed to determine how fluctuations in mean arterial pressures (MAPs) during surgery affect recovery outcomes in patients with acute spinal cord injury, focusing on maintaining MAPs between 76 and 104 mm Hg.
  • Researchers analyzed data from 74 patients, monitoring their hemodynamic parameters during surgery, and found a significant improvement in neurological function, as measured by the American Spinal Injury Association Impairment Scale (AIS), with an average increase of 0.71 levels upon discharge.
  • Key findings revealed that maintaining average intraoperative MAPs between 80 and 96 mm Hg was associated with better recovery, while MAPs above 96.3 mm Hg showed no improvement, highlighting the importance of careful MAP management in surgical
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Spinal cord injuries (SCIs) frequently occur in combination with other major organ injuries, such as traumatic brain injury (TBI) and injuries to the chest, abdomen, and musculoskeletal system (e.g., extremity, pelvic, and spine fractures).

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Vegetation complexity is potentially important for urban green space designs aimed at fostering microbial biodiversity to benefit human health. Exposure to urban microbial biodiversity may influence human health outcomes via immune training and regulation. In this context, improving human exposure to microbiota via biodiversity-centric urban green space designs is an underused opportunity.

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