Publications by authors named "SA Cohen"

Rotavirus is a leading cause of diarrhea among children but less known as a cause among adults. We describe clinical, epidemiologic, and genotype characteristics of a rotavirus outbreak among adults in King County, Washington occurring January-June 2023. Adult rotavirus incidence in 2023 was ten times higher than the same period in 2022 (5% versus 0.

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Parents' beliefs and practices significantly shape young children's oral health (OH), particularly during preschool years when these habits are being established. Immigrant parents often face challenges in promoting OH due to cultural, financial, and logistical barriers. This qualitative study explored OH beliefs, practices, and barriers among Brazilian immigrant mothers in the United States (U.

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Aim And Background: Patients are increasingly turning to the internet to learn more about their ocular disease. In this study, we sought (1) to compare the accuracy and readability of Google and ChatGPT responses to patients' glaucoma-related frequently asked questions (FAQs) and (2) to evaluate ChatGPT's capacity to improve glaucoma patient education materials by accurately reducing the grade level at which they are written.

Materials And Methods: We executed a Google search to identify the three most common FAQs related to 10 search terms associated with glaucoma diagnosis and treatment.

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  • The study aimed to investigate how rural and urban differences in caregiving, such as intensity, distance, burden, health, and support, vary across different U.S. Census regions (Northeast, South, Midwest, and West).
  • It used data from 3,551 informal caregivers to older adults, collected from the National Health and Aging Trends Study, focusing on various outcome measures like caregiving intensity and caregiver health.
  • Results showed that urban caregivers provided more assistance with daily activities, particularly in the Northeast and West, while caregivers in the South reported spending more hours caregiving each month.
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  • Scientists studied if drinking alcohol and smoking could affect how patients with colon cancer do after their diagnosis.
  • They looked at 2,216 patients and checked if their drinking or smoking habits had any impact on getting sicker or dying from colon cancer during about 3 years of follow-up.
  • The study found that drinking or smoking didn’t seem to affect their chances of getting worse with colon cancer, but it’s still important for survivors to avoid these habits to stay healthy overall.
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Background: Effective patient-centered care requires an adequate understanding of patient preferences for different therapeutic options. We modelled patient preference for blood pressure (BP) management by pharmaceutical or interventional treatments such as renal denervation in patients with different profiles of uncontrolled hypertension.

Methods: Modeling was based on the findings from a previously conducted quantitative discrete choice experiment (DCE).

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Purpose: To compare the accuracy and readability of responses to oculoplastics patient questions provided by Google and ChatGPT. Additionally, to assess the ability of ChatGPT to create customized patient education materials.

Methods: We executed a Google search to identify the 3 most frequently asked patient questions (FAQs) related to 10 oculoplastics conditions.

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Childhood sexual abuse (CSA) is linked to substance use and lower antiretroviral therapy (ART) adherence. However, studies examining the mediational role of substance use between CSA and ART adherence are lacking. Therefore, the aim of this study was to determine the potential mediational role of substance use between CSA and ART adherence among older adults living with HIV (OALH) ( = 91).

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Purpose: To (1) characterize and analyze the demographics and scholarly achievements of United States (US) academic ophthalmology department chairs, and (2) to elucidate trends in the academic and demographic profiles of newly hired department chairs.

Design: Cross-sectional study.

Methods: Online search of publicly available resources conducted January 1, 2024.

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Introduction: Informal caregiving is a critical component of the healthcare system despite numerous impacts on informal caregivers' health and well-being. Racial and gender disparities in caregiving duties and health outcomes are well documented. Place-based factors, such as neighborhood conditions and rural-urban status, are increasingly being recognized as promoting and moderating health disparities.

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  • - Determining the best treatment plan for rectal cancer is complicated, involving choices between curative or palliative surgery and considering impact on bowel function and quality of life, especially for distal rectal cancer patients.
  • - Patients with rectal cancer face a higher risk of pelvic recurrence compared to those with colon cancer, making careful patient selection and a multidisciplinary treatment approach essential for better outcomes.
  • - Recent updates to the NCCN Guidelines for Rectal Cancer include new treatment options like endoscopic submucosal dissection for early cases, revisions to the total neoadjuvant therapy strategy, and a nonoperative "watch-and-wait" option for patients who respond well to initial therapy.
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To evaluate the readability, accountability, accessibility, and source of online patient education materials for treatment of age-related macular degeneration (AMD) and to quantify public interest in Syfovre and geographic atrophy after US Food and Drug Administration (FDA) approval. Websites were classified into 4 categories by information source. Readability was assessed using 5 validated readability indices.

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Importance: Given that resident physician financial strain has been associated with poor outcomes, objective metrics to forecast financial well-being may be useful to (1) applicants when evaluating ophthalmology residency programs and (2) programs when determining resident benefits.

Objectives: To determine and compare the relative value of ophthalmology resident stipends plus benefits when adjusted for cost-of-living expenses and to analyze program characteristics associated with greater resident net incomes.

Design, Setting, And Participants: In this cross-sectional study, the American Medical Association's Fellowship and Residency Electronic Interactive Database was used to identify US Accreditation Council for Graduate Medical Education-accredited ophthalmology residency programs.

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  • Colorectal cancer (CRC) ranks as the fourth most common cancer and the second deadliest in the U.S.
  • Treatment for advanced metastatic CRC includes multiple active drugs used alone or in combination, depending on patient-specific factors.
  • The paper reviews the systemic therapy recommendations for metastatic CRC as outlined in the NCCN Guidelines for Colon Cancer.
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  • The review explores the use of circulating tumor DNA (ctDNA) assays in early-stage colon cancer to aid clinical decision-making, emphasizing the need for clinicians to stay informed as the research progresses.
  • Recent studies indicate that ctDNA can help detect minimal residual disease (MRD) and assess recurrence risk, suggesting MRD-negative patients might avoid chemotherapy without risk, while MRD-positive patients may need it.
  • Although there's optimism surrounding ctDNA as a biomarker, current evidence is mainly observational and inconsistent, highlighting the necessity for further research before it can become a standard treatment option.
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Objectives: To assess the efficacy, safety, immunogenicity, and pharmacokinetics through 240 weeks of ustekinumab treatment in paediatric patients from the long-term extension (LTE) of the phase 1, double-blind UniStar trial.

Methods: Paediatric patients with moderately to severely active Crohn's disease (CD) were randomised 1:1 and stratified by body weight (<40 or ≥40 kg) to low- or high-dose intravenous ustekinumab followed by a subcutaneous maintenance dose at Week 8. At Week 16, patients were eligible to enter the LTE at the discretion of the investigator and continued maintenance dosing every 8 weeks up to Week 240.

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  • The study aims to analyze the characteristics of rectal cancer survivors participating in SWOG S1820, which tests an intervention (AIMS-RC) for managing bowel dysfunction after treatment.* -
  • Participants were selected based on specific criteria including their treatment history and age, with outcomes focusing on bowel function, quality of life, and symptom management motivations.* -
  • The research successfully recruited 117 participants over 29 months, revealing that most had made dietary changes post-surgery and experienced significant bowel problems, highlighting the need for better management strategies.*
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  • This document provides guidance on using multigene panels for genetic testing in cancer patients, emphasizing the importance of family history and ethnicity in decision-making.
  • An ASCO Expert Panel reviewed existing guidelines and studies to form their recommendations, identifying significant literature on the topic.
  • Patients should be offered germline genetic testing based on specific criteria, such as family history and identified genetic variants from tumor testing, with recommendations for the minimum and broader panels of genes to include.
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While epigenomic alterations are common in colorectal cancers (CRC), few epigenomic biomarkers that risk-stratify patients have been identified. We thus sought to determine the potential of promoter hypermethylation (m) as a prognostic and predictive marker in colon cancer. We examined the association of m with clinicopathologic features, relapse, survival, and treatment efficacy in patients with stage III colon cancer treated within a randomized adjuvant chemotherapy trial (CALGB/Alliance89803).

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Purpose: Colorectal cancer (CRC) incidence and mortality are increasing among young adults (YAs) aged 18-39. This study compared quality of life (QOL) between YA and older adult CRC survivors in the ColoCare Study.

Methods: Participants were grouped by age (years) as follows: 18-39 (YA), 40-49, 50-64, and 65 + .

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Background: Despite the prevalence of sexual assault presentations to emergency departments (ED) in the United States, current access to sexual assault nurse examiners (SANE) and emergency contraception (EC) in EDs is unknown.

Methods: In this study we employed a "secret shopper," cross-sectional telephonic survey. A team attempted phone contact with a representative sample of EDs and asked respondents about the availability of SANEs and EC in their ED.

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Purpose: Patients are using online search modalities to learn about their eye health. While Google remains the most popular search engine, the use of large language models (LLMs) like ChatGPT has increased. Cataract surgery is the most common surgical procedure in the US, and there is limited data on the quality of online information that populates after searches related to cataract surgery on search engines such as Google and LLM platforms such as ChatGPT.

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Poorly differentiated pancreatic neuroendocrine carcinomas (pNECs) are rare, highly aggressive neoplasms. Frequently metastatic at diagnosis, prognosis is poor with median overall survival estimated to be less than 1 year. Although multidisciplinary management, including systemic medications and locoregional therapies aimed at reducing and preventing symptoms caused by mass effect, is the mainstay of treatment for patients with metastatic well-differentiated pancreatic neuroendocrine tumors, rapid progression, organ dysfunction, and poor performance status often preclude initiation of even single-modality palliative chemotherapy for patients with metastatic pNEC, limiting the use of and recommendation for multidisciplinary management.

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