Publications by authors named "SHAPIRO A"

Objective: To assess the impact of fetal exposure to cannabis on adiposity and glucose-insulin traits in early life.

Research Design And Methods: We leveraged a subsample of 103 mother-child pairs from Healthy Start, an ethnically diverse Colorado-based cohort. Twelve cannabinoids/metabolites of cannabis (including Δ9-tetrahydrocannabinol and cannabidiol) were measured in maternal urine collected at ~27 weeks' gestation.

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Background: Lung ultrasound (LUS) has been shown to be a useful clinical tool in pediatrics, but very little is known about the LUS findings of asthma in children.

Objectives: The primary objective was to characterize LUS findings of pediatric patients before and after a chemically induced bronchospasm. The secondary objective was to evaluate the effect of bronchodilators on LUS findings.

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An experimental investigation into the possibility of dose-rate effects and wall scatter in the thermoluminescent response of LiF:Mg,Ti (TLD-100) was carried out. The investigation was motivated by theoretical simulations predicting the possible presence of dose-rate effects coupled with the lack of detailed experimental studies. The dose rate was varied by changing the source to sample distance, by the use of attenuators, sources of 137Cs of various activities, filtration and the construction of identical geometrical irradiators of Teflon and stainless steel.

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Narrative language abilities are foundational to literacy development and are a culturally grounded measure of early literacy for Latino children. This study evaluates the impacts on narrative language abilities and the costs of a 4-week, strengths-based program that leverages two valued sociocultural practices with built-in benefits, personal narratives, and family food routines (e.g.

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Despite current therapies, there remains an unmet need for treatment for patients with hemophilia. The main parts of two phase 2 trials established clinical proof-of-concept for once-daily, subcutaneous concizumab prophylaxis in patients with hemophilia A/B with inhibitors (HAwI/HBwI; explorer4) and severe hemophilia A without inhibitors (HA; explorer5). Here, we present results from extension parts of these trials, included to evaluate longer term safety and efficacy.

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Importance: Older patients and those with comorbidities who are infected with SARS-CoV-2 may be at increased risk of hospitalization and death. Sotrovimab is a neutralizing antibody for the treatment of high-risk patients to prevent COVID-19 progression.

Objective: To evaluate the efficacy and adverse events of sotrovimab in preventing progression of mild to moderate COVID-19 to severe disease.

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Introduction: The B-Natural study is a multicentre, multinational, observational study of haemophilia B (HB) designed to increase understanding of clinical manifestations, treatment and quality of life (QoL).

Aim: To characterise and compare QoL in HB across disease severity groups and individuals with inhibitors to identify gaps in treatment.

Methods: A total of 224 individuals from 107 families were enrolled from a total of 24 centres in North America (n = 16), Europe (n = 7) and Asia (n = 1).

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Unlabelled: The ongoing evolution of SARS-Co-V2 variants to omicron severely limits available effective monoclonal antibody therapies. Effective drugs are also supply limited. Covid-19 convalescent plasma (CCP) qualified for high antibody levels effectively reduces immunocompetent outpatient hospitalization.

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Purpose: This study was performed to characterize changes in contrast sensitivity (CS) that occur in patients with age-related macular degeneration (AMD) using a novel test, the motion diamond stimulus (MDS).

Methods: This was a cross-sectional study in which 20 subjects with unilateral exudative AMD (eAMD) and contralateral dry AMD received 3 assessments: the Pelli-Robson (PR) CS Chart, the MDS test, and a visual function questionnaire-25 (VFQ-25). CS results from the PR, and MDS tests were compared across 3 groups: eyes with eAMD vs dry AMD, eAMD vs control, dry AMD vs control.

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Background: Experiences of homelessness and serious mental illness (SMI) negatively impact health and receipt of healthcare. Interventions that promote the use of primary care services for people with both SMI and homelessness may improve health outcomes, but this literature has not been evaluated systematically. This evidence map examines the breadth of literature to describe what intervention strategies have been studied for this population, elements of primary care integration with other services used, and the level of intervention complexity to highlight gaps for future intervention research and program development.

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  • A qualitative study aimed to understand the social and practical needs of care partners who assist Veterans (aged 65+) with serious illnesses, identifying gaps in support.
  • Researchers conducted semi-structured interviews with 17 care partners and 11 Veterans to explore current support usage, unmet needs, and barriers to accessing services.
  • Three major themes emerged: barriers to support related to technology and rurality, misunderstandings about available services and the VA's role, and care partners' perceptions of their caregiving roles and responsibilities.
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  • - The study assesses how effective a video-feedback program is in improving responsive and sensitive parenting for families at a community health center in the South Bronx, NYC.
  • - Researchers analyzed changes in parenting metrics, mental health (depression, anxiety), and parenting stress among 34 mother-infant pairs who participated in six sessions of the program from 2014 to 2016.
  • - Results showed significant improvements in maternal responsiveness (19%), along with reductions in depressive and anxious symptoms among predominantly mothers of color with young infants; further research is needed on the cost-effectiveness of various parenting interventions.
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The Virunga Massif mountain gorilla population has been periodically monitored since the early 1970s, with gradually increasing effort. The population declined drastically in the 1970s, but the numbers stabilized in the 1980s. Since then, the population has been steadily increasing within their limited habitat fragment that is surrounded by a dense human population.

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  • Organ laterality defects, such as situs inversus totalis (SIT) and situs ambiguus (SA), are common in individuals with primary ciliary dyskinesia (PCD), but existing guidelines do not universally endorse thorough investigations for these defects.* -
  • A study conducted at two Canadian children’s hospitals examined CXR results and additional imaging for PCD patients under 30, revealing that reliance on CXR alone often led to underdiagnosis of clinically significant defects, especially SA.* -
  • The findings indicate that the use of CXR combined with targeted investigations significantly improved the detection of laterality defects, suggesting the need for more comprehensive screening in PCD patients to reduce potential health issues.*
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Background/purpose: Neurodevelopmental delay (NDD) affects congenital diaphragmatic hernia (CDH) infants. Initial assessment by experienced developmental pediatricians, supported by Bayley-3 tests, is a viable pathway for NDD identification and surveillance. We risk stratified CDH infants to observe differences in incidence and type of NDD based on disease severity.

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  • A study compared the effects of tofacitinib, a drug used for rheumatoid arthritis, to a TNF inhibitor on the incidence of major adverse cardiovascular events (MACE) and cancers in older patients with cardiovascular risk factors.
  • After evaluating over 4 years, results showed that patients taking tofacitinib had higher rates of MACE and cancer compared to those on TNF inhibitors, indicating that tofacitinib was not as safe as the alternative.
  • Although both drugs showed similar effectiveness in treating rheumatoid arthritis, tofacitinib was also linked to a higher incidence of opportunistic infections and nonmelanoma skin cancers.
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These preliminary data from an ongoing first-in-human phase 1/2, open-label study provide proof-of-concept that pluripotent stem cell-derived pancreatic endoderm cells (PEC-01) engrafted in type 1 diabetes patients become islet cells releasing insulin in a physiologically regulated fashion. In this study of 17 subjects aged 22-57 with type 1 diabetes, PEC-01 cells were implanted subcutaneously in VC-02 macroencapsulation devices, allowing for direct vascularization of the cells. Engraftment and insulin expression were observed in 63% of VC-02 units explanted from subjects at 3-12 months post-implant.

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We use particle tracking to determine contributing areas (CAs) to wells for transient flow models that simulate cyclic domestic pumping and extreme recharge events in a small synthetic watershed underlain by dipping sedimentary rocks. The CAs consist of strike-oriented bands at locations where the water table intersects high-hydraulic conductivity beds, and from which groundwater flows to the pumping well. Factors that affect the size and location of the CAs include topographic flow directions, rock dip direction, cross-bed fracture density, and position of the well relative to streams.

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