Publications by authors named "Shannon B"

Background: Coal mining involves heavy physical demand, which is associated with increased risk of injury and long-term musculoskeletal health disorders and chronic pain. Management of chronic or recurrent pain is in turn associated with prescription opioid use and risk of opioid use disorder (OUD).

Methods: We analyzed clinical data from 5463 coal miners evaluated between 2004 and 2015.

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Objective: To examine the frequency and rate at which transfeminine patients receive prostate-specific antigen testing compared to a matched cisgender cohort.

Methods: Patients with prostates who had encounters in our health system, are currently age 46 or older, and who are alive were included in our study. Transfeminine patients were identified through diagnosis codes and chart review.

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Background: Law enforcement workers face a higher risk of cardiovascular disease (CVD), however, employment factors impacting CVD remain systematically understudied, particularly in a national US sample. We describe temporal trends in prevalent CVD including coronary heart disease (CHD), angina, myocardial infarction (MI) and other heart disease; and investigate associations of select employment factors with CVD among law enforcement workers using the National Health Interview Survey (NHIS) from 2006 to 2018.

Methods: We analyzed prevalent CVD in law enforcement workers employed in local, state, and federal establishments using the NHIS, a nationally representative sample of US workers.

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Objectives: Research characterizing work-related injuries and illnesses (WRII) has predominantly focused on inpatients and deaths, despite evidence that 4% of WRII are admitted as inpatients and deaths are less than 0.2% of acute WRII. Our aim is to determine the usefulness of incorporating emergency department (ED) hospital data into current occupational health surveillance systems.

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Introduction: Motor vehicle crashes (MVCs) are the leading cause of work-related deaths in the United States. The increasing popularity of the competitive rideshare market and the lack of oversight over workforce health and safety limits understanding of the current occupational hazards and associated risk factors faced by this precarious workforce. The objective of this analysis was to determine what the personal, social and occupational risk factors for work-related crashes in rideshare drivers are in the United States and suggest further research required to understand occupational health risks and opportunities for interventions.

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Article Synopsis
  • - Addison's disease is a rare autoimmune disorder that results in the destruction of the adrenal gland and can coexist with other autoimmune diseases, leading to a condition known as autoimmune polyendocrine syndrome type II, found in 1.4-4.5 out of 100,000 people.
  • - A clinical case highlighted involved a patient experiencing severe low blood pressure that didn't improve with fluid treatment, eventually diagnosed as autoimmune polyendocrine syndrome type II.
  • - The key takeaway is that primary adrenal insufficiency can cause shock that is resistant to treatment, and having one autoimmune condition raises the risk of additional autoimmune diseases.
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Civilian injuries caused during contact with law enforcement personnel erode community trust in policing, impact individual well-being, and exacerbate existing health inequities. We assessed the relationship between ZIP code-level rates of civilian injuries caused during legal interventions and community-level sociodemographic characteristics using Illinois hospital data from 2016 to 2022. We developed multivariable Poisson regression models to examine whether legal intervention injury rates differed by race-ethnicity and community economic disadvantage across three geographic regions of Illinois representing different levels of urbanization.

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is a gram-negative coccobacilli commonly colonized in the oral, nasopharyngeal, and upper respiratory tracts of animals. Infections due to range in severity, and symptoms largely depend on underlying immune status and co-morbid conditions. Widely known, the transmission of is commonly thought to occur through biting and skin breakage alone.

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Streptococcus pyogenes is a human-specific pathogen that commonly colonizes the upper respiratory tract and skin, causing a wide variety of diseases ranging from pharyngitis to necrotizing fasciitis and toxic shock syndrome. S. pyogenes has a repertoire of secreted virulence factors that promote infection and evasion of the host immune system including the cytolysins streptolysin O (SLO) and streptolysin S (SLS).

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Pesticide applications are often made as tank mixes containing multiple pesticide products and may include spray adjuvants to enhance pesticidal activities. The primary aim of adjuvant products is to increase the spreading and sticking of spray droplets and to increase the penetration of active ingredients through the cuticles of leaves or targeted pests, which can reduce the amount of active ingredient needed for effective pest control. Adjuvants are made up of compounds drawn from the "inert ingredient" list maintained by EPA but are identified as "principal functioning agents" when used in adjuvant products.

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Introduction: Road safety has been a long-enduring policy concern in Australia, with significant financial burden of road trauma and evident socioeconomic disparities. Transport injuries disproportionately impact individuals in remote areas, those in lower socioeconomic situations, and Aboriginal and Torres Strait Islander populations. There is a lack of insight into transport injuries in Aboriginal and Torres Strait Islander communities, absence of Indigenous perspective in published research and limited utilisation of linked data assets to address the inequity.

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Article Synopsis
  • The Community Care programme aims to decrease hospitalizations and emergency department visits for individuals with complex health needs, focusing on patients who often require unplanned medical attention.
  • Conducted as an observational cohort study at Peninsula Health in Melbourne, Australia, the research analyzed data of adults admitted or presenting to the ED between November 2016 and October 2017.
  • Out of 47,148 participants, 914 enrolled in the program, with significant factors influencing enrollment including age, lack of a partner, and higher rates of chronic diseases and hospital visits.
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Commercial beekeepers transporting honey bees across the United States to provide almond pollination services have reported honey bee deaths, possibly due to pesticide applications made during crop bloom. Pesticides are often applied as "tank mixes", or mixtures of fungicides and insecticides combined into a single application. Spray adjuvants are often added to tank mixes to improve the application characteristics of a pesticide and include spreaders, stickers, or surfactants.

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  • There is a need for more partnerships between schools and universities to help reduce the academic achievement gap, especially in STEM education.
  • The QBio-EDGE program was launched in summer 2020 to provide high school students in Los Angeles, particularly those from historically excluded communities, with access to scientific research and diverse role models through virtual learning.
  • The program emphasizes the importance of building diverse teams, forming trusting relationships with schools, and creating engaging, student-centered classroom experiences, while also calling for stronger institutional support for science outreach efforts.
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Pseudomonas leaf spot (PLS) disease in peppers caused by pv. () is an emerging seedborne phytopathogen. infection can severely reduce the marketable yield of peppers in favorable environmental conditions and cause significant economic losses.

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  • This study analyzed the outcomes of closed reduction treatment for pediatric forearm fractures in patients aged 4-16 years, focusing on the experience level of the treating residents.
  • Out of 130 patients, 25% experienced initial treatment failure, with a notable higher rate (52%) among those treated by residents with no prior experience in forearm reduction.
  • The findings suggest that residents with prior reduction experience significantly reduce the likelihood of treatment failure compared to those without any experience, indicating the importance of training in pediatric fracture management.
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Background: While safety in US coal mining has improved over the past two decades, general occupational health research shows that risk of injury varies across individual worksites and is influenced by worksite safety cultures and practices.

Methods: In this longitudinal study, we evaluated whether mine-level characteristics reflecting poor adherence to health and safety regulations in underground coal mines are associated with higher acute injury rates. We aggregated Mine Safety and Health Administration (MSHA) data by year for each underground coal mine for the period 2000-2019.

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  • - The study examines violence-related injuries in Illinois during and after the SARS-CoV-2 lockdowns, revealing how the pandemic intensified various stressors affecting health and safety.
  • - Although the rate of assault-related hospitalizations declined, there was a significant increase in serious injuries, particularly involving firearms, which disproportionately affected younger and African-American populations.
  • - The findings suggest that while hospitalization rates dropped, the severity of injuries rose due to the economic and social pressures of the pandemic, indicating a need for informed public health policies to address these trends.
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Introduction: Clinical reasoning is a complex cognitive and metacognitive process paramount to patient care in paramedic practice. While universally recognised as an essential component of practice, clinical reasoning has been historically difficult to assess in health care professions. Is the Script Concordance Test (SCT) an achievable and reliable option to test clinical reasoning in undergraduate paramedic students?

Methods: This was a single institution observational cohort study designed to use the SCT to measure clinical reasoning in paramedic students.

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Streptococcus pyogenes is a globally prominent human-specific pathogen responsible for an enormous burden of human illnesses, including >600 million pharyngeal and >100 million skin infections each year. Despite intensive efforts that focus on invasive indications, much remains unknown about this bacterium in its natural state during colonization of the nasopharynx and skin. Using acute experimental infection models in HLA-transgenic mice, we evaluated how the hyaluronic acid (HA) capsule contributes to S.

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  • Distinguishing benign lipomas, atypical lipomatous tumors, and dedifferentiated liposarcomas is difficult due to similarities in MRI characteristics and unclear molecular mechanisms of liposarcoma progression.
  • The study aimed to identify metabolic biomarkers for these tumors by analyzing human tissue samples with high-resolution magnetic resonance spectroscopy (MRS).
  • Results showed distinct metabolic differences between tumor types, with specific metabolites indicating variations; this could lead to the development of noninvasive imaging methods for tumor classification.
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Community paramedic roles are expanding internationally, and no review of the literature could be found to guide services in the formation of community paramedicine programmes. For this reason, the aim of this restricted review was to explore and better understand the successes and learnings of community paramedic programmes across five domains being; education requirements, models of delivery, clinical governance and supervision, scope of roles and outcomes. This restricted review was conducted by searching four databases (CENTRAL, ERIC, EMBASE, MEDLINE and Google Scholar) as well as grey literature search from 2001 until 28/12/2021.

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