Publications by authors named "Susan Gage"

Article Synopsis
  • - The study focuses on bronchopulmonary dysplasia (BPD), a common chronic respiratory issue in infants, particularly those born preterm, highlighting the lack of consistent clinical care guidelines.
  • - A survey of 27 BPD programs revealed significant variability in outpatient care, including referral processes, services offered, follow-up echocardiograms, and discharge criteria.
  • - The authors advocate for the creation of comprehensive clinical guidelines for BPD, similar to those for asthma and cystic fibrosis, to standardize care and potentially improve long-term health outcomes.
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Polycyclic aromatic hydrocarbons (PAHs) have been reported to absorb ultraviolet (UV) light, resulting in enhanced toxicity. Early developmental stages of bivalves may be particularly susceptible to photo-enhanced toxicity during oil spills. In the current study, toxicity tests were conducted with sperm and three larval ages of the eastern oyster (Crassostrea virginica) to evaluate the photo-enhanced toxicity of low-energy water-accommodated fractions (WAFs) of two weathered Macondo crude oils collected from the Deepwater Horizon incident.

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Acute toxicity tests (48-96-h duration) were conducted with larvae of 2 echinoderm species (Strongylocentrotus purpuratus and Dendraster excentricus) and 4 bivalve mollusk species (Crassostrea virginica, Crassostrea gigas, Mytilus galloprovincialis, and Mercenaria mercenaria). Developing larvae were exposed to water-accommodated fractions (WAFs) and chemically enhanced water-accommodated fractions (CEWAFs) of fresh and weathered oils collected from the Gulf of Mexico during the Deepwater Horizon incident. The WAFs (oils alone), CEWAFs (oils plus Corexit 9500A dispersant), and WAFs of Corexit alone were prepared using low-energy mixing.

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The present study examined the effects of chronic exposure of eastern oyster (Crassostrea virginica) larvae to the water-accommodated fractions of fresh and weathered oils collected from the Deepwater Horizon incident, with and without additions of the dispersant Corexit 9500A, as well as to solutions of Corexit alone. Both shell growth of larvae exposed to test materials for a period of 10 d and larval settlement after 28 d of exposure were the most sensitive endpoints, with the 10-d growth endpoint being less variable among replicates. Growth and settlement endpoints were more sensitive than larval survival and normal development after 10 d and 28 d.

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Objective: To study the relationship between maternal asthma and the development of bronchopulmonary dysplasia (BPD).

Study Design: Using a large population-based California cohort, we investigated associations between maternal asthma and preterm birth subtype, as well as maternal asthma and BPD. We used data from 2007-2010 maternal delivery discharge records of 2 009 511 pregnancies and International Classification of Diseases, Ninth Revision codes.

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Objectives: First, create a clinical severity score for patients with chronic lung disease of infancy (CLDi) following neonatal intensive care unit (NICU) stay. Second, using California wide population-based data, identify factors associated with clinical severity of CLDi at 4-9 months corrected gestational age (CGA).

Study Design: Pediatric pulmonologists ranked and weighted eight factors reflecting clinical severity of CLDi.

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Importance: Bronchopulmonary dysplasia (BPD) remains a serious morbidity in very low-birth-weight (VLBW) infants (<1500 g). Deregionalization of neonatal care has resulted in an increasing number of VLBW infants treated in community hospitals with unknown impact on the development of BPD.

Objective: To identify individual risk factors for BPD development and hospital variation of BPD rates across all levels of neonatal intensive care units (NICUs) within the California Perinatal Quality Care Collaborative.

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By 2020, it is projected that the number of older adults needing treatment for drug and alcohol addictions will increase dramatically. Although Medicare covers treatment for mental health issues, copayments can be prohibitive for those with lower incomes. The Positive Aging Act, an amendment to the Public Health Service Act, is a policy alternative that could address substance abuse in the older adult population by (a) demonstrating ways of integrating mental health services for older adults into primary care settings, and (b) supporting the establishment and maintenance of interdisciplinary geriatric mental health outreach teams in community settings where older adults reside or receive social services.

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