372 results match your criteria: "OR Oregon Health and Science University Portland[Affiliation]"

Effect of telehealth yoga on loneliness and social isolation among rural older adults: a randomized controlled trial.

Aging Ment Health

January 2025

Integrative Health Service, San Francisco VA Health Care System, San Francisco, California, USA.

Objectives: Loneliness and social isolation are associated with a range of deleterious health outcomes. Yoga is a mind-body physical activity that is used in health care settings and increasingly in a telehealth group format. This trial aimed to determine the effect of a brief course of telehealth yoga on loneliness among rural older adults.

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Background And Aims: Medication is the gold standard to support a healthy pregnancy for pregnant people with opioid use disorder (OUD). This study measured inequities and differences in OUD medication treatment among pregnant people in Oregon, USA.

Design, Setting, Participants And Measurements: Our study population consisted of Medicaid enrollees across the US state of Oregon who had at least one live hospital birth between 2012 and 2020 and one diagnosis of OUD prenatally (n = 4363).

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Pregnancy Intendedness by Presence and Extent of Disability in the USA, 2019-2020.

Perspect Sex Reprod Health

January 2025

Institute on Development and Disability, School of Medicine, Oregon Health & Science University, Portland, Oregon, USA.

Context: Over 40% of pregnancies in the United States are unintended. Women with unintended pregnancies may be less likely to receive timely prenatal care and engage in healthy behaviors immediately before and during pregnancy. Limited research suggests that women with disabilities are more likely to have an unintended pregnancy, but to date no studies have assessed whether intendedness varies by extent of disability.

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Background: Cardiovascular autonomic neuropathy (CAN) and inflammation predict more severe outcomes in type 1 diabetes (T1D). However, the link between CAN and inflammation in T1D remains unclear. We examined associations between CAN measures and inflammatory biomarkers in individuals with T1D.

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Article Synopsis
  • The study examines the long-term outcomes of patients with univentricular heart and total cavopulmonary connection Fontan, focusing on those with hypoplastic left heart syndrome (HLHS) compared to other types.
  • The research found that patients with HLHS experienced a significantly higher incidence of adverse cardiovascular events, including death and transplantation, with a hazard ratio indicating over six times the risk.
  • The findings suggest that HLHS is a critical factor in determining poorer outcomes in patients with this heart condition.
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Neighborhood socioeconomic disparities in cancer incidence following a hypothetical intervention to increase residential greenspace cover in the UK Biobank cohort.

Environ Res

November 2024

Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA, USA; Division of Population Sciences, Dana Faber Cancer Institute, Boston, MA, USA; Oregon Health and Science University-Portland State University (OHSU-PSU) School of Public Health, Portland, OR, USA. Electronic address:

Background: Higher greenspace exposure has been associated with lower risk of certain cancers. However, few studies have evaluated potential benefits of increasing population-level exposure to greenspace on cancer disparities. We estimated the impact of a hypothetical intervention to increase residential greenspace cover on neighborhood socioeconomic disparities in total, breast, colorectal, lung, and prostate cancer incidence.

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Mercury, a potent toxin that poses serious risks to human health, particularly for pregnant women and young children, is widely present due to artisanal and small-scale gold mining (ASGM), which impacts water quality. The objective of this study was to evaluate methylmercury exposure among pregnant women in communities downstream from ASGM sites. We characterized hair total mercury (THg) concentrations among 148 pregnant women across 24 communities in the Tumbes region of Peru, downstream from ASGM sites in Ecuador.

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Article Synopsis
  • Chronic headaches are a common issue for military Veterans after experiencing traumatic brain injuries (TBI), and their treatment is often complicated and costly.
  • A study of 141,125 Veterans post-9/11 revealed that those with specific types of headache combinations, especially post-TBI migraines, faced significantly higher healthcare costs.
  • There's a need for further research to understand if the high costs correlate with better treatment results or indicate persistent, harder-to-treat headaches.
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  • The study investigates the best duration and choice of antiplatelet therapy for patients with acute coronary syndrome after undergoing percutaneous coronary intervention.
  • A network meta-analysis was conducted on 32 trials with over 103,000 patients, comparing 12-month dual-antiplatelet therapy (DAPT) with several other strategies, including varying doses and durations.
  • The findings suggest that the combination of aspirin and ticagrelor for 3 months, followed by aspirin and clopidogrel, significantly lowers major adverse cardiovascular events compared to other DAPT strategies.
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Article Synopsis
  • Intermediate uveitis involves inflammation of the vitreous and pars planitis, which can stem from various causes including infections, systemic diseases, or may be idiopathic (unknown origin).
  • The specific term "pars planitis" refers to the idiopathic form characterized by distinctive findings like snowballs and snowbanks in the eye.
  • Diagnosis relies on recognizing symptoms (like floaters) and conducting a thorough eye examination, while advanced techniques like PCR testing help identify underlying infectious or neoplastic causes.
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When analyzing data combined from multiple sources (e.g., hospitals, studies), the heterogeneity across different sources must be accounted for.

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Unlabelled: Automated screening for vertebral fractures could improve outcomes. We achieved an AUC-ROC = 0.968 for the prediction of moderate to severe fracture using a GAM with age and three maximal vertebral body scores of fracture from a convolutional neural network.

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Background: U.S. firearm sales surged during the COVID-19 pandemic, with many purchases by first-time firearm owners.

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  • The study analyzed emergency department patients with documented heroin overdoses to determine the presence of fentanyl and its analogs.
  • Findings revealed that 88% of those who claimed to have used heroin had fentanyl or a fentanyl analog in their system, while only 27% actually had heroin detected.
  • The results indicate a significant discrepancy between the opioids patients thought they were using and what was actually found, suggesting that clinicians should assume fentanyl involvement in all opioid overdoses.
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Introduction: Military Service Members, Veterans, and other patient populations who experience traumatic brain injury (TBI) may have increased risk of early neurodegenerative diseases relative to those without TBI history. Some evidence suggests that exposure to psychotropic medications may play a role in this association. The Long-term Impact of Military-relevant Brain Injury Consortium-Chronic Effects of Neurotrauma Consortium (LIMBIC-CENC) prospective longitudinal study provides an ideal setting to examine the effects of psychotropic medication exposure on long-term neurological health of those with and without mild TBI history.

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Immunotherapy is considered first line in patients with dMMR metastatic colorectal cancer (CRC). Recent studies have also shown promising results with neoadjuvant immunotherapy in locally advanced CRC. We report a case in which neoadjuvant immunotherapy with pembrolizumab resulted in complete pathologic response at time of resection as well as saved the patient the morbidity associated with a hepatectomy.

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Article Synopsis
  • Aficamten is a new drug that helps reduce heart issues in patients with obstructive hypertrophic cardiomyopathy by targeting heart muscle contractility and maintaining safe blood flow levels.
  • * In a clinical trial involving 282 patients, those receiving aficamten were able to maintain effective heart function with minimal side effects, including a stable reduction in heart muscle contraction without significant adverse events.
  • * The findings suggest that using a tailored dosing strategy for aficamten is effective and safe, improving cardiovascular health without worsening conditions like heart failure.
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Surgical approaches to congenital diaphragmatic hernia.

Semin Pediatr Surg

August 2024

C.S. Mott Children's Hospital, Section of Pediatric Surgery, Department of Surgery, University of Michigan. Ann Arbor, MI, USA. Electronic address:

Surgical repair of the diaphragm is essential for survival in congenital diaphragmatic hernia (CDH). There are many considerations surrounding the operation - why the operation matters, optimal timing of repair and its relation to extracorporeal life support (ECLS) use, minimally invasive versus open approaches, and strategies for reconstruction. Surgery is both affected by, and affects, the physiology of these infants and is an important factor in determining long-term outcomes.

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Background: It was recently reported that thin-cap fibroatheroma (TCFA) detected by optical coherence tomography was an independent predictor of future cardiac events in patients with diabetes. However, the clinical usefulness of this finding is limited by the invasive nature of optical coherence tomography. Computed tomography angiography (CTA) characteristics of TCFA have not been systematically studied.

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Nontuberculous mycobacteria (NTM) are prevalent among patients with bronchiectasis. However, the long-term natural history of patients with NTM and bronchiectasis is not well described. To assess the impact of NTM on 5-year clinical outcomes and mortality in patients with bronchiectasis.

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Background: Antigen detection in Taenia solium cysticercosis confirms viable infection in the intermediate host (either pig or human). The reference B158/B60 monoclonal antibody (mAb)-based Ag-enzyme-linked immunosorbent assay (ELISA) has acceptable levels of sensitivity and specificity in human neurocysticercosis with multiple brain cysts, although its sensitivity is lower in cases with single brain cysts, whereas in porcine cysticercosis the assay specificity is affected by its frequent cross-reaction with Taenia hydatigena, another common cestode found in pigs. Our group has produced 21 anti-T.

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Telemedicine care coordination and visit frequency in pediatric patients with type 1 diabetes in Oregon.

J Clin Transl Endocrinol

June 2024

Oregon Health and Science University, Department of Pediatrics, Division of Endocrinology, 700 S.W. Campus Drive, Portland, OR 97239, USA.

Introduction: Children with type 1 diabetes require close monitoring with visits every 3-4 months. COVID-19-induced telemedicine expansion may alleviate the challenge of high visit frequency that children with type 1 diabetes face. However, telemedicine's impact on access to care may be limited if patients lack adequate support for telemedicine.

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Inequities in Academic Publishing: Where Is the Evidence and What Can Be Done?

Am J Public Health

April 2024

Meredith Loui is with the Department of Prevention and Community Health, the George Washington University, Washington, DC. Steven C. Fiala is with the Oregon Health Authority Public Health Division, and the Oregon Health and Science University-Portland State University School of Public Health, Portland. Steven C. Fiala is also a deputy editor for AJPH.

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Objective: To evaluate the impact of an intervention to limit dispersal from wastewater drain (WWD) sites on meropenem-nonsusceptible patient and environmental colonization and bloodstream infection (BSI) on a hematopoietic cell transplant (HCT) and hematologic malignancy (HM) unit.

Design: This quasi-experimental study included pre/postintervention point-prevalence surveys in July 2019 and June 2020, respectively. The retrospective cohort included HCT/HM patients with BSI between 2012 and 2022.

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Objective: To investigate the effect of vacuum extraction (VE) or caesarean section (CS), compared with expectant management, on pelvic floor dysfunction (PFD) 1-2 years postpartum in primiparous women with a prolonged second stage of labour.

Design: A population-based questionnaire and cohort study.

Setting: Stockholm, Sweden.

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