2,781 results on '"A. Kunselman"'
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2. Advancing genetic improvement in the omics era: status and priorities for United States aquaculture
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Linnea K. Andersen, Neil F. Thompson, Jason W. Abernathy, Ridwan O. Ahmed, Ali Ali, Rafet Al-Tobasei, Benjamin H. Beck, Bernarda Calla, Thomas A. Delomas, Rex A. Dunham, Christine G. Elsik, S. Adam Fuller, Julio C. García, Mackenzie R. Gavery, Christopher M. Hollenbeck, Kevin M. Johnson, Emily Kunselman, Erin L. Legacki, Sixin Liu, Zhanjiang Liu, Brittany Martin, Joseph L. Matt, Samuel A. May, Caitlin E. Older, Ken Overturf, Yniv Palti, Eric J. Peatman, Brian C. Peterson, Michael P. Phelps, Louis V. Plough, Mark P. Polinski, Dina A. Proestou, Catherine M. Purcell, Sylvie M. A. Quiniou, Guglielmo Raymo, Caird E. Rexroad, Kenneth L. Riley, Steven B. Roberts, Luke A. Roy, Mohamed Salem, Kelly Simpson, Geoffrey C. Waldbieser, Hanping Wang, Charles D. Waters, Benjamin J. Reading, and on behalf of The Aquaculture Genomics, Genetics and Breeding Workshop
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Aquaculture ,Genomics ,Genetics ,Breeding ,Genome-to-phenome ,Multi-omics data ,Biotechnology ,TP248.13-248.65 ,QH426-470 - Abstract
Abstract Background The innovations of the “Omics Era” have ushered in significant advancements in genetic improvement of agriculturally important animal species through transforming genetics, genomics and breeding strategies. These advancements were often coordinated, in part, by support provided over 30 years through the 1993–2023 National Research Support Project 8 (NRSP8, National Animal Genome Research Program, NAGRP) and affiliate projects focused on enabling genomic discoveries in livestock, poultry, and aquaculture species. These significant and parallel advances demand strategic planning of future research priorities. This paper, as an output from the May 2023 Aquaculture Genomics, Genetics, and Breeding Workshop, provides an updated status of genomic resources for United States aquaculture species, highlighting major achievements and emerging priorities. Main text Finfish and shellfish genome and omics resources enhance our understanding of genetic architecture and heritability of performance and production traits. The 2023 Workshop identified present aims for aquaculture genomics/omics research to build on this progress: (1) advancing reference genome assembly quality; (2) integrating multi-omics data to enhance analysis of production and performance traits; (3) developing resources for the collection and integration of phenomics data; (4) creating pathways for applying and integrating genomics information across animal industries; and (5) providing training, extension, and outreach to support the application of genome to phenome. Research focuses should emphasize phenomics data collection, artificial intelligence, identifying causative relationships between genotypes and phenotypes, establishing pathways to apply genomic information and tools across aquaculture industries, and an expansion of training programs for the next-generation workforce to facilitate integration of genomic sciences into aquaculture operations to enhance productivity, competitiveness, and sustainability. Conclusion This collective vision of applying genomics to aquaculture breeding with focus on the highlighted priorities is intended to facilitate the continued advancement of the United States aquaculture genomics, genetics and breeding research community and industries. Critical challenges ahead include the practical application of genomic tools and analytical frameworks beyond academic and research communities that require collaborative partnerships between academia, government, and industry. The scope of this review encompasses the use of omics tools and applications in the study of aquatic animals cultivated for human consumption in aquaculture settings throughout their life-cycle.
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- 2025
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3. Perspectives of anesthesiology residents training at regionally based residency programs in Guatemala: a survey exploring factors influencing immediate postresidency career plans and attitudes towards working at rural public hospitals
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Kunselman, Sabrina, Canizares, Melanie, Zha, Yuanting, de Izquierdo, Sandra, Izquierdo, Erick, and Evans, Faye
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- 2024
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4. Effect of Body Mass Index on Complications After Vaginal and Laparoscopic Apical Prolapse Surgery
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Boyd, Sarah S., Exume, Dominique, Long, Jaime B., Stetter, Christina, and Kunselman, Allen
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- 2024
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5. Fracture Compression and Construct Stability with Variable Pitch Locking Screws in Cadaveric Specimens
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Zachary A. Koroneos BS, Shelby Alwine BS, Peter Tortora BS, Michaela D. Pitcher BS, Christian Benedict BS, Hwabok Wee PhD., Allen Kunselman MA, Greg Lewis PhD., and Michael Aynardi MD
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Orthopedic surgery ,RD701-811 - Abstract
Category: Trauma; Basic Sciences/Biologics Introduction/Purpose: A variable pitch locking screw is intended to provide interfragmentary compression combined with fixed angle stability of locking plate constructs. The objective of this study was to compare variable pitch locking screws with standard locking screws in bicortical fixation scenarios in cadaver bone, by assessing: (1) interfragmentary compression and plate-bone compression; and (2) construct biomechanical stability. Methods: Nine matched pairs of fresh-frozen cadaveric specimens were used to compare variable pitch locking screws and standard locking screws. First, interfragmentary compression and plate-bone compression associated with insertion of single bicortical screws at increasing levels of torque were measured in distal tibiae having a simulated longitudinal fracture. Second, fibulae were osteotomized to create a stable fracture pattern, fixed with five-screw plated constructs, and tested in either cyclic axial and torsional loading or four-point bending. Results: Interfragmentary and plate-bone compression forces were significantly higher with variable pitch locking screws compared to standard locking screws (p =0.002 & p=0.028, respectively). The amount of compression was variable across specimens. In cyclic loading of fibula constructs, no significant differences were detected in construct axial displacement or angular displacement. In four-point bending, no differences were detected in maximum force or bending stiffness. Conclusion: Variable pitch locking screws can produce high interfragmentary compression between cortices, along with moderate plate-bone compression. In a stable bicortical fixation scenario under external loading, construct stability was similar to normal locking screws.
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- 2024
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6. Deepening the understanding of wreck ecology: a comparative study of marine sediment microbiomes across 10 Maltese wreck sites
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Emma Bolton, Nadine Greenhalgh, Emily Kunselman, Jasmine Mifsud, Neem Patel, Maja Pace Sausmekat, Phoebe Oldach, and Timmy Gambin
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wreck ,microbial ,monitoring ,diversity ,ecosystem ,Malta ,Science ,General. Including nature conservation, geographical distribution ,QH1-199.5 - Abstract
The anthropogenic influences of historical shipwrecks on the marine environment remain largely uncharacterized, particularly for wrecks located at depths of ~50 meters and lost over 80 years ago. Below 50 meters, the marine environment transitions from the euphotic to the mesophotic zone, where reduced light, significant changes in oxygen levels, and increased pressure may alter microbial communities and metabolic pathways. Understanding these shifts can provide insights into the adaptation and evolution of microorganisms. Sediment samples were collected by a team of divers from nine wreck sites off the coast of Malta, varying in depth from 5 to 100 meters. All sampling was conducted with the consent and authorization of the Government of Malta for the collection of marine genetic resources. Chemical analyses and metabarcoding techniques were employed to assess how shipwrecks influence microbial diversity and community composition in the surrounding sediments. Alpha (α) diversity of microbial communities was higher in sediments adjacent to the shipwrecks compared to those collected over 100 meters away from any wreck site. Across all nine wreck sites, sediment size emerged as the most significant driver of microbial diversity, followed by frame type and the presence of oil leaks. This study demonstrates that shipwrecks, varying in depth, frame type, and country of origin, significantly influence the microbial ecosystems and sediment chemistry of their surrounding environment. The findings suggest that shipwrecks act as focal points for ecological and chemical changes, contributing to the dynamic interactions between historical artifacts and marine ecosystems.
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- 2024
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7. Host and Water Microbiota Are Differentially Linked to Potential Human Pathogen Accumulation in Oysters
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Diner, Rachel E, Zimmer-Faust, Amy, Cooksey, Emily, Allard, Sarah, Kodera, Sho M, Kunselman, Emily, Garodia, Yash, Verhougstraete, Marc P, Allen, Andrew E, Griffith, John, and Gilbert, Jack A
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Microbiology ,Biological Sciences ,Digestive Diseases ,Emerging Infectious Diseases ,Prevention ,Foodborne Illness ,Microbiome ,Infectious Diseases ,2.2 Factors relating to the physical environment ,Infection ,Life Below Water ,Animals ,Humans ,Water ,Ostreidae ,Vibrio parahaemolyticus ,Vibrio vulnificus ,Bivalvia ,Bacteria ,Pacific oyster ,aquaculture ,environmental microbiology ,fecal organisms ,oyster microbiome ,shellfish ,Medical microbiology - Abstract
Oysters play an important role in coastal ecology and are a globally popular seafood source. However, their filter-feeding lifestyle enables coastal pathogens, toxins, and pollutants to accumulate in their tissues, potentially endangering human health. While pathogen concentrations in coastal waters are often linked to environmental conditions and runoff events, these do not always correlate with pathogen concentrations in oysters. Additional factors related to the microbial ecology of pathogenic bacteria and their relationship with oyster hosts likely play a role in accumulation but are poorly understood. In this study, we investigated whether microbial communities in water and oysters were linked to accumulation of Vibrio parahaemolyticus, Vibrio vulnificus, or fecal indicator bacteria. Site-specific environmental conditions significantly influenced microbial communities and potential pathogen concentrations in water. Oyster microbial communities, however, exhibited less variability in microbial community diversity and accumulation of target bacteria overall and were less impacted by environmental differences between sites. Instead, changes in specific microbial taxa in oyster and water samples, particularly in oyster digestive glands, were linked to elevated levels of potential pathogens. For example, increased levels of V. parahaemolyticus were associated with higher relative abundances of cyanobacteria, which could represent an environmental vector for Vibrio spp. transport, and with decreased relative abundance of Mycoplasma and other key members of the oyster digestive gland microbiota. These findings suggest that host and microbial factors, in addition to environmental variables, may influence pathogen accumulation in oysters. IMPORTANCE Bacteria in the marine environment cause thousands of human illnesses annually. Bivalves are a popular seafood source and are important in coastal ecology, but their ability to concentrate pathogens from the water can cause human illness, threatening seafood safety and security. To predict and prevent disease, it is critical to understand what causes pathogenic bacteria to accumulate in bivalves. In this study, we examined how environmental factors and host and water microbial communities were linked to potential human pathogen accumulation in oysters. Oyster microbial communities were more stable than water communities, and both contained the highest concentrations of Vibrio parahaemolyticus at sites with warmer temperatures and lower salinities. High oyster V. parahaemolyticus concentrations corresponded with abundant cyanobacteria, a potential vector for transmission, and a decrease in potentially beneficial oyster microbes. Our study suggests that poorly understood factors, including host and water microbiota, likely play a role in pathogen distribution and pathogen transmission.
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- 2023
8. Improving Utilization of Guideline-Directed Medical Therapy for Heart Failure
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Baksh, Gladys, Haydo, Michele, Frazier, Suzanne, Reesor, Heather, Kunselman, Allen, Ahmed, Samaa, Contreras, Carlos, and Ali, Omaima
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- 2024
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9. Understanding the risks of co-exposures in a changing world: a case study of dual monitoring of the biotoxin domoic acid and Vibrio spp. in Pacific oyster
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Lie, Alle A. Y., Zimmer-Faust, Amity G., Diner, Rachel E., Kunselman, Emily, Daniel, Zachary, Van Artsdalen, Kathryn, Salas Garcia, Mariana C., Gilbert, Jack A., Shultz, Dana, Chokry, Jeff, Langlois, Kylie, and Smith, Jayme
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- 2024
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10. Variation in Survival and Gut Microbiome Composition of Hatchery-Grown Native Oysters at Various Locations within the Puget Sound
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Kunselman, Emily, Minich, Jeremiah J, Horwith, Micah, Gilbert, Jack A, and Allen, Eric E
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Life on Land ,Life Below Water ,Animals ,Bacteria ,Gastrointestinal Microbiome ,Microbiota ,Ostreidae ,RNA ,Ribosomal ,16S ,Seawater ,gut microbiome ,marine microbiome ,oysters - Abstract
The Olympia oyster (Ostrea lurida) of the Puget Sound suffered a dramatic population crash, but restoration efforts hope to revive this native species. One overlooked variable in the process of assessing ecosystem health is association of bacteria with marine organisms and the environments they occupy. Oyster microbiomes are known to differ significantly between species, tissue type, and the habitat in which they are found. The goals of this study were to determine the impact of field site and habitat on the oyster microbiome and to identify core oyster-associated bacteria in the Puget Sound. Olympia oysters from one parental family were deployed at four sites in the Puget Sound both inside and outside of eelgrass (Zostera marina) beds. Using 16S rRNA gene amplicon sequencing of the oyster gut, shell, and surrounding seawater and sediment, we demonstrate that gut-associated bacteria are distinct from the surrounding environment and vary by field site. Furthermore, regional differences in the gut microbiota are associated with the survival rates of oysters at each site after 2 months of field exposure. However, habitat type had no influence on microbiome diversity. Further work is needed to identify the specific bacterial dynamics that are associated with oyster physiology and survival rates. IMPORTANCE This is the first exploration of the microbial colonizers of the Olympia oyster, a native oyster species to the West Coast, which is a focus of restoration efforts. The patterns of differential microbial colonization by location reveal microscale characteristics of potential restoration sites which are not typically considered. These microbial dynamics can provide a more holistic perspective on the factors that may influence oyster performance.
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- 2022
11. The effects of pulsatile versus nonpulsatile flow on cerebral pulsatility index, mean flow velocity at the middle cerebral artery, regional cerebral oxygen saturation, cerebral gaseous microemboli counts, and short-term clinical outcomes in patients undergoing congenital heart surgeryCentral MessagePerspective
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Krishna Patel, BS, Yongwook Dan, MD, Allen R. Kunselman, MA, Joseph B. Clark, MD, John L. Myers, MD, and Akif Ündar, PhD
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congenital heart surgery ,cardiopulmonary bypass ,pulsatility index ,cerebral hemodynamics ,gaseous microemboli ,pulsatile flow ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 ,Surgery ,RD1-811 - Abstract
Objective: The objective of this retrospective review was to evaluate whether or not pulsatile flow improves cerebral hemodynamics and clinical outcomes in pediatric congenital cardiac surgery patients. Methods: This retrospective study included 284 pediatric patients undergoing congenital cardiac surgery with cardiopulmonary bypass support utilizing nonpulsatile (n = 152) or pulsatile (n = 132) flow. Intraoperative cerebral gaseous microemboli counts, pulsatility index, and mean blood flow velocity at the right middle cerebral artery were assessed using transcranial Doppler ultrasound. Clinical outcomes were compared between groups. Results: Patient demographics and cardiopulmonary bypass characteristics between groups were similar. Although the pulsatility index during aortic crossclamping was consistently higher in the pulsatile group (P
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- 2023
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12. Lymphopenia in the Adult Population With Fontan Physiology: A Potential New Marker for Disease Assessment
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Scandinaro, Anna L., McCann, Michael D., Chaudhry, Anisa, Kunselman, Allen, Bradley, Elisa A., and Davidson, William R., Jr.
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- 2024
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13. A brief overview of pilot studies and their sample size justification
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Kunselman, Allen R.
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- 2024
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14. Host biology, ecology and the environment influence microbial biomass and diversity in 101 marine fish species
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Minich, Jeremiah J, Härer, Andreas, Vechinski, Joseph, Frable, Benjamin W, Skelton, Zachary R, Kunselman, Emily, Shane, Michael A, Perry, Daniela S, Gonzalez, Antonio, McDonald, Daniel, Knight, Rob, Michael, Todd P, and Allen, Eric E
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Agricultural ,Veterinary and Food Sciences ,Biological Sciences ,Ecology ,Environmental Management ,Microbiology ,Environmental Sciences ,Life Below Water ,Animals ,Biomass ,Fishes ,Microbiota ,Gills ,Vertebrates ,Mammals - Abstract
Fish are the most diverse and widely distributed vertebrates, yet little is known about the microbial ecology of fishes nor the biological and environmental factors that influence fish microbiota. To identify factors that explain microbial diversity patterns in a geographical subset of marine fish, we analyzed the microbiota (gill tissue, skin mucus, midgut digesta and hindgut digesta) from 101 species of Southern California marine fishes, spanning 22 orders, 55 families and 83 genera, representing ~25% of local marine fish diversity. We compare alpha, beta and gamma diversity while establishing a method to estimate microbial biomass associated with these host surfaces. We show that body site is the strongest driver of microbial diversity while microbial biomass and diversity is lowest in the gill of larger, pelagic fishes. Patterns of phylosymbiosis are observed across the gill, skin and hindgut. In a quantitative synthesis of vertebrate hindguts (569 species), we also show that mammals have the highest gamma diversity when controlling for host species number while fishes have the highest percent of unique microbial taxa. The composite dataset will be useful to vertebrate microbiota researchers and fish biologists interested in microbial ecology, with applications in aquaculture and fisheries management.
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- 2022
15. Pharmacogenetic studies of long-acting beta agonist and inhaled corticosteroid responsiveness in randomised controlled trials of individuals of African descent with asthma
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Ortega, Victor E, Daya, Michelle, Szefler, Stanley J, Bleecker, Eugene R, Chinchilli, Vernon M, Phipatanakul, Wanda, Mauger, Dave, Martinez, Fernando D, Herrera-Luis, Esther, Pino-Yanes, Maria, Hawkins, Gregory A, Ampleford, Elizabeth J, Kunselman, Susan J, Cox, Corey, Bacharier, Leonard B, Cabana, Michael D, Cardet, Juan Carlos, Castro, Mario, Denlinger, Loren C, Eng, Celeste, Fitzpatrick, Anne M, Holguin, Fernando, Hu, Donglei, Jackson, Daniel J, Jarjour, Nizar, Kraft, Monica, Krishnan, Jerry A, Lazarus, Stephen C, Lemanske, Robert F, Lima, John J, Lugogo, Njira, Mak, Angel, Moore, Wendy C, Naureckas, Edward T, Peters, Stephen P, Pongracic, Jacqueline A, Sajuthi, Satria P, Seibold, Max A, Smith, Lewis J, Solway, Julian, Sorkness, Christine A, Wenzel, Sally, White, Steven R, Burchard, Esteban G, Barnes, Kathleen, Meyers, Deborah A, Israel, Elliot, Wechsler, Michael E, AsthmaNet, NHLBI, Ali-Dinar, Tarig, Bartnikas, Lisa, Baxi, Sachin, Beigelman, Avraham, Benson, Mindy, Blake, Kathryn V, Burke-Roberts, Elizabeth, Cernadas, Manuela, Chmiel, James F, Covar, Ronina, DiMango, Emily, Gaffin, Jonathan, Gentile, Deborah, Grossman, Nicole, Hautpman, Marissa, Kantor, David, Kumar, Harsha, LaForce, Craig F, Lang, Jason, Long, Dayna, Louisias, Margee, Morgan, Wayne, Moy, James, Myers, Ross E, Olin, J Tod, Permaul, Perdita, Que, Loretta, Raissy, Hengameh, Robison, Rachel G, Ross, Kristie, Sheehan, William, Sullivan-Vedder, Lisa, and Wright, Lakeia
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Human Genome ,Pediatric ,Genetics ,Lung ,Clinical Research ,Clinical Trials and Supportive Activities ,Asthma ,6.1 Pharmaceuticals ,Evaluation of treatments and therapeutic interventions ,Respiratory ,Administration ,Inhalation ,Adolescent ,Adrenal Cortex Hormones ,Adult ,Black People ,Bronchodilator Agents ,Child ,Drug Therapy ,Combination ,Female ,Fluticasone ,Humans ,Male ,Middle Aged ,Pharmacogenomic Testing ,Salmeterol Xinafoate ,United States ,Young Adult ,NHLBI AsthmaNet - Abstract
BackgroundPharmacogenetic studies in asthma cohorts, primarily made up of White people of European descent, have identified loci associated with response to inhaled beta agonists and corticosteroids (ICSs). Differences exist in how individuals from different ancestral backgrounds respond to long-acting beta agonist (LABA) and ICSs. Therefore, we sought to understand the pharmacogenetic mechanisms regulating therapeutic responsiveness in individuals of African descent.MethodsWe did ancestry-based pharmacogenetic studies of children (aged 5-11 years) and adolescents and adults (aged 12-69 years) from the Best African Response to Drug (BARD) trials, in which participants with asthma uncontrolled with low-dose ICS (fluticasone propionate 50 μg in children, 100 μg in adolescents and adults) received different step-up combination therapies. The hierarchal composite outcome of pairwise superior responsiveness in BARD was based on asthma exacerbations, a 31-day difference in annualised asthma-control days, or a 5% difference in percentage predicted FEV1. We did whole-genome admixture mapping of 15 159 ancestral segments within 312 independent regions, stratified by the two age groups. The two co-primary outcome comparisons were the step up from low-dose ICS to the quintuple dose of ICS (5 × ICS: 250 μg twice daily in children and 500 μg twice daily in adolescents and adults) versus double dose (2-2·5 × ICS: 100 μg twice daily in children, 250 μg twice daily in adolescents and adults), and 5 × ICS versus 100 μg fluticasone plus a LABA (salmeterol 50 μg twice daily). We used a genome-wide significance threshold of p
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- 2021
16. Effectiveness comparison of genicular nerve ablation for knee osteoarthritic versus post-total knee arthroplasty pain
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Shi, Weibin, Vu, To-Nhu, Annaswamy, Thiru, Wu, Hong, Moore, Bryan, Hatchard, Nicole, Mears, Chad, and Kunselman, Allen R.
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- 2024
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17. Mechanics of dynamic compression plate application in fracture fixation
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Wee, Hwabok, Staub, Jacob, Koroneos, Zachary, Kunselman, Allen, Reid, J. Spence, and Lewis, Gregory S.
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- 2024
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18. Acknowledgments
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Lang, Robert, primary and Kunselman, Joan, additional
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- 2023
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19. Effect of Voiding Policy on Post Anesthesia Care Unit Length of Stay for Minimally Invasive Hysterectomy
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Shah, Akash, Molina, Andrea, Moeckel, Camille, Stegman, Molly, Riley, Kristin, Dave, Arpit, Stetter, Christina, Kunselman, Allen, and Li, Linda
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- 2024
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20. Non-targeted tandem mass spectrometry enables the visualization of organic matter chemotype shifts in coastal seawater
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Petras, Daniel, Minich, Jeremiah J, Cancelada, Lucia B, Torres, Ralph R, Kunselman, Emily, Wang, Mingxun, White, Margot E, Allen, Eric E, Prather, Kimberly A, Aluwihare, Lihini I, and Dorrestein, Pieter C
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Analytical Chemistry ,Environmental Sciences ,Chemical Sciences ,Life Below Water ,Chromatography ,Liquid ,Ecosystem ,Oceans and Seas ,Seawater ,Tandem Mass Spectrometry ,Dissolved organic matter ,Tandem mass spectrometry ,Non-targeted screening ,Molecular networking ,Coastal environments ,Anthropogenic pollution ,Meteorology & Atmospheric Sciences - Abstract
Urbanization along coastlines alters marine ecosystems including contributing molecules of anthropogenic origin to the coastal dissolved organic matter (DOM) pool. A broad assessment of the nature and extent of anthropogenic impacts on coastal ecosystems is urgently needed to inform regulatory guidelines and ecosystem management. Recently, non-targeted tandem mass spectrometry approaches are gaining momentum for the analysis of global organic matter composition (chemotypes) including a wide array of natural and anthropogenic compounds. In line with these efforts, we developed a non-targeted liquid chromatography tandem mass spectrometry (LC-MS/MS) workflow that utilizes advanced data analysis approaches such as feature-based molecular networking and repository-scale spectrum searches. This workflow allows the scalable comparison and mapping of seawater chemotypes from large-scale spatial surveys as well as molecular family level annotation of unknown compounds. As a case study, we visualized organic matter chemotype shifts in coastal environments in northern San Diego, USA, after notable rain fall in winter 2017/2018 and highlight potential anthropogenic impacts. The observed seawater chemotype, consisting of 4384 LC-MS/MS features, shifted significantly after a major rain event. Molecular drivers of this shift could be attributed to multiple anthropogenic compounds, including pesticides (Imazapyr and Isoxaben), cleaning products (Benzyl-tetradecyl-dimethylammonium) and chemical additives (Hexa (methoxymethyl)melamine) and potential degradation products. By expanding the search of identified xenobiotics to other public tandem mass spectrometry datasets, we further contextualized their possible origin and show their importance in other ecosystems. The mass spectrometry and data analysis pipelines applied here offer a scalable framework for future molecular mapping and monitoring of marine ecosystems, which will contribute to a deliberate assessment of how chemical pollution impacts our oceans.
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- 2021
21. The relationship between perceptions of electronic health record usability and clinical importance of social and environmental determinants of health on provider documentation
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Natasha Sood, Christy Stetter, Allen Kunselman, and Sona Jasani
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Computer applications to medicine. Medical informatics ,R858-859.7 - Published
- 2024
22. Microbiome Dynamics and Pathogen-Driven Impacts in Marine Mollusks: Insights from Oysters and White Abalone
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Kunselman, Emily
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Biology ,Microbiology ,Biological oceanography - Abstract
Marine ecosystems are facing various threats, from population declines to diseases that impact their overall health. My dissertation investigates the complex interplay between microbiomes, pathogens, and environmental conditions in three distinct marine organisms: Olympia oysters (Ostrea lurida) in the Puget Sound, Pacific oysters (Crassostrea gigas) in San Diego Bay exposed to OsHV-1 SDB µvar, and white abalone (Haliotis sorenseni) afflicted by Abalone Withering Syndrome. The goal of combining and comparing these systems is to elucidate the crucial role of microbiota in understanding ecosystem and host health, including microbes’ response to environmental variables and their interaction with pathogens. The first chapter focuses on the Olympia oyster, a native species in the Puget Sound that has experienced a substantial population crash. To assess the impact of eelgrass habitat and geographical location on oyster microbiomes, Olympia oysters from a single parental family were deployed at multiple sites, both within and outside eelgrass (Zostera marina) beds. Using 16S rRNA gene amplicon sequencing, I demonstrate that gut-associated bacteria differ significantly from the surrounding environment. Regional differences in gut microbiota are associated with the oyster survival rates at different sites after two months of field exposure. However, eelgrass habitat does not influence microbiome diversity significantly. This research highlights the importance of understanding the specific bacterial dynamics associated with oyster physiology and survival rates in the Puget Sound.In the second chapter, I explore the OsHV-1 SDB µvar, a virus threatening oyster aquaculture globally, with a focus on its microvariant in San Diego Bay. The study investigates the influence of temperature on OsHV-1 SDB µvar infectivity. All microvariants of this virus exhibit limited replication and are unable to induce oyster mortality at lower water temperatures. Through experimental infections of hatchery-raised oysters at temperatures ranging from 15 to 24°C, I found that no oysters died at 15°C but most exposed oysters died above 18°C. The infection took hold faster at 21 and 24°C compared to 18°C. As oysters are often immunocompromised by this viral infection, I also chose to focus on the potential contribution of secondary bacterial infections to the disease. The microbiome of healthy, sick and dead oysters was compared using 16S rRNA gene amplicon sequencing to determine how the microbiome is disrupted by infection and which bacteria may be responsible for further progression of the disease. There is a clear shift in microbiome composition and decreases in evenness following infection with OsHV-1 SDB µvar. The third chapter centers on Abalone Withering Syndrome, characterized by the intracellular parasite Candidatus Xenohaliotis californiensus (CaXc) which disrupts gut morphology leading to starvation and possible death. Investigating the microbiome in endangered white abalone exposed to CaXc over an 11-month period reveals dynamic variations in the fecal microbiome and its distinctiveness from the internal tissue microbiomes. CaXc exposure notably impacts the anterior region of the digestive tract more than the distal tissues and feces, sometimes representing up to 99% relative abundance in the post esophagus samples. This comprehensive analysis incorporates qPCR to quantify pathogen loads over time and feces and in internal tissues. The pathogen is detected after 5 months of exposure and is most abundant in the post-esophagus tissue. The samples with the highest relative abundance of the pathogen were also shotgun sequenced to generate whole genome assemblies of bacteria. This led to the novel assembly of a 90% complete genome for CaXc, which is deposited in a public database. To pair these data with a more holistic understanding of the impact of this pathogen, RNA sequencing data was analyzed for differential gene expression patterns between exposed and unexposed abalone. While functional annotation and prediction was poor on the de novo assembled transcriptome, clear differences exist in gene-level response to CaXc between post esophagus and digestive gland tissue.
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- 2024
23. Oil-based or saline contrast for sono-hysterosalpingography in infertile women: a pilot randomized controlled double blind trial
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Richard S. Legro, M.D., Christy M. Stetter, B.S., Allen R. Kunselman, M.A., William M. Geisler, M.D., M.P.H., William C. Dodson, M.D., and Stephanie J. Estes, M.D.
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infertility ,tubal disease ,ultrasonography ,pregnancy ,contrast medium ,Diseases of the genitourinary system. Urology ,RC870-923 ,Gynecology and obstetrics ,RG1-991 - Abstract
Objective: To determine the feasibility, safety, and outcomes of an oil-based, iodinated contrast using office-based, ultrasound-imaged hysterosalpingography in women with infertility. Design: Randomized Controlled Double Blind Clinical Trial. Setting: Academic health center. Intervention(s): Tubal flushing with oil-based contrast medium (Lipiodol UF) versus saline. Main Outcome Measure(s): Ongoing pregnancy rate, pain, quality of life, and thyroid function. Result(s): Forty-eight patients (24 in each group) were analyzed. The groups were well-matched at baseline. Ongoing pregnancy was noted in 17% (4/24) of the oil-contrast group versus 37% (9/24) in the saline group. Saline group patients more frequently initiated infertility therapy in the six-month follow-up period (saline, 67% vs. oil, 33%), and no serious adverse events in either group. There were no differences in pain from the procedure between groups. There were no differences in thyroid function tests postprocedure between groups, but within the oil-contrast group, there was a slight increase in thyroid-stimulating hormone (post vs. preratio of geometric means: 1.18; 95% confidence interval [CI], 1.02–1.38) and decrease in Free T4 (postdifference vs. predifference in means: 0.08 ng/dL; 95% CI, -0.14 to -0.01). Immediately after the test, the physicians correctly guessed 79% of oil and 71% of saline randomization assignments, whereas patients correctly guessed 63% of oil and 38% of saline. Conclusion(s): This pilot study demonstrates the safety and feasibility of giving an oil-based contrast medium during ultrasound-imaged hysterosalpingography. Pregnancies were seen after oil-based administration, and this contrast is associated with minor thyroid function impairment.
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- 2023
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24. The safety and efficacy of genicular nerve radiofrequency ablation for pain in inferolateral quadrant of the knee
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Shi, Weibin, Vu, To-Nhu, Annaswamy, Thiru, Wu, Hong, Moore, Bryan, Mears, Chad, and Kunselman, Allen R.
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- 2023
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25. A brief overview of sensitivity analyses
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Kunselman, Allen R.
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- 2023
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26. The authors reply
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Ündar, Akif, Kunselman, Allen R., Barbaro, Ryan P., Alexander, Peta, Patel, Krishna, and Thomas, Neal J.
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- 2024
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27. Optimization of physicochemical properties of pyrrolidine GPR40 AgoPAMs results in a differentiated profile with improved pharmacokinetics and reduced off-target activities
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Jurica, Elizabeth A., Wu, Ximao, Williams, Kristin N., Haque, Lauren E., Rampulla, Richard A., Mathur, Arvind, Zhou, Min, Cao, Gary, Cai, Hong, Wang, Tao, Liu, Heng, Xu, Carrie, Kunselman, Lori K., Antrilli, Thomas M., Hicks, Michael B., Sun, Qin, Dierks, Elizabeth A., Apedo, Atsu, Moore, Douglas B., Foster, Kimberly A., Cvijic, Mary Ellen, Panemangalore, Reshma, Khandelwal, Purnima, Wilkes, Jason J., Zinker, Bradley A., Robertson, Donald G., Janovitz, Evan B., Galella, Michael, Li, Yi-Xin, Li, Julia, Ramar, Thangeswaran, Jalagam, Prasada Rao, Jayaram, Ramya, Whaley, Jean M., Barrish, Joel C., Robl, Jeffrey A., Ewing, William R., and Ellsworth, Bruce A.
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- 2023
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28. Analytically differentiable metrics for phase stability
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Kunselman, Courtney, primary, Bocklund, Brandon, additional, van de Walle, Axel, additional, Otis, Richard, additional, and Arróyave, Raymundo, additional
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- 2024
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29. UC Publications in Catalogs and Bibliographies: A Checklist of Manuscripts and Other Papers in the Oswald Jonas Memorial Collection
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Robert Lang, JoAnn Kunselman
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- 2023
30. Step-Up Therapy in Black Children and Adults with Poorly Controlled Asthma
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Wechsler, Michael E, Szefler, Stanley J, Ortega, Victor E, Pongracic, Jacqueline A, Chinchilli, Vernon, Lima, John J, Krishnan, Jerry A, Kunselman, Susan J, Mauger, David, Bleecker, Eugene R, Bacharier, Leonard B, Beigelman, Avraham, Benson, Mindy, Blake, Kathryn V, Cabana, Michael D, Cardet, Juan-Carlos, Castro, Mario, Chmiel, James F, Covar, Ronina, Denlinger, Loren, DiMango, Emily, Fitzpatrick, Anne M, Gentile, Deborah, Grossman, Nicole, Holguin, Fernando, Jackson, Daniel J, Kumar, Harsha, Kraft, Monica, LaForce, Craig F, Lang, Jason, Lazarus, Stephen C, Lemanske, Robert F, Long, Dayna, Lugogo, Njira, Martinez, Fernando, Meyers, Deborah A, Moore, Wendy C, Moy, James, Naureckas, Edward, Olin, J Tod, Peters, Stephen P, Phipatanakul, Wanda, Que, Loretta, Raissy, Hengameh, Robison, Rachel G, Ross, Kristie, Sheehan, William, Smith, Lewis J, Solway, Julian, Sorkness, Christine A, Sullivan-Vedder, Lisa, Wenzel, Sally, White, Steven, and Israel, Elliot
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Biomedical and Clinical Sciences ,Clinical Sciences ,Pediatric ,Clinical Research ,Lung ,Asthma ,Clinical Trials and Supportive Activities ,6.1 Pharmaceuticals ,Evaluation of treatments and therapeutic interventions ,Respiratory ,Administration ,Inhalation ,Adolescent ,Adrenergic beta-2 Receptor Agonists ,Adult ,Black or African American ,Bronchodilator Agents ,Child ,Child ,Preschool ,Cross-Over Studies ,Dose-Response Relationship ,Drug ,Double-Blind Method ,Drug Combinations ,Female ,Fluticasone ,Glucocorticoids ,Humans ,Male ,Prospective Studies ,Salmeterol Xinafoate ,NHLBI AsthmaNet ,Medical and Health Sciences ,General & Internal Medicine ,Biomedical and clinical sciences ,Health sciences - Abstract
BackgroundMorbidity from asthma is disproportionately higher among black patients than among white patients, and black patients constitute the minority of participants in trials informing treatment. Data indicate that patients with inadequately controlled asthma benefit more from addition of a long-acting beta-agonist (LABA) than from increased glucocorticoids; however, these data may not be informative for treatment in black patients.MethodsWe conducted two prospective, randomized, double-blind trials: one involving children and the other involving adolescents and adults. In both trials, the patients had at least one grandparent who identified as black and had asthma that was inadequately controlled with low-dose inhaled glucocorticoids. We compared combinations of therapy, which included the addition of a LABA (salmeterol) to an inhaled glucocorticoid (fluticasone propionate), a step-up to double to quintuple the dose of fluticasone, or both. The treatments were compared with the use of a composite measure that evaluated asthma exacerbations, asthma-control days, and lung function; data were stratified according to genotypic African ancestry.ResultsWhen quintupling the dose of fluticasone (to 250 μg twice a day) was compared with adding salmeterol (50 μg twice a day) and doubling the fluticasone (to 100 μg twice a day), a superior response occurred in 46% of the children with quintupling the fluticasone and in 46% of the children with doubling the fluticasone and adding salmeterol (P = 0.99). In contrast, more adolescents and adults had a superior response to added salmeterol than to an increase in fluticasone (salmeterol-low-dose fluticasone vs. medium-dose fluticasone, 49% vs. 28% [P = 0.003]; salmeterol-medium-dose fluticasone vs. high-dose fluticasone, 49% vs. 31% [P = 0.02]). Neither the degree of African ancestry nor baseline biomarkers predicted a superior response to specific treatments. The increased dose of inhaled glucocorticoids was associated with a decrease in the ratio of urinary cortisol to creatinine in children younger than 8 years of age.ConclusionsIn contrast to black adolescents and adults, almost half the black children with poorly controlled asthma had a superior response to an increase in the dose of an inhaled glucocorticoid and almost half had a superior response to the addition of a LABA. (Funded by the National Heart, Lung, and Blood Institute; BARD ClinicalTrials.gov number, NCT01967173.).
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- 2019
31. Host biology, ecology and the environment influence microbial biomass and diversity in 101 marine fish species
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Jeremiah J. Minich, Andreas Härer, Joseph Vechinski, Benjamin W. Frable, Zachary R. Skelton, Emily Kunselman, Michael A. Shane, Daniela S. Perry, Antonio Gonzalez, Daniel McDonald, Rob Knight, Todd P. Michael, and Eric E. Allen
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Science - Abstract
In this study, the microbiota of multiple body sites from 101 marine fish species from Southern California were sampled and analysed. The authors compared diversity measures while also establishing a method to estimate microbial biomass. Body site is shown to be the strongest driver of microbial diversity and patterns of phylosymbiosis are observed across the gill, skin and hindgut.
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- 2022
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32. Abstract 15410: Obstacles to Implementation in a Heart Failure Nurse Practitioner and Pharmacist Lead Guideline Directed Medical Therapy Program
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Ali, Omaima, Baksh, Gladys, Haydo, Michele, Reesor, Heather, Contreras, Carlos, Ahmed, Samaa, Kunselman, Allen R, and Foy, Andrew
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- 2023
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33. Novel cross-linked polysaccharide-polyelectrolyte hemostatic foam improves survival compared to CombatGauze in swine femoral artery hemorrhage model
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Linskey Dougherty, Melissa, Izer, Jenelle M., Kunselman, Allen R., Oh, John S., Chi, Kai, Chen, Caini, Catchmark, Jeffrey M., and Armen, Scott B.
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- 2023
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34. Liberal vs. restricted opioid prescribing following midurethral sling dataset
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Brianne M. Morgan, Jaime B. Long, Sarah S. Boyd, Matthew F. Davies, Allen R. Kunselman, Christy M. Stetter, and Michael H. Andreae
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Opioid use ,Opioid stewardship ,Midurethral sling ,Opioid prescribing ,Randomized clinical trial ,Computer applications to medicine. Medical informatics ,R858-859.7 ,Science (General) ,Q1-390 - Abstract
Postoperative opioid prescribing has historically lacked information critical to balancing the pain control needs of the individual patient with our professional responsibility to judiciously prescribe these high-risk medications. This data evaluates pain control, satisfaction with pain control, and opioid utilization among patients undergoing isolated mid-urethral sling (MUS) randomized to one of two different opioid prescribing regimens. This study was registered on clinicaltrials.gov (NCT04277975). Women undergoing isolated MUS by a Female Pelvic Medicine and Reconstructive Surgery physician at a Penn State Health hospital from June 1, 2020 to November 22, 2021 were offered enrollment into this prospective, randomized, open-label, non-inferiority clinical trial. Participants gave informed consent and were enrolled by a member of the study team. Allocation was concealed to patient and study personnel until randomization on the day of surgery. Preoperatively, all participants completed baseline demographic and pain surveys including CSI-9, PCS, and Likert pain score (scale 0-10). Participants were randomized to either receive a standard prescription of ten 5 mg tablets oxycodone provided preoperatively (standard) or opioid prescription provided only upon patient request postoperatively (restricted). Randomization was performed by the study team surgeon using the REDCap randomization module on the day of surgery.Following MUS, subjects completed a daily diary for 1 week, i.e., postoperative day (POD) 0 through 7. Within the dairy, subjects provided the following information: average daily pain score, opioid use and amount of opioid utilized, other forms of pain management, satisfaction with pain control, perception of the amount of opioid prescribed, and need for pain management hospital/clinic visits. The online Prescription Drug Monitoring Program (PDMP) was queried for all patients to determine if prescriptions for opioids were filled during the postoperative period. The primary outcome was average postoperative day 1 pain score and an a priori determined margin of non-inferiority was set at 2 points. Secondary outcomes included whether subject filled an opioid prescription (indicated by the online PDMP), opioid use (yes/no), satisfaction with pain control (on a scale of 1= “much worse” to 5= “much better” than expected), and how subjects felt about the amount of opioid prescribed (on a scale of 1=“prescribed far more” to 3=“prescribed the right amount” to 5=“prescribed far less” opioid than needed). 82 participants underwent isolated MUS placement and met inclusion criteria; 40 were randomized to the standard arm and 42 to the restricted group. Within this manuscript, we detail the data obtained from this randomized clinical trial and the methods utilized.
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- 2023
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35. Exclusion of Reproductive-aged Women in COVID-19 Vaccination and Clinical Trials
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Kons, Kelly M., Wood, Megan L., Peck, Lindsey C., Hershberger, Sarah M., Kunselman, Allen R., Stetter, Christina, Legro, Richard S., and Deimling, Timothy A.
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- 2022
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36. A Randomized Clinical Trial of Perfusion Modalities in Pediatric Congenital Heart Surgery Patients
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Ündar, Akif, Patel, Krishna, Holcomb, Ryan M., Clark, Joseph B., Ceneviva, Gary D., Young, Christine A., Spear, Debra, Kunselman, Allen R., Thomas, Neal J., and Myers, John L.
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- 2022
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37. Advancing genetic improvement in the omics era: status and priorities for United States aquaculture.
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Andersen, Linnea K., Thompson, Neil F., Abernathy, Jason W., Ahmed, Ridwan O., Ali, Ali, Al-Tobasei, Rafet, Beck, Benjamin H., Calla, Bernarda, Delomas, Thomas A., Dunham, Rex A., Elsik, Christine G., Fuller, S. Adam, García, Julio C., Gavery, Mackenzie R., Hollenbeck, Christopher M., Johnson, Kevin M., Kunselman, Emily, Legacki, Erin L., Liu, Sixin, and Liu, Zhanjiang
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AGRICULTURE ,SCIENCE education ,GENOMICS ,SCIENTIFIC community ,LIFE sciences - Abstract
Background: The innovations of the "Omics Era" have ushered in significant advancements in genetic improvement of agriculturally important animal species through transforming genetics, genomics and breeding strategies. These advancements were often coordinated, in part, by support provided over 30 years through the 1993–2023 National Research Support Project 8 (NRSP8, National Animal Genome Research Program, NAGRP) and affiliate projects focused on enabling genomic discoveries in livestock, poultry, and aquaculture species. These significant and parallel advances demand strategic planning of future research priorities. This paper, as an output from the May 2023 Aquaculture Genomics, Genetics, and Breeding Workshop, provides an updated status of genomic resources for United States aquaculture species, highlighting major achievements and emerging priorities. Main text: Finfish and shellfish genome and omics resources enhance our understanding of genetic architecture and heritability of performance and production traits. The 2023 Workshop identified present aims for aquaculture genomics/omics research to build on this progress: (1) advancing reference genome assembly quality; (2) integrating multi-omics data to enhance analysis of production and performance traits; (3) developing resources for the collection and integration of phenomics data; (4) creating pathways for applying and integrating genomics information across animal industries; and (5) providing training, extension, and outreach to support the application of genome to phenome. Research focuses should emphasize phenomics data collection, artificial intelligence, identifying causative relationships between genotypes and phenotypes, establishing pathways to apply genomic information and tools across aquaculture industries, and an expansion of training programs for the next-generation workforce to facilitate integration of genomic sciences into aquaculture operations to enhance productivity, competitiveness, and sustainability. Conclusion: This collective vision of applying genomics to aquaculture breeding with focus on the highlighted priorities is intended to facilitate the continued advancement of the United States aquaculture genomics, genetics and breeding research community and industries. Critical challenges ahead include the practical application of genomic tools and analytical frameworks beyond academic and research communities that require collaborative partnerships between academia, government, and industry. The scope of this review encompasses the use of omics tools and applications in the study of aquatic animals cultivated for human consumption in aquaculture settings throughout their life-cycle. [ABSTRACT FROM AUTHOR]
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- 2025
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38. Deepening the understanding of wreck ecology: a comparative study of marine sediment microbiomes across 10 Maltese wreck sites.
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Bolton, Emma, Greenhalgh, Nadine, Kunselman, Emily, Mifsud, Jasmine, Patel, Neem, Sausmekat, Maja Pace, Oldach, Phoebe, and Gambin, Timmy
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MARINE sediments ,COMPOSITION of sediments ,COUNTRY of origin (Immigrants) ,EUPHOTIC zone ,GERMPLASM - Abstract
The anthropogenic influences of historical shipwrecks on the marine environment remain largely uncharacterized, particularly for wrecks located at depths of ~50 meters and lost over 80 years ago. Below 50 meters, the marine environment transitions from the euphotic to the mesophotic zone, where reduced light, significant changes in oxygen levels, and increased pressure may alter microbial communities and metabolic pathways. Understanding these shifts can provide insights into the adaptation and evolution of microorganisms. Sediment samples were collected by a team of divers from nine wreck sites off the coast of Malta, varying in depth from 5 to 100 meters. All sampling was conducted with the consent and authorization of the Government of Malta for the collection of marine genetic resources. Chemical analyses and metabarcoding techniques were employed to assess how shipwrecks influence microbial diversity and community composition in the surrounding sediments. Alpha (α) diversity of microbial communities was higher in sediments adjacent to the shipwrecks compared to those collected over 100 meters away from any wreck site. Across all nine wreck sites, sediment size emerged as the most significant driver of microbial diversity, followed by frame type and the presence of oil leaks. This study demonstrates that shipwrecks, varying in depth, frame type, and country of origin, significantly influence the microbial ecosystems and sediment chemistry of their surrounding environment. The findings suggest that shipwrecks act as focal points for ecological and chemical changes, contributing to the dynamic interactions between historical artifacts and marine ecosystems. [ABSTRACT FROM AUTHOR]
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- 2024
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39. Centrifugal or Roller Blood Pumps for Neonatal Venovenous Extracorporeal Membrane Oxygenation: Extracorporeal Life Support Organization Database Comparison of Mortality and Morbidity
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Ündar, Akif, Kunselman, Allen R., Barbaro, Ryan P., Alexander, Peta, Patel, Krishna, and Thomas, Neal J.
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- 2023
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40. Obesity's effect on asthma extends to diagnostic criteria
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Lugogo, Njira, Green, Cynthia L, Agada, Noah, Zhang, Siyi, Meghdadpour, Susanne, Zhou, Run, Yang, Siyun, Anstrom, Kevin J, Israel, Elliot, Martin, Richard, Lemanske, Robert F, Boushey, Homer, Lazarus, Stephen C, Wasserman, Stephen I, Castro, Mario, Calhoun, William, Peters, Stephen P, DiMango, Emily, Chinchilli, Vernon, Kunselman, Susan, King, Tonya S, Icitovic, Nikolina, and Kraft, Monica
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Biomedical and Clinical Sciences ,Nutrition and Dietetics ,Lung ,Asthma ,Clinical Research ,Obesity ,Clinical Trials and Supportive Activities ,Detection ,screening and diagnosis ,4.1 Discovery and preclinical testing of markers and technologies ,Respiratory ,Inflammatory and immune system ,Adult ,Biomarkers ,Eosinophils ,Female ,Humans ,Immunoglobulin E ,Inflammation ,Leukocyte Count ,Male ,Middle Aged ,Nitric Oxide ,obesity ,eosinophils ,inflammatory markers ,fraction of exhaled nitric oxide ,Immunology ,Allergy - Abstract
BackgroundThe use of inflammatory biomarkers to delineate the type of lung inflammation present in asthmatic subjects is increasingly common. However, the effect of obesity on these markers is unknown.ObjectivesWe aimed to determine the effect of obesity on conventional markers of inflammation in asthmatic subjects.MethodsWe performed secondary analysis of data from 652 subjects previously enrolled in 2 Asthma Clinical Research Network trials. We performed linear correlations between biomarkers and logistic regression analysis to determine the predictive value of IgE levels, blood eosinophil counts, and fraction of exhaled nitric oxide values in relationship to sputum eosinophil counts (>2%), as well as to determine whether cut points existed that would maximize the sensitivity and specificity for predicting sputum eosinophilia in the 3 weight groups.ResultsOverall, statistically significant but relatively weak correlations were observed among all 4 markers of inflammation. Within obese subjects, the only significant correlation found was between IgE levels and blood eosinophil counts (r = 0.33, P
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- 2018
41. Microstructure classification in the unsupervised context
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Kunselman, Courtney, Sheikh, Sofia, Mikkelsen, Madalyn, Attari, Vahid, and Arróyave, Raymundo
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- 2022
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42. Inducible Sbds deletion impairs bone marrow niche capacity to engraft donor bone marrow after transplantation
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Zha, Ji, Kunselman, Lori K., Xie, Hongbo M., Ennis, Brian, Shah, Yash B., Qin, Xia, Fan, Jian-Meng, Babushok, Daria V., and Olson, Timothy S.
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- 2022
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43. The cross-hemispheric nigrostriatal pathway prevents the expression of levodopa-induced dyskinesias
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Iyer, Vishakh, Venkiteswaran, Kala, Savaliya, Sandip, Lieu, Christopher A., Handly, Erin, Gilmour, Timothy P., Kunselman, Allen R., and Subramanian, Thyagarajan
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- 2021
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44. Characteristics Associated With New Patient Appointment No-Shows at an Academic Ophthalmology Department in the United States
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Chiam, Mckenzee, Kunselman, Allen R., and Chen, Michael C.
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- 2021
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45. Mechanisms of selective G protein–coupled receptor localization and trafficking
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Kunselman, Jennifer M., Lott, Joshua, and Puthenveedu, Manojkumar A.
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- 2021
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46. Biomechanical Comparison of Fibertape Device Repair Techniques of Ligamentous Lisfranc Injury in a Cadaveric Model
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Koroneos, Zachary, Vannatta, Emily, Kim, Morgan, Cowman, Trevin, Fritsche, Madelaine, Kunselman, Allen R., Lewis, Gregory S., and Aynardi, Michael
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- 2021
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47. Sensory Stimulation Threshold: A Viable Tool to Improve the Outcome of Lumbar Facet Radiofrequency Denervation?
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Shi W, Rudra R, Vu TN, Gordin Y, Smith R, and Kunselman AR
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sensory stimulation threshold ,radiofrequency ablation ,lower back pain ,lumbar facet arthropathy ,outcome ,Medicine (General) ,R5-920 - Abstract
Weibin Shi,1,2 Renuka Rudra,1,2 To-Nhu Vu,3 Yuri Gordin,1,2 Ryan Smith,1,2 Allen R Kunselman4 1Department of Physical Medicine and Rehabilitation, Penn State Health Milton S Hershey Medical Center, Penn State College of Medicine, Hershey, PA, USA; 2Penn State Hershey Rehabilitation Hospital, Hummelstown, PA, USA; 3Department of Anesthesiology & Perioperative Medicine, Penn State Health Milton S Hershey Medical Center, Penn State College of Medicine, Hershey, PA, USA; 4Department of Public Health Sciences, Penn State Hershey College of Medicine, Hershey, PA, USACorrespondence: Weibin Shi; To-Nhu Vu Email wshi@pennstatehealth.psu.edu; tonhuvu@pennstatehealth.psu.eduBackground: Sensory stimulation threshold (SST) has been used as a surrogate marker to target a nerve branch for radiofrequency (RF) denervation; however, the validity of SST as a prognostic marker is still under debate.Objective: To assess whether lower SST values correlate with better outcomes of radiofrequency denervation for facetogenic low back pain.Design: Prospective cohort study.Patients: Sixty-seven patients who underwent radiofrequency denervation for low back pain.Methods: Correlations, between the average percentage of pain relief from diagnostic medial branch block (MBB) and RF denervation procedure outcome, and between SST and RF denervation procedure outcome, were analyzed using Spearman correlation coefficient (rs). Wilcoxon rank sum test was performed to assess whether magnitude and duration of pain relief following RF denervation differed by the levels of SST (< 0.5 and ≥ 0.5) or pain relief (< 80% and ≥ 80%) from diagnostic MBB.Results: There was a positive correlation between pain relief after diagnostic MBB and pain relief 2 weeks after denervation (rs 0.31, 95% CI 0.08 to 0.51, p < 0.01), but not between pain relief after MBB and pain relief 6 months after denervation, nor pain relief duration after denervation. There was a negative correlation between SST and pain relief 6 months after denervation (rs − 0.41, 95% CI − 0.59 to − 0.18, p < 0.001). There was also a negative correlation between SST and pain relief duration after denervation (rs − 0.33, 95% CI − 0.53 to − 0.09, p < 0.01).Conclusion: SST is a viable measurement with which to guide needle placement during RF denervation for lumbar facet pain, and enhances pain relief outcomes.Keywords: sensory stimulation threshold, radiofrequency ablation, lower back pain, lumbar facet arthropathy, outcome
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- 2021
48. Lifestyle modifications alone or combined with hormonal contraceptives improve sexual dysfunction in women with polycystic ovary syndrome
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Steinberg Weiss, Marissa, Roe, Andrea Hsu, Allison, Kelly C., Dodson, William C., Kris-Etherton, Penny M., Kunselman, Allen R., Stetter, Christy M., Williams, Nancy I., Gnatuk, Carol L., Estes, Stepanie J., Sarwer, David B., Coutifaris, Christos, Legro, Richard S., and Dokras, Anuja
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- 2021
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49. Preventing asthma in high risk kids (PARK) with omalizumab: Design, rationale, methods, lessons learned and adaptation
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Bartnikas, Lisa, Kantor, David, Permaul, Perdita, Akar-Ghibril, Nicole, Haktanir-Abul, Mehtap, Gunnalaugsson, Sigfus, Esty, Brittany, Crestani, Elena, Maciag, Michelle, Hauptman, Marissa, Baxi, Sachin N., Burke-Roberts, Elizabeth, Louisias, Margee, Banzon, Tina, Habiballah, Saddiq, Nguyen, Alan, Simoneau, Tregony, Minnicozzi, Samantha, Treffeisen, Elsa, LaBere, Brenna, Chandler, Mia, Fanny, Manoussa, Vasquez-Muniz, Anna Cristina, Konzelman, Vanessa, Garcia, Giselle, Waskosky, Sullivan, Ramsey, Anna, Ansel-Kelly, Ethan, Fitzpatrick, Elizabeth, Bairaktaris, Vaia, Fernandez, Jesse, Hollister, Brianna, Lewis, Owen, McIntosh, Masai, Almeida, Sigrid, Kercsmar, Carolyn, McDowell, Karen, Shipp, Cassie, Ward, Stephanie (Logsdon), Lin, Nancy, George, Alisha, Simpson, Ryne, St. Onge, Ina, Corwin, Will, Geigle, Grant, Hartmann, Alisha, Broderick, John, Szefler, Stanley, Miyazawa, Naomi, Tippin, Brooke, Anderson, Darci, Belimezova, Sonya, Navanandan, Nidhya, Watson, Tanya, Olson, Michelle, Caldwell, Wanda, Horner, Caroline, Kertz, Lila, Norris, Tina, Rivera-Spoljaric, Katherine, Stokes, Jeffrey, Coverstone, Andrea, McDowell, Molly, Laughlin, Sarah, Laury, Gina, Donato, Rosanne, Beckett-Firmage, Elizabeth, Cornidez, Elia A., Lopez, Silvia, Simon, Michele, Skeps, Raymond, Vasquez, Monica, Gage, Rob, Shearer, Heather, Pecak, Melissa, Winters, Sandi, Rukasin, Christine, McNally, Bernadette, Johnson, Darcy, Vickery, Brian, Grunwell, Jocelyn, Nicholls, Morgan, El-Hussein, Taqwa, Patel, Shilpa, Pillai, Dinsesh, Makhija, Melanie, Robison, Rachel, Bosworth, Jennifer, Catalano, Michelle, Cassin, Kathleen, DeLeon, Laura Bamaca, Titus, Nicole, Leibel, Sydney, Aceves, Seema, Mortazavi, Diba, Loop, Lauren, Anvari, Sara, Anagnostou, Aikaterini, Pitts, Kathy, Sebutra, Sopar, Tran, Daisy, McMullen-Jackson, Chivon, Jin, Jay, Krupp, Nadia, Ren, Clement, Vitalpur, Girish, Shively, Lori, Campbell, Patrick, Bendy, Lisa, France, Lisa, Jara, Sylvia, Cichy, Sarah, Engle, Linda, Merchlinski, Aimee, Payton, Melanie, Ramsey, Pam, Schmidt, James, Tekely, Dan, Updegrave, Angela, Weber, Rachel, Zimmerman, Ronald, Jr, Thorne, Peter S., Metwali, Nervana, Jing, Xuefang, Walker, Melissa, Sigelman, Steven S., Li, Ling, Hamrah, Sanaz, Phipatanakul, Wanda, Mauger, David T., Guilbert, Theresa W., Bacharier, Leonard B., Durrani, Sandy, Jackson, Daniel J., Martinez, Fernando D., Fitzpatrick, Anne M., Cunningham, Amparito, Kunselman, Susan, Wheatley, Lisa M., Bauer, Cindy, Davis, Carla M., Geng, Bob, Kloepfer, Kirsten M., Lapin, Craig, Liu, Andrew H., Pongracic, Jacqueline A., Teach, Stephen J., Chmiel, James, Gaffin, Jonathan M., Greenhawt, Matthew, Gupta, Meera R., Lai, Peggy S., Lemanske, Robert F., Morgan, Wayne J., Sheehan, William J., Oettgen, Hans C., and Israel, Elliot
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- 2021
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50. Bicortical Compression and Construct Stability With Variable Pitch Locking Screws in Cadaveric Specimens.
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Koroneos, Zachary A., Alwine, Shelby, Tortora, Peter, Pitcher, Michaela, Benedict, Christian, Wee, Hwabok, Kunselman, Allen, Aynardi, Michael, and Lewis, Gregory S.
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- 2024
- Full Text
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