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1. Can Personalized Medicine Coexist with Health Equity? Examining the Cost Barrier and Ethical Implications

Author

Francisco, Kishi Kobe Yee, Apuhin, Andrane Estelle Carnicer, Tan, Myles Joshua Toledo, Byers, Mickael Cavanaugh, Maravilla, Nicholle Mae Amor Tan, Karim, Hezerul Abdul, and AlDahoul, Nouar

Subjects
Computer Science - Computers and Society
Abstract

Personalized medicine (PM) promises to transform healthcare by providing treatments tailored to individual genetic, environmental, and lifestyle factors. However, its high costs and infrastructure demands raise concerns about exacerbating health disparities, especially between high-income countries (HICs) and low- and middle-income countries (LMICs). While HICs benefit from advanced PM applications through AI and genomics, LMICs often lack the resources necessary to adopt these innovations, leading to a widening healthcare divide. This paper explores the financial and ethical challenges of PM implementation, with a focus on ensuring equitable access. It proposes strategies for global collaboration, infrastructure development, and ethical frameworks to support LMICs in adopting PM, aiming to prevent further disparities in healthcare accessibility and outcomes., Comment: 30 pages, 1 figure

Published
2024

2. Shaping Integrity: Why Generative Artificial Intelligence Does Not Have to Undermine Education

Author

Tan, Myles Joshua Toledo and Maravilla, Nicholle Mae Amor Tan

Subjects
Computer Science - Computers and Society
Abstract

This paper examines the role of generative artificial intelligence (GAI) in promoting academic integrity within educational settings. It explores how AI can be ethically integrated into classrooms to enhance learning experiences, foster intrinsic motivation, and support voluntary behavior change among students. By analyzing established ethical frameworks and educational theories such as deontological ethics, consequentialism, constructivist learning, and Self-Determination Theory (SDT), the paper argues that GAI, when used responsibly, can enhance digital literacy, encourage genuine knowledge construction, and uphold ethical standards in education. This research highlights the potential of GAI to create enriching, personalized learning environments that prepare students to navigate the complexities of the modern world ethically and effectively., Comment: 18 pages, 0 figures

Published
2024

3. Modulation of tumor microenvironment by targeting histone acetylation in bladder cancer

Author

Nunes, Sandra P., Morales, Lucia, Rubio, Carolina, Munera-Maravilla, Ester, Lodewijk, Iris, Suárez-Cabrera, Cristian, Martínez, Victor G., Pérez-Escavy, Mercedes, Pérez-Crespo, Miriam, Alonso Sánchez, Miguel, Montesinos, Esther, San José-Enériz, Edurne, Agirre, Xabier, Prósper, Felipe, Pineda-Lucena, Antonio, Henrique, Rui, Dueñas, Marta, Correia, Margareta P., Jerónimo, Carmen, and Paramio, Jesús M.

Published
2024
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8. Rapid Fabrication of Low Impedance, 3D Dry Electrodes for Physiological Sensing

Author

Kaveh, Ryan, Tetreault, Natalie, Gopalan, Karthik, Maravilla, Julian, Lustig, Michael, Muller, Rikky, and Arias, Ana C.

Subjects
Physics - Medical Physics, Quantitative Biology - Quantitative Methods
Abstract

Medical electrophysiological sensors that can study the body and diagnose diseases depend on consistently low impedance electrode-skin interfaces. Clinical-standard wet electrodes use hydrogels and skin abrasion to improve the interface and thus the recorded signal quality. These electrodes are challenging to self-administer and impede in-home care. Wearable dry electrodes are more practical; however, they show higher impedances than wet electrodes and are costly to customize. This work presents a fabrication method for rapidly producing low impedance, anatomically fit dry electrodes that do not require hydrogels. By using electroless copper and gold plating with 3D printing, biocompatible electrodes can be optimized for individuals at a fraction of the cost of existing vacuum deposition-based techniques. Example 3D dry electrodes made with this process are evaluated alongside clinical-standard devices in typical scenarios to compare electrical performance and comfort. The resulting dry electrodes exhibited an average electrode-skin impedance of 66.7 k{\Omega} at 50Hz and DC offset of -20 mV without any hydrogel, which, when area normalized, is within the range achieved by wet electrodes without skin abrasion.

Published
2022

10. Contributions to the 36th International Cosmic Ray Conference (ICRC 2019) of the JEM-EUSO Collaboration

Author

Abdellaoui, G., Abe, S., Adams Jr., J. H., Ahriche, A., Allard, D., Allen, L., Alonso, G., Anchordoqui, L., Anzalone, A., Arai, Y., Asano, K., Attallah, R., Attoui, H., Pernas, M. Ave, Bacholle, S., Bakiri, M., Baragatti, P., Barrillon, P., Bartocci, S., Bayer, J., Beldjilali, B., Belenguer, T., Belkhalfa, N., Bellotti, R., Belov, A., Belov, K., Benmessai, K., Bertaina, M., Biermann, P. L., Biktemerova, S., Bisconti, F., Blaksley, C., Blanc, N., Błęcki, J., Blin-Bondil, S., Bobik, P., Bogomilov, M., Bozzo, E., Pacheco, S. Briz, Bruno, A., Caballero, K. S., Cafagna, F., Campana, D., Capdevielle, J-N., Capel, F., Caramete, A., Caramete, L., Carlson, P., Caruso, R., Casolino, M., Cassardo, C., Castellina, A., Catalano, O., Cellino, A., Chikawa, M., Chiritoi, G., Christl, M. J., Connaughton, V., Conti, L., Cotto, G., Crawford, H. J., Cremonini, R., Creusot, A., Csorna, S., Cummings, A., Dagoret-Campagne, S., Gónzalez, A. de Castro, De Donato, C., de la Taille, C., De Santis, C., del Peral, L., Di Martino, M., Damian, A. Diaz, Djemil, T., Dutan, I., Ebersoldt, A., Ebisuzaki, T., Engel, R., Eser, J., Fenu, F., Fernández-González, S., Ferrarese, S., Flamini, M., Fornaro, C., Fouka, M., Franceschi, A., Franchini, S., Fuglesang, C., Fujii, T., Fujimoto, J., Fukushima, M., Galeotti, P., García-Ortega, E., Garipov, G., Gascón, E., Genci, J., Giraudo, G., Alvarado, C. González, Gorodetzky, P., Greg, R., Guarino, F., Guzmán, A., Hachisu, Y., Haiduc, M., Harlov, B., Haungs, A., Carretero, J. Hernández, Cruz, W. Hidber, Ikeda, D., Inoue, N., Inoue, S., Isgrò, F., Itow, Y., Jammer, T., Jeong, S., Joven, E., Judd, E. G., Jung, A., Jochum, J., Kajino, F., Kajino, T., Kalli, S., Kaneko, I., Karadzhov, Y., Karczmarczyk, J., Katahira, K., Kawai, K., Kawasaki, Y., Kedadra, A., Khales, H., Khrenov, B. A., Kim, Jeong-Sook, Kim, Soon-Wook, Kleifges, M., Klimov, P. A., Kolev, D., Krantz, H., Kreykenbohm, I., Krizmanic, J. F., Kudela, K., Kurihara, Y., Kusenko, A., Kuznetsov, E., La Barbera, A., Lahmar, H., Lakhdari, F., Larsson, O., Lee, J., Licandro, J., Campano, L. López, Martínez, F. López, Maccarone, M. C., Mackovjak, S., Mahdi, M., Maravilla, D., Marcelli, L., Marcos, J. L., Marini, A., Marszał, W., Martens, K., Martín, Y., Martinez, O., Martucci, M., Masciantonio, G., Mase, K., Matev, R., Matthews, J. N., Mebarki, N., Medina-Tanco, G., Menshikov, A., Merino, A., Meseguer, J., Meyer, S. S., Mimouni, J., Miyamoto, H., Mizumoto, Y., Monaco, A., Ríos, J. A. Morales de los, Mustafa, M., Nagataki, S., Naitamor, S., Napolitano, T., Nava, R., Neronov, A., Nomoto, K., Nonaka, T., Ogawa, T., Ogio, S., Ohmori, H., Olinto, A. V., Orleaánski, P., Osteria, G., Pagliaro, A., Painter, W., Panasyuk, M. I., Panico, B., Parizot, E., Park, I. H., Pastircak, B., Patzak, T., Paul, T., Pérez-Grande, I., Perfetto, F., Peter, T., Picozza, P., Pindado, S., Piotrowski, L. W., Piraino, S., Placidi, L., Plebaniak, Z., Pliego, S., Pollini, A., Polonski, Z., Popescu, E. M., Prat, P., Prévôt, G., Prieto, H., Puehlhofer, G., Putis, M., Rabanal, J., Radu, A. A., Reyes, M., Rezazadeh, M., Ricci, M., Frías, M. D. Rodríguez, Ronga, F., Roudil, G., Rusinov, I., Rybczyński, M., Sabau, M. D., Cano, G. Sáaez, Sagawa, H., Sahnoune, Z., Saito, A., Sakaki, N., Salazar, H., Balanzar, J. C. Sanchez, Sánchez, J. L., Santangelo, A., Sanz-Andrés, A., Palomino, M. Sanz, Saprykin, O., Sarazin, F., Sato, M., Schanz, T., Schieler, H., Scotti, V., Selmane, S., Semikoz, D., Serra, M., Sharakin, S., Shimizu, H. M., Shinozaki, K., Shirahama, T., Spataro, B., Stan, I., Sugiyama, T., Supanitsky, D., Suzuki, M., Szabelska, B., Szabelski, J., Tajima, N., Tajima, T., Takahashi, Y., Takami, H., Takeda, M., Takizawa, Y., Talai, M. C., Tenzer, C., Thomas, S. B., Tibolla, O., Tkachev, L., Tokuno, H., Tomida, T., Tone, N., Toscano, S., Traïche, M., Tsenov, R., Tsunesada, Y., Tsuno, K., Tubbs, J., Turriziani, S., Uchihori, Y., Vaduvescu, O., Valdés-Galicia, J. F., Vallania, P., Vankova, G., Vigorito, C., Villaseñor, L., Vlcek, B., von Ballmoos, P., Vrabel, M., Wada, S., Watanabe, J., Watts Jr., J., Weber, M., Muñoz, R. Weigand, Weindl, A., Wiencke, L., Wille, M., Wilms, J., Włodarczyk, Z., Yamamoto, T., Yang, J., Yano, H., Yashin, I. V., Yonetoku, D., Yoshida, S., Young, R., Zgura, I. S, Zotov, M. Yu., and Marchi, A. Zuccaro

Subjects
Astrophysics - High Energy Astrophysical Phenomena
Abstract

Compilation of papers presented by the JEM-EUSO Collaboration at the 36th International Cosmic Ray Conference (ICRC), held July 24 through August 1, 2019 in Madison, Wisconsin., Comment: links to the 24 papers published in arXiv

Published
2019

11. Multimorbidity and Opioid Prescribing in Hospitalized Older Adults.

Author

Schear, Sarah, Patel, Kanan, Deng, Lisa X, Miaskowski, Christine, Maravilla, Ingrid, Garrigues, Sarah K, Thompson, Nicole, Auerbach, Andrew D, and Ritchie, Christine S

Subjects
Humans, Pain, Analgesics, Opioid, Aged, Aged, 80 and over, Female, Male, Pain Management, Practice Patterns, Physicians', Multimorbidity, hospitalization, illness burden, multimorbidity, older adults, opioids, Clinical Research, Pain Research, Chronic Pain, Aging, Evaluation of treatments and therapeutic interventions, 6.1 Pharmaceuticals, Clinical Sciences, Nursing, Public Health and Health Services, Gerontology
Abstract

Background: Multimorbidity and pain are both common among older adults, yet pain treatment strategies for older patients with multimorbidity have not been well characterized. Objectives: To assess the prevalence and relationship between multimorbidity and opioid prescribing in hospitalized older medical patients with pain. Methods: We collected demographic, morbidity, pain, and analgesic treatment data through structured review of the electronic medical records of a consecutive sample of 238 medical patients, aged ≥65 years admitted between November 2014 and May 2015 with moderate-to-severe pain by numerical pain rating scale (range 4-10). We used the Cumulative Illness Rating Scale for Geriatrics (CIRS-G) to assess multimorbidity and cumulative illness burden. We examined the relationship between morbidity measures and opioid prescribing at hospital discharge using multivariate regression analysis. Results: The mean age was 75 ± 8 years, 57% were female and 50% were non-White. Mean CIRS-G total score was 17 ± 6, indicating high cumulative illness burden. Ninety-nine percent of patients had multimorbidity, defined as moderate-to-extremely severe morbidity in ≥2 organ systems. Sixty percent of patients received an opioid prescription at discharge. In multivariate analyses adjusted for age, race, and gender, patients with a discharge opioid prescription were significantly more likely to have higher cumulative illness burden and chronic pain. Conclusion: Among older medical inpatients, multimorbidity was nearly universal, and patients with higher cumulative illness burden were more likely to receive a discharge opioid prescription. More studies of benefits and harms of analgesic treatments in older adults with multimorbidity are needed to guide clinical practice.

Published
2020

12. First observations of speed of light tracks by a fluorescence detector looking down on the atmosphere

Author

Abdellaoui, G., Abe, S., Adams Jr., J. H., Ahriche, A., Allard, D., Allen, L., Alonso, G., Anchordoqui, L., Anzalone, A., Arai, Y., Asano, K., Attallah, R., Attoui, H., Pernas, M. Ave, Bacholle, S., Bakiri, M., Baragatti, P., Barrillon, P., Bartocci, S., Bayer, J., Beldjilali, B., Belenguer, T., Belkhalfa, N., Bellotti, R., Belov, A., Belov, K., Benmessai, K., Bertaina, M., Biermann, P. L., Biktemerova, S., Bisconti, F., Blanc, N., Błȩcki, J., Blin-Bondil, S., Bobik, P., Bogomilov, M., Bozzo, E., Bruno, A., Caballero, K. S., Cafagna, F., Campana, D., Capdevielle, J-N., Capel, F., Caramete, A., Caramete, L., Carlson, P., Caruso, R., Casolino, M., Cassardo, C., Castellina, A., Catalano, C. Catalano O., Cellino, A., Chikawa, M., Chiritoi, G., Christl, M. J., Connaughton, V., Conti, L., Cordero, G., Cotto, G., Crawford, H. J., Cremonini, R., Csorna, S., Cummings, A., Dagoret-Campagne, S., De Donato, C., de la Taille, C., De Santis, C., del Peral, L., Di Martino, M., Damian, A. Diaz, Djemil, T., Dutan, I., Ebersoldt, A., Ebisuzaki, T., Engel, R., Eser, J., Fenu, F., Fernández-González, S., Fernández-Soriano, J., Ferrarese, S., Flamini, M., Fornaro, C., Fouka, M., Franceschi, A., Franchini, S., Fuglesang, C., Fujii, T., Fujimoto, J., Fukushima, M., Galeotti, P., García-Ortega, E., Garipov, G., Gascón, E., Genci, J., Giraudo, G., Alvarado, C. González, Gorodetzky, P., Greg, R., Guarino, F., Guzmán, A., Hachisu, Y., Haiduc, M., Harlov, B., Haungs, A., Carretero, J. Hernández, Cruz, W. Hidber, Ikeda, D., Inoue, N., Inoue, S., Isgrò, F., Itow, Y., Jammer, T., Jeong, S., Joven, E., Judd, E. G., Jung, A., Jochum, J., Kajino, F., Kajino, T., Kalli, S., Kaneko, I., Karadzhov, Y., Karczmarczyk, J., Katahira, K., Kawai, K., Kawasaki, Y., Kedadra, A., Khales, H., Khrenov, B. A., Kim, Jeong-Sook, Kim, Soon-Wook, Kleifges, M., Klimov, P. A., Kolev, D., Krantz, H., Kreykenbohm, I., Kudela, K., Kurihara, Y., Kusenko, A., Kuznetsov, E., La Barbera, A., Lachaud, C., Lahmar, H., Lakhdari, F., Larson, R., Larsson, O., Lee, J., Licandro, J., Campano, L. López, Maccarone, M. C., Mackovjak, S., Mahdi, M., Maravilla, D., Marcelli, L., Marcos, J. L., Marini, A., Marszał, W., Martens, K., Martín, Y., Martinez, O., Martucci, M., Masciantonio, G., Mase, K., Mastafa, M., Matev, R., Matthews, J. N., Mebarki, N., Medina-Tanco, G., Mendoza, M. A., Menshikov, A., Merino, A., Meseguer, J., Meyer, S. S., Mimouni, J., Miyamoto, H., Mizumoto, Y., Monaco, A., Ríos, J. A. Morales de los, Nagataki, C. Moretto S., Naitamor, S., Napolitano, T., Naslund, W., Nava, R., Neronov, A., Nomoto, K., Nonaka, T., Ogawa, T., Ogio, S., Ohmori, H., Olinto, A. V., Orleański, P., Osteria, G., Pagliaro, A., Painter, W., Panasyuk, M. I., Panico, B., Pasqualino, G., Parizot, E., Park, I. H., Pastircak, B., Patzak, T., Paul, T., Pérez-Grande, I., Perfetto, F., Peter, T., Picozza, P., Pindado, S., Piotrowski, L. W., Piraino, S., Placidi, L., Plebaniak, Z., Pliego, S., Pollini, A., Polonski, Z., Popescu, E. M., Prat, P., Prévôt, G., Prieto, H., Puehlhofer, G., Putis, M., Rabanal, J., Radu, A. A., Reyes, M., Rezazadeh, M., Ricci, M., Frías, M. D. Rodríguez, Rodencal, M., Ronga, F., Roudil, G., Rusinov, I., Rybczyński, M., Sabau, M. D., Cano, G. Sáez, Sagawa, H., Sahnoune, Z., Saito, A., Sakaki, N., Salazar, H., Balanzar, J. C. Sanchez, Sánchez, J. L., Santangelo, A., Sanz-Andrés, A., Palomino, M. Sanz, Saprykin, O., Sarazin, F., Sato, M., Schanz, T., Schieler, H., Scotti, V., Selmane, S., Semikoz, D., Serra, M., Sharakin, S., Shimizu, H. M., Shinozaki, K., Shirahama, T., Spataro, B., Stan, I., Sugiyama, T., Supanitsky, D., Suzuki, M., Szabelska, B., Szabelski, J., Tajima, N., Tajima, T., Takahashi, Y., Takami, H., Takeda, M., Takizawa, Y., Talai, M. C., Tenzer, C., Thomas, S. B., Tibolla, O., Tkachev, L., Tokuno, H., Tomida, T., Tone, N., Toscano, S., Traïche, M., Tsenov, R., Tsunesada, Y., Tsuno, K., Tubbs, J., Turriziani, S., Uchihori, Y., Vaduvescu, O., Valdés-Galicia, J. F., Vallania, P., Vankova, G., Vigorito, C., Villaseñor, L., Vlcek, B., von Ballmoos, P., Vrabel, M., Wada, S., Watanabe, J., Watts Jr., J., Weber, M., Muñoz, R. Weigand, Weindl, A., Wiencke, L., Wille, M., Wilms, J., Włodarczyk, Z., Yamamoto, T., Yang, J., Yano, H., Yashin, I. V., Yonetoku, D., Yoshida, S., Young, R., Zgura, I. S, Zotov, M. Yu., and Marchi, A. Zuccaro

Subjects
Astrophysics - Instrumentation and Methods for Astrophysics
Abstract

EUSO-Balloon is a pathfinder mission for the Extreme Universe Space Observatory onboard the Japanese Experiment Module (JEM-EUSO). It was launched on the moonless night of the 25$^{th}$ of August 2014 from Timmins, Canada. The flight ended successfully after maintaining the target altitude of 38 km for five hours. One part of the mission was a 2.5 hour underflight using a helicopter equipped with three UV light sources (LED, xenon flasher and laser) to perform an inflight calibration and examine the detectors capability to measure tracks moving at the speed of light. We describe the helicopter laser system and details of the underflight as well as how the laser tracks were recorded and found in the data. These are the first recorded laser tracks measured from a fluorescence detector looking down on the atmosphere. Finally, we present a first reconstruction of the direction of the laser tracks relative to the detector., Comment: 18 pages, 14 figures

Published
2018
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13. Self-Administered Cognitive Testing by Older Adults At-Risk for Cognitive Decline

Author

Tsoy, Elena, Possin, KL, Thompson, N, Patel, K, Garrigues, SK, Maravilla, I, Erlhoff, SJ, and Ritchie, CS

Subjects
Biological Psychology, Cognitive and Computational Psychology, Psychology, Brain Disorders, Aging, Neurodegenerative, Dementia, Acquired Cognitive Impairment, Clinical Trials and Supportive Activities, Behavioral and Social Science, Neurosciences, Clinical Research, Alzheimer's Disease, Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD), Mental health, Aged, Aged, 80 and over, Cognitive Dysfunction, Feasibility Studies, Female, Humans, Male, Mental Status and Dementia Tests, Mobile Applications, Reproducibility of Results, Self Care, Smartphone, Unsupervised cognitive assessment, computerized cognitive assessment, executive function, early detection, Biological psychology, Cognitive and computational psychology
Abstract

Self-administered computerized cognitive testing could effectively monitor older individuals at-risk for cognitive decline at home. In this study, we tested the feasibility and reliability of 3 tablet-based executive functioning measures and an executive composite score in a sample of 30 older adults (age 80±6) with high multimorbidity. The tests were examiner-administered at baseline and then self-administered by the participants at home across 2 subsequent days. Eight of the participants reported no prior experience with touchscreen technology. Twenty-seven participants completed both self-administered assessments, and 28 completed at least one. Cronbach's alpha (individual tests: .87-.89, composite: .93) and correlations between examiner-administered and self-administered performances (individual tests: .72-.91, composite: .93) were high. The participants who had never used a smartphone or a tablet computer showed comparable consistency. Remote self-administered tablet-based testing in older adults at-risk for cognitive decline is feasible and reliable, even among participants without prior technology experience.

Published
2020

14. Prevalence and Characteristics of Moderate to Severe Pain among Hospitalized Older Adults.

Author

Deng, Lisa X, Patel, Kanan, Miaskowski, Christine, Maravilla, Ingrid, Schear, Sarah, Garrigues, Sarah, Thompson, Nicole, Auerbach, Andrew D, and Ritchie, Christine S

Subjects
Humans, Pain, Acetaminophen, Analgesics, Analgesics, Opioid, Anti-Inflammatory Agents, Non-Steroidal, Pain Measurement, Prevalence, Aged, Aged, 80 and over, Inpatients, Female, Male, Pain Management, Tertiary Care Centers, hospital, older adult, opioids, pain, pain management, Neurosciences, Pain Research, Clinical Research, Health Services, Chronic Pain, Aging, Evaluation of treatments and therapeutic interventions, 6.1 Pharmaceuticals, Medical and Health Sciences, Geriatrics
Abstract

ObjectivesTo investigate the prevalence, characteristics, and management of pain in older hospitalized medical patients.DesignMedical record aggregate review.SettingTertiary care hospital.ParticipantsIndividuals aged 65 and older admitted to the medicine service between November 28, 2014, and May 28, 2015.MeasurementsDemographic characteristics, comorbidity burden, pain characteristics, and analgesics during index hospitalization were assessed in individuals with moderate to severe pain (≥4 on 0-10 Numeric Pain Rating Scale).ResultsOf 1,267 patients admitted to the medicine service, 248 (20%) had moderate to severe pain on admission (mean age 75 ± 8, 57% female, 50% white). During hospitalization, most participants received opioids (80%) and acetaminophen (74%), and few received nonsteroidal antiinflammatory drugs (9%). Participants with chronic pain had less reduction in pain intensity score from admission to discharge than those without a history of chronic pain (mean change score 3.7 vs 4.9, p=.002) and were more likely to receive opioids, adjuvant analgesics, and other analgesics (all p

Published
2018

19. The Relation between the Epistemological Beliefs of Teachers and Students and Their Behavior in Educational Practice

Author

Maravilla, Jaime and Gómez, Luis F.

Abstract

This article analyzes the relation of the epistemological beliefs of students and teachers and the actions deployed in the classroom. The framework is the study of personal epistemology, which was developed, among other researchers, by Hofer, Pintrich and Schommer. The research method was, within the qualitative paradigm, through case studies, given the interest in describing the phenomenon in a specific scenario. The results show the epistemological beliefs of teachers and students, the events that make them evident and its relationship with the behaviors shown in the classroom. The role of pedagogical beliefs as mediation between personal epistemology of educational actors and their practice are described and, finally, the relation between beliefs and educational practice is illustrated by analyzing specific class events and the justification expressed by teachers and students about their actions in the classroom.

Published
2015

20. 'Educadoras de la Comunidad Negociando Conocimiento': A Latinx Critical and 'Testimonio' Approach

Author

Joanna V. Maravilla

Abstract

This dissertation is a qualitative research case study of three Latina "educadoras." The data analyzed comes from a larger research study (PROJECT) focused on teacher professional development aimed at incorporating emergent bilingual students' funds of knowledge in the development of curriculum that promotes greater equitable outcomes. With data consisting of individual and focus group interviews and videotaped lessons focused on mathematics and science concepts, I use Latinx critical race (LatCrit) theory and "testimonio" as my theoretical and methodological approach (Bernal, Burciaga & Carmona, 2012) to explore how race, identity, and power mediate a culturally relevant and inclusive curriculum in the Little Village neighborhood of Chicago. Through the telling of their "testimonios" through the lens of their own racial, linguistic, and "matematicas" learning experiences, Latina "educadoras" position their understanding, struggle with, and development of their notions of what it means to teach Latinx emergent bilingual (LEB) students within the space of "matematicas." I explored the following questions: (1) How do Latina "educadoras" use their Latinx emergent bilingual and "matematicas" identity-shaping experiences to inform the way they teach "matematicas" to their Latinx emergent bilingual students? (2) How do Latina "educadoras'" identity-shaping experiences lead to instruction that promotes students to see themselves as learners and doers of "matematicas" (Martin, 2012) over time? Through the analysis of both their "testimonios" and "practica," I argue that all three Latina "educadoras" demonstrated moving beyond the idea of teaching as politically neutral to understand their teaching as a political practice (Gutierrez, 2013). Three emergent themes resulted: the centrality of community cultural wealth, "identidad," and language as wealth in the teaching of the Latina "educadoras." Through their self-reconstructed "identidades," these "educadoras" better understood how to connect their curriculum to LEB students' everyday practices outside of the classroom, as well as more fully assess their students' comprehension of "matematicas." Implications include the need for more research on Latinx teachers who identify as teaching in communities where they are from, research on how the act of "testimonio" can impact teachers' pedagogy, and research on the incorporation of students' community funds of knowledge into the curriculum in order to support the construction of powerful mathematical identities in LEB students. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]

Published
2020

21. Do Relationality and Aptness Influence Conventionalization?

Author

Maravilla, Francisco and Gentner, Dedre

Abstract

The conventionalization of figurative comparisons is one source of lexical evolution. For example, anchor onceonly meant a device for mooring a ship, but may now be used to describe any source of stability or confidence. Our goalis to understand this process. Following the Career of Metaphor framework, figurative mappings are interpreted through astructure-mapping process, rendering common structure salient. As figurative terms become conventionalized, (1) the figurativesense becomes associated with the base term; and (2) there is shift from simile form to metaphor form. In two studies weinvestigated psycholinguistic properties that may influence this process: relationality and aptness. We use relative preferencefor the metaphor form as an estimate of degree of conventionalization; by determining the preferred form for a set of figuratives,we find evidence that both aptness and relationality influence this process. We speculate that figurative comparisons may giverise to new relational terms.

Published
2017

29. The Problems and Possibilities of Interest Convergence in a Dual Language School

Author

Morales, P. Zitlali and Maravilla, Joanna V.

Abstract

The increase and popularity of dual language (DL) or two-way immersion programs nationally, and specifically in California, is due to the acceptability of bilingual programs that are inclusive of students whose first language is English, and who are typically of a White, middle-class background. This phenomenon can be explained through the idea of interest convergence, as discussed by critical race theorists. That is, social policies that benefit the minority population only change when they also benefit the dominant or majority population. We argue that in the case of DL programs, it is beneficial for both the linguistic minority group and the majority for interest convergence to be realized. This theoretical lens can actually be a helpful tool to view whether the interests of one group are being prioritized over the other, as is so often the case when there is a power differential between the two groups, such as White middle-class families and Spanish-speaking/Latino families.

Published
2019
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30. Brain White Matter Abnormalities in Female Interstitial Cystitis/Bladder Pain Syndrome: A MAPP Network Neuroimaging Study.

Author

Farmer, Melissa A, Huang, Lejian, Martucci, Katherine, Yang, Claire C, Maravilla, Kenneth R, Harris, Richard E, Clauw, Daniel J, Mackey, Sean, Ellingson, Benjamin M, Mayer, Emeran A, Schaeffer, Anthony J, Apkarian, A Vania, and MAPP Research Network

Subjects
MAPP Research Network, Humans, Cystitis, Interstitial, Adult, Female, Male, Neuroimaging, White Matter, cystitis, diffusion tensor imaging, interstitial, pain, urinary bladder, white matter, cystitis, interstitial, Urology & Nephrology, Clinical Sciences
Abstract

PurposeSeveral chronic pain conditions may be distinguished by condition specific brain anatomical and functional abnormalities on imaging, which are suggestive of underlying disease processes. We present what is to our knowledge the first characterization of interstitial cystitis/bladder pain syndrome associated white matter (axonal) abnormalities based on multicenter neuroimaging from the MAPP Research Network.Materials and methodsWe assessed 34 women with interstitial cystitis/bladder pain syndrome and 32 healthy controls using questionnaires on pain, mood and daily function. White matter microstructure was evaluated by diffusion tensor imaging to model directional water flow along axons or fractional anisotropy. Regions correlating with clinical parameters were further examined for gender and syndrome dependence.ResultsWomen with interstitial cystitis/bladder pain syndrome showed numerous white matter abnormalities that correlated with pain severity, urinary symptoms and impaired quality of life. Interstitial cystitis/bladder pain syndrome was characterized by decreased fractional anisotropy in aspects of the right anterior thalamic radiation, the left forceps major and the right longitudinal fasciculus. Increased fractional anisotropy was detected in the right superior and bilateral inferior longitudinal fasciculi.ConclusionsTo our knowledge we report the first characterization of brain white matter abnormalities in women with interstitial cystitis/bladder pain syndrome. Regional decreases and increases in white matter integrity across multiple axonal tracts were associated with symptom severity. Given that white matter abnormalities closely correlated with hallmark symptoms of interstitial cystitis/bladder pain syndrome, including bladder pain and urinary symptoms, brain anatomical alterations suggest that there are neuropathological contributions to chronic urological pelvic pain.

Published
2015

32. Increased Brain Gray Matter in the Primary Somatosensory Cortex is Associated with Increased Pain and Mood Disturbance in Patients with Interstitial Cystitis/Painful Bladder Syndrome

Author

Kairys, Anson E, Schmidt-Wilcke, Tobias, Puiu, Tudor, Ichesco, Eric, Labus, Jennifer S, Martucci, Katherine, Farmer, Melissa A, Ness, Timothy J, Deutsch, Georg, Mayer, Emeran A, Mackey, Sean, Apkarian, A Vania, Maravilla, Kenneth, Clauw, Daniel J, and Harris, Richard E

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Clinical Research, Chronic Pain, Interstitial Cystitis, Urologic Diseases, Pain Research, Neurosciences, 2.1 Biological and endogenous factors, Neurological, Adult, Case-Control Studies, Cystitis, Interstitial, Female, Gray Matter, Humans, Mood Disorders, Pain, Somatosensory Cortex, cystitis, interstitial, pain, somatosensory cortex, cystitis, interstitial
Abstract

PurposeInterstitial cystitis is a highly prevalent pain condition estimated to affect 3% to 6% of women in the United States. Emerging data suggest there are central neurobiological components to the etiology of this disease. We report the first brain structural imaging findings from the MAPP network with data on more than 300 participants.Materials and methodsWe used voxel based morphometry to determine whether human patients with chronic interstitial cystitis display changes in brain morphology compared to healthy controls. A total of 33 female patients with interstitial cystitis without comorbidities and 33 age and gender matched controls taken from the larger sample underwent structural magnetic resonance imaging at 5 MAPP sites across the United States.ResultsCompared to controls, females with interstitial cystitis displayed significant increased gray matter volume in several regions of the brain including the right primary somatosensory cortex, the superior parietal lobule bilaterally and the right supplementary motor area. Gray matter volume in the right primary somatosensory cortex was associated with greater pain, mood (anxiety) and urological symptoms. We explored these correlations in a linear regression model, and found independent effects of these 3 measures on primary somatosensory cortex gray matter volume, namely clinical pain (McGill pain sensory total), a measure of urgency and anxiety (HADS).ConclusionsThese data support the notion that changes in somatosensory gray matter may have an important role in pain sensitivity as well as affective and sensory aspects of interstitial cystitis. Further studies are needed to confirm the generalizability of these findings to other pain conditions.

Published
2015

33. Alterations in Resting State Oscillations and Connectivity in Sensory and Motor Networks in Women with Interstitial Cystitis/Painful Bladder Syndrome

Author

Kilpatrick, Lisa A, Kutch, Jason J, Tillisch, Kirsten, Naliboff, Bruce D, Labus, Jennifer S, Jiang, Zhiguo, Farmer, Melissa A, Apkarian, A Vania, Mackey, Sean, Martucci, Katherine T, Clauw, Daniel J, Harris, Richard E, Deutsch, Georg, Ness, Timothy J, Yang, Claire C, Maravilla, Kenneth, Mullins, Chris, and Mayer, Emeran A

Subjects
Biomedical and Clinical Sciences, Neurosciences, Clinical Sciences, Urologic Diseases, Pain Research, Interstitial Cystitis, Chronic Pain, Women's Health, Clinical Research, 2.1 Biological and endogenous factors, Neurological, Adult, Brain, Cystitis, Interstitial, Female, Humans, Magnetic Resonance Imaging, Nerve Net, urinary bladder, cystitis, interstitial, magnetic resonance imaging, brain mapping, pain, cystitis, interstitial
Abstract

PurposeThe pathophysiology of interstitial cystitis/painful bladder syndrome remains incompletely understood but is thought to involve central disturbance in the processing of pain and viscerosensory signals. We identified differences in brain activity and connectivity between female patients with interstitial cystitis/painful bladder syndrome and healthy controls to advance clinical phenotyping and treatment efforts for interstitial cystitis/painful bladder syndrome.Materials and methodsWe examined oscillation dynamics of intrinsic brain activity in a large sample of well phenotyped female patients with interstitial cystitis/painful bladder syndrome and female healthy controls. Data were collected during 10-minute resting functional magnetic resonance imaging as part of the Multidisciplinary Approach to the Study of Chronic Pelvic Pain Research Network project. The blood oxygen level dependent signal was transformed to the frequency domain. Relative power was calculated for multiple frequency bands.ResultsResults demonstrated altered frequency distributions in viscerosensory (post insula), somatosensory (postcentral gyrus) and motor regions (anterior paracentral lobule, and medial and ventral supplementary motor areas) in patients with interstitial cystitis/painful bladder syndrome. Also, the anterior paracentral lobule, and medial and ventral supplementary motor areas showed increased functional connectivity to the midbrain (red nucleus) and cerebellum. This increased functional connectivity was greatest in patients who reported pain during bladder filling.ConclusionsFindings suggest that women with interstitial cystitis/painful bladder syndrome have a sensorimotor component to the pathological condition involving an alteration in intrinsic oscillations and connectivity in a cortico-cerebellar network previously associated with bladder function.

Published
2014

39. Inhibition of a G9a/DNMT network triggers immune-mediated bladder cancer regression

Author

Segovia, Cristina, San José-Enériz, Edurne, Munera-Maravilla, Ester, Martínez-Fernández, Mónica, Garate, Leire, Miranda, Estíbaliz, Vilas-Zornoza, Amaia, Lodewijk, Iris, Rubio, Carolina, Segrelles, Carmen, Valcárcel, Luis Vitores, Rabal, Obdulia, Casares, Noelia, Bernardini, Alejandra, Suarez-Cabrera, Cristian, López-Calderón, Fernando F., Fortes, Puri, Casado, José A., Dueñas, Marta, Villacampa, Felipe, Lasarte, Juan José, Guerrero-Ramos, Félix, de Velasco, Guillermo, Oyarzabal, Julen, Castellano, Daniel, Agirre, Xabier, Prósper, Felipe, and Paramio, Jesús M.

Published
2019
Full Text
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41. Lowell Public Library, Final Performance Report for Library Services and Construction Act (LSCA) Title VI, Library Literacy Program.

Author

Lowell Public Library, IN. and Maravilla, Virginia

Abstract

The Lowell Public Library (Indiana) Adult Literacy Program expanded literacy efforts of the library and its volunteer tutors by increasing the program enrollment numbers of the functionally illiterate English-speaking, English as a Second Language (ESL), migrant workers, and Basic Math students; assisted students in achieving their stated goals in reading, writing, and speaking English; improved students' basic math skills; and taught students to use the resources of the library. The project served a community of 10,000-25,000 people. Tutoring using the Literacy Volunteers of America (LVA) method was done one-on-one and in small groups. Volunteers expanded their tutoring efforts to include entire families. The program focused on partnership building within the community and with adjacent programs that serve low-level adult readers and their families. Partnerships with local industry continue to serve workplace literacy needs within the community. Attachments include lists of materials purchased, news articles, certificate of membership in the Northwest Indiana Literacy Coalition, Inc., literacy coordinator's monthly reports, promotional materials, tutor monthly reports, program brochure, and literacy newsletters. (SWC)

Published
1993

42. Global burden and strength of evidence for 88 risk factors in 204 countries and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

Author

Brauer, Michael, Roth, Gregory A, Aravkin, Aleksandr Y, Zheng, Peng, Abate, Kalkidan Hassen, Abate, Yohannes Habtegiorgis, Abbafati, Cristiana, Abbasgholizadeh, Rouzbeh, Abbasi, Madineh Akram, Abbasian, Mohammadreza, Abbasifard, Mitra, Abbasi-Kangevari, Mohsen, Abd ElHafeez, Samar, Abd-Elsalam, Sherief, Abdi, Parsa, Abdollahi, Mohammad, Abdoun, Meriem, Abdulah, Deldar Morad, Abdullahi, Auwal, Abebe, Mesfin, Abedi, Aidin, Abedi, Armita, Abegaz, Tadesse M, Abeldaño Zuñiga, Roberto Ariel, Abiodun, Olumide, Abiso, Temesgen Lera, Aboagye, Richard Gyan, Abolhassani, Hassan, Abouzid, Mohamed, Aboye, Girma Beressa, Abreu, Lucas Guimarães, Abualruz, Hasan, Abubakar, Bilyaminu, Abu-Gharbieh, Eman, Abukhadijah, Hana Jihad Jihad, Aburuz, Salahdein, Abu-Zaid, Ahmed, Adane, Mesafint Molla, Addo, Isaac Yeboah, Addolorato, Giovanni, Adedoyin, Rufus Adesoji, Adekanmbi, Victor, Aden, Bashir, Adetunji, Juliana Bunmi, Adeyeoluwa, Temitayo Esther, Adha, Rishan, Adibi, Amin, Adnani, Qorinah Estiningtyas Sakilah, Adzigbli, Leticia Akua, Afolabi, Aanuoluwapo Adeyimika, Afolabi, Rotimi Felix, Afshin, Ashkan, Afyouni, Shadi, Afzal, Muhammad Sohail, Afzal, Saira, Agampodi, Suneth Buddhika, Agbozo, Faith, Aghamiri, Shahin, Agodi, Antonella, Agrawal, Anurag, Agyemang-Duah, Williams, Ahinkorah, Bright Opoku, Ahmad, Aqeel, Ahmad, Danish, Ahmad, Firdos, Ahmad, Noah, Ahmad, Shahzaib, Ahmad, Tauseef, Ahmed, Ali, Ahmed, Anisuddin, Ahmed, Ayman, Ahmed, Luai A, Ahmed, Muktar Beshir, Ahmed, Safoora, Ahmed, Syed Anees, Ajami, Marjan, Akalu, Gizachew Taddesse, Akara, Essona Matatom, Akbarialiabad, Hossein, Akhlaghi, Shiva, Akinosoglou, Karolina, Akinyemiju, Tomi, Akkaif, Mohammed Ahmed, Akkala, Sreelatha, Akombi-Inyang, Blessing, Al Awaidy, Salah, Al Hasan, Syed Mahfuz, Alahdab, Fares, AL-Ahdal, Tareq Mohammed Ali, Alalalmeh, Samer O, Alalwan, Tariq A, Al-Aly, Ziyad, Alam, Khurshid, Alam, Nazmul, Alanezi, Fahad Mashhour, Alanzi, Turki M, Albakri, Almaza, AlBataineh, Mohammad T, Aldhaleei, Wafa A, Aldridge, Robert W, Alemayohu, Mulubirhan Assefa, Alemu, Yihun Mulugeta, Al-Fatly, Bassam, Al-Gheethi, Adel Ali Saeed, Al-Habbal, Khairat, Alhabib, Khalid F, Alhassan, Robert Kaba, Ali, Abid, Ali, Amjad, Ali, Beriwan Abdulqadir, Ali, Iman, Ali, Liaqat, Ali, Mohammed Usman, Ali, Rafat, Ali, Syed Shujait Shujait, Ali, Waad, Alicandro, Gianfranco, Alif, Sheikh Mohammad, Aljunid, Syed Mohamed, Alla, François, Al-Marwani, Sabah, Al-Mekhlafi, Hesham M, Almustanyir, Sami, Alomari, Mahmoud A, Alonso, Jordi, Alqahtani, Jaber S, Alqutaibi, Ahmed Yaseen, Al-Raddadi, Rajaa M, Alrawashdeh, Ahmad, Al-Rifai, Rami Hani, Alrousan, Sahel Majed, Al-Sabah, Salman Khalifah, Alshahrani, Najim Z, Altaany, Zaid, Altaf, Awais, Al-Tawfiq, Jaffar A, Altirkawi, Khalid A, Aluh, Deborah Oyine, Alvis-Guzman, Nelson, Alvis-Zakzuk, Nelson J, Alwafi, Hassan, Al-Wardat, Mohammad Sami, Al-Worafi, Yaser Mohammed, Aly, Hany, Aly, Safwat, Alzoubi, Karem H, Al-Zyoud, Walid, Amaechi, Uchenna Anderson, Aman Mohammadi, Masous, Amani, Reza, Amiri, Sohrab, Amirzade-Iranaq, Mohammad Hosein, Ammirati, Enrico, Amu, Hubert, Amugsi, Dickson A, Amusa, Ganiyu Adeniyi, Ancuceanu, Robert, Anderlini, Deanna, Anderson, Jason A, Andrade, Pedro Prata, Andrei, Catalina Liliana, Andrei, Tudorel, Anenberg, Susan C, Angappan, Dhanalakshmi, Angus, Colin, Anil, Abhishek, Anil, Sneha, Anjum, Afifa, Anoushiravani, Amir, Antonazzo, Ippazio Cosimo, Antony, Catherine M, Antriyandarti, Ernoiz, Anuoluwa, Boluwatife Stephen, Anvari, Davood, Anvari, Saeid, Anwar, Saleha, Anwar, Sumadi Lukman, Anwer, Razique, Anyabolo, Ekenedilichukwu Emmanuel, Anyasodor, Anayochukwu Edward, Apostol, Geminn Louis Carace, Arabloo, Jalal, Arabzadeh Bahri, Razman, Arafat, Mosab, Areda, Demelash, Aregawi, Brhane Berhe, Aremu, Abdulfatai, Armocida, Benedetta, Arndt, Michael Benjamin, Ärnlöv, Johan, Arooj, Mahwish, Artamonov, Anton A, Artanti, Kurnia Dwi, Aruleba, Idowu Thomas, Arumugam, Ashokan, Asbeutah, Akram M, Asgary, Saeed, Asgedom, Akeza Awealom, Ashbaugh, Charlie, Ashemo, Mubarek Yesse, Ashraf, Tahira, Askarinejad, Amir, Assmus, Michael, Astell-Burt, Thomas, Athar, Mohammad, Athari, Seyyed Shamsadin, Atorkey, Prince, Atreya, Alok, Aujayeb, Avinash, Ausloos, Marcel, Avila-Burgos, Leticia, Awoke, Andargie Abate, Ayala Quintanilla, Beatriz Paulina, Ayatollahi, Haleh, Ayestas Portugal, Carlos, Ayuso-Mateos, Jose L, Azadnajafabad, Sina, Azevedo, Rui M S, Azhar, Gulrez Shah, Azizi, Hosein, Azzam, Ahmed Y, Backhaus, Insa Linnea, Badar, Muhammad, Badiye, Ashish D, Bagga, Arvind, Baghdadi, Soroush, Bagheri, Nasser, Bagherieh, Sara, Bahrami Taghanaki, Pegah, Bai, Ruhai, Baig, Atif Amin, Baker, Jennifer L, Bakkannavar, Shankar M, Balasubramanian, Madhan, Baltatu, Ovidiu Constantin, Bam, Kiran, Bandyopadhyay, Soham, Banik, Biswajit, Banik, Palash Chandra, Banke-Thomas, Aduragbemi, Bansal, Hansi, Barchitta, Martina, Bardhan, Mainak, Bardideh, Erfan, Barker-Collo, Suzanne Lyn, Bärnighausen, Till Winfried, Barone-Adesi, Francesco, Barqawi, Hiba Jawdat, Barrero, Lope H, Barrow, Amadou, Barteit, Sandra, Basharat, Zarrin, Basiru, Afisu, Basso, João Diogo, Bastan, Mohammad-Mahdi, Basu, Sanjay, Batchu, Sai, Batra, Kavita, Batra, Ravi, Baune, Bernhard T, Bayati, Mohsen, Bayileyegn, Nebiyou Simegnew, Beaney, Thomas, Behnoush, Amir Hossein, Beiranvand, Maryam, Béjot, Yannick, Bekele, Alehegn, Belgaumi, Uzma Iqbal, Bell, Arielle Wilder, Bell, Michelle L, Bello, Muhammad Bashir, Bello, Olorunjuwon Omolaja, Belo, Luis, Beloukas, Apostolos, Bendak, Salaheddine, Bennett, Derrick A, Bennitt, Fiona B, Bensenor, Isabela M, Benzian, Habib, Beran, Azizullah, Berezvai, Zombor, Bernabe, Eduardo, Bernstein, Robert S, Bettencourt, Paulo J G, Bhagavathula, Akshaya Srikanth, Bhala, Neeraj, Bhandari, Dinesh, Bhardwaj, Nikha, Bhardwaj, Pankaj, Bhaskar, Sonu, Bhat, Ajay Nagesh, Bhat, Vivek, Bhatti, Gurjit Kaur, Bhatti, Jasvinder Singh, Bhatti, Manpreet S, Bhatti, Rajbir, Bhuiyan, Mohiuddin Ahmed, Bhutta, Zulfiqar A, Bikbov, Boris, Bishai, Jessica Devin, Bisignano, Catherine, Biswas, Atanu, Biswas, Bijit, Biswas, Raaj Kishore, Bjørge, Tone, Boachie, Micheal Kofi, Boakye, Hosea, Bockarie, Moses John, Bodolica, Virginia, Bodunrin, Aadam Olalekan, Bogale, Eyob Ketema, Bolla, Srinivasa Rao, Boloor, Archith, Bonakdar Hashemi, Milad, Boppana, Sri Harsha, Bora Basara, Berrak, Borhany, Hamed, Botero Carvajal, Alejandro, Bouaoud, Souad, Boufous, Soufiane, Bourne, Rupert, Boxe, Christopher, Braithwaite, Dejana, Brant, Luisa C, Brar, Amanpreet, Breitborde, Nicholas J K, Breitner, Susanne, Brenner, Hermann, Briko, Andrey Nikolaevich, Britton, Gabrielle, Brown, Colin Stewart, Browne, Annie J, Brunoni, Andre R, Bryazka, Dana, Bulamu, Norma B, Bulto, Lemma N, Buonsenso, Danilo, Burkart, Katrin, Burns, Richard A, Busse, Reinhard, Bustanji, Yasser, Butt, Nadeem Shafique, Butt, Zahid A, Caetano dos Santos, Florentino Luciano, Cagney, Jack, Cahuana-Hurtado, Lucero, Calina, Daniela, Cámera, Luis Alberto, Campos, Luciana Aparecida, Campos-Nonato, Ismael R, Cao, Chao, Cao, Fan, Cao, Yubin, Capodici, Angelo, Cárdenas, Rosario, Carr, Sinclair, Carreras, Giulia, Carrero, Juan J, Carugno, Andrea, Carvalho, Felix, Carvalho, Márcia, Castaldelli-Maia, Joao Mauricio, Castañeda-Orjuela, Carlos A, Castelpietra, Giulio, Catalá-López, Ferrán, Catapano, Alberico L, Cattaruzza, Maria Sofia, Caye, Arthur, Cederroth, Christopher R, Cegolon, Luca, Cenderadewi, Muthia, Cercy, Kelly M, Cerin, Ester, Chadwick, Joshua, Chakraborty, Chiranjib, Chakraborty, Promit Ananyo, Chakraborty, Sandip, Chan, Jeffrey Shi Kai, Chan, Raymond N C, Chandan, Joht Singh, Chandika, Rama Mohan, Chaturvedi, Pankaj, Chen, An-Tian, Chen, Catherine S, Chen, Haowei, Chen, Meng Xuan, Chen, Mingling, Chen, Simiao, Cheng, Ching-Yu, Cheng, Esther T W, Cherbuin, Nicolas, Chi, Gerald, Chichagi, Fatemeh, Chimed-Ochir, Odgerel, Chimoriya, Ritesh, Ching, Patrick R, Chirinos-Caceres, Jesus Lorenzo, Chitheer, Abdulaal, Cho, William C S, Chong, Bryan, Chopra, Hitesh, Chowdhury, Rajiv, Christopher, Devasahayam J, Chu, Dinh-Toi, Chukwu, Isaac Sunday, Chung, Eric, Chung, Sheng-Chia, Chutiyami, Muhammad, Cioffi, Iolanda, Cogen, Rebecca M, Cohen, Aaron J, Columbus, Alyssa, Conde, Joao, Corlateanu, Alexandru, Cortese, Samuele, Cortesi, Paolo Angelo, Costa, Vera Marisa, Costanzo, Simona, Criqui, Michael H, Cruz, Jessica A, Cruz-Martins, Natália, Culbreth, Garland T, da Silva, Alanna Gomes, Dadras, Omid, Dai, Xiaochen, Dai, Zhaoli, Daikwo, Patience Unekwuojo, Dalli, Lachlan L, Damiani, Giovanni, D'Amico, Emanuele, D'Anna, Lucio, Darwesh, Aso Mohammad, Das, Jai K, Das, Subasish, Dash, Nihar Ranjan, Dashti, Mohsen, Dávila-Cervantes, Claudio Alberto, Davis Weaver, Nicole, Davitoiu, Dragos Virgil, De la Hoz, Fernando Pio, de la Torre-Luque, Alejandro, De Leo, Diego, Debopadhaya, Shayom, Degenhardt, Louisa, Del Bo', Cristian, Delgado-Enciso, Ivan, Delgado-Saborit, Juana Maria, Demoze, Chalachew Kassaw, Denova-Gutiérrez, Edgar, Dervenis, Nikolaos, Dervišević, Emina, Desai, Hardik Dineshbhai, Desai, Rupak, Devanbu, Vinoth Gnana Chellaiyan, Dewan, Syed Masudur Rahman, Dhali, Arkadeep, Dhama, Kuldeep, Dhane, Amol S, Dhimal, Mandira Lamichhane, Dhimal, Meghnath, Dhingra, Sameer, Dhulipala, Vishal R, Dhungana, Raja Ram, Dias da Silva, Diana, Diaz, Daniel, Diaz, Luis Antonio, Diaz, Michael J, Dima, Adriana, Ding, Delaney D, Dinu, Monica, Djalalinia, Shirin, Do, Thanh Chi, Do, Thao Huynh Phuong, do Prado, Camila Bruneli, Dodangeh, Masoud, Dohare, Sushil, Dokova, Klara Georgieva, Dong, Wanyue, Dongarwar, Deepa, D'Oria, Mario, Dorostkar, Fariba, Dorsey, E Ray, Doshi, Rajkumar, Doshmangir, Leila, Dowou, Robert Kokou, Driscoll, Tim Robert, Dsouza, Ashel Chelsea, Dsouza, Haneil Larson, Dumith, Samuel C, Duncan, Bruce B, Duraes, Andre Rodrigues, Duraisamy, Senbagam, Dushpanova, Anar, Dzianach, Paulina Agnieszka, Dziedzic, Arkadiusz Marian, Ebrahimi, Alireza, Echieh, Chidiebere Peter, Ed-Dra, Abdelaziz, Edinur, Hisham Atan, Edvardsson, David, Edvardsson, Kristina, Efendi, Ferry, Eftekharimehrabad, Aziz, Eini, Ebrahim, Ekholuenetale, Michael, Ekundayo, Temitope Cyrus, El Arab, Rabie Adel, El Sayed Zaki, Maysaa, El-Dahiyat, Faris, Elemam, Noha Mousaad, Elgar, Frank J, ElGohary, Ghada Metwally Tawfik, Elhabashy, Hala Rashad, Elhadi, Muhammed, Elmehrath, Ahmed O, Elmeligy, Omar Abdelsadek Abdou, Elshaer, Mohammed, Elsohaby, Ibrahim, Emeto, Theophilus I, Esfandiari, Negin, Eshrati, Babak, Eslami, Majid, Esmaeili, Sayed Vahid, Estep, Kara, Etaee, Farshid, Fabin, Natalia, Fagbamigbe, Adeniyi Francis, Fagbule, Omotayo Francis, Fahimi, Saman, Falzone, Luca, Fareed, Mohammad, Farinha, Carla Sofia e Sá, Faris, MoezAlIslam Ezzat Mahmoud, Faris, Pawan Sirwan, Faro, Andre, Fasina, Folorunso Oludayo, Fatehizadeh, Ali, Fauk, Nelsensius Klau, Fazylov, Timur, Feigin, Valery L, Feng, Xiaoqi, Fereshtehnejad, Seyed-Mohammad, Feroze, Abdullah Hamid, Ferrara, Pietro, Ferrari, Alize J, Ferreira, Nuno, Fetensa, Getahun, Feyisa, Bikila Regassa, Filip, Irina, Fischer, Florian, Fitriana, Ida, Flavel, Joanne, Flohr, Carsten, Flood, David, Flor, Luisa S, Foigt, Nataliya A, Folayan, Morenike Oluwatoyin, Force, Lisa M, Fortuna, Daniela, Foschi, Matteo, Franklin, Richard Charles, Freitas, Alberto, Friedman, Sara D, Fux, Blima, G, Sridevi, Gaal, Peter Andras, Gaihre, Santosh, Gajdács, Márió, Galali, Yaseen, Gallus, Silvano, Gandhi, Aravind P, Ganesan, Balasankar, Ganiyani, Mohammad Arfat, Garcia, Vanessa, Gardner, William M, Garg, Ravindra K, Gautam, Rupesh K, Gebi, Tilaye Gebru, Gebregergis, Miglas W, Gebrehiwot, Mesfin, Gebremariam, Tesfay B B, Gebremeskel, Teferi Gebru, Gerema, Urge, Getacher, Lemma, Getahun, Genanew K a, Getie, Molla, Ghadirian, Fataneh, Ghafarian, Sadegh, Ghaffari Jolfayi, Amir, Ghailan, Khalid Yaser, Ghajar, Alireza, Ghasemi, MohammadReza, Ghasempour Dabaghi, Ghazal, Ghasemzadeh, Afsaneh, Ghassemi, Fariba, Ghazy, Ramy Mohamed, Gholami, Ali, Gholamrezanezhad, Ali, Gholizadeh, Nasim, Ghorbani, Mahsa, Gil, Artyom Urievich, Gil, Gabriela 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Halboub, Esam S, Halimi, Aram, Hall, Brian J, Haller, Sebastian, Halwani, Rabih, Hamadeh, Randah R, Hamdy, Nadia M, Hameed, Sajid, Hamidi, Samer, Hammoud, Ahmad, Hanif, Asif, Hanifi, Nasrin, Haq, Zaim Anan, Haque, Md Rabiul, Harapan, Harapan, Hargono, Arief, Haro, Josep Maria, Hasaballah, Ahmed I, Hasan, Ikramul, Hasan, Mohammad Jahid, Hasan, S M Mahmudul, Hasani, Hamidreza, Hasanian, Mohammad, Hashmeh, Nadim, Hasnain, Md Saquib, Hassan, Amr, Hassan, Ikrama, Hassan Zadeh Tabatabaei, Mahgol Sadat, Hassani, Shokoufeh, Hassanipour, Soheil, Hassankhani, Hadi, Haubold, Johannes, Havmoeller, Rasmus J, Hay, Simon I, Hebert, Jeffrey J, Hegazi, Omar E, Hegena, Tadele Yohannes, Heidari, Golnaz, Heidari, Mohammad, Helfer, Bartosz, Hemmati, Mehdi, Henson, Claire A, Herbert, Molly E, Herteliu, Claudiu, Heuer, Austin, Hezam, Kamal, Hinneh, Thomas Kwadwo, Hiraike, Yuta, Hoan, Nguyen Quoc, Holla, Ramesh, Hon, Julia, Hoque, Mohammad Enamul, Horita, Nobuyuki, Hossain, Sahadat, Hosseini, Seyed Ehsan, 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Abstract

Understanding the health consequences associated with exposure to risk factors is necessary to inform public health policy and practice. To systematically quantify the contributions of risk factor exposures to specific health outcomes, the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 aims to provide comprehensive estimates of exposure levels, relative health risks, and attributable burden of disease for 88 risk factors in 204 countries and territories and 811 subnational locations, from 1990 to 2021.

Published
2024
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43. Global age-sex-specific mortality, life expectancy, and population estimates in 204 countries and territories and 811 subnational locations, 1950–2021, and the impact of the COVID-19 pandemic: a comprehensive demographic analysis for the Global Burden of Disease Study 2021

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Schumacher, Austin E, Kyu, Hmwe Hmwe, Aali, Amirali, Abbafati, Cristiana, Abbas, Jaffar, Abbasgholizadeh, Rouzbeh, Abbasi, Madineh Akram, Abbasian, Mohammadreza, Abd ElHafeez, Samar, Abdelmasseh, Michael, Abd-Elsalam, Sherief, Abdelwahab, Ahmed, Abdollahi, Mohammad, Abdoun, Meriem, Abdullahi, Auwal, Abdurehman, Ame Mehadi, Abebe, Mesfin, Abedi, Aidin, Abedi, Armita, Abegaz, Tadesse M, Abeldaño Zuñiga, Roberto Ariel, Abhilash, E S, Abiodun, Olugbenga Olusola, Aboagye, Richard Gyan, Abolhassani, Hassan, Abouzid, Mohamed, Abreu, Lucas Guimarães, Abrha, Woldu Aberhe, Abrigo, Michael R M, Abtahi, Dariush, Abu Rumeileh, Samir, Abu-Rmeileh, Niveen ME, Aburuz, Salahdein, Abu-Zaid, Ahmed, Acuna, Juan Manuel, Adair, Tim, Addo, Isaac Yeboah, Adebayo, Oladimeji M, Adegboye, Oyelola A, Adekanmbi, Victor, Aden, Bashir, Adepoju, Abiola Victor, Adetunji, Charles Oluwaseun, Adeyeoluwa, Temitayo Esther, Adeyomoye, Olorunsola Israel, Adha, Rishan, Adibi, Amin, Adikusuma, Wirawan, Adnani, Qorinah Estiningtyas Sakilah, Adra, Saryia, Afework, Abel, Afolabi, Aanuoluwapo Adeyimika, Afraz, Ali, Afyouni, Shadi, Afzal, Saira, Agasthi, Pradyumna, Aghamiri, Shahin, Agodi, Antonella, Agyemang-Duah, Williams, Ahinkorah, Bright Opoku, Ahmad, Aqeel, Ahmad, Danish, Ahmad, Firdos, Ahmad, Muayyad M, Ahmad, Tauseef, Ahmadi, Keivan, Ahmadzade, Amir Mahmoud, Ahmadzade, Mohadese, Ahmed, Ayman, Ahmed, Haroon, Ahmed, Luai A, Ahmed, Muktar Beshir, Ahmed, Syed Anees, Ajami, Marjan, Aji, Budi, Ajumobi, Olufemi, Akalu, Gizachew Taddesse, Akara, Essona Matatom, Akinosoglou, Karolina, Akkala, Sreelatha, Akyirem, Samuel, Al Hamad, Hanadi, Al Hasan, Syed Mahfuz, Al Homsi, Ammar, Al Qadire, Mohammad, Ala, Moein, Aladelusi, Timothy Olukunle, AL-Ahdal, Tareq Mohammed Ali, Alalalmeh, Samer O, Al-Aly, Ziyad, Alam, Khurshid, Alam, Manjurul, Alam, Zufishan, Al-amer, Rasmieh Mustafa, Alanezi, Fahad Mashhour, Alanzi, Turki M, Albashtawy, Mohammed, AlBataineh, Mohammad T, Aldridge, Robert W, Alemi, Sharifullah, 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Abstract

Estimates of demographic metrics are crucial to assess levels and trends of population health outcomes. The profound impact of the COVID-19 pandemic on populations worldwide has underscored the need for timely estimates to understand this unprecedented event within the context of long-term population health trends. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 provides new demographic estimates for 204 countries and territories and 811 additional subnational locations from 1950 to 2021, with a particular emphasis on changes in mortality and life expectancy that occurred during the 2020–21 COVID-19 pandemic period.

Published
2024
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44. Burden of disease scenarios for 204 countries and territories, 2022–2050: a forecasting analysis for the Global Burden of Disease Study 2021

Author

Vollset, Stein Emil, Ababneh, Hazim S, Abate, Yohannes Habtegiorgis, Abbafati, Cristiana, Abbasgholizadeh, Rouzbeh, Abbasian, Mohammadreza, Abbastabar, Hedayat, Abd Al Magied, Abdallah H A, Abd ElHafeez, Samar, Abdelkader, Atef, Abdelmasseh, Michael, Abd-Elsalam, Sherief, Abdi, Parsa, Abdollahi, Mohammad, Abdoun, Meriem, Abdullahi, Auwal, Abebe, Mesfin, Abiodun, Olumide, Aboagye, Richard Gyan, Abolhassani, Hassan, Abouzid, Mohamed, Aboye, Girma Beressa, Abreu, Lucas Guimarães, Absalan, Abdorrahim, Abualruz, Hasan, Abubakar, Bilyaminu, Abukhadijah, Hana Jihad Jihad, Addolorato, Giovanni, Adekanmbi, Victor, Adetunji, Charles Oluwaseun, Adetunji, Juliana Bunmi, Adeyeoluwa, Temitayo Esther, Adha, Rishan, Adhikary, Ripon Kumar, Adnani, Qorinah Estiningtyas Sakilah, Adzigbli, Leticia Akua, Afrashteh, Fatemeh, Afzal, Muhammad Sohail, Afzal, Saira, Agbozo, Faith, Agodi, Antonella, Agrawal, Anurag, Agyemang-Duah, Williams, Ahinkorah, Bright Opoku, Ahlstrom, Austin J, Ahmad, Aqeel, Ahmad, Firdos, Ahmad, Muayyad M, Ahmad, Sajjad, Ahmad, Shahzaib, Ahmed, Anisuddin, Ahmed, Ayman, Ahmed, Haroon, Ahmed, Safoora, Ahmed, Syed Anees, Akinosoglou, Karolina, Akkaif, Mohammed Ahmed, Akrami, Ashley E, Akter, Ema, Al Awaidy, Salah, Al Hasan, Syed Mahfuz, Al Mosa, Amjad S, Al Ta'ani, Omar, Al Zaabi, Omar Ali Mohammed, Alahdab, Fares, Alajlani, Muaaz M, Al-Ajlouni, Yazan, Alalalmeh, Samer O, Al-Aly, Ziyad, Alam, Khurshid, Alam, Noore, Alam, Tahiya, Alam, Zufishan, Al-amer, Rasmieh Mustafa, Alanezi, Fahad Mashhour, Alanzi, Turki M, Albakri, Almaza, Aldhaleei, Wafa A, Aldridge, Robert W, Alemohammad, Seyedeh Yasaman, Alemu, Yihun Mulugeta, Al-Gheethi, Adel Ali Saeed, Al-Hanawi, Mohammed Khaled, Ali, Abid, Ali, Amjad, Ali, Iman, Ali, Mohammed Usman, Ali, Rafat, Ali, Syed Shujait Shujait, Ali, Victor Ekoche, Ali, Waad, Al-Ibraheem, Akram, Alicandro, Gianfranco, Alif, Sheikh Mohammad, Aljunid, Syed Mohamed, Alla, François, Almazan, Joseph Uy, Al-Mekhlafi, Hesham M, Alqutaibi, Ahmed Yaseen, 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Abstract

Future trends in disease burden and drivers of health are of great interest to policy makers and the public at large. This information can be used for policy and long-term health investment, planning, and prioritisation. We have expanded and improved upon previous forecasts produced as part of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) and provide a reference forecast (the most likely future), and alternative scenarios assessing disease burden trajectories if selected sets of risk factors were eliminated from current levels by 2050.

Published
2024
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45. Global fertility in 204 countries and territories, 1950–2021, with forecasts to 2100: a comprehensive demographic analysis for the Global Burden of Disease Study 2021

Author

Bhattacharjee, Natalia V, Schumacher, Austin E, Aali, Amirali, Abate, Yohannes Habtegiorgis, Abbasgholizadeh, Rouzbeh, Abbasian, Mohammadreza, Abbasi-Kangevari, Mohsen, Abbastabar, Hedayat, Abd ElHafeez, Samar, Abd-Elsalam, Sherief, Abdollahi, Mohammad, Abdollahifar, Mohammad-Amin, Abdoun, Meriem, Abdullahi, Auwal, Abebe, Mesfin, Abebe, Samrawit Shawel, Abiodun, Olumide, Abolhassani, Hassan, Abolmaali, Meysam, Abouzid, Mohamed, Aboye, Girma Beressa, Abreu, Lucas Guimarães, Abrha, Woldu Aberhe, Abrigo, Michael R M, Abtahi, Dariush, Abualruz, Hasan, Abubakar, Bilyaminu, Abu-Gharbieh, Eman, Abu-Rmeileh, Niveen ME, Adal, Tadele Girum Girum, Adane, Mesafint Molla, Adeagbo, Oluwafemi Atanda Adeagbo, Adedoyin, Rufus Adesoji, Adekanmbi, Victor, Aden, Bashir, Adepoju, Abiola Victor, Adetokunboh, Olatunji O, Adetunji, Juliana Bunmi, Adeyinka, Daniel Adedayo, Adeyomoye, Olorunsola Israel, Adnani, Qorinah Estiningtyas Sakilah, Adra, Saryia, Afolabi, Rotimi Felix, Afyouni, Shadi, Afzal, Muhammad Sohail, Afzal, Saira, Aghamiri, Shahin, Agodi, Antonella, Agyemang-Duah, Williams, Ahinkorah, Bright Opoku, Ahlstrom, Austin J, Ahmad, Aqeel, Ahmad, Danish, Ahmad, Firdos, Ahmad, Muayyad M, Ahmad, Sajjad, Ahmad, Tauseef, Ahmed, Ali, Ahmed, Ayman, Ahmed, Haroon, Ahmed, Luai A, Ahmed, Meqdad Saleh, Ahmed, Syed Anees, Ajami, Marjan, Aji, Budi, Akalu, Gizachew Taddesse, Akbarialiabad, Hossein, Akinyemi, Rufus Olusola, Akkaif, Mohammed Ahmed, Akkala, Sreelatha, Al Hamad, Hanadi, Al Hasan, Syed Mahfuz, Al Qadire, Mohammad, AL-Ahdal, Tareq Mohammed Ali, Alalalmeh, Samer O, Alalwan, Tariq A, Al-Aly, Ziyad, Alam, Khurshid, Al-amer, Rasmieh Mustafa, Alanezi, Fahad Mashhour, Alanzi, Turki M, Albakri, Almaza, Albashtawy, Mohammed, AlBataineh, Mohammad T, Alemi, Hediyeh, Alemi, Sharifullah, Alemu, Yihun Mulugeta, Al-Eyadhy, Ayman, Al-Gheethi, Adel Ali Saeed, Alhabib, Khalid F, Alhajri, Noora, Alhalaiqa, Fadwa Alhalaiqa Naji, Alhassan, Robert Kaba, Ali, Abid, Ali, Beriwan Abdulqadir, Ali, Liaqat, 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Sergeevich, Zhang, Haijun, Zhang, Meixin, Zhang, Yunquan, Zhong, Chenwen, Zhou, Juexiao, Zhu, Bin, Zhu, Lei, Zielińska, Magdalena, Zou, Zhiyong, Zyoud, Samer H, Murray, Christopher J L, Smith, Amanda E, and Vollset, Stein Emil

Abstract

Accurate assessments of current and future fertility—including overall trends and changing population age structures across countries and regions—are essential to help plan for the profound social, economic, environmental, and geopolitical challenges that these changes will bring. Estimates and projections of fertility are necessary to inform policies involving resource and health-care needs, labour supply, education, gender equality, and family planning and support. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 produced up-to-date and comprehensive demographic assessments of key fertility indicators at global, regional, and national levels from 1950 to 2021 and forecast fertility metrics to 2100 based on a reference scenario and key policy-dependent alternative scenarios.

Published
2024
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46. Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

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Naghavi, Mohsen, Ong, Kanyin Liane, Aali, Amirali, Ababneh, Hazim S, Abate, Yohannes Habtegiorgis, Abbafati, Cristiana, Abbasgholizadeh, Rouzbeh, Abbasian, Mohammadreza, Abbasi-Kangevari, Mohsen, Abbastabar, Hedayat, Abd ElHafeez, Samar, Abdelmasseh, Michael, Abd-Elsalam, Sherief, Abdelwahab, Ahmed, Abdollahi, Mohammad, Abdollahifar, Mohammad-Amin, Abdoun, Meriem, Abdulah, Deldar Morad, Abdullahi, Auwal, Abebe, Mesfin, Abebe, Samrawit Shawel, Abedi, Aidin, Abegaz, Kedir Hussein, Abhilash, E S, Abidi, Hassan, Abiodun, Olumide, Aboagye, Richard Gyan, Abolhassani, Hassan, Abolmaali, Meysam, Abouzid, Mohamed, Aboye, Girma Beressa, Abreu, Lucas Guimarães, Abrha, Woldu Aberhe, Abtahi, Dariush, Abu Rumeileh, Samir, Abualruz, Hasan, Abubakar, Bilyaminu, Abu-Gharbieh, Eman, Abu-Rmeileh, Niveen ME, Aburuz, Salahdein, Abu-Zaid, Ahmed, Accrombessi, Manfred Mario Kokou, Adal, Tadele Girum, Adamu, Abdu A, Addo, Isaac Yeboah, Addolorato, Giovanni, Adebiyi, Akindele Olupelumi, Adekanmbi, Victor, Adepoju, Abiola Victor, Adetunji, Charles Oluwaseun, Adetunji, Juliana Bunmi, Adeyeoluwa, Temitayo Esther, Adeyinka, Daniel Adedayo, Adeyomoye, Olorunsola Israel, Admass, Biruk Adie Adie, Adnani, Qorinah Estiningtyas Sakilah, Adra, Saryia, Afolabi, Aanuoluwapo Adeyimika, Afzal, Muhammad Sohail, Afzal, Saira, Agampodi, Suneth Buddhika, Agasthi, Pradyumna, Aggarwal, Manik, Aghamiri, Shahin, Agide, Feleke Doyore, Agodi, Antonella, Agrawal, Anurag, Agyemang-Duah, Williams, Ahinkorah, Bright Opoku, Ahmad, Aqeel, Ahmad, Danish, Ahmad, Firdos, Ahmad, Muayyad M, Ahmad, Sajjad, Ahmad, Shahzaib, Ahmad, Tauseef, Ahmadi, Keivan, Ahmadzade, Amir Mahmoud, Ahmed, Ali, Ahmed, Ayman, Ahmed, Haroon, Ahmed, Luai A, Ahmed, Mehrunnisha Sharif, Ahmed, Meqdad Saleh, Ahmed, Muktar Beshir, Ahmed, Syed Anees, Ajami, Marjan, Aji, Budi, Akara, Essona Matatom, Akbarialiabad, Hossein, Akinosoglou, Karolina, Akinyemiju, Tomi, Akkaif, Mohammed Ahmed, Akyirem, Samuel, Al Hamad, Hanadi, Al Hasan, Syed Mahfuz, Alahdab, 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Zhi-Jiang, Zhao, Hanqing, Zhong, Chenwen, Zhou, Juexiao, Zhu, Bin, Zhu, Lei, Ziafati, Makan, Zielińska, Magdalena, Zitoun, Osama A, Zoladl, Mohammad, Zou, Zhiyong, Zuhlke, Liesl J, Zumla, Alimuddin, Zweck, Elric, Zyoud, Samer H, Wool, Eve E, and Murray, Christopher J L

Abstract

Regular, detailed reporting on population health by underlying cause of death is fundamental for public health decision making. Cause-specific estimates of mortality and the subsequent effects on life expectancy worldwide are valuable metrics to gauge progress in reducing mortality rates. These estimates are particularly important following large-scale mortality spikes, such as the COVID-19 pandemic. When systematically analysed, mortality rates and life expectancy allow comparisons of the consequences of causes of death globally and over time, providing a nuanced understanding of the effect of these causes on global populations.

Published
2024
Full Text
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48. Association between carotid plaque characteristics and subsequent ischemic cerebrovascular events: a prospective assessment with MRI--initial results.

Author

Takaya, Norihide, Yuan, Chun, Chu, Baocheng, Saam, Tobias, Underhill, Hunter, Cai, Jianming, Tran, Nam, Polissar, Nayak L, Isaac, Carol, Ferguson, Marina S, Garden, Gwenn A, Cramer, Steven C, Maravilla, Kenneth R, Hashimoto, Beverly, and Hatsukami, Thomas S

Subjects
Carotid Arteries, Humans, Carotid Stenosis, Ischemia, Magnetic Resonance Imaging, Treatment Outcome, Multivariate Analysis, Proportional Hazards Models, Odds Ratio, Risk Factors, Regression Analysis, Prospective Studies, Ultrasonics, Time Factors, Aged, Aged, 80 and over, Middle Aged, Female, Male, atherosclerosis, carotid arteries, cerebrovascular disorders, magnetic resonance imaging, and over, Clinical Sciences, Cardiorespiratory Medicine and Haematology, Neurosciences, Neurology & Neurosurgery
Abstract

MRI is able to quantify carotid plaque size and composition with good accuracy and reproducibility and provides an opportunity to prospectively examine the relationship between plaque features and subsequent cerebrovascular events. We tested the hypothesis that the characteristics of carotid plaque, as assessed by MRI, are possible predictors of future ipsilateral cerebrovascular events.A total of 154 consecutive subjects who initially had an asymptomatic 50% to 79% carotid stenosis by ultrasound with > or =12 months of follow-up were included in this study. Multicontrast-weighted carotid MRIs were performed at baseline, and participants were followed clinically every 3 months to identify symptoms of cerebrovascular events.Over a mean follow-up period of 38.2 months, 12 carotid cerebrovascular events occurred ipsilateral to the index carotid artery. Cox regression analysis demonstrated a significant association between baseline MRI identification of the following plaque characteristics and subsequent symptoms during follow-up: presence of a thin or ruptured fibrous cap (hazard ratio, 17.0; P< or =0.001), intraplaque hemorrhage (hazard ratio, 5.2; P=0.005), larger mean intraplaque hemorrhage area (hazard ratio for 10 mm2 increase, 2.6; P=0.006), larger maximum %lipid-rich/necrotic core (hazard ratio for 10% increase, 1.6; P=0.004), and larger maximum wall thickness (hazard ratio for a 1-mm increase, 1.6; P=0.008).Among patients who initially had an asymptomatic 50% to 79% carotid stenosis, arteries with thinned or ruptured fibrous caps, intraplaque hemorrhage, larger maximum %lipid-rich/necrotic cores, and larger maximum wall thickness by MRI were associated with the occurrence of subsequent cerebrovascular events. Findings from this prospective study provide a basis for larger multicenter studies to assess the risk of plaque features for subsequent ischemic events.

Published
2006

49. FMRI investigation of cross-cultural music comprehension.

Author

Morrison, Steven J, Demorest, Steven M, Aylward, Elizabeth H, Cramer, Steven C, and Maravilla, Kenneth R

Subjects
Brain, Humans, Magnetic Resonance Imaging, Acoustic Stimulation, Stereotaxic Techniques, Language, Mental Recall, Cross-Cultural Comparison, Music, Adult, United States, China, Female, Male, Neurology & Neurosurgery, Medical and Health Sciences, Psychology and Cognitive Sciences
Abstract

The popular view of music as a "universal" language ignores the privileged position of the cultural insider in comprehending musical information unique to their own tradition. The purpose of this study was to test the hypothesis that listeners would demonstrate different neural activity in response to culturally familiar and unfamiliar music and that those differences may be affected by the extent of subjects' formal musical training. Just as familiar languages have been shown to use distinct brain processes, we hypothesized that an analogous difference might be found in music and that it may depend in part on subjects' formal musical knowledge. Using fMRI we compared the activation patterns of professional musicians and untrained controls reared in the United States as they listened to music from their culture (Western) and from an unfamiliar culture (Chinese). No overall differences in activation were observed for either subject group in response to the two musical styles, although there were differences in recall performance based on style and there were activation differences based on training. Trained listeners demonstrated additional activation in the right STG for both musics and in the right and left midfrontal regions for Western music and Chinese music, respectively. Our findings indicate that listening to culturally different musics may activate similar neural resources but with dissimilar results in recall performance.

Published
2003

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