174 results on '"Lisa Chen"'
Search Results
152. Prosody, clause typing, and wh-in-situ: Evidence from Mandarin
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Jenny Doetjes, Lisa Cheng, Stella Gryllia, and Yang Yang
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prosody ,wh-in-situ ,Mandarin ,Language. Linguistic theory. Comparative grammar ,P101-410 - Abstract
This paper examines the use of prosody for marking upcoming linguistic material in speech production and for anticipating them in speech perception. More specifically, it examines whether in the absence of any overt morphosyntactic cues in the beginning of an utterance, speakers use prosodic means to mark the clause type (declarative or wh-question) and whether listeners use these prosodic cues to anticipate the clause type. We report the results of a production and an audio gating experiment. The results of the production experiment show that speakers of Mandarin differentiate declaratives from wh-questions right from the onset of the clause by means of duration, F0, and intensity. The results of the audio gating experiment demonstrate that prosody is used by listeners to anticipate the clause type which is intended by the speaker.
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- 2020
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153. Interactions of Flower Stage, Cultivar, and Shipping Temperature and Duration Affect Pot Rose Performance
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Cushman, Lisa Chen, primary, Pemberton, H. Brent, additional, Miller, J. Creighton, additional, and Kelly, John W., additional
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- 1998
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154. Mothers' knowledge about progressions in early play and language: interrelations and short-term reliability
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Tamis-LeMonda, Catherine, primary, Cross, Lisa Chen, additional, and Bornstein, Marc H., additional
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- 1996
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155. Fabrication and Raman Analysis of ZnSe Quantum Dots in Glass Matrix Thin Films by Pulsed Laser Evaporation
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Sun–Bin Yin, Wen-Feng Hsieh, and Lisa Chen
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Pulsed laser ,symbols.namesake ,Fabrication ,Materials science ,Quantum dot ,General Engineering ,symbols ,General Physics and Astronomy ,Nanotechnology ,Thin film ,Glass matrix ,Raman spectroscopy ,Evaporation (deposition) - Published
- 1998
156. Cultivar, Flower Stage, Silver Thiosulfate, and BA Interactions Affect Performance of Potted Miniature Roses
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Cushman, Lisa Chen, primary, Pemberton, H. Brent, additional, and Kelly, John W., additional
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- 1994
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157. A case control study of differences in non-work injury and accidents among sawmill workers in rural compared to urban British Columbia, Canada.
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Ostry, Aleck, Maggi, Stefania, Hershler, Ruth, Lisa Chen, Louie, Amber, and Hertzman, Clyde
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WORK-related injuries ,SAWMILLS ,WOUNDS & injuries - Abstract
Background: Using a cohort of British Columbian male sawmill workers, we conducted a nested case-control study of the impact of rural compared to urban residence as well as rural/urban migration patterns in relation to hospitalization for non-work injury. We postulate that for many types of non-work injuries, rates will be higher in rural communities than in urban ones and that rates will also be higher for workers who migrate from urban to rural communities. Methods: Using conditional logistic regression, univariate models were first run with each of five non-work injury outcomes. These outcomes were hospitalizations due to assault, accidental poisoning, medical mis-adventure, motor vehicle trauma, and other non-work injuries. In multivariate models marital status, ethnicity, duration of employment, and occupation were forced into the model and associations with urban, compared to rural, residence and various urban/ migration patterns were tested. Results: Urban or rural residence and migration status from urban to other communities, and across rural communities, were not associated with hospitalization for medical misadventure, assault, or accidental poisoning. The likelihood of a rural resident being hospitalized for motor vehicle trauma is higher than for an urban resident. The likelihood that a rural resident is hospitalized for "other" non-work injury is higher than for an urban resident. Conclusion: In a relatively homogenous group of workers, and using a rigorous study design, we have demonstrated that the odds of other non-work injury are much higher for workers resident in and migrating to rural regions of Canada than they are for workers resident in or migrating to urban places. [ABSTRACT FROM AUTHOR]
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- 2009
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158. Persistence of CD133Cells in Human and Mouse Glioma Cell Lines Detailed Characterization of GL261 Glioma Cells with Cancer Stem Cell-Like Properties.
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Anhua Wu, Seunguk Oh, Stephen M. Wiesner, Katya Ericson, Lisa Chen, Walter A. Hall, Paul E. Champoux, Walter C. Low, and John R. Ohlfest
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- 2008
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159. FLOWER DEVELOPMENT OF MINIATURE POTTED ROSE PLANTS DURING SIMULATED SHIPPING
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H. B. Pemberton, John W. Kelly, and Lisa Chen Cushman
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Rose (mathematics) ,Horticulture ,Botany ,Biology - Abstract
Orange end Red Sunblaze miniature rose plants were forced. to flower in a glasshouse in 10 cm pots. At harvest, flower stage (FST) 1 (tight bud), 2 (reflexed calyx), and 3 (petals starting to reflex) flowers were designated and tagged. The plants were then stored at 4, 16 or 28°C for 2, 4, or 6 days. Subsequent to the simulated shipping treatments, plants were evaluated in a simulated home interior environment (21° with 30 μmoles M-2 sec-1 cool-white fluorescent light). After summer forcing, flowers of both cultivars developed at least 1 FST during simulated shipping. Flower development increased as storage duration increased for FST 1 and 2, but storage duration did not affect development of FST 3 flowers. The higher the temperature the faster flowers developed, but development was less than 1 FST at 4°. After winter forcing, flowers developed less than 1 FST during simulated shipping. Flower development increased with increasing temperature. In summer, plants with FST 2 flowers could be shipped at up to 16°, but plants with FST 3 flowers should be shipped at 4°. In winter, plants can be shipped at up to 16° with FST 3 flowers.
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- 1990
160. Food Effects on Oral Drug Absorption: Application of Physiologically-Based Pharmacokinetic Modeling as a Predictive Tool
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Lisa Cheng and Harvey Wong
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food effects ,physiologically-based pharmacokinetic model ,oral absorption ,mathematical modeling ,Pharmacy and materia medica ,RS1-441 - Abstract
The bioavailability of an orally administered small molecule is often dictated by drug-specific physicochemical characteristics and is influenced by many biological processes. For example, in fed or fasted conditions, the transit time within the gastrointestinal tract can vary, confounding the ability to predict the oral absorption. As such, the effects of food on the pharmacokinetics of compounds in the various biopharmaceutics classification system (BCS) classes need to be assessed. The consumption of food leads to physiological changes, including fluctuations in the gastric and intestinal pH, a delay in gastric emptying, an increased bile secretion, and an increased splanchnic and hepatic blood flow. Despite the significant impact of a drug’s absorption and dissolution, food effects have not been fully studied and are often overlooked. Physiologically-based pharmacokinetic (PBPK) models can be used to mechanistically simulate a compound’s pharmacokinetics under fed or fasted conditions, while integrating drug properties such as solubility and permeability. This review discusses the PBPK models published in the literature predicting the food effects, the models’ strengths and shortcomings, as well as future steps to mitigate the current knowledge gap. We observed gaps in knowledge which limits the ability of PBPK models to predict the negative food effects and food effects in the pediatric population. Overall, the further development of PBPK models to predict food effects will provide a mechanistic basis to understand a drug’s behavior in fed and fasted conditions, and will help enable the drug development process.
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- 2020
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161. Microvascular retinopathy and angiographically-demonstrated coronary artery disease: A cross-sectional, observational study.
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Lisa Cheng, Peter Barlis, Joel Gibson, Deb Colville, Anastasia Hutchinson, Geoff Gleeson, Ecosse Lamoureux, William VanGaal, and Judy Savige
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Medicine ,Science - Abstract
Epidemiological studies suggest retinal microvascular abnormalities predict cardiac events. This study examined microvascular features associated with coronary artery abnormalities. This was a single-centre, cross-sectional, observational study of 144 consecutive subjects undergoing coronary angiography for clinical indications. Their angiograms were deidentified and graded for disease (Leaman score, LAD stenosis ≥ 70%, number of vessels stenosed ≥ 70%), and Thrombolysis in Myocardial Infarction (TIMI) blush score. Subjects also underwent retinal photography (KOWA non-mydriatic camera, Japan), and their deidentified retinal images were graded for hypertensive microvascular retinopathy (Wong and Mitchell classification), vessel calibre using a computer-assisted method (IVAN, U Wisconsin), and diabetic retinopathy (modified Airlie House scheme) independently by a trained grader and an ophthalmologist. Retinal abnormalities were compared between subjects with high and low angiography scores using one way ANOVA, Chi squared and logistic regression analysis (StataCorp, Texas). Subjects had a mean age of 61 years (range 32-88), and included 101 males (70%). Seventeen (12%) had Leaman scores > 10.5, 46 (32%) had LAD stenosis, 13 (9%) had ≥ 3 arteries stenosed, and 20 (14%) had TIMI blush scores < 1. Twenty-six subjects (18%) had a retinal hemorrhage, and 115 (74%) a mild or moderate hypertensive retinopathy. Fifty-five (38%) had diabetes, and 24 (17%) a background (n = 20) or proliferative (n = 4) diabetic retinopathy. A retinal hemorrhage (p = 0.046), moderate microvascular retinopathy (p = 0.08) and proliferative diabetic retinopathy (p = 0.04) were all associated with a higher Leaman score. Venular calibre was increased with triple vessel disease (205.7 ± 21.6 μm, and 193.7 ± 22.3 μm in normals, p = 0.03). Diabetic retinopathy correlated with an increased TIMI blush score (p = 0.01). Retinal microvascular imaging warrants further evaluation in identifying the presence, extent and nature of coronary artery disease.
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- 2018
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162. Serum stimulation of quiescent human fibroblasts induces the synthesis of tissue factor mRNA followed by the appearance of tissue factor antigen and procoagulant activity
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Laura J. Bloem, Ronald R Bach, William H. Konigsberg, and Lisa Chen
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Physiology ,Immunoblotting ,Clinical Biochemistry ,Enzyme-Linked Immunosorbent Assay ,Stimulation ,Cycloheximide ,Biology ,Thromboplastin ,Tissue culture ,chemistry.chemical_compound ,Tissue factor ,Antigen ,Western blot ,medicine ,Protein biosynthesis ,Humans ,RNA, Messenger ,Fibroblast ,Lung ,medicine.diagnostic_test ,Cell Biology ,Fibroblasts ,Molecular biology ,Blood ,medicine.anatomical_structure ,Gene Expression Regulation ,chemistry - Abstract
Expression of the gene for tissue factor, the cell-surface initiator of blood coagulation, was examined by stimulating growth-arrested human fibroblasts with serum and measuring changes in the cellular content of tissue factor mRNA, antigen, and activity. Maximum tissue factor mRNA levels were reached within 1 h following serum induction and slowly declined to basal levels from 24 to 48 h after stimulation. The appearance of the tissue factor mRNA was followed by an increase in tissue factor antigen and activity. The parallel rise in antigenically positive protein and procoagulant activity was first observed about 2 h after serum stimulation with a peak at 12 h followed by a slow decline during the next 36 h. The serum-induced synthesis of the tissue factor mRNA was independent of de novo protein synthesis as demonstrated by the increased tissue factor mRNA levels generated in the presence of cycloheximide. The results of this study suggest that the synthesis of tissue factor in human fibroblasts i s regulated principally at the level of transcription. In one strain of fibroblasts the activity/antigen ratio, during the period of maximum synthesis, was indistinguishable from that of tissue factor which had been immunoaffinity purified from human brain and reconstituted into phospholipid vesicles. However, during serum starvation the activity/antigen ratio in these cells was significantly reduced. Western blot analysis revealed that in serum-starved cells there was an accumulation of truncated forms of the tissue factor antigen while in the serum-stimulated cells only the full-length antigen was observed.
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- 1989
163. Optimizing the Geometry of Photoacoustically Active Gold Nanoparticles for Biomedical Imaging
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Alexander J. C. Kuehne, Rafaela García-Álvarez, Ana Sánchez-Iglesias, Kostas Kostarelos, Luis M. Liz-Marzán, Dmitry N. Chigrin, Wiltrud Lederle, Vertika Pathak, Gero von Plessen, Alexander Nedilko, Anne Rix, Twan Lammers, and Lisa Chen
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Materials science ,Photoacoustic imaging in biomedicine ,macromolecular substances ,02 engineering and technology ,021001 nanoscience & nanotechnology ,physical and chemical processes ,01 natural sciences ,Atomic and Molecular Physics, and Optics ,Electronic, Optical and Magnetic Materials ,010309 optics ,Nanocages ,Colloidal gold ,0103 physical sciences ,Medical imaging ,nanoparticles ,Tomography ,Electrical and Electronic Engineering ,nanorods ,0210 nano-technology ,absorption ,photophysics ,Biotechnology ,Biomedical engineering - Abstract
ACS photonics 7(3), 646-652 (2020). doi:10.1021/acsphotonics.9b01418, Published by ACS, Washington, DC
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164. Is maternal smoking during pregnancy a risk factor for attention deficit hyperactivity disorder in children?
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Janice Jones, Joseph Biederman, Sharon Milberger, Stephen V. Faraone, and Lisa Chen
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Male ,Proband ,Pediatrics ,medicine.medical_specialty ,Adolescent ,Maternal smoking ,medicine.medical_treatment ,Pregnancy ,Risk Factors ,mental disorders ,medicine ,Humans ,Attention deficit hyperactivity disorder ,Family ,Risk factor ,Child ,Socioeconomic status ,Intelligence Tests ,Intelligence quotient ,business.industry ,Smoking ,Obstetrics and Gynecology ,General Medicine ,medicine.disease ,Pregnancy Complications ,Psychiatry and Mental health ,Social Class ,Attention Deficit Disorder with Hyperactivity ,Research Design ,Etiology ,Regression Analysis ,Smoking cessation ,Gestation ,Female ,business ,Psychology - Abstract
OBJECTIVE This study investigated the role of maternal smoking during pregnancy in the etiology of attention deficit hyperactivity disorder (ADHD). METHOD Subjects were 6-17-year-old boys with DSM-III-R ADHD (N = 140) and normal comparison subjects (N = 120) and their first-degree biological relatives. Information on maternal smoking was obtained from mothers in a standardized manner by raters who were blind to the proband's clinical status. RESULTS Twenty-two percent of the ADHD children had a maternal history of smoking during pregnancy, compared with 8% of the normal subjects. This positive association remained significant after adjustment for socioeconomic status, parental IQ, and parental ADHD status. Significant differences in IQ were found between those children whose mothers smoked during pregnancy and those whose mothers did not smoke (mean IQ = 104.9, SD = 12.3, and mean = 115.4, SD = 12.2, respectively). CONCLUSIONS These findings suggest that maternal smoking during pregnancy is a risk factor for ADHD. If confirmed, these findings will stress the importance of programs aimed at smoking prevention in nonsmoking women and smoking cessation in smoking women of childbearing age.
165. A prospective 4-year follow-up study of attention-deficit hyperactivity and related disorders
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Abbe Marrs, Dennis K. Norman, Stephen V. Faraone, Eric Mick, Jessica W. Guite, Sharon Milberger, Thomas J. Spencer, Cheryl Ouellette, Timothy E. Wilens, Ilana Kraus, Lisa Chen, Douglas S. Mennin, Joseph Biederman, Phoebe Moore, and James M. Perrin
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Male ,medicine.medical_specialty ,Adolescent ,Intelligence ,Child Behavior Disorders ,Comorbidity ,Arts and Humanities (miscellaneous) ,Adaptation, Psychological ,mental disorders ,medicine ,Humans ,Prospective Studies ,Bipolar disorder ,Child ,Psychiatry ,Probability ,Psychiatric Status Rating Scales ,Depressive Disorder ,Mental Disorders ,Cognitive disorder ,Achievement ,medicine.disease ,Anxiety Disorders ,Psychiatry and Mental health ,Mood ,Attention Deficit Disorder with Hyperactivity ,Conduct disorder ,Anxiety ,medicine.symptom ,Psychology ,Social Adjustment ,Psychosocial ,Follow-Up Studies ,Psychopathology - Abstract
Background: Previous cross-sectional data showed that children and adolescents with attention-deficit hyperactivity disorder (ADHD) are at increased risk of comorbid conduct, mood, and anxiety disorders as well as impairments in cognitive, social, family, and school functioning. However, longitudinal data were needed to confirm these initial impressions. Methods: Using DSM-III-R structured diagnostic interviews and raters blinded as to diagnosis, we reexamined psychiatric diagnoses at 1- and 4-year follow-ups in children with ADHD and controls. In addition, subjects were evaluated for cognitive, achievement, social, school, and family functioning. Results: Analyses of follow-up findings revealed significant differences between children with ADHD and controls in rates of behavioral, mood, and anxiety disorders, with these disorders increasing markedly from baseline to follow-up assessments. In addition, children with ADHD had significantly more impaired cognitive, family, school, and psychosocial functioning than did controls. Baseline diagnosis of conduct disorder predicted conduct disorder and substance use disorders at follow-up, major depression at baseline predicted major depression and bipolar disorder at follow-up, and anxiety disorders at baseline predicted anxiety disorders at follow-up. Conclusions: These results confirm and extend previous retrospective results indicating that children with ADHD are at high risk of developing a wide range of impairments affecting multiple domains of psychopathology such as cognition, interpersonal, school, and family functioning. These findings provide further support for the value of considering psychiatric comorbidity in both clinical assessment and research protocols involving children with ADHD.
166. A case control study of differences in non-work injury and accidents among sawmill workers in rural compared to urban British Columbia, Canada
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Ruth Hershler, Aleck Ostry, Clyde Hertzman, Amber M. Louie, Lisa Chen, and Stefania Maggi
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Adult ,Male ,Rural Population ,Urban Population ,Poison control ,Violence ,Social class ,Occupational safety and health ,Environmental health ,Urbanization ,Injury prevention ,Research article ,Medicine ,Humans ,Industry ,Workplace ,British Columbia ,business.industry ,lcsh:Public aspects of medicine ,Public Health, Environmental and Occupational Health ,Forestry ,lcsh:RA1-1270 ,Emigration and Immigration ,Middle Aged ,Hospitalization ,Social Class ,Accidents ,Case-Control Studies ,Marital status ,Wounds and Injuries ,Residence ,Female ,Rural area ,business - Abstract
Background: Using a cohort of British Columbian male sawmill workers, we conducted a nested case-control study of the impact of rural compared to urban residence as well as rural/urban migration patterns in relation to hospitalization for non-work injury. We postulate that for many types of non-work injuries, rates will be higher in rural communities than in urban ones and that rates will also be higher for workers who migrate from urban to rural communities. Methods: Using conditional logistic regression, univariate models were first run with each of five non-work injury outcomes. These outcomes were hospitalizations due to assault, accidental poisoning, medical mis-adventure, motor vehicle trauma, and other non-work injuries. In multivariate models marital status, ethnicity, duration of employment, and occupation were forced into the model and associations with urban, compared to rural, residence and various urban/migration patterns were tested. Results: Urban or rural residence and migration status from urban to other communities, and across rural communities, were not associated with hospitalization for medical misadventure, assault, or accidental poisoning. The likelihood of a rural resident being hospitalized for motor vehicle trauma is higher than for an urban resident. The likelihood that a rural resident is hospitalized for "other" non-work injury is higher than for an urban resident. Conclusion: In a relatively homogenous group of workers, and using a rigorous study design, we have demonstrated that the odds of other non-work injury are much higher for workers resident in and migrating to rural regions of Canada than they are for workers resident in or migrating to urban places.
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167. The impact of fathers' physical and psychosocial work conditions on attempted and completed suicide among their children
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Aleck, Ostry, Stefania, Maggi, James, Tansey, James, Dunn, Ruth, Hershler, Lisa, Chen, Amber, Louie, and Clyde, Hertzman
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8. Economic growth - Abstract
Background: Adverse employment experiences, particularly exposure to unemployment and the threat of unemployment, have been strongly associated with several adverse mental and physical health outcomes including suicide. However, virtually no research has been conducted on the trans-generational impact of parental working conditions on attempted or completed suicide among their children. Methods: We conducted a nested case control study based on a cohort, gathered in the western Canadian province of British Columbia, of male sawmill workers and a second cohort of their children. Physical and psychosocial work conditions to which fathers were exposed during the first 16 years of their children's lives, measured using the demand/control model, were linked to hospital suicide records (attempted and completed) among their children. Results: Two hundred and fifty children in the cohort attempted or committed suicide between 1985 and 2001. Multivariate models, with partial control for father's mental health outcomes prior to their child's suicide demonstrate, 1) a strong association between low duration of father's employment at a study sawmill and attempted suicide for their male children, 2) elevated odds for attempted suicide among female children of fathers' employed in a sawmill job with low control and, 3) a strong association between fathers in jobs with low psychological demand and completed suicides among male children. Conclusion: Exposure of fathers to adverse psychosocial work conditions during the first 16 years of their children's life was associated with greater odds for attempted and completed suicide among their children.
168. Predictors of persistence and remission of ADHD into adolescence: Results from a four-year prospective follow-up study
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Joseph Biederman, Thomas J. Spencer, Cheryl Ouellette, Lisa Chen, Phoebe Moore, Sharon Milberger, Stephen V. Faraone, Shannon Curtis, and Abbe Marrs
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Male ,Persistence (psychology) ,Longitudinal study ,Adolescent ,Psychology, Adolescent ,behavioral disciplines and activities ,Developmental psychology ,Cognition ,mental disorders ,Developmental and Educational Psychology ,medicine ,Humans ,Attention deficit hyperactivity disorder ,Longitudinal Studies ,Prospective Studies ,Child ,Psychiatric Status Rating Scales ,Remission Induction ,Achievement ,medicine.disease ,Comorbidity ,Psychiatry and Mental health ,Mood ,Attention Deficit Disorder with Hyperactivity ,Anxiety ,medicine.symptom ,Psychology ,Psychosocial ,Follow-Up Studies ,Clinical psychology ,Psychopathology - Abstract
Objective To evaluate the predictors of persistence and the timing of remission of attention-deficit hyperactivity disorder (ADHD). Method Subjects were 6− to 17-year old Caucasian, non-Hispanic boys with and without ADHD. DSM-III-R structured diagnostic interviews and blind raters were used to examine psychiatric diagnoses, cognitive achievement, social, school, and family functioning at a 4-year follow-up assessment. Results At the 4-year follow-up assessment, 85% of children with ADHD continued to have the disorder and 15% remitted. Of those who remitted, half did so In childhood and the other half in adolescence. Predictors of persistence were familiality of ADH D, psychosocial adversity, and comorbidity with conduct, mood, and anxiety disorders. Conclusions The findings prospectively confirm that the majority of children with ADHD will continue to express the disorder 4 years later. For a minority of children, ADHD was a transient disorder that remits early in development. In addition, we have shown that persistence of ADHD is predictable. Familiality, adversity, and psychiatric comorbidity may be clinically useful predictors of which children with ADHD are at risk for a persistent disorder. J. Am. Acad. Child Adolesc. Psychiatry, 1996, 35(3):343–351.
169. The impact of fathers' physical and psychosocial work conditions on attempted and completed suicide among their children
- Author
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Aleck, Ostry, Stefania, Maggi, James, Tansey, James, Dunn, Ruth, Hershler, Lisa, Chen, Amber, Louie, and Clyde, Hertzman
- Subjects
8. Economic growth - Abstract
Background: Adverse employment experiences, particularly exposure to unemployment and the threat of unemployment, have been strongly associated with several adverse mental and physical health outcomes including suicide. However, virtually no research has been conducted on the trans-generational impact of parental working conditions on attempted or completed suicide among their children. Methods: We conducted a nested case control study based on a cohort, gathered in the western Canadian province of British Columbia, of male sawmill workers and a second cohort of their children. Physical and psychosocial work conditions to which fathers were exposed during the first 16 years of their children's lives, measured using the demand/control model, were linked to hospital suicide records (attempted and completed) among their children. Results: Two hundred and fifty children in the cohort attempted or committed suicide between 1985 and 2001. Multivariate models, with partial control for father's mental health outcomes prior to their child's suicide demonstrate, 1) a strong association between low duration of father's employment at a study sawmill and attempted suicide for their male children, 2) elevated odds for attempted suicide among female children of fathers' employed in a sawmill job with low control and, 3) a strong association between fathers in jobs with low psychological demand and completed suicides among male children. Conclusion: Exposure of fathers to adverse psychosocial work conditions during the first 16 years of their children's life was associated with greater odds for attempted and completed suicide among their children.
170. Attention-deficit hyperactivity disorder and juvenile mania: An overlooked comorbidity?
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J. A. Garcia, Elise Lelon, Stephen V. Faraone, Joseph Biederman, Douglas S. Mennin, Lisa Chen, Abbe Marrs, Cheryl Ouellette, Eric Mick, Janet Wozniak, and Phoebe Moore
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medicine.medical_specialty ,Bipolar Disorder ,Adolescent ,Psychology, Adolescent ,CBCL ,Comorbidity ,behavioral disciplines and activities ,Bipolar disorder in children ,mental disorders ,Developmental and Educational Psychology ,medicine ,Humans ,Attention deficit hyperactivity disorder ,Bipolar disorder ,Age of Onset ,Child ,Psychiatry ,Psychiatric Status Rating Scales ,medicine.disease ,Psychiatry and Mental health ,Mood ,Attention Deficit Disorder with Hyperactivity ,medicine.symptom ,Psychology ,Mania ,Psychopathology - Abstract
Objective To evaluate the psychiatric, cognitive, and functional correlates of attention-deficit hyperactivity disorder (ADHD) children with and without comorbid bipolar disorder (BPD). Method DSM-III-R structured diagnostic interviews and blind raters were used to examine psychiatric diagnoses at baseline and 4-year follow-up in ADHD and control children. In addition, subjects were evaluated for cognitive, academic, social, school, and family functioning. Results BPD was diagnosed in 11% of ADHD children at baseline and in an additional 12% at 4-year follow-up. These rates were significantly higher than those of controls at each assessment. ADHD children with comorbid BPD at either baseline or follow-up assessment had significantly higher rates of additional psychopathology, psychiatric hospitalization, and severely impaired psychosocial functioning than other ADHD children. The clinical picture of bipolarity was mostly irritable and mixed. ADHD children with comorbid BPD also had a very severe symptomatic picture of ADHD as well as prototypical correlates of the disorder. Comorbidity between ADHD and BPD was not due to symptom overlap. ADHD children who developed BPD at the 4-year follow-up had higher initial rates of comorbidity, more symptoms of ADHD, worse scores on the CBCL, and a greater family history of mood disorder compared with non-BPD, ADHD children. Conclusions The results extend previous results documenting that children with ADHD are at increased risk of developing BPD with its associated severe morbidity, dysfunction, and incapacitation.
171. The key values and factors identified by older adults to promote physical activity and reduce sedentary behaviour using co-production approaches: a scoping review
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Elysa Ioannou, Henglien Lisa Chen, Vicky Bromley, Sam Fosker, Khalid Ali, Avanka Fernando, Ekow Mensah, and Sally Fowler-Davis
- Subjects
Scoping review ,Older adults ,Physical activity ,Co-production ,Geriatrics ,RC952-954.6 - Abstract
Abstract Background Inactivity and sedentary behaviour in older adults adversely impacts physical function, reduces social networks, and could contribute to population healthcare costs. To encourage and support the planning and uptake of physical activity by older adults, it is important to understand what physical activity means to older adults. Therefore, the aim of this scoping review was to collate what older adults have self-identified as the key factors for sustaining and increasing their physical activities. Methods Arksey and O’Malley’s Scoping Review framework was used to guide the review process. SCOPUS, ASSIA, PsychINFO and MEDLINE databases were searched. Studies were eligible for inclusion if they were peer-reviewed, the target population were older adults (aged 55 and above), co-production related research approaches were explicitly stated in the methods and there was a focus on design of physical activity interventions or products to support or enhance physical activity. Assets and values important for physical activity were first extracted from included studies and were subsequently thematically analysed. Themes are presented to provide an overview of the literature synthesis. Results Sixteen papers were included in the analysis. Data from these papers were gathered via designing interventions or services (n = 8), products (n = 2), ‘exergames’ (n = 2) or mobile applications (n = 4). Outcomes were varied but common themes emerged across papers. Overarching themes identified by older adults were associated with a desire to increase activity when it was accessible, motivational, and safe. In addition, older adults want to enjoy their activities, want independence and representation, want to stay connected with families and friends, be outdoors, familiarity, activities to be tailored and resulting in measurable/observed progress. Conclusions Population demographics, personal attributes, and life experiences all affect preferences for physical activity. However, the key factors identified by older adults for increasing physical activity were common—even in separate co-production contexts. To promote physical activities in older adults, activities must fundamentally feel safe, provide a sense of social connectedness, be enjoyable and be accessible in terms of cost and ability.
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- 2023
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172. Establishment and Evaluation of a Large Contact-Tracing and Case Investigation Virtual Training Academy.
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Golston O, Prelip M, Brickley DB, Cass A, Chen L, Dorian A, Gandelman A, Keh C, Maher A, Myrick R, Reid MJA, White K, Willard-Grace R, and Shafir S
- Subjects
- California, Health Knowledge, Attitudes, Practice, Humans, Public Health, COVID-19, Contact Tracing, Program Evaluation statistics & numerical data, Teaching education, Teaching statistics & numerical data, Workforce
- Abstract
During the COVID-19 pandemic, the Virtual Training Academy (VTA) was established to rapidly develop a contact-tracing workforce for California. Through June 2021, more than 10 000 trainees enrolled in a contact-tracing or case investigation course at the VTA. To evaluate program effectiveness, we analyzed trainee pre- and postassessment results using the Wilcoxon signed-rank test. There was a statistically significant ( P < .001) improvement in knowledge and self-perceived skills after course completion, indicating success in training a competent contact-tracing workforce. ( Am J Public Health . 2021;111(11):1934-1938. https://doi.org/10.2105/AJPH.2021.306468).
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- 2021
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173. Randomized, Open-Label Phase II Study Evaluating the Efficacy and Safety of Talimogene Laherparepvec in Combination With Ipilimumab Versus Ipilimumab Alone in Patients With Advanced, Unresectable Melanoma.
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Chesney J, Puzanov I, Collichio F, Singh P, Milhem MM, Glaspy J, Hamid O, Ross M, Friedlander P, Garbe C, Logan TF, Hauschild A, Lebbé C, Chen L, Kim JJ, Gansert J, Andtbacka RHI, and Kaufman HL
- Subjects
- Adult, Aged, Aged, 80 and over, Antineoplastic Combined Chemotherapy Protocols adverse effects, Biological Products administration & dosage, Biological Products adverse effects, Female, Herpesvirus 1, Human, Humans, Ipilimumab administration & dosage, Ipilimumab adverse effects, Male, Melanoma enzymology, Melanoma genetics, Melanoma pathology, Middle Aged, Neoplasm Staging, Progression-Free Survival, Proto-Oncogene Proteins B-raf genetics, Skin Neoplasms enzymology, Skin Neoplasms genetics, Skin Neoplasms pathology, Young Adult, Antineoplastic Combined Chemotherapy Protocols therapeutic use, Ipilimumab therapeutic use, Melanoma drug therapy, Skin Neoplasms drug therapy
- Abstract
Purpose We evaluated the combination of talimogene laherparepvec plus ipilimumab versus ipilimumab alone in patients with advanced melanoma in a phase II study. To our knowledge, this was the first randomized trial to evaluate addition of an oncolytic virus to a checkpoint inhibitor. Methods Patients with unresectable stages IIIB to IV melanoma, with no more than one prior therapy if BRAF wild-type, no more than two prior therapies if BRAF mutant, measurable/injectable disease, and without symptomatic autoimmunity or clinically significant immunosuppression were randomly assigned 1:1 to receive talimogene laherparepvec plus ipilimumab or ipilimumab alone. Talimogene laherparepvec treatment began in week 1 (first dose, ≤ 4 mL × 10
6 plaque-forming units/mL; after 3 weeks, ≤ 4 mL × 108 plaque-forming units/mL every 2 weeks). Ipilimumab (3 mg/kg every 3 weeks; up to four doses) began week 1 in the ipilimumab alone arm and week 6 in the combination arm. The primary end point was objective response rate evaluated by investigators per immune-related response criteria. Results One hundred ninety-eight patients were randomly assigned to talimogene laherparepvec plus ipilimumab (n = 98), or ipilimumab alone (n = 100). Thirty-eight patients (39%) in the combination arm and 18 patients (18%) in the ipilimumab arm had an objective response (odds ratio, 2.9; 95% CI, 1.5 to 5.5; P = .002). Responses were not limited to injected lesions; visceral lesion decreases were observed in 52% of patients in the combination arm and 23% of patients in the ipilimumab arm. Frequently occurring adverse events (AEs) included fatigue (combination, 59%; ipilimumab alone, 42%), chills (combination, 53%; ipilimumab alone, 3%), and diarrhea (combination, 42%; ipilimumab alone, 35%). Incidence of grade ≥ 3 AEs was 45% and 35%, respectively. Three patients in the combination arm had fatal AEs; none were treatment related. Conclusion The study met its primary end point; the objective response rate was significantly higher with talimogene laherparepvec plus ipilimumab versus ipilimumab alone. These data indicate that the combination has greater antitumor activity without additional safety concerns versus ipilimumab.- Published
- 2018
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174. Talimogene Laherparepvec in Combination With Ipilimumab in Previously Untreated, Unresectable Stage IIIB-IV Melanoma.
- Author
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Puzanov I, Milhem MM, Minor D, Hamid O, Li A, Chen L, Chastain M, Gorski KS, Anderson A, Chou J, Kaufman HL, and Andtbacka RH
- Subjects
- Adult, Aged, Aged, 80 and over, Female, Humans, Ipilimumab, Male, Middle Aged, Oncolytic Virotherapy adverse effects, Oncolytic Virotherapy methods, T-Lymphocyte Subsets immunology, Tumor Burden, Antibodies, Monoclonal administration & dosage, Melanoma therapy, Oncolytic Viruses, Skin Neoplasms therapy
- Abstract
Purpose: Combining immunotherapeutic agents with different mechanisms of action may enhance efficacy. We describe the safety and efficacy of talimogene laherparepvec (T-VEC; an oncolytic virus) in combination with ipilimumab (a cytotoxic T-lymphocyte-associated antigen 4 checkpoint inhibitor) in patients with advanced melanoma., Methods: In this open-label, multicenter, phase Ib trial of T-VEC in combination with ipilimumab, T-VEC was administered intratumorally in week 1 (10(6) plaque-forming units/mL), then in week 4 and every 2 weeks thereafter (10(8) plaque-forming units/mL). Ipilimumab (3 mg/kg) was administered intravenously every 3 weeks for four infusions, beginning in week 6. The primary end point was incidence of dose-limiting toxicities. Secondary end points were objective response rate by immune-related response criteria and safety., Results: Median duration of treatment with T-VEC was 13.3 weeks (range, 2.0 to 95.4 weeks). Median follow-up time for survival analysis was 20.0 months (1.0 to 25.4 months). Nineteen patients were included in the safety analysis. No dose-limiting toxicities occurred, and no new safety signals were detected. Grade 3/4 treatment-related adverse events (AEs) were seen in 26.3% of patients; 15.8% had AEs attributed to T-VEC, and 21.1% had AEs attributed to ipilimumab. The objective response rate was 50%, and 44% of patients had a durable response lasting ≥ 6 months. Eighteen-month progression-free survival was 50%; 18-month overall survival was 67%., Conclusion: T-VEC with ipilimumab had a tolerable safety profile, and the combination appeared to have greater efficacy than either T-VEC or ipilimumab monotherapy., (© 2016 by American Society of Clinical Oncology.)
- Published
- 2016
- Full Text
- View/download PDF
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