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1. Identification of atypical pediatric diabetes mellitus cases using electronic medical records

Author

Christine Lee, Mohsen Bahmani Kashkouli, Irl B Hirsch, Jordan Smith, Rebecca Lorch, Jose C Florez, Pengfei Liu, Jeffrey P Krischer, Beena Akolkar, Ashok Balasubramanyam, Christopher Eberhard, Steven Fiske, Jennifer Garmeson, Christina Karges, Noah Sulman, Michael Toth, Mustafa Tosur, Marcela Astudillo, Catherine Pihoker, Sara Cromer, Jennifer Scott, Toni I Pollin, Maria J Redondo, Stephanie Sisley, Pablo Ruiz, Mary Larkin, Wendy K Chung, Lee-Jun Wong, Aniko Sabo, William Marshall, Louis H Philipson, Rita Hench, Elif A Oral, Kieren Mather, Neda Rasouli, Lainie Friedman Ross, Janet McGill, Paula Newton, Baris Akinci, Mary Ann Banerji, Steven E Kahn, Sarah Adams, Hongzheng Dai, Victoria Chen, Maaz Ahmed, Stephen Stone, Rebecca Wood, Emily Sims, Aaron Deutsch, Sarah Müller, John Buse, Jacqueline Lonier, Nopporn Thangthaeng, Marcela F Astudillo, William E Winter, Liana K Billings, Raymond Kreienkamp, William Craigen, Ansley Davis, Monica Dussan, Jordana Faruqi, Ruchi Gaba, Mark Herman, Shalini Jhangiani, Elizabeth Kubota-Mishra, Iliana Migacz, Nkechinyere Osuji, Jennifer Posey, Nalini Ram, Alejandro Siller, Eric Venner, Adriana Cardenas, Dimpi Desai, Mary Fang, Erica Hattery, Adrienne Ideouzu, Julizza Jimenez, Nupur Kikani, Graciela Montes, David Murdock, Nikalina G O’Brien, Robin Goland, Anabel Evans, Rachelle Gandica, Rudolph Leibel, Kaisha Mofford, James Pring, Carmella Evans-Molina, Farrah Anwar, Hannah Lease, Angelica Mckibben, Gabriela Monaco, Zeb Saeed, Maria Spall, Marimar Hernandez-Perez, Kelly Moors, Anna Neyman, Miriam S Udler, Julia Douvas, Melton Fan, Cristinia Fernandez Hernandez, Evelyn Greaux, Saadhvi Kartik, Pam Ricevuto, Armen I Yerevanian, Melissa Calverley, Kathy Chu, Mariella Facibene, Christopher Han, Dorit Koren, Micah Koss, Amy Sabean, Jordan Sherwood, Necole Brown, Lina Soni, Lorraine Thomas, Jennifer Abrams, Kylnt Bally, Beisi Ji, Samara Skiwiersky, SiriAtma W Greeley, Graeme Bell, Shanna Banogon, Jui Desai, Anisa Dye, David Ehrmann, Lisa R Letourneau-Freiberg, Carlin Lockwood, Kynnedie Maloz, Rochelle N Naylor, Kaylee Oppenheimer, Erin Papciak, Karen Rodriguez, Rachel Son, Manu Sundaresan, Chelsea Wu, Colleen Bender, Persephone Tian, PA-C Chelsea Baker, Megan Riff, Courtney King, Wyatt Pfau, Avinash Pyreddy, Marjan Rezaei, Katlyn Sawyer, Vatsala Singh, Jules Barklow, Noosha Farhat, Andrew Her, Carter Odean, Gregory Schleis, Chantal Underkofler, Hadley Bryan, Ryan Jollie, Kristin Maloney, Jennifer Marron, Ryan Miller, Maria Eleni Nikita, Knightess Oyibo, Kristi Silver, Hilary Whitlatch, Cindi Young, Kathleen Palmer, Stephanie Riley, Devon Nwaba, Elizabeth Streeten, Jessica Tiner, David Broome, Merve Celik-Gular, Tae-Hwa Chun, Anabela Dill Gomes, Maria Foss de Freitas, Brigid Gregg, Donatella Gilio, Seda Grigoryan, Diarratou Kaba, Melda Sonmez Ince, Adam Neidert, Carman Richison, Salman Imam, Jamie Diner, Cassandra Donahue, Rachael Fraser, Karla Fulghum, Faryal Gilani, Tahereh Ghorbani, Alex Kass, Nina Jain, Klara Klein, Lauren Larison, Brooke Matson, Catherine Morba, Chase Armstrong, Sue Kirkman, Jesica Baran, Rosanna Holod, Dori Khakpour, Patali Mandava, Lori Sameshima, Xiaofu Dong, Thanmai Kalerus, Beth Loots, Kathleen Santarelli, Cisco Pascual, Kevin Niswender, Norma Edwards, Justin Gregory, Alvin Powers, Andrea Ramirez, Fumihiko Urano, Samantha Adamson, Cris Brown, Joel Brune, Mary Jane Clifton, Jing Hughes, Stacy Hurst, Isabella Paolicelli, Brittany Zwijack, Toko Campbell, Jennifer May, Rajesh Adusumalli, Bruce Albritton, Analia Aquino, Paul Bransford, Nicholas Cadigan, Laura Gandolfo, Joseph Gomes, Robert Gowing, Juan Herrera, Callyn Kirk, Jean Morissette, Hemang M Parikh, Francisco Perez-Laras, Cassandra L Remedios, Lili Wurmser, Brandy Hutchinson, Sidhvi Nekkanti, MacKenzie Brandes, Noël Burtt, Jason Flannick, Ryan Koesterer, Phebe Olorunfemi, Ahmed Alkanaq, Lizz Caulkins, Clive Wasserfall, David Pittman, William Winter, David J Carey, Daniel Hood, Santica M Marcovina, and Christopher B Newgard

Subjects
Diseases of the endocrine glands. Clinical endocrinology, RC648-665
Abstract

Introduction There are no established methods to identify children with atypical diabetes for further study. We aimed to develop strategies to systematically ascertain cases of atypical pediatric diabetes using electronic medical records (EMR).Research design and methods We tested two strategies in a large pediatric hospital in the USA. Strategy 1: we designed a questionnaire to rule out typical diabetes and applied it to the EMR of 100 youth with diabetes. Strategy 2: we built three electronic queries to generate reports of three atypical pediatric diabetes phenotypes: unknown type, type 2 diabetes (T2D) diagnosed

Published
2024
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2. Effects of Gluten Intake on Risk of Celiac Disease: A Case-Control Study on a Swedish Birth Cohort

Author

Carin Andrén Aronsson, Hye-Seung Lee, Sibylle Koletzko, Ulla Uusitalo, Jimin Yang, Suvi M. Virtanen, Edwin Liu, Åke Lernmark, Jill M. Norris, Daniel Agardh, Marian Rewers, Kimberly Bautista, Judith Baxter, Ruth Bedoy, Daniel Felipe-Morales, Brigitte I. Frohnert, Patricia Gesualdo, Michelle Hoffman, Rachel Karban, Jill Norris, Adela Samper-Imaz, Andrea Steck, Kathleen Waugh, Hali Wright, Jin-Xiong She, Desmond Schatz, Diane Hopkins, Leigh Steed, Jamie Thomas, Janey Adams, Katherine Silvis, Michael Haller, Melissa Gardiner, Richard McIndoe, Ashok Sharma, Joshua Williams, Gabriela Foghis, Stephen W. Anderson, Richard Robinson, Anette G. Ziegler, Andreas Beyerlein, Ezio Bonifacio, Michael Hummel, Sandra Hummel, Kristina Foterek, Mathilde Kersting, Annette Knopff, Claudia Peplow, Roswith Roth, Joanna Stock, Elisabeth Strauss, Katharina Warncke, Christiane Winkler, Jorma Toppari, Olli G. Simell, Annika Adamsson, Heikki Hyöty, Jorma Ilonen, Sanna Jokipuu, Tiina Kallio, Miia Kähönen, Mikael Knip, Annika Koivu, Mirva Koreasalo, Kalle Kurppa, Maria Lönnrot, Elina Mäntymäki, Katja Multasuo, Juha Mykkänen, Tiina Niininen, Mia Nyblom, Petra Rajala, Jenna Rautanen, Anne Riikonen, Minna Romo, Satu Simell, Tuula Simell, Ville Simell, Maija Sjöberg, Aino Stenius, Maria Särmä, Sini Vainionpää, Eeva Varjonen, Riitta Veijola, Mari Vähä-Mäkilä, Mari Åkerlund, Maria Ask, Jenny Bremer, Ulla-Marie Carlsson, Corrado Cilio, Emelie Ericson-Hallström, Lina Fransson, Thomas Gard, Joanna Gerardsson, Rasmus Bennet, Monica Hansen, Gertie Hansson, Cecilia Harmby, Susanne Hyberg, Fredrik Johansen, Berglind Jonasdottir, Helena Elding Larsson, Sigrid Lenrick Forss, Markus Lundgren, Maria Månsson-Martinez, Maria Markan, Jessica Melin, Zeliha Mestan, Kobra Rahmati, Anita Ramelius, Anna Rosenquist, Falastin Salami, Sara Sibthorpe, Birgitta Sjöberg, Ulrica Swartling, Evelyn Tekum Amboh, Erika Trulsson, Carina Törn, Anne Wallin, Åsa Wimar, Sofie Åberg, William A. Hagopian, Michael Killian, Claire Cowen Crouch, Jennifer Skidmore, Stephen Ayres, Kayleen Dunson, Rachel Hervey, Corbin Johnson, Rachel Lyons, Arlene Meyer, Denise Mulenga, Elizabeth Scott, Joshua Stabbert, Alexander Tarr, Morgan Uland, John Willis, Dorothy Becker, Margaret Franciscus, MaryEllen Dalmagro-Elias Smith, Ashi Daftary, Mary Beth Klein, Chrystal Yates, Jeffrey P. Krischer, Michael Abbondondolo, Sarah Austin-Gonzalez, Sandra Baethke, Rasheedah Brown, Brant Burkhardt, Martha Butterworth, Joanna Clasen, David Cuthbertson, Christopher Eberhard, Steven Fiske, Dena Garcia, Jennifer Garmeson, Veena Gowda, Kathleen Heyman, Francisco Perez Laras, Shu Liu, Xiang Liu, Kristian Lynch, Jamie Malloy, Cristina McCarthy, Wendy McLeod, Steven Meulemans, Chris Shaffer, Laura Smith, Susan Smith, Noah Sulman, Roy Tamura, Kendra Vehik, Ponni Vijayakandipan, Keith Wood, Lori Ballard, David Hadley, Beena Akolkar, Kasia Bourcier, Thomas Briese, Suzanne Bennett Johnson, and Eric Triplett

Subjects
Male, medicine.medical_specialty, Glutens, Biopsy, Teddy Study, Diet, Pediatric, Wheat, The Environmental Determinants of Diabetes in the Young, Breastfeeding, Gastroenterology and Hepatology, digestive system, Gastroenterology, Risk Assessment, 03 medical and health sciences, 0302 clinical medicine, GTP-Binding Proteins, Internal medicine, Medicine, Humans, Protein Glutamine gamma Glutamyltransferase 2, 030212 general & internal medicine, Seroconversion, Child, Autoantibodies, 2. Zero hunger, chemistry.chemical_classification, Sweden, Transglutaminases, Hepatology, business.industry, Case-control study, nutritional and metabolic diseases, Infant, Odds ratio, ta3123, Gluten, digestive system diseases, Confidence interval, 3. Good health, Intestines, Celiac Disease, chemistry, Case-Control Studies, Child, Preschool, Immunology, 030211 gastroenterology & hepatology, Female, business, Risk assessment
Abstract

BACKGROUND & AIMS: It is not clear how intake of gluten during infancy affects subsequent risk of celiac disease. We investigated whether gluten intake before 2 years of age increases risk for celiac disease in genetically susceptible children. METHODS: We performed a case-control study of 436 pairs of children, generated from a database of 2525 children with genetic susceptibility to celiac disease in Sweden, matched for sex, birth year, and HLA genotype from September 2004 and February 2010. Children were screened annually for celiac disease using an assay for tissue transglutaminase autoantibodies (tTGA). Intestinal biopsies were collected from children who tested positive for tTGA to confirm the presence of celiac disease. Gluten intake was calculated from 3-day food records collected when the children were 9, 12, 18 and 24 months old. RESULTS: Breastfeeding duration (median 32 weeks) and age at first introduction to gluten (median 22 weeks) did not differ between cases and tTGA-negative children (controls). At the visit prior to tTGA seroconversion, cases reported a larger intake of gluten (median 4.9 g/day) than controls (median 3.9 g/day) (odds ratio [OR], 1.28; 95% confidence interval [CI], 1.13-1.46; P=.0002). More cases consumed amounts of gluten in the upper 3rd tertile (i.e. >5.0 g/day) before they tested positive for tTGA seroconversion than controls (OR, 2.65; 95% CI, 1.70-4.13; P

Published
2015

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