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40
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1038/ajg.2009.241" target="_blank" rel="noreferrer noopener">http://doi.org/10.1038/ajg.2009.241</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
1913-1921
Issue
8
Volume
104
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Dublin Core
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Title
A name given to the resource
Assessment of Familiality, Obesity, and Other Risk Factors for Early Age of Cancer Diagnosis in Adenocarcinomas of the Esophagus and Gastroesophageal Junction
Publisher
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American Journal of Gastroenterology
Date
A point or period of time associated with an event in the lifecycle of the resource
2009
2009-08
Subject
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tobacco; alcohol; Gastroenterology & Hepatology; symptoms; body-mass index; abdominal obesity; barretts-esophagus; esophagogastric junction; gastric cardia; intestinal metaplasia; reflux disease
Creator
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Chak A; Falk G; Grady W M; Kinnard M; Elston R; Mittal S; King J F; Willis J E; Kondru A; Brock W; Barnholtz-Sloan J
Description
An account of the resource
OBJECTIVES: Adenocarcinomas of the esophagus and adenocarcinomas of the gastroesophageal junction are postulated to be complex genetic diseases. Combined influences of environmental factors and genetic susceptibility likely influence the age at which these cancers develop. The aim of this study was to determine whether familiality and other recognized risk factors are associated with the development of these cancers at an earlier age. METHODS: A structured validated questionnaire was utilized to collect self-reported data on gastroesophageal reflux symptoms, risk factors for Barrett's esophagus (BE) and family history, including age of cancer diagnosis in affected relatives from probands with BE, adenocarcinoma of the esophagus, or adenocarcinoma of the gastroesophageal junction, at five tertiary care academic hospitals. Medical records of all relatives reported to be affected were requested from hospitals providing this cancer care to confirm family histories. Familiality of BE/cancer, obesity (defined as body mass index >30), gastroesophageal reflux symptoms, and other risk factors were assessed for association with a young age of cancer diagnosis. RESULTS: A total of 356, 216 non-familial and 140 familial, cancers were studied. The study population consisted of 292 (82%) men and 64 (18%) women. Mean age of cancer diagnosis was no different in a comparison of familial and non-familial cancers, 62.6 vs. 61.9 years, P=0.70. There were also no significant differences in symptoms of gastroesophageal reflux, body mass index, race, gender, and smoking history between familial and non-familial cancers. Mean age of cancer diagnosis was significantly younger in those who were obese 1 year before diagnosis as compared to those who were non-obese, mean age 58.99 vs. 63.6 years, P=0.008. Multivariable modeling of age at cancer diagnosis showed that obesity 1 year before diagnosis was associated with a younger age of cancer diagnosis (P=0.005) after adjustment for heartburn and regurgitation duration. CONCLUSIONS: Obesity is associated with the development of esophageal and gastroesophageal junctional adenocarcinomas at an earlier age. Familial cancers arise at the same age as non-familial cancers and have a similar risk factor profile.
Identifier
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<a href="http://doi.org/10.1038/ajg.2009.241" target="_blank" rel="noreferrer noopener">10.1038/ajg.2009.241</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article or Conference Abstract Publication
2009
abdominal obesity
Alcohol
American Journal of Gastroenterology
Barnholtz-Sloan J
barretts-esophagus
body-mass index
Brock W
Chak A
Elston R
esophagogastric junction
Falk G
gastric cardia
Gastroenterology & Hepatology
Grady W M
intestinal metaplasia
Journal Article or Conference Abstract Publication
King J F
Kinnard M
Kondru A
Mittal S
reflux disease
Symptoms
tobacco
Willis J E
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/DBP.0000000000000897" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/DBP.0000000000000897</a>
Volume
Publish Ahead of Print
ISSN
1536-7312 0196-206X
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1097/DBP.0000000000000897" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1097/DBP.0000000000000897</a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Update Year & Number
January 2021 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Pediatrics
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Use of telehealth in fellowship-affiliated developmental behavioral pediatric practices during the COVID-19 pandemic.
Publisher
An entity responsible for making the resource available
Journal of Developmental and Behavioral Pediatrics
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-12-21
Creator
An entity primarily responsible for making the resource
Wallis KE; Mulé C; Mittal S; Cerda N; Shaffer R; Scott A; Langkamp D; Augustyn M; Perrin E; Soares N; Blum NJ
Description
An account of the resource
OBJECTIVE: This study aims to describe the use of telehealth in developmental behavioral pediatric (DBP) fellowship-affiliated practices during the coronavirus disease 2019 (COVID-19) global pandemic. METHODS: An electronic survey was disseminated to all DBP fellowship-associated practice locations to determine the use of telehealth in DBP care provision, before and since the beginning of the COVID-19 pandemic. We analyzed responses using descriptive statistics. RESULTS: A total of 35 of 42 eligible practice sites responded (83% response rate). Most sites (51.4%) reported using telehealth less than once per month before the COVID-19 pandemic. Since the onset of COVID-19, 100% of programs reported conducting video-based telehealth visits multiple days per week. Most sites reported conducting evaluations and follow-up visits for attention-deficit/hyperactivity disorder, autism spectrum disorder, behavioral concerns, developmental delay, genetic disorders, and learning disability. Most sites were able to continue medication management by telehealth (>88%), offer interpreter services for families with limited English proficiency participating in telehealth visits (>90%), and incorporate trainees and interdisciplinary team members in telehealth visits (>90%). Greater variability was observed in sites' ability to collect telehealth practice evaluation measures. CONCLUSION: Most sites are providing evaluations and ongoing care for DBP conditions through telehealth. The rapid adoption of telehealth can have ramifications for the way that DBP care is delivered in the future; therefore, it is imperative to understand current practice patterns and variations to determine the best use of telehealth.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/DBP.0000000000000897" target="_blank" rel="noreferrer noopener">10.1097/DBP.0000000000000897</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Format
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journalArticle
2020
Augustyn M
Blum NJ
Cerda N
Department of Pediatrics
January 2021 List
Journal of Developmental and Behavioral Pediatrics
journalArticle
Langkamp D
Mittal S
Mulé C
NEOMED College of Medicine
Perrin E
Scott A
Shaffer R
Soares N
Wallis KE