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A flexible multi-metric Bayesian framework for decision-making in phase II multi-arm multi-stage studies

We propose a multi-metric flexible Bayesian framework to support efficient interim decision-making in multi-arm multi-stage phase II clinical trials.

Impact of randomised wMel Wolbachia deployments on notified dengue cases and insecticide fogging for dengue control in Yogyakarta City

Deployments of wMel-infected Aedes aegypti mosquitoes resulted in an 83% reduction in the application of perifocal insecticide spraying, consistent with lower dengue case notifications in wMel-treated areas. These results show that the Wolbachia intervention effect demonstrated previously in a cluster randomised trial was also measurable from routine surveillance data.

Superwoman Schema and John Henryism among African American women: An intersctional perspective on coping with racism

John Henryism and Superwoman Schema are statistically distinct constructs. Understanding culturally-specific coping may inform how racism gets under the skin. The findings have implications for understanding intersectional stress-coping dynamics.

Disruption of spatiotemporal clustering in dengue cases by wMel Wolbachia in Yogyakarta, Indonesia

Introgression of wMel into A. aegypti populations is effective in reducing the focal transmission of dengue virus, leading to reduced case incidence.

The impact of job loss on self-injury mortality in a cohort of autoworkers: Application of a novel causal approach

Leaving active employment in shrinking industries may increase the risk of death due to suicide or drug overdose.

Randomization inference for cluster-randomized test-negative designs with application to dengue studies: unbiased estimation, partial compliance, and stepped-wedge design

We propose the log-contrast estimator that can eliminate bias caused by differential healthcare-seeking behavior in cluster-randomized test-negative designs and demonstrate how to improve precision by adjusting for covariates.

Efficacy of Wolbachia-Infected Mosquito Deployments for the Control of Dengue

Introgression of wMel into A. aegypti populations was effective in reducing the incidence of symptomatic dengue and resulted in fewer hospitalizations for dengue among the participants.

Suicide, overdose and worker exit in a cohort of Michigan autoworkers

US suicide and overdose mortality rates are rising for working-age adults with no college education. Manufacturing has been declining in the US for decades, as precarious work has been increasing. Economic contraction and job loss have been linked to suicide, depression and substance abuse. This study examined individual-level data from a large established cohort study of autoworkers in Michigan followed from 1970 to 2015, covering the recent period of decline in the US automobile industry. We found that suicide was associated with employment status; the hazard rate was 16 times higher among inactive workers who had terminated employment. When compared to rate among retirees, the rate of suicide combined with overdose was elevated for workers who left work younger, when leaving was less likely to be voluntary.

Reduced dengue incidence following deployments of Wolbachia-infected Aedes aegypti in Yogyakarta, Indonesia - a quasi-experimental trial using controlled interrupted time series analysis

We demonstrate a significant reduction in dengue incidence following successful introgression of Wolbachia into local Ae. aegypti populations in an endemic setting in Indonesia. These findings are consistent with previous field trials in northern Australia, and support the effectiveness of this novel approach for dengue control.

Cancer and cardiovascular risk in women with hypertensive disorders of pregnancy carrying a common IGF1R variant

Women who experience HDPs have 41% lower risk for developing nonbreast cancer and have lower later-life blood pressures if they inherit a T allele of the common functional IGF1R variant rs2016347. These novel findings add to a growing body of epidemiologic evidence pointing to a clinically significant exposure interaction between HDPs and rs2016347 (effect modification) and strongly implicate a mechanistic role for the IGF1 axis in driving both cardiovascular and cancer risk, particularly in women with a history of HDPs. Because nonbreast cancers afflict 30% of women in their lifetime, confirmation of this study's findings could lead to improved individualized cancer screening, as well as novel prevention strategies.