The Center for Interdisciplinary Population & Health Research initiates and evaluates interventions to improve health care quality and safety.

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Submissions from 2026

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Rotating night shift work, gestational diabetes and risk of type 2 diabetes among US nurses, Isha Agarwal, Cara Frankenfeld, Eva Schernhammer, Susanne Strohmaier, Abby Fleisch, Janet Rich-Edwards, and Deirdre K. Tobias

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Associations of rurality, child opportunity, and distance with use of pediatric asthma specialists, James Bohnhoff, Anya Cutler, Elizabeth A. Jacobs, Wanda Phipatanakul, and Yvonne Jonk

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Cardiovascular disease risk factors in women with O-desmethylangolensin producing and non-producing gut microbial metabotypes: an observational study, Holly Childs, Cara L. Frankenfeld, Allyson Dailey, Robin Couch, and Margaret Slavin

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Antibiotic stewardship in hospital outpatient departments: a qualitative study of alignment with existing guidance, Salome O. Chitavi, Whitney R. Buckel, Michael Kohut, Barbara Braun, Rachel Zetts, and David Hyun

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Identifying Endocrinology Nurse Practitioners and Physician Associates Using Claims Data, Anya Cutler, Dana Schwartz, Chelsea Bodnar, Laura Faherty, and James Bohnhoff

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A Nutrient Ratio-Based, Web-Enabled Food Quality Score Is Associated With Weight and Blood Pressure Compared With Leading Nutrient Profiling Systems, Christopher J. Damman and Cara L. Frankenfeld

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Per- and polyfluoroalkyl substances and knee osteoarthritis: data from the Osteoarthritis Initiative., Jeffrey B Driban, Lisa B Rokoff, Bing Lu, Timothy E McAlindon, Charles B Eaton, Mary B Roberts, Diana Mathes, Colleen Lestician, Zhijin Carrie Xu, Zhihua Tina Fan, Shawn P O'Leary, Ida K Haugen, Jérémie Sellam, Alice Courties, and Abby Fleisch

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Birth Weight Percentiles and Infant and Child Growth Dynamics, María Alejandra Hernandez, Richard M. Parker, Tim J. Cole, Izzuddin M. Aris, Henrique Barros, Johan G. Eriksson, and Abby F. Fleisch

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Impact of COVID-19 and CFTR Modulators on Cystic Fibrosis: A Real-World Analysis of Care Patterns, Alexandra C. Hinton, Edmund H. Sears, Sara Lopez-Pintado, and Jonathan B. Zuckerman

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Mobile phone auscultation to delineate pneumonia from other respiratory conditions and controls: a prospective cohort study, Martin Huecker, Ryan Close, Jonathan Mattingly, Haely Studebaker, and Craig Zeigler

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The Route of Misoprostol in Reducing Blood Loss for Transperitoneal Myomectomies: A Systematic Review and Meta-analysis, Nadi Kaonga, Emma Patterson, Tionne Pete, Natalie Rilo, Erin Reardon, Scott Eugley, Cara Frankenfeld, and Toby Fitzgerald

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Behavioral Predictors of Adolescent Anxiety During Therapy Dog Interactions Within an Experimental Setting, Nicole Mason, Seana Dowling-Guyer, Eric C. Anderson, and Megan K. Mueller

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Nutrition and Culinary Education in Food Is Medicine Interventions: A Scoping Review, Lizbeth Moreno Loaeza, Ronit Ridberg, Sydney Yearley, Julia R. Sharib, Narmeen Rehman, Francesca Piccolo, Fang Fang Zhang, and Dariush Mozaffarian

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Feasibility and acceptability of a rural palliative care intervention for patients with heart failure (RuPAL-HF), Francesca X. Piccolo, Eric C. Anderson, Hanna Gutow, Claire M. Johnson, Michelle D. Nevers, Susan DeSanto-Madeya, and Rebecca N. Hutchinson

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Acute management of spontaneous intracerebral hemorrhage (ICH) in the emergency department, Madeleine Puissant and Latha Ganti

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Predictors of Serum Per- and Polyfluoroalkyl Substances (PFAS) Concentrations in a Rural Agricultural Community Affected by Biosolids Application, Lisa B. Rokoff, Katherine Senechal, Megan E. Romano, Julianne Cook Botelho, Antonia M. Calafat, Rachel Criswell, and Abby F. Fleisch

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Associations of mid-childhood per- and polyfluoroalkyl substances and early childhood metals with mid-childhood antibody titers, Anna Smith, Pi-I D. Lin, Sheryl L. Rifas-Shiman, Diane R. Gold, Abby F. Fleisch, Marie-France Hivert, Emily Oken, and Andres Cardenas

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Per- and Polyfluoroalkyl Substances During Pregnancy and Gestational Diabetes: The Environmental Influences on Child Health Outcomes (ECHO) Cohort., Anne P Starling, Mohamad Burjak, Adaeze W Nzegwu, Xiaoshuang Xun, John L Adgate, Emily S Barrett, Deborah H Bennett, Leda Chatzi, Elena Colicino, Dana Dabelea, Anne L Dunlop, Assiamira Ferrara, Abby Fleisch, and ECHO Cohort Consortium

Submissions from 2025

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Rural School-Based Health Centers: Meeting Children Where They Are to Improve Asthma Outcomes, James C. Bohnhoff, Abby Fleisch, and Jill S. Halterman

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Confronting nihilism and stigma in lung cancer: The nurse practitioner's role in restoring hope and trust, Lisa Carter-Bawa, Timothy J. Williamson, Nancy Alvey, Abbie Begnaud, Dannell Boatman, Deborah P. Brown, Deena Cook, Dusty Donaldson, and Elizabeth Scharnetzki

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Concentrations of per- and polyfluoroalkyl substances (PFAS) in private well drinking water and serum of individuals exposed to PFAS through biosolids: The Maine Biosolids Study, Rachel Criswell, Katherine Senechal, Anne M. Mullin, Antonia M. Calafat, Julianne Cook Botehlo, Lisa B. Rokoff, and Abby F. Fleisch

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Per- and polyfluoroalkyl substances and hand osteoarthritis: data from the Osteoarthritis Initiative, Jeffrey B. Driban, Lisa B. Rokoff, Bing Lu, Timothy E. McAlindon, Charles B. Eaton, Mary B. Roberts, and Diana Mathes

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Inpatient addiction care is associated with increased vaccinations, medication for opioid use disorder and naloxone prescribing among patients with infective endocarditis in a rural state, Eva J. Farkas, Victoria Molina, Brittany Mohoney, Wendy Craig, Jessie Schaumberg, Amy McAuliffe, and Kinna Thakarar

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A Mixed Methods Pilot Study of Neonatal Resuscitation Team Training for Rural Providers Using HoloBaby, a Mixed Reality Prototype Simulator, Michael Ferguson, Micheline Chipman, Anya K. Cutler, Leah Mallory, Misty Melendi, Leah M. Seften, Allison Zanno, Michael Zubrow, and Mary Ottolini

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Characteristics of Adolescents Medically Admitted for Suicide Attempts, Roslyn Gerwin, Hannah Burley, and Anya Cutler

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Mobile Phone Auscultation Accurately Diagnoses Chronic Obstructive Pulmonary Disease Using Nonlinear Respiratory Biofluid Dynamics, Caroline Emily Gosser, Luther Daniel, Martin Huecker, Rodrigo Cavallazzi, Hiram Rivas, Jarred Jeremy Thomas, and Ryan Close

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Does Cohort Selection Affect Machine Learning from Clinical Data?, Atefehsadat Haghighathoseini, Janusz Wojtusiak, Hua Min, Timothy Leslie, and Cara Frankenfeld

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AI Diabetic Retinopathy Screening in a Primary Care Setting in Rural Maine, Rachel Heuer, Emma DayBranch, Anastasia Tsomides, Jessica F. DiBiase, Neil Korsen, and Brian Nolan

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A composite vignette: xylazine, infectious complications and the importance of community-based drug checking services, Liam John, Nathaniel Flint, Francesca Piccolo, Katherine Hill, Michael Fletcher, Kristen Silvia, and Kinna Thakarar

Early-life and concurrent predictors of the healthy adolescent microbiome in a cohort study, Hannah E. Laue, Amy D. Willis, Fang Wang, Melinda C. MacDougall, Yingying Xu, Margaret R. Karagas, Juliette C. Madan, Abby F. Fleisch, and Bruce P. Lanphear

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Early-life and concurrent predictors of the healthy adolescent microbiome in a cohort study, Hannah E. Laue, Amy D. Willis, Fang Wang, Melinda C. MacDougall, Yingying Xu, Margaret R. Karagas, Juliette C. Madan, Abby F. Fleisch, Bruce P. Lanphear, Kim M. Cecil, Kimberly Yolton, Aimin Chen, Jessie P. Buckley, and Joseph M. Braun

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Arsenic exposure is associated with elevated sweat chloride concentration and airflow obstruction among adults in Bangladesh: A cross-sectional study, Mi-Sun S. Lee, Crystal M. North, Irada Choudhuri, Subrata K. Biswas, Abby F. Fleisch, Afifah Farooque, Diane Bao, Sakila Afroz, Sadia Mow, Nazmul Husain, Fuadul Islam, Md Golam Mostofa, Partha Pratim Biswas, and David S. Ludwig

Arsenic exposure is associated with elevated sweat chloride concentration and airflow obstruction among adults in Bangladesh: A cross-sectional study, Mi-Sun S. Lee, Crystal M. North, Irada Choudhuri, Subrata K. Biswas, Abby F. Fleisch, Afifah Farooque, Diane Bao, Sakila Afroz, Sadia Mow, Nazmul Husain, Fuadul Islam, Md Golam Mostofa, Partha Pratim Biswas, and David S. Ludwig

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Associations of Perfluoroalkyl and Polyfluoroalkyl Substances With Cardiovascular Disease Incidence in Adults With Prediabetes: Findings From the Diabetes Prevention Program, Pi-I Debby Lin, Andres Cardenas, Marinella Temprosa, Julianne Cook Botelho, Antonia M. Calafat, Diane R. Gold, Emily Oken, and Abby F. Fleisch

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Psychometric Evaluation of the Modified Neonatal Resuscitation Program® Adherence Assessment Tool When Utilized for In Situ Simulation and Telesimulation Scenarios, Sophia Martens, Misty Melendi, Allison Zanno, Anya Cutler, Leah Seften, Sierra Soghikian, Tara Palnitkar, Leah Mallory, and Tania D. Strout

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Psychosocial distress among individuals residing in a rural PFAS-contaminated community, Elizabeth Scharnetzki, Lisa B. Rokoff, Katherine Senechal, Michelle Bosquet Enlow, Abby F. Fleisch, and Rachel Criswell

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Headache, nutrition, and developmental origins of health and disease, Margaret Slavin and Cara L. Frankenfeld

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Embracing Compassion for People Facing Lung Cancer-the American Cancer Society National Lung Cancer Roundtable, Jamie L. Studts, Lisa Carter-Bawa, Jill Feldman, Joan H. Schiller, and Elizabeth Scharnetzki

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Embracing Compassion for People Facing Lung Cancer-the American Cancer Society National Lung Cancer Roundtable, Jamie L. Studts, Lisa Carter-Bawa, Jill Feldman, Joan H. Schiller, and Elizabeth Scharnetzki

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Telehealth for the study of palliative care communication: opportunities, methodological challenges, and recommendations, Elise C. Tarbi, Susanna L. Schuler, Natalie Ambrose, Rebecca N. Hutchinson, and Maija Reblin

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Associations of maternal per- and polyfluoroalkyl substance plasma concentrations during pregnancy with offspring polycystic ovary syndrome and related characteristics in project viva, Zifan Wang, Abby Fleisch, Sheryl L. Rifas-Shiman, Antonia M. Calafat, Tamarra James-Todd, and Brent A. Coull

Submissions from 2024

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Ensemble Deep Learning-Based Image Classification for Breast Cancer Subtype and Invasiveness Diagnosis from Whole Slide Image Histopathology, Aadhi Aadhavan Balasubramanian, Salah Mohammed Al-Heejawi, Akarsh Singh, Anne Breggia, Bilal Ahmad, Robert Christman, Stephen Ryan, and Saeed Amal

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Pediatric subspecialty outreach clinics: reach and impact on access to care, James C. Bohnhoff, Anya Cutler, Sean Hagenbuch, and Kristen Kurland

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Rate and setting of neurodevelopmental and psychosocial encounters for children with CHD, James C. Bohnhoff, Anya Cutler, Julia Price, Katherine Ahrens, Sarah M. Gabrielson, Warren Hathaway, and Thomas A. Miller

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The European Discovery of American Surgery Volume 1: Land of Unlimited Possibilities, David Clark

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A multicenter, randomized, doubleblind, placebo-controlled trial of amantadine to stimulate awakening in comatose patients resuscitated from cardiac arrest, Patrick J. Coppler, David J Gagnon, Katharyn L. Flickinger, Jonathan Elmer, Clifton W. Callaway, Francis X. Guyette, David Seder, and Teresa May

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Clinical Implications of New Drinking Water Regulation for "Forever Chemicals", Rachel Criswell, Abby F. Fleisch, and Alan Ducatman

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Socioeconomic and Urban-Rural Disparities in Genome-Matched Treatment Receipt and Survival after Genomic Tumor Testing, Jessica F. DiBiase, Elizabeth Scharnetzki, Emily Edelman, E Kate Reed, Susan Miesfeldt, Cara Frankenfeld, Paul K. J. Han, and Eric C. Anderson

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Improving access to first-line treatment for pediatric obesity: Lessons from the dissemination of SmartMoves, Emily Benjamin Finn, Caroline V. Keller, Marissa A. Gowey, Mary Savoye, Stephanie Samuels, Abby F. Fleisch, and Victoria W. Rogers

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Associations of ethnicity, skin tone, and genome-wide sequencing with bone mineral density in adolescents, Catherine M. Gordon, Abby F. Fleisch, Marie-France Hivert, Lisa B. Rokoff, Sheryl L. Rifas-Shiman, Jean L. Raphael, and Emily Oken

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Does Cohort Selection Affect Machine Learning from Clinical Data?, Atefehsadat Haghighathoseini, Janusz Wojtusiak, Hua Min, Timothy Leslie, and Cara Frankenfeld

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In Support of the Decriminalization of Personal Drug and Paraphernalia Use and Possession: Position Statement of AMERSA, Inc (Association for Multidisciplinary Education, Research, Substance Use and Addiction), Katherine Hill, Katherine Dunham, Kristin Doneski, Kimberly L. Sue, and Kinna Thakarar

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Predictors of frequency of CF care in the US Cystic Fibrosis Foundation Patient Registry, Alexandra C. Hinton, Edmund H. Sears, Jonathan B. Zuckerman, and Sara Lopez-Pintado

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Higher FSH Level Is Associated With Increased Risk Of Incident Hip Fracture In Older Adults, Independent Of Sex Hormones, Eileen H. Koh, Susan K. Ewing, Sigurdur Sigurdsson, Vilmundur Gudnason, Trisha F. Hue, Eric Vittinghoff, Claes Ohlsson, Åsa Tivesten, Louise Grahnemo, Tony Yuen, Mone Zaidi, Clifford J. Rosen, Ann V. Schwartz, and Anne L. Schafer

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A qualitative study of how structural vulnerability shaped COVID-19 testing behaviors in Portland, Maine, Michael Kohut PhD, Gloria Sclar, Leslie Nicoll, Caroline Fernandes, Andrew Volkers, and Ann Tucker

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Development and Evaluation of a Rural Longitudinal NRP® Telesimulation Program (MOOSE: Maine Ongoing Outreach Simulation Education), Misty Melendi, Allison E. Zanno, Jeffrey Holmes, Micheline Chipman, Anya K. Cutler, Henry Stoddard, Leah Mallory, Leah M. Seften, Anna Gilbert, Mary Ottolini, and Alexa Craig

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Reaching Structurally Vulnerable Populations Using Low-Barrier COVID-19 Testing Clinics Co-Created with Community-Based Organizations., David Ngandu, Gloria D Sclar, Ambia Ahmed, Sumayo A Awale, Caroline Fernandes, Joshua Goldstein, Hina Hashmi, Grace Price, and Kathleen Fairfield

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Approach to Acute Dizziness/Vertigo in the Emergency Department: Selected Controversies Regarding Specialty Consultation., Madeleine Puissant, Susan Giampalmo, Charles R Wira, Joshua N Goldstein, and David E Newman-Toker

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Approach to Acute Dizziness/Vertigo in the Emergency Department: Selected Controversies Regarding Specialty Consultation, Madeleine M. Puissant, Susan Giampalmo, Charles R. Wira, Joshua N. Goldstein, and David E. Newman-Toker

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Mid-Childhood Plasma Concentrations of Per- and Polyfluoroalkyl Substances, Modifiable Lifestyle Factors, and Bone Mineral Density Through Late Adolescence, Lisa B. Rokoff, Sheryl L. Rifas-Shiman, Izzuddin M. Aris, Pi-I D. Lin, Clifford J. Rosen, and Abby F. Fleisch

Submissions from 2023

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Transcranial direct current stimulation (tDCS) to dorsolateral prefrontal cortex influences perceived pleasantness of food, Eric C. Anderson, Julie A. Cantelon, Amanda Holmes, Grace E. Giles, Tad T. Brunyé, and Robin Kanarek

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Thematic analyses of participant survey responses following dermatology ECHO programs with dermoscopy: Practical tips and lessons learned, T Austin Black, Joshua R. Parbs, Anthony J. Teixeira, Peggy Cyr, Kelly C. Nelson, Henry Stoddard, and Elizabeth V. Seiverling

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European Portuguese Version of the Multidimensional Fatigue Symptom Inventory-Short Form: Validation Study, Maria Inês Clara, Kevin Stein, Maria Cristina Canavarro, and Ana Allen Gomes

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Urban-Rural and Socioeconomic Differences in Patient Knowledge and Perceptions of Genomic Tumor Testing, Jessica F. DiBiase, Elizabeth Scharnetzki, Emily Edelman, F Lee Lucas, Petra Helbig, Jens Rueter, Paul K. J. Han, Elizabeth A. Jacobs, and Eric C. Anderson

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Improving the Health of People Who Inject Drugs Through COVID-19-Related Policies, Katherine Hill, Kinna Thakarar, Hilary Eslinger, Lill Prosperino, and Kimberly L. Sue

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Decisions about adopting novel COVID-19 vaccines among White adults in a rural state, USA: A qualitative study, Michael Kohut PhD, Liz Scharnetzki, Joseph Pajka, Elizabeth A. Jacobs, and Kathleen M. Fairfield

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Cohort Profile Update: Project Viva mothers., Sheryl L Rifas-Shiman, Izzuddin M Aris, Karen M Switkowski, Jessica Young, Abby Fleisch, Tamarra James-Todd, Ami R Zota, Wei Perng, Marie-France Hivert, Janet W Rich-Edwards, Melissa Perez Capotosto, Jorge E Chavarro, and Emily Oken

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Plasma concentrations of per- and polyfluoroalkyl substances in pregnancy and breastfeeding duration in Project Viva, Lisa B. Rokoff, Jordyn T. Wallenborn, Maria H. Harris, Sheryl L. Rifas-Shiman, Rachel Criswell, Megan E. Romano, Jessica G. Young, and Antonia M. Calafat

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The Maine Cancer Genomics Initiative: Implementing a Community Cancer Genomics Program Across an Entire Rural State, Jens Rueter, Eric C. Anderson, Leah C. Graham, Andrey Antov, Petra Helbig, Lory Gaitor, John DiPalazzo, and Paul K. J. Han

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Effects of pro-social and hope-promoting communication strategies on COVID-19 worry and intentions for risk-reducing behaviors and vaccination: An experimental study, Elizabeth Scharnetzki, Leo Waterston, Aaron M. Scherer, Alistair Thorpe, Angela Fagerlin, and Paul Kj Han

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'I feel like they're actually listening to me': a pilot study of a hospital discharge decision-making conversation guide for patients with injection drug use-associated infections, Kinna Thakarar, Michael Kohut, Henry Stoddard, Deb Burris, Frank Chessa, Monica K. Sikka, Daniel A. Solomon, and Rebecca N. Hutchinson

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Evaluating Physician Emotion Regulation in Serious Illness Conversations Using Multimodal Assessment, Garrett T. Wasp, Satveer Kaur-Gill, Eric C. Anderson, Maxwell T. Vergo, Julia Chelen, Tor Tosteson, Paul J. Barr, and Amber E. Barnato

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Associations of Prenatal Per- and Polyfluoroalkyl Substance (PFAS) Exposures with Offspring Adiposity and Body Composition at 16-20 Years of Age: Project Viva, Mingyu Zhang, Sheryl L. Rifas-Shiman, Izzuddin M. Aris, Abby F. Fleisch, and Pi-I Debby Lin

Submissions from 2021

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Influence of Opioid Prescription Policy on Overdoses and Related Adverse Effects in a Primary Care Population, Valerie S. Harder, Timothy B. Plante, Insu Koh, Ethan B. Rogers, Susan E. Varni, Andrea C. Villanti, John R. Brooklyn, and Kathleen Fairfield