Submissions from 2019
A woman with nonresolving fever and bilateral pulmonary infiltrates., Philip C Stone, Edmund H Sears, and Jonathan B Zuckerman
Comparison of major adverse event rates after elective endovascular aneurysm repair in New England using a novel measure of complication severity., Vincent J Noori, Christopher T Healey, Jens Eldrup-Jorgensen, Elizabeth Blazick, Robert E Hawkins, Paul H S Bloch, Brian W Nolan, and Vascular Study Group of New England
Electronic Cigarette Use in US Households With Children: The "New" Secondhand Smoke., Jenny L. Carwile, Abby F. Fleisch, Kirsten Young, and Katherine A. Ahrens
Emerging Aspects of the Body Composition, Bone Marrow Adipose Tissue and Skeletal Phenotypes in Type 1 Diabetes Mellitus., Adriana L Carvalho, Bianca Massaro, Luciana T P E Silva, Carlos E G Salmon, Sandra Y Fukada, Marcello H Nogueira-Barbosa, Jorge Elias, Maria C F Freitas, Carlos E B Couri, Maria C Oliveira, Belinda P Simões, Clifford J Rosen, and Francisco J A de Paula
How to Transect the C2 Root for C1 Lateral Mass Screw Placement: Case Series and Review of an Underappreciated Variable in Outcome., Jeffrey E Florman, Deborah A Cushing, Emma C England, and Elbert White
Organ donation after trauma: A 30-year review., Adam Ackerman, David Clark, Judyta Lipinska, Bruce Chung, and James Whiting
Prehospital whole blood resuscitation prevents coagulopathy and improves acid-base status at hospital arrival in a nonhuman primate hemorrhagic shock model., Forest R Sheppard, Thomas A Mitchell, Andrew P Cap, Leasha J Schaub, Antoni R Macko, and Jacob J Glaser
Prenatal salivary sex hormone levels and birth-weight-for-gestational age., Katherine Svensson, Allan C. Just, Abby F. Fleisch, Alison P. Sanders, Marcela Tamayo-Ortiz, Andrea A. Baccarelli, Rosalind J. Wright, Martha M. Téllez-Rojo, Robert O. Wright, and Heather H. Burris
Racial disparities exist among burn patients despite insurance coverage., Scha'chia Murphy, David E Clark, and Damien W Carter
Rates of living kidney donor follow-up: findings from the KDOC study., James R Rodrigue, Aaron Fleishman, Claire M Sokas, Jesse D Schold, Paul Morrissey, James Whiting, John Vella, Liise K Kayler, Daniel Katz, Jody Jones, Bruce Kaplan, Martha Pavlakis, and Didier A Mandelbrot
SETD1A methyltransferase is physically and functionally linked to the DNA damage repair protein RAD18., Manal Alsulami, Nayla Munawar, Eugene Dillon, Giorgio Oliviero, Kieran Wynne, Mona Alsolami, Catherine Moss, Peadar Ó Gaora, Fergal O'Meara, David Cotter, and Gerard Cagney
So the Doctor Is Burned Out: What Does It Mean for Patient Care?, Dave W. Lu, Andra L. Blomkains, and John H. Burton
Residential wood stove use and indoor exposure to PM2.5 and its components in Northern New England., Abby F Fleisch, Lisa B Rokoff, Eric Garshick, Stephanie T Grady, Jonathan W Chipman, Emily R Baker, Petros Koutrakis, and Margaret R Karagas
What is the real number of Lyme disease cases in Canada?, N H Ogden, C Bouchard, J Badcock, M A Drebot, S P Elias, T F Hatchette, J K Koffi, P A Leighton, L R Lindsay, C B Lubelczyk, A S Peregrine, R P Smith, and D Webster
Deciphering the domain specificity of C. difficile toxin neutralizing antibodies., Leah E Cole, Lu Li, Utsav Jetley, Jinrong Zhang, Kristl Pacheco, Fuqin Ma, Jianxin Zhang, Sophia Mundle, Yanhua Yan, Lucianna Barone, Christopher Rogers, Nicola Beltraminelli, Laurence Quemeneur, Harry Kleanthous, Stephen F Anderson, and Natalie G Anosova
In-hospital outcomes of transcarotid artery revascularization and carotid endarterectomy in the Society for Vascular Surgery Vascular Quality Initiative., Marc L Schermerhorn, Patric Liang, Hanaa Dakour-Aridi, Vikram S Kashyap, Grace J Wang, Brian W Nolan, Jack L Cronenwett, Jens Eldrup-Jorgensen, and Mahmoud B Malas
Safe Care for Seizure Patients on an Epilepsy Monitoring Unit, Deborah Bachand, Lauri Wilson, Rachel Caiola, Lynne Keller, Megan Selvitelli, Mary Jo Farley, Jennifer O'Neill, Sara Shrock, Hannah Plummer, Sally Prokey, Amy Sparks, Stephen Tyzik, Suneela Nayak, and Ruth Hanselman
Clinical Credence - SGLT2 Inhibitors, Diabetes, and Chronic Kidney Disease., Julie R Ingelfinger and Clifford J Rosen
Rapid onset of orbital cellulitis after uncomplicated strabismus surgery., David Somsen and Gena Heidary
Senior-year curriculum in U.S. medical schools: a scoping review., Carl A Germann, Tania D Strout, Yoon Soo Park, and Ara Tekian
Underrepresented minorities are underrepresented among general surgery applicants selected to interview., Benjamin T Jarman, Kara J Kallies, Amit R T Joshi, Douglas S Smink, George A Sarosi, Lily Chang, John M Green, Jacob A Greenberg, Marc L Melcher, Valentine Nfonsam, Luis D Ramirez, Andrew J Borgert, and James Whiting
Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety., Stephen F Eckel, Jordyn P Higgins, Elizabeth Hess, Thomas Cerbone, Jennifer B Civiello, Christian Conley, Nilofar Jafari, Shailly Shah, Stephen L Speth, and Lynn Thornton
Beyond Opioids for Pain Management in Adult Critically Ill Patients., Chelsea R. Wampole and Katheryn E. Smith
Beyond Opioids for Pain Management in Adult Critically Ill Patients., Chelsea R Wampole and Kathryn E Smith
Early withdrawal of life support after resuscitation from cardiac arrest is common and may result in additional deaths., Teresa L May, Robin Ruthazer, Richard R Riker, Hans Friberg, Nainesh Patel, Eldar Soreide, Robert Hand, Pascal Stammet, Allison Dupont, Karen G Hirsch, Sachin Agarwal, Michael J Wanscher, Josef Dankiewicz, Niklas Nielsen, David B Seder, and David M Kent
Establishing an electronic health record–supported approach for outreach to and recruitment of persons at high risk of type 2 diabetes in clinical trials: The vitamin D and type 2 diabetes (D2d) study experience., Vanita R. Aroda, Patricia R. Sheehan, Ellen M. Vickery, Myrlene A. Staten, Erin S. LeBlanc, Lawrence S. Phillips, Irwin G. Brodsky, Chhavi Chadha, Ranee Chatterjee, Miranda G. Ouellette, Cyrus Desouza, and Anastassios G. Pittas
Frailty Cost: Economic Impact of Frailty in the Elective Surgical Patient., Justin G Wilkes, Jessica L Evans, B Stephen Prato, Steven A Hess, Dougald C MacGillivray, and Timothy L Fitzgerald
G-CSF partially mediates effects of sleeve gastrectomy on the bone marrow niche., Li Ziru, Julie Hardij, Simon S. Evers, Chelsea R. Hutch, Sarah M. Choi, Shao Yika, Brian S. Learman, Kenneth T. Lewis, Rebecca L. Schill, Mori Hiroyuki, Devika P. Bagchi, Steven M. Romanelli, Kim Ki-Suk, Emily Bowers, Cameron Griffin, Randy J. Seeley, Kanakadurga Singer, Darleen A. Sandoval, Clifford J. Rosen, and Ormond A. MacDougald
Impact of "psychosis risk" identification: Examining predictors of how youth view themselves., Lawrence H Yang, Kristen A Woodberry, Bruce G Link, Cheryl M Corcoran, Caitlin Bryant, Daniel I Shapiro, Donna Downing, Ragy R Girgis, Gary Brucato, Debbie Huang, Francesca M Crump, Mary Verdi, William R McFarlane, and Larry J Seidman
Innovative Interprofessional Improvement Project Increases Adherence to Vitamin D Supplementation After Newborn Discharge...2019 AWHONN Convention, June 8-12, 2019, Atlanta, Georgia, Jamie Fey, Noah Diminick, Heidi E. Morin, Kathleen Cyr, Jonathan Bourque, and Patricia J. Crosby
Inverse correlation between trabecular bone volume and bone marrow adipose tissue in rats treated with osteoanabolic agents., Samantha Costa, Heather Fairfield, and Michaela R Reagan
Knowledge, motivations, expectations, and traits of an African, African-American, and Afro-Caribbean sequencing cohort and comparisons to the original ClinSeq, Katie L Lewis, Alexis R Heidlebaugh, Sandra Epps, Paul K J Han, Kristen P Fishler, William M P Klein, Ilana M Miller, David Ng, Charlotte Hepler, Barbara B Biesecker, and Leslie G Biesecker
Lumen-apposing metal stent-related splenic artery erosion: diagnosis and management., Duncan J Flynn, Edward Belkin, Daniil Rolshud, Benjamin B Potter, and Douglas Howell
Man with foot pain., Randy M Kring, Timothy W Sweeney, and David MacKenzie
Maternal Overdose That Results in Respiratory Arrest During Pregnancy...2019 AWHONN Convention, June 8-12, 2019, Atlanta, Georgia., Tracey McMillan and Sarah M. Austin
Moose-Motor Vehicle Collision: A Continuing Hazard in Northern New England., David E Clark, Gwendolyn Fulton, Julianne B Ontengco, Tammy Lachance, and John E Sutton
No evidence that G6PD deficiency affects the efficacy or safety of daunorubicin in acute lymphoblastic leukemia induction therapy., Katherine M Robinson, Wenjian Yang, Seth E Karol, Nancy Kornegay, Dennis Jay, Cheng Cheng, John K Choi, Dario Campana, Ching-Hon Pui, Brent Wood, Michael J Borowitz, Julie Gastier-Foster, Eric C Larsen, Naomi Winick, William L Carroll, Mignon L Loh, Elizabeth A Raetz, Stephen P Hunger, Meenakshi Devidas, Elaine R Mardis, Robert S Fulton, Mary V Relling, and Sima Jeha
Overcoming Communication Barriers in Refugee Health Care., Sarah K Clarke, Janice Jaffe, and Raewyn Mutch
Patient-Centered and Specialty-Specific Case Work-Up: An Effective Method for Teaching Appropriateness of Imaging to Medical Students., Mike Sheng, Preya Shah, John M Choi, Eleanor Gillis, Sharyn I Katz, Scott A Simpson, Sean H Novak, and Arun C Nachiappan
Prostate cancer navigation: initial experience and association with time to care., Emily C Serrell, Moritz Hansen, Greg Mills, Andrew Perry, Tracy Robbins, Melanie Feinberg, Scot C Remick, Lisa Beaule, Matt Hayn, Tom Kinkead, Paul K J Han, and Jesse D Sammon
Tracheostomy Practices in Neurocritical Care., David B Seder
Use of Donor Milk to Improve Exclusive Breast-Milk Feeding Rates for Newborns on the Mother–Baby Unit...2019 AWHONN Convention, June 8-12, 2019, Atlanta, Georgia, Sharon Craig Economides and Jennifer Johnson
Woman with cirrhosis and shortness of breath., Christopher Allison and David Mackenzie
Endothelial Cells Regulate Physiological Cardiomyocyte Growth via VEGFR2-Mediated Paracrine Signaling., Riikka Kivelä, Karthik Amudhala Hemanthakumar, Katri Vaparanta, Marius Robciuc, Yasuhiro Izumiya, Hiroyasu Kidoya, Nobuyuki Takakura, Xuyang Peng, Douglas B Sawyer, Klaus Elenius, Kenneth Walsh, and Kari Alitalo
TAVR in Low-Risk Patients: 1-Year Results From the LRT Trial., Ron Waksman, Paul J Corso, Rebecca Torguson, Paul Gordon, Afshin Ehsan, Sean R Wilson, John Goncalves, Robert Levitt, Chiwon Hahn, Puja Parikh, Thomas Bilfinger, David Butzel, Scott Buchanan, Nicholas Hanna, Robert Garrett, Maurice Buchbinder, Federico Asch, Gaby Weissman, Itsik Ben-Dor, Christian Shults, Roshni Bastian, Paige E Craig, Syed Ali, Hector M Garcia-Garcia, Paul Kolm, Quan Zou, Lowell F Satler, and Toby Rogers
Anthracycline and peripartum cardiomyopathies., Joshua A Cowgill, Sanjeev A Francis, and Douglas B Sawyer
Clinician diagnoses of failure to thrive before and after switch to World Health Organization growth curves., Carrie Daymont, Noah Hoffman, Eric W Schaefer, and Alexander G Fiks
Sialyltransferase inhibition leads to inhibition of tumor cell interactions with E-selectin, VCAM1, and MADCAM1, and improves survival in a human multiple myeloma mouse model., Alessandro Natoni, Mariah L Farrell, Sophie Harris, Carolyne Falank, Lucy Kirkham-McCarthy, Matthew S Macauley, Michaela R Reagan, and Michael O'Dwyer
Cancer genetic health communication in families tested for hereditary breast/ovarian cancer risk: a qualitative investigation of impact on children's genetic health literacy and psychosocial adjustment., Kenneth P Tercyak, Suzanne M Bronheim, Nicole Kahn, Hillary A Robertson, Bruno J Anthony, Darren Mays, Suzanne C O'Neill, Susan K Peterson, Susan Miesfeldt, Beth N Peshkin, and Tiffani A DeMarco
Neurological pupil index and pupillary light reflex by pupillometry predict outcome early after cardiac arrest., Richard R Riker, Mary E Sawyer, Victoria G Fischman, Teresa May, Christine Lord, Ashley Eldridge, and David B Seder
Enhancing Interprofessional Collaboration and Communication with Art, Amy Moore and Dina McKelvy
ACR appropriateness criteria nonatherosclerotic peripheral artery disease., Christopher J Francois, Erik P Skulborstad, Sanjeeva P Kalva, Bill S Majdalany, Jeremy D Collins, Jens Eldrup-Jorgensen, Maros Ferencik, Suvranu Ganguli, A Tuba Kendi, Minhajuddin S Khaja, Piotr Obara, Thomas Ptak, Stephen P Reis, Patrick D Sutphin, and Karin E Dill
A Lesson in Screening For Hereditary Kidney Cancer Syndromes., Cindy Curry
Analysis of anti-diabetic exosomes secreted from beige adipocytes, Rachelle Mendola, Chad Doucette, Daniel Nguyen, Su Su, and Aaron Brown
Analyze patient tests for importance before ordering., Steven H Horowitz
Characteristics of Inpatients with Opioid Use Disorder Seen by “IMAT” Consult Service from 7/2016 - 6/2017, Katherine Nenninger, Jenny Carwile, Jonathan Fellers, and Kinna Thakarar
Clinical features and outcomes of young patients with epithelioid sarcoma: an analysis from the Children's Oncology Group and the European paediatric soft tissue Sarcoma Study Group prospective clinical trials., Sheri L. Spunt, Nadine Francotte, Gian Luca De Salvo, Yueh-Yun Chi, Ilaria Zanetti, Andrea Hayes-Jordan, Simon C. Kao, Daniel Orbach, Bernadette Brennan, Aaron R. Weiss, Max M. van Noesel, Lynn Million, Rita Alaggio, David M. Perham, Anna Kelsey, R Lor Randall, M Beth McCarville, Gianni Bisogno, Douglas S. Hawkins, and Andrea Ferrari
Communicating uncertainty in cancer prognosis: A review of web-based prognostic tools., Mark Harrison, Paul K J Han, Borsika Rabin, Madelaine Bell, Hannah Kay, Luke Spooner, Stuart Peacock, and Nick Bansback
Community oncology clinicians’ knowledge, beliefs, and attitudes regarding genomic tumor testing, Eric Anderson, Alexandra Hinton, Kimberly Murray, Hayley Mandeville, Caitlin Gutheil, Leo Waterston, Lee Lucas, Christine Duarte, Christian Thomas, Susan Miesfeldt, Petra Helbig, Andrey Antov, Jens Rueter, and Paul Han
Delayed Initiation of Therapeutic Hypothermia for Outborn Infants is Associated with Adverse Outcomes, Nabeel Hashmi, Max Sale, Leah Fox, Jay Kerecman, Lauren McAllister, Misty Melendi, and Frances Lucas
Development of 3D adipose tissue organoids to model human perivascular adipose tissue development and dysfunction, Joshua Boucher and Lucy Liaw
Effect of a Robust Electronic Medical Record Order Set on Hepatitis C Screening Rate at a Community Hospital, Hannah Olsen, Caroline Knight, and Harold Van Lonkhuyzen
Feasibility of a lifestyle change group medical visit in primary care, Booth Dargis
Feasibility of pre-operative mTOR inhibitor Sirolimus in children and young adults with desmoid tumor, Stephanie Verwys, Clara Magyar, Kathleen Glick, Douglas Hawkins, Archana Sharma, Brenda Weigel, Katherine Chastain, Joseph Khoury, Michele Manalang, Sarah Dry, Noah Federman, and Aaron Weiss
Gestational Age, Birth Weight, and Outcomes Six Years After the Norwood Procedure., Thomas Miller, Nancy S Ghanayem, Jane W Newburger, Brian W McCrindle, Chenwei Hu, Aaron G DeWitt, James F Cnota, Felicia L Tractenberg, Victoria L Pemberton, Michael J Wolf, Jodie K Votava-Smith, Carlen G Fifer, Linda M Lambert, Amee Shah, Eric M Graham, Christian Pizarro, Jeffrey P Jacobs, Stephen G Miller, L LuAnn Minich, and Pediatric Heart Network Investigators
Getting Personal with Dementia: Physician Assistant Student Virtual Reality Immersion, Diane Visich, Dana Vilmore, and Elizabeth Dyer
Identifying Youth at Clinical High Risk: What’s the Emotional Impact?, K A. Woodberry, K S. Powers, C Bryant, D Downing, M Verdi, L Kennedy, D I. Shapiro, R Girgis, G Brucato, D Huang, F M. Crump, C M. Corcoran, L I. Seidman, B Link, W R. McFarlane, and L Yang
Impact of palliative care consultations for patients admitted to Maine Medical Center with acute exacerbations of COPD, Benjamin Jarrett, Isabella Strumpf, and Rebecca Hutchinson
Increasing Doses of Intraoperative Hydromorphone Do Not Reduce Postoperative Pain, Craig S. Curry, Michael B. Henry, Wendy Craig, Janelle M. Richard, and Denham S. Ward
Loperamide-Associated Opioid Use Disorder and Proposal of an Alternative Treatment with Buprenorphine., Lee A Wolfrum, Aimee S Nordmeyer, Christopher W Racine, and Stephanie D Nichols
Missing pieces of the retention puzzle., Tammy Whitney-Dumais and Kristiina Hyrkäs
Mobilizing older adults: A multi-site, exploratory and observational study on patients enrolled in the Hospital Elder Life Program (HELP)., Rhonda L. Babine, E Kristiina Hyrkäs, Caitlin G. McKenzie, and Heidi R. Wierman
Mobilizing older adults: A multi-site, exploratory and observational study on patients enrolled in the Hospital Elder Life Program (HELP)., Rhonda L Babine, Kristiina E Hyrkäs, Caitlin G Mckenzie, and Heidi R Wierman
Neurocardiac risk stratification 6 hours after resuscitation from cardiac arrest, A Bilkanovic, Z Haxhija, L Lucas, J Dziodzio, R R. Riker, T May, H Friberg, and D B. Seder
Northern New England Palliative Care Teleconsult Research Laboratory, Ava Daruvala, Rebecca N. Hutchinson, Eric Anderson, and Paul Han
Outcomes of Implementation of an Evidence-Based Enteral Feeding Protocol in Neonates Weighing Less Than 1800g at Birth, Rebecca Edwards
Outpatient naloxone prescription in adults at risk for overdose in Cumberland County, Maine, David Kispert, Jenny Carwile, and Kinna Thakarar
Outpatient Treatment of Pulmonary Embolism: A Single-Center Case Series, Annie Huyler, Casey Z. MacVane, Andrew Perron, and Tania D Strout
Per- and Polyfluoroalkyl Substances and Bone Mineral Density in Mid-childhood, Shravanthi M. Seshasayee, Rachel Cluett, Lisa B. Rokoff, Sheryl L. Rifas-Shiman, Diane R. Gold, Brent Coull, Catherine M. Gordon, Clifford J. Rosen, Emily Oken, Sharon K. Sagiv, and Abby F. Fleisch
Pharmacological Management of Osteoporosis in Postmenopausal Women: An Endocrine Society* Clinical Practice Guideline., Richard Eastell, Clifford J Rosen, Dennis M Black, Angela M Cheung, M Hassan Murad, and Dolores Shoback
Physician-patient communication about genomic tumor testing: perceptions of oncology providers, Hayley Mandeville, Eric Anderson, Kimberly Murray, Caitlin Gutheil, Leo Waterston, Lee Lucas, Christine Duarte, Christian Thomas, Susan Miesfeldt, Petra Helbig, Andrey Antov, Jens Rueter, and Paul Han
Pioglitazone Therapy in Patients With Stroke and Prediabetes: A Post Hoc Analysis of the IRIS Randomized Clinical Trial., J David Spence, Catherine M Viscoli, Silvio E Inzucchi, Jennifer Dearborn-Tomazos, Gary A Ford, Mark Gorman, Karen L Furie, Anne M Lovejoy, Lawrence H Young, Walter N Kernan, and IRIS Investigators
Post Lumbar-Puncture Headache Experience in a Community Hospital (PEACH) Study, Melissa Kessel, Caroline Knight, and Robert Stein
Potential of vascular endothelial growth factor as a biomarker of coronary artery disease in subjects undergoing CABG surgery, Teaka Jackson, Sarah Peterson, Amanda Favreau-Lessard, Joanne Burgess, Susan Bosworth-Farrell, Robert S. Kramer, Douglas B. Sawyer, Sergey Ryzhov, and Michael P. Robich
Predictors for Discharge After Robotic Hysterectomy – A Retrospective Analysis, Heidi Fox and Kristiina Hyrkas
Primary cilia of the cardiac neural crest orchestrate critical aspects of ventricular myocardial maturation and postnatal cardiac function, Lindsey Fitzsimons
Prions to Pathways: Safeguarding Against Creutzfeldt-Jakob Disease in the Operating Room, Jessica Mary Adams Atkinson and Sonja Carol Orff
Problematic Internet Use and Associated High-Risk Behavior in an Adolescent Clinical Sample: Results from a Survey of Psychiatrically Hospitalized Youth., Meredith Gansner, Erin Belfort, Benjamin Cook, Caroline Leahy, Andrea Colon-Perez, Danielle Mirda, and Nicholas Carson
Reducing Catheter Associated Urinary Tract Infections (CAUTI) by Decreasing Use of Indwelling Catheters, Joanne Chapman, Brenda Clark, Brian Jumper, and Carrie Strick
Reducing Length of Stay for Mental Health Patients, Faye Collins and Nancijean Goudey
Scaffolding kidney organoids on silk., Ashwani Kumar Gupta, Jeannine M Coburn, Jessica Davis-Knowlton, Erica Kimmerling, David L Kaplan, and Leif Oxburgh
Seerratus Anterior Plane Block (SAPB) Improves Paine Control in Rib Fractures, Randy Kring, Peter Croft, David Mackenzie, Christina Wilson, Joseph Rappold, and Tania D. Strout
Social influence and moment-to-moment changes in young adults’ mood and psychotic symptoms, K Powers, K A. Johnson, M Graham, A Cloutier, K Stewart, S Lynch, D Robbins, R Mesholm-Gately, and K A. Woodberry
Ten-year Outcomes of Cervical Disc Replacement With the BRYAN Cervical Disc: Results From a Prospective, Randomized, Controlled Clinical Trial., William F Lavelle, K Daniel Riew, Allan D Levi, and Jeffrey E Florman
The association between feeding protocol compliance and weight gain following high-risk neonatal cardiac surgery., Jamie M Furlong-Dillard, Benjamin J Miller, Kathy A Sward, Alaina I Neary, Trudy L Hardin-Reynolds, Grace Jeffers, Bonnie A Clay, Dongngan T Truong, Thomas Miller, Courtney E Jones, Linda M Lambert, and David K Bailly
The effect of beta blocker use on bone outcomes using the Framingham Osteoporosis Study, Christine Lary
The Functional Food Diet: A Pilot Study, Caroline Knight and Ralph Hamill
The Innovations Cohort, Jennifer Monti