Publications by authors named "Paul Nelson"

Background: To achieve a paradigm shift in the rigor of sexual and gender minority cancer studies, health systems must integrate sex assigned at birth, sexual orientation, and gender identity (SSOGI) measures into electronic medical records (EMRs) and scale up SSOGI data collection in oncology settings. The SSOGI Collect project sought to identify barriers and facilitators for SSOGI data collection and design a tailored intervention to inform and encourage oncology staff to increase collection in a culturally sensitive manner.

Methods: We employed mixed methods, including qualitative interviews with oncology staff, live training sessions on SSOGI data collection, and monitoring of SSOGI documentation rates in the EMR.

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Metabolic dysfunction-associated steatotic liver disease (MASLD) is a common condition linked to obesity and the metabolic syndrome, yet its transkingdom connections have been under-investigated. We performed high-resolution multi-omic profiling-including stool metagenomes, metatranscriptomes and metabolomes-in 211 MASLD cases and 502 controls from a cohort of female nurses. Here we show that MASLD is associated with shifts in 66 gut bacterial species, including widespread enrichment of oral-typical microbes, and transkingdom dysbiosis involving not only bacterial but also viral taxa.

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  • Enhanced weathering (EW) of basalt, a silicate rock, is being studied as a method for carbon dioxide removal (CDR) to help mitigate climate change, particularly in tropical northeastern Australia.* -
  • Field experiments from 2018 to 2022 measuring the effects of basalt on sugarcane crops showed increased soil pH and nutrient levels, but no significant improvement in crop yields or detectable increase in soil inorganic carbon levels.* -
  • The study found that although the basalt weathering process did not significantly enhance CDR, it may still contribute to long-term reductions in CO emissions from the soil due to changes in soil acidity levels and delayed effects from continued basalt application.*
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Introduction: The state of solitude may be desirable and beneficial particularly for individuals who are highly sensitive and introverted.

Methods: To test these predictions, we surveyed a nationally representative US sample of 301 adults and a sample of 99 undergraduates on their levels of sensory processing sensitivity and assessed introversion with the Big Five Inventory and the multifaceted STAR Introversion Scale. Participants then reported the frequency and duration of their volitional solitude, stress levels, and subjective well-being across 10 consecutive days.

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In recent years, much of the emphasis for transformation of introductory STEM courses has focused on "active learning", and while this approach has been shown to produce more equitable outcomes for students, the construct of "active learning" is somewhat ill-defined and is often used as a "catch-all" that can encompass a wide range of pedagogical techniques. Here we present an alternative approach for how to think about the transformation of STEM courses that focuses instead on what students should know and what they can do with that knowledge. This approach, known as three-dimensional learning (3DL), emerged from the National Academy's "A Framework for K-12 Science Education", which describes a vision for science education that centers the role of constructing productive causal accounts for phenomena.

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Objectives: Infectious syphilis has been proposed as an indication for HIV pre-exposure prophylaxis (PrEP) in women. We explored how many women experienced HIV seroconversion after being diagnosed with syphilis in Ontario between 20 April 2010 and 31 December 2021.

Methods: Through deterministic linkage of laboratory data at the Public Health Ontario laboratory, which conducts the vast majority of syphilis and HIV testing in Ontario, we quantified the number of females with positive syphilis diagnoses who subsequently exhibited HIV seroconversion between April 2010 and December 2021.

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  • This study evaluates the use and abuse potential of new tobacco products, comparing electronic nicotine delivery systems (ENDS) to combustible cigarettes and nicotine gum.
  • It involved healthy adult smokers in an 11-day study, focusing on subjective effects, nicotine uptake, and physiological responses to each product.
  • Findings show that while traditional cigarettes had the highest appeal and nicotine levels, Vuse ENDS had lower abuse liability than combustible cigarettes and were similar to nicotine gum.
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With the numerous genomes sequenced today, it has been revealed that a noteworthy percentage of genes in a given taxon of organisms in the phylogenetic tree of life do not have orthologous sequences in other taxa. These sequences are commonly referred to as "orphans" or "ORFans" if found as single occurrences in a single species or as "taxonomically restricted genes" (TRGs) when found at higher taxonomic levels. Quantitative and collective studies of these genes are necessary for understanding their biological origins.

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Electronic nicotine delivery systems (ENDS) have the potential to provide nicotine to tobacco consumers while reducing exposure to combustion-related toxicants. Here, we report changes in biomarkers of exposure (BoE) and biomarkers of potential harm (BoPH) in smokers who completely switched to Vuse Vibe and Vuse Ciro ENDS products, or to smoking abstinence in a randomized, controlled clinical study. Thirteen BoE (12 urinary and one blood) that indicate exposure to harmful and potentially harmful toxicants (HPHCs) were evaluated at baseline on day 5.

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We measured annual prevalence of microbiologically defined nontuberculous mycobacterial lung disease in Ontario, Canada. Mycobacterium avium prevalence was 13 cases/100,000 persons in 2020, a 2.5-fold increase from 2010, indicating a large increase in true M.

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We report the findings from a randomized, parallel study designed to evaluate nicotine pharmacokinetics (PK) following 10 min of ad libitum use of electronic nicotine delivery system (ENDS) in four flavor variants. Subjects were randomized an investigational product (IP) and blood samples were collected for PK assessments during a test session. Primary endpoints were baseline-adjusted values of maximum plasma nicotine concentration (C) and area under the nicotine concentration-vs-time curve up to 60 min (AUC).

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Protein domains that emerged more recently in evolution have a higher structural disorder and greater clustering of hydrophobic residues along the primary sequence. It is hard to explain how selection acting via descent with modification could act so slowly as not to saturate over the extraordinarily long timescales over which these trends persist. Here, we hypothesize that the trends were created by a higher level of selection that differentially affects the retention probabilities of protein domains with different properties.

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Abuse liability (AL) of electronic nicotine delivery systems (ENDS) is relevant as the category increases in popularity as a potentially less-harmful alternative to cigarette smoking. AL assessments are important to the FDA in determining if a new product is appropriate for the protection of public health. This paper reports the results for Vuse Solo (G2 cartridge design) compared to high and low AL-comparators evaluated in an open-label, randomized crossover confinement AL study.

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Biomarkers of exposure (BoE) can help evaluate exposure to combustion-related, tobacco-specific toxicants after smokers switch from cigarettes to potentially less-harmful products like electronic nicotine delivery systems (ENDS). This paper reports data for one (Vuse Solo Original) of three products evaluated in a randomized, controlled, confinement study of BoE in smokers switched to ENDS. Subjects smoked their usual brand cigarette ad libitum for two days, then were randomized to one of three ENDS for a 7-day ad libitum use period, or to smoking abstinence.

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The Germplasm Enhancement of Maize (GEM) project was initiated in 1993 as a cooperative effort of public- and private-sector maize (Zea mays L.) breeders to enhance the genetic diversity of the U.S.

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  • Nitrogen fertilizers, especially ammonium, are commonly used to boost banana production but can worsen Fusarium wilt, a major disease affecting banana plants.
  • In a greenhouse study, increasing nitrogen rates correlated positively with the growth of non-inoculated banana plants, while plants inoculated with the disease showed increased severity and growth at intermediate nitrogen levels.
  • The research revealed that nitrogen application influenced metabolic pathways in bananas and altered microbial diversity in the soil, with greater disease severity linked to reduced plant defense responses, especially when using ammonium fertilizers.
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  • Accurate SARS-CoV-2 diagnosis is crucial for managing COVID-19, and the study evaluates the performance of molecular tests, primarily rRT-PCR, based on extensive testing data from Public Health Ontario.
  • From January 11 to April 22, 2020, over 86,000 specimens were tested, revealing that nasopharyngeal swabs had a higher positivity rate compared to throat swabs and a strong concordance in results for same-day specimens.
  • The overall test sensitivity was found to be 84.6%, with a 95.5% negative predictive value, highlighting the need for ongoing updates to testing protocols as new information about SARS-CoV-2 becomes available.
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Background: Co-infections of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) with respiratory viruses, bacteria and fungi have been reported to cause a wide range of illness.

Objectives: We assess the prevalence of co-infection of SARS-CoV-2 with seasonal respiratory viruses, document the respiratory viruses detected among individuals tested for SARS-CoV-2, and describe characteristics of individuals with respiratory virus co-infection detected.

Methods: Specimens included in this study were submitted as part of routine clinical testing to Public Health Ontario Laboratory from individuals requiring testing for SARS-CoV-2 and/or seasonal respiratory viruses.

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Extant protein-coding sequences span a huge range of ages, from those that emerged only recently to those present in the last universal common ancestor. Because evolution has had less time to act on young sequences, there might be 'phylostratigraphy' trends in any properties that evolve slowly with age. A long-term reduction in hydrophobicity and hydrophobic clustering was found in previous, taxonomically restricted studies.

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Objective: Resident attrition from the field of General Surgery has been extensively studied. Attrition from one General Surgery program to the benefit of another has not. General Surgery programs can be negatively affected when a resident decides to leave the program for another.

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AbstractA microbiome rife with enemies of the host should cause selection for defensive traits in symbionts, yet such complex environments are also predicted to select for greater symbiont virulence. Why then do we so often observe defensive mutualists that protect hosts while causing little to no damage? To address this question, we build a symbiont-centered model that incorporates the evolution of two independent symbiont traits: defense and virulence. Virulence is modeled as a continuous trait spanning parasitism (positive virulence) and mutualism (negative virulence), thus accounting for the entire range of direct effects that symbionts have on host mortality.

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Modified Blalock-Taussig shunt thrombosis is a life-threatening event. We describe an extremely rare catheter-induced shunt thrombosis in an infant with complex CHD and its successful treatment utilising a single low dose of local recombinant tissue plasminogen activator in conjunction with balloon angioplasty.

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The importance of improving STEM education is of perennial interest, and to this end, the education community needs ways to characterize transformation efforts. Three-dimensional learning (3DL) is one such approach to transformation, in which core ideas of the discipline, scientific practices, and crosscutting concepts are combined to support student development of disciplinary expertise. We have previously reported on an approach to the characterization of assessments, the Three-Dimensional Learning Assessment Protocol (3D-LAP), that can be used to identify whether assessments have the potential to engage students in 3DL.

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Naturally occurring and synthetic chelating ligands can act as suppressants for fungal pathogens, nematodes and weeds, based on their ability to alter micronutrient bioavailability in soil, particularly iron. Chelators are also used as detergents, for remediation of heavy metal contamination and for supplying metals as fertiliser. The aim of this work was to test the ability of chelators to solubilise metals, in particular iron, in tropical soils over an environmentally relevant pH range.

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