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Browsing by Author "Bell, David"
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Item The Institute for Research on Social Issues(Office of the Vice Chancellor for Research, 2010-04-09) Ford, David A.; Bell, David; Johnson, Daniel P.; Bao, Wan-Ning; Dickerson-Putman, Jeanette; Morrison, Wendy; Parrish-Sprowl, John; Wilson, Jeffrey S.; Wolf, JamesThe Institute for Research on Social Issues (IRSI) is a collection of collaborating centers and workgroups meant to foster funded research in support of faculty and students who can benefit from its research infrastructure. The poster highlights the activities of IRSI Centers and Workgroups. It features two major funded research projects. “Networks of Heterosexual Risk and HIV” examines the motivations for risk-reducing behaviors between HIV-positive individuals and their HIV-negative partners. Study findings will inform interventions for preventing HIV among partners at risk of infection. “Decision Support through Earth Science Research Results” seeks to augment the current Heat Watch/Warning System (HWWS) with NASA instruments and models used in conjunction with socioeconomic and heat-related mortality data. This activity will enable the production of a more spatially specific warning for areas of risk within the cities, a current limitation of the HWWS.Item Risk-stratification of febrile African children at risk of sepsis using sTREM-1 as basis for a rapid triage test(Springer Nature, 2021-11-25) Leligdowicz, Aleksandra; Conroy, Andrea L.; Hawkes, Michael; Richard-Greenblatt, Melissa; Zhong, Kathleen; Opoka, Robert O.; Namasopo, Sophie; Bell, David; Liles, W. Conrad; da Costa, Bruno R.; Jüni, Peter; Kain, Kevin C.; Pediatrics, School of MedicineIdentifying febrile children at risk of sepsis in low-resource settings can improve survival, but recognition triage tools are lacking. Here we test the hypothesis that measuring circulating markers of immune and endothelial activation may identify children with sepsis at risk of all-cause mortality. In a prospective cohort study of 2,502 children in Uganda, we show that Soluble Triggering Receptor Expressed on Myeloid cells-1 (sTREM-1) measured at first clinical presentation, had high predictive accuracy for subsequent in-hospital mortality. sTREM-1 had the best performance, versus 10 other markers, with an AUROC for discriminating children at risk of death of 0.893 in derivation (95% CI 0.843-0.944) and 0.901 in validation (95% CI 0.856-0.947) cohort. sTREM-1 cutoffs corresponding to a negative likelihood ratio (LR) of 0.10 and a positive LR of 10 classified children into low (1,306 children, 53.1%), intermediate (942, 38.3%) and high (212, 8.6%) risk zones. The estimated incidence of death was 0.5%, 3.9%, and 31.8%, respectively, suggesting sTREM-1 could be used to risk-stratify febrile children. These findings do not attempt to derive a risk prediction model, but rather define sTREM-1 cutoffs as the basis for rapid triage test for all cause fever syndromes in children in low-resource settings.