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  • 1
    In: Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, Vol. 117, No. 5 ( 2020-02-04), p. 2560-2569
    Abstract: De novo mutations (DNMs), or mutations that appear in an individual despite not being seen in their parents, are an important source of genetic variation whose impact is relevant to studies of human evolution, genetics, and disease. Utilizing high-coverage whole-genome sequencing data as part of the Trans-Omics for Precision Medicine (TOPMed) Program, we called 93,325 single-nucleotide DNMs across 1,465 trios from an array of diverse human populations, and used them to directly estimate and analyze DNM counts, rates, and spectra. We find a significant positive correlation between local recombination rate and local DNM rate, and that DNM rate explains a substantial portion (8.98 to 34.92%, depending on the model) of the genome-wide variation in population-level genetic variation from 41K unrelated TOPMed samples. Genome-wide heterozygosity does correlate with DNM rate, but only explains 〈 1% of variation. While we are underpowered to see small differences, we do not find significant differences in DNM rate between individuals of European, African, and Latino ancestry, nor across ancestrally distinct segments within admixed individuals. However, we did find significantly fewer DNMs in Amish individuals, even when compared with other Europeans, and even after accounting for parental age and sequencing center. Specifically, we found significant reductions in the number of C→A and T→C mutations in the Amish, which seem to underpin their overall reduction in DNMs. Finally, we calculated near-zero estimates of narrow sense heritability ( h 2 ), which suggest that variation in DNM rate is significantly shaped by nonadditive genetic effects and the environment.
    Type of Medium: Online Resource
    ISSN: 0027-8424 , 1091-6490
    RVK:
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    Language: English
    Publisher: Proceedings of the National Academy of Sciences
    Publication Date: 2020
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    detail.hit.zdb_id: 1461794-8
    SSG: 11
    SSG: 12
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  • 2
    In: Genome Medicine, Springer Science and Business Media LLC, Vol. 13, No. 1 ( 2021-12)
    Abstract: Sleep-disordered breathing is a common disorder associated with significant morbidity. The genetic architecture of sleep-disordered breathing remains poorly understood. Through the NHLBI Trans-Omics for Precision Medicine (TOPMed) program, we performed the first whole-genome sequence analysis of sleep-disordered breathing. Methods The study sample was comprised of 7988 individuals of diverse ancestry. Common-variant and pathway analyses included an additional 13,257 individuals. We examined five complementary traits describing different aspects of sleep-disordered breathing: the apnea-hypopnea index, average oxyhemoglobin desaturation per event, average and minimum oxyhemoglobin saturation across the sleep episode, and the percentage of sleep with oxyhemoglobin saturation 〈  90%. We adjusted for age, sex, BMI, study, and family structure using MMSKAT and EMMAX mixed linear model approaches. Additional bioinformatics analyses were performed with MetaXcan, GIGSEA, and ReMap. Results We identified a multi-ethnic set-based rare-variant association ( p = 3.48 × 10 −8 ) on chromosome X with ARMCX3 . Additional rare-variant associations include ARMCX3-AS1 , MRPS33 , and C16orf90 . Novel common-variant loci were identified in the NRG1 and SLC45A2 regions, and previously associated loci in the IL18RAP and ATP2B4 regions were associated with novel phenotypes. Transcription factor binding site enrichment identified associations with genes implicated with respiratory and craniofacial traits. Additional analyses identified significantly associated pathways. Conclusions We have identified the first gene-based rare-variant associations with objectively measured sleep-disordered breathing traits. Our results increase the understanding of the genetic architecture of sleep-disordered breathing and highlight associations in genes that modulate lung development, inflammation, respiratory rhythmogenesis, and HIF1A -mediated hypoxic response.
    Type of Medium: Online Resource
    ISSN: 1756-994X
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2484394-5
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  • 3
    Online Resource
    Online Resource
    SAGE Publications ; 2000
    In:  Foot & Ankle International Vol. 21, No. 7 ( 2000-07), p. 570-572
    In: Foot & Ankle International, SAGE Publications, Vol. 21, No. 7 ( 2000-07), p. 570-572
    Abstract: A retrospective review of 63 Magnetic Resonance Image studies (yielding 86 ankles) was conducted to find the incidence of the plantaris tendon. Radiographically, the plantaris tendon was visualized 62.8% of the time. Surgical confirmation of this tendon during 18 achilles surgeries yielded 13 “true positives” and 4 “true negatives”. Sensitivity was 92.8%; specificity and positive predictive value was 100%, respectively. As a comparison, forty cadaveric specimens were evaluated as well, with the incidence of the plantaris found to be 97.5%. These findings may be useful when considering MRIs as a screening tool for the presence of plantaris tendon. When axial images were 4 mm or less, the plantaris tendon was more easily visualized. A Chi-squared test examining for differences of axial sections greater than 4 mm was not significant. (P = 0.2). This is important if one is to use MRI to screen for the plantaris (for graft purposes).
    Type of Medium: Online Resource
    ISSN: 1071-1007 , 1944-7876
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2000
    detail.hit.zdb_id: 2129503-7
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  • 4
    Online Resource
    Online Resource
    SAGE Publications ; 2004
    In:  The American Journal of Sports Medicine Vol. 32, No. 3 ( 2004-04), p. 662-665
    In: The American Journal of Sports Medicine, SAGE Publications, Vol. 32, No. 3 ( 2004-04), p. 662-665
    Abstract: To educate sports medicine practitioners as to length of time for an athlete to return to activity after sustaining a rupture of the plantar fascia. Methods Athletic patients sustaining plantar fascia ruptures and subsequent treatment were reviewed. Diagnosis was based on clinical findings, although radiographic studies were done. Patients were treated for 2 to 3 weeks with a below-knee or high- top boot, nonweightbearing, with an additional 2 to 3 weeks of weightbearing in the boot. Patients used physical therapy. Results Eighteen athletes, including 6 elite athletes, were evaluated. Mean age was 40.9 ± 13.2 years. There were 12 males and 6 females. Mean postinjury follow-up was 42 months. Duration of prior plantar fascia symptoms ranged from 0 to 52 weeks. All but 2 ruptures were of the medial portion. Four patients had injections prior to rupture. Five patients wore orthoses preinjury; 14 wore orthoses postinjury. All patients returned to activity after 2 to 26 weeks (mean, 9.1 ± 6.0 weeks). Running athletes predominantly composed the cohort; others played tennis, volleyball, and basketball. Conclusion Using the treatment protocol, patients sustaining plantar fascia rupture can achieve favorable results with complete return to activity. None of the 18 patients sustained reinjury, had postinjury sequelae, or necessitated surgery, contrary to other studies.
    Type of Medium: Online Resource
    ISSN: 0363-5465 , 1552-3365
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2004
    detail.hit.zdb_id: 2063945-4
    SSG: 31
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  • 5
    Online Resource
    Online Resource
    SAGE Publications ; 2007
    In:  The American Journal of Sports Medicine Vol. 35, No. 10 ( 2007-10), p. 1680-1687
    In: The American Journal of Sports Medicine, SAGE Publications, Vol. 35, No. 10 ( 2007-10), p. 1680-1687
    Abstract: The treatment options of talar osteochondral lesions are numerous. Although studies show these treatments have been used with varying success, the ability to return to activity (RTA), including sports after treatment of talar dome injuries, have not been well documented. Hypothesis A treatment plan that uses microfracture for Hepple stage 2 through 4 lesions and autogenous bone grafting for Hepple stage 5 lesions for athletes with articular lesions of the talus will produce a high rate of return to athletic activity. Study Design Case series; Level of evidence, 4. Methods Preoperative and postoperative American Orthopaedic Foot and Ankle Society (AOFAS) scores and RTA were assessed prospectively 2 to 8 years after surgery in high-demand (athletic) patients with articular injuries to the talar dome treated according to the above protocol over a 6-year period. Results There were 26 microfracture procedures and 20 bone grafts to the talus. The AOFAS scores for both microfracture (preoperative, 54.6; postoperative, 94.4) and bone graft (preoperative, 46.1; postoperative, 93.4) patients improved significantly. The RTA for the entire group was 17.0 ± 5.3 weeks; for those undergoing microfracture, RTA was 15.1 ± 4.0 weeks; and for bone grafting, it was 19.6 ± 5.9 weeks. The RTA for the bone graft group was significantly slower than that of the microfracture group. Anterolateral lesions had significantly faster RTA and higher postoperative scores compared with other lesion locations. Arthroscopically treated lesions had similar postoperative AOFAS scores to those who had arthrotomy and did not have significantly faster RTA. Forty-four (96%) “excellent/good” AOFAS scores were achieved overall for talar lesions, with the same percentage of return to sport. Conclusions Talar bone grafting required a longer time to return to activity than microfracture in high-demand patients, but both groups had similar postoperative AOFAS scores. When applied to appropriate lesions, both techniques allow athletic patients to return to sports.
    Type of Medium: Online Resource
    ISSN: 0363-5465 , 1552-3365
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2007
    detail.hit.zdb_id: 2063945-4
    SSG: 31
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  • 6
    Online Resource
    Online Resource
    Elsevier BV ; 2010
    In:  The Journal of Foot and Ankle Surgery Vol. 49, No. 3 ( 2010-05), p. 238-241
    In: The Journal of Foot and Ankle Surgery, Elsevier BV, Vol. 49, No. 3 ( 2010-05), p. 238-241
    Type of Medium: Online Resource
    ISSN: 1067-2516
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2010
    detail.hit.zdb_id: 2102633-6
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  • 7
    Online Resource
    Online Resource
    Elsevier BV ; 2009
    In:  The Journal of Foot and Ankle Surgery Vol. 48, No. 2 ( 2009-3), p. 191-195
    In: The Journal of Foot and Ankle Surgery, Elsevier BV, Vol. 48, No. 2 ( 2009-3), p. 191-195
    Type of Medium: Online Resource
    ISSN: 1067-2516
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2009
    detail.hit.zdb_id: 2102633-6
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  • 8
    Online Resource
    Online Resource
    Elsevier BV ; 2001
    In:  The Journal of Foot and Ankle Surgery Vol. 40, No. 2 ( 2001-3), p. 101-104
    In: The Journal of Foot and Ankle Surgery, Elsevier BV, Vol. 40, No. 2 ( 2001-3), p. 101-104
    Type of Medium: Online Resource
    ISSN: 1067-2516
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2001
    detail.hit.zdb_id: 2102633-6
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  • 9
    Online Resource
    Online Resource
    Elsevier BV ; 2021
    In:  The Journal of Foot and Ankle Surgery Vol. 60, No. 6 ( 2021-11), p. 1117-1123
    In: The Journal of Foot and Ankle Surgery, Elsevier BV, Vol. 60, No. 6 ( 2021-11), p. 1117-1123
    Type of Medium: Online Resource
    ISSN: 1067-2516
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2021
    detail.hit.zdb_id: 2102633-6
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  • 10
    Online Resource
    Online Resource
    The Korean Society of Gastroenterology ; 2021
    In:  The Korean Journal of Gastroenterology Vol. 78, No. 3 ( 2021-09-25), p. 168-176
    In: The Korean Journal of Gastroenterology, The Korean Society of Gastroenterology, Vol. 78, No. 3 ( 2021-09-25), p. 168-176
    Type of Medium: Online Resource
    ISSN: 1598-9992 , 2233-6869
    Language: English
    Publisher: The Korean Society of Gastroenterology
    Publication Date: 2021
    detail.hit.zdb_id: 2255388-5
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