Pamela M. Vacek

ORCID: 0000-0003-4963-0049
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About
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Research Areas
  • Breast Cancer Treatment Studies
  • Breast Lesions and Carcinomas
  • Occupational and environmental lung diseases
  • Global Cancer Incidence and Screening
  • Digital Radiography and Breast Imaging
  • AI in cancer detection
  • Acute Lymphoblastic Leukemia research
  • Knee injuries and reconstruction techniques
  • Sports injuries and prevention
  • Chronic Lymphocytic Leukemia Research
  • Air Quality and Health Impacts
  • Total Knee Arthroplasty Outcomes
  • Cancer Risks and Factors
  • Carcinogens and Genotoxicity Assessment
  • Chronic Myeloid Leukemia Treatments
  • Occupational exposure and asthma
  • Colorectal Cancer Screening and Detection
  • Lower Extremity Biomechanics and Pathologies
  • Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
  • Circadian rhythm and melatonin
  • DNA Repair Mechanisms
  • Radiomics and Machine Learning in Medical Imaging
  • Behavioral Health and Interventions
  • Smoking Behavior and Cessation
  • Mental Health Research Topics

University of Vermont
2016-2025

Cleveland Clinic Lerner College of Medicine
2025

University of Vermont Medical Center
2014-2023

Institute for Medical Informatics and Biostatistics
2004-2023

National Cancer Institute
2007-2020

University of Hawaii System
2020

The University of Texas MD Anderson Cancer Center
2020

Hokkaido University
2020

Royal College of Surgeons in Ireland
2020

John Wiley & Sons (United States)
2016

Risk prediction models for breast cancer can be improved by the addition of recently identified risk factors, including density and use hormone therapy. We used prospective information to predict a diagnosis in cohort 1 million women undergoing screening mammography.There were 2,392,998 eligible mammograms from without previously diagnosed who had prior mammogram preceding 5 years. Within year mammogram, 11,638 with cancer. Separate logistic regression constructed premenopausal...

10.1093/jnci/djj331 article EN JNCI Journal of the National Cancer Institute 2006-09-05

Injuries to the anterior cruciate ligament (ACL) of knee are immediately debilitating and can cause long-term consequences, including early onset osteoarthritis. It is important have a comprehensive understanding all possible risk factors for ACL injury identify individuals who at future injuries provide an appropriate level counseling programs prevention.This review, part 1 2-part series, highlights what known still unknown regarding anatomic neuromuscular from current peer-reviewed...

10.1177/1941738111428281 article EN Sports Health A Multidisciplinary Approach 2011-11-17

Anterior cruciate ligament (ACL) injuries are disabling and associated with the early onset of posttraumatic osteoarthritis. Little is known regarding incidence rate first-time noncontact ACL sustained during athletic events how they independently influenced by level competition, type sport, participant's sex.Level competition (college or high school), sport (soccer, basketball, lacrosse, field hockey, football, rugby, volleyball), athlete's sex influence injuries.Cohort study; Level...

10.1177/0363546514540862 article EN The American Journal of Sports Medicine 2014-07-11

Abstract Over two million individuals suffer ankle ligament trauma each year in the United States, more than half of these injuries are severe sprains; however, very little is known about factors that predispose to injuries. The purpose this study was determine risk associated with injury. We performed a prospective 118 Division I collegiate athletes who participated soccer, lacrosse, or field hockey. Prior start athletic season, potential injury were measured, subjects monitored during and...

10.1016/s0736-0266(00)90004-4 article EN Journal of Orthopaedic Research® 2001-03-01

The accuracy of a new diagnostic test is often determined by comparison with reference which also has unknown error rates. Maximum likelihood estimation the rates both tests possible if they are simultaneously applied to two populations different disease prevalences. procedure assumes that independent, conditional on subject's true status. If conditionally dependent, for can be substantially underestimated. Estimators prevalence in positively or negatively biased, depending relative...

10.2307/2530967 article EN Biometrics 1985-12-01

BackgroundWhether a change over time in clinically measured mammographic breast density influences cancer risk is unknown.

10.1093/jnci/djk066 article EN JNCI Journal of the National Cancer Institute 2007-03-06

Purpose We determined whether the association between breast density and cancer risk severity differs according to menopausal status postmenopausal hormone therapy (HT) use. Methods collected data on 587,369 women who underwent 1,349,027 screening mammography examinations; 14,090 were diagnosed with cancer. calculated 5-year from a survival model for subgroups of classified by their Breast Imaging Reporting Data System (BIRADS) density, age, status, current HT use, assuming body mass index...

10.1200/jco.2009.26.4770 article EN Journal of Clinical Oncology 2010-07-20

Background: Anterior cruciate ligament (ACL) injuries are immediately disabling, costly, take a significant amount of time to rehabilitate, and associated with an increased risk developing posttraumatic osteoarthritis the knee. Specific multiplanar movement patterns lower extremity, such as those drop vertical jump (DVJ) test, have been shown be suffering noncontact ACL injuries. The Landing Error Scoring System (LESS) has developed tool that can applied identify individuals who display...

10.1177/0363546511429776 article EN The American Journal of Sports Medicine 2011-11-23

Background Female athletes suffer a greater incidence of anterior cruciate ligament tears compared with male when participating in common sports; however, very little is known about the factors that explain this disparity. Study Design Case-control study; Level evidence, 3. Methods recreational alpine skiers an rupture and age-matched control provided serum sample self-reported menstrual history data immediately after injury. Both concentrations progesterone were then used to group subjects...

10.1177/0363546505282624 article EN The American Journal of Sports Medicine 2006-01-26

Several in vitro studies suggest the involvement of active oxygen metabolites cell damage caused by asbestos. To determine if lung injury, inflammation, and asbestosis could be inhibited vivo a rapid-onset, inhalation model disease, novel method chronic administration antioxidant enzymes was developed. In brief, Fischer 344 rats were treated with polyethylene glycol-conjugated (PEG-) superoxide dismutase or catalase osmotic pumps over 10-day (5 days/wk for 2 wk) 20-day period exposure to...

10.1164/ajrccm/141.5_pt_1.1266 article EN American Review of Respiratory Disease 1990-05-01

Background: There is an emerging consensus that increased posterior-inferior directed slope of the subchondral bone portion tibial plateau associated with risk suffering anterior cruciate ligament (ACL) injury; however, most what known about this relationship has come from unmatched case-control studies. These observations need to be confirmed in more rigorously designed investigations. Hypothesis: Increased medial and lateral plateaus are a noncontact ACL injury. Study Design: Case-control...

10.1177/0363546514523721 article EN The American Journal of Sports Medicine 2014-03-03

Women with elevated mammographic density have an increased risk of developing breast cancer. However, among women diagnosed cancer, it is unclear whether higher portends reduced survival, independent other factors.We evaluated relationships between and death from cancer all causes within the US Breast Cancer Surveillance Consortium. We studied 9232 primary invasive carcinoma during 1996-2005, a mean follow-up 6.6 years. Mammographic was assessed using Imaging Reporting Data System (BI-RADS)...

10.1093/jnci/djs327 article EN JNCI Journal of the National Cancer Institute 2012-08-21

Knee joint geometry has been associated with risk of suffering an anterior cruciate ligament (ACL) injury; however, few studies have utilized multivariate analysis to investigate how different aspects knee combine influence ACL injury risk.Combinations measurements are more highly the a noncontact than individual measurements, and most predictive combinations for males females.Case-control study; Level evidence, 3.A total 88 first-time, noncontact, grade III ACL-injured subjects uninjured...

10.1177/0363546514563277 article EN The American Journal of Sports Medicine 2015-01-12

Context: Injuries to the anterior cruciate ligament (ACL) are immediately disabling and associated with long-term consequences, such as posttraumatic osteoarthritis. It is important have a comprehensive understanding of all possible risk factors for ACL injury identify individuals who at future injuries provide an appropriate level counseling programs prevention. Objective: This review, part 2 2-part series, highlights what known still unknown regarding hormonal, genetic, cognitive function,...

10.1177/1941738111428282 article EN Sports Health A Multidisciplinary Approach 2011-11-15

Background: The morphometric characteristics of the anterior cruciate ligament (ACL) and femoral intercondylar notch within which it resides have been implicated as risk factors for injuries to this important stabilizer knee. Prior research has produced equivocal results with differing methodologies, consequently, is unclear how these affect injury in male female patients. Hypothesis: ACL are individually independently associated suffering a noncontact injury, relationships different Study...

10.1177/0363546514534182 article EN The American Journal of Sports Medicine 2014-05-27

Antioxidant Enzymes in Lungstudy was conducted to determine if inhalation of cristobalite, a crystalline silicon dioxide particle (defined as <3:1 length diameter ratio) or crocidolite, an amphibole asbestos fiber (>3:1 ratio), induced changes steady-state mRNA levels, immunoreactive protein, and activities certain AOE (MnSOD, copper zinc-SOD [CuZnSOD], glutathione peroxidase, catalase) lung.Furthermore, we were interested whether profiles would correlate with patterns inflammation,...

10.1016/s0021-9258(19)50063-1 article EN cc-by Journal of Biological Chemistry 1992-05-01

Abstract Mammographic breast density is a major risk factor for cancer but estimates of the relative associated with differing patterns have varied widely. It also unclear how menopausal status influences this association and to what extent effects are due its correlation other factors. Most recent investigations been case-control studies, which provide indirect risk. We prospectively followed 61,844 women an average 3.1 years directly estimate among in four mammographic categories defined...

10.1158/1055-9965.715.13.5 article EN Cancer Epidemiology Biomarkers & Prevention 2004-05-01

Abstract Airways display robust NF-κB activation and represent targets for anti-inflammatory asthma therapies, but the functional importance of in airway epithelium remains enigmatic. Therefore, transgenic mice were created which is repressed specifically airways (CC10-IκBαSR mice). In response to inhaled Ag, demonstrated significantly ameliorated inflammation, reduced levels chemokines, T cell cytokines, mucus metaplasia, circulating IgE compared with littermate controls. Despite these...

10.4049/jimmunol.173.11.7003 article EN The Journal of Immunology 2004-12-01

Inversion ankle trauma is disabling, yet little known regarding the incidence rate of first-time sprains and how it influenced by factors including sex, level competition, sport.The rates ligament are competition (high school vs college), type sports participation (basketball, soccer, lacrosse, field hockey).Cohort study; Level evidence, 2.Between 1999 2003, high college athletes were evaluated before in their sports. Subjects included study if they had not experienced a prior or lower...

10.1177/0363546505275490 article EN The American Journal of Sports Medicine 2005-07-12

The relationship between alcohol use and injury severity was investigated in trauma patients admitted to a tertiary referral hospital during 23-month period. Admission blood levels (BALs) were obtained on 427 patients, who stratified into three groups: those with no measurable alcohol, within the legal limit of 100 mg/dL, over or intoxicated. no-alcohol group had significantly lower than other two groups (p less 0.001). Even when BAL well limit, injuries suffered by alcohol-positive more...

10.1097/00005373-199201000-00013 article EN Journal of Trauma and Acute Care Surgery 1992-01-01

Background: Multivariate analysis that identifies the combination of risk factors associated with anterior cruciate ligament (ACL) trauma is important because it provides insight into whether a variable has direct causal effect on or an indirect mediated by other variables. It can also reveal might not be evident in univariate analyses; if variable’s moderated variables, its association may apparent only after adjustment for Most important, multivariate analyses identify combinations are...

10.1177/0363546516634682 article EN The American Journal of Sports Medicine 2016-03-29

Abstract: Using data from the Vermont Breast Cancer Surveillance System (VBCSS), we studied reproducibility of Imaging Reporting and Data (BI-RADS) breast density among community radiologists interpreting mammograms in a cohort 11,755 postmenopausal women. Radiologists two or more film-screen screening bilateral diagnostic for same woman within 3- to 24-month period during 1996–2006 were eligible. We observed moderate-to-substantial overall intra-rater agreement use BI-RADS clinical...

10.1111/j.1524-4741.2012.01250.x article EN The Breast Journal 2012-05-21
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