- Cervical Cancer and HPV Research
- COVID-19 epidemiological studies
- COVID-19 Clinical Research Studies
- COVID-19 and Mental Health
- Genetic factors in colorectal cancer
- Urinary Tract Infections Management
- Reproductive tract infections research
- Maternal and Perinatal Health Interventions
- Vaccine Coverage and Hesitancy
- Corneal Surgery and Treatments
- Global Public Health Policies and Epidemiology
- Cancer Diagnosis and Treatment
- Head and Neck Cancer Studies
- Surgical site infection prevention
- Consumer Attitudes and Food Labeling
- Preterm Birth and Chorioamnionitis
- Global Cancer Incidence and Screening
- Palliative Care and End-of-Life Issues
- Nutritional Studies and Diet
- Multiple and Secondary Primary Cancers
- Childhood Cancer Survivors' Quality of Life
- Influenza Virus Research Studies
- Substance Abuse Treatment and Outcomes
- Cancer survivorship and care
- Health disparities and outcomes
The University of Texas Health Science Center at Houston
2020-2024
University of Puerto Rico System
2013-2020
Central University of the Caribbean
2016
University of Puerto Rico, Medical Sciences Campus
2014
Baylor College of Medicine
1990-1992
Universidad Nacional Autónoma de México
1984
To combat the growing opioid epidemic, people who use drugs need access to medications for disorder (MOUD) as part of comprehensive treatment. Despite progress, treatment gaps remain. Our objective was a geospatial buffering model estimate buprenorphine providers nationally.Using provider location data from Substance Abuse and Mental Health Services Administration (SAMHSA) population estimates U.S. Census, we distance analyses percent are within reasonable (10, 30, 50 mile) driving distances...
Equitable access to the COVID-19 vaccine remains a public health priority. This study explores association between ZIP Code−Tabulation Area level Social Vulnerability Indices (SVI) and coverage in Texas. A mixed-effects, multivariable, random-intercept negative binomial model was used explore SVI vaccination stratified by availability of designated site. Lower observed codes with highest overall SVIs (adjusted mean difference (aMD) = −13, 95% CI, −23.8 −2.1, p < 0.01), socioeconomic...
This cohort study uses population-based data from the National Cancer Institute Surveillance, Epidemiology, and End Results program of cancer registries to estimate prevalence prior among adults diagnosed with an incident in 2019.
Introduction Since February 2020, over 104 million people in the United States have been diagnosed with SARS-CoV-2 infection, or COVID-19, 8.5 reported state of Texas. This study analyzed social determinants health as predictors for readmission among COVID-19 patients Southeast Texas, States. Methods A retrospective cohort was conducted investigating demographic and clinical risk factors 30, 60, 90-day outcomes adult a COVID-19-associated inpatient hospitalization encounter within regional...
Studies have investigated the association between social vulnerability and SARS-CoV-2 incidence. However, few studies examined small geographic units such as census tracts, regions with large numbers of Hispanic Black populations, controlled for testing rates, incorporated stay-at-home measures into their analyses. Understanding relationship incidence is critical to understanding interplay determinants implementing risk mitigation guidelines curtail spread infectious diseases. The objective...
Evidence suggests neighborhood-level factors contribute to cancer outcomes, although most research focuses on pediatric and adult populations. Using population-based data from the Texas Cancer Registry, we examined social vulnerability, a composite measure of 14 census tract-level risk factors, survival among 112 142 adolescents young adults with (AYAs, age 15-39 years). We estimated 1-, 5-, 10-year overall by quintile vulnerability used Cox proportional hazards models (2-sided significance...
Understanding sociodemographic, behavioral, clinical, and laboratory risk factors in patients diagnosed with COVID-19 is critically important, requires building large diverse cohorts both retrospective information prospective follow-up. A Health Information Exchange (HIE) Southeast Texas, which assembles shares electronic health among providers to facilitate patient care, was leveraged identify patients, create a cohort, for favorable unfavorable outcomes. The initial sample consists of...
Background: The study describes the cancer trends in a Puerto Rican Hispanic HIV/AIDS cohort for three different time periods as defined by availability of combination antiretroviral therapy (cART) Island: Pre (1992-1995), early (1996-2002) and recent (2003-2009).Methodology: AIDS non-AIDS related malignancies risk, standardized incidence rate 1 year mortality were evaluated before after cART.Results: Of 281 found 265 persons; 72% men, 38% injecting drug users 42.3% cancers.The rates...
The importance of Chlamydia trachomatis as an etiologic agent in the development pelvic inflammatory disease (PID) is well documented. Although there are numerous antimicrobial agents that effective against C. trachomatis, one most frequent combinations used to treat PID clindamycin and gentamicin. efficacy sole treatment for chlamydial infections has been questioned. In fact, Centers Disease Control (Atlanta, Ga.) recommended use doxycycline following gentamicin confirmed or suspected be...
AbstractRecent investigations have demonstrated decreased morbidity in the newborn following maternal administration of antibiotics to mothers with a diagnosis chorioamnionitis. These benefits are based upon transplacental passage antibiotics. Fifteen preterm and term women chorioamnionitis were given 3 or 4 g mezlocillin intravenously every 6 h. Maternal serum umbilical cord samples collected at delivery concentrations determined by high-pressure liquid chromatography. Peak levels mother...
Abstract Introduction: In 2015, according to the Puerto Rico Central Cancer registry (PRCCR), 2,188 women were diagnosed with invasive breast cancer and 432 died from this disease. The BRFSS by 2016, reported there still are 20% (1 in 5) of aged ≥40 year who not compliance current screening guidelines. For that reason, is necessary continue effective education efforts increase population. purpose, Breast Cervical Early Detection Program (PRBCCEDP) collaboration Cooperative Extension Services...
Abstract Introduction: The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) of the Centers for Disease Control Prevention (CDC) reported that in April 2020, screening tests breast cancer decreased by 87% 84% cervical cancer, compared to averages previous 5-year same month. In response this finding, Puerto Rico (PR-BCCPEDP), collaboration with Cooperative Extension (CEP), implemented an educational intervention northeast region island. aimed reinforce knowledge early...
Moscicki, Anna-Barbara; Holland, Christie; Vermund, Sten; Crowley-Nowick, Peggy; Peralta, Ligia; Durako, Steve Author Information