A5087973668- Cervical Cancer and HPV Research
- Global Cancer Incidence and Screening
- Occupational Health and Performance
- Injury Epidemiology and Prevention
- Liver Disease Diagnosis and Treatment
- Reproductive tract infections research
- Migration, Health and Trauma
- Colorectal Cancer Screening and Detection
- Hepatitis B Virus Studies
- SARS-CoV-2 detection and testing
- Gut microbiota and health
- Pelvic floor disorders treatments
- Cancer Risks and Factors
- Endometrial and Cervical Cancer Treatments
- Biosensors and Analytical Detection
- Traffic and Road Safety
- Hepatitis C virus research
- Air Quality and Health Impacts
- Hepatocellular Carcinoma Treatment and Prognosis
- BRCA gene mutations in cancer
- Food Security and Health in Diverse Populations
- Public Health Policies and Education
- Multiple and Secondary Primary Cancers
- Agriculture and Farm Safety
- Per- and polyfluoroalkyl substances research
Sylvester Comprehensive Cancer Center
2016-2025
University of Miami
2016-2025
University of Miami Health System
2018-2025
Faculty of Public Health
2025
National Eye Institute
2023
Patient-Centered Outcomes Research Institute
2023
National Institutes of Health
2020-2023
National Institute on Deafness and Other Communication Disorders
2023
National Heart Lung and Blood Institute
2023
National Cancer Institute
2010-2022
Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) in wastewater has been used to track community infections of coronavirus disease-2019 (COVID-19), providing critical information for public health interventions. Since levels are dependent upon human inputs, we hypothesize that tracking can be improved by normalizing concentrations against indicators waste [Pepper Mild Mottle Virus (PMMoV), β-2 Microglobulin (B2M), and fecal coliform]. In this study, analyzed SARS-CoV-2 from two...
Objective: To analyze the effect of economic and racial/ethnic residential segregation on breast cancer-specific survival (BCSS) in South Florida, a diverse metropolitan area that mirrors projected demographics many United States regions. Summary Background Data: Despite advances diagnosis treatment, racial disparities BCSS. This study evaluates these through lens segregation, which approximate impact structural racism. Methods: Retrospective cohort stage I to IV cancer patients treated at...
Importance Unmet social needs in local populations may hinder the development of targeted cancer control interventions aimed at improving screening utilization and early-stage breast diagnosis to ultimately improve survival disparities. Objective To evaluate if (1) city-funded mammography is associated with mammography, (2) unmet are (3) later-stage disease diagnosis. Design, Setting, Participants This cohort study included patients stages I-IV invasive ductal or lobular carcinoma treated an...
Introduction The quantitative intraracial burden of cancer incidence, survival and mortality within black populations in the United States is virtually unknown. Methods We computed rates US- Caribbean-born residents Florida, specifically focusing on (United States, Haiti, Jamaica) compared them using age-adjusted ratios obtained from Poisson regression models. Haitians Jamaicans residing Florida to their countries origin Globocan. Results analyzed 185,113 deaths 2008 2012, which 20,312...
Liver cancer is highly fatal and the most rapidly increasing in US, where chronic hepatitis C (HCV) infection leading etiology. HCV particularly prevalent among 1945-1965 birth cohort, so-called "baby boomers". Focusing on this cohort-etiology link, we aim to characterize liver patterns for 15 unique US populations: White, African American, Mexican Immigrant, Cuban Chinese, others.Individual-level mortality data from 2012-2016 health departments of 3 large states - California, Florida, New...
Abstract Background Firefighters are at increased risk for select cancers. However, many studies limited by relatively small samples, with virtually no data on the cancer experience of female firefighters. This study examines in over 100,000 career Florida firefighters including 5000 + females assessed a 34‐year period. Methods firefighter employment records (n = 109 009) were linked Cancer Data System registry (1981‐2014; ~3.3 million records), identifying 3760 male and 168 female‐linked...
Background & Aims The main causes of hepatocellular carcinoma (HCC) include chronic hepatitis C and B viral infections (HCV, HBV), NAFLD, alcohol-related disease (ALD). Etiology-specific HCC incidence rates temporal trends on a population-basis are needed to improve control prevention. Methods All 14,420 cases from the Florida statewide cancer registry were individually linked data hospital discharge agency department determine predominant etiology each case diagnosed during 2010–2018....
Epidemiologists are gradually incorporating spatial analysis into health-related research as geocoded cases of disease become widely available and health-focused geospatial computer applications developed. One application is cluster detection. Using detection to identify geographic areas with high-risk populations then screening those for can improve cancer control. SaTScan a free cluster-detection software used by epidemiologists around the world describe clusters infectious chronic...
Objectives We estimate the point seroprevalence of SARS-CoV-2 antibodies in frontline firefighter/paramedic workforce a South Florida fire department located epicentre State outbreak. Methods A cross-sectional study design was used to using rapid immunoglobulin (Ig)M-IgG combined point-of-care lateral flow immunoassay among firefighters/paramedics collected over 2-day period, 16–17 April 2020. Fire personnel were emailed survey link assessing COVID-19 symptoms and work exposures day prior...
Epidemiological patterns for lung cancer among never smokers (LCNS) are largely unknown, even though LCNS cases comprise 15% of cancers. Past studies were based on epidemiologic or health system cohorts, and not fully representative the underlying population. The objective was to analyze rates (and trends) by sex, age group, race ethnicity all-inclusive truly population-based sources.Individual-level data from 2014 2018 smoking status microscopically-confirmed Florida's registry combined...
Objective: To determine the association between objective (geospatial) and subjective (perceived) measures of neighborhood disadvantage (ND) aggressive breast cancer (BCa) tumor biology, defined using validated social adversity-associated transcription factor (TF) activity clinical outcomes. Summary Background Data: ND is associated with shorter BCa recurrence-free survival (RFS), independent individual, tumor, treatment characteristics, suggesting potential unaccounted biological mechanisms...
ABSTRACT Objective Estimate ever using marijuana in a sample of U.S. career first responders. Methods Health survey cohort data collected between 2018-2024 from employed and retired responders was analyzed for frequency marijuana. Binary logistic regression models estimated the association responder demographics, employment status, risky health behaviors. Results Among 1,310 current/retired responders, 15.3% reported (80.0% seldom, 18.0% often, 2.0% always). Currently...
Abstract Background: To evaluate the impact of Hispanic ethnic enclaves (EE) on relationship between neighborhood disadvantage and overall survival (OS) in breast cancer (BCa) patients. Methods: Data from BCa patients with stage I-IV disease diagnosed 2005-2017 was used to analyze effects Area Deprivation Index (ADI) scores, a measure disadvantage, census-tract level density, EE, OS using mixed-effects Cox regression models. The final model included following individual-level factors (age,...
Objectives/Goals: We assessed the feasibility of using a large language model (LLM) to create lay descriptions study protocols for recruitment, which has potential improve accessibility and transparency clinical studies enable participants make informed decisions. Methods/Study Population: All from research recruitment platform were included, features human-written titles recruitment. Corresponding protocol summaries in IRB system extracted translated into LLM (gpt-35-turbo-0613). A subset...
ABSTRACT Objective There is limited information on the risk of multiple primary cancers (MPC) among firefighters. We evaluated distribution and relative MPC for male career-firefighters versus non-firefighters second, third, or fourth diagnosed cancers. Methods This population-based study employed linked data (1981-2014) from three sources in Florida to report MPC. Results are 290,624 (20.81%) (n = 1,054 career-firefighters, n 289,570 non-firefighters). Firefighters have 1.14 times...
Objectives: Women in safety-net institutions are less likely to receive cervical cancer screening. Human papilloma virus (HPV) self-sampling is an alternative method of We examine the acceptability and feasibility HPV among patients clinic staff two clinics Miami. Materials Methods: Haitian Latina women aged 30–65 years with no Pap smear past 3 were recruited. offered or traditional The was assessed. If screening preferred medical record reviewed. Results: A total 180 recruited (134 Latinas...