A5088652910- HIV, Drug Use, Sexual Risk
- Opioid Use Disorder Treatment
- HIV/AIDS Research and Interventions
- Substance Abuse Treatment and Outcomes
- Homelessness and Social Issues
- Prenatal Substance Exposure Effects
- Sex work and related issues
- Adolescent Sexual and Reproductive Health
- Pain Management and Opioid Use
- Forensic Toxicology and Drug Analysis
- HIV-related health complications and treatments
- HIV Research and Treatment
- Cannabis and Cannabinoid Research
- Suicide and Self-Harm Studies
- Cardiac Arrest and Resuscitation
- LGBTQ Health, Identity, and Policy
- Child Abuse and Trauma
- Hepatitis C virus research
- Child and Adolescent Psychosocial and Emotional Development
- Food Security and Health in Diverse Populations
- Poisoning and overdose treatments
- Health Policy Implementation Science
- Emergency and Acute Care Studies
- Migration, Health and Trauma
- Healthcare Policy and Management
Brown University
2016-2025
University of Iowa Hospitals and Clinics
2025
Christian Health Association of Nigeria
2025
Marshall Medical Center
2025
John Brown University
2014-2024
Rhode Island Hospital
2019-2024
University of British Columbia
2007-2024
Courtesy Travel Service
2024
Johns Hopkins University
2024
Rhode Island Department of Health
2017-2024
<b>Objective</b> To examine the relation between plasma HIV-1 RNA concentrations in community and HIV incidence among injecting drug users. <b>Design</b> Prospective cohort study. <b>Setting</b> Inner city Vancouver, Canada. <b>Participants</b> Injecting users, with without HIV, followed up every six months 1 May 1996 30 June 2007. <b>Main outcome measures</b> Estimated before each negative participant’s follow-up visit. Associated incidence. <b>Results</b> Among 622 users 12 435...
This analysis examines the association of death from overdose among individuals released Rhode Island correctional system after implementation a comprehensive program medications for addiction therapy.
<h3>Importance</h3> Treatment with methadone or buprenorphine is the current standard of care for opioid use disorder. Given paucity research identifying which patients will respond best to medication, both medications should be accessible all so that can determine works them. However, given differences in historical contexts their initial implementation, access each these may vary along racial/ethnic lines. <h3>Objective</h3> To examine extent capacity provide and measures segregation....
Illicit fentanyl use has become wide spread in the US, causing high rates of overdose deaths among people who drugs. This study describes patterns and perceptions exposure opioid users Rhode Island. A mixed methods was conducted via questionnaire with a convenience sample 149 individuals using illicit opioids or misusing prescription Island between January November 2016. Of these, 121 knew reported known suspected to past year. Semi-structured interviews were first 47 participants. Study...
<h3>Importance</h3> Prescription opioids are involved in 40% of all deaths from opioid overdose the United States and commonly first encountered by individuals with use disorder. It is unclear whether pharmaceutical industry marketing to physicians associated mortality overdoses. <h3>Objective</h3> To identify association between direct-to-physician products companies prescription overdoses across US counties. <h3>Design, Setting, Participants</h3> This population-based, county-level...
Tumor growth and metastasis are angiogenesis dependent. Previously, we reported that angiostatin, a potent inhibitor, produced by primary Lewis lung carcinoma suppressed its of metastases (O'Reilly, M.S., L. Holmgren, Y. Shing, C. Chen, R.A. Rosenthal, M. Moses, W.S. Lane, Cao, E.H. Sage, J. Folkman. 1994. Cell. 79:315-328). Now show shift balance tumor gene transfer cDNA coding for mouse angiostatin into murine T241 fibrosarcoma cells suppresses metastatic in vivo. Implantation stable...
Calls for the adoption of complex systems approaches, including agent-based modeling, in field epidemiology have largely centered on potential such methods to examine disease etiologies, which are characterized by feedback behavior, interference, threshold dynamics, and multiple interacting causal effects. However, considerable theoretical practical issues impede capacity evaluate effects thus illuminate new areas intervention. We build this work describing how models can be used simulate...
Objectives. We used nationally representative data to investigate health disparities associated with sexual minority status among adults in the United States. Methods. analyzed from 11 114 who participated 2001 2010 waves of National Health and Nutrition Examination Survey. Using multiple logistic regressions, we examined prevalence HIV, sexually transmitted infections, mental problems, cigarette smoking, alcohol illicit drug use minorities heterosexual adults. Results. After adjusting for...
Transgender (TG) women in many settings continue to contend with barriers healthcare, including experiences of stigma and discrimination. Argentina has a universal health care system laws designed promote healthcare access among TG women. However, little is known about this setting. The aim study was explore individual, social-structural environmental factors associated avoidance Argentina. Data were derived from 2013 nation-wide, cross-sectional involving We assessed the prevalence avoiding...
In 2016, drug overdose deaths exceeded 64,000 in the United States, driven by a sixfold increase attributable to illicitly manufactured fentanyl. Rapid fentanyl test strips (FTS), used detect illicit drugs, may help inform people who use drugs about their risk of exposure prior consumption. This qualitative study assessed perceptions FTS among young adults. From May September 2017, we recruited convenience sample 93 adults Rhode Island (age 18–35 years) with self-reported past 30 days...
Adam L. Ackerman, MD; Patrick G. O'Connor, MD, MPH; Deirdre Doyle, MSN, MHA; Sheyla M. Marranca, MS; Carolyn Haight, BSN; Christine E. Day, BS; Robert Fogerty, MPH
Synthetic opioid overdose mortality among young adults has risen more than 300% in the USA since 2013, primarily due to contamination of heroin and other drugs with illicitly manufactured fentanyl. Rapid test strips, which can be used detect presence fentanyl drug samples (before use) or urine (after use), may help inform people about their exposure risk. The purpose this study was determine whether who use were willing rapid strips as a harm reduction intervention prevent overdose. We...