A5042108560- Global Cancer Incidence and Screening
- Cancer Risks and Factors
- Nutritional Studies and Diet
- Obesity, Physical Activity, Diet
- Global Public Health Policies and Epidemiology
- Physical Activity and Health
- Health disparities and outcomes
- Colorectal Cancer Screening and Detection
- Health Promotion and Cardiovascular Prevention
- Cutaneous Melanoma Detection and Management
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Blood Pressure and Hypertension Studies
- Child Nutrition and Water Access
- Respiratory Support and Mechanisms
- Skin Protection and Aging
- Viral-associated cancers and disorders
- Head and Neck Cancer Studies
- HER2/EGFR in Cancer Research
- Genetic factors in colorectal cancer
- Cardiovascular Health and Risk Factors
- Breast Cancer Treatment Studies
- Cervical Cancer and HPV Research
- Nonmelanoma Skin Cancer Studies
- Nursing Diagnosis and Documentation
- Asthma and respiratory diseases
University of Puerto Rico, Medical Sciences Campus
2015-2025
University of Puerto Rico System
2003-2024
University of Puerto Rico at Río Piedras
2006-2021
University at Buffalo, State University of New York
2021
Weatherford College
2021
Buffalo State University
2021
National Institute on Minority Health and Health Disparities
2016
University of Puerto Rico at Carolina
2015
Ponce Health Sciences University
2014
Graduate School USA
2010
BackgroundHurricane Maria struck Puerto Rico on Sept 20, 2017, devastating the island. Controversy surrounded official death toll, fuelled by estimates of excess mortality from academics and investigative journalists. We analysed all-cause following storm.MethodsWe did a time-series analysis in September, to February, 2018. Mortality data were Vital Statistics System. developed two counterfactual scenarios establish population at risk. In first scenario, island's was assumed track most...
Mohs micrographic surgery (MMS) with melanoma antigen recognized by T-cell (MART-1) immunostaining is an effective treatment of cutaneous melanoma.To determine the efficacy MMS MART-1 immunostain in management invasive and situ melanoma.A retrospective cohort study evaluated 2,114 melanomas 1,982 patients excised using immunostain. The margins required for excision were calculated based on Breslow thickness, location, size. Survival local recurrence rates compared those historical...
Studies show an inverse association between onion and garlic intake risk of cancers the lung, prostate, stomach. There is limited evidence on breast cancer. We assessed this in a population-based, case-control study Puerto Rico. Incident, primary cancer cases (n = 314) were identified among women aged 30–79 from hospital clinic records. Controls 346) with no history other than nonmelanoma skin cancer, residents same area. Dietary was estimated using food frequency questionnaire. Total...
Limited information is available regarding physical activity (PA) and its assessment in Hispanics living with HIV. This study compared self-reported PA using the International Physical Activity Questionnaire (IPAQ) objectively measured ActiGraph accelerometer DigiWalker pedometer 58 Hispanic adults IPAQ was administered before after a 7-day period which subjects wore DigiWalker. classification based on ≥ 150 min/wk (IPAQ, ActiGraph) 10,000 steps/day (DigiWalker). IPAQ-PA higher than...
Accurate assessment of cardiovascular disease (CVD) risk is crucial for effective prevention and resource allocation. However, few CVD estimation tools consider social determinants health (SDoH), despite their known impact on risk. We aimed to estimate 10-year in the Eastern Caribbean Health Outcomes Research Network Cohort Study (ECS) across multiple instruments assess association between SDoH Five widely used (Framingham WHO laboratory, both laboratory non-laboratory-based, ASCVD) were...
A total of 136 incident intestinal type gastric cancer cases and 151 age-comparable population controls were interviewed in Puerto Rico about their dietary habits with special emphasis on salt consumption. All interviews conducted at home using a quantitative frequency instrument. The weekly intake foods was estimated from the reported consumption portion size according to food model. exposure nine selected items which are highly salted commonly consumed Rico. strong (odds ratio [OR]=3.34)...
Prior studies have suggested that weight misperception - underestimating one's actual may be associated with reduced engagement in loss programmes, decreasing the success of initiatives to address obesity and obesity-related diseases. The purpose this study was examine factors among Eastern Caribbean adults its influence on control behaviour.Data from Health Outcomes Research Network (ECHORN) Cohort Study were analysed (adults aged 40 older, residing US Virgin Islands, Puerto Rico, Barbados...
Abstract Background Accurately defining obesity using anthropometric measures that best capture obesity-related risk is important for identifying high groups intervention. The purpose of this study to compare the association different with 10-year cardiovascular disease (CVD) in adults Eastern Caribbean. Methods Data from Caribbean Health Outcomes Research Network (ECHORN) Cohort Study (ECS) were analyzed. ECS comprised aged 40 and older residing US Virgin Islands, Puerto Rico, Barbados,...
The objectives of this study were to examine the seasonal changes in risk gastrointestinal (GI) illness beachgoers tropics, compare association between GI and water quality using various indicator organisms, other beach health hazards. A prospective cohort during two periods (summer autumn) was conducted a surrounded by intensive residential development. Analyses demonstrated that although densities indicators well below standards throughout study, they significantly higher autumn season....
Noncommunicable diseases (NCDs) account for a higher proportion of mortality and morbidity in the Caribbean US territories-majority-minority communities-than United States or Canada. Strategies to address this disparity include enhancing data collection efforts among racial/ethnic communities. The ECHORN Cohort Study (ECS), regional adult cohort study, estimates prevalence assesses risk factors NCDs two territories islands. Here, we describe study approach, sampling methods, components,...
Objective: To describe the rationale and design of a prospective study ambulatory blood pressure measurement (ABPM) combined with contextual factors to identify hypertensive phenotypes in Caribbean population high rates HTN cardiovascular disease.Design: Prospective, multi-center sub-study.Setting: Eastern Health Outcomes Research Network Cohort (ECHORN) Study, sites Puerto Rico, US Virgin Islands, Trinidad Tobago, Barbados.Participants: Community-residing adults without diagnosis not...
Lack of variability in dietary intake within a population makes identification relationships between diet and disease difficult. Studies populations with greater interindividual variation can provide important insights. The Puerto Rican is transition from traditional to more Western-type diet, resulting variability. We identified foods contributing absolute the macronutrients among women. One hundred women, aged 30–79, residents San Juan, Rico, completed three, interviewer-administered, 24-h...
Abstract Objective: Sugar-sweetened beverages (SSB) are implicated in the increasing risk of diabetes Caribbean. Few studies have examined associations between SSB consumption and Design: was measured as teaspoon/d using questions from National Cancer Institute Dietary Screener Questionnaire about intake soda, juice coffee/tea during past month. Diabetes self-report, HbA1C use medication. Logistic regression used to examine associations. Setting: Baseline data Eastern Caribbean Health...
The identification of nocturnal nondipping blood pressure (< 10% drop in mean systolic from awake to sleep periods), as captured by ambulatory monitoring, is a valuable element risk prediction for cardiovascular disease, independent daytime or clinic measurements. However, capturing measurements, including determination wake/sleep periods, challenging. Accordingly, we sought evaluate the impact different definitions and algorithms defining onset on classification nondipping. Using...