- Energy and Environment Impacts
- Air Quality and Health Impacts
- Climate Change and Health Impacts
- Child Nutrition and Water Access
- Energy, Environment, and Transportation Policies
- Air Quality Monitoring and Forecasting
- Hybrid Renewable Energy Systems
- Health disparities and outcomes
- Social Acceptance of Renewable Energy
- Global Maternal and Child Health
- Food Security and Health in Diverse Populations
- Neonatal Respiratory Health Research
- Child and Adolescent Health
- Migration, Health and Trauma
- Noise Effects and Management
- Smart Grid Energy Management
- Community Health and Development
- Salmonella and Campylobacter epidemiology
- Health, Environment, Cognitive Aging
- Municipal Solid Waste Management
- COVID-19 and healthcare impacts
- Maternal and Neonatal Healthcare
- Health Sciences Research and Education
- Nutritional Studies and Diet
- Microplastics and Plastic Pollution
Emory University
2018-2025
University of Rwanda
2025
New York State Department of Health
2011-2024
Wadsworth Center
2011-2024
Johns Hopkins University
1985-2024
Georgetown University
2024
University of Georgia
2024
Fogarty International Center
2024
Cook County Health and Hospitals System
2023
Cheshire and Wirral Partnership NHS Foundation Trust
2023
▪ Objective: To evaluate a nosocomial outbreak of tuberculosis caused by multiple-drug-resistant bacilli among patients with and HIV infection. Design: A case-control study. Patients: Patients infection culture-proven tuberculosis. Measurements: Patient characteristics, date diagnoses disease, diagnosis tuberculosis, Mycobacterium susceptibility results, medical center contact. Results: Sixty-two who had (cases) 55 susceptible or single-drug-resistant (controls) were identified. Controls...
Objective: To determine the clinical manifestations of patients with human immunodeficiency virus (HIV) infection and tuberculosis caused by multiple-drug-resistant bacilli compared those single-drug-resistant or susceptible bacilli. Design: Descriptive, case-control, cohort studies. Setting: A large urban teaching hospital. Patients: Sixty-two (cases) 55 (controls). Measurements: Characteristics presentation, radiographs, pathologic abnormalities, antituberculosis treatment, course....
We present clinicopathologic data on 10 pulmonary myxoid sarcomas, which are defined by distinctive histomorphologic features and characterized a recurrent fusion gene, that appear to represent distinct tumor entity at this site. The patients [7 female, 3 male; aged 27 67 y (mean, 45 y)] presented with local or systemic symptoms (n=5), from cerebral metastasis (1), incidentally (2). Follow-up of 6 showed 1 brain died shortly after primary resection, developed renal but is alive well, 4...
Background: A growing body of evidence indicates a relationship between household indoor air pollution from cooking fires and adverse neonatal outcomes, such as low birth weight (LBW), in resource-poor countries.Objective: We examined the effect reduced wood smoke exposure pregnancy on LBW Guatemalan infants RESPIRE (Randomized Exposure Study Pollution Indoors Respiratory Effects).Methods: Pregnant women (n = 266) either received chimney stove (intervention) or continued to cook over an open...
BACKGROUND: Globally, nearly 3 billion people rely on solid fuels for cooking and heating, the vast majority residing in low-and middle-income countries (LMICs).The resulting household air pollution (HAP) is a leading environmental risk factor, accounting an estimated 1.6 million premature deaths annually.Previous interventions of cleaner stoves have often failed to reduce exposure levels that produce meaningful health improvements.There been no multicountry field trials with liquefied...
Household air pollution (HAP) from solid fuel use is associated with adverse birth outcomes, but data for exposure-response relationships are scarce. We examined associations between HAP exposures and birthweight in rural Guatemala, India, Peru, Rwanda during the Air Pollution Intervention Network (HAPIN) trial.
Household air pollution is associated with stunted growth in infants. Whether the replacement of biomass fuel (e.g., wood, dung, or agricultural crop waste) liquefied petroleum gas (LPG) for cooking can reduce risk stunting unknown.
The phylogenetic relationships of all species in the genus Campylobacter, Wolinella succinogenes, and other gram-negative bacteria were determined by comparison partial 16S ribosomal ribonucleic acid sequences. results this study indicate that now recognized Campylobacter make up three separate sequence homology groups. Homology group I contains following true species: fetus (type species), coli, jejuni, laridis, hyointestinalis, concisus, mucosalis, sputorum, “Campylobacter upsaliensis”...
Exposure during pregnancy to household air pollution caused by the burning of solid biomass fuel is associated with adverse health outcomes, including low birth weight. Whether replacement a cookstove liquefied petroleum gas (LPG) would result in an increase weight unclear.
BackgroundHousehold air pollution might lead to fetal growth restriction during pregnancy. We aimed investigate whether a liquefied petroleum gas (LPG) intervention reduce personal exposures household pregnancy would alter growth.MethodsThe Household Air Pollution Intervention Network (HAPIN) trial was an open-label randomised controlled conducted in ten resource-limited settings across Guatemala, India, Peru, and Rwanda. Pregnant women aged 18–34 years (9–19 weeks of gestation) were...
Mental health problems are prevalent in disadvantaged communities. We encountered these issues first-hand as community development workers a of high unemployment and social welfare support located the south west region Sydney, Australia. In our centre, we saw spectrum mental health, from well-being resilience extreme circumstances to resulting poverty marginalization significant psychiatric disability. describe work this with reference intervention at three levels: people (promoting...
Larrabee (2008) applied chained likelihood ratios to selected performance validity measures (PVMs) identify non-valid performances on neuropsychological tests. He presented a method of combining different PVMs with sensitivities and specificities into an overall probability non-validity. We his methodology set 11 using sample 255 subjects. The results the study show that in various combinations two or three PVMs, high reliability invalidity can be determined ratio method. This advances...
Three billion people use solid cooking fuels, and 4 million die from household air pollution annually. Shifting households to clean like liquefied petroleum gas (LPG), may protect health only if stoves are consistently used. Few studies have used an implementation science framework systematically assess "de-implementation" of traditional stoves, none done so with pregnant women who more likely adopt new behaviors. We evaluated introduced LPG stove coupled a phased behavioral intervention...
Abstract COVID-19 continues to exact a substantial toll on health. While mortality and morbidity associated with the pandemic are most obvious impacts, social economic disruptions becoming apparent. There is reason believe that has slowed or reversed gains in clean household energy use rural India. Here we describe phone surveys deployed repeatedly Jharkhand Bihar pandemic-related changes socio-economic conditions energy-use patterns. Over three-quarters of households reported hardships...
Exposure to household air pollution is a risk factor for severe pneumonia. The effect of replacing biomass cookstoves with liquefied petroleum gas (LPG) on the incidence infant pneumonia uncertain. We conducted randomized, controlled trial involving pregnant women 18 34 years age and between 9 less than 20 weeks' gestation in India, Guatemala, Peru, Rwanda from May 2018 through September 2021. were assigned cook unvented LPG stoves fuel (intervention group) or continue cooking (control...
Section:ChooseTop of pageAbstract <<OverviewIntroductionMethodsTopic 1: Do HAP Intervent...Topic 2: What Are Importa...Topic 3: Does Academic Re...Topic 4: the Nex...ConclusionsReferences
Household air pollution (HAP) from solid fuel combustion is a major contributor to the global burden of disease, with considerable impact respiratory infections in children. The HAP on lung function unknown.The Childhood Exposure Respirable Particulate Matter (CRECER) prospective cohort study followed Guatemalan children who participated Randomised Study Pollution Indoors and Respiratory Effects (RESPIRE) trial chimney stove intervention determine effect early childhood exposure growth...
BackgroundIn resource-limited settings, pneumonia diagnosis and management are based on thresholds for respiratory rate (RR) oxyhaemoglobin saturation (SpO2) recommended by WHO. However, as RR increases SpO2 decreases with elevation, these might not be applicable at all altitudes. We sought to determine upper lower age altitude four sites, altitudes ranging from sea level 4348 m.MethodsIn this cross-sectional study, we enrolled healthy children aged 0–23 months who lived within the study...