A5103071523- Occupational Health and Performance
- Vaccine Coverage and Hesitancy
- Injury Epidemiology and Prevention
- Disaster Response and Management
- Healthcare Policy and Management
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Posttraumatic Stress Disorder Research
- Hepatitis B Virus Studies
- Chronic Lymphocytic Leukemia Research
- Lymphoma Diagnosis and Treatment
- Primary Care and Health Outcomes
- COVID-19 epidemiological studies
- Child and Adolescent Health
- Air Quality and Health Impacts
- SARS-CoV-2 and COVID-19 Research
- Virology and Viral Diseases
- Hepatitis Viruses Studies and Epidemiology
- COVID-19 Impact on Reproduction
- Food Security and Health in Diverse Populations
- Immune Cell Function and Interaction
- Pediatric health and respiratory diseases
- Management and Organizational Studies
- Influenza Virus Research Studies
- Burn Injury Management and Outcomes
- Data-Driven Disease Surveillance
Gallup Indian Medical Center
2024
Rutgers, The State University of New Jersey
2022-2024
Rutgers New Jersey Medical School
2022-2024
Indian Health Service
2024
New York City Department of Health and Mental Hygiene
2012-2022
Universidad de Flores
2021
World Trade Organization
2017
New York University
2012
University of Toronto
2008
New York Academy of Medicine
2001-2002
To date, health effects of exposure to the September 11, 2001 disaster in New York City have been studied specific groups, but no studies estimated its impact across different exposed populations. This report provides an overview World Trade Center Health Registry (WTCHR) enrollees, their exposures, and respiratory mental outcomes 2–3 years post-9/11. Results are extrapolated universe people eligible enroll WTCHR determine magnitude impact. Building occupants, persons on street or transit...
OBJECTIVES: The purpose of this study was to examine the effects on immunization coverage 3 incentives for physicians--a cash bonus practice--wide increases, enhanced fee service, and feedback. METHODS: Incentives were applied at 4-month intervals over 1 year among 60 inner-city office-based pediatricians. At each interval, charts 50 randomly selected children between 35 months age reviewed per physician. RESULTS: percentage who up date diphtheria, tetanus, pertussis Haemophilus influenzae...
Asthma, gastroesophageal reflux disease (GERD), posttraumatic stress disorder (PTSD) and depression have each been linked to exposure the September 11, 2001 World Trade Center (WTC) terrorist attacks (9/11). We described prevalence patterns of these conditions associated health-related quality life (HRQOL) fifteen years after attacks. studied 36,897 participants in WTC Health Registry, a cohort exposed rescue/recovery workers community members, who completed baseline (2003–2004) follow-up...
Rationale: Residents and area workers who inhaled dust fumes from the World Trade Center disaster reported lower respiratory symptoms in two Health Registry surveys (2003–2004 2006–2007), but lung function data were lacking.Objectives: To examine relationship between persistent pulmonary a nested case–control study of exposed adult residents 7–8 years after September 11, 2001.Methods: Registrants reporting post 11th onset symptom first survey same second solicited as potential cases. without...
Excess gastroesophageal reflux disease (GERD) was reported in several populations exposed to the September 11 2001 (9/11) terrorist attacks on World Trade Center (WTC). We examined new onset symptoms (GERS) since 9/11 and persisting up 5-6 years relation 9/11-related exposures among WTC Health Registry enrollees, potential associations with comorbid asthma posttraumatic stress disorder (PTSD).This is a retrospective analysis of 37,118 adult enrollees (i.e., rescue/recovery workers, local...
To identify key factors associated with poor asthma control among adults in the World Trade Center (WTC) Health Registry, a longitudinal study of rescue/recovery workers and community members who were directly exposed to 2001 WTC terrorist attacks their aftermath.We studied incident diagnosed by physician from 12 September through 31 December 2003 participants aged ≥18 on 11 2001, as reported an enrollment (2003-2004) or follow-up questionnaire. Based modified National Asthma Education...
Underutilization of guideline-directed medical therapy for heart failure with reduced ejection fraction is a major cause poor outcomes. For many American Indian patients receiving care through the Health Service, access to care, especially cardiology limited, contributing uptake recommended therapy.
Objective. This study examines coverage levels for immunization, missed opportunities to immunize, and extent of lead tuberculosis screening in inner-city storefront physician offices then relates child, visit, characteristics opportunities. Methodology. With the use a nested sampling strategy, 232 charts were selected review 31 physician's offices. Charts children 0 35 months age who had three or more visits than 3 months. Physicians from those specific low-income New York neighborhoods...
We assessed associations between new-onset (post-September 11, 2001 [9/11]) lower respiratory symptoms reported on 2 surveys, administered 3 years apart, and acute chronic 9/11-related exposures among New York City World Trade Center-area residents workers enrolled in the Center Health Registry.World were categorized as case participants or control basis of surveys to 5 6 after 9/11. created composite exposure scales principal components analyses detailed histories obtained during...
Abstract Background Co‐occurrence of lower respiratory symptoms (LRS) and posttraumatic stress disorder (PTSD) has been increasingly recognized among responders survivors the World Trade Center (WTC) disaster. Information is limited on degree which comorbidity intensifies compromises quality life across exposed groups. Methods Among who completed first second Registry surveys, measures illness, psychological distress, diminished were compared between comorbid for LRS PTSD with only or PTSD....
During an epidemic of measles among preschool children in New York City, investigation was conducted 12 city hospitals to estimate reporting efficiency the City Department Health.Measles cases were identified by review hospital emergency room and infection control logs health department surveillance records. The Chandra Sekar Deming method used (1) total number persons less than 19 years old who presented from January through March 1991 (2) efficiency. Information on mechanisms for collected...
<h3>Objectives</h3> The prevalence of persistent lower respiratory symptoms (LRS) among rescue/recovery workers, local area residents and passers-by in the World Trade Center Health Registry (WTCHR) was analysed to identify associated factors measure its effect on quality life (QoL) 10 years after 9/11/2001. <h3>Methods</h3> This cross-sectional study included 18 913 adults who completed 3 WTCHR surveys (2003–2004 (Wave 1 (W1)), 2006–2007 2 (W2)) 2011–2012 (W3)). LRS were defined as...
A retrospective study was undertaken at the Institut Gustave Roussy (IGR) to determine predictive ability of changes in erythrocyte sedimentation rate (ESR) during posttherapy periods for early relapse (within 18 months from start therapy) and long-term survival Hodgkin's disease (HD). Three hundred one patients with clinical stages (CS) I or II HD entered European Organization Research Treatment Cancer (EORTC) trials were included this study. All relevant data follow-up available these...
We studied the course of lower respiratory symptoms (LRS; cough, wheeze or dyspnoea) among community members exposed to 9/11/2001 World Trade Center (WTC) attacks during a period 12-13 years following attacks, and evaluated risk factors for LRS persistence, including peripheral airway dysfunction post-traumatic stress disorder (PTSD).Non-smoking adult participants in case-control study post-9/11-onset (exam 1, 2008-2010) were recruited follow-up 2, 2013-2014). Peripheral function was...
The World Trade Center (WTC) destruction released dust and fumes into the environment. Although many community members developed respiratory symptoms, screening spirometry was usually normal. We hypothesised that forced oscillation testing would identify functional abnormalities undetected by symptom severity relate to magnitude of measured oscillometry. A symptomatic cohort (n=848) from Bellevue Hospital WTC Environmental Health evaluated compared an asymptomatic (n=475) New York City...
This study derives normative prediction equations for respiratory impedance in a healthy asymptomatic urban population using an impulse oscillation system (IOS). In addition, this uses body mass index (BMI) the to describe effect of obesity on impedance. Data from comprising 472 subjects that resided or worked lower Manhattan, New York City were retrospectively analysed. was control group previously completed case–control health effects exposure World Trade Center dust. Since all underwent...
One hundred forty-seven (66%) of 224 scouts and chaperons were interviewed after a weekend visit to dude ranch in upstate New York. seventeen (80%) complained papular rashes or eye ear inflammation. Onset illness occurred within 24 48 hours arrival at the ranch. After controlling for participation other available activities, only swimming was found be associated with illness.<i>Pseudomonas aeruginosa</i>serotype 0 11 grew from culture pool water 17 cultures skin, eye, lesions visitors...
<h3>Objective</h3> To assess the effectiveness of a volunteer-driven outreach program on immunization rates in children younger than 2 years. <h3>Design</h3> Randomized controlled trial. <h3>Setting</h3> Pediatric ambulatory clinics New York, NY. <h3>Patients</h3> A total 163 were randomly assigned to receive services from or serve as control subjects. All (1) years, (2) no-shows for scheduled appointment pediatric clinic, and (3) due overdue vaccine. <h3>Intervention</h3> Immunization...
Although the association between poor economic or social standing and health is well established, few studies have attempted to examine mediational pathways that produce adverse outcomes in disadvantaged populations.To determine whether barriers care mediate socioeconomic status (SES) asthma-related emergency department (ED) visits.This cohort study used data from World Trade Center Health Registry, which comprises rescue recovery workers community members who worked, lived, studied were...
RESISTANCE to chloroquine in Plasmodium falciparum malaria has become a serious threat the health of travelers East Africa. We report here case cerebral due P. infection acquired Kenya by tourist who was receiving routine prophylaxis. In addition, despite therapy with standard curative dosage chloroquine, patient's parasite density increased, and her clinical status deteriorated. This expands recognized spectrum resistance infections from Africa, along other cases representing lesser degrees...