A5035645363- Climate Change and Health Impacts
- Thermoregulation and physiological responses
- Air Quality and Health Impacts
- Diabetes Management and Education
- Disaster Management and Resilience
- Traumatic Brain Injury Research
- Obesity, Physical Activity, Diet
- Disaster Response and Management
- Cardiac Arrest and Resuscitation
- Asthma and respiratory diseases
- Sleep and Work-Related Fatigue
- Obesity and Health Practices
- Health and Lifestyle Studies
- Health Policy Implementation Science
- Health, psychology, and well-being
- Global Health Care Issues
- Dysphagia Assessment and Management
- Cardiovascular Health and Risk Factors
- Head and Neck Cancer Studies
- Oral health in cancer treatment
- Food Security and Health in Diverse Populations
- Primary Care and Health Outcomes
- Trauma and Emergency Care Studies
- Fire Detection and Safety Systems
- Diet, Metabolism, and Disease
The University of Texas Health Science Center at Houston
2018-2025
Southwest Center for Educational Excellence
2022-2025
Center for Environmental Health
2024
University of Texas Health Science Center at Dallas
2018-2022
Sharma & Associates (United States)
2016
Brown Computer Company (United States)
2016
Remote patient monitoring (RPM) for hypertension management has become increasingly popular, demonstrating benefits both clinics and patients. However, engagement in self-measured blood pressure (SMBP) remains low despite healthcare providers' efforts. This study aimed to assess adherence acceptance of RPM SMBP among Texas Federally Qualified Health Center Participants enrolled the program were recruited at three health centers. Data was collected from records, a questionnaire assessed...
Introduction: Observational studies have shown that coffee consumption relates to a decreased risk of heart failure (HF). Our recent findings indicate caffeine metabolism, not itself, the onset HF. The causal effect circulating levels on HF and cardiac function is largely inconclusive. Hypothesis: We hypothesize level causally associated with Methods: extracted summary results from genome-wide association (GWAS) plasma caffeine, HF, 15 structure measures for left atrium, ventricle, right...
SummaryThe climate crisis and the Covid-19 pandemic are revealing limits to economic, environmental, social resources systems on which society depends. These dual crises driving increased demand for transparent, equitable, sustainable enterprise and, consequently, a significant change in business strategy operations. Corporations of all kinds undertaking new form accounting that not only captures financial performance, but also measures efforts mitigate destructive impacts operations have...
Abstract Objectives: The aim of this study was to provide insights learned from disaster research response (DR2) efforts following Hurricane Harvey in 2017 launch DR2 activities the Intercontinental Terminals Company (ITC) fire Deer Park, Texas, 2019. Methods: A multidisciplinary group academic, community, and government partners launched a myriad activities. Results: focused on enhancing environmental health literacy around clean-up efforts, measuring contaminants soil water impacted...
This study evaluated the cardiometabolic, behavioral, and psychosocial factors associated with weight status among hospital employees.A total of n = 924 employees across six hospitals in Texas participated this cross-sectional study, 2012 to 2013. Association between waist circumference, blood pressure, biomarkers, diet, physical activity, sedentary behaviors, was assessed.About 78.1% were overweight/obese. Obese participants (body mass index [BMI] ≥30.0 kg/m) had higher consumption...
Background Diabetes is considered one of the most prevalent and preventable chronic health conditions in United States. Research has shown that evidence-based prevention measures lifestyle changes can help lower risk developing diabetes. The National Prevention Program (National DPP) an program recognized by Centers for Disease Control Prevention; it designed to reduce diabetes through intensive group counseling nutrition, physical activity, behavioral management. Factors known influence...
Mucosal surfaces like those present in the lung, gut, and mouth interface with distinct external environments. These mucosal gateways are not only portals of entry for potential pathogens but also homes to microbial communities that impact host health. Secretory immunoglobulin A (SIgA) is single most abundant acquired immune component secreted onto and, via process exclusion, shapes architecture these microbiomes. Not all microorganisms at targeted by SIgA; therefore, a better understanding...
Workers are uniquely susceptible to the health hazards imposed by environmental changes. Occupational and medicine (OEM) providers at forefront of emerging issues pertaining working populations including climate change, must be prepared recognize, respond to, mitigate change-related effects in workers. This guidance document from American College Environmental Medicine focuses on North workers that may occur as a result change describes responsibilities OEM provider responding these challenges.
High ambient temperatures and strenuous physical activity put workers at risk for a variety of heat-related illnesses injuries. Through primary prevention, secondary treatment, OEM health providers can protect from the adverse effects heat. This statement by American College Occupational Environmental Medicine provides guidance who serve employers in industries where heat exposure occurs.
The U.S.-Mexico Border is an area of opportunity for improved health care access; however, gaps remain as to how and where U.S. border residents, particularly those who are underinsured, obtain care. Antibiotics one the most common reported drivers cross-border healthcare access a medication particular concern since indiscriminate or inappropriate use associated with antimicrobial resistance. In addition, many studies assessing preferences Mexican pharmaceuticals in residents were done prior...
Purpose The purpose of the study was to conduct focus groups with Mexican Americans in an impoverished rural community on Texas-Mexico border identify current barriers adopting healthier lifestyles and obtain recommendations for diabetes prevention. Methods Three separate 2-hour were led by experienced bilingual American moderator. Interviews included questions about cultural factors that influence lifestyle behaviors, aspects previous self-management interventions helpful motivating...
Purpose: The purpose of the study was to explore feasibility using commonly available technology, such as text messaging, for diabetes prevention in rural Mexican American communities during COVID-19. Methods: Participants were selected from a funded by National Institutes Health that, prior COVID-19, involved in-person group intervention sessions. predominantly female adults born Mexico and Spanish-speaking. A subsample (n = 140) divided into 3 cohorts: (1) 50 who completed initial COVID-19...
Traumatic brain injury (TBI) is prevalent among active duty military service members, with studies reporting up to 23% experiencing at least one TBI, 10–60% of members subsequent repeat TBI. A TBI has been associated an increased risk cumulative effects and long-term neurobehavioral symptoms, impacting operational readiness in the short-term overall health long term. The association between multiple post-concussive symptoms (PCS), however, defined as that follow a concussion or not...
ABSTRACT Introduction Traumatic brain injury (TBI) is an occupational health hazard of military service. Few studies have examined differences in categories (MOC) which take into consideration the physical demands and job requirements across groups. Methods This study was approved by University Texas Health Science Center at Houston Institutional Review Board. Data for this cross-sectional were obtained from Naval Research Center’s Millennium Cohort Study, ongoing DoD study. Univariate...
Objectives Examine acculturation and psychological, lifestyle, physiological factors based on gender country of origin (U.S. vs. Mexico). Methods Baseline data from the Starr County diabetes prevention study ( N = 300) were analyzed – language), psychological depression), lifestyle sedentary behaviors), diabetes-related outcomes insulin resistance). MANOVA linear regression used to examine variable relationships identify predictors depression resistance. Results Participants were:...
Objectives: This study evaluated the effectiveness of an outreach program which included safety training and distribution personal protection kits in Houston area aftermath Hurricane Harvey. Methods: Outreach : 71 volunteers conducted sessions at 19 different sites distributed a total 1187 kits. Follow-up We telephonic interviews to collect data on respiratory symptoms obtain perceptions quality provided among 83 participants. Results: Participants reported increase airway four weeks after...
To describe the outcomes effect of removing medical surveillance component from a heat illness prevention program (HIPP) for outdoor workers Central Texas municipality.
Purpose The Sustainable Culturally Adapted Nutrition Program (SCAN) is a novel adaptation to the National Diabetes Prevention (NDPP) that aims improve attendance and effectiveness. This paper presents its feasibility impact through initial 6-month outcomes. Design A pragmatic quasi-experimental pilot study with intervention (DPP plus SCAN) control only) groups. Samples Inclusion Criteria participants were recruited from federally qualified health center (FQHC) clinic patients enrolled in...
Background The health and safety of workers who work in areas severely damaged by natural weather events (reconstruction workers) is becoming an increasingly important problem as these disasters increase intensity frequency. An evidence-based, innovative e-learning tool, Pocket Ark, has been developed to meet this need. Methods Intervention Mapping, iterative public programming methodology, was used create strategies designed support the development implementation Ark application for...
Abstract Objective To describe heat-related illness (HRI) frequency and cost outcomes for a heat prevention program (HIPP) that included the U.S. National Institute Occupational Safety Health’s exposure guidelines training, acclimatization, medical surveillance, then later modified without surveillance outdoor workers employed by Central Texas municipality. Methods HRI workers’ compensation (WC) were assessed retrospectively in cohort of 329 municipal from 2011-2019. The HIPP years...
Abstract Introduction Increasing earth’s surface temperatures, and its contribution to the deterioration of air quality has resulted in increasing cardiopulmonary related health risks. Globally, over one billion workers are exposed these changing climatic conditions including increases heat indices, ground ozone levels, particulate levels. Scientific literature supports benefits establishing indices subsequent action alerts for general community. The aim is review on medical monitoring...
To describe and quantify the prevalence risk of deployment nondeployment service-related traumatic brain injury (TBI) among participants Millennium Cohort Study.