A5056137151- Diabetes Management and Education
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Diabetes Management and Research
- Cardiovascular Health and Risk Factors
- Chronic Disease Management Strategies
- Diabetes and associated disorders
- Diabetes Treatment and Management
- Obesity and Health Practices
- Healthcare Systems and Public Health
- Clostridium difficile and Clostridium perfringens research
- Emergency and Acute Care Studies
- Primary Care and Health Outcomes
- Microscopic Colitis
- Respiratory viral infections research
- Retinal Imaging and Analysis
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Health disparities and outcomes
- Mosquito-borne diseases and control
- Pneumonia and Respiratory Infections
- Viral gastroenteritis research and epidemiology
- Antimicrobial Resistance in Staphylococcus
- Viral Infections and Vectors
- Oral microbiology and periodontitis research
- Nosocomial Infections in ICU
- Retinal Diseases and Treatments
Centers for Disease Control and Prevention
2016-2025
National Center for Chronic Disease Prevention and Health Promotion
2018-2024
Research Triangle Park Foundation
2020
Hyattsville Community Development Corporation
2019-2020
Center for Surveillance, Epidemiology, and Laboratory Services
2013-2019
Office of Science
2019
National Center for Emerging and Zoonotic Infectious Diseases
2013-2016
Association on Higher Education And Disability
2016
South East European Research Centre
2016
University of Central Asia
2016
During the spring of 2009, a pandemic influenza A (H1N1) virus emerged and spread globally. We describe clinical characteristics patients who were hospitalized with 2009 H1N1 in United States from April to mid-June 2009.
On March 13, 2020, the United States declared a national emergency in response to coronavirus disease 2019 (COVID-19) pandemic. Subsequently, states enacted stay-at-home orders slow spread of SARS-CoV-2, virus that causes COVID-19, and reduce burden on U.S. health care system. CDC* Centers for Medicare & Medicaid Services (CMS)† recommended systems prioritize urgent visits delay elective mitigate COVID-19 settings. By May syndromic surveillance data found department (ED) had declined 42%...
Foreign-born persons accounted for 57% of all tuberculosis (TB) cases in the United States 2006. Current TB control strategies have not sufficiently addressed high levels disease and latent infection this population.To determine risk drug-resistant among foreign-born populations potential impact adding culture to overseas screening procedures entering States.Descriptive epidemiologic analysis diagnosed with from 2001 through 2006.TB case rates, stratified by time since US entry, country...
Diabetes is a common chronic condition and as of 2015, approximately 30 million persons in the United States had diabetes (23 with diagnosed 7 undiagnosed) (1). Diabetic ketoacidosis (DKA) life-threatening but preventable complication characterized by uncontrolled hyperglycemia (>250 mg/dL), metabolic acidosis, increased ketone concentration that occurs most frequently type 1 (2). CDC's Surveillance System* (USDSS) indicated an increase hospitalization rates for DKA during 2009-2014, notably...
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Abstract Background Diabetes is the sixth leading cause of death and results in significant morbidity. The purpose this study to determine what demographic, health status, treatment, access/quality care, behavioral factors are associated with poor glycemic control a Type 2 diabetic, low-income, minority, San Diego population. Methods Longitudinal observational data was collected on patients diabetes from Project Dulce, program County designed care for an underserved diabetic sample included...
We determined estimated incidence of and risk factors for community-associated Clostridium difficile infection (CA-CDI) among patients treated at 6 North Carolina hospitals. CA-CDI case-patients were defined as adults (>18 years age) with a positive stool test result C. toxin no hospitalization within the prior 8 weeks. was 21 46 per 100,000 person-years in Veterans Affairs (VA) outpatients Durham County populations, respectively. VA more likely than controls to have received antimicrobial...
<h3>Importance</h3> Coordinated efforts by national organizations in the United States to implement evidence-based lifestyle modification programs are under way reduce type 2 diabetes (hereinafter referred as diabetes) and cardiovascular risks. <h3>Objective</h3> To provide a status report on reach use of prevention services nationally. <h3>Design, Setting, Participants</h3> This nationally representative, population-based cross-sectional analysis 2016 2017 National Health Interview Survey...
To determine whether diabetes prevalence and incidence has remained flat or changed direction during the past 5 years.We calculated annual of diagnosed (type 1 type 2 combined) for civilian, non-institutionalized adults aged 18-79 years using annual, nationally representative cross-sectional survey data from National Health Interview Survey 1980 to 2017. Trends in rates by age group, sex, race/ethnicity, education were percentage change (APC).Overall, age-adjusted, did not significantly...
OBJECTIVE To report U.S. national population-based rates and trends in diabetic ketoacidosis (DKA) hyperglycemic hyperosmolar state (HHS) among adults, both the emergency department (ED) inpatient settings. RESEARCH DESIGN AND METHODS We analyzed data from 1 January 2006 through 30 September 2015 Nationwide Emergency Department Sample National Inpatient to characterize ED visits admissions with DKA HHS. used corresponding year cross-sectional survey Health Interview Survey estimate number of...
OBJECTIVE Diabetic retinopathy (DR) is the leading cause of blindness among working-age adults, and although screening with eye exams effective, rates are low. We evaluated exam visits over a 5-year period in large population insured patients 10–64 years age diabetes. RESEARCH DESIGN AND METHODS used claims data from IBM Watson Health to identify diabetes continuous insurance coverage 2010 2014. Diabetes DR were defined using ICD-9 Clinical Modification codes. calculated visit frequency by...
Introduction Metabolic and bariatric surgery (MBS) is an effective intervention to manage diabetes obesity. The population-based incidence of MBS unknown. Objective To estimate the among US adults with obesity by status selected sociodemographic characteristics. Research design methods This cross-sectional study used data from 2016–2020 Nationwide Inpatient Sample Ambulatory Surgery capture procedures. National Health Interview Survey was establish denominator for calculations. Participants...
QT interval prolongation can lead to torsades de pointes, a potentially fatal arrhythmia. Although research exists on the relationship between and clinical outcome, few studies have described risk factors for prolonged in general population.The Third National Health Nutrition Examination Survey (NHANES III) collected electrocardiogram data 8561 subjects over 40 years of age projected results US population. was corrected heart rate using Fridericia's formula. Logistic regression analyses were...
Vascular complications of diabetes have declined substantially over the past 20 years. However, impact modern medical treatments on infectious diseases in people with remains unknown.We estimated rates infections requiring hospitalizations adults (≥18 years) versus without diabetes, using 2000-2015 National Inpatient Sample and Health Interview Surveys. Annual age-standardized age-specific hospitalization groups were stratified by infection type. Trends assessed Joinpoint regression annual...
We examined national trends in diabetes-related complications (heart failure [HF], myocardial infarction [MI], stroke, end-stage renal disease [ESRD], nontraumatic lower-extremity amputation [NLEA], and hyperglycemic crisis) among U.S. adults with diagnosed diabetes during 2000-2020 by age-group, race ethnicity, sex. also assessed inequalities those subgroups.
To describe antimicrobial prescribing patterns in nursing homes.Retrospective, observational study.Total of 73 homes four U.S. states; study period was from September 1, 2001, through February 28, 2002.Four thousand seven hundred eighty home residents.Number and type antimicrobials, indication for their use, resident facility factors associated with use homes.Of 4,780 residents, 2,017 (42%) received one or more antibiotic courses. Overall, residents a mean 4.8 courses/1,000 resident-days...
Diabetes affects approximately 12% of the U.S. adult population and 25% adults aged ≥65 years. From 2009 to 2017, there was no significant change in diabetes prevalence overall or among persons 65-79 years (1). However, these estimates were based on survey data with <5,000 older adults. Medicare administrative sets, which contain claims for millions adults, afford an opportunity explore both trends over time heterogeneity within population. Previous studies have shown that can be used...
Introduction The objective of this study was to examine recent trends in diagnosed diabetes prevalence for American Indian and Alaska Native (AI/AN) adults aged 18 years older the Health Service (IHS) active clinical population. Research design methods Data were extracted from IHS National Warehouse AI/AN each fiscal year 2006 (n=729 470) through 2017 (n=1 034 814). annual percentage change estimated overall, as well by sex, age group, geographic region. Results After increasing...
To report the national proportions and trends of adult hospitalizations with diabetes in United States during 2000-2018.
To determine the timing of community-onset Clostridium difficile-associated disease (CDAD) relative to patient's last healthcare facility discharge, association postdischarge cases with facility-onset cases, and influence on overall rates interhospital comparison CDAD.Retrospective cohort study for period January 1, 2005, through December 31, 2005.Catchment areas 6 acute care hospitals in North Carolina.We reviewed medical laboratory records date symptom onset, dates hospitalization, stool...
Approximately 30 million persons in the United States have diabetes.* Persons with diabetes are at risk for vision loss from diabetic retinopathy and other eye diseases (1). Diabetic retinopathy, most common diabetes-related disease, affects 29% of U.S. adults aged ≥40 years (2) is leading cause incident blindness among working-age It caused by chronically high blood glucose damaging vessels retina.† Annual dilated exams recommended because early detection timely treatment can prevent...
Introduction Little is known about the role diabetes (type 1 (T1D) and type 2 (T2D)) plays in modifying prognosis among kidney transplant recipients. Here, we compare mortality recipients with T1D, T2D non-diabetes-related end-stage disease (ESKD). Research design methods We included 254 188 first-time single aged ≥18 years from US Renal Data System (2000–2018). Diabetes status, as primary cause of ESKD, was defined using International Classification Disease 9th 10th Clinical Modification...