A5009474838- SARS-CoV-2 and COVID-19 Research
- Vascular Tumors and Angiosarcomas
- COVID-19 epidemiological studies
- Cancer and Skin Lesions
- Medical Malpractice and Liability Issues
- Sarcoma Diagnosis and Treatment
- Long-Term Effects of COVID-19
- Nonmelanoma Skin Cancer Studies
- Reconstructive Facial Surgery Techniques
- Acute Lymphoblastic Leukemia research
- Dermatologic Treatments and Research
- COVID-19 Clinical Research Studies
- SARS-CoV-2 detection and testing
- Tumors and Oncological Cases
- Infectious Diseases and Mycology
- Healthcare Quality and Management
- Digital Imaging in Medicine
- Pneumonia and Respiratory Infections
- Soft tissue tumor case studies
- Ocular Disorders and Treatments
- Facial Rejuvenation and Surgery Techniques
- Infection Control and Ventilation
- Hair Growth and Disorders
- Esophageal Cancer Research and Treatment
- Diversity and Career in Medicine
Massachusetts Department of Public Health
2021-2025
European Centre for Disease Prevention and Control
2022
University of Iowa Hospitals and Clinics
2016-2020
University of Iowa
2016-2020
Shenandoah University
2019
Cornell University
2012-2015
Columbia University Irving Medical Center
2009-2011
New York University
2006-2008
Washington Center
2006
Case Western Reserve University
2006
During July 2021, 469 cases of COVID-19 associated with multiple summer events and large public gatherings in a town Barnstable County, Massachusetts, were identified among Massachusetts residents; vaccination coverage eligible residents was 69%. Approximately three quarters (346; 74%) occurred fully vaccinated persons (those who had completed 2-dose course mRNA vaccine [Pfizer-BioNTech or Moderna] received single dose Janssen [Johnson & Johnson] ≥14 days before exposure). Genomic sequencing...
The SARS-CoV-2 Delta variant rose to dominance in mid-2021, likely propelled by an estimated 40%–80% increased transmissibility over Alpha. To investigate if this ostensible difference is uniform across populations, we partner with public health programs from all six states New England the United States. We compare logistic growth rates during each variant's respective emergence period, finding that emerged 1.37–2.63 times faster than Alpha (range states). compute variant-specific effective...
An outbreak of over 1,000 COVID-19 cases in Provincetown, Massachusetts (MA), July 2021-the first large mostly vaccinated individuals the US-prompted a comprehensive public health response, motivating changes to national masking recommendations and raising questions about infection transmission among individuals. To address these questions, we combined viral genomic epidemiological data from 467 individuals, including 40% outbreak-associated cases. The Delta variant accounted for 99% this...
OBJECTIVES We sought to describe the evolving epidemiology of invasive pneumococcal disease (IPD) among children in Massachusetts, United States, over last 2 decades during which sequential 7-valent conjugate vaccines (PCV7) and 13-valent PCVs (PCV13) were implemented. METHODS Cases IPD aged <18 years detected between 2002 2021 through an enhanced population-based, statewide surveillance system. Streptococcus pneumoniae isolates from normally sterile sites serotyped evaluated for...
The Accreditation Council for Graduate Medical Education's 2003 restrictions on resident duty hours (RDH) raised concerns among educators about potential negative impacts residents' training. In the early wake of these restrictions, little is known how RDH reform training in primary care. authors surveyed family medicine (FM) residency program directors (PDs) their perceptions impact regulations care.All PDs 472 FM programs were asked via list-serve to complete an anonymous Internet-based...
Dermatofibrosarcoma protuberans (DFSP) is an uncommon, low grade soft-tissue malignancy associated with a high risk for local recurrence and widespread subclinical extension. Imatinib, selective tyrosine kinase inhibitor, has been beneficial adjuvant therapy in patients unresectable, recurrent, or metastatic DFSP. Because of its characteristic infiltrative growth, effective surgical excision DFSP may be limited by the disfigurement functional impairment. In recent cases, neoadjuvant imatinib...
The apical triangle is the superior portion of cutaneous upper lip lying between medial cheek and alar margin. Defects involving this subunit are often repaired without taking into consideration aesthetic implications its potential loss or reduction. We present a simple option for repair defects to address concern.We collected series 69 patients with treated from 2002 2008 Mohs micrographic surgery. Their were reconstructed using various flaps (advancement, rotation, island pedicle,...
Abstract Background Short-term forecasts of infectious disease burden can contribute to situational awareness and aid capacity planning. Based on best practice in other fields recent insights epidemiology, one maximise the predictive performance such if multiple models are combined into an ensemble. Here we report ensembles predicting COVID-19 cases deaths across Europe between 08 March 2021 07 2022. Methods We used open-source tools develop a public European Forecast Hub. invited groups...
Despite extensive counseling, patients commonly call with postoperative concerns after Mohs micrographic surgery (MMS).We sought to determine the incidence, reasons, and patient surgical characteristics that lead patient-initiated communication MMS.A retrospective chart review of 1,531 who underwent MMS during observational period was conducted. Demographics perioperative initiated were compared a random sample matched controls.Of MMS, 263 (17.2%) 412 encounters within 90 days surgery. Top...
A 49-year-old woman presented with a seven-year history of pruritic, erythematous, scaling plaques on sun-exposed skin that localized only to pre-existing depigmented patches. Histopathologic examination showed changes consistent cutaneous lupus erythematosus lichenoid features and confirmed contiguous vitiligo. Diagnosis chronic areas vitiligo was determined by clinicopathologic correlation may reflect an autoimmune diathesis. Consequently, hydroxychloroquine topical glucocorticoids therapy...
A 59-year-old woman with arthritis presented to the Skin Institute of New York a 2-month history asymptomatic, small, skin-colored papules that erupted symmetrically on chest, back, and proximal extremities. Histopathologic examination biopsy specimen showed findings interstitial granulomatous dermatitis. Clinical correlation suggested diagnosis dermatitis arthritis. No change in lesions resulted from application clobetasol 0.05 percent ointment affected areas.
ABSTRACT Multiple summer events, including large indoor gatherings, in Provincetown, Massachusetts (MA), July 2021 contributed to an outbreak of over one thousand COVID-19 cases among residents and visitors. Most were fully vaccinated, many whom also symptomatic, prompting a comprehensive public health response, motivating changes national masking recommendations, raising questions about infection transmission vaccinated individuals. To characterize the viral population underlying it, we...
BACKGROUND Prescription opioids play a large role in the opioid epidemic. Even short-term prescriptions provided postoperatively can lead to dependence. OBJECTIVE To provide prescription recommendations after Mohs micrographic surgery (MMS) and reconstruction. METHODS This was multi-institutional Delphi consensus study consisting of panel members American College Surgery from various practice settings. Participants were first asked describe scenarios which they prescribe at frequencies....
A 42-year-old woman presented with a 2-year history of persistent, gray-white lip discoloration and discomfort that had not improved after empiric treatment topical 5-fluorouracil cream. Histopathologic examination demonstrated interface dermatitis epidermal atrophy. diagnosis oral lichen planus was made based on clinicopathologic correlation, tacrolimus ointment initiated.
With improved outcomes associated with radiotherapy (RT), post-irradiation tumors are increasingly seen in long-term cancer survivors. We report a case of young woman who presented three-year history vascular lesion on the temple, previously irradiated for childhood brain tumor. The radiation, clinical appearance, and biopsy findings an atypical proliferation dermis, were worrisome malignant neoplasm prompted surgical excision. However, further tissue analysis excised specimen confirmed...
A 55-year-old man presented with a three-week history of pruritic, erythematous papules hyperkeratotic dells on the dorsum left hand, which was preceded by swelling, redness and itching. Histopathologic examination showed an acanthotic epidermis central invagination filled plug composed parakeratotic debris, collagen, inflammatory cells. These findings are consistent acquired reactive perforating collagenosis, is most frequently reported in patients pruritus underlying diabetes mellitus or...
The appearance and symptoms of scars can cause significant distress to patients.To assess compare efficacy the 1,500-nm nonablative fractional laser (NAFL) 10,600-nm ablative (AFL) in reducing improving traumatic or surgical scars.Single-center prospective, randomized, blinded, split-scar study was conducted on 100 patients with a scar obtained through trauma surgery. Three treatments NAFL AFL were administered each half at 4-week intervals. Scars self-rated by patient using Patient Observer...