A5014949336- Global Cancer Incidence and Screening
- Colorectal Cancer Screening and Detection
- Health disparities and outcomes
- Cancer survivorship and care
- Cancer Risks and Factors
- Obesity, Physical Activity, Diet
- Urban Transport and Accessibility
- Food Security and Health in Diverse Populations
- Data-Driven Disease Surveillance
- Cervical Cancer and HPV Research
- Nutritional Studies and Diet
- Breast Cancer Treatment Studies
- Traffic and Road Safety
- Smoking Behavior and Cessation
- Urban Green Space and Health
- Noise Effects and Management
- Air Quality and Health Impacts
- Nutrition and Health in Aging
- Adolescent Sexual and Reproductive Health
- Healthcare Policy and Management
- Health, Environment, Cognitive Aging
- Climate Change and Health Impacts
- Colorectal Cancer Surgical Treatments
- Health Systems, Economic Evaluations, Quality of Life
- Cardiovascular Health and Risk Factors
University of Arkansas for Medical Sciences
2022-2025
Institute for Community Health
2024
Winthrop Rockefeller Foundation
2023-2024
Washington University in St. Louis
2011-2023
Invent (Italy)
2023
SSM Health Care
2018-2022
Saint Louis University
2010-2021
Saint Louis University Hospital
2021
Barnes-Jewish Hospital
2009-2020
Jewish Hospital
2009-2020
<h3>Objective:</h3> To investigate the utilization of neurologist providers in treatment patients with Parkinson disease (PD) United States and determine whether is associated improved clinical outcomes. <h3>Methods:</h3> This was a retrospective observational cohort study Medicare beneficiaries PD year 2002. Multilevel logistic regression used to which patient characteristics predicted care between 2002 2005 compare age, race, sex, comorbidity-adjusted annual risk skilled nursing facility...
Abstract BACKGROUND: No previous prospective US study has examined whether the incidence of colorectal cancer (CRC) is disproportionately high in low socioeconomic status (SES) populations both men and women. This relationship between individual area‐level SES CRC incidence, overall by tumor location. METHODS: Data were obtained from ongoing National Institutes Health‐AARP Diet Health Study persons (50‐71 years old) who resided 6 states 2 metropolitan areas at baseline 1995‐1996. Incident...
Observational field audits are recommended for public health research to collect data on built environment characteristics. A reliable, standardized alternative that uses publicly available information could provide the ability efficiently compare results across different study sites and time.This aimed assess inter-rater reliability of conducted using Google Street View imagery.In 2011, street segments from St. Louis Indianapolis were geographically stratified ensure representation...
Cancer survivors face psychosocial issues that increase their risk of suicide. This study examined the suicide across cancer sites, with a focus on head and neck (HNC).The Surveillance, Epidemiology, End Results 18-registry database (from 2000 to 2014) was queried for top 20 sites in database, including HNC. The outcome interest as cause death. mortality rate from estimated HNC compared rates 19 other were included study. Poisson regression used estimate adjusted ratios (aRRs) 95% confidence...
Limited data exist about complications of titanium elastic nails (TNs) for femur fracture management in pediatric patients. Thirty-nine patients with 43 femoral shaft fractures were identified whose average age was 6.0 years. There 21 (1 intraoperative, 20 postoperative) (49%). two major postoperative complications: one septic arthritis after nail removal and hypertrophic nonunion. Minor pain at the 13 extremities, erosion through skin 4, delayed union. an association between prominence TNs...
BackgroundHealth behaviors are known risk factors for colorectal cancer and more common in low socioeconomic status (SES) populations. We evaluated the extent to which behavioral body mass index (BMI) explain SES disparities incidence, overall by tumor location.
In Brief Study Design. A retrospective review of adolescents with main thoracic scoliotic curves surgically treated either anterior release and posterior fusion or only. Objectives. To compare the radiographic clinical outcomes two surgical treatments: anterior-posterior spinal (APSF) versus (PSF) alone in patients large 70° to 100° adolescent idiopathic scoliosis (AIS) curves. Summary Background Data. Surgical treatment AIS between often consists improve coronal correction rate, performed...
Background: Differentiation between septic arthritis and transient synovitis of the hip in children can be difficult. Kocher et al. recently developed a clinical prediction algorithm for based on four variables: history fever, non-weight-bearing, an erythrocyte sedimentation rate ≥40 mm/hr, serum white blood-cell count >12,000/mm3 (>12.0 × 109/L). The purpose this study was to apply retrospectively determine its predictive value our patient population. Methods: A retrospective review...
<h3>Objective</h3>To determine the life expectancy of patients with Parkinson disease (PD) in United States and identify demographic, geographic, clinical factors that influence survival.<h3>Design</h3>Retrospective cohort study 138 000 Medicare beneficiaries incident PD who were identified 2002 followed up through 2008.<h3>Main Outcome Measures</h3>Confounder-adjusted 6-year risk death as influenced by 3 groups factors: (1) race, sex, age at diagnosis; (2) geography environmental factors;...
Objectives We examined the utility of January 2004 to April 2014 Google Trends data from information searches for cancer screenings and preparations as a complement population screening data, which are traditionally estimated through costly population-level surveys. Setting State-level across USA. Participants Persons who searched terms related using Google, persons participated in Behavioral Risk Factor Surveillance System (BRFSS). Primary secondary outcome measures (1) providing relative...
Parkinson disease associated with farming and exposure to agricultural chemicals has been reported in numerous studies; little is known about risk factors for those living urban areas. The authors investigated the relation between copper, lead, or manganese emissions incidence United States, studying 29 million Medicare beneficiaries year 2003. was determined by using who had not changed residence since 1995. Over 35,000 nonmobile incident cases, diagnosed a neurologist, were identified...
To identify sociodemographic, clinical, and physician/practice factors associated with deep brain stimulation (DBS). DBS is a proven surgical therapy for Parkinson disease (PD), but recommended only patients excellent health, results in significant out-of-pocket costs, requires substantial physician involvement.
Abstract Background and Aims Longitudinal change in income is crucial explaining cardiovascular health inequalities. However, there limited evidence for disease (CVD) risk associated with dynamics over time among individuals type 2 diabetes (T2D). Methods Using a nationally representative sample from the Korean National Health Insurance Service database, 1 528 108 adults aged 30–64 T2D no history of CVD were included 2009 to 2012 (mean follow-up 7.3 years). monthly insurance premium...
There are significant differences in physical inactivity various geographical areas and among demographic groups. Previous research suggests that walking is the most common form of activity; however, not all built environments support for recreational or transportation purposes.The purpose this study was to assess extent which area-level factors, poverty rate racial distribution, associated with aspects street-scale environment (i.e. sidewalk walkability disorder) using community...
This study focuses on the injury rates for natural grass and AstroTurf surfaces risk factors of game position type play. We examined game-related knee sprains, medial collateral ligament anterior cruciate sprains that occurred in National Football League during 1980 to 1989 seasons. The findings are controlled categories severity (number games missed due injury), position, situation (rushing or passing) at time injury. analysis data incorporates epidemiologic techniques associated with...
To analyse the contextual effect of area poverty rate on never having been screened for breast, cervical, and colorectal cancer by (1) describing extent variation in screening behaviours among 98 US metropolitan areas; (2) determining if lack can be explained differences characteristics persons who resided these (3) living a with higher increased likelihood over above individual characteristics.Cross sectional survey using data from 2002 Behavioral Risk Factor Surveillance System. Multilevel...