Last data update: May 06, 2024. (Total: 46732 publications since 2009)
Records 1-3 (of 3 Records) |
Query Trace: Hughes SE[original query] |
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Health of Asylees Compared to Refugees in the United States Using Domestic Medical Examination Data, 2014-2016: A Cross-Sectional Analysis
Kumar GS , Pezzi C , Payton C , Mamo B , Urban K , Scott K , Montour J , Cabanting N , Aguirre J , Ford R , Hughes SE , Kawasaki B , Kennedy L , Jentes ES . Clin Infect Dis 2021 73 (8) 1492-1499 BACKGROUND: Between 2008 and 2018, persons granted asylum (asylees) increased by 168% in the United States. Asylees are eligible for many of the same domestic benefits as refugees under the US Refugee Admissions Program (USRAP), including health-related benefits such as the domestic medical examination. However, little is known about the health of asylees to guide clinical practice. METHODS: We conducted a retrospective cross-sectional analysis of domestic medical examination data from nine US sites from 2014 to 2016. We describe and compare demographics and prevalence of several infectious diseases such as latent tuberculosis infection (LTBI), hepatitis B and C, and select sexually transmitted infections and parasites by refugee or asylee visa status. RESULTS: The leading nationalities for all asylees were China (24%) and Iraq (10%), while the leading nationalities for refugees were Burma (24%) and Iraq (19 %). Approximately 15% of asylees were diagnosed with LTBI, and 52% of asylee adults were susceptible to HBV infection. Prevalence of LTBI (Prevalence Ratio [PR]=0.8), hepatitis B (0.7), hepatitis C (0.5) and Strongyloides (0.5) infections were significantly lower among asylees than refugees. Prevalence of other reported conditions did not differ by visa status. CONCLUSIONS: Compared to refugees, asylees included in our dataset were less likely to be infected with some infectious diseases but had similar prevalence of other reported conditions. The Centers for Disease Control and Prevention's Guidance for the US Domestic Medical Examination for Newly Arrived Refugees can also assist clinicians in the care of asylees during the routine domestic medical examination. |
Cyanobacteria growth in nitrogen- & phosphorus-spiked water from a hypereutrophic reservoir in Kentucky, USA
Hughes SE , Marion JW . J Environ Prot 2021 12 (2) 75-89 Cyanobacteria may adversely impact aquatic ecosystems through oxygen depletion and cyanotoxin production. These cyanotoxins can also harm human health and livestock. In recent years, cyanobacterial blooms have been observed in several drinking water reservoirs in Kentucky, United States. In Kentucky, the paradigm is that phosphorous is the limiting nutrient for cyanobacteria growth. To explore this paradigm, an indoor microcosm study was conducted using hypereutrophic Guist Creek Lake water. Samples were collected and spiked with various combinations of locally used agricultural grade fertilizers, including ammonium nitrate, urea, and triple phosphate (calcium dihydrogen phosphate). Samples were incubated indoors for the photoperiod-specific to the time of the year. Cyanobacteria density, measured by phycocyanin, did not demonstrate increased growth with the addition of phosphate fertilizer alone. Cyanobacteria growth was enhanced in these conditions by the combined addition of ammonium nitrate, urea, and phosphorus fertilizer. Growth also occurred when using either ammonium nitrate or urea fertilizer with no additional phosphorus input, suggesting that phosphorus was not limiting the cyanobacteria at the time of sample collection. The addition of both nitrogen fertilizers (ammonium nitrate and urea) at the concentrations used in this study, in the absence of phosphorus, was deleterious to both the Chlorophyta and cyanobacteria. The results suggest further studies using more robust experimental designs are needed to explore lake-specific dual nutrient management strategies for preventing cyanobacterial blooms in this phosphorus-rich hypereutrophic lake and possibly other hypereutrophic lakes. |
Tuberculosis mortality in the United States: Epidemiology and prevention opportunities
Beavers SF , Pascopella L , Davidow AL , Mangan JM , Hirsch-Moverman YR , Golub JE , Blumberg HM , Webb RM , Royce RA , Buskin SE , Leonard MK , Weinfurter PC , Belknap RW , Hughes SE , Warkentin JV , Welbel SF , Miller TL , Kundipati SR , Lauzardo M , Barry PM , Katz DJ , Garrett DO , Graviss EA , Flood JM . Ann Am Thorac Soc 2018 15 (6) 683-692 RATIONALE: More information on risk factors for death from tuberculosis in the United States could help reduce the tuberculosis mortality rate, which has remained steady for over a decade. Objective(s) To identify risk factors for tuberculosis-related death in adults. METHODS: We performed a retrospective study of 1,304 adults with tuberculosis who died before treatment completion and 1,039 frequency-matched controls who completed tuberculosis treatment in 2005-2006 in thirteen states reporting 65% of U.S. tuberculosis cases. We used in-depth record abstractions and a standard algorithm to classify deaths in persons with tuberculosis as tuberculosis-related or not. We then compared these classifications to causes of death as coded in death certificates. We used multivariable logistic regression to calculate adjusted odds ratios (aOR) for predictors of tuberculosis-related death among adults compared with those who completed tuberculosis treatment. RESULTS: Of 1,304 adult deaths, 942 (72%) were tuberculosis-related, 272 (21%) were not, and 90 (7%) couldn't be classified. Of 847 tuberculosis-related deaths with death certificates available, 378 (45%) did not list tuberculosis as a cause of death. Adjusting for known risks, we identified new risks for tuberculosis-related death during treatment: absence of pyrazinamide in the initial regimen (aOR=3.4, 95% CI=1.9-6.0); immunosuppressive medications (aOR=2.5, 95% CI=1.1-5.6); incomplete TB diagnostic evaluation (aOR=2.2, 95% CI=1.5-3.3), and an alternative non-TB diagnosis prior to TB diagnosis (aOR=1.6, 95% CI=1.2-2.2). Conclusions Most persons who died with tuberculosis had a tuberculosis-related death. Intensive record review revealed tuberculosis as a cause of death more often than did death certificate diagnoses. New tools, such as a TB mortality risk score based on our study findings, may identify TB patients for in-hospital interventions to prevent death. |
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