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Showing 741 - 760 of 1969 results

Hospitalizations With Blood Transfusions and Transfusion-related Adverse Events in US Acute Care Hospitals, 2016-2020.

Kazakova, Sophia V. ;

Reddy, Opal L.

May 2025 | Transfusion, 2025, v. 65, no. 5

National data on transfusion-related adverse events (TAEs) in the United States are limited. Administrative and payment-related data may augment hemovigilance systems to assess transfusion safety.A nationwide administrative database was analyzed to characterize transfusion-related hospitalizations and TAEs by trends, patient/hospital characteristic ...

10/09/2026

Supporting Files

Title : Hospitalizations With Blood Transfusions and Transfusion-related Adverse Events in US Acute Care Hospitals, 2016-2020. Personal Author(s) : Kazakova, Sophia V.;Reddy, Opal L.;Griffin, Isabel;Hicks, Lauri A.;Kracalik, Ian;Basavaraju, Sridhar V.; Published Date : May 2025 Pages in Document : 937-949 (19 pdf pages) Source : Transfusion, 2025, v. 65, no. 5 DOI : https://doi.org/10.1111/trf.18229 Journal Title : Transfusion
Kazakova, S. V., Reddy, O. L., Griffin, I., Hicks, L. A., Kracalik, I., & Basavaraju, S. V. (2025). Hospitalizations With Blood Transfusions and Transfusion-related Adverse Events in US Acute Care Hospitals, 2016-2020. Transfusion, 65(5). https://doi.org/10.1111/trf.18229

Kazakova, Sophia V., Opal L. Reddy, Isabel Griffin, Lauri A. Hicks, Ian Kracalik, and Sridhar V. Basavaraju. "Hospitalizations With Blood Transfusions and Transfusion-related Adverse Events in US Acute Care Hospitals, 2016-2020." Transfusion 65, no. 5 (2025). https://doi.org/10.1111/trf.18229.

Kazakova, Sophia V., et al. "Hospitalizations With Blood Transfusions and Transfusion-related Adverse Events in US Acute Care Hospitals, 2016-2020." Transfusion, vol. 65, no. 5, 2025. Stacks. https://doi.org/10.1111/trf.18229.
Export RIS Citation Information. TY - Journal Article AU - Kazakova, Sophia V. AU - Reddy, Opal L. AU - Griffin, Isabel AU - Hicks, Lauri A. AU - Kracalik, Ian AU - Basavaraju, Sridhar V. AB - National data on transfusion-related adverse events (TAEs) in the United States are limited. Administrative and payment-related data may augment hemovigilance systems to assess transfusion safety. AB - A nationwide administrative database was analyzed to characterize transfusion-related hospitalizations and TAEs by trends, patient/hospital characteristics, and outcomes. Transfusions and TAEs were identified using medical codes and charges. Generalized estimating equations (GEE) modeled transfusion trends, while logistic regression assessed transfusion-associated circulatory overload (TACO) and transfusion-related acute lung injury (TRALI) risk factors. AB - During 2016-2020, 8.4% of hospitalizations involved transfusions, with red blood cell (RBC) transfusion being most common (5.2%). In 2020, compared to 2016, hospitalizations with RBC transfusion decreased by 2% (Rate Ratio (RR) 0.98; 95% CI: 0.97-0.99), while plasma transfusion hospitalizations increased by 13% (RR 1.13; 95% CI: 1.08-1.19). TAEs occurred in 0.35% of hospitalizations (3.5/1000 transfusion hospitalizations). Among the TAEs included in the study, TACO, febrile nonhemolytic reactions, and TRALI were most common. In 27% of cases, the specific TAE was unidentified. TAEs were associated with higher inpatient mortality and longer lengths of stay. Variability in TAE rates was observed by patient and hospital characteristics. Risk factors for TACO included age >64, female sex, teaching hospitals, rural location, and Northeast region. TRALI risk was higher in teaching hospitals and those with >200 beds. AB - Administrative data provide insights into transfusion practices and associated morbidity and mortality but have limitations. Linking administrative, electronic health record, and blood bank data may enhance TAE identification. AB - Author manuscript AN - cdc:261522 C4 - PMC13185458 DO - https://doi.org/10.1111/trf.18229 IS - 5 J2 - Transfusion KW - Adolescent KW - Transfusion-Related Acute Lung Injury KW - Female KW - Blood Transfusion KW - Aged KW - Aged, 80 and over KW - Databases, Factual KW - Erythrocyte Transfusion KW - Risk Factors KW - Hospitalization KW - Male KW - Middle Aged KW - Humans KW - Transfusion Reaction KW - Adult KW - acute care hospitals KW - blood transfusions KW - hemovigilance KW - hospitalizations KW - patient safety KW - transfusion-related adverse events KW - Humans KW - Female KW - Male KW - Middle Aged KW - Aged KW - Hospitalization KW - Transfusion Reaction KW - Adult KW - Blood Transfusion KW - Risk Factors KW - Databases, Factual KW - Adolescent KW - Erythrocyte Transfusion KW - Transfusion-Related Acute Lung Injury KW - Aged, 80 and over LA - eng PY - 2025 T2 - Transfusion T2 - Transfusion, 2025, v. 65, no. 5 TI - Hospitalizations With Blood Transfusions and Transfusion-related Adverse Events in US Acute Care Hospitals, 2016-2020. VL - 65 UR - https://stacks.cdc.gov/view/cdc/261522 ER -
Changes in the Prevalence of Non-AIDS Conditions Among Hospitalized Persons With HIV in the United States and Canada, 2008-2018.

Davy-Mendez, Thibaut ;

Napravnik, Sonia

April 2025 | Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America, 2025, v. 81, no. 4

Hospitalization causes among persons with HIV (PWH) have shifted to non-AIDS conditions, but the complete disease profile of hospitalized PWH has not been well described. To inform hospitalization and readmission prevention efforts, we examined non-AIDS disease prevalence among PWH hospitalized in 4 US cohorts and 1 Canadian cohort.Among PWH with ≥ ...

10/09/2026

Supporting Files

Title : Changes in the Prevalence of Non-AIDS Conditions Among Hospitalized Persons With HIV in the United States and Canada, 2008-2018. Personal Author(s) : Davy-Mendez, Thibaut;Napravnik, Sonia;Hogan, Brenna C.;Eron, Joseph J.;Gebo, Kelly A.;Althoff, Keri N.;Moore, Richard D.;Silverberg, Michael J.;Horberg, Michael A.;Gill, M. John;Colasanti, Jonathan A.;Nijhawan, Ank;Karris, Maile Y.;Klein, Marina B.;Lang, Raynell;Lesko, Catherine R.;Yendewa, George A.;Kirk, Gregory D.;McGinnis, Kathleen A.;Berry, Stephen A.; Corporate Authors(s) : for the North American AIDS Cohort Collaboration on Research and Design (NA-ACCORD) of the International Epidemiology Databases to Evaluate AIDS (IeDEA) Published Date : April 2025 Pages in Document : 806-814 (18 pdf pages) Source : Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America, 2025, v. 81, no. 4 DOI : https://doi.org/10.1093/cid/ciaf167 Journal Title : Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
Davy-Mendez, T., Napravnik, S., Hogan, B. C., Eron, J. J., Gebo, K. A., Althoff, K. N., Moore, R. D., Silverberg, M. J., Horberg, M. A., Gill, M. J., Colasanti, J. A., Nijhawan, A., Karris, M. Y., Klein, M. B., Lang, R., Lesko, C. R., Yendewa, G. A., Kirk, G. D., McGinnis, K. A., & Berry, S. A. (2025). Changes in the Prevalence of Non-AIDS Conditions Among Hospitalized Persons With HIV in the United States and Canada, 2008-2018. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America, 81(4). https://doi.org/10.1093/cid/ciaf167

Davy-Mendez, Thibaut, Sonia Napravnik, Brenna C. Hogan, Joseph J. Eron, Kelly A. Gebo, Keri N. Althoff, and Richard D. Moore, et al.. "Changes in the Prevalence of Non-AIDS Conditions Among Hospitalized Persons With HIV in the United States and Canada, 2008-2018." Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America 81, no. 4 (2025). https://doi.org/10.1093/cid/ciaf167.

Davy-Mendez, Thibaut, et al. "Changes in the Prevalence of Non-AIDS Conditions Among Hospitalized Persons With HIV in the United States and Canada, 2008-2018." Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America, vol. 81, no. 4, 2025. Stacks. https://doi.org/10.1093/cid/ciaf167.
Export RIS Citation Information. TY - Journal Article AU - Davy-Mendez, Thibaut AU - Napravnik, Sonia AU - Hogan, Brenna C. AU - Eron, Joseph J. AU - Gebo, Kelly A. AU - Althoff, Keri N. AU - Moore, Richard D. AU - Silverberg, Michael J. AU - Horberg, Michael A. AU - Gill, M. John AU - Colasanti, Jonathan A. AU - Nijhawan, Ank AU - Karris, Maile Y. AU - Klein, Marina B. AU - Lang, Raynell AU - Lesko, Catherine R. AU - Yendewa, George A. AU - Kirk, Gregory D. AU - McGinnis, Kathleen A. AU - Berry, Stephen A. A2 - for the North American AIDS Cohort Collaboration on Research and Design (NA-ACCORD) of the International Epidemiology Databases to Evaluate AIDS (IeDEA) AB - Hospitalization causes among persons with HIV (PWH) have shifted to non-AIDS conditions, but the complete disease profile of hospitalized PWH has not been well described. To inform hospitalization and readmission prevention efforts, we examined non-AIDS disease prevalence among PWH hospitalized in 4 US cohorts and 1 Canadian cohort. AB - Among PWH with ≥1 hospitalization from 2008 to 2018, we used log-binomial regression with generalized estimating equations to estimate trends in the annual prevalence of hepatitis B virus (HBV), hepatitis C virus (HCV), hypertension, hyperlipidemia, diabetes mellitus, chronic kidney disease (CKD) stage ≥3, and multimorbidity (≥2 and ≥3 conditions), defined using longitudinal diagnosis, medication, and laboratory data. AB - We examined 6781 hospitalized PWH who were 75% cisgender men, 40% White, and 38% Black. From 2008 to 2018, the proportion of PWH in care who had ≥1 hospitalization decreased from 9.6% to 6.3%. Age- and cohort-adjusted prevalence increased for hyperlipidemia (relative change per year: 3.6% [95% CI: 2.5%-4.7%]), diabetes mellitus (2.8% [1.3%-4.4%]), CKD (3.3% [1.7%-4.9%]), ≥2 conditions (1.3% [0.6%-2.0%]), and ≥3 conditions (3.0% [1.7%-4.3%]), decreased for HCV infection (-2.0% [-3.0%, -0.9%]), and remained stable for HBV infection (1.6% [-1.1%, 4.3%]) and hypertension (0.4% [-0.2%, 1.1%]). AB - Hospitalized PWH had an increasing burden of several non-AIDS conditions and multimorbidity not accounted for by aging alone. Further work is needed to understand these conditions' role in hospitalization risk among PWH. Our findings reinforce that hospital discharge planning in PWH should include efforts to ensure chronic conditions are adequately managed. AB - Author manuscript AN - cdc:261521 C4 - PMC12452224 DO - https://doi.org/10.1093/cid/ciaf167 IS - 4 J2 - Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America KW - Female KW - Diabetes Mellitus KW - Aged KW - Young Adult KW - Renal Insufficiency, Chronic KW - Hepatitis B KW - Hepatitis C KW - Hospitalization KW - Prevalence KW - Male KW - Hypertension KW - Middle Aged KW - Hyperlipidemias KW - Humans KW - Adult KW - HIV Infections KW - HIV KW - aging KW - comorbidity KW - hypertension KW - hyperlipidemia KW - Humans KW - Male KW - HIV Infections KW - Female KW - Hospitalization KW - Prevalence KW - Middle Aged KW - Adult KW - Hepatitis C KW - Diabetes Mellitus KW - Renal Insufficiency, Chronic KW - Aged KW - Hepatitis B KW - Hypertension KW - Young Adult KW - Hyperlipidemias LA - eng PY - 2025 T2 - Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America T2 - Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America, 2025, v. 81, no. 4 TI - Changes in the Prevalence of Non-AIDS Conditions Among Hospitalized Persons With HIV in the United States and Canada, 2008-2018. VL - 81 UR - https://stacks.cdc.gov/view/cdc/261521 ER -
Immunogenicity and Safety of a Measles and Rubella-containing Vaccine at Age 6 and 9 Months in Bangladesh: an Open-label, Randomised Trial.

Sayi, Takudzwa S ;

Sharapov, Umid M

May 2025 | The Lancet. Child & Adolescent Health, 2025, v. 9, no. 5

The first dose of measles-rubella (MR) vaccine is routinely administered to infants aged 9 months as part of a standard two-dose schedule. However, during large measles outbreaks and in other settings of increased circulation or increased risk, WHO recommends administering a supplementary dose at age 6 months to protect young infants. We aimed to a ...

10/09/2026

Supporting Files

Title : Immunogenicity and Safety of a Measles and Rubella-containing Vaccine at Age 6 and 9 Months in Bangladesh: an Open-label, Randomised Trial. Personal Author(s) : Sayi, Takudzwa S;Sharapov, Umid M;Matson, Zachary;Coughlin, Melissa M;Crooke, Stephen N;An, Qian;Knapp, Jennifer K;Aziz, Asma Binte;Yunus, Mohammad;Haque, Warda;Rana, Sohel;Khan, Al Fazal;Alexander, James P;Kretsinger, Katrina;Rota, Paul A;Zaman, Khalequ;Anand, Abhijeet; Published Date : May 2025 Pages in Document : 306-314 (21 pdf pages) Source : The Lancet. Child & Adolescent Health, 2025, v. 9, no. 5 DOI : https://doi.org/10.1016/S2352-4642(25)00090-2 Journal Title : The Lancet. Child & Adolescent Health
Sayi, T. S., Sharapov, U. M., Matson, Z., Coughlin, M. M., Crooke, S. N., An, Q., Knapp, J. K., Aziz, A. B., Yunus, M., Haque, W., Rana, S., Khan, A. F., Alexander, J. P., Kretsinger, K., Rota, P. A., Zaman, K., & Anand, A. (2025). Immunogenicity and Safety of a Measles and Rubella-containing Vaccine at Age 6 and 9 Months in Bangladesh: an Open-label, Randomised Trial. The Lancet. Child & Adolescent Health, 9(5). https://doi.org/10.1016/S2352-4642(25)00090-2

Sayi, Takudzwa S, Umid M Sharapov, Zachary Matson, Melissa M Coughlin, Stephen N Crooke, Qian An, and Jennifer K Knapp, et al.. "Immunogenicity and Safety of a Measles and Rubella-containing Vaccine at Age 6 and 9 Months in Bangladesh: an Open-label, Randomised Trial." The Lancet. Child & Adolescent Health 9, no. 5 (2025). https://doi.org/10.1016/S2352-4642(25)00090-2.

Sayi, Takudzwa S, et al. "Immunogenicity and Safety of a Measles and Rubella-containing Vaccine at Age 6 and 9 Months in Bangladesh: an Open-label, Randomised Trial." The Lancet. Child & Adolescent Health, vol. 9, no. 5, 2025. Stacks. https://doi.org/10.1016/S2352-4642(25)00090-2.
Export RIS Citation Information. TY - Journal Article AU - Sayi, Takudzwa S AU - Sharapov, Umid M AU - Matson, Zachary AU - Coughlin, Melissa M AU - Crooke, Stephen N AU - An, Qian AU - Knapp, Jennifer K AU - Aziz, Asma Binte AU - Yunus, Mohammad AU - Haque, Warda AU - Rana, Sohel AU - Khan, Al Fazal AU - Alexander, James P AU - Kretsinger, Katrina AU - Rota, Paul A AU - Zaman, Khalequ AU - Anand, Abhijeet AB - The first dose of measles-rubella (MR) vaccine is routinely administered to infants aged 9 months as part of a standard two-dose schedule. However, during large measles outbreaks and in other settings of increased circulation or increased risk, WHO recommends administering a supplementary dose at age 6 months to protect young infants. We aimed to assess the immunogenicity and safety of a first dose of MR vaccine administered to infants aged 6 months and its effect on the immune response to the routine MR vaccine at age 9 months. AB - This open-label, randomised trial enrolled healthy infants aged 6 months in Matlab, Bangladesh, who had never received an MR vaccine dose and had no history of measles or rubella. Using a computer-generated block randomisation scheme, infants were randomly assigned (1:1) to receive either two doses of the MR vaccine, one at age 6 months and the second at age 9 months (two-dose group), or one dose at age 9 months (one-dose group). Baseline characteristics were recorded for all enrolled participants at age 6 months. Blood samples were drawn for antibody assays before each vaccination and at final follow up when infants were aged 11 months. The primary outcome was immunogenicity of a first MR vaccine in infants aged 6 months or 9 months and the immunogenicity of a second MR vaccine in infants aged 9 months who received their first MR vaccine at 6 months. Immunogenicity was measured as the proportion of infants who seroconverted in the 12 weeks after vaccination at age 6 months or the 8 weeks after vaccination at age 9 months. Seroconversion was defined as a 4-times increase in IgG concentrations relative to the pre-vaccination concentrations or achieving seroprotective antibody concentrations between study timepoints. The modified intention-to-treat analysis included all infants who received MR vaccines per group assignment and had antibody results at baseline, 9 months, and 11 months. All enrolled infants were included in the safety analysis of the immediate reactions (observed by study staff at the fixed-site clinic in the first 30 min after vaccination), adverse events within 48 h of vaccination among infants in the two-dose group receiving their first MR vaccine at age 6 months, and adverse events observed by study staff or parents at any time during the study. The trial is registered on ClinicalTrials.gov, NCT03071575, and is closed to enrolment. AB - Between March 9, 2017, and March 18, 2018, 620 infants were enrolled and randomly assigned to the two study groups (312 in the two-dose group and 308 in the one-dose group). Of the 301 infants vaccinated at 6 months, 282 seroconverted for measles (94%, 95% CI 90-96), and 283 seroconverted for rubella (94%, 91-96). By 11 months, after receiving a second dose at age 9 months, 297 (cumulative 99%, 95% CI 97-100) infants seroconverted for measles and 297 infants seroconverted for rubella (cumulative 99%, 96-100). Of the 292 infants vaccinated at 9 months only, 291 seroconverted for both antigens by age 11 months (100%, 95% CI 98-100). 123 adverse events were observed; 72 in the two-dose group and 51 in the one-dose group, with no differences in severity (p=0·78) or outcomes (p=0·71) by study group. 12 (17%) events in the two-dose group and seven (14%) in the one-dose group were severe; most events were mild, resolved without sequelae, and were unrelated to the MR vaccine. One death occurred in the one-dose group before the infant received the 9-month dose of the vaccine, and therefore was deemed to be unrelated to the MR vaccine. AB - The data presented support use of MR vaccine at 6 months to protect young infants during measles outbreaks and in settings with increased risk or high transmission. We recommend additional studies to evaluate longer-term immunity based on age at vaccination. AB - US Centers for Disease Control and Prevention. AB - For the French and Spanish translations of the abstract see Supplementary Materials section. AB - Author manuscript AN - cdc:261520 C4 - PMC12266047 DO - https://doi.org/10.1016/S2352-4642(25)00090-2 IS - 5 J2 - The Lancet. Child & Adolescent Health KW - Measles KW - Immunization Schedule KW - Immunogenicity, Vaccine KW - Female KW - Rubella Vaccine KW - Measles-Mumps-Rubella Vaccine KW - Rubella KW - Infant KW - Antibodies, Viral KW - Male KW - Humans KW - Measles Vaccine KW - Female KW - Humans KW - Infant KW - Male KW - Antibodies, Viral KW - Immunization Schedule KW - Immunogenicity, Vaccine KW - Measles KW - Measles Vaccine KW - Measles-Mumps-Rubella Vaccine KW - Rubella KW - Rubella Vaccine LA - eng PY - 2025 T2 - The Lancet. Child & Adolescent Health T2 - The Lancet. Child & Adolescent Health, 2025, v. 9, no. 5 TI - Immunogenicity and Safety of a Measles and Rubella-containing Vaccine at Age 6 and 9 Months in Bangladesh: an Open-label, Randomised Trial. VL - 9 UR - https://stacks.cdc.gov/view/cdc/261520 ER -
Time Spent on Eye Disease Screening, Optical Care, and Care Navigation Within a Federally Qualified Health Center.

Weber, Madeline K. ;

Woodward, Maria A.

April 2025 | AJO International, 2025, v. 2, no. 1

To quantify time spent on eye disease screening, optical care, and care navigation tasks during the Michigan Screening and Intervention for Glaucoma and Eye Health through Telemedicine (MI-SIGHT) program at a federally qualified health center (FQHC) in Michigan, with the goal of anticipating workforce needs to inform the scalability of similar prog ...

10/09/2026

Supporting Files

Title : Time Spent on Eye Disease Screening, Optical Care, and Care Navigation Within a Federally Qualified Health Center. Personal Author(s) : Weber, Madeline K.;Woodward, Maria A.;Lu, Ming-Chen;Niziol, Leslie M.;Livingston, Jade;Zuccaro, Mildred Silva;Winter, Suzanne;Ramachandran, Rithambara;Johnson, Leroy;Bicket, Amanda K.;Elam, Angela R.;Newman-Casey, Paula Anne; Published Date : April 2025 Pages in Document : 16 pdf pages Source : AJO International, 2025, v. 2, no. 1 DOI : https://doi.org/10.1016/j.ajoint.2024.100097 Journal Title : AJO International
Weber, M. K., Woodward, M. A., Lu, M. C., Niziol, L. M., Livingston, J., Zuccaro, M. S., Winter, S., Ramachandran, R., Johnson, L., Bicket, A. K., Elam, A. R., & Newman-Casey, P. A. (2025). Time Spent on Eye Disease Screening, Optical Care, and Care Navigation Within a Federally Qualified Health Center. AJO International, 2(1). https://doi.org/10.1016/j.ajoint.2024.100097

Weber, Madeline K., Maria A. Woodward, Ming-Chen Lu, Leslie M. Niziol, Jade Livingston, Mildred Silva Zuccaro, and Suzanne Winter, et al.. "Time Spent on Eye Disease Screening, Optical Care, and Care Navigation Within a Federally Qualified Health Center." AJO International 2, no. 1 (2025). https://doi.org/10.1016/j.ajoint.2024.100097.

Weber, Madeline K., et al. "Time Spent on Eye Disease Screening, Optical Care, and Care Navigation Within a Federally Qualified Health Center." AJO International, vol. 2, no. 1, 2025. Stacks. https://doi.org/10.1016/j.ajoint.2024.100097.
Export RIS Citation Information. TY - Journal Article AU - Weber, Madeline K. AU - Woodward, Maria A. AU - Lu, Ming-Chen AU - Niziol, Leslie M. AU - Livingston, Jade AU - Zuccaro, Mildred Silva AU - Winter, Suzanne AU - Ramachandran, Rithambara AU - Johnson, Leroy AU - Bicket, Amanda K. AU - Elam, Angela R. AU - Newman-Casey, Paula Anne AB - To quantify time spent on eye disease screening, optical care, and care navigation tasks during the Michigan Screening and Intervention for Glaucoma and Eye Health through Telemedicine (MI-SIGHT) program at a federally qualified health center (FQHC) in Michigan, with the goal of anticipating workforce needs to inform the scalability of similar programs in low-resource settings. AB - Cross-sectional study. AB - Ophthalmic technicians recorded time spent with MI-SIGHT participants on eye disease screening tasks and optical care over 22 days from October 1 to October 31, 2023, and care navigation tasks over 22 days from December 4, 2023, to February 2, 2024. Eye disease screening tasks included a health history, measuring visual acuity, contrast sensitivity, intraocular pressure, pachymetry, taking external and fundus photos and macular and retinal nerve fiber layer optical coherence tomography images. Optical care tasks included refraction, ordering glasses, coordinating glasses pickups, dispensing and fitting glasses, and handling returns. Care navigation tasks included scheduling follow-up appointments, assisting with insurance, and providing medical interpretation and education. Minutes spent on tasks were summarized with descriptive statistics (mean, standard deviation, median, minimum, and maximum). Full-time equivalent (FTE) was calculated as the percentage of full-time hours over 22 days. AB - 154 participants receiving care through the MI-SIGHT program were included. Technicians spent 21.4 % of an FTE on eye disease screening, 23.6 % on optical care, and 12.1 % on care navigation, with remaining FTE spent on other tasks including outreach, study coordination and research (42.9 %). AB - Integrating optical care and care navigation services within a free eye disease screening program is time-intensive but can help deliver comprehensive, accessible eye care to low-income populations. The MI-SIGHT program offers a model for expanding eye care services in FQHCs and improving vision outcomes for medically underserved communities. This study provides insights into personnel needs to guide the scaling of similar programs in low-resource settings. AB - The Michigan Screening and Intervention for Glaucoma and Eye Health through Telemedicine (MI-SIGHT) program offers a novel approach to eye care by providing free eye disease screenings, optical services, and care navigation at a federally qualified health center to improve vision outcomes and eye health in underserved communities. This time study provides workforce estimates to guide the scaling of similar comprehensive eye care programs in low-resource settings. AB - Author manuscript AN - cdc:261519 C4 - PMC11963230 DO - https://doi.org/10.1016/j.ajoint.2024.100097 IS - 1 J2 - AJO International KW - Workforce KW - Time and Motion Studies KW - Glaucoma KW - Medically Underserved Area KW - Poverty KW - Goals KW - Contrast Sensitivity KW - Cross-Sectional Studies KW - Insurance KW - Follow-Up Studies KW - Nerve Fibers KW - Tomography, Optical Coherence KW - Intraocular Pressure KW - Telemedicine KW - Time analysis KW - Eye disease screening KW - Optical care KW - Care navigation KW - Federally qualified health center KW - FQHC KW - Contrast Sensitivity KW - Cross-Sectional Studies KW - Follow-Up Studies KW - Goals KW - Intraocular Pressure KW - Medically Underserved Area KW - Time and Motion Studies KW - Tomography, Optical Coherence KW - Poverty KW - Nerve Fibers KW - Telemedicine KW - Workforce KW - Glaucoma KW - Insurance LA - eng PY - 2025 T2 - AJO International T2 - AJO International, 2025, v. 2, no. 1 TI - Time Spent on Eye Disease Screening, Optical Care, and Care Navigation Within a Federally Qualified Health Center. VL - 2 UR - https://stacks.cdc.gov/view/cdc/261519 ER -
FALL SAFETY in STEEL CONSTRUCTION: a Research Study.

McKenzie, E.A. ;

Bobick, Thomas G.

February 1, 2025 | Professional Safety, 2025, v. 70, no. 2

WORKING AT ELEVATION presents a fall-to-lower-level exposure to all workers. In situations such as high steel erection, the typical and most effective techniques used in construction cannot always be implemented due to extreme challenges. The typical personal fall protection and fall prevention techniques utilized are:• A personal fall arrest syste ...

10/09/2026

Supporting Files

Title : FALL SAFETY in STEEL CONSTRUCTION: a Research Study. Personal Author(s) : McKenzie, E.A.;Bobick, Thomas G.;Hause, Mathew G.; Published Date : February 1, 2025 Pages in Document : 20-29 (21 pdf pages) Source : Professional Safety, 2025, v. 70, no. 2 URL : https://stacks.cdc.gov/view/cdc/261518 Journal Title : Professional Safety
McKenzie, E., Bobick, T. G., & Hause, M. G. (2025). FALL SAFETY in STEEL CONSTRUCTION: a Research Study. Professional Safety, 70(2). https://stacks.cdc.gov/view/cdc/261518

McKenzie, E.A., Thomas G. Bobick, and Mathew G. Hause. "FALL SAFETY in STEEL CONSTRUCTION: a Research Study." Professional Safety 70, no. 2 (2025). https://stacks.cdc.gov/view/cdc/261518.

McKenzie, E.A., et al. "FALL SAFETY in STEEL CONSTRUCTION: a Research Study." Professional Safety, vol. 70, no. 2, 2025. Stacks. https://stacks.cdc.gov/view/cdc/261518.
Export RIS Citation Information. TY - Journal Article AU - McKenzie, E.A. AU - Bobick, Thomas G. AU - Hause, Mathew G. AB - WORKING AT ELEVATION presents a fall-to-lower-level exposure to all workers. In situations such as high steel erection, the typical and most effective techniques used in construction cannot always be implemented due to extreme challenges. The typical personal fall protection and fall prevention techniques utilized are: AB - • A personal fall arrest system requires the worker's fall arrest lanyard, which incorporates a personal energy absorber, to be connected to the anchorage (tie off) above the D-ring on a protective harness, situated approximately in the middle of the shoulder blades of the worker. AB - • Fall prevention requires a form of safety railing system or barrier to be implemented. AB - Providing workers with fall protection for the high steel commercial construction industry is challenging due to the lack of accessible or existing overhead anchorage. According to ANSI/ASSP Z359.0, an anchorage is a secure connecting point or a terminating component of a fall protection system. Workers are sometimes forced to tie off at the foot level (walking-working surface), which could lead to falls with more than 6 ft of free fall and swing falls, depending on the lateral distance from the anchorage. A personal fall arrest system is designed to stop workers from experiencing free falls, which is the part of the fall before the personal fall arrest system starts to engage. However, even after the system engages, a worker will continue to fall. The distance a worker falls includes the free-fall distance, the harness stretch from the force of the fall, and the deceleration distance if the worker uses a personal energy absorber. OSHA determines and regulates the acceptable fall distances (the personal energy absorber pullout) to be used in the field. Personal energy absorbers, whether meant for a 6- or 12-ft free fall, must maintain arresting forces below OSHA's 1,800-lb limit (OSHA 2014a). The trade-off in using a specially designed 12-ft free fall energy-absorbing lanyard is that elongation of the energy absorber element will be greater, requiring additional clearance below the fall path. AB - Author manuscript AN - cdc:261518 C4 - PMC11963231 IS - 2 J2 - Professional Safety KW - Scapula KW - Construction Industry KW - Walking KW - Deceleration KW - Humans KW - Accidental Falls KW - Metal Workers KW - Humans KW - Accidental Falls KW - Construction Industry KW - Deceleration KW - Scapula KW - Walking KW - Metal Workers LA - eng PY - 2025 T2 - Professional Safety T2 - Professional Safety, 2025, v. 70, no. 2 TI - FALL SAFETY in STEEL CONSTRUCTION: a Research Study. VL - 70 UR - https://stacks.cdc.gov/view/cdc/261518 ER -
Autonomous Powered Ankle Exoskeleton Improves Foot Clearance and Knee Hyperextension After Stroke: a Case Study.

Pruyn, Kai ;

Murray, Rosemarie

February 2025 | IEEE Transactions on Medical Robotics and Bionics, 2025, v. 7, no. 1

Hemiparetic gait is often characterized by ankle weakness, resulting in decreased propulsion and clearance, as well as knee hyperextension. These gait deviations reduce speed and efficiency while increasing the risk of falls and osteoarthritis. Powered ankle exoskeletons have the potential to address these issues. However, only a handful of studies ...

10/09/2026

Supporting Files

Title : Autonomous Powered Ankle Exoskeleton Improves Foot Clearance and Knee Hyperextension After Stroke: a Case Study. Personal Author(s) : Pruyn, Kai;Murray, Rosemarie;Gabert, Lukas;Lenzi, Tommaso; Published Date : February 2025 Pages in Document : 51-58 (17 pdf pages) Source : IEEE Transactions on Medical Robotics and Bionics, 2025, v. 7, no. 1 DOI : https://doi.org/10.1109/tmrb.2024.3503893 Journal Title : IEEE Transactions on Medical Robotics and Bionics
Pruyn, K., Murray, R., Gabert, L., & Lenzi, T. (2025). Autonomous Powered Ankle Exoskeleton Improves Foot Clearance and Knee Hyperextension After Stroke: a Case Study. IEEE Transactions on Medical Robotics and Bionics, 7(1). https://doi.org/10.1109/tmrb.2024.3503893

Pruyn, Kai, Rosemarie Murray, Lukas Gabert, and Tommaso Lenzi. "Autonomous Powered Ankle Exoskeleton Improves Foot Clearance and Knee Hyperextension After Stroke: a Case Study." IEEE Transactions on Medical Robotics and Bionics 7, no. 1 (2025). https://doi.org/10.1109/tmrb.2024.3503893.

Pruyn, Kai, et al. "Autonomous Powered Ankle Exoskeleton Improves Foot Clearance and Knee Hyperextension After Stroke: a Case Study." IEEE Transactions on Medical Robotics and Bionics, vol. 7, no. 1, 2025. Stacks. https://doi.org/10.1109/tmrb.2024.3503893.
Export RIS Citation Information. TY - Journal Article AU - Pruyn, Kai AU - Murray, Rosemarie AU - Gabert, Lukas AU - Lenzi, Tommaso AB - Hemiparetic gait is often characterized by ankle weakness, resulting in decreased propulsion and clearance, as well as knee hyperextension. These gait deviations reduce speed and efficiency while increasing the risk of falls and osteoarthritis. Powered ankle exoskeletons have the potential to address these issues. However, only a handful of studies have investigated their effects on hemiparetic gait. The results are often inconsistent, and the biomechanical analysis rarely includes the knee or hip joint or a direct clearance measure. In this case study, we assess the ankle, knee, and hip biomechanics with and without a new autonomous powered ankle exoskeleton across different speeds and inclines. Exoskeleton assistance resulted in more normative kinematics at the subject's self-selected walking speed. The paretic ankle angle at heel strike increased from 10° plantarflexed without the exoskeleton to 0.5° dorsiflexed with the exoskeleton, and the peak plantarflexion angle during swing decreased from 28° without the exoskeleton to 12° with the exoskeleton. Furthermore, stance knee flexion increased from 7° without the exoskeleton to 20° with the exoskeleton. Finally, foot clearance increased with the exoskeleton for all conditions between 3.1 cm and 5.4 cm. This case study highlights new mechanisms for powered ankle exoskeletons to improve hemiparetic gait. AB - Author manuscript AN - cdc:261517 C4 - PMC11967734 DO - https://doi.org/10.1109/tmrb.2024.3503893 IS - 1 J2 - IEEE Transactions on Medical Robotics and Bionics KW - Knee Prosthesis KW - Exoskeleton Device KW - Knee Injuries KW - Prostheses and Implants KW - Stroke Rehabilitation KW - Rehabilitation robotics KW - wearable robotics KW - prosthetics and exoskeletons KW - Exoskeleton Device KW - Prostheses and Implants KW - Knee Injuries KW - Knee Prosthesis KW - Stroke Rehabilitation LA - eng PY - 2025 T2 - IEEE Transactions on Medical Robotics and Bionics T2 - IEEE Transactions on Medical Robotics and Bionics, 2025, v. 7, no. 1 TI - Autonomous Powered Ankle Exoskeleton Improves Foot Clearance and Knee Hyperextension After Stroke: a Case Study. VL - 7 UR - https://stacks.cdc.gov/view/cdc/261517 ER -
The Return of An Old Foe: Syphilis Among Women.

Duggal, Ryan ;

Hufstetler, Kaitlin

June 2025 | Clinical Obstetrics and Gynecology, 2025, v. 68, no. 2

Over 10 years, the reported incidence of primary and secondary syphilis increased among women at 6 times the rate compared with men (636% vs. 103%). Untreated syphilis can lead to life-altering complications including permanent vision and hearing loss, congenital syphilis, and increased HIV acquisition. Syphilis diagnosis and staging require curren ...

10/09/2026

Supporting Files

Title : The Return of An Old Foe: Syphilis Among Women. Personal Author(s) : Duggal, Ryan;Hufstetler, Kaitlin;Miele, Kathryn; Published Date : June 2025 Pages in Document : 152-158 (16 pdf pages) Source : Clinical Obstetrics and Gynecology, 2025, v. 68, no. 2 DOI : https://doi.org/10.1097/GRF.0000000000000932 Journal Title : Clinical Obstetrics and Gynecology
Duggal, R., Hufstetler, K., & Miele, K. (2025). The Return of An Old Foe: Syphilis Among Women. Clinical Obstetrics and Gynecology, 68(2). https://doi.org/10.1097/GRF.0000000000000932

Duggal, Ryan, Kaitlin Hufstetler, and Kathryn Miele. "The Return of An Old Foe: Syphilis Among Women." Clinical Obstetrics and Gynecology 68, no. 2 (2025). https://doi.org/10.1097/GRF.0000000000000932.

Duggal, Ryan, et al. "The Return of An Old Foe: Syphilis Among Women." Clinical Obstetrics and Gynecology, vol. 68, no. 2, 2025. Stacks. https://doi.org/10.1097/GRF.0000000000000932.
Export RIS Citation Information. TY - Journal Article AU - Duggal, Ryan AU - Hufstetler, Kaitlin AU - Miele, Kathryn AB - Over 10 years, the reported incidence of primary and secondary syphilis increased among women at 6 times the rate compared with men (636% vs. 103%). Untreated syphilis can lead to life-altering complications including permanent vision and hearing loss, congenital syphilis, and increased HIV acquisition. Syphilis diagnosis and staging require current and prior laboratory results, physical examination, and history. The preferred treatment for syphilis is long-acting penicillin G benzathine. Partner testing and treatment are critical to prevent re-infection and further community transmission. Innovative strategies are needed to prevent and treat syphilis among women, especially those without regular access to health care. AB - Author manuscript AN - cdc:261516 C4 - PMC12985395 DO - https://doi.org/10.1097/GRF.0000000000000932 IS - 2 J2 - Clinical Obstetrics and Gynecology KW - Pregnancy KW - Syphilis KW - Female KW - Incidence KW - Penicillin G Benzathine KW - Humans KW - Anti-Bacterial Agents KW - syphilis KW - congenital syphilis KW - sexually transmitted infections (STIs) KW - women KW - infections KW - Humans KW - Female KW - Syphilis KW - Anti-Bacterial Agents KW - Penicillin G Benzathine KW - Pregnancy KW - Incidence LA - eng PY - 2025 T2 - Clinical Obstetrics and Gynecology T2 - Clinical Obstetrics and Gynecology, 2025, v. 68, no. 2 TI - The Return of An Old Foe: Syphilis Among Women. VL - 68 UR - https://stacks.cdc.gov/view/cdc/261516 ER -
Achieving Epilepsy Care For All: Ecosystem-based Transformation.

Gallani, Susanna ;

Lee, Bee

August 2025 | Epilepsia, 2025, v. 66, no. 8

Epilepsy exemplifies many of the systemic challenges of modern health care-fragmented care delivery, inequitable access, financial strain, and so on. The current "system of systems" (SoS) structure of U.S. health care fosters siloed operations among its member systems (e.g., insurers, health care institutions, providers, researchers, pharmaceutical ...

10/09/2026

Supporting Files

Title : Achieving Epilepsy Care For All: Ecosystem-based Transformation. Personal Author(s) : Gallani, Susanna;Lee, Bee;Moura, Lidia MVR; Published Date : August 2025 Pages in Document : 2669-2678 (16 pdf pages) Source : Epilepsia, 2025, v. 66, no. 8 DOI : https://doi.org/10.1111/epi.18400 Journal Title : Epilepsia
Gallani, S., Lee, B., & Moura, L. M. (2025). Achieving Epilepsy Care For All: Ecosystem-based Transformation. Epilepsia, 66(8). https://doi.org/10.1111/epi.18400

Gallani, Susanna, Bee Lee, and Lidia MVR Moura. "Achieving Epilepsy Care For All: Ecosystem-based Transformation." Epilepsia 66, no. 8 (2025). https://doi.org/10.1111/epi.18400.

Gallani, Susanna, et al. "Achieving Epilepsy Care For All: Ecosystem-based Transformation." Epilepsia, vol. 66, no. 8, 2025. Stacks. https://doi.org/10.1111/epi.18400.
Export RIS Citation Information. TY - Journal Article AU - Gallani, Susanna AU - Lee, Bee AU - Moura, Lidia MVR AB - Epilepsy exemplifies many of the systemic challenges of modern health care-fragmented care delivery, inequitable access, financial strain, and so on. The current "system of systems" (SoS) structure of U.S. health care fosters siloed operations among its member systems (e.g., insurers, health care institutions, providers, researchers, pharmaceutical companies, and technology vendors), failing to address interconnected issues like care continuity, clinician burnout, and appropriate resource allocation. This article proposes embracing a health care ecosystem approach as a solution, emphasizing interdependence, collaboration, and equity. Section 1 examines the shortcomings of the current care model, with a focus on its financial challenges and the systemic inefficiencies it perpetuates. Section 2 explains the concept of a health care ecosystem and its potential to drive equity through organic coordination and collective accountability. It highlights the role of key member systems-patients, advocacy groups, professional organizations, health care providers, payers, purchasers, policymakers, researchers, and industry leaders-in achieving equity in brain health care. Finally, Section 3 presents a roadmap for transitioning from SoS to ecosystem, outlining multiple actionable strategies, such as enhancing advocacy and data sharing by professional organizations, adopting integrated and multidisciplinary care models by health care providers, and prioritizing affordability and collaboration by industry leaders. Policymakers and federal research organizations can support the transition by incentivizing collaboration, expanding funding for health services research, and supporting data-driven decision-making. Advocacy groups can amplify collective voices and help prioritize improvement opportunities. Using epilepsy care as an example condition, this article argues that coordinated, multi-sector, and multi-level efforts can successfully and efficiently address systemic challenges, improve outcomes, and reduce inequities. It offers a replicable framework for achieving sustainable, scalable, and equitable care for chronic neurological conditions. AB - Author manuscript AN - cdc:261515 C4 - PMC12353994 DO - https://doi.org/10.1111/epi.18400 IS - 8 J2 - Epilepsia KW - Delivery of Health Care KW - Epilepsy KW - Humans KW - Delivery of Healthcare KW - Seizures KW - Epilepsy KW - Humans KW - Epilepsy KW - Delivery of Health Care LA - eng PY - 2025 T2 - Epilepsia T2 - Epilepsia, 2025, v. 66, no. 8 TI - Achieving Epilepsy Care For All: Ecosystem-based Transformation. VL - 66 UR - https://stacks.cdc.gov/view/cdc/261515 ER -
Patterns in Prescribing and Dispensing Influenza Antivirals Among Adults With Influenza Presenting to Urgent Care and Emergency Department Settings: VISION Network, 2023-2024.

Adams, Katherine ;

Garg, Shikha

November 2025 | Clinical Infectious Diseases : An Official Publication of the Infectious Diseases Society of America, 2025, v. 81, no. 4

We describe prescribing and dispensing patterns of influenza antivirals among patients with laboratory-confirmed influenza within US urgent care and emergency department settings.A retrospective cross-sectional study was conducted for encounters from 4 large, integrated health systems participating in the VIrtual Sars-cov-2, Influenza, and Other re ...

10/09/2026

Supporting Files

Title : Patterns in Prescribing and Dispensing Influenza Antivirals Among Adults With Influenza Presenting to Urgent Care and Emergency Department Settings: VISION Network, 2023-2024. Personal Author(s) : Adams, Katherine;Garg, Shikha;Tartof, Sara Y.;Irving, Stephanie A.;DeSilva, Malini B.;Klein, Nicola P.;Natarajan, Karthik;Dascomb, Kristin;Grannis, Shaun J.;Ong, Toan C.;Salas, S. Bianca;Sy, Lina S.;Lewin, Bruno;Qian, Lei;Naleway, Allison L.;Koppolu, Padma D.;McEvoy, Charlene E.;Akinsete, Omobosola;Essien, Inih;Fireman, Bruce;Zerbo, Ousseny;Jacobson, Karen B.;Timbol, Julius;Neelam, Varsha;Reeves, Emily L.;Dickerson, Monica;Ray, Caitlin;Link-Gelles, Ruth;Mak, Josephine;Ball, Sarah W.;O'Reilly, Michael;Olsen, Sonja J.;Tenforde, Mark W.; Published Date : November 2025 Pages in Document : e172-e183 (23 pdf pages) Source : Clinical Infectious Diseases : An Official Publication of the Infectious Diseases Society of America, 2025, v. 81, no. 4 DOI : https://doi.org/10.1093/cid/ciaf178 Journal Title : Clinical Infectious Diseases : An Official Publication of the Infectious Diseases Society of America
Adams, K., Garg, S., Tartof, S. Y., Irving, S. A., DeSilva, M. B., Klein, N. P., Natarajan, K., Dascomb, K., Grannis, S. J., Ong, T. C., Salas, S. B., Sy, L. S., Lewin, B., Qian, L., Naleway, A. L., Koppolu, P. D., McEvoy, C. E., Akinsete, O., Essien, I., ... Tenforde, M. W. (2025). Patterns in Prescribing and Dispensing Influenza Antivirals Among Adults With Influenza Presenting to Urgent Care and Emergency Department Settings: VISION Network, 2023-2024. Clinical Infectious Diseases : An Official Publication of the Infectious Diseases Society of America, 81(4). https://doi.org/10.1093/cid/ciaf178

Adams, Katherine, Shikha Garg, Sara Y. Tartof, Stephanie A. Irving, Malini B. DeSilva, Nicola P. Klein, and Karthik Natarajan, et al.. "Patterns in Prescribing and Dispensing Influenza Antivirals Among Adults With Influenza Presenting to Urgent Care and Emergency Department Settings: VISION Network, 2023-2024." Clinical Infectious Diseases : An Official Publication of the Infectious Diseases Society of America 81, no. 4 (2025). https://doi.org/10.1093/cid/ciaf178.

Adams, Katherine, et al. "Patterns in Prescribing and Dispensing Influenza Antivirals Among Adults With Influenza Presenting to Urgent Care and Emergency Department Settings: VISION Network, 2023-2024." Clinical Infectious Diseases : An Official Publication of the Infectious Diseases Society of America, vol. 81, no. 4, 2025. Stacks. https://doi.org/10.1093/cid/ciaf178.
Export RIS Citation Information. TY - Journal Article AU - Adams, Katherine AU - Garg, Shikha AU - Tartof, Sara Y. AU - Irving, Stephanie A. AU - DeSilva, Malini B. AU - Klein, Nicola P. AU - Natarajan, Karthik AU - Dascomb, Kristin AU - Grannis, Shaun J. AU - Ong, Toan C. AU - Salas, S. Bianca AU - Sy, Lina S. AU - Lewin, Bruno AU - Qian, Lei AU - Naleway, Allison L. AU - Koppolu, Padma D. AU - McEvoy, Charlene E. AU - Akinsete, Omobosola AU - Essien, Inih AU - Fireman, Bruce AU - Zerbo, Ousseny AU - Jacobson, Karen B. AU - Timbol, Julius AU - Neelam, Varsha AU - Reeves, Emily L. AU - Dickerson, Monica AU - Ray, Caitlin AU - Link-Gelles, Ruth AU - Mak, Josephine AU - Ball, Sarah W. AU - O'Reilly, Michael AU - Olsen, Sonja J. AU - Tenforde, Mark W. AB - We describe prescribing and dispensing patterns of influenza antivirals among patients with laboratory-confirmed influenza within US urgent care and emergency department settings. AB - A retrospective cross-sectional study was conducted for encounters from 4 large, integrated health systems participating in the VIrtual Sars-cov-2, Influenza, and Other respiratory viruses Network (VISION) of adult patients presenting with acute respiratory illness to urgent care or emergency departments and with positive influenza virus test results during the 2023-2024 influenza season. The analysis was restricted to adult patients at higher risk of influenza complications based on presence of underlying medical conditions, older age, pregnancy, and severe obesity. We calculated proportions and odds of prescribed and dispensed antivirals by demographic and clinical characteristics. AB - A total of 10 700 patient encounters were eligible for analysis. Among encounters with a positive standard molecular influenza test result (n = 5231), 58% (range across sites: 47%-64%) were prescribed antivirals, with 67% of prescribing occurring on the encounter date. Among those prescribed antivirals (n = 3050), 80% (range across sites: 75%-91%) had them dispensed, with 65% of dispensing occurring on the prescription date. Encounters among persons aged ≥65 years had lower odds of same-day prescribing (.57; 95% CI: .42-.78) and lower odds of same-day dispensing (.58; 95% CI: .36-.94) compared with those aged 18-49 years. AB - Gaps in antiviral treatment within urgent care and emergency department settings remain for patients at higher risk of influenza complications, notably among older adults. Strategies to improve earlier initiation of antiviral treatment may help reduce the risk of influenza-associated complications. AB - Author manuscript AN - cdc:261514 C4 - PMC12353082 DO - https://doi.org/10.1093/cid/ciaf178 IS - 4 J2 - Clinical Infectious Diseases : An Official Publication of the Infectious Diseases Society of America KW - Adolescent KW - Antiviral Agents KW - Female KW - Aged KW - Young Adult KW - Emergency Service, Hospital KW - Retrospective Studies KW - Aged, 80 and over KW - Cross-Sectional Studies KW - Ambulatory Care KW - Male KW - Drug Prescriptions KW - Middle Aged KW - Humans KW - Practice Patterns, Physicians' KW - Adult KW - Influenza, Human KW - influenza KW - antivirals KW - oseltamivir KW - prescribing KW - dispensing KW - Humans KW - Influenza, Human KW - Antiviral Agents KW - Female KW - Male KW - Middle Aged KW - Emergency Service, Hospital KW - Retrospective Studies KW - Adult KW - Cross-Sectional Studies KW - Aged KW - Young Adult KW - Adolescent KW - Ambulatory Care KW - Practice Patterns, Physicians' KW - Drug Prescriptions KW - Aged, 80 and over LA - eng PY - 2025 T2 - Clinical Infectious Diseases : An Official Publication of the Infectious Diseases Society of America T2 - Clinical Infectious Diseases : An Official Publication of the Infectious Diseases Society of America, 2025, v. 81, no. 4 TI - Patterns in Prescribing and Dispensing Influenza Antivirals Among Adults With Influenza Presenting to Urgent Care and Emergency Department Settings: VISION Network, 2023-2024. VL - 81 UR - https://stacks.cdc.gov/view/cdc/261514 ER -
Worker and Restaurant Characteristics Associated With Food Safety Culture: an Environmental Health Specialists Network Study.

Kramer, Adam J. ;

Hedeen, Nicole

April 2026 | Foodborne Pathogens and Disease, 2026, v. 23, no. 4

More than 800 foodborne illness outbreaks have been reported to the United States Centers for Disease Control and Prevention (CDC) annually. Researchers have suggested that improving food safety culture in restaurants (i.e., shared values, beliefs, and norms about food safety) is an important way to reduce foodborne outbreaks. However, we know rela ...

10/09/2026

Supporting Files

Title : Worker and Restaurant Characteristics Associated With Food Safety Culture: an Environmental Health Specialists Network Study. Personal Author(s) : Kramer, Adam J.;Hedeen, Nicole;Viveiros, Brendalee;DiPrete, Lauren;Irving, Douglas J.;Nicholas, David C.;McKelvey, Wendy;Monroy, Jo Ann;Tuttle, Joyce;Brown, Laura G.; Published Date : April 2026 Pages in Document : 223-231 (18 pdf pages) Source : Foodborne Pathogens and Disease, 2026, v. 23, no. 4 DOI : https://doi.org/10.1089/fpd.2024.0132 Journal Title : Foodborne Pathogens and Disease
Kramer, A. J., Hedeen, N., Viveiros, B., DiPrete, L., Irving, D. J., Nicholas, D. C., McKelvey, W., Monroy, J. A., Tuttle, J., & Brown, L. G. (2026). Worker and Restaurant Characteristics Associated With Food Safety Culture: an Environmental Health Specialists Network Study. Foodborne Pathogens and Disease, 23(4). https://doi.org/10.1089/fpd.2024.0132

Kramer, Adam J., Nicole Hedeen, Brendalee Viveiros, Lauren DiPrete, Douglas J. Irving, David C. Nicholas, Wendy McKelvey, Jo Ann Monroy, Joyce Tuttle, and Laura G. Brown. "Worker and Restaurant Characteristics Associated With Food Safety Culture: an Environmental Health Specialists Network Study." Foodborne Pathogens and Disease 23, no. 4 (2026). https://doi.org/10.1089/fpd.2024.0132.

Kramer, Adam J., et al. "Worker and Restaurant Characteristics Associated With Food Safety Culture: an Environmental Health Specialists Network Study." Foodborne Pathogens and Disease, vol. 23, no. 4, 2026. Stacks. https://doi.org/10.1089/fpd.2024.0132.
Export RIS Citation Information. TY - Journal Article AU - Kramer, Adam J. AU - Hedeen, Nicole AU - Viveiros, Brendalee AU - DiPrete, Lauren AU - Irving, Douglas J. AU - Nicholas, David C. AU - McKelvey, Wendy AU - Monroy, Jo Ann AU - Tuttle, Joyce AU - Brown, Laura G. AB - More than 800 foodborne illness outbreaks have been reported to the United States Centers for Disease Control and Prevention (CDC) annually. Researchers have suggested that improving food safety culture in restaurants (i.e., shared values, beliefs, and norms about food safety) is an important way to reduce foodborne outbreaks. However, we know relatively little about the connections between food safety culture and food safety outcomes in restaurants. To bridge these gaps in knowledge, state and local health department staff with CDC's Environmental Health Specialists Network (EHS-Net) conducted a study in which they interviewed managers and administered written surveys to food workers in 321 restaurants across eight EHS-Net jurisdictions. Data on restaurant characteristics (e.g., the existence of food safety policies) were collected through interviews with restaurant managers. Data on food worker characteristics (e.g., food safety knowledge) were collected through a worker survey. The survey also assessed worker beliefs about food safety in their restaurants (i.e., food safety culture). Analyses showed that several restaurant characteristics, including the existence of food safety policies and methods for monitoring policy implementation, were significantly and positively associated with workers' perceptions of their restaurant's food safety culture. The worker characteristics of having had food safety training and possessing food safety knowledge were also significantly and positively related to worker food safety culture beliefs. These findings suggest that management actions, such as providing food safety training, implementing food safety policies, and monitoring compliance with those policies, are associated with a strong food safety culture. AB - Author manuscript AN - cdc:261513 C4 - PMC12353076 DO - https://doi.org/10.1089/fpd.2024.0132 IS - 4 J2 - Foodborne Pathogens and Disease KW - Female KW - Health Knowledge, Attitudes, Practice KW - Restaurants KW - Organizational Culture KW - Food Safety KW - Environmental Health KW - Foodborne Diseases KW - Food Handling KW - Male KW - Humans KW - Disease Outbreaks KW - Adult KW - Centers for Disease Control and Prevention, U.S. KW - food safety culture KW - restaurant food safety KW - food safety management systems KW - Restaurants KW - Humans KW - Food Safety KW - Foodborne Diseases KW - Centers for Disease Control and Prevention, U.S. KW - Health Knowledge, Attitudes, Practice KW - Environmental Health KW - Food Handling KW - Male KW - Female KW - Adult KW - Disease Outbreaks KW - Organizational Culture LA - eng PY - 2026 T2 - Foodborne Pathogens and Disease T2 - Foodborne Pathogens and Disease, 2026, v. 23, no. 4 TI - Worker and Restaurant Characteristics Associated With Food Safety Culture: an Environmental Health Specialists Network Study. VL - 23 UR - https://stacks.cdc.gov/view/cdc/261513 ER -
Considerations For Prevention and Standby Emergency Treatment For Travellers at High Risk of COVID-19 Hospitalization.

Patel, Pragna ;

Freedman, David O.

April 25, 2025 | Journal of Travel Medicine, 2025, v. 32, no. 4

At present rapid initiation of oral antiviral agents is the standard of care in the USA for ambulatory patients with mild-to-moderate COVID-19 who are at high risk of progression to severe disease 1 To prevent further transmission for SARS CoV-2 self-test positive non-travellers telehealth visits are preferred rather than physical clinic visits for ...

10/09/2026

Supporting Files

Title : Considerations For Prevention and Standby Emergency Treatment For Travellers at High Risk of COVID-19 Hospitalization. Personal Author(s) : Patel, Pragna;Freedman, David O.; Published Date : April 25, 2025 Pages in Document : 8 pdf pages Source : Journal of Travel Medicine, 2025, v. 32, no. 4 DOI : https://doi.org/10.1093/jtm/taaf029 Journal Title : Journal of Travel Medicine
Patel, P., & Freedman, D. O. (2025). Considerations For Prevention and Standby Emergency Treatment For Travellers at High Risk of COVID-19 Hospitalization. Journal of Travel Medicine, 32(4). https://doi.org/10.1093/jtm/taaf029

Patel, Pragna and David O. Freedman. "Considerations For Prevention and Standby Emergency Treatment For Travellers at High Risk of COVID-19 Hospitalization." Journal of Travel Medicine 32, no. 4 (2025). https://doi.org/10.1093/jtm/taaf029.

Patel, Pragna, and David O. Freedman "Considerations For Prevention and Standby Emergency Treatment For Travellers at High Risk of COVID-19 Hospitalization." Journal of Travel Medicine, vol. 32, no. 4, 2025. Stacks. https://doi.org/10.1093/jtm/taaf029.
Export RIS Citation Information. TY - Journal Article AU - Patel, Pragna AU - Freedman, David O. AB - At present rapid initiation of oral antiviral agents is the standard of care in the USA for ambulatory patients with mild-to-moderate COVID-19 who are at high risk of progression to severe disease 1 To prevent further transmission for SARS CoV-2 self-test positive non-travellers telehealth visits are preferred rather than physical clinic visits for persons with mild to moderate symptoms Antivirals are prescribed if no contraindications are identified with education on when and how to seek any urgent in-person follow-up COVID-19 is a potentially life-threatening disease in high-risk travellers because they do not have established medical care in the countries they are visiting If no contraindications are identified antivirals may be prescribed along with education on when and how to seek urgent in-person follow-up A basic tenet of travel medicine in the USA is to strive to ensure the provision of a standard of care at the destination that would lead to similar outcomes as at home This tenet guides diplomatic services government agencies non-government organizations and multinational corporations as to whether an expensive medical evacuation should be undertaken This equally applies to decisions made by travel insurance providers covering individual travellers abroad For international travellers in 2025 the physician who is already familiar with the patient s baseline medications and medical history and is readily available for telehealth might consider providing travellers with an off-label use prescription of a COVID-19 antiviral prior to travel and providing medical care remotely As with malaria standby emergency therapy which has been recommended for the past 30 years telemedicine and self-treatment utilizing a reliable supply of carried medication should not replace seeking in-person medical care among high-risk travellers Here we will discuss how to ensure that high-risk adult travellers can initiate timely treatment at the many destinations where COVID-19 antivirals are not readily accessible currently including well-resourced destinations Limiting factors may include high cost but also strict government controls restricted access points and different indications in destination countries Clinicians who prescribe COVID-19 antivirals for travellers should consider many factors before doing so to ensure appropriate treatment and care by a medical professional We outline several important considerations below. AB - Author manuscript AN - cdc:261512 C4 - PMC13080702 DO - https://doi.org/10.1093/jtm/taaf029 IS - 4 J2 - Journal of Travel Medicine KW - Government Agencies KW - Antiviral Agents KW - Ambulatory Care KW - Follow-Up Studies KW - Off-Label Use KW - Travel Medicine KW - Standard of Care KW - COVID-19 KW - Emergency Treatment KW - Self-Testing KW - Insurance Carriers KW - Considerations KW - prevention KW - standby KW - treatment KW - travellers KW - COVID-19 KW - COVID-19 KW - Follow-Up Studies KW - Insurance Carriers KW - Off-Label Use KW - Self-Testing KW - Standard of Care KW - Travel Medicine KW - Government Agencies KW - Emergency Treatment KW - Antiviral Agents KW - Ambulatory Care LA - eng PY - 2025 T2 - Journal of Travel Medicine T2 - Journal of Travel Medicine, 2025, v. 32, no. 4 TI - Considerations For Prevention and Standby Emergency Treatment For Travellers at High Risk of COVID-19 Hospitalization. VL - 32 UR - https://stacks.cdc.gov/view/cdc/261512 ER -
Depressive Symptoms and Work in Indigenous People.

Shannon, Brett ;

Almberg, Kirsten S.

July 2025 | Journal of Affective Disorders, 2025, v. 381

Adverse social and environmental factors outside of the health system play an important role in disparate mental health (MH) outcomes, including access to quality employment. American Indian/Alaskan Native (AIAN) workers are at risk but have been left out of research.To describe the characteristics of AIAN adults with depressive symptoms and to exa ...

10/09/2026

Supporting Files

Title : Depressive Symptoms and Work in Indigenous People. Personal Author(s) : Shannon, Brett;Almberg, Kirsten S.;Ryder, Courtney;Bonney, Tessa;Forst, Linda;Friedman, Lee S.; Published Date : July 2025 Pages in Document : 329-336 (19 pdf pages) Source : Journal of Affective Disorders, 2025, v. 381 DOI : https://doi.org/10.1016/j.jad.2025.04.007 Journal Title : Journal of Affective Disorders
Shannon, B., Almberg, K. S., Ryder, C., Bonney, T., Forst, L., & Friedman, L. S. (2025). Depressive Symptoms and Work in Indigenous People. Journal of Affective Disorders, 381. https://doi.org/10.1016/j.jad.2025.04.007

Shannon, Brett, Kirsten S. Almberg, Courtney Ryder, Tessa Bonney, Linda Forst, and Lee S. Friedman. "Depressive Symptoms and Work in Indigenous People." Journal of Affective Disorders 381 (2025). https://doi.org/10.1016/j.jad.2025.04.007.

Shannon, Brett, et al. "Depressive Symptoms and Work in Indigenous People." Journal of Affective Disorders, vol. 381, 2025. Stacks. https://doi.org/10.1016/j.jad.2025.04.007.
Export RIS Citation Information. TY - Journal Article AU - Shannon, Brett AU - Almberg, Kirsten S. AU - Ryder, Courtney AU - Bonney, Tessa AU - Forst, Linda AU - Friedman, Lee S. AB - Adverse social and environmental factors outside of the health system play an important role in disparate mental health (MH) outcomes, including access to quality employment. American Indian/Alaskan Native (AIAN) workers are at risk but have been left out of research. AB - To describe the characteristics of AIAN adults with depressive symptoms and to examine their sociodemographic, health, functional and disability characteristics by work status. AB - Utilizing the National Health Interview Survey (NHIS) data for years 2020 and 2022, we evaluated differences in MH symptoms, diagnoses, and treatment between working and non-working AIAN adults. We undertook a descriptive analysis of socio-demographic and health characteristics. Three sets of multivariable logistic regression models were undertaken to (1) evaluate the association between employment status and MH outcomes, (2) associations with MH outcomes in working AIAN adults, (3) associations with mental health outcomes in non-working AIAN adults. AB - AIAN adults not currently employed had higher odds (1.55, 95%CI:1.03-2.33) of reporting weekly/daily depressive symptoms and ever being diagnosed with depression (1.50, 95%CI:1.02-2.21) compared to employed AIAN adults. Predictors of MH health outcomes differed between working and non-working AIAN adults, including age, education level, location, health care usage and delay of MH treatment. AB - There is evidence of the impact of work on the MH of indigenous people. An occupational health agenda should include better survey tools, and engagement with AIAN communities, workers, employers and health services to build on the evidence and support local level strategies. AB - Author manuscript AN - cdc:261511 C4 - PMC12626169 DO - https://doi.org/10.1016/j.jad.2025.04.007 J2 - Journal of Affective Disorders KW - Adolescent KW - Female KW - Alaska Natives KW - Male KW - Middle Aged KW - Humans KW - Young Adult KW - Employment KW - Health Surveys KW - Depression KW - Adult KW - Indigenous health KW - Depression KW - Occupational health KW - American Indian KW - Alaskan native KW - Mental health KW - Humans KW - Male KW - Female KW - Adult KW - Middle Aged KW - Employment KW - Depression KW - Health Surveys KW - Young Adult KW - Alaska Natives KW - Adolescent LA - eng PY - 2025 T2 - Journal of Affective Disorders T2 - Journal of Affective Disorders, 2025, v. 381 TI - Depressive Symptoms and Work in Indigenous People. VL - 381 UR - https://stacks.cdc.gov/view/cdc/261511 ER -
Hormonal Contraception After Use of Ulipristal Acetate as Emergency Contraception: a Systematic Review.

Snyder, Emily M. ;

Curtis, Kathryn M.

July 2026 | Contraception, 2026, v. 159

To systematically review literature on whether hormonal contraception following ulipristal acetate (UPA) for emergency contraception decreases the effectiveness of either drug.We searched multiple databases through December 2022 for studies assessing the interaction between UPA and hormonal contraception. The primary outcome was contraceptive effec ...

10/09/2026

Supporting Files

Title : Hormonal Contraception After Use of Ulipristal Acetate as Emergency Contraception: a Systematic Review. Personal Author(s) : Snyder, Emily M.;Curtis, Kathryn M.;Nguyen, Antoinette T.;Tadikonda, Ananya;Kortsmit, Katherine;Zapata, Lauren B.;Whiteman, Maura K.; Published Date : July 2026 Pages in Document : 110898 (16 pdf pages) Source : Contraception, 2026, v. 159 DOI : https://doi.org/10.1016/j.contraception.2025.110898 Journal Title : Contraception
Snyder, E. M., Curtis, K. M., Nguyen, A. T., Tadikonda, A., Kortsmit, K., Zapata, L. B., & Whiteman, M. K. (2026). Hormonal Contraception After Use of Ulipristal Acetate as Emergency Contraception: a Systematic Review. Contraception, 159. https://doi.org/10.1016/j.contraception.2025.110898

Snyder, Emily M., Kathryn M. Curtis, Antoinette T. Nguyen, Ananya Tadikonda, Katherine Kortsmit, Lauren B. Zapata, and Maura K. Whiteman. "Hormonal Contraception After Use of Ulipristal Acetate as Emergency Contraception: a Systematic Review." Contraception 159 (2026). https://doi.org/10.1016/j.contraception.2025.110898.

Snyder, Emily M., et al. "Hormonal Contraception After Use of Ulipristal Acetate as Emergency Contraception: a Systematic Review." Contraception, vol. 159, 2026. Stacks. https://doi.org/10.1016/j.contraception.2025.110898.
Export RIS Citation Information. TY - Journal Article AU - Snyder, Emily M. AU - Curtis, Kathryn M. AU - Nguyen, Antoinette T. AU - Tadikonda, Ananya AU - Kortsmit, Katherine AU - Zapata, Lauren B. AU - Whiteman, Maura K. AB - To systematically review literature on whether hormonal contraception following ulipristal acetate (UPA) for emergency contraception decreases the effectiveness of either drug. AB - We searched multiple databases through December 2022 for studies assessing the interaction between UPA and hormonal contraception. The primary outcome was contraceptive effectiveness, measured by pregnancy rates or proxy measures (e.g., ovarian activity). We extracted and summarized findings from identified studies, assessed risk of bias for each study, and determined certainty of evidence for all outcomes. AB - Four studies met inclusion criteria; all had low risk of bias. Two studies assessed whether UPA use affected the ability of oral contraceptives (OCs) to inhibit ovulation; no differences were observed in ovarian activity when starting OCs 1 day after UPA compared with starting OCs 1 day after placebo. Two studies assessed whether OC use affected the ability of UPA to delay ovulation; both studies observed higher proportions of ovulation when UPA was followed by OC use versus delayed or no OC use. One study assessed ovulation risk when UPA was taken after missed OCs, followed by immediate versus delayed OC resumption; no ovulations occurred within the first 5 days after UPA administration in either group, but there was greater risk of ovulation beyond 5 days with delayed versus immediate OC resumption. AB - While there is no evidence that UPA affects the ability of hormonal contraception to inhibit ovulation, hormonal contraception use immediately or soon after UPA may decrease UPA's ability to delay ovulation. The certainty of evidence ranged from moderate to very low. AB - If a patient desires hormonal contraception after UPA, an interaction can be avoided by delaying initiation or resumption of hormonal contraception. The risk of pregnancy due to decreased UPA effectiveness with immediate hormonal contraception should be balanced against the risk of subsequent pregnancy due to delay or non-start of hormonal contraception. AB - Author manuscript AN - cdc:261510 C4 - PMC12246820 DO - https://doi.org/10.1016/j.contraception.2025.110898 J2 - Contraception KW - Contraception, Postcoital KW - Hormonal Contracepton KW - ulipristal acetate KW - Classification KW - Contraception KW - Emergency contraception KW - Systematic review KW - Ulipristal acetate KW - ulipristal acetate KW - Classification KW - Contraception, Postcoital KW - Hormonal Contracepton LA - eng PY - 2026 T2 - Contraception T2 - Contraception, 2026, v. 159 TI - Hormonal Contraception After Use of Ulipristal Acetate as Emergency Contraception: a Systematic Review. VL - 159 UR - https://stacks.cdc.gov/view/cdc/261510 ER -
Greater Intrinsic Motivation For Engaging in Healthy Lifestyle Behaviors is Associated With Reduced Postpartum Weight.

Brown, Susan D. ;

Kiernan, Michaela

May 2025 | Obesity (Silver Spring, MD.), 2025, v. 33, no. 5

Lifestyle behaviors impact postpartum weight, yet intrinsic motivation for them-i.e., what individuals enjoy, value, and do with ease-is poorly understood. The Pregnancy, Lifestyle and Environment Study-2 (PETALS-2) examined whether intrinsic motivations for engaging in healthy eating, physical activity, and weight self-monitoring are each associat ...

10/09/2026

Supporting Files

Title : Greater Intrinsic Motivation For Engaging in Healthy Lifestyle Behaviors is Associated With Reduced Postpartum Weight. Personal Author(s) : Brown, Susan D.;Kiernan, Michaela;Hedderson, Monique M.;Quesenberry, Charles P.;Smith, Bridgette P.;Millman, Andrea;Bandera, Hillary Serrato;Daredia, Saher;Shan, Jun;Ferrara, Assiamira; Published Date : May 2025 Pages in Document : 927-935 (17 pdf pages) Source : Obesity (Silver Spring, MD.), 2025, v. 33, no. 5 DOI : https://doi.org/10.1002/oby.24271 Journal Title : Obesity (Silver Spring, MD.)
Brown, S. D., Kiernan, M., Hedderson, M. M., Quesenberry, C. P., Smith, B. P., Millman, A., Bandera, H. S., Daredia, S., Shan, J., & Ferrara, A. (2025). Greater Intrinsic Motivation For Engaging in Healthy Lifestyle Behaviors is Associated With Reduced Postpartum Weight. Obesity (Silver Spring, MD.), 33(5). https://doi.org/10.1002/oby.24271

Brown, Susan D., Michaela Kiernan, Monique M. Hedderson, Charles P. Quesenberry, Bridgette P. Smith, Andrea Millman, Hillary Serrato Bandera, Saher Daredia, Jun Shan, and Assiamira Ferrara. "Greater Intrinsic Motivation For Engaging in Healthy Lifestyle Behaviors is Associated With Reduced Postpartum Weight." Obesity (Silver Spring, MD.) 33, no. 5 (2025). https://doi.org/10.1002/oby.24271.

Brown, Susan D., et al. "Greater Intrinsic Motivation For Engaging in Healthy Lifestyle Behaviors is Associated With Reduced Postpartum Weight." Obesity (Silver Spring, MD.), vol. 33, no. 5, 2025. Stacks. https://doi.org/10.1002/oby.24271.
Export RIS Citation Information. TY - Journal Article AU - Brown, Susan D. AU - Kiernan, Michaela AU - Hedderson, Monique M. AU - Quesenberry, Charles P. AU - Smith, Bridgette P. AU - Millman, Andrea AU - Bandera, Hillary Serrato AU - Daredia, Saher AU - Shan, Jun AU - Ferrara, Assiamira AB - Lifestyle behaviors impact postpartum weight, yet intrinsic motivation for them-i.e., what individuals enjoy, value, and do with ease-is poorly understood. The Pregnancy, Lifestyle and Environment Study-2 (PETALS-2) examined whether intrinsic motivations for engaging in healthy eating, physical activity, and weight self-monitoring are each associated with long-term postpartum weight change. AB - We assessed behavior-specific intrinsic motivation using validated scales, from pregnancy up to six time points through 30 months post partum, among diverse cohort participants (N = 311) in a large health care system. Weight was prospectively ascertained via electronic health records, remote scales, and study visits. AB - In adjusted regressions, participants with higher intrinsic motivation experienced significantly reduced postpartum weight. For healthy eating motivation, each one-unit-higher score predicted up to -3.43 lb (95% CI: -5.34 to -1.53) postpartum weight at 24 months; for physical activity motivation, -2.70 lb (95 CI: -4.61 to -0.78) at 30 months; for self-weighing motivation, -4.15 lb (95% CI: -6.33 to -1.97) at 30 months; and, for a combined motivation score across all three behaviors, -5.47 lb (95% CI: -7.95, -2.99) at 24 months. AB - Greater intrinsic motivation for healthy lifestyle behaviors predicted reduced long-term postpartum weight and could be a promising target for innovative behavioral interventions. AB - Author manuscript AN - cdc:261509 C4 - PMC12015650 DO - https://doi.org/10.1002/oby.24271 IS - 5 J2 - Obesity (Silver Spring, MD.) KW - Pregnancy KW - Diet, Healthy KW - Female KW - Weight Loss KW - Postpartum Period KW - Prospective Studies KW - Young Adult KW - Body Weight KW - Life Style KW - Exercise KW - Motivation KW - Health Behavior KW - Humans KW - Healthy Lifestyle KW - Adult KW - Motivation KW - maternal obesity KW - pregnancy KW - longitudinal KW - behavioral science KW - Humans KW - Female KW - Motivation KW - Postpartum Period KW - Adult KW - Exercise KW - Healthy Lifestyle KW - Pregnancy KW - Health Behavior KW - Prospective Studies KW - Weight Loss KW - Diet, Healthy KW - Body Weight KW - Young Adult KW - Life Style LA - eng PY - 2025 T2 - Obesity (Silver Spring, MD.) T2 - Obesity (Silver Spring, MD.), 2025, v. 33, no. 5 TI - Greater Intrinsic Motivation For Engaging in Healthy Lifestyle Behaviors is Associated With Reduced Postpartum Weight. VL - 33 UR - https://stacks.cdc.gov/view/cdc/261509 ER -
Between-firm Sorting and Parenthood Wage Gaps in the US Service Sector.

O'Herron, Charlotte ;

Schneider, Daniel

April 2025 | Journal of Marriage and the Family, 2025, v. 87, no. 2

We assess how the distribution of parents across firms contributes to parenthood wage gaps in a low-wage U.S. labor market and examine the role of understudied compensating differentials relevant to precarious work.In the U.S., parenthood drives a wedge in wages, as mothers often earn less than women without children, whereas fathers typically earn ...

10/09/2026

Supporting Files

Title : Between-firm Sorting and Parenthood Wage Gaps in the US Service Sector. Personal Author(s) : O'Herron, Charlotte;Schneider, Daniel;Harknett, Kristen; Published Date : April 2025 Pages in Document : 590-616 (43 pdf pages) Source : Journal of Marriage and the Family, 2025, v. 87, no. 2 DOI : https://doi.org/10.1111/jomf.13041 Journal Title : Journal of Marriage and the Family
O'Herron, C., Schneider, D., & Harknett, K. (2025). Between-firm Sorting and Parenthood Wage Gaps in the US Service Sector. Journal of Marriage and the Family, 87(2). https://doi.org/10.1111/jomf.13041

O'Herron, Charlotte, Daniel Schneider, and Kristen Harknett. "Between-firm Sorting and Parenthood Wage Gaps in the US Service Sector." Journal of Marriage and the Family 87, no. 2 (2025). https://doi.org/10.1111/jomf.13041.

O'Herron, Charlotte, et al. "Between-firm Sorting and Parenthood Wage Gaps in the US Service Sector." Journal of Marriage and the Family, vol. 87, no. 2, 2025. Stacks. https://doi.org/10.1111/jomf.13041.
Export RIS Citation Information. TY - Journal Article AU - O'Herron, Charlotte AU - Schneider, Daniel AU - Harknett, Kristen AB - We assess how the distribution of parents across firms contributes to parenthood wage gaps in a low-wage U.S. labor market and examine the role of understudied compensating differentials relevant to precarious work. AB - In the U.S., parenthood drives a wedge in wages, as mothers often earn less than women without children, whereas fathers typically earn more than men without children. Firms bear influence over setting wages and sorting workers, yet firms are largely omitted from research on parental wage gaps in the U.S. AB - We draw on novel employer-employee matched data on 74,086 hourly service-sector workers to decompose parental wage gaps into their within- and between-firm components. We leverage uniquely rich data on compensating differentials to test if they sort parents across firms. AB - We found that mothers are overrepresented in lower-wage firms, accounting for 68% of mothers' wage gap. In contrast, fathers' wage gap accrued within firms. We found limited evidence that compensating differentials, even schedule quality, produce parental wage gaps. AB - We show for the first time that in a major U.S. industry, mothers are segregated in low-paying firms compared to women without children, while fathers are paid more than men without children in the same firms. Our findings largely do not tell a story of parents voluntarily choosing between wages and job quality, instead calling for more research on firm practices. AB - Author manuscript AN - cdc:261508 C4 - PMC11970338 DO - https://doi.org/10.1111/jomf.13041 IS - 2 J2 - Journal of Marriage and the Family KW - Income KW - Gender Equity KW - Parents KW - Poverty KW - Socioeconomic Factors KW - Gender KW - Income or wages KW - Inequality KW - Low-income families KW - Parenthood KW - Gender Equity KW - Income KW - Socioeconomic Factors KW - Poverty KW - Parents LA - eng PY - 2025 T2 - Journal of Marriage and the Family T2 - Journal of Marriage and the Family, 2025, v. 87, no. 2 TI - Between-firm Sorting and Parenthood Wage Gaps in the US Service Sector. VL - 87 UR - https://stacks.cdc.gov/view/cdc/261508 ER -
Heat Exposure, Heat Strain, and Off-work Recovery of Guatemalan Sugarcane Workers.

Krisher, Lyndsay ;

Hernandez, Karely Villarreal

June 2025 | American Journal of Physiology. Regulatory, Integrative and Comparative Physiology, 2025, v. 328, no. 6

Agricultural workers are at high risk for heat-related illnesses when performing heavy labor in hot conditions. Occupational heat strain, the physiological response to heat stress, is hypothesized to be common in this worker population but has rarely been measured objectively through core body temperature (T). The objective of this study was twofol ...

10/09/2026

Supporting Files

Title : Heat Exposure, Heat Strain, and Off-work Recovery of Guatemalan Sugarcane Workers. Personal Author(s) : Krisher, Lyndsay;Hernandez, Karely Villarreal;Li, Yaqiang;Butler-Dawson, Jaime;Jaramillo, Diana;Yoder, Hillary A.;Miller, Kevin E.;Johnson, Evan C.;James, Katherine A.;Dally, Miranda;Carlton, Elizabeth J.;Alessio, Daniel Pilloni;Cruz, Alex;Schaeffer, Joshua;Adgate, John L.;Newman, Lee S.; Published Date : June 2025 Pages in Document : R703-R717 (29 pdf pages) Source : American Journal of Physiology. Regulatory, Integrative and Comparative Physiology, 2025, v. 328, no. 6 DOI : https://doi.org/10.1152/ajpregu.00004.2025 Journal Title : American Journal of Physiology. Regulatory, Integrative and Comparative Physiology
Krisher, L., Hernandez, K. V., Li, Y., Butler-Dawson, J., Jaramillo, D., Yoder, H. A., Miller, K. E., Johnson, E. C., James, K. A., Dally, M., Carlton, E. J., Alessio, D. P., Cruz, A., Schaeffer, J., Adgate, J. L., & Newman, L. S. (2025). Heat Exposure, Heat Strain, and Off-work Recovery of Guatemalan Sugarcane Workers. American Journal of Physiology. Regulatory, Integrative and Comparative Physiology, 328(6). https://doi.org/10.1152/ajpregu.00004.2025

Krisher, Lyndsay, Karely Villarreal Hernandez, Yaqiang Li, Jaime Butler-Dawson, Diana Jaramillo, Hillary A. Yoder, and Kevin E. Miller, et al.. "Heat Exposure, Heat Strain, and Off-work Recovery of Guatemalan Sugarcane Workers." American Journal of Physiology. Regulatory, Integrative and Comparative Physiology 328, no. 6 (2025). https://doi.org/10.1152/ajpregu.00004.2025.

Krisher, Lyndsay, et al. "Heat Exposure, Heat Strain, and Off-work Recovery of Guatemalan Sugarcane Workers." American Journal of Physiology. Regulatory, Integrative and Comparative Physiology, vol. 328, no. 6, 2025. Stacks. https://doi.org/10.1152/ajpregu.00004.2025.
Export RIS Citation Information. TY - Journal Article AU - Krisher, Lyndsay AU - Hernandez, Karely Villarreal AU - Li, Yaqiang AU - Butler-Dawson, Jaime AU - Jaramillo, Diana AU - Yoder, Hillary A. AU - Miller, Kevin E. AU - Johnson, Evan C. AU - James, Katherine A. AU - Dally, Miranda AU - Carlton, Elizabeth J. AU - Alessio, Daniel Pilloni AU - Cruz, Alex AU - Schaeffer, Joshua AU - Adgate, John L. AU - Newman, Lee S. AB - Agricultural workers are at high risk for heat-related illnesses when performing heavy labor in hot conditions. Occupational heat strain, the physiological response to heat stress, is hypothesized to be common in this worker population but has rarely been measured objectively through core body temperature (T AB - ). The objective of this study was twofold: AB - ) evaluate workday heat strain and AB - ) examine the trajectory of heat exposure and T AB - from the workday through the off-work hours to advance understanding of the recovery process and conditions of heat-exposed agricultural workers. Among 55 male Guatemalan agricultural workers, individual heat exposure (using ambient temperature loggers) and T AB - (via an ingestible pill) were measured across a 24-h period, including workday and off-work hours. Urine samples were collected to assess hydration status on and off-work. Workers reported off-work activities, hydration practices, sleep, and nutrition through a survey. Data were summarized using descriptive statistics and visualizations. Workers experienced excessive heat strain (44% with T AB - > 38.0°C, 16% with T AB - > 38.3°C, and 6% with T AB - > 38.5°C) during the workday. Approximately 29% achieved a higher maximal T AB - during off-work hours than during the workday. Nearly 15% of workers reported sleeping <7 h. There is a need to understand off-work conditions, practices, and resources available to workers to mitigate heat strain and related illnesses. Heat stress and T AB - monitoring should extend to postwork shift for assessment of workers' physiological recovery and to inform more comprehensive interventions to protect worker health. AB - This study examined the trajectory of heat exposure and core body temperature (T AB - ) across the workday into off-work hours among agricultural workers at risk of heat-related illness. Workday heat strain was common, and a significant proportion of workers experienced higher off-work T AB - compared with their workday T AB - . Survey and environmental data collected from workers provide insights into the off-work practices and conditions of the home environment that could influence the recovery of workers. AB - Author manuscript AN - cdc:261507 C4 - PMC12890186 DO - https://doi.org/10.1152/ajpregu.00004.2025 IS - 6 J2 - American Journal of Physiology. Regulatory, Integrative and Comparative Physiology KW - Occupational Exposure KW - Body Temperature KW - Farmers KW - Saccharum KW - Heat Stress Disorders KW - Young Adult KW - Occupational Health KW - Heat-Shock Response KW - Hot Temperature KW - Organism Hydration Status KW - Body Temperature Regulation KW - Male KW - Middle Aged KW - Humans KW - Time Factors KW - Agricultural Workers' Diseases KW - Adult KW - agricultural workers KW - heat stress KW - home environment KW - recovery KW - Humans KW - Male KW - Heat Stress Disorders KW - Adult KW - Saccharum KW - Occupational Exposure KW - Hot Temperature KW - Farmers KW - Middle Aged KW - Body Temperature KW - Occupational Health KW - Agricultural Workers' Diseases KW - Heat-Shock Response KW - Young Adult KW - Time Factors KW - Body Temperature Regulation KW - Organism Hydration Status LA - eng PY - 2025 T2 - American Journal of Physiology. Regulatory, Integrative and Comparative Physiology T2 - American Journal of Physiology. Regulatory, Integrative and Comparative Physiology, 2025, v. 328, no. 6 TI - Heat Exposure, Heat Strain, and Off-work Recovery of Guatemalan Sugarcane Workers. VL - 328 UR - https://stacks.cdc.gov/view/cdc/261507 ER -
Cost and Cost-effectiveness of Online Recruitment to Increase HIV Self-testing Among Black and Hispanic/Latino Men Who Have Sex With Men in the United States, 2020-2021.

Wall, Kristin M. ;

Sullivan, Patrick

July 1, 2025 | Journal of Acquired Immune Deficiency Syndromes (1999), 2025, v. 99, no. 3

Black or African American and Hispanic/Latino gay, bisexual, and other men who have sex with men (BMSM and HLMSM) in the United States (US) are disproportionately affected by HIV. We analyze the cost and cost-effectiveness of HIV self-testing through online recruitment of BMSM and HLMSM into an HIV self-testing study.11 US states, February 2020-Feb ...

10/09/2026

Supporting Files

Title : Cost and Cost-effectiveness of Online Recruitment to Increase HIV Self-testing Among Black and Hispanic/Latino Men Who Have Sex With Men in the United States, 2020-2021. Personal Author(s) : Wall, Kristin M.;Sullivan, Patrick;Shrestha, Ram K.;Dana, Ruth;Hannah, Marissa;Lucas, Iaah L.;Chavez, Pollyanna R.;Raiford, Jerris;Caldwell, Joanna A.;Hightow-Weidman, Lisa;MacGowan, Robin J.; Published Date : July 1, 2025 Pages in Document : 311-319 (19 pdf pages) Source : Journal of Acquired Immune Deficiency Syndromes (1999), 2025, v. 99, no. 3 DOI : https://doi.org/10.1097/QAI.0000000000003666 Journal Title : Journal of Acquired Immune Deficiency Syndromes (1999)
Wall, K. M., Sullivan, P., Shrestha, R. K., Dana, R., Hannah, M., Lucas, I. L., Chavez, P. R., Raiford, J., Caldwell, J. A., Hightow-Weidman, L., & MacGowan, R. J. (2025). Cost and Cost-effectiveness of Online Recruitment to Increase HIV Self-testing Among Black and Hispanic/Latino Men Who Have Sex With Men in the United States, 2020-2021. Journal of Acquired Immune Deficiency Syndromes (1999), 99(3). https://doi.org/10.1097/QAI.0000000000003666

Wall, Kristin M., Patrick Sullivan, Ram K. Shrestha, Ruth Dana, Marissa Hannah, Iaah L. Lucas, and Pollyanna R. Chavez, et al.. "Cost and Cost-effectiveness of Online Recruitment to Increase HIV Self-testing Among Black and Hispanic/Latino Men Who Have Sex With Men in the United States, 2020-2021." Journal of Acquired Immune Deficiency Syndromes (1999) 99, no. 3 (2025). https://doi.org/10.1097/QAI.0000000000003666.

Wall, Kristin M., et al. "Cost and Cost-effectiveness of Online Recruitment to Increase HIV Self-testing Among Black and Hispanic/Latino Men Who Have Sex With Men in the United States, 2020-2021." Journal of Acquired Immune Deficiency Syndromes (1999), vol. 99, no. 3, 2025. Stacks. https://doi.org/10.1097/QAI.0000000000003666.
Export RIS Citation Information. TY - Journal Article AU - Wall, Kristin M. AU - Sullivan, Patrick AU - Shrestha, Ram K. AU - Dana, Ruth AU - Hannah, Marissa AU - Lucas, Iaah L. AU - Chavez, Pollyanna R. AU - Raiford, Jerris AU - Caldwell, Joanna A. AU - Hightow-Weidman, Lisa AU - MacGowan, Robin J. AB - Black or African American and Hispanic/Latino gay, bisexual, and other men who have sex with men (BMSM and HLMSM) in the United States (US) are disproportionately affected by HIV. We analyze the cost and cost-effectiveness of HIV self-testing through online recruitment of BMSM and HLMSM into an HIV self-testing study. AB - 11 US states, February 2020-February 2021. AB - BMSM and HLMSM aged ≥18 years without previous HIV diagnosis or current pre-exposure prophylaxis use were recruited through dating and general interest websites/apps (sites). Using the healthcare provider perspective and a 16-month timeframe, we assessed economic costs (2022 US Dollars) of online recruitment, HIV self-test (HIVST) distribution, and participant support. A time-motion study tracked staff time spent on study implementation activities. We reported incremental program cost, cost per HIVST used, and cost per new HIV diagnosis comparing recruitment via dating versus general interest sites. AB - The total cost was $275,776 to enroll 1,306 participants through dating sites, and support 1,005 MSM who used an HIVST (11.74% positivity). The total cost was $168,099 to enroll 600 participants through general interest sites, and support 511 MSM who used an HIVST (5.48% positivity). Recruitment via dating versus general interest sites was more costly and more effective, with incremental cost-effectiveness ratios (ICERs) of $218/HIVST used and $1,196/new diagnosis, relatively low cost per new HIV diagnosis compared with those estimated in other HIV testing interventions. ICERs were higher for HLMSM versus BMSM. AB - HIV self-testing through dating and general interest site recruitment may be an effective and cost-effective approach to increase new HIV diagnoses. AB - Author manuscript AN - cdc:261506 C4 - PMC12392263 DO - https://doi.org/10.1097/QAI.0000000000003666 IS - 3 J2 - Journal of Acquired Immune Deficiency Syndromes (1999) KW - HIV Testing KW - Hispanic or Latino KW - Cost-Benefit Analysis KW - Black or African American KW - Health Personnel KW - Homosexuality, Male KW - Self-Testing KW - Sexual and Gender Minorities KW - HIV Infections KW - Pre-Exposure Prophylaxis KW - HIV self-testing KW - micro-costing KW - cost-effectiveness KW - time-motion KW - United States KW - men who have sex with men KW - Black or African American KW - Cost-Benefit Analysis KW - Homosexuality, Male KW - Pre-Exposure Prophylaxis KW - Self-Testing KW - Sexual and Gender Minorities KW - Health Personnel KW - HIV Testing KW - Hispanic or Latino KW - HIV Infections LA - eng PY - 2025 T2 - Journal of Acquired Immune Deficiency Syndromes (1999) T2 - Journal of Acquired Immune Deficiency Syndromes (1999), 2025, v. 99, no. 3 TI - Cost and Cost-effectiveness of Online Recruitment to Increase HIV Self-testing Among Black and Hispanic/Latino Men Who Have Sex With Men in the United States, 2020-2021. VL - 99 UR - https://stacks.cdc.gov/view/cdc/261506 ER -
Community-academic Implementation Science Partnership to Examine Adoption and Impact of a Patient-centered Approach to Sexual History.

Golub, Sarit A. ;

Hubbard, Stephanie

November 2025 | Psychological Services, 2025, v. 22, no. 4

Progress toward ending the HIV epidemic has been slowed by suboptimal utilization of effective biomedical interventions (e.g., HIV testing, pre-exposure prophylaxis), especially for populations with the highest incidence. In 2021, the New York City Health Department initiated a multilevel implementation strategy, focused on promoting the GOALS Appr ...

10/09/2026

Supporting Files

Title : Community-academic Implementation Science Partnership to Examine Adoption and Impact of a Patient-centered Approach to Sexual History. Personal Author(s) : Golub, Sarit A.;Hubbard, Stephanie;de Roche, Ariel M.;Barton, Staci C.;Merges, Angela;Klein, Augustus; Published Date : November 2025 Pages in Document : 699-709 (23 pdf pages) Source : Psychological Services, 2025, v. 22, no. 4 DOI : https://doi.org/10.1037/ser0000935 Journal Title : Psychological Services
Golub, S. A., Hubbard, S., de Roche, A. M., Barton, S. C., Merges, A., & Klein, A. (2025). Community-academic Implementation Science Partnership to Examine Adoption and Impact of a Patient-centered Approach to Sexual History. Psychological Services, 22(4). https://doi.org/10.1037/ser0000935

Golub, Sarit A., Stephanie Hubbard, Ariel M. de Roche, Staci C. Barton, Angela Merges, and Augustus Klein. "Community-academic Implementation Science Partnership to Examine Adoption and Impact of a Patient-centered Approach to Sexual History." Psychological Services 22, no. 4 (2025). https://doi.org/10.1037/ser0000935.

Golub, Sarit A., et al. "Community-academic Implementation Science Partnership to Examine Adoption and Impact of a Patient-centered Approach to Sexual History." Psychological Services, vol. 22, no. 4, 2025. Stacks. https://doi.org/10.1037/ser0000935.
Export RIS Citation Information. TY - Journal Article AU - Golub, Sarit A. AU - Hubbard, Stephanie AU - de Roche, Ariel M. AU - Barton, Staci C. AU - Merges, Angela AU - Klein, Augustus AB - Progress toward ending the HIV epidemic has been slowed by suboptimal utilization of effective biomedical interventions (e.g., HIV testing, pre-exposure prophylaxis), especially for populations with the highest incidence. In 2021, the New York City Health Department initiated a multilevel implementation strategy, focused on promoting the GOALS Approach to Sexual History and Health-an antistigmatizing, client-centered strategy for sexual history taking-as a lever for increasing HIV intervention adoption, reach, and equity. Project Partnership to Increase Access, Client-Centered Care, and Equity in HIV Services is a community-academic implementation science partnership designed to investigate the impact of strategy enactment on implementation outcomes, including changes in intervention utilization (HIV testing, sexually transmitted infection testing, pre-exposure prophylaxis) in practice over time. This article presents preliminary implementation outcomes collected from the 19 programs (client AB - = 8,865) funded to adopt GOALS. Data indicate the successful enactment of systems-level strategies (infrastructure development, service mandates), program-level strategies (staff training, learning collaboratives), and provider-level strategies (utilization of the GOALS). By Quarter 5, the GOALS was being utilized in a median of 84% of visits across programs (interquartile range: 54%-97%), and GOALS utilization was positively associated with provider adoption of HIV prevention interventions in practice. Programs that struggled with implementation had less buy-in from leadership and lower commitment to provider training; programs with upward implementation trends had less experience delivering sexual health care and used a phased approach to foster support, focusing on the positive reaction to the GOALS among their clients. These data suggest that a multilevel implementation strategy focused on delivery of antistigma, client-centered sexual histories may be a potent implementation strategy for enhancing HIV prevention intervention adoption. (PsycInfo Database Record (c) 2025 APA, all rights reserved). AB - Author manuscript AN - cdc:261505 C4 - PMC12353673 DO - https://doi.org/10.1037/ser0000935 IS - 4 J2 - Psychological Services KW - Medical History Taking KW - Female KW - Community-Institutional Relations KW - Patient-Centered Care KW - Male KW - Implementation Science KW - Humans KW - Adult KW - HIV Infections KW - Sexual Behavior KW - implementation KW - HIV prevention KW - community-academic partnership KW - sexual history KW - program evaluation KW - Humans KW - HIV Infections KW - Implementation Science KW - Patient-Centered Care KW - Medical History Taking KW - Male KW - Female KW - Adult KW - Sexual Behavior KW - Community-Institutional Relations LA - eng PY - 2025 T2 - Psychological Services T2 - Psychological Services, 2025, v. 22, no. 4 TI - Community-academic Implementation Science Partnership to Examine Adoption and Impact of a Patient-centered Approach to Sexual History. VL - 22 UR - https://stacks.cdc.gov/view/cdc/261505 ER -
Factors Associated With Unsuccessful Rabies Tests in Utah, 2014-2023.

Keisling, Clarissa N. ;

Boyd, Will

July 22, 2025 | Journal of Public Health Management and Practice : JPHMP, 2025, v. 31, no. 5

Testing potentially rabid animals is crucial for providing accurate recommendations to prevent rabies infection. When a test of the animal is unsuccessful, (ie, does not produce a positive or negative result) after a potential exposure, health officials cannot rule out rabies and must recommend rabies postexposure prophylaxis, presenting an economi ...

10/09/2026

Supporting Files

Title : Factors Associated With Unsuccessful Rabies Tests in Utah, 2014-2023. Personal Author(s) : Keisling, Clarissa N.;Boyd, Will;Rettler, Hannah;Oltjen, Heather;Nowak, Kacy;Ayres, Kaona;Kinnick-Hansen, Kim;Harbour, Jesse;Lanier, William A.; Published Date : July 22, 2025 Pages in Document : 886-893 (14 pdf pages) Source : Journal of Public Health Management and Practice : JPHMP, 2025, v. 31, no. 5 DOI : https://doi.org/10.1097/PHH.0000000000002155 Journal Title : Journal of Public Health Management and Practice : JPHMP
Keisling, C. N., Boyd, W., Rettler, H., Oltjen, H., Nowak, K., Ayres, K., Kinnick-Hansen, K., Harbour, J., & Lanier, W. A. (2025). Factors Associated With Unsuccessful Rabies Tests in Utah, 2014-2023. Journal of Public Health Management and Practice : JPHMP, 31(5). https://doi.org/10.1097/PHH.0000000000002155

Keisling, Clarissa N., Will Boyd, Hannah Rettler, Heather Oltjen, Kacy Nowak, Kaona Ayres, Kim Kinnick-Hansen, Jesse Harbour, and William A. Lanier. "Factors Associated With Unsuccessful Rabies Tests in Utah, 2014-2023." Journal of Public Health Management and Practice : JPHMP 31, no. 5 (2025). https://doi.org/10.1097/PHH.0000000000002155.

Keisling, Clarissa N., et al. "Factors Associated With Unsuccessful Rabies Tests in Utah, 2014-2023." Journal of Public Health Management and Practice : JPHMP, vol. 31, no. 5, 2025. Stacks. https://doi.org/10.1097/PHH.0000000000002155.
Export RIS Citation Information. TY - Journal Article AU - Keisling, Clarissa N. AU - Boyd, Will AU - Rettler, Hannah AU - Oltjen, Heather AU - Nowak, Kacy AU - Ayres, Kaona AU - Kinnick-Hansen, Kim AU - Harbour, Jesse AU - Lanier, William A. AB - Testing potentially rabid animals is crucial for providing accurate recommendations to prevent rabies infection. When a test of the animal is unsuccessful, (ie, does not produce a positive or negative result) after a potential exposure, health officials cannot rule out rabies and must recommend rabies postexposure prophylaxis, presenting an economic burden to patients and health care systems. AB - To better understand factors associated with unsuccessful rabies tests to inform interventions that would reduce preventable unsuccessful testing. AB - We performed tests of independence between unsuccessful test rates and frequently submitted animal and submitter types. We used Cochran-Mantel-Haenszel (CMH) tests to assess the significance of the association between unsuccessful tests and animal type and submitter type, while controlling for the effects of each. Stratified bivariate analyses identified specific factors driving significant CMH results. AB - Of 2 806 specimens submitted for rabies testing during January 2014-March 2023, 113 (4%) were unsuccessful. Bats, raccoons, and skunks each had higher unsuccessful test rates compared to dogs or cats ( Ps < .001-.003) and together comprised 87 (77%) of the 113 unsuccessful tests. Submissions by citizens had a higher proportion of unsuccessful tests than submissions by animal control ( P < .001); animal control had the lowest unsuccessful test rate of all submitter types. Unsuccessful test rates differed when controlling for submitter type ( P < .001) and animal type ( P = .01). Submissions of bats by citizens had a significantly greater proportion of unsuccessful tests than submissions of bats by animal control ( P < .001). AB - More than three-quarters of unsuccessful tests were attributed to bats, skunks, and raccoons, emphasizing the need to improve submission quality for these animals. We recommend training Utah rabies response partners on proper specimen handling and submission. Efforts should also focus on educating citizens to route submissions through trained rabies responders. Conducting focus groups with specific entities that have the lowest unsuccessful test rates could yield model submission practices. AB - Author manuscript AN - cdc:261504 C4 - PMC12279448 DO - https://doi.org/10.1097/PHH.0000000000002155 IS - 5 J2 - Journal of Public Health Management and Practice : JPHMP KW - Raccoons KW - Chiroptera KW - Cats KW - Rabies KW - Animals KW - Humans KW - Diagnostic Tests, Routine KW - Dogs KW - Rabies KW - Zoonoses KW - One Health Response KW - Public Health Education KW - Disease Prevention KW - Rabies KW - Animals KW - Humans KW - Dogs KW - Cats KW - Chiroptera KW - Diagnostic Tests, Routine KW - Raccoons LA - eng PY - 2025 T2 - Journal of Public Health Management and Practice : JPHMP T2 - Journal of Public Health Management and Practice : JPHMP, 2025, v. 31, no. 5 TI - Factors Associated With Unsuccessful Rabies Tests in Utah, 2014-2023. VL - 31 UR - https://stacks.cdc.gov/view/cdc/261504 ER -
Employer Compliance With OSHA Requirements For Immediate Reporting of Severe Injuries.

Friedman, Lee S ;

Forst, Linda

May 2025 | Occupational and Environmental Medicine, 2025, v. 82, no. 3

In 2014, US Occupational Safety and Health Administration (OSHA) updated a rule requiring employers to directly report all hospitalisations, amputations and eye enucleations to OSHA within 24 hours and within 8 hours for fatalities and multiple injury events. Past studies have shown that employers under-report injuries and illnesses for numerous re ...

10/09/2026

Supporting Files

Title : Employer Compliance With OSHA Requirements For Immediate Reporting of Severe Injuries. Personal Author(s) : Friedman, Lee S;Forst, Linda;Shannon, Brett;Abasilim, Chibuzor;Madigan, Dana; Published Date : May 2025 Pages in Document : 148-156 (20 pdf pages) Source : Occupational and Environmental Medicine, 2025, v. 82, no. 3 DOI : https://doi.org/10.1136/oemed-2025-110074 Journal Title : Occupational and Environmental Medicine
Friedman, L. S., Forst, L., Shannon, B., Abasilim, C., & Madigan, D. (2025). Employer Compliance With OSHA Requirements For Immediate Reporting of Severe Injuries. Occupational and Environmental Medicine, 82(3). https://doi.org/10.1136/oemed-2025-110074

Friedman, Lee S, Linda Forst, Brett Shannon, Chibuzor Abasilim, and Dana Madigan. "Employer Compliance With OSHA Requirements For Immediate Reporting of Severe Injuries." Occupational and Environmental Medicine 82, no. 3 (2025). https://doi.org/10.1136/oemed-2025-110074.

Friedman, Lee S, et al. "Employer Compliance With OSHA Requirements For Immediate Reporting of Severe Injuries." Occupational and Environmental Medicine, vol. 82, no. 3, 2025. Stacks. https://doi.org/10.1136/oemed-2025-110074.
Export RIS Citation Information. TY - Journal Article AU - Friedman, Lee S AU - Forst, Linda AU - Shannon, Brett AU - Abasilim, Chibuzor AU - Madigan, Dana AB - In 2014, US Occupational Safety and Health Administration (OSHA) updated a rule requiring employers to directly report all hospitalisations, amputations and eye enucleations to OSHA within 24 hours and within 8 hours for fatalities and multiple injury events. Past studies have shown that employers under-report injuries and illnesses for numerous reasons. AB - This study evaluated the completeness of required immediate reporting of severe injuries and illnesses by employers to OSHA by linking cases reported to OSHA with hospital data from 1 January 2017 to 31 December 2023. We evaluated factors associated with failure to report severe injuries or illnesses to OSHA using multivariable logistic regression. AB - We identified 7578 non-fatal occupational injuries and illnesses and an additional 160 fatalities treated in Illinois hospitals that were not reported to OSHA. The cumulative reporting rate for non-fatal injuries was 39.7%, while non-fatal illnesses (excluding COVID-19 cases) was 25.1%. There was no significant change in reporting rates over the 7-year period for non-fatal injuries and illnesses. Failure to report serious injuries and illnesses was associated with hospitalisations involving acute illnesses (adjusted OR (aOR)=2.60), female workers (aOR=1.29) and incidents occurring on weekends (aOR=2.21) and holidays (aOR=1.98). We also identified factors associated with improperly reporting cases that did not meet the OSHA reporting criteria. AB - We estimate that failure to report these hospitalisations obscured up to 2122 violations in Illinois workplaces that could have led to remediation to protect other workers from injury. This analysis informs compliance assistance programmes that address reporting practices and record-keeping policy. AB - Author manuscript AN - cdc:261503 C4 - PMC12088877 DO - https://doi.org/10.1136/oemed-2025-110074 IS - 3 J2 - Occupational and Environmental Medicine KW - Female KW - Guideline Adherence KW - Mandatory Reporting KW - Male KW - United States Occupational Safety and Health Administration KW - Occupational Injuries KW - Middle Aged KW - Humans KW - Occupational Health KW - Adult KW - occupational diseases KW - injury underreporting KW - recordkeeping KW - employer reporting KW - public health surveillance KW - Humans KW - Occupational Injuries KW - Female KW - Male KW - United States Occupational Safety and Health Administration KW - Adult KW - Middle Aged KW - Mandatory Reporting KW - Guideline Adherence KW - Occupational Health LA - eng PY - 2025 T2 - Occupational and Environmental Medicine T2 - Occupational and Environmental Medicine, 2025, v. 82, no. 3 TI - Employer Compliance With OSHA Requirements For Immediate Reporting of Severe Injuries. VL - 82 UR - https://stacks.cdc.gov/view/cdc/261503 ER -

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