Purpose: This study examined factors associated with healthcare providers’ (HCPs’) recommendation... more Purpose: This study examined factors associated with healthcare providers’ (HCPs’) recommendation of HPV vaccination for younger and older adolescents. Methods: This is a cross-sectional study, using web-based survey of HCPs in New Jersey in 2018. The study outcome was a dichotomous measure of HCPs’ recommendation of the HPV vaccine. The study predictors included practice characteristics (i.e., proportions of race/ethnicity, age groups, insurance type, and VFC recipients) and HCP’s characteristics (i.e., specialty and perceived knowledge, effectiveness, concerns, parent- and system-related barriers, and facilitators). Data analysis included logistic regression models using separate blocks for practice and provider characteristics, followed by a backward stepwise approach to determine the surviving predictors. Results: Respondents (N=390) included physicians (75%) and nurse practitioners (25%), specialized in pediatrics (62%), family medicine (20%), and women’s health (18%). The HCPs...
The Journal of Neuropsychiatry and Clinical Neurosciences, 1992
Visual perception was evaluated with standard tests for 26 hospitalized patients with schizophren... more Visual perception was evaluated with standard tests for 26 hospitalized patients with schizophrenia, 23 hospitalized patients with affective disorders, and 60 control subjects. Both patient groups differed significantly from the control group on low amplitude of accommodation, esophoria or exophoria, vergence duction suppression, and convergence and divergence recovery ductions. Only the affective group showed significantly reduced fusion at near distance, and only the schizophrenic group differed significantly from control subjects on disorganized left apex formation. These findings appear to confirm the presence of visual perceptual disorders that can cause disability in psychiatric patients, with important research and rehabilitation implications.
The human papillomavirus (HPV) infection is a known risk factor for the development of several ca... more The human papillomavirus (HPV) infection is a known risk factor for the development of several cancers. According the CDC, between 2004 and 2008, there was a national average of 33,369 HPV-associated cancers annually, including cervical, vulvar, vaginal, penile, anal, and oropharyngeal cancers. There are pervasive disparities in national morbidity and mortality rates in the US for HPV-related cancers among Black and Hispanic. Cervical cancer, in particular, is more common among Black and Hispanic women and results in disproportionately higher mortality for Black women. In addition to race/ethnicity, incidence rates of penile, cervical, and vaginal cancers increase with higher poverty rates. Cervical cancer and other HPV-related cancers are preventable diseases through the 3-dose series of the HPV vaccine. Healthy People 2020 objective IID-11.4 is to increase the vaccination coverage level of 3 doses of HPV vaccine for females by age 13 to 15 years to 80%. However, HPV vaccination ra...
Our objective was to assess whether or not a systematic review of mammographic descriptors would ... more Our objective was to assess whether or not a systematic review of mammographic descriptors would result in improved classifications of nonpalpable lesions of the breast and reductions of biopsies for benign conditions. The prelocalization mammograms of 200 consecutive patients who had 231 biopsies were reviewed in random order by four radiologists experienced in mammography. Each reader assessed the presence of 32 specific descriptors regarding masses and calcifications. The following descriptors were highly associated with malignancy: for masses, inhomogeneous density; irregular shape; spiculated borders; and for calcifications, many calcifications; microcalcifications; linear or branching patterns, or both, and high spatial density. For masses, the descriptors highly associated with benignity were homogeneous density, oval shape and sharp or lobulated borders. For calcifications, the descriptors highly associated with benignity were solid, round and irregularly shaped. Readers ind...
Objetivos este estudo de caso-controle comparou os níveis de estresse e carga alostática (CA) ent... more Objetivos este estudo de caso-controle comparou os níveis de estresse e carga alostática (CA) entre mulheres mexicanas nos EUA ( n = 19) e no México ( n = 40). Método medidas de estresse incluíram a Escala de Estresse Percebido (EEP) e a Escala de Estresse Social das Mulheres Hispânicas (EESMH). Uma medida composta por 8 indicadores de CA (pressão arterial sistólica e diastólica, índice de massa corporal (IMC), relação cintura-quadril, colesterol total, hemoglobina glicada (hemoglobina A1C), triglicerídeos e proteína C-reativa) foi calculada. Resultados não houve diferenças significativas entre os grupos na CA entre mulheres mexicanas imigrantes e não imigrantes ( t = 1,55, p = 0,126). Uma análise fatorial de componentes principais foi realizada nos 8 indicadores de CA; uma solução de 2 fatores explicou 57% da variância. As diferenças entre grupo nos dois fatores CA foram analisadas usando MANOVA. O IMC e a relação cintura-quadril foram menores, mas a pressão arterial e os triglicer...
The authors performed this study to assess the performance of a computer-based classification sys... more The authors performed this study to assess the performance of a computer-based classification system that uses gaze locations of observers to define the subspace for machine learning. Thirty-two dental radiographs were classified by an expert viewer into four categories of disease of the periapical region: no disease (normal tooth), mild disease (widened periodontal ligament space), moderate disease (destruction of the lamina dura), and severe disease (resorption of bone in the periapical area). There were eight images in each category. Six observers independently viewed the images while their eye gaze position was recorded. They then classified the images into one of the four categories. A sample of image space was used as input to a machine learning routine to develop a machine classifier. Sample space was determined with three techniques: visual gaze, random selection, and constrained random selection. K analyses were used to compare classification accuracies with the three sampling techniques. With use of the expert classification as a standard of reference, observers classified images with 57% accuracy, and the machine classified images with 84% accuracy by using the same gaze-selected features and image space. Results of kappa analyses revealed mean values of 0.78 for gaze-selected sampling, 0.69 for random sampling, 0.68 for constrained random selection, and 0.44 for observers. The use of sample space selected with the visual gaze technique was superior to that selected with both random-selection techniques and by the observers. Machine classification of dental images improves the accuracy of individual observers using gaze-selected image space.
Journal of alternative and complementary medicine (New York, N.Y.), Jan 21, 2018
The limited success of conventional anticraving interventions encourages research into new treatm... more The limited success of conventional anticraving interventions encourages research into new treatment strategies. Heart rate variability biofeedback (HRVB), which is based on slowed breathing, was shown to improve symptom severity in various disorders. HRVB, and certain rates of controlled breathing (CB), may offer therapeutic potential as a complementary drug-free treatment option to help control substance craving. This review evaluated current evidence on the effectiveness of HRVB and CB training as a complementary anticraving intervention, based on guidelines from the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols. Studies that assessed a cardiorespiratory feedback or CB intervention with substance craving as an outcome were selected. Effect sizes were calculated for each study. The Scale for Assessing Scientific Quality of Investigations in Complementary and Alternative Medicine was used to evaluate the quality of each study reviewed. A total of eight...
Purpose: This study examined factors associated with healthcare providers’ (HCPs’) recommendation... more Purpose: This study examined factors associated with healthcare providers’ (HCPs’) recommendation of HPV vaccination for younger and older adolescents. Methods: This is a cross-sectional study, using web-based survey of HCPs in New Jersey in 2018. The study outcome was a dichotomous measure of HCPs’ recommendation of the HPV vaccine. The study predictors included practice characteristics (i.e., proportions of race/ethnicity, age groups, insurance type, and VFC recipients) and HCP’s characteristics (i.e., specialty and perceived knowledge, effectiveness, concerns, parent- and system-related barriers, and facilitators). Data analysis included logistic regression models using separate blocks for practice and provider characteristics, followed by a backward stepwise approach to determine the surviving predictors. Results: Respondents (N=390) included physicians (75%) and nurse practitioners (25%), specialized in pediatrics (62%), family medicine (20%), and women’s health (18%). The HCPs...
The Journal of Neuropsychiatry and Clinical Neurosciences, 1992
Visual perception was evaluated with standard tests for 26 hospitalized patients with schizophren... more Visual perception was evaluated with standard tests for 26 hospitalized patients with schizophrenia, 23 hospitalized patients with affective disorders, and 60 control subjects. Both patient groups differed significantly from the control group on low amplitude of accommodation, esophoria or exophoria, vergence duction suppression, and convergence and divergence recovery ductions. Only the affective group showed significantly reduced fusion at near distance, and only the schizophrenic group differed significantly from control subjects on disorganized left apex formation. These findings appear to confirm the presence of visual perceptual disorders that can cause disability in psychiatric patients, with important research and rehabilitation implications.
The human papillomavirus (HPV) infection is a known risk factor for the development of several ca... more The human papillomavirus (HPV) infection is a known risk factor for the development of several cancers. According the CDC, between 2004 and 2008, there was a national average of 33,369 HPV-associated cancers annually, including cervical, vulvar, vaginal, penile, anal, and oropharyngeal cancers. There are pervasive disparities in national morbidity and mortality rates in the US for HPV-related cancers among Black and Hispanic. Cervical cancer, in particular, is more common among Black and Hispanic women and results in disproportionately higher mortality for Black women. In addition to race/ethnicity, incidence rates of penile, cervical, and vaginal cancers increase with higher poverty rates. Cervical cancer and other HPV-related cancers are preventable diseases through the 3-dose series of the HPV vaccine. Healthy People 2020 objective IID-11.4 is to increase the vaccination coverage level of 3 doses of HPV vaccine for females by age 13 to 15 years to 80%. However, HPV vaccination ra...
Our objective was to assess whether or not a systematic review of mammographic descriptors would ... more Our objective was to assess whether or not a systematic review of mammographic descriptors would result in improved classifications of nonpalpable lesions of the breast and reductions of biopsies for benign conditions. The prelocalization mammograms of 200 consecutive patients who had 231 biopsies were reviewed in random order by four radiologists experienced in mammography. Each reader assessed the presence of 32 specific descriptors regarding masses and calcifications. The following descriptors were highly associated with malignancy: for masses, inhomogeneous density; irregular shape; spiculated borders; and for calcifications, many calcifications; microcalcifications; linear or branching patterns, or both, and high spatial density. For masses, the descriptors highly associated with benignity were homogeneous density, oval shape and sharp or lobulated borders. For calcifications, the descriptors highly associated with benignity were solid, round and irregularly shaped. Readers ind...
Objetivos este estudo de caso-controle comparou os níveis de estresse e carga alostática (CA) ent... more Objetivos este estudo de caso-controle comparou os níveis de estresse e carga alostática (CA) entre mulheres mexicanas nos EUA ( n = 19) e no México ( n = 40). Método medidas de estresse incluíram a Escala de Estresse Percebido (EEP) e a Escala de Estresse Social das Mulheres Hispânicas (EESMH). Uma medida composta por 8 indicadores de CA (pressão arterial sistólica e diastólica, índice de massa corporal (IMC), relação cintura-quadril, colesterol total, hemoglobina glicada (hemoglobina A1C), triglicerídeos e proteína C-reativa) foi calculada. Resultados não houve diferenças significativas entre os grupos na CA entre mulheres mexicanas imigrantes e não imigrantes ( t = 1,55, p = 0,126). Uma análise fatorial de componentes principais foi realizada nos 8 indicadores de CA; uma solução de 2 fatores explicou 57% da variância. As diferenças entre grupo nos dois fatores CA foram analisadas usando MANOVA. O IMC e a relação cintura-quadril foram menores, mas a pressão arterial e os triglicer...
The authors performed this study to assess the performance of a computer-based classification sys... more The authors performed this study to assess the performance of a computer-based classification system that uses gaze locations of observers to define the subspace for machine learning. Thirty-two dental radiographs were classified by an expert viewer into four categories of disease of the periapical region: no disease (normal tooth), mild disease (widened periodontal ligament space), moderate disease (destruction of the lamina dura), and severe disease (resorption of bone in the periapical area). There were eight images in each category. Six observers independently viewed the images while their eye gaze position was recorded. They then classified the images into one of the four categories. A sample of image space was used as input to a machine learning routine to develop a machine classifier. Sample space was determined with three techniques: visual gaze, random selection, and constrained random selection. K analyses were used to compare classification accuracies with the three sampling techniques. With use of the expert classification as a standard of reference, observers classified images with 57% accuracy, and the machine classified images with 84% accuracy by using the same gaze-selected features and image space. Results of kappa analyses revealed mean values of 0.78 for gaze-selected sampling, 0.69 for random sampling, 0.68 for constrained random selection, and 0.44 for observers. The use of sample space selected with the visual gaze technique was superior to that selected with both random-selection techniques and by the observers. Machine classification of dental images improves the accuracy of individual observers using gaze-selected image space.
Journal of alternative and complementary medicine (New York, N.Y.), Jan 21, 2018
The limited success of conventional anticraving interventions encourages research into new treatm... more The limited success of conventional anticraving interventions encourages research into new treatment strategies. Heart rate variability biofeedback (HRVB), which is based on slowed breathing, was shown to improve symptom severity in various disorders. HRVB, and certain rates of controlled breathing (CB), may offer therapeutic potential as a complementary drug-free treatment option to help control substance craving. This review evaluated current evidence on the effectiveness of HRVB and CB training as a complementary anticraving intervention, based on guidelines from the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols. Studies that assessed a cardiorespiratory feedback or CB intervention with substance craving as an outcome were selected. Effect sizes were calculated for each study. The Scale for Assessing Scientific Quality of Investigations in Complementary and Alternative Medicine was used to evaluate the quality of each study reviewed. A total of eight...
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Papers by Dennis P Carmody