Publications

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a reappraisal of the epidemiology of phenotypes of neisseria gonorrhoeae.we analyzed published data from studies of the epidemiology of gonococcal auxotype/serovar phenotypes in seattle and king county, washington; denver, colorado; and miami and dade county, florida, to determine whether the numbers of new phenotypes were within the ranges of numbers predicted from previous observations in the same populations. for this analysis, we used the model of fisher and good and turing. in all the analyses, the observed number of new species was within the 95% confidence reg ...19892500719
outbreak of candida parapsilosis endophthalmitis after cataract extraction and intraocular lens implantation.between november 1983 and january 1984, 13 cases of candida parapsilosis endophthalmitis occurred in florida, georgia, and tennessee in patients who had had an intraocular lens implantation (ioli) or cataract extraction with an ioli. this outbreak followed the introduction in july 1983 of a new brand of balanced salt solution (bss) used as an intraoperative ophthalmic irrigation solution. this product was subsequently recalled because of intrinsic fungal contamination. a retrospective cohort stu ...19863490490
microsporidiosis in the caribbean spiny lobster panulirus argus from southeast florida, usa.two specimens of the caribbean spiny lobster panulirus argus captured by lobster fishers offshore of southeast florida, usa, between late 2007 and early 2008 had completely white abdominal muscle tissue with a 'cooked' appearance. wet-mount examination of the skeletal muscle tissue revealed masses of microsporidian spores. histopathology of longitudinally sectioned skeletal muscle showed that the microsporidian spores displaced much of the muscle mass, but were interspersed with small empty vacu ...200919565701
dengue surveillance in veterans affairs healthcare facilities, 2007-2010.although dengue is endemic in puerto rico (pr), 2007 and 2010 were recognized as epidemic years. in the continental united states (us), outside of the texas-mexico border, there had not been a dengue outbreak since 1946 until dengue re-emerged in key west, florida (fl), in 2009-2010. the objective of this study was to use electronic and manual surveillance systems to identify dengue cases in veterans affairs (va) healthcare facilities and then to clinically compare dengue cases in veterans prese ...201323516642
examining the association between possessing a regular source of healthcare and adherence with cancer screenings among haitian households in little haiti, miami-dade county, florida.immigrant minorities regularly experience higher incidence and mortality rates of cancer. frequently, a variety of social determinants create obstacles for those individuals to get the screenings they need. this is especially true for haitian immigrants, a particularly vulnerable immigrant population in south florida, who have been identified as having low cancer screening rates. while haitian immigrants have some of the lowest cancer screening rates in the country, there is little existing lite ...201728796056
epidemiology of ciguatera in florida.ciguatera is the most commonly reported marine food-borne illness worldwide. because there is a biological plausibility that ciguatera may be impacted by long-term climate variability and florida is on the northern border of the geographic distribution of ciguatera, it is important to update our understanding of its epidemiology in florida. we performed an analysis of 291 reports in florida from 2000 to 2011 and an e-mail survey of 5,352 recreational fishers to estimate incidence and underreport ...201526123957
anthropogenic effects on the smalltooth sawfish (pristis pectinata) in the united states.bycatch mortality in net fisheries was the major reason for the decline of the endangered smalltooth sawfish, pristis pectinata, in the united states. these fisheries have been reduced or eliminated in some states including florida--where most smalltooth sawfish are currently found in the united states. to determine whether other factors are still affecting this species, we obtained non-net fishery entanglement, injury, and mortality data by soliciting information from anyone who may have encoun ...200617034820
ciguatera fish poisoning--texas, 1998, and south carolina, 2004.ciguatera fish poisoning is characterized by gastrointestinal symptoms such as nausea, vomiting, and diarrhea and neurologic symptoms such as weakness, tingling, and pruritus (itching). the condition is caused by eating fish containing toxins produced by the dinoflagellate gambierdiscus toxicus, a one-celled plantlike organism that grows on algae in tropical waters worldwide. because these toxins are lipid soluble, they accumulate through the food chain as carnivorous fish consume contaminated h ...200616943762
effects of marine reserves on adjacent fisheries.marine reserves have been widely promoted as conservation and fishery management tools. there are robust demonstrations of conservation benefits, but fishery benefits remain controversial. we show that marine reserves in florida (united states) and st. lucia have enhanced adjacent fisheries. within 5 years of creation, a network of five small reserves in st. lucia increased adjacent catches of artisanal fishers by between 46 and 90%, depending on the type of gear the fishers used. in florida, re ...200111729316
homicide in homosexual victims: a study of 67 cases from the broward county, florida, medical examiner's office (1982-1992), with special emphasis on "overkill".forensic pathologists often state that homosexual homicides are more violent than those with heterosexual victims. overkill or wounding far beyond that required to cause death is a frequently used descriptor of these deaths. we quantified the number and extent of injuries between homosexual and heterosexual homicide victims to determine whether one group suffered more violence than the other. this case-control study involved 67 homosexual homicide victims and 195 age, race, and gender-matched he ...19968838474
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