Publications by authors named "Raul Cruz Cano"

Background: Virtual reality (VR) platforms can simulate the real world, whereas online surveys are efficient settings for assessing and testing information. In this study, the effects of presenting health warning labels (HWLs) on hookah venue menus were compared between these two message-testing settings.

Methods: Separate studies were conducted in VR ( = 96) and online survey ( = 213) settings.

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  • Climate change is causing global temperature increases and extreme weather, leading to heightened heat stress, which poses serious public health risks.
  • Studies primarily focus on air temperature, but the Universal Thermal Climate Index (UTCI) provides a more comprehensive measure of heat strain.
  • The Asia-Pacific region shows rising air temperatures from 1990 to 2019, but UTCI trends are less severe, suggesting other factors may mitigate heat stress despite increasing temperatures, with significant seasonal variations linked to the El Niño Southern Oscillation (ENSO).
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Background: The combination of opioid misuse and cigarette smoking contributes to increased morbidity and mortality compared to each substance use alone. We estimated the incidence of opioid misuse for persons who currently or formerly smoked versus never smoked.

Methods: Data came from the 2015-2020 National Surveys on Drug Use and Health cross-sectional surveys of US civilians aged 12+ (n = 315,661).

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Climate change is adversely impacting the burden of diarrheal diseases. Despite significant reduction in global prevalence, diarrheal disease remains a leading cause of morbidity and mortality among young children in low- and middle-income countries. Previous studies have shown that diarrheal disease is associated with meteorological conditions but the role of large-scale climate phenomena such as El Niño-Southern Oscillation (ENSO) and monsoon anomaly is less understood.

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Introduction: E-cigarette price promotions (EPPs; i.e., marketed reductions in cost) may influence young adult cigarette smokers to try, dual use with, or completely transition to e-cigarettes.

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Introduction: Local e-cigarette sales restrictions (ESRs) may impact e-cigarette use. This study examined the associations between living in localities with various ESR policies and changes in e-cigarette use among young adults in Los Angeles (LA) County, California, USA.

Methods: Data were from a cohort of LA County young adults (18-21 years; n=2100) who completed two waves of surveys (Fall 2018-Summer 2019 and Summer-Fall 2020).

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E-cigarette marketing tactics to reach and appeal to youth are rapidly changing. This study examined to what extent youth e-cigarette marketing exposure was associated with e-cigarette use behavior change one year later, during a time when youth e-cigarette use was starting to surge in the U.S.

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  • Frequent interruptions and high patient turnover in Emergency Departments make communication during physician transitions of care (TOCs) difficult, prompting the need for a structured TOC format.* -
  • A study at an urban community teaching hospital assessed the impact of a formatted TOC on the perceived quality of sign-out, using a scoring system to evaluate various communication aspects.* -
  • Results indicated that resident physicians experienced significant improvements in certain communication areas with the formatted TOC, suggesting its potential benefits in emergency medicine training.*
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  • This study investigated the impact of health warning labels (HWLs) on waterpipe menus and how they influenced young adult smokers' attention and attitudes towards waterpipe tobacco smoking (WTS).
  • A randomized experiment was conducted with 96 participants using virtual reality, comparing menus with and without HWLs to measure visual attention and posttest attitudes.
  • Results showed that HWL captured more attention, led to negative attitudes toward WTS, increased perceived health risks, and heightened intentions to quit, suggesting that HWLs can effectively communicate the risks of WTS.
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Background: Manual palpation (MP) is frequently employed for pulse checks, but studies have shown that trained medical personnel have difficulty accurately identifying pulselessness or return of spontaneous circulation (ROSC) using MP. Any delays in identifying pulselessness can lead to significant delays in starting or resuming high-quality chest compressions.

Objectives: This study explored whether femoral arterial Doppler ultrasound (FADU) decreases pulse check duration during cardiopulmonary resuscitation (CPR) compared with MP among patients in the emergency department (ED) receiving CPR directed by emergency medicine physicians who had received minimal additional didactic ultrasound training.

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  • The FSMA Produce Safety Rule mandates farmers to create a Microbial Water Quality Profile (MWQP) using samples from their agricultural water sources to monitor E. coli levels, which can be costly and time-consuming.
  • Research conducted on 279 water samples from various sites in the U.S. Mid-Atlantic aimed to evaluate whether testing frequency could be reduced without jeopardizing accuracy.
  • Results indicated that, under specific conditions, a smaller sub-sample (as few as 5 samples) could sufficiently demonstrate compliance with the safety standards, potentially easing the financial burden on farmers.
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With the increasing availability and dropping cost of high-throughput technology in recent years, many-omics datasets have accumulated in the public domain. Combining multiple transcriptomic studies on related hypothesis via meta-analysis can improve statistical power and reproducibility over single studies. For differential expression (DE) analysis, biomarker categorization by DE pattern across studies is a natural but critical task following biomarker detection to help explain between study heterogeneity and classify biomarkers into categories with potentially related functionality.

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Phthalates, plasticizers ubiquitous in household and personal care products, have been associated with metabolic disturbances. Despite the noted racial differences in phthalate exposure and the prevalence of metabolic syndrome (MetS), it remains unclear whether associations between phthalate metabolites and MetS vary by race and sex. A cross-sectional analysis was conducted among 10,017 adults from the National Health and Nutritional Examination Survey (2005-2014).

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  • The study explored how health information on waterpipe lounge menus affects young adults' perceptions of the risks and harms associated with waterpipe tobacco smoking (WTS).
  • Participants aged 18 to 24 who regularly smoke waterpipe were randomly shown menus with either warning messages or information on nicotine content.
  • The results indicated that those who saw warning messages felt that WTS posed greater health risks, while those shown nicotine content believed there was a higher risk of heart attack, suggesting that such health information can effectively educate this age group on the dangers of WTS.
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Objective: Our objective is to forecast the number of coronavirus disease 2019 (COVID-19) cases in the state of Maryland, United States, using transfer function time series (TS) models based on a Social Distancing Index (SDI) and determine how their parameters relate to the pandemic mechanics.

Methods: A moving window of 2 mo was used to train the transfer function TS model that was then tested on the next week data. After accounting for a secular trend and weekly cycle of the SDI, a high correlation was documented between it and the daily caseload 9 days later.

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Objective: We quantified the association between public compliance with social distancing measures and the spread of SARS-CoV-2 during the first wave of the epidemic (March-May 2020) in 5 states that accounted for half of the total number of COVID-19 cases in the United States.

Methods: We used data on mobility and number of COVID-19 cases to longitudinally estimate associations between public compliance, as measured by human mobility, and the daily reproduction number and daily growth rate during the first wave of the COVID-19 epidemic in California, Illinois, Massachusetts, New Jersey, and New York.

Results: The 5 states mandated social distancing directives during March 19-24, 2020, and public compliance with mandates started to decrease in mid-April 2020.

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  • HPV vaccination is effective but has low uptake rates among adolescents, partly due to knowledge gaps among parents and caregivers related to social media use.
  • A study analyzed data from over 2,700 individuals to explore how different levels of social media engagement impact awareness of HPV and its vaccine, revealing that more social media use leads to higher awareness.
  • Findings indicate men and certain racial/ethnic groups have lower awareness of HPV; thus, leveraging social media can help educate these populations and potentially increase vaccination rates to reduce cancer risks.
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Campylobacter is a leading cause of bacterial foodborne illness in the United States. Campylobacter infections have most often been associated with food-related risk factors, such as the consumption of poultry and raw milk. Socioeconomic, agricultural and environmental factors, including drinking water source, can also influence the risk of campylobacteriosis.

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Introduction: Prior research has shown that tobacco companies target point-of-sale (POS) marketing to low-income communities. This research assessed the association between demographic characteristics and venue type with purchasing tobacco products in response to marketing.

Methods: Using Population Assessment of Tobacco and Health (PATH) Study Wave 1 Adult data, this analysis compared promotion awareness and purchase influence among current smokers.

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To determine the number and causes of excess deaths in Puerto Rico after Hurricane Maria made landfall on September 20, 2017. We obtained monthly vital statistics data on all deaths from January 2008 through October 2017. We conducted a time-series analysis to estimate excess mortality in September and October 2017 overall and by age, sex, and cause of death.

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The increased consumption of tobacco products in recent years has been linked, among other factors, to the presence of added flavors. Although flavors are important in explaining consumption, their effects in the brain have until now been unexplored. In the present study, we investigated how electrophysiology can serve to dissociate the effects of nicotine and flavor.

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