126
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Greenberg M. The elusive role of the physician assistant program medical director. J Physician Assist Educ 2012; 23:46. [PMID: 22827151 DOI: 10.1097/01367895-201223020-00009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
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127
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Greenberg M, Lowrie K. Implications for risk assessment. RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2011; 31:1847-1848. [PMID: 22098458 DOI: 10.1111/j.1539-6924.2011.01712.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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128
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Greenberg M, Lowrie K. Nanotechnology is a major risk analysis issue. From the editors. RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2011; 31:1693. [PMID: 22084860 DOI: 10.1111/j.1539-6924.2011.01709.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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129
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130
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Gandhi M, McKenna S, Geraets A, Bhatt R, Greenberg M, Bartley A, Rodger AJ. Establishing an opportunistic catch up immunisation service for children attending an acute trust in London. Arch Dis Child 2011; 96:780-1. [PMID: 21169232 DOI: 10.1136/adc.2010.198515] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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131
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Greenberg M, Lowrie K. From the editors: risk assessment and decision science. RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2011; 31:1173-1174. [PMID: 21838772 DOI: 10.1111/j.1539-6924.2011.01666.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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132
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133
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Greenberg M, Lowrie K. Risk perception. RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2011; 31:1037. [PMID: 21707684 DOI: 10.1111/j.1539-6924.2011.01650.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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134
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Greenberg M, Lowrie K. Regulations and risk analysis. From the editors. RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2011; 31:879. [PMID: 21679215 DOI: 10.1111/j.1539-6924.2011.01632.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
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135
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Murphy BA, Chen AY, Curran WJ, Garden AS, Harari PM, Wong SJ, Bellm LA, Schwartz M, Newman J, Adkins D, Hayes DN, Parvathaneni U, Brachman D, Ghabach B, Schneider C, Greenberg M, Abitbol A, Anne PR, Ang KK. Longitudinal Oncology Registry of Head and Neck Carcinoma (LORHAN): Analysis of disparities in care. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.5533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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136
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Greenberg M, Truelove HB. Energy choices and risk beliefs: is it just global warming and fear of a nuclear power plant accident? RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2011; 31:819-831. [PMID: 21143259 DOI: 10.1111/j.1539-6924.2010.01535.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
A survey of 3,200 U.S. residents focused on two issues associated with the use of nuclear and coal fuels to produce electrical energy. The first was the association between risk beliefs and preferences for coal and nuclear energy. As expected, concern about nuclear power plant accidents led to decreased support for nuclear power, and those who believed that coal causes global warming preferred less coal use. Yet other risk beliefs about the coal and nuclear energy fuel cycles were stronger or equal correlates of public preferences. The second issue is the existence of what we call acknowledged risk takers, respondents who favored increased reliance on nuclear energy, although also noting that there could be a serious nuclear plant accident, and those who favored greater coal use, despite acknowledging a link to global warming. The pro-nuclear group disproportionately was affluent educated white males, and the pro-coal group was relatively poor less educated African-American and Latino females. Yet both shared four similarities: older age, trust in management, belief that the energy facilities help the local economy, and individualistic personal values. These findings show that there is no single public with regard to energy preferences and risk beliefs. Rather, there are multiple populations with different viewpoints that surely would benefit by hearing a clear and comprehensive national energy life cycle policy from the national government.
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Greenberg M, Lowrie K. Public perception, homeland security, and exposure assessment. RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2011; 31:513-514. [PMID: 21443595 DOI: 10.1111/j.1539-6924.2011.01614.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
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138
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Faass J, Greenberg M, Lowrie KW. Defending a moving target: H1N1 preparedness training for the transit industry. Health Promot Pract 2011; 14:24-9. [PMID: 21460256 DOI: 10.1177/1524839911399432] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
To stem the spread of the novel H1N1 virus, U.S. public health officials put forth a variety of recommendations, ranging from practicing social distancing and frequent hand washing at the individual level, to furloughs and continual cleaning of commonly touched surfaces at the level of the organization. Although these steps are amenable to implementation in an office, school or hospital setting, they are nearly impossible to apply in the public transit environment, where large numbers of people remain in close quarters, with no running water and limited opportunities for disinfection. Recognizing the need to offer adequate protection from infection to employees and customers alike, transit officials expressed the need for H1N1-specific training, tailored to industry needs and limitations, to Rutgers University's Center for Transportation Safety, Security and Risk. The resulting course, which was informed through a combination of literature-based and primary research, combined the most current public health data with best practices gleaned from some of the nation's largest transit agencies, in a just-in-time format.
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Greenberg M, Mayer H, Powers C. Public preferences for environmental management practices at DOE's nuclear waste sites. ACTA ACUST UNITED AC 2011. [DOI: 10.1002/rem.20285] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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140
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Greenberg M. Editor's Choice. Time to worry: Whither risk analysis and the compression of government funding in the United States? RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2011; 31:344. [PMID: 21385198 DOI: 10.1111/j.1539-6924.2011.01588_2.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
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141
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Greenberg M, Lowrie K. From the editors. It is time to worry about the impact of cuts. RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2011; 31:343-344. [PMID: 21385197 DOI: 10.1111/j.1539-6924.2011.01588_1.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
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142
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Greenberg M, Lowrie K. Risk perception. RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2011; 31:185-186. [PMID: 21320147 DOI: 10.1111/j.1539-6924.2010.01578_1.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
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143
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Rockman S, Schoofs P, Greenberg M. Development and testing of the Australian pandemic influenza vaccine – a timely response. MICROBIOLOGY AUSTRALIA 2011. [DOI: 10.1071/ma11010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
In April 2009 a novel virus strain appeared which would cause the first influenza pandemic of the 21st century. This pandemic was the first to occur in an era where bioinformatic technologies contributed to the response to this virus; still, the creation of a vaccine relied largely on existing egg-based technology. The ongoing threat of a H5N1 pandemic spurred the development of strategies to rapidly produce a pandemic vaccine. These plans were implemented and allowed CSL and Australia to conduct the first clinical trials and produce one of the first 2009 pandemic vaccines. However, new candidate influenza vaccine viruses often present challenges to manufacturing a new vaccine. This pandemic virus was no exception. Being in the post-pandemic phase, it is important to review lessons learned to improve our response to future pandemics. In hindsight, the production of a pandemic vaccine is similar to that of seasonal influenza vaccines, yet the urgency of the pandemic response compresses timelines. This report explores those timelines and implications for producing a pandemic vaccine for Australia.
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Borjan M, Marcella S, Blount B, Greenberg M, Zhang JJ, Murphy E, Valentin-Blasini L, Robson M. Perchlorate exposure in lactating women in an urban community in New Jersey. THE SCIENCE OF THE TOTAL ENVIRONMENT 2011; 409:460-464. [PMID: 21109291 DOI: 10.1016/j.scitotenv.2010.10.045] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/2010] [Revised: 10/26/2010] [Accepted: 10/27/2010] [Indexed: 05/30/2023]
Abstract
Perchlorate is most widely known as a solid oxidant for missile and rocket propulsion systems although it is also present as a trace contaminant in some fertilizers. It has been detected in drinking water, fruits, and vegetables throughout New Jersey and most of the United States. At sufficiently high doses, perchlorate interferes with the uptake of iodine into the thyroid and may interfere with the development of the skeletal system and the central nervous system of infants. Therefore, it is important to quantify perchlorate in breast milk to understand potential perchlorate exposure in infants. In this study we measured perchlorate in breast milk, urine, and drinking water collected from 106 lactating mothers from Central New Jersey. Each subject was asked to provide three sets of samples over a 3-month period. The average±SD perchlorate level in drinking water, breast milk, and urine was 0.168±0.132 ng/mL (n=253), 6.80±8.76 ng/mL (n=276), and 3.19±3.64 ng/mL (3.51±6.79 μg/g creatinine) (n=273), respectively. Urinary perchlorate levels were lower than reference range values for women of reproductive age (5.16±11.33 μg/g creatinine, p=0.03), likely because of perchlorate secretion in breast milk. Drinking water perchlorate levels were ≤1.05 ng/mL and were not positively correlated with either breast milk or urine perchlorate levels. These findings together suggest that drinking water was not the most important perchlorate exposure source for these women. Creatinine-adjusted urine perchlorate levels were strongly correlated with breast milk perchlorate levels (r=0.626, p=<0.0005). Breast milk perchlorate levels in this study are consistent with widespread perchlorate exposure in lactating women and thus infants. This suggests that breast milk may be a source of exposure to perchlorate in infants.
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Greenberg M, Lowrie K. Celebrating three decades of public policy-oriented interdisciplinary research. RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2011; 31:7-11. [PMID: 21198727 DOI: 10.1111/j.1539-6924.2010.01554.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
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146
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Greenberg M, Lowrie K. Interdisciplinary considerations of risk. RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2010; 30:1735-1736. [PMID: 21121940 DOI: 10.1111/j.1539-6924.2010.01526.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
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147
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148
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Greenberg M, Lowrie K. Risk science and policy issues. RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2010; 30:1455-1456. [PMID: 21039695 DOI: 10.1111/j.1539-6924.2010.01515.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
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149
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Greenberg M, Lowrie K. Studies that use experimental designs to understand behaviors and reactions to communications. RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2010; 30:1301-1302. [PMID: 20840486 DOI: 10.1111/j.1539-6924.2010.01480.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
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150
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Kokkinos P, Myers J, Faselis C, Panagiotakos DB, Doumas M, Pittaras A, Manolis A, Kokkinos; JP, Karasik P, Greenberg M, Papademetriou V, Fletcher R. Exercise Capacity and Mortality in Older Men. Circulation 2010; 122:790-7. [DOI: 10.1161/circulationaha.110.938852] [Citation(s) in RCA: 237] [Impact Index Per Article: 16.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background—
Epidemiological findings, based largely on middle-aged populations, support an inverse and independent association between exercise capacity and mortality risk. The information available in older individuals is limited.
Methods and Results—
Between 1986 and 2008, we assessed the association between exercise capacity and all-cause mortality in 5314 male veterans aged 65 to 92 years (mean±SD, 71.4±5.0 years) who completed an exercise test at the Veterans Affairs Medical Centers in Washington, DC, and Palo Alto, Calif. We established fitness categories based on peak metabolic equivalents (METs) achieved. During a median 8.1 years of follow-up (range, 0.1 to 25.3), there were 2137 deaths. Baseline exercise capacity was 6.3±2.4 METs among survivors and 5.3±2.0 METs in those who died (
P
<0.001) and emerged as a strong predictor of mortality. For each 1-MET increase in exercise capacity, the adjusted hazard for death was 12% lower (hazard ratio=0.88; confidence interval, 0.86 to 0.90). Compared with the least fit individuals (≤4 METs), the mortality risk was 38% lower for those who achieved 5.1 to 6.0 METs (hazard ratio=0.62; confidence interval, 0.54 to 0.71) and progressively declined to 61% (hazard ratio=0.39; confidence interval, 0.32 to 0.49) for those who achieved >9 METs, regardless of age. Unfit individuals who improved their fitness status with serial testing had a 35% lower mortality risk (hazard ratio=0.65; confidence interval, 0.46 to 0.93) compared with those who remained unfit.
Conclusions—
Exercise capacity is an independent predictor of all-cause mortality in older men. The relationship is inverse and graded, with most survival benefits achieved in those with an exercise capacity >5 METs. Survival improved significantly when unfit individuals became fit.
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