5 results on '"Ciminera, Paul"'
Search Results
2. Respiratory Health after Military Service in Southwest Asia and Afghanistan. An Official American Thoracic Society Workshop Report
- Author
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Yiallouros, Panayiotis, Garshick, Eric, Abraham, Joseph H., Baird, Coleen P., Ciminera, Paul, Downey, Gregory P., Falvo, Michael J., Hart, Jaime E., Jackson, David A., Jerrett, Michael, Kuschner, Ware, Helmer, Drew A., Jones, Kirk D., Krefft, Silpa D., Mallon, Timothy, Miller, Robert F., Morris, Michael J., Proctor, Susan P., Redlich, Carrie A., Rose, Cecile S., Rull, Rudolph P., Saers, Johannes, Schneiderman, Aaron I., Smith, Nicholas L., Blanc, Paul D., and Yiallouros, Panayiotis [0000-0002-8339-9285]
- Subjects
Male ,Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Military service ,Respiratory Tract Diseases ,Burn pit ,Pulmonary function testing ,Middle East ,Confidence Intervals ,Humans ,deployment ,Medicine ,Bronchitis ,Iraq War, 2003-2011 ,Lung ,Societies, Medical ,Respiratory health ,Asthma ,American Thoracic Society Documents ,particulate matter ,Afghan Campaign 2001 ,business.industry ,Constrictive Bronchiolitis ,medicine.disease ,United States ,Military personnel ,Dyspnea ,Military Personnel ,Cough ,Emergency medicine ,Female ,business ,Airway ,constrictive bronchiolitis - Abstract
Since 2001, more than 2.7 million U.S. military personnel have been deployed in support of operations in Southwest Asia and Afghanistan. Land-based personnel experienced elevated exposures to particulate matter and other inhalational exposures from multiple sources, including desert dust, burn pit combustion, and other industrial, mobile, or military sources. A workshop conducted at the 2018 American Thoracic Society International Conference had the goals of: 1) identifying key studies assessing postdeployment respiratory health, 2) describing emerging research, and 3) highlighting knowledge gaps. The workshop reviewed epidemiologic studies that demonstrated more frequent encounters for respiratory symptoms postdeployment compared with nondeployers and for airway disease, predominantly asthma, as well as case series describing postdeployment dyspnea, asthma, and a range of other respiratory tract findings. On the basis of particulate matter effects in other populations, it also is possible that deployers experienced reductions in pulmonary function as a result of such exposure. The workshop also gave particular attention to constrictive bronchiolitis, which has been reported in lung biopsies of selected deployers. Workshop participants had heterogeneous views regarding the definition and frequency of constrictive bronchiolitis and other small airway pathologic findings in deployed populations. The workshop concluded that the relationship of airway disease, including constrictive bronchiolitis, to exposures experienced during deployment remains to be better defined. Future clinical and epidemiologic research efforts should address better characterization of deployment exposures carry out longitudinal assessment of potentially related adverse health conditions, including lung function and other physiologic changes and use rigorous histologic, exposure, and clinical characterization of patients with respiratory tract abnormalities. 16 8 e1 e16
- Published
- 2019
3. Respiratory Health after Military Service in Southwest Asia and Afghanistan An Official American Thoracic Society Workshop Report
- Author
-
Garshick, Eric, Abraham, Joseph H., Baird, Coleen P., Ciminera, Paul, Downey, Gregory P., Falvo, Michael J., Hart, Jaime E., Jackson, David A., Jerrett, Michael, Kuschner, Ware, Helmer, Drew A., Jones, Kirk D., Krefft, Silpa D., Mallon, Timothy, Miller, Robert F., Morris, Michael J., Proctor, Susan P., Redlich, Carrie A., Rose, Cecile S., Rull, Rudolph P., Saers, Johannes, Schneiderman, Aaron, I, Smith, Nicholas L., Yiallouros, Panayiotis, Blanc, Paul D., Garshick, Eric, Abraham, Joseph H., Baird, Coleen P., Ciminera, Paul, Downey, Gregory P., Falvo, Michael J., Hart, Jaime E., Jackson, David A., Jerrett, Michael, Kuschner, Ware, Helmer, Drew A., Jones, Kirk D., Krefft, Silpa D., Mallon, Timothy, Miller, Robert F., Morris, Michael J., Proctor, Susan P., Redlich, Carrie A., Rose, Cecile S., Rull, Rudolph P., Saers, Johannes, Schneiderman, Aaron, I, Smith, Nicholas L., Yiallouros, Panayiotis, and Blanc, Paul D.
- Abstract
Since 2001, more than 2.7 million U.S. military personnel have been deployed in support of operations in Southwest Asia and Afghanistan. Land-based personnel experienced elevated exposures to particulate matter and other inhalational exposures from multiple sources, including desert dust, burn pit combustion, and other industrial, mobile, or military sources. A workshop conducted at the 2018 American Thoracic Society International Conference had the goals of: 1) identifying key studies assessing postdeployment respiratory health, 2) describing emerging research, and 3) highlighting knowledge gaps. The workshop reviewed epidemiologic studies that demonstrated more frequent encounters for respiratory symptoms postdeployment compared with nondeployers and for airway disease, predominantly asthma, as well as case series describing postdeployment dyspnea, asthma, and a range of other respiratory tract findings. On the basis of particulate matter effects in other populations, it also is possible that deployers experienced reductions in pulmonary function as a result of such exposure. The workshop also gave particular attention to constrictive bronchiolitis, which has been reported in lung biopsies of selected deployers. Workshop participants had heterogeneous views regarding the definition and frequency of constrictive bronchiolitis and other small airway pathologic findings in deployed populations. The workshop concluded that the relationship of airway disease, including constrictive bronchiolitis, to exposures experienced during deployment remains to be better defined. Future clinical and epidemiologic research efforts should address better characterization of deployment exposures; carry out longitudinal assessment of potentially related adverse health conditions, including lung function and other physiologic changes; and use rigorous histologic, exposure, and clinical characterization of patients with respiratory tract abnormalities.
- Published
- 2019
- Full Text
- View/download PDF
4. MALARIA IN U.S. MILITARY FORCES: A DESCRIPTION OF DEPLOYMENT EXPOSURES FROM 2003 THROUGH 2005
- Author
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CIMINERA, PAUL, primary and BRUNDAGE, JOHN, additional
- Published
- 2007
- Full Text
- View/download PDF
5. A Severe Case of Angiostrongylus Eosinophilic Meningitis with Encephalitis and Neurologic Sequelae in Hawai'i.
- Author
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Kwon, Edward, Ferguson, Tomas M., Park, Sarah Y., Manuzak, Augustina, Qvarnstrom, Yvonne, Morgan, Stephen, Ciminera, Paul, and Murphy, Gerald S.
- Subjects
ANGIOSTRONGYLUS cantonensis ,MENINGITIS ,LUNGWORMS ,MENINGOENCEPHALITIS ,GIANT African snail - Abstract
Angiostrongylus eosinophilic meningitis is caused by infection with larvae of the rat lungworm, Angiostrongylus cantonensis. We report the case of an adult who ingested a raw, giant African snail (Achatina fulica) on the island of O'ahu in Hawai'i and developed an eosinophilic meningoencephalitis with severe headache, confusion, sixth cranial nerve palsy, ataxia, limb weakness, and paresthesia. He was treated with lumbar punctures to relieve pressure, high dose corticosteroids, and 14 days of albendazole. He had a prolonged convalescence, requiring 3 months of prednisone, and still had evidence of motor nerve weakness 4 months after exposure. A field investigation at the site of exposure yielded 5 of 9 Achatina fulica snails with evidence of A. cantonensis DNA by PCR. Cerebrospinal fluid samples from the patient were negative acutely but positive on day 15 of symptoms, using an investigational, real-time PCR assay. We discuss clinical management of this case in light of the current medical literature. [ABSTRACT FROM AUTHOR]
- Published
- 2013
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