Paul Jenkins's research while affiliated with Bassett Healthcare Network and other places

Publications (201)

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Background In our prior study of 643 children, ages 4–11 years, children with pet dogs had lower anxiety scores than children without pet dogs. This follow-up study examines whether exposure to pet dogs or cats during childhood reduces the risk of adolescent mental health (MH) disorders. Methods Using a retrospective cohort study design, we merged...
Preprint
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Importance There is a dearth of comparative immunologic durability data after COVID-19 vaccinations. Objective To compare antibody responses and vaccine effectiveness 8.4 months post-primary COVID-19 vaccination. Design Setting and Participants: In this cohort study of 903 healthcare workers who completed surveys about baseline characteristics an...
Preprint
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Background ACEi/ARB medications have been hypothesized to have potential benefit in COVID-19. Despite concern for increased ACE-2 expression in some animal models, preclinical and observational-retrospective and uncontrolled trials suggested possible benefit. Two RCTs of the ARB losartan from University of Minnesota showed no benefit yet safety sig...
Article
Highlights: This article describes a cost assessment of a PTO driveline shielding intervention. Considerations for effective occupational safety interventions beyond reductions in injuries or fatalities are described. The financial viability of combining various on-farm services to reduce intervention costs is discussed. Abstract: PTO entangleme...
Article
Background Fatality data from the U.S. commercial fishing industry indicates workers in this industry suffer from comparatively high rates of work-related death, in relation to other U.S. industries. Falls overboard are the most frequent cause of death among Northeast lobster fishermen, who make up a large proportion of the commercial fishing indus...
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Purpose Findings concerning the impact of bariatric surgical intervention on both psychological variables and weight loss are often controversial and misconstrued the world over. The aim of this study was to classify bariatric surgery patients according to patterns of preoperative measures that may predict postoperative psychological and physiologi...
Article
On farms, power take-off (PTO) drivelines pose serious risks in terms of both fatal and non-fatal injuries. PTO shielding can prevent such injuries; however, is often underutilized by the farm population. This study aims assesses seven influence campaigns and their ability to change attitudes toward PTO shielding in order to encourage sustainable b...
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Background: Our rural health system sought to (1) increase the number of primary care clinicians waivered to prescribe buprenorphine for treatment of opioid use disorder (OUD) and (2) consequently increase the number of our patients receiving this treatment. Methods: We used the Project for Extension for Community Health Outcomes (ECHO) tele-educat...
Article
Introduction: Respiratory problems are prevalent among persons who work in agriculture, however publications examining the respiratory status in LatinX farmworkers are limited. The purpose of this study is to assess the respiratory status of LatinX farmworkers across New York State. Methods: This is a retrospective analysis of data gathered from...
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Objective The purpose of this study was to compare the charges and payments associated with bone marrow aspiration and biopsies performed by hematology/oncology specialists versus interventional radiology specialists at Bassett Medical Center located in a rural area of New York State. Charges pertained to what the hospital charged for the procedure...
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Background While statistics related to occupational injuries exist at state and national levels, there are notable difficulties with using these to understand non-fatal injuries trends in agriculture, forestry, and commercial fishing. This paper describes the development and testing of a crosswalk between ICD-10-CM external cause of injury codes (E...
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Introduction Medical societies have heavily prioritized preventive care, as evidenced by numerous best practice guidelines supporting counseling patients on lifestyle factors. This report examines preventive counseling by healthcare providers in a rural healthcare system. We utilized electronic medical records to determine whether patient character...
Article
Background Logging remains one of the most hazardous industries in the United States (US), despite many safety improvements made in the last decades. Currently, we know little about regional trends in health conditions of logging workers, especially in the Northeast. However, the forest products industry is a critical component of the Northeast's e...
Article
Background: While primary care clinicians are being trained to use buprenorphine for the treatment of Opioid Use Disorder (OUD) in order to increase access to addiction treatment, it is not known what impact such training and subsequent experience treating patients with OUD has on full agonist opioid prescribing. Methods: This retrospective cohor...
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Background: The present study aimed to examine the relations between body image dissatisfaction (BID) and psychological distress variables among bariatric surgery candidates from two distinct cultures in Israel and in the United States. Methods: A sample of consecutive pre-surgical bariatric candidates was recruited from a Bariatric Center in Is...
Article
Background Smooth muscle cell (SMC) function determines the clinical course of vascular disease via fibrous cap stability. Podocan is an inhibitor of SMC function and is circulating in peripheral blood rendering it a candidate biomarker to predict MACE in patients with Coronary Artery Disease (CAD). Purpose We designed a prospective cohort study a...
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Objectives On US farms, tractor overturns are the leading cause of death; however, these fatalities are preventable with the use of a rollover protection structure (ROPS). A ROPS rebate program was established in New York in 2006 to address these fatalities. Due to its success, the program expanded to six additional states before being implemented...
Article
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Objectives: The study objective was to estimate a denominator of exposure to inshore lobstering in Full-Time Equivalents (FTEs), to count incident injury data from a sample cohort of this population, to use this count to calculate rates for incident injuries, and to use official counts of fatalities to estimate a fatality rate. Methods: Captains we...
Article
Background: Falls overboard are the most common cause of fatalities in commercial fishing. As a result, interventions aimed at increasing and measuring the use of personal flotation devices (PFDs) are a high priority. The focus of this study was to explore the use of accelerometers as a means for objectively measuring PFD use on lobster fishing ve...
Article
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Introduction The incidence of chronic disease and treatment costs have been steadily increasing in the United States over the past few decades. Primary prevention and healthy lifestyle counseling have been identified as important strategies for reducing health-care costs and chronic disease prevalence. This article seeks to examine decision-makers’...
Article
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Background: Falls overboard are the most frequent cause of death in the Northeast lobster fishing industry. National Institute for Occupational Safety and Health (NIOSH) surveillance indicates every victim of a fall overboard who has been found was not wearing a lifejacket. Preliminary research conducted in Maine and Massachusetts indicates lifejac...
Article
Objective: The Centers for Disease Control and Prevention (CDC) data have shown that agriculture, forestry, and fishing as an occupational group have the third highest rate of work-related roadway crashes. Agriculture-related crashes have been explored in the Midwest and South; however, we know little about agriculture-related crashes in the Northe...
Article
Logging workers are at high risk of injury, and although data on fatal injuries exists, less is known about non-fatal injuries. The purpose of this study is to describe initial trends in logging morbidity in Maine and New Hampshire using pre-hospital care reports. Demographics and specifics of the event were recorded for each incident case. Both qu...
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Background: Understanding the impact of obesity on premature mortality is critical, as obesity has become a global health issue. Objective: To contrast the relationship between body mass index (BMI) and premature death (all-cause; circulatory causes) in New York State (USA) and Northern Sweden. Methods: Baseline data were obtained between 1989 and...
Article
Introduction: Our group has shown the Wnt-pathway to be a key regulator of SMC function and to be expressed in human coronary atheroma. Dickkopf-related protein 1 (DKK-1) is a member of the Wingless (Wnt) signaling pathway molecules and has recently been shown to improve GRACIE-risk factor score prediction of coronary events in chest pain patients...
Article
Background: Effective patient–provider communication enables shared decision-making and leads to improved patient satisfaction, treatment adherence, and health outcomes. The ideal time for developing effective patient–provider communication skills is during a student’s clinical training, yet few medical schools have a formal communication curriculu...
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Objectives: To measure cost-effectiveness of an intervention to increase retrofitting of rollover protective structures (ROPS) on tractors. Methods: Tractor overturns are the leading cause of farm fatalities. ROPS prevent these deaths. This study updates a 2011 cost-effectiveness assessment of a New York State intervention to increase use of ROP...
Article
Objectives Within agriculture, forestry, and fishing safety and health research, little progress has been made to implement evidence-based interventions into practice. Beginning in the early 2000s, much work has been done to address the leading cause of agricultural fatalities: tractor overturns. In this time a Rollover Protective Structure Rebate...
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Background: Despite various guidelines, shortcomings in lifestyle counseling in primary care have been demonstrated. Comparisons between countries may provide insight on how to improve such counseling. To the best of our knowledge, studies comparing patients' views of lifestyle counseling beween the United States (US) and European countries have n...
Article
This article provides an estimate for the economic costs of agricultural injuries sustained in the states of Maine and New Hampshire between the years 2008 and 2010. The authors used a novel dataset of 562 agriculturally related occupational injuries, and cost estimates were generated using the CDC’s Web-based Injury Statistics Query and Reporting...
Article
Agricultural workers perform tasks that frequently require awkward and extreme postures that are associated with musculoskeletal disorders (MSDs). The PATH (Posture, Activity, Tools, Handling) system currently provides a sound methodology for quantifying workers’ exposure to these awkward postures on an ordinal scale of measurement, which places re...
Article
Background: Despite much research to develop life-saving innovations for the agriculture, forestry, and fishing workforce, these populations continue to face the highest fatal and non-fatal injury rates in the United States, as many of these solutions are not fully adopted. Methods: A scoping review was conducted to provide an overview of resear...
Article
Background: Agriculture and logging are dangerous industries, and though data on fatal injury exists, less is known about non-fatal injury. Establishing a non-fatal injury surveillance system is a top priority. Pre-hospital care reports and hospitalization data were explored as a low-cost option for ongoing surveillance of occupational injury. Me...
Article
Background Prescription Drug Monitoring programs (PDMPs) are intended to reduce opioid prescribing and aberrant drug-related behavior thereby reducing morbidity and mortality due to prescription opioid overdose. Expansion of the New York (NY) State’s PDMP in 2013 included the institution of the I-STOP law that mandated clinicians to consult the sta...
Article
Objective: Power take-off (PTO) driveline entanglements are a primary source of injury on US farms. As with many farm injury concerns, hazard control technology is widely available for mitigating the risk of these entanglements. Despite the availability of hazard control technology, PTO shields are damaged or missing on approximately 57% of PTO dr...
Article
Background: The objective of this study was to report on the prevalence of musculoskeletal pain in lobstermen in the northeast USA. Methods: Crews were randomly selected from those licensed to fish in Maine and Massachusetts and followed prospectively. The survey used a Nordic Musculoskeletal Questionnaire format to characterize musculoskeletal dis...
Article
Objectives: The purpose of this study is to describe trends in agricultural morbidity in Maine and New Hampshire from 2008-2010 using a newly established passive surveillance system. This passive system is supplied by injury cases gathered from pre-hospital care reports and hospital data. Methods: Demographics and specifics of the event were rec...
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Background: Widespread dissatisfaction among United States (U.S.) clinicians could endanger ongoing reforms. Practitioners in rural/underserved areas withstand stressors that are unique to or accentuated in those settings. Medical professionals employed by integrating delivery systems are often distressed by the cacophony of organizational change(...
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Objective To investigate the factors associated with resilience among medical professionals. Data Sources/Study Setting. Administrative information from a rural health care network (1 academic medical center, 6 hospitals, 31 clinics, and 20 school health centers) was triangulated with self-report data from 308 respondents (response rate=65.1 percen...
Article
Background: The original objective was to measure the impact of kneepads on musculoskeletal pain in migrant and seasonal farmworkers (MSFWs). Secondary analyses were conducted to quantify the extent to which response bias may have skewed the study's results. Methods: Surveys were used to collect data on baseline pain and post-intervention pain,...
Article
Background: Dog ownership has been associated with increased physical activity in children which in turn may mitigate childhood obesity. Objective: To measure the association between child-dog attachment and child physical activity and screen time. Methods: Cross-sectional study including 370 children (ages 4-10) who had pet dogs in the home....
Article
Background: Previous studies of urban school-based health centers (SBHCs) have shown that SBHCs decrease emergency department (ED) utilization. This study seeks to evaluate the effect of SBHCs on ED utilization in a rural setting. Methods: This retrospective, controlled, quasi-experimental study used an ED patient data set from the Bassett Healt...
Article
The objective of this study was to inform efforts to reduce risk for musculoskeletal disorders among commercial lobstermen by characterizing and quantifying injuries that occur to people while harvesting lobsters commercially in the northeast United States. We aimed to estimate a denominator of exposure to lobstering in Full Time Equivalents (FTEs)...
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Introduction: Positive associations between having a pet dog and adult health outcomes have been documented; however, little evidence exists regarding the benefits of pet dogs for young children. This study investigates the hypothesis that pet dogs are positively associated with healthy weight and mental health among children. Methods: This cros...
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Previous research has focused exclusively on weight loss or weight maintenance following weight loss, i.e. secondary weight maintenance (SWM). The long-term results of SWM have been modest, suggesting that preventing initial weight gain among normal weight or overweight individuals, i.e. primary weight maintenance (PWM), may be more successful. The...
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Background: Provider wellbeing is a barometer of the strength of healthcare systems/organizations. Burnout prevalence among physicians exceeds that among other adult workers in the United States. Rural-based practitioners might be at greater risk.Objective: We investigated predictors of burnout among group employed providers within an integrated he...
Article
Agriculture and logging rank among industries with the highest rates of occupational fatality and injury. Establishing a nonfatal injury surveillance system is a top priority in the National Occupational Research Agenda. Sources of data such as patient care reports (PCRs) and hospitalization data have recently transitioned to electronic databases....
Article
Agriculture and forestry rank among industries with the highest rates of occupational fatality and injury. Establishing a nonfatal injury surveillance system is a top priority in the National Occupational Research Agenda. Recently, new sources of data such as Pre-Hospital Care Reports (PCRs) and hospitalization data have transitioned to electronic...
Article
Despite the substantial contribution of power take-off (PTO) entanglements to workplace morbidity and mortality among agricultural workers, the degree of proper PTO shielding on U.S. farms remains poorly characterized. Sampling from the New York data of the USDA National Agricultural Statistical Service (NASS), at least 200 each of dairy, livestock...
Article
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We validated three single-item measures for emotional exhaustion (EE) and depersonalization (DP) among rural physician/nonphysician practitioners. We linked cross-sectional survey data (on provider demographics, satisfaction, resilience, and burnout) with administrative information from an integrated health care network (1 academic medical center,...
Article
Background Recent technological and demographic changes in US agriculture raise questions about whether the previously observed benefits of the agricultural lifestyle persist.Methods In 2009, researchers conducted a household survey of 9,612 adults (aged 20+) in a rural region of Upstate New York. Data on health status, health behaviors, and health...
Article
Background Eye irritation is a constant hazard for migrant and seasonal farmworkers, but there are few studies of the problem or how to address it. Researchers evaluated the effect of a community-based participatory eye health intervention on farmworker eye symptoms in the Hudson Valley, NY.MethodsA randomized pre-post intervention with 2, 4-week f...
Article
Objectives: New York, like many other states, provides county-level health statistics for use in local priority settings but does not provide any data on public views about priority health issues. This study assessed whether health department priorities are notably different from community concerns about health, and how both groups' priorities com...
Article
ABSTRACT Occupational exposure to agriculture can be measured in a variety of ways, including a simple yes/no classification, as well as continuous measures, such as years in farming. Regardless of the exposure measure, the possibility of mismeasurement exists. This can be the result of memory decay, differential interpretation, and overly broad de...
Conference Paper
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Research Objectives: In this era of patient-centered medicine, the wellbeing of healthcare providers often takes a back seat. There is mounting evidence of the negative impact of practitioner dissatisfaction on patient healthcare. Less is known about occupational burnout among clinicians who provide care to rural, under-served populations. We inve...
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Objectives To contrast the validity of two modes of self-reported height and weight data. Design Subjects’ self-reported height and weight by mailed survey without expectation of subsequent measurement. Subjects were later offered a physical exam, where they self-reported their height and weight again, just prior to measurement. Regression equatio...
Article
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Background The role of primary care professionals in lifestyle counseling for smoking, alcohol consumption, physical activity, and diet is receiving attention at the national level in many countries. The U. S. and Sweden are two countries currently establishing priorities in these areas. A previously existing international research collaboration pr...
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To determine if the Guidelines for Adolescent Preventive Services (GAPS) increases detection or shortens time to diagnosis of mental health (MH) disorders, particularly adolescent depression. Starting in May 1999, GAPS questionnaires were routinely administered at adolescent annual visits at 1 primary care clinic in a rural health network. Using an...
Conference Paper
Pet dogs are an under-studied factor in child health. Our objective is to determine how pet dogs affect child mental and physical health. Parents of children, ages 4 to 10, coming for a well-child visit, completed a web-based, pre-visit screener, using a tablet. The screener domains included child body mass index (BMI), physical activity, screen ti...
Article
ABSTRACT Agriculture ranks among industries with the highest rates of occupational injury and fatality. Administrative medical data sets have long been thought to have potential for occupational injury surveillance. This research explores the feasibility of establishing an agricultural injury surveillance system in New York State that combines data...
Article
Background: Northeast farmworkers are a small, widely dispersed, and isolated population. Little is known about their occupational injury and illness risk. Methods: Researchers conducted chart reviews in migrant health centers across the Northeast, and calculated incidence-density for agricultural morbidity based on a new method for estimating t...
Article
Full-text available
Previous studies have focused on weight maintenance following weight loss, i.e. secondary weight maintenance (SWM). The long-term results of SWM have been rather modest and it has been suggested that preventing initial weight gain, i.e. primary weight maintenance (PWM), may be more successful. Therefore, developing a prevention strategy focused on...
Article
Agriculture has the highest injury and fatality rates when compared with other U.S. industries, and tractor overturns remain the leading cause of agricultural fatalities. Rollover protection structures (ROPS) are the only proven devices to protect a tractor operator in the event of an overturn. These devices are 99% effective when used with a seatb...
Article
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Objectives: There is a need among healthcare providers to acquire more knowledge about small-scale and low budget community intervention programmes. This paper compares risk factor outcomes in Swedish and US intervention programmes for the prevention of cardiovascular disease (CVD). The aim was to explore how different intervention programme profil...
Article
In 2006, a social marketing campaign was developed to increase the installation of rollover protective structures (ROPS) on unprotected New York tractors. Using data gathered from the program's hotline, the impact of price increases on farmers' interest in ROPS is examined. Pricing data were obtained for all rigid ROPS kits commercially available i...
Article
Previous work shows the superiority of the long-handled blueberry harvesting rake (LHR) for worker preference and productivity compared to the short-handle rake (SHR). Post-shift interviews on occurrence, location, and severity of pain, and video-based observation of body postures enabled ergonomic assessment of Maine workers harvesting blueberries...
Article
This intervention delivers agricultural safety information to Mennonite youth, grades 1 to 8 in their schools. The purpose is to reduce injuries in the Groffdale Conference, an Old Order Mennonite community in Yates County, New York. The New York Center for Agricultural Medicine and Health (NYCAMH) assisted community members to create an appropriat...
Article
While emerging research supports a positive relationship between social capital and youth physical activity (PA), few studies have examined possible mechanisms explaining this relationship and no studies have focused on rural youth. In this study, we examined parents' support of children's PA as an intermediary factor linking social capital and you...
Article
Tractor overturns contribute significantly to the number of work-related deaths that occur every year on U.S. farms. Although the agriculture, forestry, and fishing industries have the highest fatality rates of any industries, researchers predict that the elimination of tractor overturn fatalities could result in a noticeable reduction in the farm...
Conference Paper
Background and Objectives: Tractor rollovers are the leading cause of work-related agricultural fatalities, however, rollover protective structures (ROPS) can eliminate the risk of death in the event of a rollover. This study identified motivators and barriers to installing ROPS. Methods: Farms with low proportions of ROPS protected tractors in Ver...
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Agriculture ranks as one of the most hazardous industries in the nation. Agricultural injury surveillance is critical to identifying and reducing major injury hazards. Currently, there is no comprehensive system of identifying and characterizing fatal and serious non-fatal agricultural injuries. Researchers sought to calculate a multiplier for esti...
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There is a worldwide obesity epidemic, but lack of a simple method, applicable for research or clinical use, to identify individuals at high risk of weight gain.