Marjorie Carter

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Misconduct-related separations from the military are associated with subsequent adverse civilian outcomes that are of substantial public health concern. 1 We investigated the association between misconduct-related separations and home-lessness among recently returned active-duty military service members. Methods | We analyzed Veterans Health Administration(More)
BACKGROUND Identifying respiratory pathogens within populations is difficult because invasive sample collection, such as with nasopharyngeal aspirate (NPA), is generally required. PCR technology could allow for non-invasive sampling methods. OBJECTIVE Evaluate the utility of non-invasive sample collection using anterior nare swabs and facial tissues for(More)
CONTEXT During public health emergencies, office-based frontline clinicians are critical partners in the detection, treatment, and control of disease. Communication between public health authorities and frontline clinicians is critical, yet public health agencies, medical societies, and healthcare delivery organizations have all called for improvements. (More)
Patients report their symptoms and subjective experiences in their own words. These expressions may be clinically meaningful yet are difficult to capture using automated methods. We annotated subjective symptom expressions in 750 clinical notes from the Veterans Affairs EHR. Within each document, subjective symptom expressions were compared to mentions of(More)
reproduction in any medium, provided the original work is properly cited. Objective To highlight the importance of templates in extracting surveillance data from the free text of electronic medical records using natural language processing (NLP) techniques. Introduction The main stay of recording patient data is the free text of electronic medical records(More)
Information retrieval algorithms based on natural language processing (NLP) of the free text of medical records have been used to find documents of interest from databases. Homelessness is a high priority non-medical diagnosis that is noted in electronic medical records of Veterans in Veterans Affairs (VA) facilities. Using a human-reviewed reference(More)
OBJECTIVES We assessed urgent care providers' knowledge about public health reporting, guidelines, and actions for the prevention and control of pertussis; attitudes about public health reporting and population-based data; and perception of reporting practices in their clinic. METHODS We identified the 106 providers (95% are physicians) employed in 28(More)
Front line health care providers (HCPs) play a central role in endemic (pertussis), epidemic (influenza) and pandemic (avian influenza) infectious disease outbreaks. Effective preparedness for this role requires access to and awareness of population-based data (PBD). We investigated the degree to which this is currently achieved among HCPs in Utah by(More)
Templated boilerplate structures pose challenges to natural language processing (NLP) tools used for information extraction (IE). Routine error analyses while performing an IE task using Veterans Affairs (VA) medical records identified templates as an important cause of false positives. The baseline NLP pipeline (V3NLP) was adapted to recognize negation,(More)