Publications

Comparative outcomes for microvascular free flap monitoring outside the intensive care unit

Otolaryngology-Head and Neck Surgery,

This study looked at patients who underwent microvascular free flap (FF) reconstruction for head and neck surgery and compared outcomes before and after a change in protocol from immediate postoperative monitoring in the ICU versus the general ward. We found that shifting care to the general ward decreased ICU length of stay significantly without increasing complications or compromising FF success rates. While there was a rise in rapid response team calls post-protocol, the overall findings suggest that managing these patients on the general ward is safe and could help conserve ICU resources.

Recommended citation: Stevens MN, Prasad K, Sharma RK, Gallant J-N, Habib DRS, Langerman A, Mannion K, Rosenthal E, Topf MC, Rohde SL. Comparative outcomes for microvascular free flap monitoring outside the intensive care unit. Otolaryngol Head Neck Surg. doi:10.1002/ohn.780

The association between motor and non-motor symptoms in essential tremor patients being evaluated for deep brain stimulation surgery

Journal of Clinical Neuroscience,

In this study of 140 patients with essential tremor undergoing evaluation for deep brain stimulation (DBS) surgery, we showed that tremor scores were associated with language function. Two metrics for scoring tremor severity yielded unique results. High Fahn-Tolosa-Marin (FTM) scores also correlated with increased severity in depression and visuospatial functioning. However, Washington Heights Inwood Genetic Study of Essential Tremor (WHIGET) scores showed no association with non-motor symptoms. To improve the quality of life of ET patients, future work should investigate clinically relevant differences in the unique motor symptoms captured by each metric and elucidate mechanisms underlying the association between motor impairment, cognitive impairment, and mood symptoms.

Recommended citation: Bishay AE, Habib DRS, Lyons AT, Hughes NC, Summers JE, Dhima K, Bick SK. The association between motor and non-motor symptoms in essential tremor patients being evaluated for deep brain stimulation surgery. J Clin Neurosci. 2024;122:59-65. doi:10.1016/j.jocn.2024.03.006

Parents’ trust in COVID-19 messengers and implications for vaccination

American Journal of Health Promotion,

This paper identifies factors associated with parents’ trust in messengers of COVID-19 guidance and shows that trust in doctors is associated with caregiver and child vaccination. Between January and June 2022, we surveyed 567 caregivers of elementary and middle school students in Maryland about trust in 9 messengers, demographics, and COVID-19 vaccination status. The most trusted messengers were doctors, family members, and schools. Parent characteristics were associated with trust, and trust was linked to vaccination. Awareness of variability in trusted health messengers can optimize willingness to listen to public health guidance.

Recommended citation: Klein LM, Habib DRS, Edwards LV, Hager ER, Berry AA, Connor KA, Calderon G, Liu Y, Johnson SB. Parents’ trust in COVID-19 messengers and implications for vaccination. Am J Health Promot. 2024;38(3):364-374. doi:10.1177/08901171231204480

How often is cancer present in oral cavity re-resections after initial positive margins?

The Laryngoscope,

This retrospective chart review investigates the impact on oncologic outcomes of oral cavity cancer being present upon re-resection. Among 1873 patients who underwent curative-intent surgery for oral cavity cancer, 10% had initial positive margins and underwent re-resection during surgery. Notably, 29% of re-resections revealed additional carcinoma, carcinoma in situ, or severe dysplasia, and 31% of patients with initial positive margins retained final positive margins, with half showing positive margins at a different anatomical site than the initial positive margin. Worse overall survival was associated with re-resection involving cancer and final positive margin status. Age, T4 disease, and recurrent oral cavity cancer surgery emerged as independent predictors of overall survival. Since fewer than a third of oral cavity re-resections contain further malignancy, our results suggest that surgeons might have difficulty relocating the site of the initial positive margin.

Recommended citation: Prasad K, Sharma R, Habib D, Sinard R, Mannion K, Rohde S, Langerman A, Netterville J, Rosenthal E, Lewis J, Topf MC. How often is cancer present in oral cavity re-resections after initial positive margins? Laryngoscope. 2024;134(2)717-724. doi:10.1002/lary.30959

A linguistic analysis of dehumanization toward substance use across three decades of news articles

Frontiers in Public Health,

This paper quantifies the dehumanization of people who use substances (PWUS) across three decades using a large corpus of over 3 million news articles. The results show that levels of dehumanization remain high and while marijuana has become less dehumanized over time, attitudes toward other substances such as heroin and cocaine remain stable. This work highlights the importance of a holistic view of substance use that places all substances within the context of addiction as a disease, prioritizes the humanization of PWUS, and centers around harm reduction.

Recommended citation: Giorgi S, Habib DRS, Bellew D, Sherman G, Curtis B. A linguistic analysis of dehumanization toward substance use across three decades of news articles. Front Public Health. 2023;11:1275975. doi:10.3389/fpubh.2023.1275975

Lived experience matters: Automatic detection of stigma on social media toward people who use substances

Proceedings of the Eighteenth International AAAI Conference on Web and Social Media,

This paper examines stigma toward people who use substances (PWUS). The introduction highlights the prevalence of substance use disorders (SUDs), barriers to treatment-seeking, and the limited attention to stigma toward PWUS compared to other forms of hate speech. We recruited Amazon Mechanical Turk (MTurk) workers to label a dataset of about 5,000 public Reddit posts for stigma, and we automatically detected stigmatizing content to investigate the relationship between personal experience and stigma perception. This crowd-sourced annotation task shows that annotators who use substances or know someone in SUD treatment are more likely to identify stigmatizing content. Integrating person-level demographics with comment-level language in a supervised machine learning framework called Jury Learning achieves a classification accuracy of 0.69, a 17% improvement over using language alone. We release our stigma-annotated dataset, demonstrate the influence of lived experience on identifying stigmatizing content, discover linguistic markers of stigma based on perspectives of individuals with substance use experience, and highlight the importance of understanding the social context of machine learning tasks.

Recommended citation: Giorgi S, Bellew D, Habib DRS, Sedoc J, Smitterberg C, Devoto A, Himelein-Wachowiak MK, Curtis B. Lived experience matters: Automatic detection of stigma on social media toward people who use substances. In: Proceedings of the Eighteenth International AAAI Conference on Web and Social Media. Association for the Advancement of Artificial Intelligence. Preprint posted online July 16, 2023. doi:10.48550/arXiv.2302.02064

The role of primary care in advancing civic engagement and health equity: A conceptual framework

The Milbank Quarterly,

This paper provides a framework for improving health and civic engagement in tandem. Social determinants of health are also drivers of lower civic engagement. Additionally, poor health is often associated with less civic engagement and vice versa. Along with addressing social determinants, primary care should be bolstered to not only improve health but also increase civic engagement indirectly via improved health status and directly via primary care voter registration programs, for example.

*equally contributing first authors

Recommended citation: Habib DRS*, Klein LM*, Perrin EM, Perrin AJ, Johnson SB. The role of primary care in advancing civic engagement and health equity: A conceptual framework. Milbank Q. 2023;101(3):731-767. doi:10.1111/1468-0009.12661

Linguistic methodologies to surveil the leading causes of mortality: Scoping review of Twitter for public health data

Journal of Medical Internet Research,

This scoping review provides a comprehensive overview of studies that analyzed Twitter users’ tweets to identify and understand physical and mental health conditions as well as remotely monitor the leading causes of mortality related to emerging disease epidemics, chronic diseases, and risk behaviors. From the 38 articles meeting inclusion criteria, we concluded that Twitter constitutes a timely data source to improve the early identification of potential health threats and help identify subtle signals in language for understanding physical and mental health conditions.

Recommended citation: Lane J, Habib D, Curtis B. Linguistic Methodologies to Surveil the Leading Causes of Mortality: Scoping Review of Twitter for Public Health Data. J Med Internet Res. 2023;25:e39484. doi:10.2196/39484

Role of the media in promoting the dehumanization of people who use drugs

American Journal of Drug and Alcohol Abuse,

This paper traces the dehumanization of people who use drugs throughout the War on Drugs and its consequences in the present day. We call for humanizing strategies toward treating people with substance use disorders and a shift away from dehumanizing portrayals in the media.

Recommended citation: Habib DRS, Giorgi S, Curtis B. Role of the media in promoting the dehumanization of people who use drugs. Am J Drug Alcohol Abuse. 2023;49(4):371-380. doi:10.1080/00952990.2023.2180383

Nonsuicidal self-injury and substance use disorders: A shared language of addiction

Proceedings of the Eighth Workshop on Computational Linguistics and Clinical Psychology,

This paper explores similar language between people posting on Reddit about nonsuicidal self-injury and substance use disorders, namely recovery and support. We found that while people who self-injure conceptualize their condition as an addiction, they experience different comorbidites than people with substance use disorders.

Recommended citation: Giorgi S, Himelein-Wachowiak MK, Habib D, Ungar L, Curtis B. Nonsuicidal self-injury and substance use disorders: A shared language of addiction. In: Proceedings of the Eighth Workshop on Computational Linguistics and Clinical Psychology. Association for Computational Linguistics; 2022:177-183. doi:10.18653/v1/2022.clpsych-1.15

COVID-19 vaccine website accessibility dashboard

Disability and Health Journal,

This paper is about disparities in health department website accessibility during the COVID-19 pandemic among people with visual disabilites.

*equally contributing first authors

Recommended citation: Jo G*, Habib D*, Varadaraj V, Smith J, Epstein S, Zhu J, Yenokyan G, Ayers K, Swenor BK. COVID-19 vaccine website accessibility dashboard. Disabil Health J. 2022;15(3):101325. doi:10.1016/j.dhjo.2022.101325

Dyadic analysis of fragile Middle Eastern states and humanitarian implications of restrictive COVID-19 policies

Middle East Law and Governance,

This project compares the COVID-19 response in strong and fragile countries in the Middle East. Country fragility was found to be associated with more restrictive policies rather than health resource-oriented policies.

Recommended citation: Habib D, Elmore N, Gulas S, Ruhde N, Mathew D, Parente N. Dyadic analysis of fragile Middle Eastern states and humanitarian implications of restrictive COVID-19 policies. Middle East Law Gov. 2022;14(1):26-61. doi:10.1163/18763375-14010008

AIM against survey fraud

JAMIA Open,

This paper explains how to implement a hash algorithm to create anonymous but deterministic identifiers, allowing for the provision of incentives without revealing identities of the participants. This easy-to-use method has implications for more efficient and ethical research as well as expedited IRB approval if identities would have otherwise not been anonymous to allow for incentive distribution.

*equally contributing first authors

Recommended citation: Habib D*, Jha N*. AIM against survey fraud. JAMIA Open. 2021;4(4):ooab099. doi:10.1093/jamiaopen/ooab099