Stefanos N Kales

Summary

Affiliation: Cambridge Health Alliance
Country: USA

Publications

  1. doi request reprint Predictors of on-duty coronary events in male firefighters in the United States
    Jesse R Geibe
    The Cambridge Health Alliance, Harvard Medical School, Cambridge, MA, USA
    Am J Cardiol 101:585-9. 2008
  2. pmc Grand rounds: asbestos-related pericarditis in a boiler operator
    Belayneh A Abejie
    Department of Environmental Health Environmental and Occupational Medicine and Epidemiology, Harvard School of Public Health, Boston, Massachusetts, USA
    Environ Health Perspect 116:86-9. 2008
  3. ncbi request reprint Elevated urine arsenic: un-speciated results lead to unnecessary concern and further evaluations
    Stefanos N Kales
    Department of Medicine, Cambridge Health Alliance, Macht Building, 1493 Cambridge Street, Cambridge, MA 02139, USA
    J Anal Toxicol 30:80-5. 2006
  4. ncbi request reprint Emergency duties and deaths from heart disease among firefighters in the United States
    Stefanos N Kales
    Cambridge Health Alliance, Harvard Medical School, Cambridge, MA 02139, USA
    N Engl J Med 356:1207-15. 2007
  5. ncbi request reprint Pseudo-latex allergy associated with "latex" paint exposure: a potential cause of iatrogenic disability
    Stefanos N Kales
    Department of Medicine, Cambridge Health Alliance, Cambridge, MA 02139, USA
    J Occup Environ Med 48:83-8. 2006
  6. doi request reprint Blood pressure in firefighters, police officers, and other emergency responders
    Stefanos N Kales
    Department of Environmental Health, Environmental and Occupational Medicine and Epidemiology EOME, Harvard School of Public Health, Boston, Massachusetts, USA
    Am J Hypertens 22:11-20. 2009
  7. ncbi request reprint Acute chemical emergencies
    Stefanos N Kales
    Cambridge Health Alliance, Department of Medicine, Occupational and Environmental Health, Harvard Medical School, Cambridge, Mass 02139, USA
    N Engl J Med 350:800-8. 2004
  8. pmc Firefighters and on-duty deaths from coronary heart disease: a case control study
    Stefanos N Kales
    The Cambridge Health Alliance, Harvard Medical School, Cambridge, MA, USA
    Environ Health 2:14. 2003
  9. pmc Hematopoietic toxicity from lead-containing Ayurvedic medications
    Stefanos N Kales
    Department of Medicine, Cambridge Health Alliance, Cambridge, MA 02139, USA
    Med Sci Monit 13:CR295-8. 2007
  10. ncbi request reprint The obesity epidemic and future emergency responders
    Antonios J Tsismenakis
    Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts, USA
    Obesity (Silver Spring) 17:1648-50. 2009

Collaborators

Detail Information

Publications44

  1. doi request reprint Predictors of on-duty coronary events in male firefighters in the United States
    Jesse R Geibe
    The Cambridge Health Alliance, Harvard Medical School, Cambridge, MA, USA
    Am J Cardiol 101:585-9. 2008
    ..Accordingly, prevention efforts should include early detection and control of hypertension, smoking cessation/prohibition, and the restriction of most firefighters with significant CHD from strenuous duties...
  2. pmc Grand rounds: asbestos-related pericarditis in a boiler operator
    Belayneh A Abejie
    Department of Environmental Health Environmental and Occupational Medicine and Epidemiology, Harvard School of Public Health, Boston, Massachusetts, USA
    Environ Health Perspect 116:86-9. 2008
    ..Although the pleurae and pericardium share certain histologic characteristics, asbestos-related pericarditis is rarely reported...
  3. ncbi request reprint Elevated urine arsenic: un-speciated results lead to unnecessary concern and further evaluations
    Stefanos N Kales
    Department of Medicine, Cambridge Health Alliance, Macht Building, 1493 Cambridge Street, Cambridge, MA 02139, USA
    J Anal Toxicol 30:80-5. 2006
    ..Laboratories should reflexively perform speciation on most samples with elevated total arsenic concentrations prior to reporting the results. Reflexive speciation could reduce unnecessary referrals, further testing, and patient anxiety...
  4. ncbi request reprint Emergency duties and deaths from heart disease among firefighters in the United States
    Stefanos N Kales
    Cambridge Health Alliance, Harvard Medical School, Cambridge, MA 02139, USA
    N Engl J Med 356:1207-15. 2007
    ..Heart disease causes 45% of the deaths that occur among U.S. firefighters while they are on duty. We examined duty-specific risks of death from coronary heart disease among on-duty U.S. firefighters from 1994 to 2004...
  5. ncbi request reprint Pseudo-latex allergy associated with "latex" paint exposure: a potential cause of iatrogenic disability
    Stefanos N Kales
    Department of Medicine, Cambridge Health Alliance, Cambridge, MA 02139, USA
    J Occup Environ Med 48:83-8. 2006
    ..We sought to describe outcomes for three health care workers with natural rubber latex (NRL) allergy reporting illness after exposure to latex paint...
  6. doi request reprint Blood pressure in firefighters, police officers, and other emergency responders
    Stefanos N Kales
    Department of Environmental Health, Environmental and Occupational Medicine and Epidemiology EOME, Harvard School of Public Health, Boston, Massachusetts, USA
    Am J Hypertens 22:11-20. 2009
    ....
  7. ncbi request reprint Acute chemical emergencies
    Stefanos N Kales
    Cambridge Health Alliance, Department of Medicine, Occupational and Environmental Health, Harvard Medical School, Cambridge, Mass 02139, USA
    N Engl J Med 350:800-8. 2004
  8. pmc Firefighters and on-duty deaths from coronary heart disease: a case control study
    Stefanos N Kales
    The Cambridge Health Alliance, Harvard Medical School, Cambridge, MA, USA
    Environ Health 2:14. 2003
    ..Coronary heart disease (CHD) is responsible for 45% of on-duty deaths among United States firefighters. We sought to identify occupational and personal risk factors associated with on-duty CHD death...
  9. pmc Hematopoietic toxicity from lead-containing Ayurvedic medications
    Stefanos N Kales
    Department of Medicine, Cambridge Health Alliance, Cambridge, MA 02139, USA
    Med Sci Monit 13:CR295-8. 2007
    ..These medications are increasingly associated with lead poisoning, often accompanied by anemia. We compared the relative hematopoietic toxicity of Ayurvedic lead poisoning with a common form of occupational lead poisoning...
  10. ncbi request reprint The obesity epidemic and future emergency responders
    Antonios J Tsismenakis
    Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts, USA
    Obesity (Silver Spring) 17:1648-50. 2009
    ..These findings in a population expected to perform demanding duties supporting public safety merit prompt public health intervention...
  11. doi request reprint Cardiovascular disease in US firefighters: a systematic review
    Elpidoforos S Soteriades
    Department of Environmental Health, Environmental and Occupational Medicine and Epidemiology EOME, Harvard School of Public Health, Boston, MA, USA
    Cardiol Rev 19:202-15. 2011
    ....
  12. doi request reprint Firefighters' physical activity: relation to fitness and cardiovascular disease risk
    Gerardo Durand
    Department of Environmental Health, Environmental and Occupational Medicine and Epidemiology, Harvard School of Public Health, Boston, MA, USA
    Med Sci Sports Exerc 43:1752-9. 2011
    ..Therefore, the present study evaluates PA measures in structural firefighters and their relationship to CRF and CVD risk factors...
  13. doi request reprint Metabolic syndrome is inversely related to cardiorespiratory fitness in male career firefighters
    Dorothee M Baur
    Department of Environmental Health, Environmental and Occupational Medicine and Epidemiology EOME, Harvard School of Public Health, Boston, Massachusetts, USA
    J Strength Cond Res 26:2331-7. 2012
    ..Firefighters should be given strong incentives to improve their fitness, which would decrease prevalent MetSyn, a likely precursor of on-duty CVD events and contributor to CVD burden in this population...
  14. doi request reprint Obesity and risk of job disability in male firefighters
    Elpidoforos S Soteriades
    Harvard School of Public Health, Department of Environmental Health, Environmental and Occupational Medicine and Epidemiology EOME, Boston, MA, USA
    Occup Med (Lond) 58:245-50. 2008
    ..Obesity is a major public health problem and a workplace epidemic in Western societies. However, little is known about the association between obesity and job disability in specific occupational groups...
  15. doi request reprint Circulating lipocalin 2 is associated with body fat distribution at baseline but is not an independent predictor of insulin resistance: the prospective Cyprus Metabolism Study
    Xiaowen Liu
    Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Feldberg 875, Boston, Massachusetts 02215, USA
    Eur J Endocrinol 165:805-12. 2011
    ....
  16. doi request reprint Cardiorespiratory fitness predicts cardiovascular risk profiles in career firefighters
    Dorothee M Baur
    Harvard School of Public Health, Department of Environmental Health, Environmental and Occupational Medicine and Epidemiology, Boston, MA, USA
    J Occup Environ Med 53:1155-60. 2011
    ..Evaluate the association between cardiovascular disease (CVD) risk factors and cardiorespiratory fitness (CRF) in firefighters...
  17. pmc Lead, mercury, and arsenic in US- and Indian-manufactured Ayurvedic medicines sold via the Internet
    Robert B Saper
    Department of Family Medicine, Boston University School of Medicine and Boston Medical Center, Boston, MA 02118 2317, USA
    JAMA 300:915-23. 2008
    ..Metals may be present due to the practice of rasa shastra (combining herbs with metals, minerals, and gems). Whether toxic metals are present in both US- and Indian-manufactured Ayurvedic medicines is unknown...
  18. ncbi request reprint Circulating alanine transaminase (ALT) and γ-glutamyl transferase (GGT), but not fetuin-A, are associated with metabolic risk factors, at baseline and at two-year follow-up: the prospective Cyprus Metabolism Study
    Xiaowen Liu
    Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA
    Metabolism 63:773-82. 2014
    ....
  19. ncbi request reprint Firefighters' blood pressure and employment status on hazardous materials teams in Massachusetts: a prospective study
    Stefanos N Kales
    Cambridge Hospital, Department of Medicine, Occupational and Environmental Health, 1493 Cambridge St, Cambridge, MA, USA
    J Occup Environ Med 44:669-76. 2002
    ..6 (95% CI, 2.08 to 10.11, P = 0.0002). Firefighters with a BP > or = 160/100 mm Hg should receive further evaluation and demonstrate improved BP control before being determined fit for duty...
  20. ncbi request reprint Obesity and cardiovascular disease risk factors in firefighters: a prospective cohort study
    Elpidoforos S Soteriades
    The Cambridge Hospital Department of Medicine, Employee and Industrial Medicine, Cambridge, MA 02139, USA
    Obes Res 13:1756-63. 2005
    ..Obesity, despite being a significant determinant of fitness for duty, is reaching epidemic levels in the workplace. Firefighters' fitness is important to their health and to public safety...
  21. doi request reprint Exercise-induced hypertension among healthy firefighters-a comparison between two different definitions
    Adi Leiba
    The Cambridge Health Alliance, Harvard Medical School, Employee Health and Industrial Medicine, Cambridge, MA 02139, USA
    J Am Soc Hypertens 7:40-5. 2013
    ..Prospective studies are needed to best define exaggerated blood pressure response to exercise...
  22. doi request reprint Soluble leptin receptor and leptin are associated with baseline adiposity and metabolic risk factors, and predict adiposity, metabolic syndrome, and glucose levels at 2-year follow-up: the Cyprus Metabolism Prospective Cohort Study
    Ole Petter R Hamnvik
    Division of Endocrinology, Diabetes, and Hypertension, Department of Medicine, Brigham and Women s Hospital, and Harvard Medical School, Boston, MA, USA
    Metabolism 60:987-93. 2011
    ....
  23. ncbi request reprint Prospective surveillance of hypertension in firefighters
    Elpidoforos S Soteriades
    The Cambridge Hospital Department of Medicine, Occupational and Environmental Health, Cambridge, MA 02139, USA
    J Clin Hypertens (Greenwich) 5:315-20. 2003
    ..Possible reasons for low treatment rates may be the inadequate recognition among primary care physicians that mild hypertension is a significant risk factor for cardiovascular disease...
  24. ncbi request reprint Heavy metal content of ayurvedic herbal medicine products
    Robert B Saper
    Division for Research and Education in Complementary and Integrative Medical Therapies, Osher Institute, Harvard Medical School, Boston, USA
    JAMA 292:2868-73. 2004
    ..Lead, mercury, and arsenic intoxication have been associated with the use of Ayurvedic herbal medicine product (HMPs)...
  25. pmc Weight- perception in male career firefighters and its association with cardiovascular risk factors
    Dorothee M Baur
    Department of Environmental Health, Environmental and Occupational Medicine and Epidemiology EOME, Harvard School of Public Health, Boston, MA, USA
    BMC Public Health 12:480. 2012
    ..The present study evaluates the associations among Body Mass Index (BMI), weight perception and cardiovascular risk factors in 768 male career firefighters from two Midwestern states in the United States...
  26. ncbi request reprint Obesity and risk of LVH and ECG abnormalities in US firefighters
    Elpidoforos S Soteriades
    Department of Environmental Health, Environmental and Occupational Medicine and Epidemiology EOME, Harvard School of Public Health, Boston, MA, USA
    J Occup Environ Med 53:867-71. 2011
    ..To evaluate the association between obesity and electrocardiographic (ECG) abnormalities...
  27. pmc Seasonality and coronary heart disease deaths in United States firefighters
    Ibeawuchi Mbanu
    Department of Environmental Health Occupational Health Program, Harvard School of Public Health, Boston, MA, USA
    Chronobiol Int 24:715-26. 2007
    ..The seasonal pattern was also found to be independent of duty-related risks...
  28. doi request reprint Sudden cardiac death among firefighters ≤45 years of age in the United States
    Justin Yang
    Environmental and Occupational Medicine and Epidemiology Program, Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts Cambridge Health Alliance, Harvard Medical School, Cambridge, Massachusetts
    Am J Cardiol 112:1962-7. 2013
    ..Obesity entry standards, smoking bans, and improved screening and/or wellness program are potential strategies to reduce SCD in younger firefighters. ..
  29. ncbi request reprint Lipid profile of firefighters over time: opportunities for prevention
    Elpidoforos S Soteriades
    Cambridge Hospital, Harvard Medical School, Massachusetts 02139, USA
    J Occup Environ Med 44:840-6. 2002
    ..Despite repeated examinations, a considerable number of firefighters had persistently elevated cholesterol, and only a minority were receiving adequate treatment...
  30. pmc Irisin mRNA and circulating levels in relation to other myokines in healthy and morbidly obese humans
    Maria T Vamvini
    Division of Endocrinology, Diabetes and Metabolism, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, Massachusetts 02215, USA
    Eur J Endocrinol 169:829-34. 2013
    ..It remains unknown whether there is any interplay among these molecules. The aim of this study is to examine potential associations of irisin with the FST, MSTN, and activin A axis...
  31. doi request reprint Type 2 diabetes mellitus and medications for type 2 diabetes mellitus are associated with risk for and mortality from cancer in a German primary care cohort
    Dorothee M Baur
    Harvard School of Public Health, Department of Environmental Health, Environmental and Occupational Medicine and Epidemiology, Boston, MA, USA
    Metabolism 60:1363-71. 2011
    ..2%]). Our results suggest that diabetes and medications for diabetes, with the exception of the insulin sensitizer metformin, increase cancer risk and mortality...
  32. ncbi request reprint Firefighter heart presumption retirements in Massachusetts 1997-2004
    Jonathan D Holder
    The Cambridge Health Alliance, Harvard Medical School, Cambridge, Massachusetts, USA
    J Occup Environ Med 48:1047-53. 2006
    ..quot;Heart Presumption" legislation is common throughout North America. We sought to study Massachusetts firefighters retiring with heart disability awards...
  33. ncbi request reprint Electronic medical record use among US occupational medicine physicians: a national survey
    Elpidoforos S Soteriades
    From the Department of Environmental Health, Environmental and Occupational Medicine and Epidemiology Drs Soteriades and Kales, Harvard School of Public Health, Boston, Mass Department of Occupational and Environmental Medicine Dr Soteriades, Cyprus Institute of Biomedical Sciences, Nicosia, Cyprus Healthcare Management Program Dr Talias, Open University of Cyprus, Nicosia, Cyprus MultiCare Health System Dr Harmon, Tacoma, Wash Salinas Urgent Care Doctors on Duty Dr Schumann, Salinas, Calif and Harvard Medical School Dr Kales, The Cambridge Health Alliance, Employee and Industrial Medicine, Cambridge, Mass
    J Occup Environ Med 55:1191-6. 2013
    ..To examine the use of electronic medical records (EMRs) among US occupational medicine physicians (OMPs)...
  34. pmc Portable diagnostic devices for identifying obstructive sleep apnea among commercial motor vehicle drivers: considerations and unanswered questions
    Chunbai Zhang
    Environmental and Occupational Medicine and Epidemiology, Harvard School of Public Health, Boston, MA, USA
    Sleep 35:1481-9. 2012
    ..Additional studies comparing unattended and unmonitored PMs directly against full in-laboratory PSG are needed to provide evidence for their efficacy among commercial motor vehicle operators...
  35. pmc Psychomotor vigilance testing of professional drivers in the occupational health clinic: a potential objective screen for daytime sleepiness
    Chunbai Zhang
    Division of Sleep Medicine, Department of Medicine, Brigham and Women s Hospital, Boston, MA, USA
    J Occup Environ Med 54:296-302. 2012
    ..Psychomotor vigilance testing (PVT) rapidly assesses attention, reaction time (RT), and abnormal vigilance. Thus, PVT may be an adjunct to screening drivers for high-risk obstructive sleep apnea (OSA)/excess daytime sleepiness (EDS)...
  36. pmc Age-Related Decline in Cardiorespiratory Fitness among Career Firefighters: Modification by Physical Activity and Adiposity
    Dorothee M Baur
    Environmental and Occupational Medicine and Epidemiology EOME, Department of Environmental Health, Harvard School of Public Health, Boston, MA 02115, USA
    J Obes 2012:710903. 2012
    ..We conclude that firefighters are more likely to maintain the high levels of CRF needed to safely perform their duties if they engage in frequent exercise and maintain healthy weights...
  37. pmc Lead encephalopathy due to traditional medicines
    Surya K Karri
    Department of Family Medicine, Boston University Medical Center, 1 Boston Medical Center Place, Dowling 5 South, Boston, MA 02118, USA
    Curr Drug Saf 3:54-9. 2008
    ..Therefore, the United States Food and Drug Administration and corresponding agencies in other countries should require and enforce heavy metal testing for all imported traditional medicines and "dietary supplements"...
  38. ncbi request reprint Association of sleep habits with accidents and near misses in United States transportation operators
    Kevin D Johnson
    From the Department of Environmental and Occupational Medicine and Epidemiology Drs Johnson, Baur, and Kales, Harvard School of Public Health, Boston The Cambridge Health Alliance Drs Johnson and Kales, Harvard Medical School, Cambridge Division of Sleep Medicine Drs Patel and Malhotra, Brigham and Women s Hospital, Harvard Medical School, Boston, Mass Interdisciplinary Center for Hormone and Metabolic Disorders Dr Baur, Endokrinologikum ULM, Ulm, Germany Army Capabilities Integration Center Dr Edens, Fort Eustis, Va and National Center for Intermodal Transportation Dr Sherry, University of Denver, Colo
    J Occup Environ Med 56:510-5. 2014
    ..To explore sleep risk factors and their association with adverse events in transportation operators...
  39. pmc Modified mediterranean diet score and cardiovascular risk in a North American working population
    Justin Yang
    Department of Environmental Health, Environmental and Occupational Medicine and Epidemiology, Harvard School of Public Health, Boston, Massachusetts, United States of America The Cambridge Health Alliance, Harvard Medical School, Cambridge, Massachusetts, United States of America
    PLoS ONE 9:e87539. 2014
    ..We investigated the effects of Mediterranean diet adherence on cardiovascular disease (CVD) biomarkers, metabolic syndrome and body composition in an occupationally active, non-Mediterranean cohort...
  40. doi request reprint High hsCRP is associated with reduced lung function in structural firefighters
    Denise M Gaughan
    Department of Preventive Medicine, Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York, New York Department of Environmental Health Environmental and Occupational Medicine and Epidemiology Program, Harvard School of Public Health, Boston, Massachusetts
    Am J Ind Med 57:31-7. 2014
    ..To assess the association between markers of systemic inflammation and pulmonary function in a population of structural firefighters...
  41. pmc Patterns of pulmonary dysfunction in asbestos workers: a cross-sectional study
    Belayneh A Abejie
    Harvard School of Public Health, Boston, MA, USA
    J Occup Med Toxicol 5:12. 2010
    ..Studies are less consistent, however, regarding the association of asbestos inhalation with airway dysfunction and obstructive impairment...
  42. ncbi request reprint Mercury exposure: current concepts, controversies, and a clinic's experience
    Stefanos N Kales
    Cambridge Health Alliance, Harvard Medical School, Harvard School of Public Health, Department of Environmental Health Occupational Health Program, Cambridge, MA, USA
    J Occup Environ Med 44:143-54. 2002
    ..Unconventional commercial panels that test hair or urine for multiple metals have questionable validity. Clinicians should use standard blood and urine tests to evaluate mercury exposure...
  43. ncbi request reprint The role of collagen IX tryptophan polymorphisms in symptomatic intervertebral disc disease in Southern European patients
    Stefanos N Kales
    Occupational Health Program, Harvard School of Public Health, Boston, Massachusetts 02115, USA
    Spine (Phila Pa 1976) 29:1266-70. 2004
    ..We conducted a cross-sectional, genotyping study of intervertebral disc disease patients and controls...
  44. pmc A safe strategy to decrease fetal lead exposure in a woman with chronic intoxication
    Adi Leiba
    Department of Internal Medicine, Mount Auburn Hospital, Harvard Medical School, Cambridge, Massachusetts, USA
    J Matern Fetal Neonatal Med 23:932-4. 2010
    ..Patient had low blood lead and protoporphyrin level during pregnancy until delivery. Delaying conception, lead chelation, and calcium supplementation can decrease fetal exposure...