Tomas Nuno

Interests

Research

Health Disparities, Chronic disease prevention, Implementation Science

Teaching

Epidemiology, Biostatistics, Health Services Research Methods

Courses

Scholarly Contributions

Journals/Publications

• Nuño, T., Sierra, L. A., Wilkinson-Lee, A., Carvajal, S., de Zapien, J., Coulter, K., Figueroa, C., Morales, M., Sepulveda, R., Sepulveda, R., & Ingram, M. (2022). The Arizona Prevention Research Center partnerships in Arizona to promote COVID-19 vaccine health equity. Frontiers in public health, 10, 944887.
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  Vaccine hesitancy in the face of the COVID-19 pandemic is a complex issue that undermines our national ability to reduce the burden of the disease and control the pandemic. The COVID-19 pandemic revealed widening health disparities and disproportionate adverse health outcomes in terms of transmission, hospitalizations, morbidity and mortality among Arizona's Latinx rural, underserved, farmworker, disabled and elderly populations. In March 2021, ~8.1% of those vaccinated were Latinx, though Latinxs make up 32% of Arizona's population. The Arizona Vaccine Confidence Network (AzVCN) proposed to leverage the expertise of the Arizona Prevention Research Center (AzPRC) and the resources of the Mel and Enid Zuckerman College of Public Health (MEZCOPH) Mobile Health Unit (MHU) to identify, implement and evaluate a MHU intervention to increase uptake of COVID-19 vaccines.
• Soto, S., Yoder, A. M., Aceves, B., Nuño, T., Sepulveda, R., & Rosales, C. B. (2022). Determining Regional Differences in Barriers to Accessing Health Care Among Farmworkers Using the National Agricultural Workers Survey. Journal of immigrant and minority health.
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  Farmworkers are an essential workforce in the U.S. We assessed the regions in the National Agricultural Workers Survey on the difficulty of accessing health care among farmworkers in the U.S. The study included 9577 farmworkers. Farmworkers in all regions were more likely to report having difficulty accessing health care because it was too expensive. The overall odds ratio for difficulty accessing health care was lower in the MW after adjusting. Farmworkers employed in the SE had greater difficulty accessing health care because of language barriers. Farmworkers employed in CA had difficulty accessing health care in the U.S. because it was too expensive or far away. Results follow previous studies on barriers to access health care among the farmworker population. Understanding regional disparities in the presence of barriers to accessing health care among farmworkers is an essential step to improving equitable health care access in the U.S.
• Soto, S., Yoder, A. M., Nuño, T., Aceves, B., Sepulveda, R., & Rosales, C. B. (2022). Health conditions among farmworkers in the Southwest: An analysis of the National Agricultural Workers Survey. Frontiers in public health, 10, 962085.
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  Agricultural jobs pose many challenges to the health and wellbeing of a disadvantaged population. In the Southwest region, the socioeconomic factors of living along the U.S.-Mexico border, migration patterns, lack of access to health care, low utilization of health care services, lack of health insurance, and highly demanding occupation may uniquely affect health outcomes for farmworkers. This paper presents descriptive information for professionals to improve access to care by tackling barriers afforded by the agricultural industry. The National Agricultural Worker Survey (NAWS) is an employment-based, random-sample survey of U.S. agricultural workers in six regions: East, Southeast, Midwest, Southwest, Northwest, and California. We examined farmworkers' self-reported health conditions, including asthma, diabetes, high blood pressure, other chronic conditions, or any condition by region from 2013 to 2016. We used logistic regression to determine differences in lifetime prevalence of health conditions between farmworkers in the Southwest region ( = 727) and farmworkers in other regions ( = 8,850) using weighted data. After adjusting for age, gender, income, insurance status, and English-speaking ability, the odds of high blood pressure and other condition were similar in all regions. The prevalence of diabetes was almost double in the Southwest (114.2 per 1,000 farmworkers). The odds of diabetes were 1.31 (95% CI 0.99, 1.74) times greater in the Southwest region than in the other regions. Asthma was the only condition that was lower in the Southwest (22 per 1,000 farmworkers) compared to the other regions. The odds of asthma were 0.61 (95% CI 0.36, 1.03) times lower in the Southwest region than in other regions. The results follow previous studies on the prevalence of asthma among the farmworker population and elevated probability of chronic diseases including diabetes among the Latino population in the U.S.
• Aceves, B., Denman, C. A., Ingram, M., Torres, J. F., Nuño, T., Garcia, D. O., Madhivanan, P., & Rosales, C. B. (2021). Testing Scalability of a Diabetes Self-Management Intervention in Northern Mexico: An Ecological Approach. Frontiers in public health, 9, 617468.
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  Type 2 diabetes mellitus (T2DM) has become a major issue in Mexico, reporting almost 100,000 attributable deaths in 2016. Low-income Mexican citizens who face various issues associated with T2DM, including the lack of access to self-management services, are particularly affected by the condition. Health centers have been designated to serve T2DM patients by providing resources on chronic disease prevention. (MSD) is a self-management intervention developed to address cardiovascular complications and other health issues within the T2DM population, which have been proven effective and useful for health centers. The intervention was designed for T2DM support groups- (GAMs) located within health centers. From February to June 2019, a binational research team conducted a test scale-up study in Northwest Sonora under the Ministry of Health utilizing the Institute for Healthcare Improvement Framework for scaling up health interventions. Investigators worked in collaboration and trained 19 stakeholders from a regional health system identified from various ecological levels on MSD and implementation process. All five GAMs within the regional health system received and completed the intervention. In total, 72 participants were enrolled with behavioral and biological [HbA1c, blood pressure, body mass index (BMI)] measures taken at baseline. Post-intervention measurements were taken from 72% of participants who completed the intervention. Statistical analysis demonstrated improved behavioral and biological measures when comparing baseline to post-intervention, specifically statistically significant improvements in HbA1c and sugar-sweetened beverage consumption. Implementation fidelity (IF) measures indicated extensive adherence to the intervention curriculum, and moderators specifically demonstrated influences on implementation. Stakeholders from various ecological levels provided support to those facilitating the MSD intervention by allotting time and resources to properly prepare for sessions. An implementation coordinator from the regional health office assisted MSD facilitators by resolving barriers to implementation and worked toward federal accreditation for GAMs to receive additional funding. Results provide evidence for using regional health systems as a scalable unit when implementing chronic disease self-management interventions state- and nationwide. This study will help inform future efforts to scale up the health intervention in various states throughout Mexico. www.ClinicalTrials.gov; https://www.clinicaltrials.gov/ct2/show/NCT02804698?term=NCT02804698&draw=2&rank=1, identifier: NCT02804698.
• Rosales, C. B., Denman, C. A., Bell, M. L., Cornejo, E., Ingram, M., Del Carmen Castro Vásquez, M., Gonzalez-Fagoaga, J. E., Aceves, B., Nuño, T., Anderson, E. J., & Guernsey de Zapien, J. (2021). Meta Salud Diabetes for cardiovascular disease prevention in Mexico: a cluster-randomized behavioural clinical trial. International journal of epidemiology, 50(4), 1272-1282.
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  Healthy lifestyle interventions offered at points of care, including support groups, may improve chronic disease management, especially in low-resource populations. We assessed the effectiveness of an educational intervention in type 2 diabetes (T2D) support groups to reduce cardiovascular disease (CVD) risk.
• Shende, T. C., Battaglia, M. R., Nuno, T., & Beskind, D. (2020). Efficacy of a five-minute compression-only cardiopulmonary resuscitation class compared to thirty-minute instruction among college students. Resuscitation plus, 3, 100012.
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  To determine if 5-minute compression-only cardiopulmonary resuscitation (CCO-CPR) instruction is as effective as 30-minute instruction in improving participant knowledge and comfort with performing CCO-CPR as well as teaching CPR quality and responsiveness to an Out of Hospital Cardiac Arrest (OHCA).
• Shende, T., Battaglia, M., Nuno, T., & Beskind, D. (2020). Efficacy of a Five-minute Compression-only Cardiopulmonary Resuscitation Class compared to Thirty-minute Instruction Among College Students. Resuscitation Plus, 3, 1-5.
• Stoneking, L. R., Denninghoff, K. R., Nuno, T., Berkman, M. R., Ng, V., Bates, J., & Sobel, J. (2019). Effect of Real-time Surveys on Patient Satisfaction Scores in the Emergency Department. Educational Research International, 2019, 5. doi:https://doi.org/10.1155/2019/6132698
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  Approximately 10 hours spent on project for 2015Approximately 16 hours spent on project for 2016Approximately 7.5 hours spent on project for 2017Approximately 1 hour spent on project for 2019
• Abdy, N. A., Martinez, R., Chea, I., Boczar, B., Nuño, T., & Woolridge, D. (2018). A pilot study demonstrating the efficacy of transcutaneous bilirubin meters to quantitatively differentiate contusions from Congenital Dermal Melanocytosis. Child abuse & neglect, 80, 108-112.
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  Congenital Dermal Melanocytosis (CDM) can be difficult to differentiate from contusions. The need for a prompt and accurate diagnosis is best illustrated in cases where child abuse and maltreatment is of concern. Transcutaneous bilirubin (TCB) spectrophotometry has been well established to measure bilirubin under the skin for jaundice in infants. The use of TCB spectrometry has not been used to identify or differentiate contusions from CDM. We hypothesized that bilirubin, a degradation product of hemoglobin, would be elevated in contusions but not in CDM thus demonstrating the efficacy of a novel diagnostic technique to compliment or improve on physical assessment alone.
• Amini, R., Baker, N., Situ-LaCasse, E. H., Acuña, J., Nuño, T., Stolz, U., & Adhikari, S. (2018). Can emergency physicians accurately distinguish retinal detachment from posterior vitreous detachment?: A response. The American journal of emergency medicine, 36(8), 1499-1500.
• Baker, N., Amini, R., Situ-LaCasse, E. H., Acuña, J., Nuño, T., Stolz, U., & Adhikari, S. (2018). Can emergency physicians accurately distinguish retinal detachment from posterior vitreous detachment with point-of-care ocular ultrasound?. The American journal of emergency medicine.
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  There is significant overlap between the symptoms of patients presenting with retinal detachment (RD) and posterior vitreous detachment (PVD). Urgency to obtain consultation and treatment are dependent on the ability to accurately distinguish these two conditions. The objective of this study was to determine the ability of emergency physicians to differentiate RDs from PVDs using point-of-care (POC) ocular ultrasound.
• Castro-Marin, F., Maher, S. A., Navarro, T., Nuño, T., Whitney, J., McDonald, A., Razo, A., Marcuzzo, C., Chick, R., & Gaither, J. B. (2018). Impact of a Mass Gathering Alcohol Sobering Facility on Emergency Resources. Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors, 1-6.
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  Alcohol consumption has been implicated as an important factor driving the demand for medical care at mass gatherings. Patients exhibiting signs of possible alcohol intoxication are frequently diverted from traditional medical support facilities located within mass gathering events due to their disruptive behavior or need for prolonged observation. This conventional strategy can place additional stress on Emergency Medical Services (EMS) and Emergency Department (ED) resources. The purpose of this study was to determine if incorporation of an on-site alcohol sobering facility to supplement existing on-site medical support resources was associated with changes in EMS and ED resource utilization during an annual mass gathering.
• Nuño, T., Denninghoff, K. R., Pauls, Q., Yeatts, S. D., Silbergleit, R., Palesch, Y. Y., Merck, L. H., Manley, G., & Wright, D. W. (2018). Reply to: Prehospital Intubation: Further Confounders in Trial Results. Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors, 1.
• Lane, A. D., Berkman, M. R., Verbunker, D., Shekell, T., Bouska, M., Barnett, L., Keogh, A., Nuno, T., Stolz, U., & Waterbrook, A. L. (2017). Retrospective Chart Analysis of Concussion Discharge Instructions in the Emergency Department. The Journal of emergency medicine, 52(5), 690-698.
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  Recognition and diagnosis of concussion is increasing, but current research shows these patients are discharged from the emergency department (ED) with a wide variability of recommendations and instructions.
• Lane, A., Shekkell, T., Verbunker, D., Nuno, T., & Waterbrook, A. (2017). Retrospective Chart Analysis of Concussion Discharge Instructions in the Emergency Department. Journal of Emergency Medicine.
• Nuño, T., Bobrow, B. J., Rogge-Miller, K. A., Panczyk, M., Mullins, T., Tormala, W., Estrada, A., Keim, S. M., & Spaite, D. W. (2017). Disparities in telephone CPR access and timing during out-of-hospital cardiac arrest. Resuscitation, 115, 11-16.
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  Spanish-only speaking residents in the United States face barriers to receiving potentially life-saving 911 interventions such as Telephone -cardiopulmonary resuscitation (TCPR) instructions. Since 2015, 911 dispatchers have placed an increased emphasis on rapid identification of potential cardiac arrest. The purpose of this study was to describe the utilization and timing of the 911 system during suspected out-of-hospital cardiac arrest (OHCA) by Spanish-speaking callers in Metropolitan Phoenix, Arizona.
• Min, A. A., Leetch, A., Nuño, T., & Fiorello, A. B. (2016). How well will you FIT? Use of a modified MMI to assess applicants' compatibility with an emergency medicine residency program. Medical education online, 21, 29587.
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  Emergency medicine residency programs have evaluated the use of Multiple Mini Interviews (MMIs) for applicants. The authors developed an MMI-style method called the Fast Interview Track (FIT) to predict an applicant's 'fit' within an individual residency program.
• Stoneking, L. R., Waterbrook, A. L., Garst Orozco, J., Johnston, D., Bellafiore, A., Davies, C., Nuno, T., Fatas, J. M., Beita, O., Ng, V., Grall, K., & Adamas-Rappaport, W. (2016). Does Spanish instruction for emergency medicine resident physicians improve patient satisfaction in the emergency department and adherence to medical recommendations?. Advances in Medical Education and Practice, 7, 467-473.
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  Approximately 1 hours spent on project for 2015Approximately 6 hours spent on project for 2016
• Stoneking, L. R., Waterbrook, A. L., Garst Orozco, J., Johnston, D., Bellafiore, A., Davies, C., Nuño, T., Fatás-Cabeza, J., Beita, O., Ng, V., Grall, K. H., & Adamas-Rappaport, W. (2016). Does Spanish instruction for emergency medicine resident physicians improve patient satisfaction in the emergency department and adherence to medical recommendations?. Advances in medical education and practice, 7, 467-73.
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  After emergency department (ED) discharge, Spanish-speaking patients with limited English proficiency are less likely than English-proficient patients to be adherent to medical recommendations and are more likely to be dissatisfied with their visit.
• Denninghoff, K. R., Nuño, T., Pauls, Q., Yeatts, S. D., Silbergleit, R., Palesch, Y. Y., Merck, L. H., Manley, G. T., & Wright, D. W. (2017). Prehospital Intubation is Associated with Favorable Outcomes and Lower Mortality in ProTECT III. Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors, 21(5), 539-544.
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  Traumatic brain injury (TBI) causes more than 2.5 million emergency department visits, hospitalizations, or deaths annually. Prehospital endotracheal intubation has been associated with poor outcomes in patients with TBI in several retrospective observational studies. We evaluated the relationship between prehospital intubation, functional outcomes, and mortality using high quality data on clinical practice collected prospectively during a randomized multicenter clinical trial.
• Min, A. A., Leetch, A., Nuno, T., & Fiorello, A. A. (2015). How well will you FIT? Use of a modified MMI to assess applicants' compatibility with an emergency medicine residency program. Med Educ Online.
• Garcia, F. A., Cornelison, T., Nuño, T., Greenspan, D. L., Byron, J. W., Hsu, C., Alberts, D. S., & Chow, H. S. (2014). Results of a phase II randomized, double-blind, placebo-controlled trial of Polyphenon E in women with persistent high-risk HPV infection and low-grade cervical intraepithelial neoplasia. Gynecologic oncology, 132(2), 377-82.
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  In vitro data and pilot data suggest that green tea catechins may possess chemopreventive activity for cervical cancer and precursor lesions. We conducted a randomized, double-blind, placebo-controlled trial of Polyphenon E (decaffeinated and enriched green tea catechin extract) in women with persistent human papillomavirus (HPV) infection and low-grade cervical intraepithelial neoplasia (CIN1) to evaluate the potential of Polyphenon E for cervical cancer prevention.
• Nuño, T., & García, F. (2013). The Lower Anogenital Squamous Terminology Project and its implications for clinical care. Obstetrics and gynecology clinics of North America, 40(2), 225-33.
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  Based on a growing need for unified terminology to describe the pathologic and clinical spectrum of lesions, the American Society for Colposcopy and Cervical Pathology and the College of American Pathologists Pathology and Laboratory Quality Center convened the Lower Anogenital Squamous Terminology (LAST) Project to reassess and harmonize the terminology used to describe human papillomavirus-associated squamous lesions of the lower anogenital tract as manifested in a variety of end organs. The distinction between cancer precursors and those without malignant potential leads to consistency in the interpretation of management guidelines and the therapeutic options.
• Nuño, T., Gerald, J. K., Harris, R., Martinez, M. E., Estrada, A., & García, F. (2012). Comparison of breast and cervical cancer screening utilization among rural and urban Hispanic and American Indian women in the Southwestern United States. Cancer causes & control : CCC, 23(8), 1333-41.
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  Rural Hispanic and American Indian (AI) women are at risk of non-participation in cancer screening programs. The objective of this study was to compare breast and cervical cancer screening utilization among Hispanic and AI women that reside in rural areas of the Southwestern United States to their urban counterparts and to assess characteristics that influence cancer screening.
• Brown, S. R., Nuno, T., Joshweseoma, L., Begay, R. C., Goodluck, C., & Harris, R. B. (2011). Impact of a community-based breast cancer screening program on Hopi women. Preventive medicine, 52(5), 390-3.
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  To examine changes in breast cancer knowledge, attitudes, beliefs and behaviors following implementation of a tribal run CDC Breast and Cervical Cancer Program (BCCP), we report 2006 survey results from Hopi women and contrast findings with 1993 survey data and BCCP reports.
• Nuño, T., Castle, P. E., Harris, R., Estrada, A., García, F., & , Y. P. (2011). Breast and cervical cancer screening utilization among Hispanic women living near the United States-Mexico border. Journal of women's health (2002), 20(5), 685-93.
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  Hispanic women who reside in low-resource settings are especially at risk for nonparticipation in cancer screening programs. The purpose of this study was to assess characteristics that influence breast and cervical cancer screening among older Hispanic women living along the United States-Mexico border.
• Nuño, T., Martinez, M. E., Harris, R., & García, F. (2011). A Promotora-administered group education intervention to promote breast and cervical cancer screening in a rural community along the U.S.-Mexico border: a randomized controlled trial. Cancer causes & control : CCC, 22(3), 367-74.
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  Breast cancer is the most common neoplasm among Hispanic women. Cervical cancer has a higher incidence and mortality among Hispanic women compared with non-Hispanic White women.
• Rosales, C. B., Nuno, T., Dieke, A., Galvez, F. N., Dutton, R. J., Guerrero, R., Dulin, P., Jiménez, E. A., Granillo, B., & de Zapien, J. G. (2011). U.S.-Mexico cross-border workforce training needs: survey implementation. Journal of injury & violence research, 3(1), 1-11.
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  Since the tragic events experienced on September 11, 2001, and other recent events such as the hurricane devastation in the southeastern parts of the country and the emergent H1N1 season, the need for a competent public health workforce has become vitally important for securing and protecting the greater population.
• Mitchell, A., Newton, J. M., Brite, K., Einspahr, J., Ellis, M., Davis, J., Nuno, T., Alberts, D. S., & Garcia, F. (2007). Cyclooxygenase 2 expression in cervical intraepithelial neoplasia and vulvar cancer. Journal of lower genital tract disease, 11(2), 80-5.
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  The purpose of this study is to describe the expression of cyclooxygenase (COX) 2 cervical intraepithelial neoplasia (CIN) and vulvar cancer specimens.
• Baldwin, S., Santos, C., Mendez Brown, E., Nuño, T., Giuliano, A., Davis, J., & Garcia, F. (2005). Comparison of type-specific human papillomavirus data from self and clinician directed sampling. Gynecologic oncology, 97(2), 612-7.
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  To compare the type-specific human papillomavirus (HPV) recovery from physician and patient-collected samples.
• Leybas-Amedia, V., Nuño, T., & Garcia, F. (2005). Effect of acculturation and income on Hispanic women's health. Journal of health care for the poor and underserved, 16(4 Suppl A), 128-41.
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  This research examines how acculturation and income affect health care access, utilization, and prevention knowledge among a population of Hispanic women living along the U.S.-Mexico border in Yuma, Arizona, a rural agricultural county. A cross-sectional survey was conducted among 417 Hispanic women with mean age 61.3 years (s.d.=9.2). Most were long-term residents of Yuma County with some elementary and middle school education. Respondents had low monthly household incomes (average: USD $927.77, s.d.=550.40) and 10% reported current employment. The results show that income may be a more important predictor of actual utilization of health care services while acculturation may play a more prominent role with respect to provider preferences. A better understanding of the complex interplay between the individual and the society she inhabits is required in order to develop a meaningful public health intervention that will affect disease risk.
• Garcia, F., Barker, B., Santos, C., Brown, E. M., Nuño, T., Giuliano, A., & Davis, J. (2003). Cross-sectional study of patient- and physician-collected cervical cytology and human papillomavirus. Obstetrics and gynecology, 102(2), 266-72.
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  To compare the performance of patient- and physician-obtained cytology and human papillomavirus (HPV) testing for the detection of high-grade cervical intraepithelial neoplasia.

Proceedings Publications

• Gaither, J. B., J, G. J., Rice, A., S, C. E., T, D. M., S, D. D., I, C., Jeffery, T. P., A, F. M., E, A., & Nuno, T. (2019, May). Difference in Ventilation Among Trauma Cases Intubated Using Succinylcholine Versus Rocuronium. In 22nd Annual Meeting of the Western Society for Academic Emergency Medicine.
• Gaither, J. B., Rice, A., J, G. J., S, C. E., T, D. M., I, C., J, T. P., E, A., Adam, F. M., Nuno, T., & S, D. D. (2019, May). Hyper/Hypoventilation Following Intubation for Severe Traumatic Brain Injury in Adult vs. Pediatric Patients. In 22nd Annual Meeting of the Western Society for Academic Emergency Medicine.
• Lopez, M., Tesar, L., Kulkarni, A., Nuno, T., Maslan, K., & Gaither, J. B. (2016, March). Utilization of End Tidal CO2 Monitoring in Traumatic Brain Injury Patients Requiring Intubation in the Emergency Department. In Western Regional SAEM Meeting.
• Nuno, T., Bobrow, B. J., Rogge-Miller, K. A., Panczyk, M., Esparza, M., Martinez, R. A., Mullins, T., & Spaite, D. W. (2016, January). Disparities in Utilization of 9-1-1 for Out-of-Hospital Cardiac Arrests Among Spanish Speaking Callers. In Annual Meeting of the National Association of EMS Physicians, 20, 146-147.
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  Nuno T, Bobrow BJ, Rogge-Miller KA, Panczyk M, Esparza M, Martinez R, Mullins T, Spaite DW: Disparities in Utilization of 9-1-1 for Out-of-Hospital Cardiac Arrests Among Spanish Speaking Callers. Prehospital Emerg Care 2016;20(1):146-147.

Presentations

• Ng, V., Ng, V., Murphy, A., Murphy, A., Conley, R., Conley, R., Nuno, T., Nuno, T., Ely, G., Ely, G., Dare, R., & Dare, R. (2019, March). Describing the Study Habits of Emergency Medicine Residents, a Two-Year Analysis. Western Regional Society of Academic Emergency Medicine. Napa, CA.
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  UPDATE THIS!!Approximately xx hours spent on project for 2019Abstract submitted, accepted and presented at WSAEM, March xx, 2019.
• Nuno, T., Torres, R., & Verdugo, L. (2019, Spring). Meta Salud Diabetes: A pilot project of a community health worker intervention to prevent cardiovascular disease and its complications among Hispanic adults with diabetes. 4th Annual El Rio Community Health Research Fair. Tucson, AZ: El Rio Community Health Center.
• Nuno, T., Torres, R., Denman, C., Cornejo, E., Ingram, M., de Zapien, J., & Rosales, C. (2019, March 27-29). Herramientas y prácticas para disminuir las enfermedades cardiovasculares y complicaciones en hispanos con diabetes de Arizona, EUA. 18th Congreso de Investigación en Salud Pública. Cuernavaca, Morelos Mexico: Instituto Nacional de Salud Publica.
• Torres, R., Nuno, T., Verdugo, L., & Rosales, C. (2019, Fall). A pilot study in 2 federally-qualified health centers to prevent cardiovascular disease and complications among Hispanics with diabetes. 2019 American Public Health Association Annual Meeting & Expo. Philadelphia, PA: American Public Health Organization.
• Nuno, T. (2018, November 2018). Epidemiology Section Career Panel. 2018 American Public Health Association Annual Meeting & Expo. San Diego, CA: American Public Health Association.
• Nuno, T., Denninghoff, K., & Wright, D. (2018, November 2018). Racial/ethnic minority participation in clinical research: Assessment of Exception from Informed Consent in ProTECT III. 2018 American Public Health Association Annual Meeting & Expo. San Diego, CA: American Public Health Association.
• Nuno, T., Denninghoff, K. R., Figueroa, J., Pauls, A., Yeatts, S. D., Silbergleit, R., Palesch, Y. Y., Merck, L. H., Manley, G., & Wright, D. W. (2017, April/Spring). Prehospital intubation is associated with favorable outcomes in ProTECT III. Western Society of Academic Emergency Medicine.
• Stoneking, L. R., Nuno, T., Berkman, M. R., Ng, V., Sobel, J., Bates, J., Stoneking, L. R., Nuno, T., Berkman, M. R., Ng, V., Sobel, J., & Bates, J. (2017, April). Effect of Real-time Patient Satisfaction Surveys on Emergency Physician Behavior. Council of Emergency Medicine Residency Directors Annual Meeting. Fort Lauderdale, FL.
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  Approximately 7.5 hours spent on project for 2017Abstract invited and presented at AMES, April 28, 2017.Abstract submitted, accepted and presented at CORD, April 28, 2017.
• Fox, J., Griffin, M., Keyser, A., Nuno, T., Lane, A., & Waterbrook, A. (2016, April). Assessment of musculoskeletal knowledge amongst emergency medicine physicians. Western Society of Academic Emergency Medicine Regional Meeting. Marina del Rey, CA: Society of Academic Emergency Medicine.
• Rice, A., Bradley, J., Wentworth, S., Nuno, T., & Valenzuela, T. (2016, April). Misclassification of presumed cardiac arrest cases in a national cardiac arrest registry. Western Society of Academic Emergency Medicine Regional Meeting. Marina del Rey, CA: Society of Academic Emergency Medicine.
• Ruffatto, B., Hoverstadt, P., Nuno, T., & Denninghoff, K. (2016, April). Clinical outcomes for rural and urban patients with traumatic brain injury requiring admission to Level 1 vs. non-Level 1 trauma centers in Arizona: An observational retrospective study. Western Society of Academic Emergency Medicine Regional Meeting. Marina del Rey, CA: Society of Academic Emergency Medicine.

Poster Presentations

• Stoneking, L. R., Nuno, T., Berkman, M. R., Ng, V., Sobel, J., & Bates, J. (2017, April). Effect of Real-time Patient Satisfaction Surveys on Emergency Physician Behavior. Arizona Medical Education Scholars Research Day. Tucson, AZ.
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  Approximately 7.5 hours spent on project for 2017Abstract invited and presented at AMES, April 28, 2017.

Others

• Gaither, J. B., J, G. J., Rice, A., S, C. E., T, D. M., S, D. D., I, C., Jeffery, T. P., A, F. M., E, A., & Nuno, T. (2019, May). Difference in Ventilation Among Trauma Cases Intubated Using Succinylcholine Versus Rocuronium. Academic Emergency Medicine.
• Nuno, T., Bobrow, B. J., Rogge-Miller, K. A., Panczyk, M., Esparza, M., Martinez, R. A., Mullins, T., & Spaite, D. W. (2016, Jan). Disparities in Utilization of 9-1-1 for Out-of-Hospital Cardiac Arrests Among Spanish Speaking Callers. Prehospital Emergency Care.
  More info

  Nuno T, Bobrow BJ, Rogge-Miller KA, Panczyk M, Esparza M, Martinez R, Mullins T, Spaite DW: Disparities in Utilization of 9-1-1 for Out-of-Hospital Cardiac Arrests Among Spanish Speaking Callers. Prehospital Emerg Care 2016;20(1):146-147.
• Nuno, T., Bobrow, B. J., Rogge-Miller, K. A., Panczyk, M., Esparza, M., Martinez, R. A., Mullins, T., & Spaite, D. W. (2016, Spring). Disparities in Utilization of 9-1-1 for Out-of-Hospital Cardiac Arrests Among Spanish Speaking Callers. Prehospital Emergency Care.
• Nuno, T., Bobrow, B. J., Rogge-Miller, K. A., Panczyk, M., Esparza, M., Martinez, R., Mullins, T., & Spaite, D. W. (2016, June). Disparities in Utilization of 9-1-1 for Out-of-Hospital Cardiac Arrests Among Spanish Speaking Callers. Prehospital Emergency Care.