A5003826098- Sleep and related disorders
- Asthma and respiratory diseases
- Patient-Provider Communication in Healthcare
- Sleep and Wakefulness Research
- Health Literacy and Information Accessibility
- Mobile Health and mHealth Applications
- Health disparities and outcomes
- Chronic Disease Management Strategies
- Cardiac Health and Mental Health
- HIV/AIDS Research and Interventions
- Autism Spectrum Disorder Research
- Mental Health Treatment and Access
- Attention Deficit Hyperactivity Disorder
- Obesity, Physical Activity, Diet
- Health, psychology, and well-being
- Child and Adolescent Psychosocial and Emotional Development
- Palliative Care and End-of-Life Issues
- Healthcare professionals’ stress and burnout
- Cancer Risks and Factors
- Family and Disability Support Research
- Patient Satisfaction in Healthcare
- Maternal Mental Health During Pregnancy and Postpartum
- Child Nutrition and Feeding Issues
- Antifungal resistance and susceptibility
- Prostate Cancer Diagnosis and Treatment
University of California, Davis
2024-2025
University of Cartagena
2025
University of Pennsylvania
2015-2024
California University of Pennsylvania
2021-2024
Institute for Medical Informatics and Biostatistics
2021
Johns Hopkins University
2019
Hospital of the University of Pennsylvania
2014-2019
Philadelphia University
2017
Universidad Nacional Autónoma de México
2017
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
2017
<h3>Objective</h3> To determine the frequency and correlates of impulse control disorders (ICDs) in Parkinson disease (PD). <h3>Design</h3> An unstructured screening interview for ICDs (compulsive gambling, buying, sexual behavior) followed by a telephone-administered structured screen-positive patients. <h3>Setting</h3> Two university-affiliated movement centers. <h3>Participants</h3> A convenience sample 272 patients with idiopathic PD who were screened psychiatric complications. <h3>Main...
OBJECTIVE. The objective of this study was to provide national estimates psychotropic medication use among Medicaid-enrolled children with autism spectrum disorders and examine child health system characteristics associated use. METHODS. This cross-sectional used Medicaid claims for calendar year 2001 from all 50 states Washington, DC, 60641 an disorder diagnosis. Logistic regression random effects the child, county, state factors RESULTS. Of sample, 56% at least 1 medication, 20% whom were...
<h3>PURPOSE</h3> Depression commonly accompanies diabetes, resulting in reduced adherence to medications and increased risk for morbidity mortality. The objective of this study was examine whether a simple, brief integrated approach depression type 2 diabetes mellitus (type diabetes) treatment improved oral hypoglycemic agents antidepressant medications, glycemic control, among primary care patients. <h3>METHODS</h3> We undertook randomized controlled trial conducted from April 2010 through...
Summary Objective Cross‐sectional data suggest that obesity, particularly central may be associated with decreased production of sex steroid hormones in men. However, longitudinal hormone on men relation to obesity status are limited. Previous studies have not consistently demonstrated whether steroids specifically body mass index or measures obesity. Our objective was examine the (body > 30 kg/m 2 ), and (waist circumference 100 cm waist hip ratio 0·95) change Design Prospective...
Hospice care may improve the quality of end-of-life for nursing home residents, but hospice is underutilized by this population, at least in part because physicians are not aware their patients' preferences.To determine whether it possible to increase utilization and identifying residents whose goals preferences consistent with care.Randomized controlled trial (December 2003-December 2004) surrogate decision makers (N=205) 3 US homes.A structured interview identified care, treatment...
We sought to test our a priori hypothesis that depressed patients with diabetes in practices implementing depression management program would have decreased risk of mortality compared usual-care practices.We used data from the multisite, practice-randomized, controlled Prevention Suicide Primary Care Elderly: Collaborative Trial (PROSPECT), patient recruitment May 1999 August 2001, supplemented search National Death Index. Twenty primary care participated greater metropolitan areas New York...
Background: Few studies have tested the effects of a depression intervention on risk for death associated with depression. Objective: To test whether an to improve care can modify death. Design: Practice-based, randomized, controlled trial. Setting: 20 primary practices in New York, and Philadelphia Pittsburgh, Pennsylvania. Patients: 1226 randomly sampled patients identified through 2-stage, age-stratified (60 74 years ≥75 years) screening. Intervention: Depression manager working...
<b>Objective</b> To investigate whether an intervention to improve treatment of depression in older adults primary care modified the increased risk death associated with depression. <b>Design</b> Long term follow-up multi-site practice randomized controlled trial (PROSPECT—Prevention Suicide Primary Care Elderly: Collaborative Trial). <b>Setting</b> 20 practices New York City, Philadelphia, and Pittsburgh, USA, or usual care. <b>Participants</b> 1226 participants identified between May 1999...
This study examined child- and county-level factors associated with age of diagnosis autism among Medicaid-enrolled children the change in over time.National Medicaid claims from 2002 to 2004 were used identify characteristics younger than ten years old a (ICD-9 codes 299, 299.0x, or 299.8x). These data linked education health care variables. Linear regression random effects for state county was examine associations between these variables diagnosis.A total 28,722 newly diagnosed an spectrum...
The primary aim of the present study was to estimate incidence per annum acute insomnia and what extent those that develop recover good sleep or chronic insomnia. Unlike prior studies, a dense-sampling approach used here (i.e. daily diaries) this allowed for more precise detection follow-on states (the transitions either recovery insomnia).
1) To determine the efficacy of Cognitive Behavioral Therapy for Insomnia (CBT-I) improving insomnia, alcohol-related outcomes, and daytime functioning at post-treatment 3- 6-month follow-up, in a largely African American Veteran sample; 2) Evaluate whether improvement insomnia is associated with reduction outcomes post-treatment. An RCT CBT-I (n = 31) compared to Quasi-Desensitization therapy (QDT, n 32), eight weekly in-person sessions, assessments baseline, end treatment (8 weeks),...
Hospices provide care to patients with a wide range of prognoses, and must develop plans that anticipate each patient's likely illness trajectory. However, the tools available guide prognostication planning in this population have limited data support their use. For instance, one most widely-used prognostic tools, Palliative Performance Scale (PPS), has been studied primarily inpatient settings cancer. Its value heterogeneous US hospice is unknown.The goal study was evaluate PPS as predictor...
We evaluated the effectiveness of an HIV/STD risk-reduction intervention when implemented by community-based organizations (CBOs).
Suicide is a major public health problem and the 10th leading cause of death in United States. The identification modifiable risk factors essential for reducing prevalence suicide. Recently, it has been shown that insomnia nightmares significantly increase suicidal ideation, attempted suicide, by While both forms sleep disturbance may independently confer risk, potentially be factors, also possible simply being awake at night represents specific vulnerability present analysis evaluates...
Depression and anxiety adversely affects outcomes in systemic lupus erythematosus (SLE) healthcare utilization is high for pediatric SLE. We aimed to characterize the prevalence of depression SLE, their association with utilization. conducted a cross-sectional analysis SLE mixed connective tissue disease (MCTD) subjects healthy controls aged 8 years above. used Patient Health Questionnaire 9 (PHQ-9) Screen Childhood Anxiety Related Disorders (SCARED) identify depression, suicidal ideation...
Research reveals mixed evidence for the effects of adenotonsillectomy (AT) on cognitive tests in children with obstructive sleep apnea syndrome (OSAS). The primary aim study was to investigate AT test scores randomized Childhood Adenotonsillectomy Trial.Children ages 5 9 years OSAS without prolonged oxyhemoglobin desaturation were randomly assigned watchful waiting supportive care (n = 227) or early (eAT, n 226). Neuropsychological administered before intervention and 7 months after...
Recruitment and retention strategies for patient-centered outcomes research are evolving on the subject is limited. In this work, we present a conceptual model of recruitment retention, describe activities related challenges in comparative effectiveness trial. This multicenter, longitudinal randomized controlled trial localized prostate cancer patients. We recruited 743 participants from three sites over 15 months period (January 2014 to March 2015), followed them 24 months. At site 1, 773...
<h3>Background</h3> Bloodstream infections (BSIs) caused by<i>Candida glabrata</i>have increased substantially.<i>Candida glabrata</i>is often associated with resistance to fluconazole therapy. However, our knowledge, risk factors for fluconazole-resistant<i>C glabrata</i>BSIs have not been studied. <h3>Methods</h3> A case-case-control study was conducted at 3 hospitals from January 1, 2003, May 31, 2007. The 2 case groups included patients (minimum inhibitory concentration ≥16 μg/mL) and...