A5019516391- Stroke Rehabilitation and Recovery
- Anesthesia and Pain Management
- Neurobiology of Language and Bilingualism
- Dementia and Cognitive Impairment Research
- Cardiac, Anesthesia and Surgical Outcomes
- Psychology of Social Influence
- Acute Ischemic Stroke Management
- Resilience and Mental Health
- Legionella and Acanthamoeba research
- Spine and Intervertebral Disc Pathology
- Vibrio bacteria research studies
- Pain Management and Opioid Use
- Nausea and vomiting management
- Emotions and Moral Behavior
- Psychometric Methodologies and Testing
- Primary Care and Health Outcomes
- Software Testing and Debugging Techniques
- Dental Research and COVID-19
- Terrorism, Counterterrorism, and Political Violence
- Homelessness and Social Issues
- Gender Diversity and Inequality
- Substance Abuse Treatment and Outcomes
- Language Development and Disorders
- Behavioral and Psychological Studies
- Cardiac Arrest and Resuscitation
VA Pittsburgh Healthcare System
2003-2023
Government of the United States of America
2022
Veterans Research Foundation of Pittsburgh
2020
Novum Pharmaceutical Research Services (United States)
2007
Google (United States)
2005
Geriatric Research Education and Clinical Center
2004
University at Buffalo, State University of New York
1994-1997
Background: The Burden of Stroke Scale (BOSS) (Doyle et al., 2002) is a health-status assessment instrument designed to measure patient-reported difficulty in multiple domains functioning, psychological distress associated with specific functional limitations, and,general well-being stroke survivors. Aims : This study was examine the discriminative and concurrent validity BOSS Communication Difficulty (CD) Communication-Associated Psychological Distress (CAPD) scales. A secondary purpose...
In two experiments on reactions to persistent annoyance from another person, participants employed a very orderly verbal escalation sequence that fit cascading Guttman scale. This began with requests and moved demands, then complaints, angry statements, threats, harassment, abuse, in order. The more escalated the tactic, fewer people used it. People seldom skipped step way their most tactic. Two possible explanations for this pattern seemed plausible light of data, it is due either widely...
The purpose of this research was to examine the validity 55-item Revised Token Test (RTT) and compare traditional Rasch-based scores in their ability detect group differences change over time. RTT administered to108 left- right-hemisphere stroke survivors, data were submitted Rasch analysis. Traditional for a subsample 60 survivors analyses variance with (left hemisphere aphasia vs. right hemisphere) time post onset (3 6 months onset) as factors. 2 scoring methods compared using an index...
Reactions to persistent annoyance were studied with a new laboratory method. A standard escalation sequence was found, which involved the following order of tactics: requests for termination annoyance, impatient demands, complaints, angry statements, threats, harassment, and abuse. The further along tactic in this sequence, fewer people who used it. This pattern results provided good fit cascading Guttman scale, suggesting existence "try-try-again" script. Problem solving appeals third party...
The purposes of this investigation were to examine the construct dimensionality and range ability effectively measured by 28 assessment items obtained from 3 different patient-reported scales communicative functioning, provide a demonstration how Rasch approach measurement may contribute definition latent constructs development instruments measure them.Item responses 421 stroke survivors with without communication disorders examined using partial credit model. item pool was evaluated (a)...
We tested the hypothesis that buprenorphine-clonidine-dexamethasone (BCD) extends perineural analgesia compared with plain bupivacaine (BPV) nerve blocks used for hip and knee replacement surgery.Prospective, parallel-arms, randomized, double-blind trial.A single veterans' hospital.Seventy-eight veterans scheduled total or plans spinal as primary anesthetic.Participants underwent nerve/plexus at L2-L4 L4-S3 in advance of joint surgery. Patients were randomized to receive BPV-BCD BPV a 4:1...
To compare pain outcome reports of patients undergoing hip or knee replacement who received single-injection nerve/plexus blocks with plain bupivacaine (BPV) those injections buprenorphine-clonidine-dexamethasone (BCD) admixed BPV.Prospective, parallel-arm, randomized, double-blind trial.A single veterans' hospital.Ninety-eight veterans scheduled for total surgery spinal as the primary anesthetic.Participants were randomized to BPV-BCD BPV groups. They underwent in L2-L4 and L4-S3...
A variety of strategies were identified in interview‐based chronologies ordinary interpersonal conflicts. Verbal confrontation with the adversary was most common strategy and usually preceded other approaches. Efforts to arrange mediation arbitration extremely rare, though third parties approached for reasons cases. It possible distinguish complainants from respondents 61 percent Respondents employed more problem solving apology than complainants, while marginally pressure tactics.
Abstract Background: Patient‐reported measures of communication difficulty and communication‐related distress may be used to obtain efficient valid indices the functional consequences aphasia its treatment on daily lives many community‐dwelling stroke survivors. However, they have not been employed evaluate outcomes or examine hypotheses specifying their relationship commonly speech language impairment in persons with aphasia. This work was supported by VHA Department Rehabilitation Research...
Airway hemorrhage requires rapid treatment to prevent adverse patient outcomes. Simulation education programs are challenged recreate learning environments with adequate fidelity for team management of airway hemorrhage.
ABSTRACT Introduction Valid measures of pain are helpful to adjust treatment plans in real time after total joint replacement (TJR). We enhanced the existing Defense and Veterans Pain Rating Scale (DVPRS) with items related at rest movement, specific reference operative nonoperative joints, creating TJR-DVPRS. This manuscript is presented validate modified survey instrument. The aims this psychometric study were evaluate (1) latent structure TJR-DVPRS, (2) relationships among dimensions...
Abstract Background Hospitals devote considerable resources to water distribution system (WS) surveillance and remediation for Legionella in an effort reduce risk of transmitting Legionnaires disease (LD). There are no models that accurately predict periods greatest culture positivity (cx +) within a WS. Our goal was build validate model based on weather parameters predicted cx+ our hospital Methods One liter samples from fixtures at 2 campuses were cultured BCYE plates with cysteine as part...
ABSTRACT Purpose There is no consensus regarding how best to measure postoperative quality of recovery after anesthesia/surgery (e.g., using 24-hour survey instruments) in veterans or active military. Our goals were (1) describe health-related quality-of-life (HRQoL) and across time veterans, (2) examine the commonality between (QoR-15) short-form (SF) surveys (including SF-8, version), (3) responsiveness these surveys. Materials Methods This study was approved by Institutional Review Boards...
Introduction; Brief intervention (BI) is recommended for all primary care (PC) patients who screen positive unhealthy alcohol use; however, with multiple chronic health conditions are at high-risk of hospitalization (i.e., 'high complexity' patients) may face disparities in receiving alcohol-related PC. The current study investigated whether being a high complexity patient was associated screening use, alcohol-use severity, and receipt BI those use.Methods: Patients were Veterans PC services...