- Urinary Tract Infections Management
- Antibiotic Use and Resistance
- Substance Abuse Treatment and Outcomes
- Global Cancer Incidence and Screening
- Prenatal Substance Exposure Effects
- Primary Care and Health Outcomes
- Homelessness and Social Issues
- Obesity, Physical Activity, Diet
- Obesity and Health Practices
- Pneumonia and Respiratory Infections
- Gestational Diabetes Research and Management
- Urinary Bladder and Prostate Research
- Health Policy Implementation Science
- Healthcare Systems and Technology
- Opioid Use Disorder Treatment
- Pelvic floor disorders treatments
- Patient Satisfaction in Healthcare
- Colorectal Cancer Screening and Detection
- Healthcare Policy and Management
- Alcohol Consumption and Health Effects
- Complementary and Alternative Medicine Studies
- COVID-19 and healthcare impacts
- Health disparities and outcomes
- Patient-Provider Communication in Healthcare
- Mental Health Treatment and Access
Baylor College of Medicine
2016-2025
Tufts Medical Center
2023
Center for Innovation
2023
West Virginia University
2021
Society of Teachers of Family Medicine
2021
University of South Florida
2015-2020
E Ink (South Korea)
2020
The University of Texas Medical Branch at Galveston
2020
University of Houston
2020
Health Resources and Services Administration
2020
Use of antibiotics without a prescription may increase unnecessary and inappropriate drug use or doses as well global risk for antimicrobial resistance.To perform scoping review research on the prevalence nonprescription antibiotic in United States to examine factors that influence it.Searches PubMed, EMBASE, CINAHL, Scopus, relevant Web sites language restrictions from January 2000 March 2019.Studies reporting antibiotics, storage intention prescription, influencing use.Two reviewers...
Adverse childhood experiences (ACE) have been previously linked to quality of life, health conditions, and life expectancy in adulthood. Less is known about the potential mechanisms which mediate these associations. This study examined how ACE influences adult health-related (HRQoL) a low-income community Florida.
Background. The updated 2010 Infectious Diseases Society of America guidelines recommended 3 first-line therapies for uncomplicated cystitis: nitrofurantoin, trimethoprim-sulfamethoxazole (TMP-SMX), and fosfomycin, while fluoroquinolones (FQs) remained as second-line agents. We assessed guideline concordance antibiotic choice treatment duration after introduction the studied patient characteristics associated with prescribing specific antibiotics duration. Methods. used Epic Clarity database...
Community antimicrobial resistance rates are high in communities with frequent use of nonprescription antibiotics. Studies addressing antibiotic the United States have been restricted to Latin American immigrants. We estimated prevalence previous 12 months as well intended (intention antibiotics without a prescription) and storage examined patient characteristics associated random sample adults. selected private public primary care clinics that serve ethnically socioeconomically diverse...
This study investigates whether maternal cigarette smoking modifies the association between alcohol use in pregnancy and risk of small-for-gestational-age (SGA) delivery.We employed linked vital statistics data singleton births state Missouri covering period 1989 through 1997 (N = 655,758). Multivariate logistic regression was used to generate adjusted odds ratios (AORs) 95% confidence intervals (CIs) for SGA associated with intake. A subanalysis conducted assess impact interaction...
Abstract Background Antibiotic use without a prescription (non-prescription use) is highly prevalent issue that poses significant individual and population level risk. We designed patient-focused educational brochure to reduce non-prescription antibiotic report patient survey results about the brochure’s acceptability, appropriateness, usability.Figure 1.Brochure Usability, Appropriateness, Acceptability For three criteria of usability, responses "completely agree" "agree" were categorized...
Lower education is a risk factor for alcohol-related deaths, but it unknown if the impact of varies by race/ethnicity. We evaluated interaction between and race/ethnicity on odds alcohol use disorder (AUD) significance employment poverty as potential mediators. The 2016-19 National Survey Drug Use Health was used to obtain weighted prevalence AUD in participants 26+ years. Using outcome, multivariable logistic regression analyses were performed, stratified four levels education, ranging from...
Objective: Health-related Internet use and eHealth technologies, including online patient-provider communication (PPC), are continually being integrated into health care environments. This study aimed to describe sociodemographic health- Internet-related correlates that influence adult patients’ interest in electronic exchange of medical information with providers the United States. Methods: Nationally representative cross-sectional data from 2014 Health Information National Trends Survey (N...
The optimal approach for treating outpatient male urinary tract infections (UTIs) is unclear. We studied the current management of UTI in private clinics, and we evaluated antibiotic choice, treatment duration, outcome recurrence UTI.Visits all patients 18 years age older during 2011-2015 with International Classification Diseases, Ninth Revision, Clinical Modification codes or associated symptoms were extracted from EPIC Clarity Database 2 family medicine, urology, 1 internal medicine...
We explored whether the introduction of 3 lifesaving innovations introduced between 1989 and 1996 increased, decreased, or had no effect on disparities in Black-White mortality United States through 2006.
Inappropriate choices and durations of therapy for urinary tract infections (UTI) are a common widespread problem. In this qualitative study, we sought to understand why primary care providers (PCPs) choose certain antibiotics or treatment the sources information they rely upon guide antibiotic-prescribing decisions. We conducted semi-structured interviews with 18 PCPs in two family medicine clinics focused on decisions UTIs. Our interview awareness familiarity guidelines (knowledge),...
Summary Background Obesity prevalence is disproportionately high among Hispanic children. Objectives The Healthy Families Study assessed the efficacy of a culturally targeted, family‐based weight gain prevention intervention for immigrant families with children ages 5–7 years. Methods study used two‐group, cluster randomized trial design, assigning 136 (clusters) to active (weight prevention) and attention control (oral health). included 4‐month intensive phase (eight classes) an 8‐month...
Pre-pregnancy obesity and gestational diabetes mellitus (GDM) are increasingly prevalent independent risk factors for maternal infant morbidities. However, there is a paucity of information on their joint effects health outcomes healthcare costs.A population-based retrospective cohort study was conducted in Florida using validated statewide database covering 1,057,647 infants born between 2004 2009. Using generalized linear modeling, associations levels pre-pregnancy body mass index (BMI)...
The aetiology of preterm birth remains poorly understood. purpose this study is to investigate if an association exists between prenatal alcohol consumption and determine such differs by subcategories birth.We employed vital statistics data from the state Missouri covering period 1989-2005 (n = 1 221 677 singleton records). outcome interest was birth, subclassified into medically indicated spontaneous phenotypes. Multivariate logistic regression used generate adjusted odds ratios, with...