A5028800669- Musculoskeletal pain and rehabilitation
- Spine and Intervertebral Disc Pathology
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Dementia and Cognitive Impairment Research
- Neurotransmitter Receptor Influence on Behavior
- Neuroscience and Neuropharmacology Research
- Health Systems, Economic Evaluations, Quality of Life
- Neuroinflammation and Neurodegeneration Mechanisms
- Pelvic floor disorders treatments
- Receptor Mechanisms and Signaling
- Frailty in Older Adults
- Mental Health Treatment and Access
- Schizophrenia research and treatment
- Toxic Organic Pollutants Impact
- Agriculture and Farm Safety
- Occupational Health and Safety Research
- Community Health and Development
- Public Health Policies and Education
- Balance, Gait, and Falls Prevention
- Pain Management and Placebo Effect
- Global Health Care Issues
- Pressure Ulcer Prevention and Management
- Workplace Health and Well-being
- Noise Effects and Management
- Myofascial pain diagnosis and treatment
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2022
Indiana University School of Medicine
2017-2021
University of Pittsburgh
1993-2021
Indiana University – Purdue University Indianapolis
2015-2021
Indiana University
2020
University School
2020
Johns Hopkins University
2020
Michigan State University
2020
University of Iowa
2016-2018
Penn State Milton S. Hershey Medical Center
2018
Objectives: To identify characteristics of older primary care patients who were cognitively impaired and underwent mental status testing by their physicians. Design: Cross‐sectional retrospective analysis. Setting: Seven small‐town practices. Participants: A total 1,107 with a mean±standard deviation age 76.3±6.6, screened using the Mini‐Mental State Examination (MMSE); medical records reviewed. Measurements: Demographics, MMSE, record information. Odds ratios (OR) 95% confidence intervals...
Abstract Background Workplace mortality and severe injury are disproportionately distributed among foreign born Hispanic construction workers. Worker Centers (WCs) provide services advocacy for low‐wage workers a way investigators to reach them. The goal of this project is prevent occupational injuries by increasing awareness hazards self‐efficacy born, expanding the agenda WCs include health safety (H&S). Methods Investigators partnered with eight in seven cities train worker leaders...
Alzheimer's disease (AD) is a progressive, neurodegenerative that creates complex challenges and significant burden for patients caregivers. Although underlying pathological changes due to AD may be detected in research studies decades prior symptom onset, many the early stages of remain undiagnosed clinical practice. Increasing evidence points importance an accurate diagnosis optimize outcomes their families, yet barriers along diagnostic journey. Through series international working group...
The disposition of toxicants is often affected by their binding to serum proteins, which the most abundant in humans albumin (HSA). There increasing interest toxicities environmentally persistent polychlorinated biphenyls (PCBs) with lower numbers chlorine atoms (LC-PCBs) due presence both indoor and outdoor air. PCB sulfates derived from metabolic hydroxylation sulfation LC-PCBs have been implicated endocrine disruption high affinity-binding thyroxine-carrying protein, transthyretin....
To present an algorithm of sequential treatment options for managing myofascial pain (MP) in older adults, along with a representative clinical case. A modified Delphi process was used to synthesize evidence-based recommendations. multidisciplinary expert panel developed the algorithm, which subsequently refined through iterative input from primary care physician panel. We and supportive materials help guide adults MP, important contributor chronic low back (CLBP). Addressing any...
The purpose of this study was to assess the effects age and patients' attribution incontinence aging on health-related behaviors associated with incontinence.Participants in were 74 women who either sought treatment for urinary at a multidisciplinary continence program or volunteered randomized clinical trial behavioral drug therapy incontinence. As part their evaluation, interviewed about how they managed perceptions what had caused condition. Self-management defined as used cope...
OBJECTIVE : To present the 11th in a series of articles designed to deconstruct chronic low back pain (CLBP) older adults. The presents CLBP as syndrome, final common pathway for expression multiple contributors rather than disease localized exclusively lumbosacral spine. Each article addresses one 12 important contributions and disability adults with CLBP. This focuses on dementia.A modified Delphi technique was used develop an algorithm approach treatment living dementia. A panel content...
OBJECTIVE: To describe the characteristics of urinary incontinence and related factors in incontinent homebound older adults. DESIGN: A descriptive study 90 cognitively intact persons referred to a clinical trial examine effectiveness behavioral therapies treatment (UI) patients. SETTING AND PARTICIPANTS: Incontinent patients more than 60 years age who met Health Care Financing Administration's definition were by home care nurses from Medicare‐approved agency large metropolitan county...
To present an algorithm of sequential treatment options for managing sacroiliac joint (SIJ) pain in the setting chronic low back (CLBP) older adult. This is tenth part a series, and includes illustrative clinical case.The stepped care drug table evaluation were created following thorough literature review approaches subsequent analysis through modified Delphi process. The principal investigator developed initial draft, which was refined content by interdisciplinary panel five experts....
. To present the sixth in a series of articles designed to deconstruct chronic low back pain (CLBP) older adults. This article focuses on evaluation and management lumbar spinal stenosis (LSS), most common condition for which adults undergo surgery.. The treatment algorithm, table articulating rationale individual algorithm components, stepped-care drug recommendations were developed using modified Delphi approach. Principal Investigator, five-member content expert panel nine-member primary...
Objective. As a part of series articles designed to deconstruct chronic low back pain (CLBP) in older adults, this article focuses on anxiety—a significant contributor reduced health-related quality life, increased use medical services, and heightened disability adults with CLBP. Methods. A modified Delphi technique was used develop an algorithm for the screening clinical care CLBP anxiety. 4-member content expert panel nine-member primary were involved iterative development process....
This study investigated whether neuropsychological testing in primary care (PC) offices altered physician-initiated interventions related to cognitive impairment (CI) or slowed the rate of CI progression.This 24-month, cluster-randomized included 11 community-based PC practices randomized either treatment as usual (5 practices) report (CR; 6 arms. From 2005 2008, 533 patients aged ≥65 years and without a diagnosis were recruited; 423 retested 24 months after baseline.CR physicians...
Abstract Objective. This article presents an evidence-based algorithm to assist primary care providers with the diagnosis and management of lateral hip thigh pain in older adults. It is part a series that focuses on coexisting patterns contributors chronic low back (CLBP) aging population. The objective encourage clinicians take holistic approach when evaluating treating CLBP Methods. A content expert panel collaboratively used modified Delphi iteratively develop diagnostic treatment...