- COVID-19 Clinical Research Studies
- Lung Cancer Diagnosis and Treatment
- Long-Term Effects of COVID-19
- Primary Care and Health Outcomes
- Geriatric Care and Nursing Homes
- Sepsis Diagnosis and Treatment
- COVID-19 and healthcare impacts
- Privacy, Security, and Data Protection
- Lung Cancer Treatments and Mutations
- Venous Thromboembolism Diagnosis and Management
- Global Cancer Incidence and Screening
- Balance, Gait, and Falls Prevention
- Sexuality, Behavior, and Technology
- Physical Activity and Health
- Chronic Disease Management Strategies
- Health disparities and outcomes
- Radiology practices and education
- Cerebral Palsy and Movement Disorders
- Global Health Workforce Issues
- COVID-19 and Mental Health
- HIV, Drug Use, Sexual Risk
- Personal Information Management and User Behavior
- Patient-Provider Communication in Healthcare
- Syphilis Diagnosis and Treatment
- Cognitive Functions and Memory
Kaiser Permanente
2017-2024
Kaiser Permanente Riverside Medical Center
2021
Geriatric Research Education and Clinical Center
2015-2016
VA Greater Los Angeles Healthcare System
2015-2016
California State University, Long Beach
2006-2012
Background Previous reports suggest that the use of angiotensin‐converting enzyme inhibitors (ACEIs) or angiotensin receptor blockers (ARBs) may upregulate 2 receptors and increase severe acute respiratory syndrome coronavirus infectivity. We evaluated association between ACEI ARB disease 2019 (COVID‐19) infection among patients with hypertension. Methods Results identified hypertension as March 1, 2020 (index date) from Kaiser Permanente Southern California. Patients who received ACEIs,...
The Veterans Affairs Geriatric Scholars Program ( GSP ) is a continuing professional development program to integrate geriatrics into the clinical practices of primary care providers and select associated health professions that support teams. uses blended educational format, minimal requirements are attend an intensive course in geriatrics, participate interactive workshop on quality improvement QI ), initiate local project demonstrate application new knowledge benefit older veterans. Using...
Veterans Health Affairs (VA) home-based primary care (HBPC) is an evidence-based interdisciplinary approach to non-institutional long-term that was developed in urban settings provide longitudinal for vulnerable older patients. Under the authority of a Memorandum Understanding between VA and Indian Service (IHS) improve access healthcare, 14 medical centers (VAMC) independently initiated plans expand HBPC programs rural American reservations 12 VAMC successfully implemented programs. The...
Small pulmonary nodules are most often managed by surveillance imaging with computed tomography (CT) of the chest, but optimal frequency and duration unknown. The Watch Spot Trial is a multicenter, pragmatic, comparative-effectiveness trial cluster randomization hospital or health system that compares more- versus less-intensive strategies for active small nodules. study plans to enroll approximately 35,200 patients nodule newly detected on chest CT imaging, either incidentally screening....
Home‐based primary care ( HBPC ) is an effective model of noninstitutional long‐term developed in the Department Veterans Affairs VA to provide ongoing homebound persons. Significant rural populations American Indians have limited access services designed for frail older adults. Fourteen Medical Centers VAMC s) initiated efforts expand concert with local tribes and Indian Health Service IHS facilities. This study characterizes resulting emerging models co‐management. Using observational...
To determine the test-retest reliability, sensitivity and specificity, criterion-related validity of Risk Behavior Assessment (RBA) syphilis questions. The RBA is a standardized instrument that has been used in several studies STDs drug users.For reliability study, 219 injection users completed twice within 48-hour period. validity, 207 individuals, who also RBA, were tested with rapid plasma reagin test (RPR), 206 individuals Serodia Treponema pallidum particle agglutination (TP-PA).The for...
The Fall Prevention Center of Excellence designed three progressive-intensity fall prevention program models, Increasing Stability Through Evaluation and Practice (InSTEP), to reduce risk in community-dwelling older adults. Each model included physical activity, medical risk, home safety components was implemented as a 12-week for small class sizes (12-15 people) community senior centers. Change rates factors assessed using battery performance tests, self-reports function, diaries 3-group...
Background/Objectives Home‐based primary care ( HBPC ) is a comprehensive, interdisciplinary program to meet the medical needs of community‐dwelling populations needing long‐term LTC ). The U.S. Department Veterans Affairs VA expanded its underserved rural communities, including American Indian reservations, providing “natural laboratory” study change in access benefits and utilization outcomes for that typically face challenges accessing support. Design Pretest‐Posttest quasi‐experimental...
Although recent evidence suggests no increased risk of severe COVID-19 outcomes associated with angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin receptor blockers (ARBs) use, the relationship is less clear among patients hypertension and diverse racial/ethnic groups. This study evaluates hospitalization mortality in a large US integrated healthcare system.Patients (between March 1- September 1, 2020) on ACEIs ARBs were compared other frequently used antihypertensive...
A stimulus-response compatibility (SRC) effect is obtained when performance better with compatible mappings than incompatible mappings. When are mixed within a task, the SRC often eliminated or reversed.The present study examines how 1,600 trials different practice tasks can affect response selection process in these mapping environments. Participants were assigned to one of three groups: mapping, pure and mapping. Subsequently, all participants performed an experimental session which...
Objectives: ,To develop a COVID-19–specific deterioration index for hospitalized patients: the COVID Hospitalized Patient Deterioration Index (COVID-HDI). This builds on proprietary Epic Index, which was not developed predicting respiratory events among patients with COVID-19. Study Design: ,A retrospective observational cohort used to and validate COVID-HDI model predict or death were defined as requiring high-flow oxygen, bilevel positive airway pressure, mechanical ventilation,...