A5018553843- Musculoskeletal pain and rehabilitation
- Cardiac Arrest and Resuscitation
- Traumatic Brain Injury Research
- Trauma and Emergency Care Studies
- Occupational Health and Performance
- Pediatric Pain Management Techniques
- Healthcare professionals’ stress and burnout
- Pain Management and Opioid Use
- Opioid Use Disorder Treatment
- Anesthesia and Pain Management
- Meta-analysis and systematic reviews
- Rabies epidemiology and control
- Family Caregiving in Mental Illness
- Traumatic Brain Injury and Neurovascular Disturbances
- Hip and Femur Fractures
- Stroke Rehabilitation and Recovery
- Occupational Health and Safety Research
- Pain Management and Placebo Effect
- Clinical practice guidelines implementation
- Family and Patient Care in Intensive Care Units
- Prosthetics and Rehabilitation Robotics
- Birth, Development, and Health
- Healthcare Policy and Management
- Ergonomics and Musculoskeletal Disorders
- Bone fractures and treatments
Henry M. Jackson Foundation
2020-2025
Uniformed Services University of the Health Sciences
2021-2025
Walter Reed National Military Medical Center
2022-2024
University of Texas Health Science Center at Dallas
2022-2024
The University of Texas Health Science Center at Houston
2018-2023
Southwest Center for Educational Excellence
2022-2023
University of Health Sciences
2021
Highland Community College - Kansas
2020
Defense & Veterans Center for Integrative Pain Management
2019-2020
Over 2,100 active duty service members (ADSM) have experienced traumatic limb loss since 2001. Combat-injured ADSMs over 3 times the odds of developing a behavioral health condition as compared to those with noncombat injuries. Additionally, severity injury has been associated increased risk post-traumatic stress disorder and depression, which increase suicidal behavior. Despite previous research, studies not investigated incident diagnoses in 12 months following amputation highest-risk...
ABSTRACT Introduction Traumatic brain injury (TBI) is an occupational health hazard of military service. Few studies have examined differences in categories (MOC) which take into consideration the physical demands and job requirements across groups. Methods This study was approved by University Texas Health Science Center at Houston Institutional Review Board. Data for this cross-sectional were obtained from Naval Research Center’s Millennium Cohort Study, ongoing DoD study. Univariate...
Traumatic brain injury (TBI) is prevalent among active duty military service members, with studies reporting up to 23% experiencing at least one TBI, 10–60% of members subsequent repeat TBI. A TBI has been associated an increased risk cumulative effects and long-term neurobehavioral symptoms, impacting operational readiness in the short-term overall health long term. The association between multiple post-concussive symptoms (PCS), however, defined as that follow a concussion or not...
Objective: The Department of Defense (DoD) implemented numerous occupational health policies to guide opioid prescribing active duty military service members (ADSM). This retrospective time series analysis evaluated the impact DoD on trends in ADSM from 2006 2018. Methods: Bayesian structural time-series models with a Markov chain Monte Carlo algorithm for posterior inference and semi-local linear trend were constructed estimate polices. Results: Results indicate annual proportions...
To describe and quantify the prevalence risk of deployment nondeployment service-related traumatic brain injury (TBI) among participants Millennium Cohort Study.
Service academy members are at high risk for concussions as a result of participation in both sports and military-specific training activities. Approximately 17% active duty service female, they face unique challenges achieving timely recovery from concussions. Understanding the characteristics affecting return to unrestricted activity (RTA) among female is imperative ever-growing proportion females across U.S. military. The goal this analysis was determine how specific injury individual...
ABSTRACT Introduction The USA is experiencing an opioid epidemic. Active duty service members (ADSMs) are at risk for use disorder (OUD). Coronavirus disease 2019 (COVID-19) pandemic has disrupted health care and introduced additional stressors. Methods Military Healthcare System Data Repository was used to evaluate changes in diagnosis of OUD, medications OUD (MOUD), overdose (OD), rescue medication. ADSMs ages 18-45 years enrolled the between February April 2022 were included. Joinpoint...
Abstract Introduction The 2017 Joint Trauma System Clinical Practice Guideline for Pain, Anxiety, and Delirium (JTS CPG) provides an evidence-based framework managing pain, anxiety, delirium in combat settings. In this study, we evaluate the use of multimodal analgesia assess pain outcomes, as indicated by JTS CPG, at support hospital (CSH). Materials Methods quality improvement project, data were collected all patients, presenting to CSH Baghdad, Iraq, who received consultation from acute...
Background/Objective The role of caregiver psychosocial characteristics and their relation to postsurgical caregiving capability remains unclear. objective this study was explore variables following surgery patients undergoing total joint arthroplasty spine surgery. Methods A prospective observational conducted where questionnaires were administered caregivers preoperatively 1 week/2 weeks/1 month postoperatively. Measures included demographics, activities National Institutes Health Patient...
ABSTRACT Introduction Amputations at the hip and pelvic level are often performed secondary to high-energy trauma or neoplasms frequently associated with a prolonged postoperative rehabilitation course that involves multitude of health care providers. The purpose this study was examine utilization patients hip- pelvic-level amputations received in U.S. Military Health System. Materials Methods We retrospective review all who underwent amputation System between 2001 2017. compiled reviewed...
Background: Interest in and eligibility for military service are declining nationally, increasing dependence on recruiting from connected families. One major impediment to joining the military, is medical ineligibility. Studies show national increases adolescent obesity mental health diagnoses, however there little research comprehensive of adolescents trends over time. Limited dependent children suggests similar trends, documenting specifically as it relates their accession time …
Background: Interest in and eligibility for military service are declining nationally, increasing dependence on recruiting from connected families. One major impediment to joining the military, is medical ineligibility. Studies show national increases adolescent obesity mental health diagnoses, however there little research comprehensive of adolescents trends over time. Limited dependent children suggests similar trends, documenting specifically as it relates their accession time does not...