A5040153546- Migration, Health and Trauma
- Hearing Loss and Rehabilitation
- Global Health Workforce Issues
- Hearing, Cochlea, Tinnitus, Genetics
- Interpreting and Communication in Healthcare
- Patient Satisfaction in Healthcare
- Diversity and Career in Medicine
- Pancreatitis Pathology and Treatment
- Food Security and Health in Diverse Populations
- Telemedicine and Telehealth Implementation
- Hearing Impairment and Communication
- Pancreatic and Hepatic Oncology Research
- Renal cell carcinoma treatment
- Congenital heart defects research
- HIV, Drug Use, Sexual Risk
- Criminal Justice and Corrections Analysis
- Healthcare Operations and Scheduling Optimization
- Simulation-Based Education in Healthcare
- Female Genital Mutilation/Cutting Issues
- Single-cell and spatial transcriptomics
- Posttraumatic Stress Disorder Research
- Anesthesia and Neurotoxicity Research
- Genital Health and Disease
- Ear Surgery and Otitis Media
- Pneumocystis jirovecii pneumonia detection and treatment
University of California, San Francisco
2018-2024
San Francisco General Hospital
2024
UCSF Helen Diller Family Comprehensive Cancer Center
2018
University of California, Davis
2017
Approximately 1.2 million people are living with HIV in the United States, 16,000 San Francisco. Many HIV-positive individuals have difficulty maintaining follow-up clinic visits under normal circumstances, and this is complicated by coronavirus disease 2019 (COVID-19) pandemic as many institutions transition to a telehealth-focused model of care maintain patient provider safety. However, it was unknown how telehealth would impact attendance perceptions about their care, particularly...
Abstract Objective Identify the age at diagnosis and intervention of immigrant and/or non‐English‐speaking children with hearing loss (HL) risk factors associated delays. barriers for caregivers deaf/hard‐of‐hearing children. Study Design Sequential mixed methods. Setting Tertiary care center in an urban city. Methods The analysis includes descriptive statistics, 1‐way 2‐way variance retrospective chart review. quantitative study demonstrated foreign‐born experienced disparities, so we...
Incidental detection of pancreatic cysts has increased dramatically over the last decade, but risk stratification and clinical management remain a challenge. Mucinous are precursor lesions to cancer, however, majority indolent. Current diagnostics cannot identify mucinous that harbor cancer or reliably differentiate these from nonmucinous cysts, which present minimal malignant progression. We previously determined activity two aspartyl proteases was in cysts. Using global protease profiling...
Patients with limited English proficiency (LEP) experience significant healthcare disparities. Clinicians are responsible for using and documenting their use of certified interpreters patient encounters when appropriate. However, the data on interpreter documentation in emergency department (ED) is variable. We sought to assess effects dot phrase SmartPhrase implementation an adult ED rates use.
Abstract Objectives To compare disease burden in refugee/asylee, non-refugee immigrant, and US-born patients the largest safety net clinic San Francisco, California. Methods This is a retrospective chart review including 343 450 202 Francisco from January 2014 to December 2017. Using electronic medical records, we compared prevalence of several diseases by immigration status. Poisson regression models with robust variance, assessed association status, adjusting for sociodemographic...
Rationale Flow cytometry (FCM) of ventricular myocytes (VMs) is an emerging technology in adult cardiac research that challenged by the wide variety VM shapes and sizes. Cellular variability cytometer flow cell size can affect performance. These two factors variance limit assay validity reproducibility across laboratories. Washing filtering cells suspension are routinely done to prevent clumping minimize data without appropriate standardization. We hypothesize washing arbitrarily biases...
Objectives First, to determine whether using a single‐question subjective hearing screen vs gold standard audiometric evaluation is effective for loss screening in refugees and asylees. Second, understand the clinical pathways diagnosis treatment. Study Design This case series with chart review from January 2014 December 2017. Setting A large urban safety net primary care clinic San Francisco, California. Methods Patients were included who had medical record completed during refugee health...
Objectives: To determine our audiology clinics status in meeting the Joint Committee on Infant Hearing recommended 1-3-6 benchmarks for identification and intervention congenital sensorineural hearing loss identify those factors contributing to delay intervention. Design: This is a retrospective case series. Children with who underwent auditory brainstem response (ABR) testing, aid evaluation, or cochlear implant mapping at tertiary pediatric medical center between January 2018 December 2021...
Introduction: Pre-exposure prophylaxis (PrEP) for HIV—using antiretroviral medication in non-infected individuals to prevent HIV—has immense potential slow the spread of virus. However, uptake has been insufficient, and stark racial disparities exist both HIV acquisition PrEP usage, making access a health equity issue. A promising venue engage high-risk populations care is emergency department (ED); however, existing ED initiatives have costly or had limited success. We hypothesize that two...
Limited data exists regarding otolaryngological (ENT) disease in refugees and we aim to characterize its prevalence.
Health care professionals complete forensic medical evaluations (FMEs) to corroborate evidence of persecution among individuals seeking asylum. Many FMEs are conducted at student-run clinics for asylum (or clinics; SRACs). Trauma-informed (TIC) recognizes that trauma is pervasive and seeks mitigate reexposure in health interactions. Given involve recalling trauma, TIC an ideal model supporting the involved FME.The authors operationalized principles SRAC (the Human Rights Cooperative)...
Introduction: Cadavers are considered the gold standard for teaching anatomy to medical students and surgical residents; however, these come with financial, supervisory, ethical, facility limitations. Virtual reality (VR) is an emerging technology that promises a cost-effective, immersive environment could potentially overcome By allowing visualization, rotation multiplanar inspection of complex three-dimensional (3D) structures, it seems well suited study head neck anatomy.
Voluntary male medical circumcision (VMMC) reduces HIV acquisition by up to 60%. Kenya has successfully scaled VMMC an estimated 91% of eligible men and boys in certain regions combination due cultural circumcisions. as a program is implemented regionally traditionally non-circumcising counties where the prevalence still below 91%, ranging from 56.4% 66.7%. Given that funding toward expected decline coming years, it important identify what models service delivery are most appropriate...
Abstract Objectives. To compare disease burden in refugee/asylee, non-refugee immigrant, and US-born patients the largest safety net clinic San Francisco, California. Methods. This is a cross-sectional study including 343 450 202 Francisco from January 2014 to December 2017. Using electronic medical records, we compared prevalence of several diseases by immigration status. Poisson regression models with robust variance, assessed association status, adjusting for sociodemographic...