A5046850770- Traumatic Brain Injury Research
- Traumatic Brain Injury and Neurovascular Disturbances
- Stroke Rehabilitation and Recovery
- Cardiac Arrest and Resuscitation
- Acute Ischemic Stroke Management
- Musculoskeletal Disorders and Rehabilitation
- Dementia and Cognitive Impairment Research
- Neurology and Historical Studies
- Diversity and Career in Medicine
- Healthcare Policy and Management
- Health Systems, Economic Evaluations, Quality of Life
- Trauma and Emergency Care Studies
- Psychosomatic Disorders and Their Treatments
- Health and Medical Research Impacts
- Healthcare Decision-Making and Restraints
- Sports injuries and prevention
- Pressure Ulcer Prevention and Management
- Cerebral Palsy and Movement Disorders
- Cardiovascular Effects of Exercise
- Emergency and Acute Care Studies
- Neurological and metabolic disorders
- Neurological disorders and treatments
- Meta-analysis and systematic reviews
- Cardiovascular Syncope and Autonomic Disorders
- Medical Practices and Rehabilitation
University of California, Davis
2013-2021
Muhlenberg College
2021
Royal Prince Alfred Hospital
2021
Icahn School of Medicine at Mount Sinai
2021
Australian National University
2021
University of Colorado Anschutz Medical Campus
2021
Clarkson University
2021
Paradigm (France)
2013-2018
University of California Davis Medical Center
2016
Albany Medical Center Hospital
2014
Object. This study was conducted to determine whether proton magnetic resonance spectroscopy (MRS) is a sensitive method for detecting diffuse axonal injury, which primary sequela of traumatic brain injury (TBI). Diffuse characterized by selective damage white matter tracts that caused in part the severe inertial strain created rotational acceleration and deceleration, often associated with motor vehicle accidents. typically difficult detect using conventional imaging techniques because it...
During the National Neurotrauma Symposium 2010, DG Research of European Commission and Institutes Health/National Institute Neurological Disorders Stroke (NIH/NINDS) organized a workshop on comparative effectiveness research (CER) in traumatic brain injury (TBI). This reviewed existing approaches to improve outcomes TBI patients. It had two main outcomes: First, it initiated process re-orientation clinical TBI. Second, provided ideas for potential collaboration between NIH/NINDS stimulate...
Objective To study the effects of daily treatment time on functional gain patients who have had a stroke. Design A retrospective cohort study. Setting An inpatient rehabilitation hospital (IRH) in northern California. Participants Three hundred sixty stroke and were discharged from IRH 2007. Interventions Average minutes therapy per day, including physical therapy, occupation speech language total treatment. Main Outcome Measures Functional measured by Independence Measure, activities...
Previous studies have identified an association between traumatic brain injuries and the development of psychiatric disorders in general. However, these were subject to limitations that demonstrate need for a study large, clearly defined mild injury (mTBI) population within integrated healthcare system.To determine prevalence relative risk postinjury affective over 4 years following mTBI.Cohort mTBI cases matched controls, 4-year period.An delivery system California.A total 9428 adult health...
In this study we investigated sexual functioning in 52 outpatients with a history of traumatic brain injury to determine: (1) the prevalence reported dysfunction; and (2) relationship between age, severity locus injury, time since physical cognitive function. Reports indicated reduction below levels within non-injured populations, but only statistically significant on two scales Derogatis Interview Sexual Function (DISF): Orgasm Drive/Desire. Location was related sexuality that patients...
Objective To determine whether there are disparities in postacute stroke rehabilitation based on type of stroke, race/ethnicity, sex/gender, age, socioeconomic status, geographic region, or service area referral patterns a large integrated health system with multiple levels care. Design Cohort study tracking services for 365 days after acute hospitalization first stroke. Setting The Northern California Kaiser Permanente Health System (approximately 3.3 million membership population)...
Objective To study the association of time to inpatient rehabilitation hospital (IRH) admission and functional outcomes patients who have had a stroke. Design A retrospective cohort study. Setting regional IRH. Participants Moderately (n = 614) severely 1294) impaired stroke were admitted facility between 2002 2006. Interventions Not applicable. Main Outcome Measures Change in total, motor, cognitive Functional Independence Measure (FIM) scores IRH discharge. Results After controlling for...
Three patients with severe traumatic brain injury demonstrated significant improvement in arousal and initiation after administration of tricyclic antidepressants.The first patient showed improved motor speech response to amitriptyline following several months functional plateau.The second was minimally responsive 2 the use desipramine.Both deteriorated when medications were discontinued again they restarted.These two cases provide strong evidence for a medication effect.The third began...
Objective To examine whether there are disparities in utilization of outpatient and home care services after stroke. Design Retrospective cohort study. Setting The Kaiser Permanente Northern California health system, which provides for approximately 3.3 million members. Participants A total 11,119 patients hospitalized a stroke between 1996 2003 followed 1 year. Main Outcome Measures Receipt rehabilitation (physical therapy, occupational speech pathology, or physical medicine...
To correlate deficient pituitary function with life satisfaction and functional performance in subjects a recent history of traumatic brain injury (TBI) subarachnoid haemorrhage (SAH).Cross-sectional study.Eighteen TBI 16 SAH underwent hormonal assessments 5-12 months following the event. Adrenal reserve was assessed 1 mcg cosyntropin stimulation test growth hormone deficiency (GHD) diagnosed by insufficient GH response to GHRH-Arginine stimulation. Assessments performance-function included...
Our objective was to examine the agreement between adult patients with stroke and family member or clinician proxies in activity measure for postacute care (AM-PAC) summary scores daily activity, basic mobility, applied cognitive function.This study involved 67 admitted a hospital within Kaiser Permanente of Northern California system were participants parent on outcomes. Each participant proxy respondent completed AM-PAC by personal telephone interview at point discharge during ≥1...
Objective The aim of this study was to examine the impact pressure ulcers on inpatient rehabilitation facility (IRF) outcomes. Design This is a retrospective analysis IRF data in United States from Uniform Data System for Medical Rehabilitation between 2009 and 2011. sample included 2902 pairs ulcer ulcer–free patients upon admission, matching age at sex, impairment groups, comorbidity tier measures. outcomes were cognition motor functional gains measured by Functional Independence Measure...
To study the association of postacute care (PAC) settings and mortality outcome patients who sustained an ischemic stroke.A retrospective cohort study.An integrated health system in northern California.Patients acute stroke between 1996 2004, survived initial hospital stay, received PAC services within 14 days discharge (n = 16,538) 61 16,468).PAC rehabilitation ranked by resource level, that is, inpatient (IRH), skilled nursing facility (SNF), home (HH), outpatient (OP)...
Five international consensus statements on concussion in sports have been published. This commentary argues that there is a strong need for new approach to them foregrounds public health expertise and patient-centered guidance. Doing so will help players, parents practitioners keep perspective about these potentially life-altering injuries especially when they recur.
Herman Kabat, MD, PhD, initially trained as a basic science researcher and then clinical neurologist during the 1930s. He is best known for physical therapeutic method, "proprioceptive facilitation," now referred to neuromuscular facilitation" (PNF) [1-3], that he developed with therapist Margaret ("Maggie") Knott treat patients neurologic disorders. However, Kabat must be remembered much more than development of this one method. Rigorous neuroscience training research in neurophysiology...
This is a case-study of patient (ET) who suffers from prosopagnosia, in the context impairment to cognitive functions, following traumatic brain injury. Despite severe perceptual difficulties tests involving non-face stimuli and matching unfamiliar faces, ET showed evidence “covert” recognition familiar faces number tasks. Although densely prosopagnosic, she performed at normal levels word object tasks, unimpaired her ability recognise names celebrities. She same level as controls make...
Antipsychotic agents, most often used for treatment of schizophrenia, are sometimes prescribed the agitated patient with an organic brain disorder. We report case a brain-injured who was chlorpromazine agitation and developed delusional state while taking this antipsychotic agent. The emergence coincided exacerbation certain cognitive deficits. Possible mechanisms phenomenon discussed. Caution is advised when prescribing neuroleptics patients traumatic injury, especially those agents...