A5102720052- Mental Health Treatment and Access
- Schizophrenia research and treatment
- Infection Control in Healthcare
- Cardiac Arrest and Resuscitation
- Climate Change and Health Impacts
- Radioactivity and Radon Measurements
- Medication Adherence and Compliance
- Respiratory Support and Mechanisms
- Intensive Care Unit Cognitive Disorders
- Infection Control and Ventilation
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Patient Satisfaction in Healthcare
- Radiation Dose and Imaging
- Disaster Response and Management
- Corneal Surgery and Treatments
- Chemical Safety and Risk Management
- Glaucoma and retinal disorders
- Suicide and Self-Harm Studies
- Clostridium difficile and Clostridium perfringens research
- Mycobacterium research and diagnosis
- Child and Adolescent Psychosocial and Emotional Development
- Bipolar Disorder and Treatment
- Corneal surgery and disorders
- Antibiotic Use and Resistance
- Diabetes Management and Education
University of Maryland, Baltimore
2016-2025
VA Maryland Health Care System
2011-2025
Foundation for the National Institutes of Health
2024
University of Maryland Medical Center
2024
VA Capitol Health Care Network
2007-2023
Mental Illness Research, Education and Clinical Centers
2004-2021
United States Department of Veterans Affairs
2021
Stanford University
2020
Southern California University for Professional Studies
2020
University of Southern California
2020
Background Knowledge of the prevalence and correlates personality disorders in community is important for identifying treatment needs provision psychiatric services. Aims To estimate a sample to identify demographic subgroups with especially high prevalence. Method Clinical psychologists used International Personality Disorder Examination assess DSM-IV ICD-10 742 subjects, ages 34–94 years, residing Baltimore, Maryland. Logistic regression was evaluate association between characteristics DSM...
To study the distribution and correlates of body mass index (BMI) among individuals with serious mental illness.A total 169 participants were recruited from randomly selected out-patients receiving community-based psychiatric care interviewed items National Health Nutrition Examination Survey (NHANES) III. Their BMI was compared that 2404 matched NHANES data set.The in sample significantly differed comparison group; 50% women 41% men obese 27% 20% group. Within sample, higher associated...
Many resuscitation scenarios include the use of emergency intubation to support injured patients. New video-guided airway management technology is available, which may minimize risk patients from this procedure.This was a controlled clinical trial conducted in trauma receiving unit university-affiliated urban hospital 623 consecutive adult requiring were prospectively randomized with either direct laryngoscope (DL) or GlideScope video (GVL) device.The primary outcome survival discharge....
Importance Foot ulcers are a common and feared complication for people with diabetes because 20% of foot become infected lead to lower extremity amputation. Objective To evaluate the effect daily care using chlorhexidine wipes vs soap-and-water 1 year on risk developing new complications in veterans diabetes. Design, Setting, Participants This double-blind, placebo-controlled, phase 2b randomized clinical trial was conducted at Baltimore Veterans Affairs (VA) Medical Center between January...
Objective: Family‐to‐Family Education Program (FFEP) is a 12‐week course for family members of adults with serious mental illness (SMI). This study evaluates the effectiveness FFEP several member outcomes. Method: The enrollees on ≥3‐month waiting list were eligible; 95 consenting agreed to four interviews (waitlist, pre‐FFEP, post‐FFEP, and 6 months post‐FFEP) regarding subjective objective burden, empowerment, depression. Mixed effects ANOVA models tested hypotheses decreased burden...
Background Nigeria is ranked in the top five countries for tuberculosis deaths worldwide. This study investigated mycobacterial agents associated with presumptive clinical pulmonary (TB) and evaluated pattern frequency of infections over twelve calendar months period. Methods Sputum samples from 1,603 consecutive new cases diagnosis TB were collected August 2010 to July 2011. All sputum incubated detection growth those positive acid fast bacilli (AFB) tested detect mycobacterium (MTB)...
Inclusion of reusable respirators, such as elastomeric half-face respirators (EHFRs) and powered air-purifying (PAPRs), in hospital respiratory protection inventories may represent 1 solution to the problem N95 respirator shortages experienced during pandemics. User acceptance these devices is potential barrier implementing a strategy programs.To assess user attitudes toward various health care workers enrolled programs medical system using EHFRs, N95s, PAPRs completed an online...
Individuals with serious mental illness have elevated smoking rates, and is a significant risk factor for chronic obstructive pulmonary disease (COPD). The goal was to determine the prevalence of COPD among those illness.The authors surveyed random sample 200 adults questions from National Health Nutrition Examination Study III that were previously used estimate national COPD. They compared in randomly selected matched subset comparison subjects.The 22.6%. Those significantly more likely...
To determine the association between contact precautions and depression or anxiety as well feelings of anger, sadness, worry, happiness, confusion.Prospective frequency-matched cohort study.The University Maryland Medical Center, a 662-bed tertiary care hospital in Baltimore, Maryland.A total 1,876 medical surgical patients over age 18 years were approached; 528 enrolled from January through November 2010, 296 patients, frequency matched by unit, completed follow-up on day 3.The primary...
Objective: This community-based randomized controlled trial was carried out to test the Ending Self-Stigma (ESS) psychoeducational intervention, which is designed help adults with serious mental illnesses reduce internalization of illness stigma and its effects. Methods: A total 268 from five different health programs in Maryland took part. After baseline interview, consenting participants were randomly assigned nine-week ESS intervention or a minimally enhanced treatment-as-usual control...
Our objective in this study was to determine whether symptoms of obsessive–compulsive disorder (OCD) cluster into groups that can usefully subclassify OCD. Psychiatrists or psychologists interviewed 221 subjects using the Lifetime Anxiety Version Schedule for Affective Disorders and Schizophrenia (SADS-LA) diagnosis DSM-IV disorders, Yale–Brown Obsessive Compulsive Scale (Y-BOCS) OCD symptoms. We analyzed 16 symptom categories from Y-BOCS exploratory factor analysis identify latent...
Objective: We examined whether having a psychiatric disorder among HIV-infected individuals is associated with differential rates of discontinuation HAART and the number mental health visits impact these rates. Design: This longitudinal study (fiscal year: 2000–2005) used discrete time survival analysis to evaluate HAART. The predictor variable was presence diagnosis (serious illness versus depressive disorders none). Setting: Five United States outpatient HIV sites affiliated Research...
Although dissatisfaction is a primary reason for disengagement from outpatient psychiatric care among consumers with serious mental illnesses, little known about predictors of their satisfaction medication management visits. The purpose this study was to explore how dimensions consumer preferences shared decision making (i.e., obtaining knowledge one's illness, being offered and asked opinion treatment options, involvement in decisions) the therapeutic relationship positive collaboration...
The burden of cervical cancer remains huge globally, more so in sub-Saharan Africa. Effectiveness screening, rates recurrence following treatment and factors driving these Africans have not been sufficiently studied. purpose this study therefore was to investigate associated with intraepithelial lesions thermo-coagulation HIV-positive HIV-negative Nigerian women using Visual Inspection Acetic Acid (VIA) or Lugol's Iodine (VILI) for diagnosis.A retrospective cohort conducted, recruiting...
Background Hospital-onset bacteraemia and fungaemia (HOB) is being explored as a surveillance quality metric. The objectives of the current study were to determine sources preventability HOB in hospitalised patients USA identify factors associated with perceived preventability. Methods We conducted cross-sectional events at 10 academic three community hospitals using structured chart review. was defined blood culture on or after hospital day 4 growth one more bacterial fungal organisms....
Importance Intense wildfires affecting residential populations are increasingly frequent. However, the adverse cardiopulmonary consequences to patients from remote wildfire smoke exposure is uncertain. Objective To investigate association between originating in Western Canadian provinces with disease burden sociodemographically heterogenous Eastern US. Design, Setting, and Participants This case-only study used International Statistical Classification of Diseases Related Health Problems,...
For this study, 200 women and men with a major mood disorder or schizophrenia were interviewed about their sexual reproductive behaviors. The responses of the compared those persons from national health survey who matched for age race. Compared survey, mental illness had fewer pregnancies live births but more likely to have pregnancy that did not result in birth. Women lifetime partners. findings suggest clinicians should pay attention patients' health.
We tested whether implementing the "5 A's" (Ask, Advise, Assess, Assist, Arrange) at six mental health centers reduces smoking among persons with serious illness. One hundred and fifty patients were evaluated just before initiating 5 A's after 12 months. A delayed control condition 148 months implementation, then Six of produced no effect. Modest cessation reduction benefits noted Implementing community may have modest benefit twelve
Objective: This study examines 6‐month follow‐up data from participants in a randomized trial of peer‐driven 12‐session family support and education program, called family‐to‐family (FTF) offered by the US National Alliance on Mental Illness, to determine whether improvements distress, functioning, coping empowerment were sustained. Method: Individuals FTF condition assessed after program completion then 3 months later measures coping, empowerment. We used multilevel regression model ( sas...
PURPOSE: The purpose of this study was to test a model delineating the factors known influence fear falling and exercise behavior among older adults. DESIGN AND METHODS: This secondary data analysis using baseline from Bone Health study. A total 866 individuals two online communities participated in study: 161 (18.6%) were SeniorNet 683 (78.9%) MyHealtheVet. More than half (63%) participants male with mean age 62.8 (SD = 8.5) years. majority White (89%) married (53%) had some college...