A5024667583- Kidney Stones and Urolithiasis Treatments
- Radiation Dose and Imaging
- Pediatric Urology and Nephrology Studies
- Emergency and Acute Care Studies
- Ultrasound in Clinical Applications
- Healthcare cost, quality, practices
- Radiology practices and education
- Sepsis Diagnosis and Treatment
- Healthcare Policy and Management
- Trauma and Emergency Care Studies
- Venous Thromboembolism Diagnosis and Management
- Ureteral procedures and complications
- Hemodynamic Monitoring and Therapy
- Respiratory Support and Mechanisms
- Appendicitis Diagnosis and Management
- Meta-analysis and systematic reviews
- Trauma Management and Diagnosis
- Pelvic and Acetabular Injuries
- Pharmaceutical Economics and Policy
- Patient Satisfaction in Healthcare
- Healthcare Systems and Public Health
- Machine Learning in Healthcare
- Urological Disorders and Treatments
- Cerebrospinal fluid and hydrocephalus
- Intimate Partner and Family Violence
University of Washington
2016-2025
Seattle University
2021
Harborview Medical Center
2016-2019
Baxter (United States)
2019
Medic One Foundation
2019
Brigham and Women's Hospital
2019
Harvard University
2019
University of Washington Medical Center
2015-2018
Oregon Health & Science University
2017
Yale University
2014-2016
Predictive analytics in emergency care has mostly been limited to the use of clinical decision rules (CDRs) form simple heuristics and scoring systems. In development CDRs, limitations analytic methods concerns with usability have generally constrained models a preselected small set variables judged be clinically relevant that are easily calculated. Furthermore, CDRs frequently suffer from questions generalizability, take years develop, lack ability updated as new information becomes...
ABSTRACT Chronic infection of the human stomach by Helicobacter pylori leads to a variety pathological sequelae, including peptic ulcer and gastric cancer, resulting in significant morbidity mortality. Several genes have been implicated disease related H. infection, vacuolating cytotoxin cag pathogenicity island. Other factors important for establishment maintenance include urease enzyme production, motility, iron uptake, stress response. We utilized C57BL/6 mouse model query collection...
Abstract Emergency physician ( EP )‐performed focused cardiac ultrasound FOCUS ) has been increasingly recognized as a crucial tool to help clinicians diagnose and treat potentially life‐threatening conditions. The existing literature demonstrates variety of applications protocols; however, is not taught, practiced, or interpreted consistently between institutions. Drawing on over 12 years experience in large‐volume, high‐acuity academic emergency department, we have developed protocol for...
This study reports on a prospective, multicenter, single-arm, clinical trial utilizing the SonoMotion (San Mateo, California) Break Wave lithotripsy (BWL) device to fragment urinary stones.
No AccessJournal of UrologyTranslational Research Article17 Mar 2025Facilitated clearance small, asymptomatic, renal stones with burst wave lithotripsy and ultrasonic propulsion Jonathan D. Harper, Barbrina Dunmire, Jeff Thiel, Barbara H. Burke, Yak-Nam Wang, Stephanie Totten, John C. Kucewicz, Adam Maxwell, M. Kennedy Hall, Arturo E. Holmes, Christina Popchoi, James Lingeman, Alana Desai, Robert Sweet, Manjiri Dighe, Branda J. Levchak, Claire Yang, Michael R. Bailey, Mathew Sorensen...
Abstract Background Focused cardiac ultrasound ( FOCUS ) is insensitive for pulmonary embolism PE ). Theoretically, when a clot large enough to cause vital sign abnormalities, it more likely show signs of right ventricular dysfunction on , although this has not been well quantified. A rapid bedside test that could quickly and reliably exclude in patients with abnormal be high utility emergency department ED patients. We hypothesized tachycardia or hypotension, the sensitivity would increase...
Early evidence suggests that provisions of the Food and Drug Administration Safety Innovation Act 2012 are associated with reductions in total number new national drug shortages. However, drugs frequently used acute unscheduled care such as delivered emergency departments may be increasingly affected by Our estimates, based on reported shortages from 2001 to 2014 collected University Utah's Information Service, show although annual has decreased since act's passage, half all study period...
To test the effectiveness (Participant A) and tolerability B) of urinary stone comminution in first-in-human trial a new technology, burst-wave lithotripsy (BWL).
Serious complications are common during the intensive care of postoperative cardiac surgery patients. Some these may be influenced by communication process handover from operating room to unit (ICU) team. A structured transfer reduce rate errors and perioperative complications.We hypothesized that a collaborative, comprehensive, intraoperative team ICU would specific set complications. We tested this hypothesis developing introducing comprehensive multidisciplinary process. measured patient...
OBJECTIVES: We compared cost-effectiveness of cranial computed tomography (CT), fast sequence magnetic resonance imaging (fsMRI), and ultrasonography measurement optic nerve sheath diameter (ONSD) for suspected acute shunt failure from the perspective a health care organization. METHODS: modeled 4 diagnostic strategies: (1) CT scan, (2) fsMRI, (3) screening ONSD by using point ultrasound (POCUS) first, combined with CT, (4) POCUS fsMRI. All patients received an initial plain radiographic...
No AccessJournal of UrologyAdult Urology1 Nov 2022First Series Using Ultrasonic Propulsion and Burst Wave Lithotripsy to Treat Ureteral StonesThis article is commented on by the following:Editorial Comment M. Kennedy Hall, Jeff Thiel, Barbrina Dunmire, Patrick C. Samson, Ross Kessler, Peter Sunaryo, Robert Sweet, Ian S. Metzler, Helena Chang, Martin Gunn, Manjiri Dighe, Layla Anderson, Christina Popchoi, Ravi Managuli, Bryan W. Cunitz, Barbara H. Burke, Lisa Ding, Brianna Gutierrez, Ziyue...
Objective. Emergency medical services (EMS) "superusers" –those who use EMS at extremely high rates –have not been well characterized. Recent interest in the small group of individuals account for a disproportionate share health-care expenditures has led to research on frequent users emergency departments and other health services, but little done regarding those services. To inform policy intervention implementation, we undertook descriptive analysis superusers large urban community.In this...
Point-of-care ultrasound is a valuable tool with potential to expedite diagnoses and improve patient outcomes in the emergency department. However, little known about national patterns of adoption. This study examined nationwide point-of-care reimbursement among medicine (EM) practitioners regional practitioner level variations.Data from 2012 Center for Medicare Medicaid Services Fee-for-Service Provider Utilization Payment Data include all who received more than 10 Part B fee-for-service...
Objective There is little information about which intimate partner violence (IPV) policies and services assist in the identification of IPV emergency department (ED). The objective this study was to examine association between a variety resources documented diagnoses. Methods Using billing data assembled from 21 Oregon EDs 2001 2005, we identified patients who were assigned discharge diagnosis IPV. We then surveyed ED directors nurse managers gain IPV-related offered by participating...