A5072955097- Cardiovascular Function and Risk Factors
- Heart Failure Treatment and Management
- Chronic Kidney Disease and Diabetes
- Dialysis and Renal Disease Management
- Acute Kidney Injury Research
- Chronic Disease Management Strategies
- Renal Diseases and Glomerulopathies
- Cardiovascular Disease and Adiposity
- Cardiac pacing and defibrillation studies
- Machine Learning in Healthcare
- Potassium and Related Disorders
- Cardiac Imaging and Diagnostics
- Artificial Intelligence in Healthcare
- Renal and Vascular Pathologies
- Cardiovascular Health and Risk Factors
- Cardiac Arrest and Resuscitation
- Food Security and Health in Diverse Populations
- Nutrition and Health in Aging
- COVID-19 Clinical Research Studies
- Surgical site infection prevention
- Healthcare Systems and Public Health
- Robotic Path Planning Algorithms
- Artificial Intelligence in Healthcare and Education
- Medication Adherence and Compliance
- Greenhouse Technology and Climate Control
Kaiser Permanente
2018-2024
Stanford University
2023-2024
San Bernardino County Department of Public Health
2024
Department of Behavioral Health
2024
Kaiser Permanente San Francisco Medical Center
2020-2024
Berkeley Systems (United States)
2023
University of California, Berkeley
2023
University of California, San Francisco
2021
Engineering Associates (United States)
2016
Iowa City Public Library
2016
The inclusion of race in equations to estimate the glomerular filtration rate (GFR) has become controversial. Alternative that can be used achieve similar accuracy without use are needed.
Little population-based data exist about adults with primary nephrotic syndrome.To evaluate kidney, cardiovascular, and mortality outcomes in syndrome, we identified within an integrated health care delivery system (Kaiser Permanente Northern California) nephrotic-range proteinuria or diagnosed syndrome between 1996 2012. Nephrologists reviewed medical records for clinical presentation, laboratory findings, biopsy results to confirm assigned etiology. We a 1:100 time-matched cohort of...
After dialysis-requiring acute kidney injury (AKI-D), recovery of sufficient function to discontinue dialysis is an important clinical and patient-oriented outcome. Predicting the probability in individual patients a common dilemma.
<h3>Importance</h3> The current understanding of epidemiological mechanisms and temporal trends in hospitalizations for worsening heart failure (WHF) is based on claims national reporting databases. However, these data sources are inherently limited by the accuracy completeness diagnostic coding and/or voluntary reporting. <h3>Objective</h3> To assess overall burden rate WHF. <h3>Design, Setting, Participants</h3> This cohort study, performed from January 1, 2010, to December 31, 2019, used...
Inability to adhere nutritional recommendations is common and linked worse outcomes in patients with nutrition-sensitive conditions.The purpose of this study evaluate whether medically tailored meals (MTMs) improve recently discharged adults conditions compared usual care.Remote pragmatic randomized trial.Adults heart failure, diabetes, or chronic kidney disease being home between April 27, 2020, June 9, 2021, from 5 hospitals within an integrated health care delivery system.Participants...
Abstract Aims Worsening heart failure (WHF) events occurring in non‐inpatient settings are becoming increasingly recognized, with implications for prognostication. We evaluate the performance of a natural language processing (NLP)‐based approach compared traditional diagnostic coding clinical encounters and left ventricular ejection fraction (LVEF). Methods results characteristics that did vs. not meet WHF criteria, stratified by care setting [i.e. emergency department (ED) observation...
Background There is a need to develop electronic health record-based predictive models for worsening heart failure (WHF) events across clinical settings and the spectrum of left ventricular ejection fraction (LVEF). Methods Results We studied adults with (HF) from 2011 2019 within an integrated care delivery system. WHF encounters were ascertained using natural language processing structured data. conducted boosted decision tree ensemble predict 1-year hospitalizations, emergency department...
The high mortality and cardiovascular disease (CVD) burden in patients with end-stage renal (ESRD) is well-documented. Recent literature suggests that acute kidney injury also associated CVD. It unknown whether incident ESRD due to dialysis-requiring (AKI-D) are at higher short-term risk for death CVD events, compared without preceding AKI-D. Few studies have examined the impact of recovery from AKI-D on subsequent risk.In this retrospective cohort study, we evaluated adult members Kaiser...
Despite favorable national trends in the incidence of end-stage renal disease (ESRD) from 2008 to 2011, ESRD has been increasing recently, and less than 10% patients with start replacement therapy peritoneal dialysis (PD) United States. Given known potential advantages PD over hemodialysis, Kaiser Permanente Northern California integrated health care delivery system implemented a program expand use PD.To describe system-level approach expansion temporal initiation persistence its associated...
Acute kidney injury (AKI) may lead to short- and long-term consequences in children, but its epidemiology has not been well described at a population level outside of ICU settings.In large, diverse pediatric receiving care within an integrated health delivery system between 2008 2016, we calculated age- sex-adjusted incidences hospitalized AKI using consensus serum creatinine (SCr)-based diagnostic criteria. We also investigated the proportion detected non-ICU settings rates follow-up...
<h3>Importance</h3> In the last 2 decades, there have been notable changes in level of estimated glomerular filtration rate (eGFR) at which patients initiate long-term dialysis US and around world. How over time likelihood initiation any given eGFR at-risk are associated with population burden end-stage kidney disease (ESKD) has not well defined. <h3>Objective</h3> To examine temporal trends by to quantify how these patterns number ESKD. <h3>Design, Setting, Participants</h3> Retrospective...
Abstract Adults with chronic kidney disease (CKD) are at increased risk for developing heart failure (HF). However, longitudinal cardiac remodeling in CKD has not been well-characterized and its association HF outcomes remains unknown. We evaluated the between change echocardiographic parameters baseline year 4 subsequent of hospitalization death using Cox proportional hazard models a landmark analysis prospective multicenter cohort. Among 2673 participants, mean ± SD age was 61 11 years,...
We present the "Busboy Problem": automating an efficient decluttering of cups, bowls, and silverware from a planar surface. As grasping transporting individual items is highly inefficient, we propose policies to generate grasps for multiple items. introduce metric Objects per Trip (OpT) carried by robot collection bin analyze improvement seen as result our policies. In physical experiments with singulated items, find that consolidation multi-object resulted in 1.8x OpT, compared methods...
This diagnostic/prognostic study examines the estimated glomerular filtration rates (eGFR) and iothalamate clearance (iGFR) Chronic Kidney Disease-Epidemiology (CKD-EPI) equation race coefficient in Renal Insufficiency Cohort study.
Background Breast arterial calcification (BAC) may be a predictor of cardiovascular events and is highly prevalent in persons with end-stage kidney disease. However, few studies to date have examined the association between mild-to-moderate function proteinuria BAC. Methods We prospectively enrolled women no prior disease aged 60 79 years undergoing mammography screening at Kaiser Permanente Northern California 10/24/2012 2/13/2015. Urine albumin-to-creatinine ratio (uACR), along specific...
Background: Clinical practice guidelines recommend routine kidney function and serum potassium testing within 30 days of initiating ACE (angiotensin-converting enzyme) inhibitor or angiotensin II receptor blocker therapy. However, evidence is lacking about whether follow-up reduces therapy-related adverse outcomes. Methods Results: We conducted 2 population-based retrospective cohort studies in Kaiser Permanente Northern California Ontario, Canada. Patients with outpatient creatinine tests...