A5015413123- Diabetes Management and Research
- Diabetes Management and Education
- Family and Patient Care in Intensive Care Units
- Diabetes Treatment and Management
- Intensive Care Unit Cognitive Disorders
- Pancreatic function and diabetes
- Emergency and Acute Care Studies
- Sepsis Diagnosis and Treatment
- Diabetes and associated disorders
- Mobile Health and mHealth Applications
- Heart Rate Variability and Autonomic Control
- Respiratory Support and Mechanisms
- Venous Thromboembolism Diagnosis and Management
- Geriatric Care and Nursing Homes
- Blood Pressure and Hypertension Studies
- Electronic Health Records Systems
- Hemodynamic Monitoring and Therapy
- COVID-19 Clinical Research Studies
- Palliative Care and End-of-Life Issues
- Healthcare cost, quality, practices
- Renal function and acid-base balance
- Atrial Fibrillation Management and Outcomes
- Meta-analysis and systematic reviews
- Psychosomatic Disorders and Their Treatments
- Data Quality and Management
Intermountain Medical Center
2020-2024
Intermountain Healthcare
2021-2023
University of Utah
2018-2022
Arizona State University
2015-2020
Ann Arbor Center for Independent Living
2020
Pulmonary and Critical Care Associates
2020
University of Utah Health Care
2018
Abstract Thrombotic antiphospholipid syndrome (TAPS) is characterized by venous, arterial, or microvascular thrombosis. Patients with TAPS merit indefinite anticoagulation, and warfarin has historically been the standard treatment. Apixaban an oral factor Xa inhibitor anticoagulant that requires no dose adjustment monitoring. The efficacy safety of apixaban compared for patients remain unknown. This multicenter prospective randomized open-label blinded endpoint study assigned anticoagulated...
Rationale: The coronavirus disease (COVID-19) pandemic struck an immunologically naive, globally interconnected population. In the face of a new infectious agent causing acute respiratory failure for which there were no known effective therapies, rapid, often pragmatic trials necessary to evaluate potential treatments, frequently starting with medications that are already marketed other indications. Early in pandemic, hydroxychloroquine and azithromycin two such candidates.Objectives: To...
Abstract Context Little evidence exists regarding the positive and negative impacts of continuous glucose monitor system (CGM) alarm settings for diabetes control in patients with type 1 (T1D). Objective Evaluate associations between CGM outcomes. Design Setting A cross-sectional observational study a single academic institution. Patients Main Outcome Measures 2-week information were collected from 95 T1D > 3 months use ≥ 86% active usage time. The outcomes analyzed. Results Higher...
Continuous glucose monitoring (CGM) systems help reduce hypoglycemia in patients with type 1 diabetes (T1D). It remains unclear whether T1D impaired awareness of (IAH) continue to develop more than those normal (NA) despite CGM use.
Abstract Introduction Survivors of acute respiratory failure (ARF) commonly experience long-lasting physical, cognitive, and/or mental health impairments. Unmet medication needs occurring immediately after hospital discharge may have an important effect on subsequent recovery. Methods and analysis In this multicenter prospective cohort study, we enrolled ARF survivors who were discharged directly home from their care hospitalization. The primary exposure was unmet . outcome readmission or...
To characterize early unmet nonmedication discharge needs (UDNs), classified as durable medical equipment (DME), home health services (HHS), and follow-up appointments (FUAs) explore their association with 90-day readmission mortality among survivors of acute respiratory failure (ARF) who were discharged home.
Introduction As short-term mortality declines for critically ill patients, a growing number of survivors face long-term physical, cognitive and/or mental health impairments. After hospital discharge, many critical illness require an in-depth plan to address their healthcare needs. Early after numerous experience inadequate care or mismatch between needs and what is provided. Many patients are readmitted the hospital, have substantial resource use long-lasting morbidity. The objective this...
Background: The goal of this study was to assess patient perspectives and satisfaction with the MiniMed 670G insulin pump. Those participants who used pump as part a hybrid closed loop were also asked provide their views on automatic feature (auto mode). Methods: Adults type 1 diabetes mellitus using Medtronic™ about experience device semi-structured survey developed by research team. Responses quantified identify emergent themes. Results: Seventeen system, while four in combination...
Background Type 1 diabetes (T1D) care requires multiple daily self-management behaviors (SMBs). Preliminary studies on SMBs rely mainly self-reported survey and interview data. There is little information adult T1D SMBs, along with corresponding compensation techniques (CTs), gathered in real-time. Objective The article aims to use a patient-centered approach design iDECIDE, smartphone application that gathers CTs related meal alcohol intake exercise real-time, contrast patients' actual...
Background: There is a lack of systematic ways to analyze how diabetes patients use their insulin pumps self-manage blood glucose compensate for alcohol ingestion and exercise. The objective was “real-life” dosing decisions occurring in conjunction with intake exercise among using pumps. Methods: We recruited adult type 1 (T1D) on pump therapy. Participants were asked maintain daily routines, including those related exercising consuming alcohol, keep 30-day journal performed consumed. Thirty...
Background: Successful diabetes management requires behavioral changes. Little is known about self-management behaviors (SMB) in adults on insulin pump (IP) therapy. Objective: Analyze and characterize observed common SMB adult participants with type 1 (T1D) using IPs to correlate glycemic outcomes based participant’s individual glucose targets. Materials Methods: One month of IP data from T1D were downloaded. Computer programs written automatically quantify the frequency expected such as:...
Abstract Objectives This article aims to evaluate adult type 1 diabetes mellitus (T1DM) self-management behaviors (SMBs) related exercise and alcohol on a survey versus smartphone app compare self-reported self-tracked SMBs, examine inter- intrapatient variability. Methods Adults with T1DM insulin pump therapy were surveyed about their alcohol, meal, SMBs. For 4 weeks, participants events, SMBs corresponding these events via an investigator-developed app. Descriptive statistics generalized...
Diabetes is a complex disease affecting 29.1 million (9.3%) US citizens [1]. It chronic illness that needs continual medical care and ongoing patient self-management, education, support [2]. There no cure for diabetes, requiring patients to conduct frequent self-monitoring of blood glucose dosing insulin in many cases. Evidence has shown are more adherent their diabetes management plan when they incorporate personal lifestyle choices [3]. To address the challenge empowering better manage we...
<h3>Importance</h3> Trials comparing balanced crystalloids with normal saline have yielded mixed results regarding reductions in kidney complications and mortality for hospitalized patients receiving intravenous fluids. <h3>Objective</h3> To evaluate the association of a multifaceted implementation program encouraging preferential use lactated Ringer solution patient outcomes fluid–prescribing practices large, multilevel health care system. <h3>Design, Setting, Participants</h3> This type 2...
Background Insulin therapy, medical nutrition and physical activity are required for the treatment of type 1 diabetes (T1D). There is a lack studies in real-life environments that characterize patient-reported data from logs, trackers, devices (e.g., glucose sensors) context exercise. Objective The objective this study was to compare continuous monitor (CGM), wristband heart rate (WHRM), self-tracking with smartphone application (app), iDECIDE, regards exercise behaviors change levels....
We implemented a computerized protocol for low tidal volume ventilation (LTVV) to improve management and outcomes of mechanically ventilated patients with, without, the acute respiratory distress syndrome (ARDS).Pragmatic, nonrandomized stepped wedge type II hybrid implementation/effectiveness trial.Twelve hospitals in an integrated healthcare system over 2-year period.Patients greater than or equal 18 years old who had initiation mechanical emergency department ICU. excluded died...
Studies have found variability in self-care behaviors patients with type 1 diabetes, particularly when incorporating exercise and alcohol consumption. The objective of this study was to provide results from a survey understand (1) insulin pump behaviors, (2) reported self-management for alcohol, (3) perceptions the effects on blood glucose (BG) control. Fourteen participants an outpatient endocrinology practice were recruited administered electronic survey. Compensation techniques along...
Severe acute respiratory syndrome coronavirus 2, (SARS-CoV-2,) caused an influx of patients with disease characterized by a variety symptoms termed COVID-19 disease, some going on to develop post-acute syndrome. Individual factors like sex or coping styles are associated person's experience and quality life. differences in used manage related stress correlate physical mental health outcomes. Our study sought understand the relationship between symptoms, severity profiles.
Abstract Survivors of acute respiratory failure (ARF) have complex healthcare needs postdischarge, frequently resulting in unmet needs. This prospective multicenter study explores the association between COVID‐19 status and survivors ARF following hospital discharge. We analyzed patient characteristics by using a multivariable regression model with propensity weights. Among 195 patients final analysis, 54% were COVID‐19+, 53% female, 42% non‐White, median (interquartile range [IQR]) age was...