- HIV/AIDS Research and Interventions
- HIV-related health complications and treatments
- Cardiac Arrest and Resuscitation
- Coronary Interventions and Diagnostics
- Cardiac Imaging and Diagnostics
- Congenital Heart Disease Studies
- Iron Metabolism and Disorders
- Acute Myocardial Infarction Research
- HIV, Drug Use, Sexual Risk
- Hemoglobinopathies and Related Disorders
- Cardiac, Anesthesia and Surgical Outcomes
- HIV/AIDS drug development and treatment
- Cardiovascular Health and Disease Prevention
- Blood Pressure and Hypertension Studies
- Cardiac Valve Diseases and Treatments
- HIV Research and Treatment
- Trauma and Emergency Care Studies
- Aortic Disease and Treatment Approaches
- Diabetes Treatment and Management
- Aortic aneurysm repair treatments
- Antiplatelet Therapy and Cardiovascular Diseases
- Pharmacological Effects and Toxicity Studies
- Heart Failure Treatment and Management
- Cardiovascular Issues in Pregnancy
- Vascular Procedures and Complications
CHI St. Vincent
2023-2024
University of Kentucky
2020-2022
Western Kentucky University
2020-2022
University of Missouri–Kansas City
2022
University of Louisville
2015-2019
Harvard University
2017-2018
Massachusetts General Hospital
2018
Michigan State University
2018
University of Miami
2018
Brown University
2017
Article AbstractObjective: To identify the association between medical or psychiatric comorbidities, clinical characteristics, course of illness/recovery in pediatric bipolar disorder (BD). Method: Data from South Carolina Medicaid program covering all services and medication prescriptions January 1996 December 2005 were used to analyze temporal onset 12 comorbid conditions for 1,841 children adolescents diagnosed with BD using DSM-IV-TR criteria a random sample 4,500 not treated disorders....
Current literature on retention in HIV care fails to account for patients who continually/simultaneously access different providers. This statewide study examined early medical and its impact viro-immunological improvement survival outcomes. It was a retrospective of South Carolina residents ≥13 years old were diagnosed with infection 2004-2007 initially entered care. CD4 count/percent viral load (VL) tests that must be reported the surveillance database used as proxy clinical visit....
Understanding providers' perspective on preexposure prophylaxis (PrEP) would facilitate planning for future implementation.A survey of care providers from sexually transmitted disease and family clinics in South Carolina Mississippi was conducted to assess their knowledge, perception, willingness adopt PrEP. Multivariable logistic general linear regression with inverse propensity score treatment weights were used analyses.Survey response rate 360/480 (75%). Median age 46.9 years a majority...
Abstract Aims To examine incidence density rate and correlates of incident diabetes mellitus in a cohort HIV ‐infected individuals compared with matched non‐ persons. Methods Data were obtained from the South Carolina Medicaid system enhanced / AIDS Reporting System surveillance database for persons ≥ 18 years age who had been attended to during period 1994 2011. Time‐dependent proportional hazards analysis marginal structural models used analyse data. Results A total 13 632 (6816, 1:1...
We sought proof of concept a Big Data Solution incorporating longitudinal structured and unstructured patient-level data from electronic health records (EHR) to predict graft loss (GL) mortality. For quality improvement initiative, GL mortality prediction models were constructed using baseline follow-up (0-90 days posttransplant; for 1-year models; up 1 year 3-year models) on adult solitary kidney transplant recipients transplanted during 2007-2015 as follows: Model 1: United Network Organ...
Background— The association of short-term readmissions after percutaneous coronary intervention (PCI) on healthcare costs has not been well studied. Methods and Results— Healthcare Cost Utilization Project National Readmission Database encompassing 722 US hospitals was used to identify index PCI cases in patients ≥18 years old. Hierarchical regression analyses were examine the factors associated with risk 30-day readmission higher cumulative costs. We evaluated 206 869 hospitalized who...
OBJECTIVE To investigate the association of preconception counseling with markers care and maternal characteristics in women pregestational diabetes. RESEARCH DESIGN AND METHODS The study includes data from a regional multi-center survey on 588 diabetes who delivered singleton pregnancy between 2001 2004. Logistic regression was used to obtain crude adjusted estimates association. RESULTS Preconception associated better glycemic control 3 months (odds ratio 1.91, 95% CI 1.10–3.04) first...
Article Abstract Objective: To describe the prevalence and treatment of comorbid depressive disorders in children adolescents diagnosed with sickle cell disease. Method: A retrospective cohort design evaluating South Carolina Medicaid medical pharmacy claims between January 1, 1996, December 31, 2006, was employed to identify 2,194 aged 17 years younger Cohorts without unipolar (using DSM-IV-TR criteria) were then compared. Results: Forty-six percent disease a disorder (n = 1,017), either...
Public health benefits of expanded HIV screening will be adequately realized only if an early diagnosis is followed by prompt linkage to care. We characterized rates and factors associated with failure enter into medical care within three months assessed the predictors time over a follow-up period up 60 months. The study cohort included 3697 South Carolina (SC) residents' ≥13 years who were newly HIV-diagnosed in 2004-2008. Date first laboratory report CD4(+) T-cell count or viral load (VL)...
Preexposure prophylaxis (PrEP) is a promising strategy to prevent human immunodeficiency virus (HIV) infection, especially among high-risk individuals such as seronegative partners; however, many caveats the potential risk of sexual disinhibition and noncompliance need be considered. We explored sociodemographic behavioral factors associated with adoption PrEP HIV men who have sex heterosexual partners.A prepiloted self-administered survey was conducted partners in Ryan White HIV/AIDS Clinic...
Abstract Background Cardiovascular and cerebrovascular ( CVD ) events/diseases are a common cause of non–acquired immunodeficiency syndrome AIDS )‐related mortality in the aging human virus HIV )‐infected population. The incidence rate clinical correlates people living with / compared to general population warrants further investigation. Hypothesis HIV/AIDS is associated increased risk Methods events matched cohort ‐infected non– adults, ≥18 years old, served through South Carolina Medicaid...
To examine the incidence of cardiometabolic conditions and change in care costs for patients with schizophrenia treated antipsychotic medications, medical pharmacy claims from South Carolina Medicaid program were used to compare rates five 2,231 who newly prescribed one seven using a retrospective cohort design spanning three years. Incidence cumulative prevalence (pre-existing + incident) were: 10%/23.3% Type II diabetes mellitus, 7%/13.3% obesity/excessive weight gain, 17%/20.9%...
The transmission of drug-resistant human immunodeficiency virus 1 (HIV-1) has important implications for the antiretroviral management newly diagnosed individuals, increasing risk suboptimal treatment outcomes. study objective was to characterize rates and factors associated with transmitted HIV-1 infection among South Carolina (SC) residents.This utilized surveillance genotypic data from therapy (ART)-naïve individuals June 2005 through December 2009. Multivariable negative binomial...
Abstract Background More evidence of the safety and effectiveness hydroxyurea (HU) in community‐based cohorts pediatric patients with sickle cell disease (SCD) are needed. The association HU organ‐specific clinical complications adverse events is examined herein. Methods Medicaid medical pharmacy claims for calendar years January 1996 through December 2006 were used to identify a cohort children adolescent (ages 17 under) diagnosis SCD (homozygous) who treated developed disparate or side...