A5101631164- Nursing Roles and Practices
- Healthcare Policy and Management
- Data-Driven Disease Surveillance
- Emergency and Acute Care Studies
- Public Health Policies and Education
- Child and Adolescent Health
- Global Health Care Issues
- Cardiac pacing and defibrillation studies
- Amyotrophic Lateral Sclerosis Research
- Child Nutrition and Water Access
- Mechanical Circulatory Support Devices
- Pulmonary Hypertension Research and Treatments
- Parkinson's Disease Mechanisms and Treatments
- Interpreting and Communication in Healthcare
- Trauma Management and Diagnosis
- Cardiac tumors and thrombi
- Neurogenetic and Muscular Disorders Research
- Urological Disorders and Treatments
- Head and Neck Cancer Studies
- Global Cancer Incidence and Screening
- Health, Environment, Cognitive Aging
- Cardiovascular Function and Risk Factors
- Prion Diseases and Protein Misfolding
- Child Nutrition and Feeding Issues
- Cardiovascular Health and Risk Factors
University of California, San Francisco
2002-2023
Genomics (United Kingdom)
2022
Aurora St. Luke's Medical Center
2014-2019
University of Wisconsin–Madison
2019
Public Health Institute
2008-2018
Loyola University Chicago
2015-2018
American Association of Nurse Practitioners
2016-2018
University of San Diego
2018
Aurora Health Care
2017
California Department of Public Health
2008-2017
Estimates of the prevalence Parkinson's disease in North America have varied widely and many estimates are based on small numbers cases from regional subpopulations. We sought to estimate by combining data a multi-study sampling strategy diverse geographic regions and/or sources. Five separate cohort studies California (2), Minnesota (1), Hawaii USA Ontario, Canada (1) estimated PD health-care records (3), active ascertainment through facilities, large group, neurology practices longitudinal...
Field and laboratory studies were made on 16 trained distance runners to determine the relationship between selected metabolic measurements running performance. Measurements for oxygen consumption, heart rate, blood lactate accumulation during submaximal maximal treadmill running. Several days after test all of competed in a 10-mile road race. The correlation maxV̇o2 (ml/kg x min) performance race (min) was −0.91 At speed (268 m/min) % max HR found be highly related (r = −0.94 0.98,...
Abstract Parkinson disease (PD) is the second most common age-related neurodegenerative condition diagnosed in North America. We recently demonstrated, using multiple epidemiological data sources, that prevalence of PD diagnoses was greater than previously reported and currently used for clinical, research, policy decision-making. Prior incidence estimates have varied, unclear reasons. There a need improved incidence, not only care delivery planning future but also increasing our...
We examined whether early gestational exposures to pesticides were associated with an increased risk of anencephaly, spina bifida, cleft lip or without palate (CLP), only.We used population-based data along detailed information from maternal interviews.Exposure estimates based on residential proximity agricultural pesticide applications during pregnancy.The study population derived the San Joaquin Valley, California (1997-2006).Analyses included 73 cases 123 277 CLP, and 117 only in addition...
Prevalence of gastroschisis has inexplicably been increasing over the past few decades. Our intent was to explore whether early gestational exposures pesticides were associated with risk gastroschisis.We used population-based data, accompanied by detailed information from maternal interviews as well on residential proximity a large number commercial pesticide applications during pregnancy. The study population derived San Joaquin Valley California (). Cases 156 infants/fetuses and controls...
Introduction Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disorder. Estimates of survival from disease onset range 20 to 48 months and have been generated using clinical populations or death records alone. Methods Data on cohort ALS cases diagnosed between 2009–2011 were collected as part the Los Angeles San Francisco Bay Area Metropolitan Surveillance projects; 2009–2013 linked these confirmed determine post diagnosis factors associated with time. Results There 618...
Our objective was to provide demographic profiles and incidence estimates of amyotrophic lateral sclerosis (ALS) in two diverse California metropolitan areas: Los Angeles County (LA) the San Francisco Bay Area (SFBA). Data were retrospectively collected from multiple sources. Case eligibility criteria included residency SFBA or LA, treatment for diagnosis ALS between 1 January 2009 31 December 2011. Overall rates as well age-, gender-, race- ethnicity-specific calculated. We identified 539...
Social determinants of health are consistently associated with systemic lupus erythematosus (SLE) outcomes. However, social typically measured conventional socioeconomic status factors such as income or education. We assessed the association economic insecurities (ie, food, housing, care, and financial insecurity) patient-reported outcomes in a cohort patients SLE.
To assess parental reporting of diagnosis used in surveys as an indicator pediatric asthma prevalence.Analysis the Medical Expenditure Panel Survey, 1996 and 1997 (10 404 children aged from 0 to 17 years). All values are expressed mean (SE).Asthma medications were purchased for 2.5% (0.2%) children. Parents 45.4% (4.0%) these failed report asthma, including 41.3 (10.5%) those whom maintenance purchased. These findings remained unchanged when very young excluded sample. Controlling insurance...
Increasing numbers of patients are presenting to national emergency departments (EDs). This is occurring simultaneously with reductions in providers along ED closures, creating a significant gap care. According the advanced practice registered nurse consensus model, specialty-specific knowledge and build upon generalist practitioner (NP) population foci. Although National Organization Nurse Practitioner Faculties provides guidelines for educational programs at NP level, determination core...
Background We examined risks associated with joint exposure of gene variants and pesticides. Methods Analyses included 189 cases 390 male controls born from 1991 to 2003 in California's San Joaquin Valley. used logistic regression examine exposures pesticides that our previous work identified as hypospadias. Genetic variables were based on DGKK , genes involved sex steroid synthesis/metabolism, genital tubercle development. Pesticide was residential proximity commercial agricultural...
THIS DOCUMENT provides an over-view of applicable standards and definitions for the emergency nurse practitioner (ENP) role. ENP QUALIFICATIONS AND COMPETENCIES ENPs are specialized licensed practitioners, who possess necessary clinical competencies to provide optimal care patients in ambulatory, urgent, emergent settings. specialization builds upon NP entry-into-practice knowledge skills requires a minimum master's level preparation or at post-master's doctoral level. demonstrate by...
This is a case of 43-year-old man who in 2014 was diagnosed with oral squamous cell carcinoma involving the tongue. He underwent extensive surgery that involved right tongue cancer resection and reconstruction free flap graft from his forearm. then started on chemotherapy radiation. Surveillance computed tomography December 2016 showed cardiac lesion left ventricular apex, which confirmed by further echocardiography magnetic resonance imaging. A biopsy mass revealed metastatic carcinoma....
THIS DOCUMENT provides an overview of the role, education, accountability, and responsibility emergency nurse practitioner (ENP). The scope practice for ENPs is based upon nationally recognized licensure, education certification with inclusion specialty educational content. ENP must be viewed in conjunction local, state national regulatory licensure requirements. may limited by organizational credentialing privileging entities. ROLE OF THE Emergency practitioners (ENPs) are care providers...
Objectives: Electronic health records (EHRs) and electronic laboratory (ELRs) are increasingly seen as a rich source of data for performing public surveillance activities monitoring community status. Their potential chronic illness, however, may be underused. Our objectives were to (1) evaluate the use EHRs ELRs diabetes in 2 California counties (2) examine disparities prevalence by geography, income, race/ethnicity. Methods: We obtained on clinical diagnosis hemoglobin A1c (HbA1c) test...
Patients often present to emergency departments (EDs) for the management of chronic asthma. Because nature ED care, national guideline recommendations asthma education are generally not initiated in ED. There is evidence that can have a positive effect on patient outcomes (P. Gibson et al., 2009 ; H. Powell & P. Gibson, 2009). This study examines feasibility implementing an self-management tertiary care center Despite protocol utilization by physicians (87%), nurse practitioners and...
THE EMERGENCY NURSE PRACTITIONER (ENP) specialty in the United States has grown rapidly since its origins during 1980s following establishment of emergency medicine specialty. Initially, ENPs were prepared on job with direct mentoring by physicians. Since then, response to increasing national department (ED) workforce needs and collaborative approach care, are now participating a greater extent as part team delivery care. Given relative infancy ENP persistent confusion regarding nurse...
In Brief Context: Small area (eg, subcounty) cancer mapping is one of the analytic services most commonly requested registries and local public health agencies, difficulties in providing it have been noted to undermine confidence. Although a great many statistical protocols published enable this practice, none them are common use generate information for general public. Objectives: To evaluate utility subcounty breast articulate guidelines possible protocol its implementation by agencies....