A5043515095- HIV/AIDS Research and Interventions
- HIV/AIDS drug development and treatment
- Health Systems, Economic Evaluations, Quality of Life
- Acute Ischemic Stroke Management
- Stroke Rehabilitation and Recovery
- Healthcare Policy and Management
- HIV-related health complications and treatments
- Primary Care and Health Outcomes
- AI in cancer detection
- Global Cancer Incidence and Screening
- HIV Research and Treatment
- Emergency and Acute Care Studies
- Telemedicine and Telehealth Implementation
- Opioid Use Disorder Treatment
- Adolescent and Pediatric Healthcare
- Sepsis Diagnosis and Treatment
- Adolescent Sexual and Reproductive Health
- Dysphagia Assessment and Management
- Musculoskeletal pain and rehabilitation
- Biomedical Text Mining and Ontologies
- Colorectal Cancer Screening and Detection
- Healthcare cost, quality, practices
- Patient Satisfaction in Healthcare
- Healthcare Systems and Practices
- Health Policy Implementation Science
Medical University of South Carolina
2016-2025
Google (United States)
2022-2024
College of Healthcare Management
2023
Parker Hannifin (United States)
2022
National and Kapodistrian University of Athens
2020
South Carolina Department of Health and Environmental Control
2020
Blue Cross and Blue Shield of North Carolina Foundation
2020
Foster + Freeman (United Kingdom)
2019
Simpson College
2019
Korea Advertising Society
2019
This study ascertained the odds of diagnosed depression in individuals with diabetes and relation between health care use expenditures.First, we compared data from 825 adults that 20,688 without using 1996 Medical Expenditure Panel Survey (MEPS). Second, patients diabetes, depressed nondepressed to identify differences expenditures. Third, adjusted expenditure estimates for age, sex, race/ethnicity, insurance, comorbidity analysis covariance. Finally, used Consumer Price Index adjust...
Therapeutic inertia (TI), defined as the providers’ failure to increase therapy when treatment goals are unmet, contributes high prevalence of uncontrolled hypertension (≥140/90 mm Hg), but quantitative impact is unknown. To address this gap, a retrospective cohort study was conducted on 7253 hypertensives that had ≥4 visits and ≥1 elevated blood pressure (BP) in 2003. A 1-year TI score calculated for each patient difference between expected observed medication change rates with higher...
Alzheimer's Disease (AD) can be conceptualized as a continuum: patients progress from normal cognition to mild cognitive impairment (MCI) due AD, followed by increasing severity of AD dementia. Prior research has measured transition probabilities among later stages but not for the complete spectrum.To estimate annual progression rates across continuum and evaluate impact delay in MCI on trajectory dementia clinical outcomes.Patient-level longitudinal data National Coordinating Center...
Reverse total shoulder arthroplasty (rTSA) has become increasingly popular since its introduction to the United States. The purpose of this study was assess current trends and use rTSA, anatomic (aTSA), hemiarthroplasty (HA) from 2011 2014. Shoulder data National (Nationwide) Inpatient Sample database were analyzed for years 2014 using International Classification Diseases, Ninth Revision, Clinical Modification procedure codes. For each procedure, patient hospital characteristics identified....
BACKGROUND PATIENTS: with chronic airflow obstruction are often limited by muscle fatigue and weakness. As exercise rehabilitation programmes have produced modest improvements at best a study was designed to determine whether specific training techniques helpful. METHODS: Thirty four patients limitation (forced expiratory volume in one second (FEV1) 38% of predicted values) were stratified for FEV1 vital capacity (VC) ratio less than 40% arterial oxygen desaturation during randomised control...
To determine the frequency, mortality, cost, and risk factors associated with readmission after index hospitalization severe sepsis.Observational cohort study of Healthcare Cost Utilization Project data.All nonfederal hospitals in three U.S. states.Severe sepsis survivors (n = 43,452) first two quarters 2011.None.We measured rates cost mortality readmissions survivors. We used multivariable logistic regression to identify patient characteristics readmission. Of 43,452 survivors, 26% required...
Background and Purpose— Little is known about the contribution of aphasia to cost care for patients who experience stroke. Methods— We retrospectively examined a cohort South Carolina Medicare beneficiaries experienced ischemic stroke in 2004 determine attributable aphasia. Univariate analyses were used compare demographic, comorbidity, severity differences between individuals with poststroke those without Differences payments by because using gamma-distributed generalized linear...
Muscle architecture is known to be predictive of muscle function. However, it unknown whether this relationship similar in children and adolescents with without cerebral palsy (CP).The objective study was determine the rectus femoris (RF) vastus lateralis (VL) muscles maximum voluntary knee extensor torque CP these measures were related activity participation levels.A case-control design used.Eighteen participants (mean age=12.0 years, SD=3.2) at Gross Motor Function Classification System...
Abstract Objective The purpose of this study was to describe the process and cost delivering a physical therapist–guided synchronous telehealth exercise program appropriate for older adults with functional limitations. Such programs may help alleviate some detrimental impacts social distancing quarantine on at-risk decline. Methods Data were derived from feasibility arm parent study, which piloted 36 sessions 1 participant. steps involved in each phase (ie, development, delivery) documented,...
Purpose: Infants requiring noninvasive respiratory support (NRS) are often orally fed, although data supporting the safety and efficacy of this practice limited. This study aimed to identify rate practice, amount received during oral feeding, characteristics infants fed NRS use; describe feeding expert involvement; assess change from before after onset COVID-19 pandemic. Method: Retrospective electronic health record one children's hospital were extracted manually reviewed. Results: Results...
Posttraumatic stress disorder (PTSD) frequently co-occurs with alcohol use disorders. This study investigated the of sertraline, a serotonin reuptake inhibitor, in treating co-occurring symptoms dependence and PTSD.A total 94 individuals current PTSD were randomly assigned to receive sertraline (150 mg/day) or placebo for 12 weeks. Post hoc cluster analysis baseline characteristics was used define subgroups participants.There significant decrease during trial both groups. Cluster revealed...
Background and Introduction: Telehealth is a promising approach to improving healthcare access quality. While coverage for telehealthcare has expanded, reimbursement remains one of the biggest barriers provider adoption. Thirty-four states District Columbia have enacted parity legislation requiring private insurance companies provide some level telehealth services. Materials Methods: The purpose this article describe trends in utilization from 2010 2015 privately insured patients. Using...
Abstract Objectives We describe our approach in using health information technology to provide a continuum of services during the coronavirus disease 2019 (COVID-19) pandemic. COVID-19 challenges and needs required systems rapidly redesign delivery care. Materials Methods Our system deployed 4 telehealth programs biomedical informatics innovations screen care for patients. Using programmatic electronic record data, we implementation initial utilization. Results Through collaboration across...
Administrative data are used for research, quality improvement, and health policy in severe sepsis. However, there is not a sepsis-specific tool applicable to administrative with which adjust illness severity. Our objective was develop, internally validate, externally validate sepsis mortality prediction model associated score.Retrospective cohort study using 2012 from five U.S. states. Three cohorts of patients were created: 1) International Classification Diseases, 9th Revision, Clinical...
Elevated systolic blood pressure (SBP) after successful revascularization (SR) via endovascular therapy (EVT) is a known predictor of poor outcome. However, the optimal SBP goal following EVT still unknown. Our objective was to compare functional and safety outcomes between different goals with SR.This international multicenter study included 8 comprehensive stroke centers patients anterior circulation large vessel occlusion who were treated achieved SR. SR defined as modified thrombolysis...
Telehealth utilization surged during the COVID-19 pandemic, offering expanded health care access. Audio-only visits emerged as a crucial tool for patients facing technology or connectivity barriers to still use telehealth. This qualitative study aims better understand patient perceptions of audio-only versus video telehealth and how perceive role each in their overall care.
Several methods are available to estimate caloric needs in hospitalized, obese patients who require specialized nutrition support; however, it is unclear which of these strategies most accurately approximates the this patient population. The purpose study was determine strategy predicts resting energy expenditure subset patients.Patients assessed at high risk required support and met inclusion exclusion criteria were enrolled observational study. Adult included if they admitted a medical or...