A5075322483- Meta-analysis and systematic reviews
- Clinical practice guidelines implementation
- Health Systems, Economic Evaluations, Quality of Life
- Cutaneous Melanoma Detection and Management
- Telemedicine and Telehealth Implementation
- Dermatological diseases and infestations
- Emergency and Acute Care Studies
- Asthma and respiratory diseases
- Uterine Myomas and Treatments
- Diabetic Foot Ulcer Assessment and Management
- Sarcoidosis and Beryllium Toxicity Research
- Insect and Pesticide Research
- Wound Healing and Treatments
- Substance Abuse Treatment and Outcomes
- Global Healthcare and Medical Tourism
- Drug-Induced Adverse Reactions
- Systemic Sclerosis and Related Diseases
- History of Medicine Studies
- Clinical Reasoning and Diagnostic Skills
- Pressure Ulcer Prevention and Management
- Pain Management and Treatment
- Ophthalmology and Visual Health Research
- Spine and Intervertebral Disc Pathology
- Allergic Rhinitis and Sensitization
- Clinical Nutrition and Gastroenterology
The University of Texas Health Science Center at Houston
2023
Tufts University
2023
Maine Medical Center
2023
Manchester University NHS Foundation Trust
2022-2023
The University of Texas MD Anderson Cancer Center
2023
University of Missouri–Kansas City
2023
Oregon Health & Science University
2023
University of Kansas Medical Center
2018-2022
Cambridge Health Alliance
2019-2020
University of Kansas
2019
<h3>Background:</h3> Primary care providers (PCPs) frequently address dermatologic concerns and perform skin examinations during clinical encounters. For PCPs who evaluate concerning lesions, dermoscopy (a noninvasive visualization technique) has been shown to increase the sensitivity for cancer diagnosis compared with unassisted examinations. Because no formal consensus existed on fundamental knowledge skills that should have respect detection, objective of this study was develop an expert...
Background:Minority and low-income patients disproportionately experience dermatologic access challenges. Store-and-forward (SAF) teledermatology has emerged as a model of care delivery that may improve access. We sought to evaluate patterns utilization overall impact after SAF implementation in safety-net health system. Methods:We performed retrospective review 3,285 consultations from 2014 2017 an urban academic Results:A total 1,680 (51.2%) were referred for inflammatory/rash conditions...
Emergency departments (EDs) are potential settings for interventions to improve asthma outcomes. Screening tools can identify children at risk of future morbidity. Our objective was determine the predictive validity Pediatric Asthma Control and Communication Instrument - Department version (PACCI-ED) asthma-related ED visits hospitalizations. This a retrospective cohort study 108 1-17 years old who visited an completed PACCI-ED. The PACCI-ED queries parents about prior 12-month visits,...
To determine whether the Pediatric Asthma Control and Communication Instrument for Emergency Department (PACCI-ED), a 12-item questionnaire, can help ED attendings accurately assess patient's asthma control morbidity.This was randomized-controlled trial performed at an urban pediatric of children aged 1-17 years presenting with exacerbation. Parents answered PACCI-ED questions about their children's asthma. Attendings were randomized to view responses (intervention group) or be blinded...
<h3>Purpose</h3> This study used the Appraisal of Guidelines for Research and Evaluation (AGREE) II Instrument to evaluate methodological quality clinical practice guidelines (CPG) published by American Academy Ophthalmology (AAO), Canadian Ophthalmological Society (COS) Royal College Ophthalmologists (RCO) management cataract in adults. <h3>Study design</h3> An evaluation AAO, COS RCO CPGs using a reliable validated instrument. <h3>Methods</h3> Four evaluators independently appraised three...
The objective is to evaluate the methodological quality of clinical practice guidelines (CPGs) published by American Academy Ophthalmology (AAO), Canadian Ophthalmological Society (COS), and Royal College Ophthalmologists (RCO) for diabetic retinopathy. Four evaluators independently appraised CPGs using Appraisal Guidelines Research Evaluation (AGREE) II instrument, which covers 6 domains (Scope Purpose, Stakeholder Involvement, Rigor Development, Clarity Presentation, Applicability,...
Group-Based Opioid Treatment (GBOT) has recently emerged as a mechanism for treating patients with opioid use disorder (OUD) in the outpatient setting. However, more practical "how to" components of successfully delivering GBOT received little attention medical literature, potentially limiting its widespread implementation and utilization. Building on previous case series, this paper delineates key to implementing by asking: (a) What are core implementation, how they defined? (b) malleable...
Purpose . To evaluate the methodological quality of age-related macular degeneration (AMD) clinical practice guidelines (CPGs). Methods AMD CPGs published by American Academy Ophthalmology (AAO) and Royal College Ophthalmologists (RCO) were appraised independent reviewers using Appraisal Guidelines for Research Evaluation (AGREE) II instrument, which comprises six domains (Scope Purpose, Stakeholder Involvement, Rigor Development, Clarity Presentation, Applicability, Editorial Independence),...
Ulcerative sarcoidosis is a rare variant of cutaneous that may present as ulceration with necrotic yellow plaques on the lower extremities, face, arms, trunk, or genital area. Adalimumab, human monoclonal anti-TNF antibody, an emerging treatment for recalcitrant sarcoidosis. We describe severe ulcerative in 60-year-old woman chronic necrobiosis lipoidica-like her left arm over 20 years. Her condition had not responded to previous treatments hydroxychloroquine, methotrexate, and...
Introduction. Telemedicine has been of heightened focus due to spikes in usage during the COVID-19 pandemic. Disparities health care may affect patient satisfaction with this resource depending on factors such as race, age, or socioeconomic background. The purpose study was analyze teledermatology identify any differences based and income pandemic period. Methods. A 21-question, IRB-approved survey administered patients at two academic dermatology clinics Kansas City. Patient measured using...
Cutaneous metastases from esophageal adenocarcinoma are rare, often presenting as painless nodules and tumors.1-3 Here, we describe an unusual case of cutaneous metastasis a telangiectatic metastatic carcinoma, which must be differentiated similar-appearing conditions such vascular or lymphatic malformations. This provides histopathologic corroboration for inflammation associated with insight concerning the habits adenocarcinoma.
Introduction: Pancreas transplant is one of the UK’s less commonly done solid abdominal organ transplants. The reputed for its high-risk postsurgical complications due to multiple patients, procedures, and immunological factors. For this reason, patients are habitually admitted intensive care unit postlaparotomy care, physiological support, graft function monitoring during their immediate postoperative course. Project Aim: This program evaluation analyzed trend in critical length stay...
A 33-year-old woman with obstructive sleep apnea, depression, alcohol use disorder, and thiamine deficiency presented fever numerous erythematous crusted papules plaques central necrotic-appearing eschar on her lower portion of the legs abdomen (Figure 1). The leg lesions began 2 weeks before admission as vesicles, which developed into necrotic eschar. She was found floor mobile home, surrounded by scattered rodent feces. patient did not present any additional systemic symptoms apart from...