A5037914649- Frailty in Older Adults
- Palliative Care and End-of-Life Issues
- Geriatric Care and Nursing Homes
- Cancer survivorship and care
- Health disparities and outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Chronic Disease Management Strategies
- Childhood Cancer Survivors' Quality of Life
- Cancer-related cognitive impairment studies
- Global Health Care Issues
- Patient-Provider Communication in Healthcare
- Healthcare Systems and Reforms
- Nutrition and Health in Aging
- Respiratory Support and Mechanisms
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Healthcare Policy and Management
- Family Support in Illness
- Economic and Financial Impacts of Cancer
- Migration, Aging, and Tourism Studies
- Dementia and Cognitive Impairment Research
- Cardiac Health and Mental Health
- Mental Health Treatment and Access
- Global Cancer Incidence and Screening
- Health and Wellbeing Research
- Glioma Diagnosis and Treatment
Emory University
2025
The University of Texas Medical Branch at Galveston
2021-2024
King's College London
2024
Texas A&M University at Galveston
2024
Nantong University
2022-2024
University of Rochester
2014-2023
Peking University
2021-2023
Guangzhou Huashang College
2022
Huashan Hospital
2022
Fudan University
2022
Older patients with cancer and their caregivers worry about the effects of treatment on aging-related domains (eg, function cognition). Quality conversations oncologists concerns could improve patient-centered outcomes. A geriatric assessment (GA) can capture evidence-based conditions associated poor clinical outcomes toxic effects) for older cancer.To determine whether providing a GA summary GA-guided recommendations to communication concerns.This cluster-randomized trial enrolled 541...
This perspectives paper provides an overview of how to read and interpret a Sankey, examples using symptom data from older adults with advanced cancer, synopsis medical literature, comments on creating the diagram for presentation data. From prior reports our own, we conclude Sankeys are excellent tool visualizing changing status patients cancer. Older adult is used as example dispalyed in range Sankey flow diagrams. Because there large heterogeneity aging, different subgroups can be...
When nursing homes experience a shortage in directly employed staff, they may rely on temporary workers from staffing agencies to fill this gap. This article examines trends the use of among during prepandemic and COVID-19 pandemic era (2018–22). In 2018, 23 percent used agency accounting for about 3 all direct care hours worked. used, staff were commonly present ninety or fewer days year. By 2022, almost half 11 hours. Agency increasingly address chronic shortages, with 13.8 having every...
<h3>Importance</h3> Financial toxicity (FT), unintended and unanticipated financial burden experienced by cancer patients undergoing care, is associated with negative consequences increased risk of mortality. Older (≥70 years) are at for FT, yet data limited on FT whether oncologists discuss their patients. <h3>Objective</h3> To examine the prevalence in older adults advanced cancer, its association health-related quality life (HRQoL), cost conversations between <h3>Design, Setting,...
12009 Background: GA evaluates aging-related domains (e.g., function) known to be associated with cancer treatment toxicity. In this CRCT, we evaluated if providing a summary management recommendations oncologists can reduce toxicity in older patients (pts) advanced receiving chemotherapy and/or other agents high reported prevalence of grade 3-5 Methods: Pts aged > 70 incurable solid tumors or lymphoma and 1 impaired domain starting new regimen were enrolled. Community oncology practices...
This paper is concerned with an observer-based distributed secure consensus control strategy for a class of linear multi-agent systems (MASs) random attacks. Due to the fact that not all state information available, observers are employed estimate internal states. The communication topology randomly switching under attacks, and proposed using output information. feedback gains calculated via solving Riccati equation inequality, stability analysis proven MAS achieves tracking in mean square...
To evaluate the relationships between aging-related domains captured by geriatric assessment (GA) for older patients with advanced cancer and caregivers' emotional health quality of life (QOL).In this cross sectional study baseline data from a nationwide investigation their caregivers, completed GA that included validated tests to eight (eg, function, cognition).Thirty-one community oncology practices throughout United States.Enrolled were aged 70 older, had one or more domain impaired, an...
Existing studies reported that some circular RNAs (circRNAs) play vital roles in the development of pulmonary fibrosis. However, few explored biomarker potential circRNAs for fibrosis based on population data. Therefore, we aimed to identify peripheral blood as biomarkers diagnosing silicosis and idiopathic (IPF). In brief, an RNA-seq screening 4 cases controls was initially performed. Differentially expressed were combined with human serum circRNA dataset overlapping serum-detectable...
The associations of multimorbidity patterns with transitions between frailty states remain unclear in older individuals.We used data from the National Health and Aging Trends Study 2011-2019. Frailty was measured annually using Fried phenotype. Multimorbidity at baseline were identified latent class analysis based on 14 chronic conditions. We semi-Markov multi-state model to investigate influences characterized by condition counts subsequent over follow-ups.Among 9450 participants aged ≥65...
In China, caregivers for family members with schizophrenia play an important role in treatment and recovery but may experience stigma discrimination simply because of their relationship. The object this study was to measure the degrees correlates experiences among group. Four hundred twenty-seven participated hospital-based cross-sectional Ningbo Guangzhou, China. Data were collected by trained interviewers using fixed questionnaires. Stigma measured Modified Consumer Experiences...
Depression and diabetes have been recognized as major public health issues in China, however, no studies to date examined the factors associated with development of depression patients China. This study aimed estimate prevalence co-morbid among adults type 2 mellitus (DM) examine influence a group DM.The was conducted from March l May 31, 2012, Department Endocrinology First Affiliated Hospital General People's Liberation Army (PLA). A systematic random sample 412 DM aged over 18 years...
<h3>Importance</h3> A poor prognostic understanding regarding curability is associated with lower odds of hospice use among patients cancer. However, the association between or discordance and health care older adults advanced incurable cancers not well characterized. <h3>Objective</h3> To evaluate patient-oncologist hospitalization cancers. <h3>Design, Setting, Participants</h3> This was a post hoc secondary analysis cluster randomized clinical trial that recruited from October 29, 2014, to...
Providing a geriatric assessment (GA) summary with management recommendations to oncologists reduces clinician-rated toxicity in older patients advanced cancer receiving treatment. This secondary analysis of national cluster randomized clinical trial (ClinicalTrials.gov identifier: NCT02054741) aims assess the effects GA intervention on symptomatic measured by Patient-Reported Outcomes Common Terminology Criteria for Adverse Events (PRO-CTCAE).
Visitation restrictions in nursing homes were a major policy intervention response to the COVID-19 pandemic. This study conducted systematic review of changes federal and state visitation policies. After recommendations restricting all visitors non-essential healthcare personnel, 31 states implemented state-wide indoor bans March April 2020. Federal guidance changed September 2020 again after introduction vaccines early 2021. State lifted from 6/15/2020 11/2/2020, lasting an average 163...
Importance Extreme weather events disproportionately affect vulnerable populations, particularly nursing home residents. In February 2021, Winter Storm Uri caused unprecedented power outages and water shortages across Texas. However, its impact on residents remains poorly understood. Objective To assess the association of during with mortality health care utilization among long-stay in Design, Setting, Participants A retrospective cohort study before after (February 14 to 17, 2021) Data...
Abstract Background Pathway studies highlight the help-seeking behaviors of patients with physical and mental illnesses. A number in this field have been completed various parts world. The purpose study is to explore characteristics pathways illness from urban north China at Mental Health Professional (MHP). Methods pathway diagrams, which accounted for more than five percent patients, were documented 441 subjects using translated version World Organization (WHO) encounter form. patterns...