- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Healthcare Policy and Management
- Electronic Health Records Systems
- Asthma and respiratory diseases
- Nonlinear Dynamics and Pattern Formation
- Healthcare Systems and Technology
- Disability Education and Employment
- Acute Ischemic Stroke Management
- Telemedicine and Telehealth Implementation
- Sepsis Diagnosis and Treatment
- Theoretical and Computational Physics
- Inhalation and Respiratory Drug Delivery
- Acute Myocardial Infarction Research
- Chronic Disease Management Strategies
- Clinical practice guidelines implementation
- Healthcare Operations and Scheduling Optimization
- Venous Thromboembolism Diagnosis and Management
- Heart Failure Treatment and Management
- Health Systems, Economic Evaluations, Quality of Life
- Patient Satisfaction in Healthcare
- Ultrasound in Clinical Applications
- Primary Care and Health Outcomes
- Data Quality and Management
- Traumatic Brain Injury and Neurovascular Disturbances
University of British Columbia
2006-2025
Vanderbilt University Medical Center
2015-2024
VA Tennessee Valley Healthcare System
2015-2024
Geriatric Research Education and Clinical Center
2022-2024
Harvard University
2011-2024
Beth Israel Deaconess Medical Center
2024
Vanderbilt University
2013-2023
University of British Columbia Hospital
2019-2021
Washington Department of Social and Health Services
2021
University of Iowa
2020
This study was performed to determine the effects of high doses two inhaled corticosteroids, beclomethasone dipropionate and budesonide, on biochemical indices bone turnover (urinary hydroxyproline:creatine calcium:creatinine ratios, plasma alkaline phosphatase, parathyroid hormone). Twelve healthy male doctors, aged 25-36 (mean 30) years, were studied. After a week's run in period eight subjects 2000 micrograms/day budesonide 1800 for 28 days; this followed by week without any treatment....
Ipratropium bromide was given to patients admitted hospital with acute asthma. A cumulative-dose-response technique in six showed that 500 micrograms by nebuliser produced a maximal increase peak expiratory flow rate. This dose of ipratropium included regimen which it either two hours before or after nebulised salbutamol 22 patients. on admission as effective salbutamol. The drugs sequence greater bronchodilatation than used alone, and the mean rate rose 96% four hours. Thus giving addition...
Despite its relatively common occurrence and life-threatening potential, the management of angioedema in emergency department (ED) is lacking terms a structured approach. It paramount to distinguish different etiologies from one another more specifically differentiate histaminergic-mediated bradykinin-mediated angioedema, especially lieu novel treatments that have recently become available for angioedema. With this background mind, consensus parameter evaluation attempts provide working...
Abstract Among 249 healthcare personnel who worked in hospital units with COVID-19 patients for 1 month, 19 (7.6%) tested positive SARS-CoV-2 antibodies. Only 11 (57.9%) of the serology reported symptoms a prior illness, suggesting asymptomatic could be an important source transmission.
Abstract Emergent policy changes related to telemedicine and the Emergency Medical Treatment Labor Act during novel coronavirus disease 2019 (COVID-19) pandemic have created opportunities for technology-based clinical evaluation, which serves conserve personal protective equipment (PPE) protect emergency providers. We define electronic PPE as an approach using tools perform medical screening exams while satisfying Act. discuss safety, legal, technical factors necessary implementing such a...
The concept of self-determination has become important in the field special education and disability services over recent years. This emphasis come about as a result several factors, including changing view disability, legislation, research findings advances teaching technology. Self-determination is highly to career development transition process it needs be encouraged throughout lifespan. It for all students, with without disabilities, those students most severe disabilities. instruction...
Gryphon is a distributed computing paradigm for message brokering, which the transferring of information in form streams events from providers to consumers. This extended abstract outlines major problems brokering and Gryphon's approach solving them.
A common scenario in cellular signal transduction is that a diffusing surface-bound molecule must arrive at localized signaling region on the cell membrane before cascade can be completed. The question then arises of how quickly such molecules newly formed regions. Here, we attack this problem by calculating asymptotic results for mean first passage time particle confined to surface sphere, presence N partially absorbing traps small radii. rate which becomes captured one determined...
Given finite ICU bed capacity, knowledge of utilization during the coronavirus disease 2019 pandemic is critical to ensure future strategies for resource allocation and utilization. We sought examine census trends in relation capacity rapid increase severe cases early pandemic.Observational cohort study.Thirteen geographically dispersed academic medical centers United States.We obtained daily censuses from March 26 June 30, 2020, as well prepandemic capacities. The primary outcome was...
Epinephrine can be a life-saving treatment for patients with anaphylaxis. Potential cardiovascular side effects of epinephrine may contribute to clinician hesitancy use it. However, the frequency cardiotoxicity resulting from anaphylaxis is not well described. We sought describe following intramuscular (IM) administration in adult emergency department (ED)
Certain key establishment protocols specified in an international standard and a draft are considered. These all intended to provide joint control, i.e. the designed prevent either party choosing value. It is shown that this claim suspect for most of concerned.
This article re-affirms the call for attention to development of self-determination skills and opportunities people with disabilities. Recent data on rates participation in postsecondary education employment are reviewed, highlighting ongoing disparities post-school outcomes f or Next, research relationship between is reviewed as effective strategies promote self-determination. Implications field highlighted.
Self-determination has been identified with people disabilities only since 1988. This article traces the history of civil rights, disability and self-advocacy movements. What began as a small federal initiative is presently national effort in health care other service systems embraces ideas such self-direction consumer control. The road to self-determination different for three distinct populations: physical disabilities, cognitive Asperger syndrome autistic conditions. However, they all are...
Emergency department (ED) crowding has been identified as a major public health problem in the United States by Institute of Medicine. ED not only is associated with poorer patient outcomes, but it also contributes to lost demand for services when patients leave without being seen and hospitals must go on ambulance diversion. However, somewhat paradoxically, may financially benefit hospitals. This because allows maximize occupancy well-insured, elective while wait ED. In this article,...
Blood culture collection practices that reduce contamination, such as sterile blood kits and phlebotomy teams, increase up-front costs for collecting cultures but may lead to net savings by eliminating downstream associated with contamination. The study objective was compare overall hospital 3 strategies: usual care, kits, teams.Cost analysis.This analysis conducted from the perspective of a leadership team selecting strategy an adult emergency department (ED) 8,000 drawn annually.Total...
In the singularly perturbed limit of an asymptotically small diffusivity ratio ${\varepsilon}^2$, existence and stability localized quasi-equilibrium multispot patterns is analyzed for Brusselator reaction-diffusion model on unit sphere. Formal asymptotic methods are used to derive a nonlinear algebraic system that characterizes spot formulate eigenvalue problems governing three types “fast” ${\mathcal O}(1)$ time-scale instabilities: self-replication, competition, oscillatory instabilities...
Telehealth has the potential to significantly change specialty of emergency medicine (EM) and rapidly expanded in EM during COVID pandemic; however, it is unclear how should intersect with telehealth. The field lacks a unified research agenda priorities for scientific questions on telehealth EM.
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