A5102813837- Asthma and respiratory diseases
- Innovations in Medical Education
- Chronic Obstructive Pulmonary Disease (COPD) Research
- School Health and Nursing Education
- Healthcare Policy and Management
- Emergency and Acute Care Studies
- Primary Care and Health Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Respiratory and Cough-Related Research
- Clinical Reasoning and Diagnostic Skills
- Healthcare cost, quality, practices
- Patient Safety and Medication Errors
- Global Health Care Issues
- Hospital Admissions and Outcomes
- Respiratory Support and Mechanisms
- Healthcare Quality and Management
- Child and Adolescent Health
- Pharmaceutical studies and practices
- Delphi Technique in Research
- Chronic Disease Management Strategies
- Inhalation and Respiratory Drug Delivery
- Noise Effects and Management
- Pediatric health and respiratory diseases
- Healthcare Systems and Technology
- Climate Change and Health Impacts
Accreditation Council for Graduate Medical Education
2012-2025
Oak Ridge National Laboratory
2023
General Department of Preventive Medicine
2001-2021
Universität Hamburg
2021
HAW Hamburg
2021
Children's National
2020
Mass General Brigham
2019
Massachusetts General Hospital
2019
Center for Evaluation and Development
2019
Northwestern University
2003-2016
Postoperative pulmonary complications play an important role in the risk for patients undergoing noncardiothoracic surgery. are as prevalent cardiac and contribute similarly to morbidity, mortality, length of stay. Pulmonary may even be more likely than predict long-term mortality after The purpose this guideline is provide guidance clinicians on clinical laboratory predictors perioperative before It also evaluates strategies reduce focuses atelectasis, pneumonia, respiratory failure. target...
Recent reports have identified New York City as having asthma mortality rates that are substantially higher than expected based on US rates. This study investigates the problems of morbidity and in City.Data hospitalizations (1982 to 1986) deaths 1987) among persons aged 0 34 years were studied. Descriptive multivariate techniques used examine differences subgroups across geographic areas.The average annual hospitalization rate was 39.2 per 10,000; 1.2 100,000. Hospitalization death Blacks...
Asthma morbidity has increased dramatically in the past decade, especially among poor and minority children inner cities. The National Cooperative Inner-City Study (NCICAS) is a multicenter study designed to determine factors that contribute asthma A total of 1,528 with asthma, ages 4 9 years old, were enrolled broad-based epidemiologic investigation which thought be related morbidity. Baseline assessment included morbidity, allergy evaluation, adherence access care, home visits, pulmonary...
This guideline is based on the evidence report and accompanying background papers developed by Southern California Evidence-Based Practice Center. The American College of Physicians nominated this topic to Agency for Healthcare Research Quality Center program as part a concerted effort complement guidelines U.S. Preventive Services Task Force. recommends that all clinicians refer Force recommendations an overall strategy managing overweight obesity, which should always include appropriate...
Asthma imposes a growing burden on society in terms of morbidity, quality life, and healthcare costs. Although federally sponsored national surveys provide estimates asthma prevalence, these are not designed to characterize the by self-reported disease activity. We sought United States. This study was based cross-sectional random-digit-dial household telephone survey identify adult patients parents children with current asthma. Global comprised three components: short-term symptom (4-week...
Quantifying COPD prevalence worldwide is needed to document COPD's effect on disability, health care costs, and impaired quality of life inform governments planners. As an adjunct data obtained from population-based studies, for countries where a fully powered survey cannot be done, modeling its economic burdens can help estimate potential needs costs. For comparability, standardized methods surveys are that used in at all levels development. The Burden Obstructive Lung Disease (BOLD)...
Objective. To determine self-reported adherence to national asthma guidelines for children by primary care physicians in managed care; and, analyze sources of variation these practices physician specialty and practice type. Design. A survey 671 (pediatricians family physicians) practicing 3 geographically diverse organizations (MCO). Domains interest included diagnosis, pharmacotherapy, patient education follow-up, indications referral. Item formats self-reports usual responses case...
Objective. Although the efficacy of inhaled antiinflammatory therapy in improving symptoms and lung function childhood asthma has been shown clinical trials, effectiveness these medications real-world practice settings reducing acute health care use not well-evaluated. This study examined effect on hospitalizations emergency department (ED) visits by children for asthma. Design. Defined population cohort over 1 year. Setting. Three managed organizations (MCOs) Seattle, Boston, Chicago...
Asthma morbidity is known to exhibit seasonal periodicity. Yet the relationship between trends in vs mortality not known. This report describes and compares variation asthma hospitalizations US population. During 1982 through 1986, both demonstrated periodic that were age specific did differ by sex, race, or region. For persons aged 5 34 years, peaked September November, whereas June August. A disproportionate number of summer deaths this group occurred out hospital. individuals 65 years old...
Background: Concerns exist regarding increased risk for mortality associated with some chronic obstructive pulmonary disease (COPD) medications. Objective: To examine the association between various respiratory medications and death in veterans newly diagnosed COPD. Design: Nested case–control study a cohort identified 1 October 1999 30 September 2003 followed through 2004 by using National Veterans Affairs inpatient, outpatient, pharmacy, databases; Centers Medicare & Medicaid Services...
This guidance statement is derived from other organizations' guidelines and based on an evaluation of the strengths weaknesses available guidelines. We used Appraisal Guidelines, Research Evaluation in Europe (AGREE) appraisal instrument to evaluate various organizations. On basis review guidelines, we recommend: Statement 1: To prevent microvascular complications diabetes, goal for glycemic control should be as low feasible without undue risk adverse events or unacceptable burden patients....
Abstract Since the release of Institute Medicine's report on resident hours and patient safety, there have been calls for enhanced institutional oversight duty hour limits efforts to enhance quality safety care in teaching hospitals. The ACGME has established Clinical Learning Environment Review (CLER) program as a key component Next Accreditation System with aim promote by focusing 6 areas important hospitals residents will provide lifetime practice after completion training. encompass...
Among patients with multiple chronic conditions, there is increasing appreciation of the complex interrelatedness diseases. Previous studies have focused on prevalence and economic burden associated much less known about mortality rate specific combinations diseases.Measure in 11 conditions.Cohort study veteran health care users.Veterans between 55 64 years that used Veterans Health Administration services October 1999 September 2000.Patients were identified as having one or more following:...