- Cannabis and Cannabinoid Research
- Homelessness and Social Issues
- Climate Change and Health Impacts
- Food Security and Health in Diverse Populations
- Primary Care and Health Outcomes
- Air Quality and Health Impacts
- Healthcare Policy and Management
- Kidney Stones and Urolithiasis Treatments
- Heavy Metal Exposure and Toxicity
- Biomedical Research and Pathophysiology
- Global Health Care Issues
- Diversity and Career in Medicine
- Forensic Toxicology and Drug Analysis
- Healthcare cost, quality, practices
- Climate Change and Geoengineering
- Infectious Diseases and Tuberculosis
- Health, psychology, and well-being
- Empathy and Medical Education
- Pituitary Gland Disorders and Treatments
- Psychedelics and Drug Studies
- Substance Abuse Treatment and Outcomes
- Medical Malpractice and Liability Issues
- Electronic Health Records Systems
- Adrenal Hormones and Disorders
- Otolaryngology and Infectious Diseases
University of Colorado Anschutz Medical Campus
2021-2024
University of Colorado Denver
2017-2024
Colorado School of Public Health
2021-2023
Massachusetts General Hospital
2021-2023
Harvard University
2021
American College of Emergency Physicians
2019
Society of General Internal Medicine
2019
American College of Surgeons
2019
Downtown Women's Health Care
2018
Denver Health Medical Center
2018
Background: Little is known about the relative harms of edible and inhalable cannabis products. Objective: To describe compare adult emergency department (ED) visits related to inhaled exposure. Design: Chart review ED between 1 January 2012 31 December 2016. Setting: A large urban academic hospital in Colorado. Participants: Adults with a cannabis-related International Classification Diseases, Ninth or 10th Revision, Clinical Modification (ICD-9-CM ICD-10-CM), code. Measurements: Patient...
Cannabis legalization in Colorado resulted increased cannabis-associated health care utilization. Our objective was to examine cooccurrence of cannabis and mental diagnostic coding emergency department (ED) discharges replicate the study a subpopulation ED visits where involvement psychiatric diagnosis were confirmed through medical review.We collected statewide International Classification Diseases, 9th Revision, Clinical Modification diagnoses from Hospital Association large, academic...
Silica nanoparticles (SiNPs) released during the burning of sugarcane have been postulated to a role in chronic kidney disease unknown etiology. We tested hypothesis that pristine SiNPs size present might cause injury when administered through lung rats. 200- or 300-nm amorphous twice weekly (4 mg/dose), vehicle by oropharyngeal aspiration for 13 wk rats followed euthanasia after an additional (26 total). Tissues were evaluated presence and evidence histological injury. Both sizes caused...
Silica nanoparticles found in sugarcane ash have been postulated to be a toxicant contributing chronic kidney disease (CKD) of unknown etiology. However, although the administration manufactured silica is known cause tubulointerstitial rats, effect administering on pathology remains unknown. Here, we investigated whether can induce CKD rats. Sugarcane was administered for 13 wk into nares rats (5 mg/day 5 days/wk), and blood, urine, tissues were collected at (at end administration) separate...
The climate crisis is a threat to human health. Resident physicians in internal medicine need training that addresses the clinical implications of change and its effect on However, residency curricula are already saturated with essential topics medicine, often have limited space for additional material. In this guide, we describe how integrate health into an curriculum. Evidence-based organized by medical subspecialty integrated pre-existing lectures longitudinal, outpatient lecture series....
Background: Drugs of abuse (DOA) are widely used in the United States and ubiquitous at outdoor music festivals. Attendees festivals high-risk for novel psychoactive substance (NPS) use, which is becoming more prevalent worldwide. No U.S. studies have employed an qualitative approach to investigate etiologies both traditional DOA NPS use amongst festival attendees. Objectives: The objective this study was improve understanding knowledge, attitudes, beliefs, practices attendees using DOA....
Exposure to environmental variables including declining air quality and increasing temperatures can exert detrimental effects on human health acute exacerbations of chronic diseases. We aim investigate the association between these exposures outcomes in a rural community Colorado. Meteorological adult emergency department visit data were retrospectively collected (2013-2017); for asthma outcomes, additional available (2003-2017). Daily exposure included PM10, maximum daily temperature (MDT),...
Although medical students will influence the future U.S. health care system, their opinions on Patient Protection and Affordable Care Act (ACA) have not been assessed since 2016 presidential election elimination of key ACA provisions. Understanding students' views policy professional obligations can provide insight into issues that be shaped by next generation physicians.From October 2017 to November 2017, authors conducted an electronic survey from seven institutions elicit regarding...
A 22-year-old woman was admitted to the medicine service with generalised abdominal pain and nausea. Medical history included a recent motor vehicle accident resulting in multiple orthopaedic injuries development of chronic syndrome. The patient denied other pertinent medical, social or family history. Medications escitalopram, cyclobenzaprine, oxycodone 10 mg every 6 hours as needed for pain. The patient’s initial vitals were temperature 37.3°C, heart rate 81 beats/min, respiratory 16...
Future physicians will be key stakeholders in the formation, implementation, and success of health care policies enacted during their careers, though little is known opinions proposed since 2016 U.S. presidential election. This study aimed to understand medical students related including, but not limited to, protections for people with pre-existing conditions, a public option on private exchange, single-payer care. Online surveys were completed by 1,660 at 7 schools between October 2017...
Flooded by rising seas and resurgent nationalist politics, ours is a world in peril. How should we comport ourselves for the climate crisis? To answer this question, essay reviews several works of Albert Camus, prescient Algerian-French philosopher previous century. Camus's concept Absurd may help us understand our plight changing climate, whereas his ethic rebellion advises way living that begets solidarity crisis affirms shared humanity. ideas have urgent relevance today, ought to heed...
The COVID-19 pandemic has exacerbated the flaws in U.S. employer-based health insurance system, magnified racial disparities and care, overwhelmed country’s underfunded public infrastructure. These are same systematic failures that have always harmed killed nation’s most vulnerable. While everyone wishes for an end to this national tragedy, authors believe a new normal must be defined postpandemic period. In period, policies were once labeled radical impossible will urgent necessary....
Background: Cannabis-associated emergency department (ED) visits have risen due to increased availability of the drug in Colorado. Edible cannabis products been associated with pediatric ED and providers report a high incidence edible related adults. We sought determine if result more than inhaled when standardized for product availability.