- Asthma and respiratory diseases
- Respiratory Support and Mechanisms
- Palliative Care and End-of-Life Issues
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Family and Patient Care in Intensive Care Units
- Pneumothorax, Barotrauma, Emphysema
- Airway Management and Intubation Techniques
- Adolescent and Pediatric Healthcare
- Pharmaceutical studies and practices
- Ethics in medical practice
- Pediatric health and respiratory diseases
- School Health and Nursing Education
- Hospital Admissions and Outcomes
- Air Quality and Health Impacts
- Innovations in Medical Education
- Intensive Care Unit Cognitive Disorders
- Healthcare professionals’ stress and burnout
- Noise Effects and Management
- Migration, Health and Trauma
- Inhalation and Respiratory Drug Delivery
- Medication Adherence and Compliance
- Patient-Provider Communication in Healthcare
- Respiratory and Cough-Related Research
- Emergency and Acute Care Studies
- Telemedicine and Telehealth Implementation
Yale University
2021-2024
RELX Group (United States)
2024
Johns Hopkins Medicine
2015-2021
Johns Hopkins University
2015-2021
Johns Hopkins Hospital
2019-2021
Emory University
2013
<h3>Importance</h3> Discordance about prognosis between a patient's health care decision-making surrogate and the treating intensivist is common in intensive unit (ICU). Empowering families, friends, caregivers of patients who are critically ill to make informed decisions important, but it unclear how best communicate prognostic information surrogates when patient expected die. <h3>Objective</h3> To determine whether family members, often surrogates, interpret intensivists as being more...
The World Health Organization (WHO) recommends active tuberculosis (TB) case finding among people living with human immunodeficiency virus (HIV) in resource-limited settings using a symptom-based algorithm; those without TB disease should be offered isoniazid preventive therapy (IPT).To evaluate rates of adherence to WHO recommendations and the impact quality improvement intervention an HIV clinic Addis Ababa, Ethiopia.A prospective study design was utilized compare symptom screening IPT...
Depression is a prevalent comorbidity of chronic respiratory disease (CRD), and may indicate worse clinical outcomes. The relationship between depression living with hypoxia due to CRD or residence at altitude has received little attention in resource-poor settings.To investigate the association conditions depressive symptoms four settings Peru.We collected data on adults aged ⩾35 years. Depressive were measured according Center for Epidemiologic Studies scale. Multivariable ordinal logistic...
<h3>Importance</h3> Asthma is the most common chronic childhood disease, with Black children experiencing worse morbidity and mortality. It important to evaluate effectiveness of efficacious interventions in community settings that have greatest likelihood serving at-risk families. <h3>Objective</h3> To a multilevel home- school (Head Start)–based asthma educational program compared Head Start–based alone improving outcomes children. <h3>Design, Setting, Participant</h3> This randomized...
Children spend the majority of their time indoors, and a substantial portion this in school environment. Air pollution has been shown to adversely impact lung development effects that extend beyond respiratory health. The goal study was evaluate indoor environment public schools context an ongoing urban renovation program investigate building replacement on air quality. Indoor quality (CO2, PM2.5, CO, temperature) assessed for two weeks during fall, winter, spring seasons 29 between December...
Nonadherence to asthma medications is prevalent among adolescents and young adults (AYAs) with asthma, leading worsened control of symptoms more frequent exacerbations. AYAs have unique developmental transitional challenges that may alter medication adherence. We aimed use a socio-ecological framework explore the effect from adolescence adulthood on controller adherence identify possible strategies promote adherence.We conducted qualitative semi-structured interviews by phone 7 (14 17...
Purpose: While home oxygen therapy increases survival in patients with chronic obstructive pulmonary disease (COPD) who have severe resting hypoxemia, recent evidence suggests that there is no benefit of for COPD isolated exertional desaturation.We aimed to understand clinician practice patterns surrounding the prescription COPD. Methods:We conducted semi-structured qualitative interviews via videoconference 18 physicians and nurse practitioners provide care COPD.Clinicians were recruited...
BACKGROUND Although previous studies have investigated the efficacy of specific sign‐out protocols (such as illness severity, patient summary, action list, situation awareness and contingency planning, synthesis by reviewer [I‐PASS] bundle), implementation a bundle can be time consuming costly. We compared 4 training pedagogies on quality. OBJECTIVE To evaluate interventions that best enhance multidimensional quality measured information exchange, task accountability, personal...
Background: Burnout is common among physicians who care for critically ill patients and known to contribute worse patient outcomes. Fellows training in pulmonary critical medicine (PCCM) have risk factors that make them susceptible burnout; example, clinical environments require increased intellectual emotional demands with long hours. The Accreditation Council Graduate Medical Education has recognized the increasing importance of trainee burnout encourages programs address...