A5024279398- Asthma and respiratory diseases
- Physical Activity and Health
- Gastric Cancer Management and Outcomes
- Allergic Rhinitis and Sensitization
- Health Policy Implementation Science
- Esophageal Cancer Research and Treatment
- Mobile Health and mHealth Applications
- Respiratory and Cough-Related Research
- Occupational exposure and asthma
- Esophageal and GI Pathology
- Health Systems, Economic Evaluations, Quality of Life
- Orthopedic Surgery and Rehabilitation
- Coagulation, Bradykinin, Polyphosphates, and Angioedema
- Obesity, Physical Activity, Diet
- Nutrition and Health in Aging
- Health and Lifestyle Studies
- Peripheral Nerve Disorders
- Vitamin K Research Studies
- Indoor Air Quality and Microbial Exposure
- Frailty in Older Adults
- Obesity and Health Practices
- Primary Care and Health Outcomes
- Genetic Neurodegenerative Diseases
- Health Promotion and Cardiovascular Prevention
- Inhalation and Respiratory Drug Delivery
Veterans Health Administration
2021-2024
VA Center for Clinical Management Research
2018-2024
VA Ann Arbor Healthcare System
2018-2024
Quality Enhancement Research Initiative
2021-2022
Atrium Health Wake Forest Baptist
2021
Arkansas Agricultural Experiment Station
2003
Lurie Children's Hospital
1997
University of Baltimore
1995
Johns Hopkins University
1992
Bethesda Hospital
1982
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...
Because alpha-adrenergic stimulation causes bronchoconstriction, the responsiveness of 21 subjects with allergic asthma was compared that 16 rhinitis and 38 normal control subjects. None patients had taken medications for at least 30 days before study. Alpha-adrenergic measured by capacity phenylephrine to constrict cutaneous vascular bed dilate pupillary sphincter muscle. Asthmatic required 4.0 +/- 0.6 ng reduce their blood flow 50 per cent, whereas controls 32.0 7.5 (P less than 0.005)...
Abstract Background While the Veterans Health Administration (VHA) MOVE! weight management program is effective in helping patients lose and available at every VHA medical center across United States, reaching to engage them treatment remains a challenge. Facility-based programs vary structures, processes of programming, levels reach, with no single factor explaining variation reach. Configurational analysis, based on Boolean algebra set theory, represents mathematical approach data analysis...
Though maintaining physical conditioning and a healthy weight are requirements of active military duty, many US veterans lose rapidly gain after discharge from duty service. Mobile health (mHealth) interventions using wearable devices appealing to users can be effective especially with personalized coaching support. We developed Stay Strong, mobile app tailored veterans, promote activity wrist-worn tracker, Bluetooth-enabled scale, an app-based dashboard. tested whether adding components...
THE REVIEW of the literature on allergy from August, 1948, to September, 1950, which was published in April, 1951, by one us,<sup>1</sup>discussed nature and actions corticotropin (ACTH) cortisone their broad aspects. Since then, there have been many new studies, for remarkable effects these drugs made them object major interest clinic as well laboratory. Let us look first at results laboratory studies. <h3>LABORATORY STUDIES</h3><h3>The Effect Corticotropin Cortisone Immune Processes</h3>...
Abstract Objective To test effectiveness of the LEAP (Learn Engage Act Process) Program on engaging frontline Veteran Health Administration (VHA) medical center teams in continuous quality improvement (QI), a core capability for learning health systems. Data Sources and Study Setting sources included VHA electronic record (EHR) data, surveys, coaching field notes. Design A staggered difference‐in‐differences study was conducted. Fifty‐five facilities participated across eight randomly...
Abstract Obesity is a well-established risk factor for increased morbidity and mortality. Comprehensive lifestyle interventions, pharmacotherapy, bariatric surgery are three effective treatment approaches obesity. The Veterans Health Administration (VHA) offers all domains but in different configurations across medical facilities. Study aim was to explore the relationship between of types obesity treatments, context, population impact VHA using coincidence analysis. This cross-sectional...
The US Department of Veterans Affairs (VA) enacted policies offering care in the community, aiming to improve access challenges. However, impact receipt community on wait times for receiving surgical is poorly understood.To compare surgery with carpal tunnel syndrome who receive VA plus (mixed care) and those solely within (VA-only).Retrospective cohort study.Veterans undergoing release (CTR) between January 1, 2010 December 31, 2016.Our primary outcome was time from physician (PCP) referral...
Although maintaining a healthy weight and physical conditioning are requirements of active military duty, many US veterans rapidly gain lose when they separate from active-duty service. Mobile health (mHealth) interventions that incorporate wearables for activity monitoring have become common, but it is unclear how to optimize engagement over time. Personalized coaching, either through tailored automated messaging or by individual coaches, has the potential increase efficacy mHealth...
INTRODUCTION: Guidelines suggest 1-time screening with esophagogastroduodenoscopy (EGD) for Barrett's esophagus (BE) in individuals at an increased risk of esophageal adenocarcinoma (EAC). We aimed to estimate the yield repeat EGD performed prolonged intervals after a normal index EGD. METHODS: conducted national retrospective analysis within U S Veterans Health Administration, identifying patients between 2003 and 2009 who subsequently had tabulated proportion new diagnosis BE, EAC, or...
NUMEROUS excellent descriptions of the clinical symptomatology, course and response to quinacrine (atabrine) therapy relapsing vivax malaria Pacific origin have appeared in last four years. Most his associates1 described effects on relapse rate combined quinine plasmochin treatment. Similar but less complete studies been made by Bianco co-workers2 others. Loeb,3 et al.4 Faust5 early results treatment with chloroquine (SN 7618). All these were carried out various military services, patients...
Background: Appropriate direct oral anticoagulants (DOAC) dosing could improve their safety and effectiveness. To address this, we developed an intervention to on-label using academic detailing a quality improvement intervention. Methods: This was cluster RCT with clusters at the site level. There were 2 arms, (AD) AD plus Learn. Engage. Act. Process. (AD/LEAP). Interventions: Primary care doctors anticoagulation pharmacists from all participating sites invited participate in detailing, 1:1...
All Veterans Affairs (VA) Medical Centers offer the MOVE! Weight Management Program to help patients achieve and maintain a healthy weight through calorie-restricted, low-fat diet increased physical activity. Yet, most participants do not clinically significant loss of ≥5%. A carbohydrate-restricted may more ≥5% loss.