A5023210419- Chronic Disease Management Strategies
- Telemedicine and Telehealth Implementation
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Healthcare professionals’ stress and burnout
- Diabetes Management and Education
- Palliative Care and End-of-Life Issues
- Mobile Health and mHealth Applications
- COVID-19 and Mental Health
- COVID-19 and healthcare impacts
- Death Anxiety and Social Exclusion
- Medical Education and Admissions
- Diversity and Career in Medicine
- Global Health Workforce Issues
- Chronic Lymphocytic Leukemia Research
- Social and Intergroup Psychology
- Clostridium difficile and Clostridium perfringens research
- Grief, Bereavement, and Mental Health
- Lymphoma Diagnosis and Treatment
- Delphi Technique in Research
- Family and Patient Care in Intensive Care Units
- Geriatric Care and Nursing Homes
- Heart Failure Treatment and Management
- Medication Adherence and Compliance
- Racial and Ethnic Identity Research
- Gastrointestinal Tumor Research and Treatment
Northwell Health
2017-2024
Hofstra University
2018-2024
Feinstein Institute for Medical Research
2020-2023
Donald & Barbara Zucker School of Medicine at Hofstra/Northwell
2020-2023
Nassau University Medical Center
2022
Health Innovations (United States)
2020-2022
Medical Research Associates
2018
University of Religions and Denominations
2014
Mount Vernon Cancer Centre
2009
Beatson West of Scotland Cancer Centre
1995
United States Medical Licensing Exam (USMLE) scores are the single, most objective criteria for admission into residency programs in country. Underrepresented minorities medicine (URiM) found to have lower USMLE compared their White counterparts. The of this study is examine how step 1 cutoff may exclude self-reported URiM from interview process across various specialties.
To evaluate physician knowledge and perceptions about the American Board of Internal Medicine/American Geriatrics Society (ABIM/AGS) Choosing Wisely recommendations regarding percutaneous endoscopic gastrostomy (PEG) in individuals with advanced dementia.Multicenter, mixed-mode, anonymous questionnaire.Three tertiary four community hospitals New York.Internal medicine physicians (N = 168).Physician PEG tubes dementia.Ninety-nine percent reported having cared for someone dementia; 95% had...
Aim We sought to explore the relationship between number of medications at hospital discharge and 30‐day rehospitalization in older adults aged >65 years. Methods This was a multicenter cohort study determine whether an increased associated with patients explored other risk factors. Data were collected from large health system New York metropolitan area September 2011 January 2013. The primary outcome readmission index hospitalization. Results Patients had mean ± SD age 78 9 years; 55%...
Although the integration of social determinants health (SDH) screening and referral programs in clinical settings has rapidly grown, voice experience participants within SDH not been well understood program evaluations. To qualitatively evaluate a comprehensive based an academic primary care setting, we conducted qualitative analysis semi-structured, focus group interview 7 caregivers. We performed inductive coding representing emerging ideas from each transcript using transcripts families...
Introduction: The burden of microaggressions in the workplace is an ongoing stressor for female physicians academic medicine. For Color or Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Asexual community, this even heavier due to concept intersectionality. goal study assess frequency experienced by participants. In addition, explore associations between microaggression and individual outcomes, patient care practices attitudes, perception pay/promotion equity. Methods: This was a...
Home telemonitoring is a promising approach to optimizing outcomes for patients with Type 2 Diabetes; however, this care strategy has not been adapted use understudied and underserved Hispanic/Latinos (H/L) Diabetes.
Although home telemonitoring (TM) is a promising approach for patients managing their chronic disease, rehabilitation using TM has not been tested use with individuals living obstructive pulmonary disease (COPD) residing in underserved communities.This study aimed to analyze qualitative data from focus groups key stakeholders ensure the acceptability and usability of COPD intervention.We utilized community-based participatory research (CBPR) adapt intervention facilitate feasibility...
Abstract Background Pulmonary rehabilitation (PR) decreases rehospitalization for people with COPD. However, less than 2% receive PR, partly due to lack of referral and sparsity PR facilities. This disparity is particularly pronounced in African American Hispanic persons Telehealth-provided could increase access improve health outcomes. Methods We applied the RE-AIM framework a post-hoc analysis our mixed methods RCT comparing Telehealth-delivered (TelePR) versus standard (SPR) COPD patients...
Paget-Schrotter Syndrome (PSS) also known as "effort thrombosis" is a form of primary thrombosis in the subclavian vein at costoclavicular junction usually seen younger patients after repeated strenuous activity shoulders and arms. When occurring patients, PSS presents itself with predisposing factors such unilateral dull, aching pain shoulder or axilla swelling arm hand.We report rare case unusual left axillo-subclavian absence clear risk negative hypercoagulable workup 36-year-old Hispanic...
Background and aim During the early stages of COVID-19 pandemic, nationwide lockdowns caused disruption in diets, physical activities, lifestyles patients with type 2 diabetes. Previous reports on possible association between race/ethnicity, COVID-19, mortality have shown that Hispanic/Latino diabetes who are socioeconomically disadvantaged disproportionately affected by this novel virus. The study was to explore stressors associated changes self-management behaviors. Our goal highlight...
We explored the feasibility of a virtual-reality delivered mindfulness training intervention on burnout symptoms among corporate employees and clinicians in Intensive Care Unit Palliative (PCU). To develop VR we leveraged Capability, Opportunity, Motivation, Behavior model (COM-B) as guide for design implementation intervention. Using pre-posttest within subjects assessed syndrome, job stress work-related outcomes such workplace behavior using self-reported measures at baseline one-month...
Telehealth has emerged as an evolving care management strategy that is playing increasingly vital role, particularly with the onset of coronavirus disease 2019 pandemic. A meta-analysis 20 randomized controlled trials was conducted to test effectiveness home telemonitoring (HTM) in patients type 2 diabetes reducing A1C, blood pressure, and BMI over a median 180-day study duration. HTM associated significant reduction A1C by 0.42% (
Factors surrounding readmission rates for hospice patients within seven days are still relatively unknown. The present study specifically investigates the seven-day rate of newly discharged to hospice, and predictive factors associated with this population. In a retrospective case-control study, we seek identify potential predictors by comparing characteristics readmitted one week who were not readmitted. Cases (n = 46) home hospital days. Controls 117) Significant risk found be: age (p <...
During the COVID-19 pandemic, physicians encountered significant COVID-19-related negative experiences and psychological distress in both their personal professional lives. To understand factors that negatively impact physician well-being, a number of studies have pointed to multiple work system such as excessive workload workflow interruptions. In addition, shown positive interpersonal relationships provide social support may also serve buffering role against distress. The aim our study...
Large Pulmonary Embolism with right heart strain in the presence of massive vaginal bleed is an uncommon presentation middle aged women. embolism and Deep Vein Thrombosis are both rare life-threatening conditions for women uterine fibroids. We report a case 41-year-old Indian American woman history leiomyoma menorrhagia, who presented to emergency department shortness breath 6 out 10 retrosternal chest pain. CT angiography showed bilateral pulmonary 5 cm benign ovarian tumor venous Doppler...
Posttraumatic stress disorder (PTSD) remains one of the most prevalent diagnoses World Trade Center (WTC) 9/11 responders. Transcutaneous auricular vagus nerve stimulation (taVNS) is a potential treatment for PTSD, as it can downregulate activity in brain, which known to be related responses and hyperarousal. To understand barriers facilitators engagement mental health care feasibility acceptability using taVNS device PTSD symptoms, focus group was conducted among patients from Queens WTC...
Background The Hispanic/Latino population has greater risk (estimated &gt;50%) of developing type 2 diabetes (T2D) and it at a younger age. American Diabetes Association estimates costs diagnosed in 2017 was $327 billion; with medical 2.3x higher than patients without diabetes. purpose this manuscript is to describe the methodology utilized randomized controlled trial aimed evaluating efficacy telemanagement (DTM) program for T2D. intent provide information future investigators ensure...
As communities of color are disproportionately affected by COVID-19, there is an urgent need for dissemination timely and accurate information to community members. In this article, we describe a stakeholder approach the implementation, evaluation, lessons learned from COVID-19 Conversations, program developed delivered virtually researchers academics at Northwell Health. The goal was address mental, physical, psychosocial needs used Zoom/Facebook Live deliver interactive discussions on...