A5016347485- Opioid Use Disorder Treatment
- Stuttering Research and Treatment
- Musculoskeletal pain and rehabilitation
- Pain Management and Opioid Use
- Pain Management and Placebo Effect
- Language Development and Disorders
- Brain Metastases and Treatment
- Prenatal Substance Exposure Effects
- Glioma Diagnosis and Treatment
- Toxoplasma gondii Research Studies
- Pain Management and Treatment
- Global Health Workforce Issues
- Healthcare professionals’ stress and burnout
- CNS Lymphoma Diagnosis and Treatment
- Substance Abuse Treatment and Outcomes
- Neurobiology of Language and Bilingualism
- COVID-19 and healthcare impacts
- Phonetics and Phonology Research
- Mindfulness and Compassion Interventions
- Medical Education and Admissions
- Clinical Reasoning and Diagnostic Skills
- HIV, Drug Use, Sexual Risk
- Pharmacological Effects and Toxicity Studies
- Digital Mental Health Interventions
- Biosimilars and Bioanalytical Methods
University of Florida
2025
Albert Einstein College of Medicine
2016-2024
Montefiore Medical Center
2016-2024
Montefiore Health System
2020-2024
Google (United States)
2024
Health Resources and Services Administration
2016
Agency for Healthcare Research and Quality
2016
New York University
2015
Columbia University Irving Medical Center
2010-2011
Columbia University
2011
<b>Background:</b> Diagnosis of leptomeningeal metastasis (LM) has become increasingly frequent. The diagnostic gold standard been CSF cytology, but MRI is now used routinely for diagnosis. and prognosis LM not studied in the era. <b>Methods:</b> Patients with from 2002 through 2004 were identified a neurology database, as well by reviewing all abnormal cytologies pathology database. was made malignant cytology or imaging; suspicious cases treated also included. <b>Results:</b> A total 187...
BackgroundCOVID-19 mortality disproportionately affects the Black population in United States (US). To explore this association a cohort study was undertaken.MethodsWe assembled of 505,992 patients receiving ambulatory care at Bronx Montefiore Health System (BMHS) between 1/1/18 and 1/1/20 to evaluate relative risk hospitalization death two time-periods, pre-COVID time-period (1/1/20–2/15/20) COVID (3/1/20–4/15/20). testing, were determined with Hispanic patient compared separately White...
The impact of social and economic determinants health status the existence racial ethnic care access disparities have been well-documented. This paper describes a model, Health Care Access Barriers Model (HCAB), which provides taxonomy practical framework for classification, analysis reporting those modifiable barriers that are associated with disparities. model three categories barriers: financial, structural, cognitive. types reciprocally reinforcing affect individually or in concert....
In this article, we present a new pharmacovigilance data mining technique based on the biclustering paradigm, which is designed to identify drug groups that share common set of adverse events (AEs) in spontaneous reporting system (SRS) US Food and Drug Administration (FDA). A taxonomy biclusters developed, revealing significant number bona fide event (ADE) have been identified. Statistical tests indicate it extremely unlikely bicluster structures thus discovered, as well their content, could...
The US physician workforce does not reflect the racial and ethnic makeup of country’s population, despite efforts to promote diversity. Becoming a requires significant time financial investment, populations that are underrepresented in medicine have also been excluded from building wealth. Understanding differential burden debt by race ethnicity may inform strategies improve We used 2014–19 data on postgraduate resident trainees Association American Medical Colleges examine association...
Abstract Objective Among patients with chronic pain, risk of opioid use is elevated high dose or concurrent benzodiazepine use. This study examined whether these clinical factors, sociodemographic factors race and gender, are associated reduction. Design Setting A retrospective cohort outpatients prescribed therapy between 2007 2012 within a large, academic health care system in Bronx, New York, using electronic medical record data. Included were stable over one-year “baseline period” did...
Abstract: The Minimizing Error, Maximizing Outcome (MEMO) study of clinics in New York City, Chicago, and Wisconsin linked primary care work experiences to physician stress. We analyzed MEMO data determine how chaos the clinic was associated with conditions quality measures. Surveys medical record audits determined practice characteristics errors, respectively. Physicians rated atmosphere on a scale 1 (calm) 5 (chaotic). Chaotic were defined as practices either 4 or by greater than 50%...
Changes in health care delivery during the COVID-19 pandemic may have impacted opioid prescribing. This study evaluated impact of restrictions on in-person prescribing outpatient setting. The hypothesis was that after to were implemented, there would be a reduction number chronic and non-chronic prescriptions.An interrupted time series analysis conducted compare weekly prescriptions between baseline (1/1/2019-3/14/2020), restriction (3/15/2020-6/6/2020), reopening (6/7/2020-10/31/2020)...
<sec> <title>BACKGROUND</title> Although chronic pain (CP) is highly prevalent, current modalities are not sufficient in addressing the needs of people living with this condition. Pharmacological treatments for CP can have severe side effects and increase likelihood patients overdosing or developing addiction. Behavioral often indicated treatment CP, but barriers to common. Virtual reality (VR)-based interventions shown promise as an effective potentially accessible form CP. However,...
Objectives In a longitudinal cohort of patients with HIV and chronic pain, we sought to (1) identify trajectories opioid misuse use disorder (OUD) symptoms, (2) determine whether prescription dose was associated symptom trajectories. Methods We leveraged an existing 12-month observational study, Project PIMENTO, persons living pain who received care at hospital system in the Bronx, New York. A quota sampling strategy used ensure variability prescribed recruited sample. Research interviews...
There is high comorbidity of opioid use disorder (OUD) and chronic pain (CP), which often addressed by prescribing buprenorphine (BUP). While BUP effective in preventing overdose, it does not address the psychological aspects OUD CP treatment retention rates are as low 50%. The Virtual Opioid Integrated Chronic Pain Treatment (VOICE) study (NCT05039554) a novel effectiveness-implementation trial to test 12-week virtual group Acceptance Commitment Therapy (ACT) protocol care management...
Obesity disproportionately affects Latina women, but few targeted, technology-assisted interventions that incorporate tailored health information exist for this population. The Veterans Health Administration (VHA) uses an online weight management tool (MOVE!23) which is publicly available, was not designed use in non-VHA populations.We conducted a qualitative study to determine how interactions between the and other contextual elements impacted task performance when target users interacted...
Introduction: To determine the prevalence of prescription opioid (PO) use among Hispanics/Latinos with arthritis symptoms and to characterize how demographic cultural factors are associated PO use. Method: Cross-sectional analysis baseline visit data during 2008 2011 from Hispanic Community Health Study/Study Latinos, a population-based cohort study 16,415 living in Chicago, Illinois, Miami, Florida, Bronx, New York, San Diego, California. Included participants self-reported painful...
Guidelines recommend that clinicians make decisions about opioid tapering for patients with chronic pain using a benefit-to-harm framework and engaging patients. Studies have not examined clinician documentation this framework.Thematic content analysis of in patients' medical records large academic health system.Medical were reviewed aged 18 or older, without cancer, who prescribed stable doses long-term therapy between 10/2015 10/2016 then experienced an taper (dose reduction ≥30%) 10/2017....
Abstract Background Adults living with HIV have disproportionately high chronic pain, prescription opioid use, history of substance and incarceration. While incarceration can long-lasting health impacts, prior studies not examined whether distant (>1 year prior) is associated use for or misuse disorder among people pain. Methods We conducted a secondary analysis prospective cohort study adults The independent variables were any drug-related (both dichotomous). Dependent current long-term...
Background: There is a lack of integrated treatment for chronic pain and opioid use disorder (OUD). Yoga physical therapy (PT) may improve function people living with (PLW) low back (CLBP) also reduce craving use, but PLW OUD face barriers to accessing these interventions. We hypothesize that compared as usual (TAU), providing yoga PT onsite at programs (OTPs) will be effective improving pain, quality life among CLBP OUD, cost-effective. Methods: In this hybrid type-1...
Purpose: This study aims to determine the relationship between (a) stuttering impact and trust in health care system (b) physicians among persons who stutter India. Method: quantitative utilized cross-sectional electronic surveys assess experiences of 118 adults The queried impact, system, (c) physicians. Results: Stuttering is strongly negatively associated with ( r = −.940, p ≤ .0001, R 2 .885) −.941, .885). Controlling for age, gender, income does not affect these relationships....