A5048235647- Opioid Use Disorder Treatment
- Substance Abuse Treatment and Outcomes
- Pain Management and Opioid Use
- Liver Diseases and Immunity
- Palliative Care and End-of-Life Issues
- Chronic Disease Management Strategies
- Healthcare Policy and Management
- Treatment of Major Depression
- Health Systems, Economic Evaluations, Quality of Life
- Obesity and Health Practices
- Pediatric Hepatobiliary Diseases and Treatments
- Frailty in Older Adults
- Pharmaceutical Practices and Patient Outcomes
- Liver Disease Diagnosis and Treatment
- Gallbladder and Bile Duct Disorders
- Geriatric Care and Nursing Homes
- Global Health Workforce Issues
- Heart Failure Treatment and Management
- Homelessness and Social Issues
- Food Security and Health in Diverse Populations
- Global Cancer Incidence and Screening
- Health disparities and outcomes
- Colorectal Cancer Screening and Detection
- HIV, Drug Use, Sexual Risk
- Nutrition and Health in Aging
Essentia Health
2016-2025
Instytut Medycyny Wsi im. Witolda Chodźki
2011-2024
Renfe Operadora (Spain)
2023
Hillenbrand (United States)
2023
University of Minnesota, Duluth
2013
University of Minnesota System
2006
Duluth Clinic
2002-2004
Minnesota Department of Education
2002
Abstract Background Individuals with major depressive disorder (MDD) and bipolar (BD) have particularly high rates of chronic non-cancer pain (CNCP) are also more likely to receive prescription opioids for their pain. However, there been no known studies published date that examined opioid treatment patterns among individuals schizophrenia. Methods Using electronic medical record data across 13 Mental Health Research Network sites, diagnoses MDD ( N = 65,750), BD 38,117) or schizophrenia...
Obesity is stigmatized and people with obesity report experiencing stigmatizing situations when seeking health care. The implications of these experiences are not well understood. This study tests an indirect effects model negative care as intermediate variable between avoidance/utilization switching primary doctors.
Objectives This substudy’s objectives were to (1) examine the transferability of a four archetype framework (simplified pattern prototypical features) for patients at high risk opioid use disorder (OUD) developed from previous study with similar population; (2) explore how patient preferences terminology can inform clinician communication strategies OUD across archetypes and (3) perceptions risks archetypes. Design qualitative collected data via semistructured phone interviews about views on...
To characterize the serological response in humans to human granulocytic ehrlichiosis (HGE), we prospectively observed 152 patients for as long 42 months. HGE was confirmed by detection of morulae blood smears, polymerase chain reaction, culture, or a combination these tests 94 (62.3%), and 92 (97.8%) had specific serum antibodies thereafter. One hundred twenty-six (99.2%) 127 tested at 1 month were seropositive (89 seroconversion), 150 (98.7%) become 6 Eleven (7.3%) remained Neither...
Treatment-resistant depression often leads to increased morbidity and disability. The authors report the use of ketamine, a selective N-methyl-D-aspartate (NMDA) receptor antagonist, in two patients with treatment-resistant depression. Multiple ketamine treatments may provide an effective rapid antidepressant effect prolonged benefit.
Abstract A 2006 article published in the International Journal of Dermatology reported that oral zinc sulfate 100 mg three times daily was associated with improvement severity facial rosacea (Sharquie et al. 2006; 45: 857–861). The current study undertaken to further assess role management rosacea. This a randomized, double‐blind trial 220 twice for 90 days patients moderately severe at baseline. Subjects were recruited Upper Midwest USA between August and April 2008, followed until July...
Most patients with heart failure (HF) have multimorbidity which may cause difficulties self-management. Understanding the resources draw upon to effectively manage their health is fundamental designing new practice models improve outcomes in HF. We describe rationale, conceptual framework, and implementation of a multi-center survey HF patients, characterize differences between responders non-responders, summarize patient characteristics responses constructs among responders.
To identify factors associated with the use of selected medical services near end life in cognitively impaired residents rural and urban nursing homes.Retrospective cohort study using Centers for Medicare Medicaid Services administrative data 1998 through 2002.Minnesota Texas homes.Nursing home aged 65 older severe cognitive impairment who subsequently died during 2000/01.Minimum Data Set Provider Analysis Review, Hospice, Denominator files were used to subjects assess service use. U.S....
OBJECTIVES: To compare how causes of death are recorded on the certificates centenarians with those who die in their 70s, 80s, and 90s. We also examined direct indirect acknowledgment age as a cause death. DESIGN: Retrospective review certificates. SETTING: State Minnesota. PARTICIPANTS: The 26,415 individuals aged 70 over died Minnesota 1998 were for underlying Of these, 449 100 older at time MEASUREMENTS: Causes RESULTS: Diabetes mellitus, chronic obstructive pulmonary disease, cirrhosis,...
Regional variation in the intensity of end-of-life care contributes significantly to overall cost health care. The interpretation patterns regional hinges, part, on appropriate adjustment for demographic variables such as age, race, sex, and rural vs. urban residence. This study examined discontinuation dialysis prior death US, after key variables. In this retrospective cohort 2009 United States Renal Data System (USRDS) database we among deceased adult patients with end-stage renal disease...
Clinical guidelines for the use of opioids in chronic noncancer pain recommend assessing risk aberrant drug-related behaviors prior to initiating opioid therapy. Despite recent dramatic increases prescription misuse and abuse, screening tools by clinicians continues be underutilized. This research evaluated natural language processing (NLP) together with other data extraction techniques assessment patients considered therapy as a means predicting abuse.Using retrospective cohort 3,668 at...
We used data from the Fibrotic Liver Disease Consortium to evaluate impact of ursodeoxycholic acid (UDCA) treatment across race/ethnicity, gender, and clinical status among patients with primary biliary cholangitis.Data were collected "index date" (baseline) through December 31, 2016. Inverse Probability Treatment Weighting was adjust for UDCA selection bias. Cox regression, focusing on UDCA-by-risk factor interactions, assess association between mortality liver transplant/death.Among 4,238...
Abstract Background Cognitive behavioral therapy for chronic pain (CBT-CP) is an effective but underused treatment high-impact pain. Increased access to CBT-CP services of critical public health importance, particularly rural and medically underserved populations who have limited due these being concentrated in urban high income areas. Making widely available more affordable could reduce barriers use. Methods As part the National Institutes Health Helping End Addiction Long-term® (NIH HEAL)...
Background Only 10% of patients with alcohol and other drug (AOD) disorders receive treatment. The AOD Initiation Engagement in Treatment (AOD-IET) measure was added to the national Healthcare Effectiveness Data Information Set (HEDIS) improve access care. This study identifies factors related improving AOD-IET rates. Methods We include data from 7 health systems differing geographic, patient demographic, organizational characteristics; all used a common Virtual Warehouse containing...
Abstract Background Risk assessment is a precision medicine technique that can be used to enhance population health when applied prevention. Several barriers limit the uptake of risk in care systems; and little known about potential impact adoption systematic for screening prevention primary might have. Here we present results first its kind multi-institutional study tool assessment. Methods We undertook an implementation-effectiveness trial patients 19 clinics at four geographically...
Background: Cannabis use disorders (CUDs) have increased with more individuals using cannabis, yet few receive treatment. Health systems adopted the Healthcare Effectiveness Data and Information Set (HEDIS) quality measures of initiation engagement in alcohol other drug (AOD) dependence treatment, but little is known about performance these among patients CUDs. Methods: This cohort study utilized electronic health records claims data from 7 care to identify documentation a new index CUD...