A5054832646- Child Nutrition and Water Access
- Dialysis and Renal Disease Management
- Chronic Kidney Disease and Diabetes
- Food Security and Health in Diverse Populations
- Fecal contamination and water quality
- Genomics and Rare Diseases
- Complementary and Alternative Medicine Studies
- Acute Kidney Injury Research
- Blood Pressure and Hypertension Studies
- Acupuncture Treatment Research Studies
- Sleep and Wakefulness Research
- BRCA gene mutations in cancer
- Patient-Provider Communication in Healthcare
- Cancer Genomics and Diagnostics
- Diabetes Treatment and Management
- Cancer survivorship and care
- Pharmaceutical Practices and Patient Outcomes
- Health Literacy and Information Accessibility
- Mindfulness and Compassion Interventions
- Cancer-related cognitive impairment studies
- Patient Dignity and Privacy
- Transboundary Water Resource Management
- Machine Learning in Healthcare
- Environmental Justice and Health Disparities
- Hydropower, Displacement, Environmental Impact
Geisinger Medical Center
2015-2024
Emory University
2019-2021
Memorial Sloan Kettering Cancer Center
2015-2021
Queen Elizabeth University Hospital
2021
Geisinger Health System
2016-2021
Alabama Agricultural and Mechanical University
2021
University of South Carolina
2021
Saint Louis University
2021
Commonwealth Medical College
2021
Weatherford College
2020
Background: Poor sanitation and fecal sludge management contribute to contamination in Dhaka's urban environment. An exposure assessment through nine-environmental pathways was conducted using the SaniPath tool understand risk of contamination. Methods: Data collection took place from April 2017-January 2018 ten neighborhoods: four low-income, high-income, two transient/floating neighborhoods. A total 900 environmental samples were analyzed IDEXX QuantiTray/2000 method with...
The purpose of this study was to develop a family genomic laboratory report designed communicate genome sequencing results parents children who were participating in whole clinical research study. Semi‐structured interviews conducted with participated address the elements, language and format sample family‐directed report. qualitative followed by two focus groups aimed at evaluating example presentations information about prognosis next steps related result. Three themes emerged from data:...
Rapid urbanization has led to a growing sanitation crisis in urban areas of Bangladesh and potential exposure fecal contamination the environment due inadequate poor sludge management. Limited data are available on environmental associated with different pathways Dhaka. We conducted cross-sectional study explore magnitude low-income, high-income, transient/floating neighborhoods Ten samples were collected from each 10 compartments (4 4 high-income 2 neighborhoods). These 1,000 analyzed...
Inadequate sanitation can lead to exposure fecal contamination through multiple environmental pathways and result in adverse health outcomes. By understanding the relative importance of pathways, interventions be tailored those with greatest potential public impact. The SaniPath Exposure Assessment Tool allows users identify quantify human low-resource urban settings a systematic yet customizable process. includes: project management platform; mobile data collection repository; protocols for...
This study reports on the responses of physicians who reviewed provider and patient versions a genomic laboratory report designed to communicate results whole genome sequencing. Semi-structured interviews addressed concept communication, elements, format example reports. Analysis coded transcripts resulted in recognition three constructs around communication sequencing results: (1) Providers agreed that are complex they welcomed provided supportive interpretation information accompany...
Cancer-related cognitive impairment is a prevalent, disruptive condition potentially exacerbated by sleep disturbances. The current study was performed to evaluate the effects of acupuncture versus behavioral therapy for insomnia (CBT-I) on objective and subjective function in cancer survivors with insomnia.Using data from randomized clinical trial (160 survivors) that compared CBT-I occurring survivors, authors analyzed outcomes their relationship symptoms. Analysis limited 99 patients who...
During 2014 to 2019, the SaniPath Exposure Assessment Tool, a standardized set of methods evaluate risk exposure fecal contamination in urban environment through multiple pathways, was deployed 45 neighborhoods ten cities, including Accra and Kumasi, Ghana; Vellore, India; Maputo, Mozambique; Siem Reap, Cambodia; Atlanta, United States; Dhaka, Bangladesh; Lusaka, Zambia; Kampala, Uganda; Dakar, Senegal.Assess compare via pathways cities.In total, 4053 environmental samples, 4586 household...
Measurement of albuminuria to stratify risk in chronic kidney disease (CKD) is not done universally the primary care setting despite recommendation KDIGO (Kidney Disease Improving Global Outcomes) guidelines. Pharmacist medication therapy management (MTM) may be helpful improving CKD stratification and management. We conducted a pragmatic, cluster-randomized trial using seven clinic sites Geisinger Health System evaluate feasibility pharmacist MTM patients with estimated glomerular...
Chronic pain is a leading cause of disability and remains under-treated in nearly half patients with cancer. The opioid crisis has highlighted an urgent public health need for effective nonpharmacological management. Electroacupuncture (EA) Battlefield Acupuncture (BFA) represent modalities used clinical practice to manage pain; however, their effectiveness not been rigorously evaluated oncology settings.
Rationale & ObjectiveChronic kidney disease (CKD) can progress rapidly, and patients are often unprepared to make failure treatment decisions. We aimed better understand patients' preferences for experiences of shared informed decision making (SDM) regarding replacement therapy before failure.Study DesignCross-sectional study.Setting ParticipantsAdults receiving nephrology care at CKD clinics in rural Pennsylvania.PredictorsEstimated glomerular filtration rate, 2-year risk failure, duration...
ABSTRACT Background Clinicians are increasingly sharing outpatient visit notes with patients through electronic portals. These open may bring about new educational opportunities as well concerns to physicians-in-training and residency programs. Objective We assessed anticipatory attitudes explored factors influencing residents' propensity toward note transparency. Methods Residents in primary care clinics at 4 teaching hospitals were surveyed prior implementation of notes. Main measures...
Chronic kidney disease (CKD) care is often fragmented across multiple health providers. It unclear whether patients rely mostly on their nephrologists or non-nephrologist providers for medical care, including CKD treatment and advice.Cross-sectional study.Adults receiving nephrology at clinics in Pennsylvania.Frequency, duration, patient-centeredness (range, 1 [least] to 4 [most]) of participants' care.Participants' reliance nephrologists, primary providers, other specialists...
Introduction: Decreased brain-derived neurotrophic factor (BDNF) is associated with poor sleep. This study examined the effects of acupuncture versus cognitive behavioral therapy for insomnia (CBT-I) on serum BDNF and sleep outcomes in cancer survivors insomnia. Methods: was an exploratory analysis a randomized clinical trial (n = 160) comparing CBT-I Interventions were delivered over 8 weeks. Outcomes assessed at baseline week 8. Serum evaluated enzyme-linked immunosorbent assay (ELISA)....
Patients waiting for chemotherapy can experience stress, anxiety, nausea, and pain. Acupressure meditation have been shown to control such symptoms.This study aimed evaluate the feasibility effectiveness of an integrative medicine app educate patients about these self-care tools in rooms.We screened enrolled cancer rooms at two Memorial Sloan Kettering Cancer Center locations. were randomly assigned into intervention arm which subjects watched acupressure instructional videos or a they time-...
Abstract Rapid urbanization has led to a growing sanitation crisis in urban areas of Bangladesh and potential exposure fecal contamination the environment due inadequate poor sludge management. Limited data are available on environmental associated with different pathways Dhaka. We conducted cross-sectional study explore magnitude low-income, high-income, transient/floating neighborhoods Ten samples were collected from each 10 compartments (4 4 high-income 2 neighborhoods). These 1,000...