A5022641703- Smoking Behavior and Cessation
- Emergency and Acute Care Studies
- Substance Abuse Treatment and Outcomes
- Behavioral Health and Interventions
- Health Policy Implementation Science
- Healthcare Policy and Management
- Healthcare Decision-Making and Restraints
- Homelessness and Social Issues
- Opioid Use Disorder Treatment
- Palliative Care and End-of-Life Issues
- Health Promotion and Cardiovascular Prevention
- Primary Care and Health Outcomes
- HIV/AIDS Research and Interventions
- Patient Satisfaction in Healthcare
- Health Literacy and Information Accessibility
- COVID-19 Clinical Research Studies
- COVID-19 and healthcare impacts
- Healthcare Systems and Technology
- Trauma and Emergency Care Studies
- Food Security and Health in Diverse Populations
- Musculoskeletal pain and rehabilitation
- Electronic Health Records Systems
- Child and Adolescent Psychosocial and Emotional Development
- Alcohol Consumption and Health Effects
- Pediatric Pain Management Techniques
Dartmouth College
2021-2025
Yale University
2016-2025
Dartmouth–Hitchcock Medical Center
2021-2024
Victoria Park
2024
Yale Cancer Center
2013-2023
Dartmouth Health
2023
Dartmouth Psychiatric Research Center
2023
Yale New Haven Hospital
2014-2021
Yale New Haven Health System
2016-2020
RELX Group (United States)
2020
<h3>Importance</h3> Opioid-dependent patients often use the emergency department (ED) for medical care. <h3>Objective</h3> To test efficacy of 3 interventions opioid dependence: (1) screening and referral to treatment (referral); (2) screening, brief intervention, facilitated community-based services (brief intervention); (3) ED-initiated with buprenorphine/naloxone, primary care 10-week follow-up (buprenorphine). <h3>Design, Setting, Participants</h3> A randomized clinical trial involving...
Qualitative research methods explore and provide deep contextual understanding of real world issues, including people's beliefs, perspectives, experiences. Whether through analysis interviews, focus groups, structured observation, or multimedia data, qualitative offer unique insights in applied health services that other approaches cannot deliver. However, many clinicians researchers hesitate to use these methods, might not them effectively, which can leave relevant areas inquiry...
Current treatment guidelines for the management of HIV-infected individuals emphasize importance excellent adherence to antiretroviral medications. We conducted a prospective 24-week study lopinavir/ritonavir in group 64 subjects using Medication Event Monitoring System (MEMS). A range demographic and clinical information, including cigarette smoking status, was collected from each participant. The overall mean rate cohort 72.8% (SD=22.2%). smokers took 63.5% (SD=22.1) prescribed doses,...
<h3>Importance</h3> Better understanding of the emergency care needs patients with cancer will inform outpatient and department (ED) management. <h3>Objective</h3> To provide a benchmark description who present to ED active cancer. <h3>Design, Setting, Participants</h3> This multicenter prospective cohort study included 18 EDs affiliated Comprehensive Oncologic Emergencies Research Network (CONCERN). Of 1564 eligible patients, 1075 adults were from February 1, 2016, through January 30, 2017....
Abstract Background and Aims In a recent randomized trial, patients with opioid dependence receiving brief intervention, emergency department (ED)‐initiated buprenorphine ongoing follow‐up in primary care (buprenorphine) were twice as likely to be engaged addiction treatment compared referral community‐based (referral) or intervention (brief intervention). Our aim was evaluate the relative cost‐effectiveness of these three methods intervening on ED. Design Measured health‐care use converted...
Although popular clinically, the psychometric properties of motivation rulers for tobacco cessation are unknown. This study examined assessing importance, readiness, and confidence in cessation. observational current smokers was conducted at 10 US emergency departments (EDs). Subjects were assessed during their ED visit (baseline) reassessed two weeks later. We intercorrelations between as well construct predictive validity. Hierarchical multinomial logistic regressions used to examine...
<h3>Importance</h3> Individuals with behavioral disorders are increasingly presenting to the emergency department (ED), and associated episodes of agitation can cause significant safety threats patients staff caring for them. Treatment includes use physical restraints, which may be injuries psychological trauma; date, little is known regarding perceptions restraint among individuals who experienced it in ED. <h3>Objective</h3> To characterize how experience during their ED visits....
This cross-sectional study assesses the association of race/ethnicity and other demographic factors with risk receiving physical restraint during an emergency department (ED) visit.
Abstract Information on COVID-19 vaccination effects mortality among patients hospitalized with could inform outreach efforts and increase understanding of patient risk. Determine the associations status in adult COVID-19. This retrospective cohort study assessed characteristics rates across 21 healthcare systems USA from January 1, 2021, to 31, 2022. Adult admitted participating hospitals who had diagnoses and/or positive PCR tests completed their hospital stay via discharge or death....
To develop a quantitative measure of emergency department (ED) crowding and busyness.A five-week study in spring 2002 an urban teaching ED compared new index (the Emergency Department Work Index [EDWIN]) with attending physician nurse ratings crowding. EDWIN is defined as summation operator n(i)t(i)/N(a)(B(T)-B(A)), where n(i) = number patients the triage category i, t(i) category, N(a) physicians on duty, B(T) treatment bays, B(A) admitted ED. The system used Severity (ESI), which was...
Extremely low frequencies (ELF) are ideal for communicating with deeply submerged submarines because, below 100 Hz, electromagnetic waves penetrate into seawater. Propagation at these takes place in the "waveguide" formed between earth and ionosphere; propagation losses allow nearly worldwide communication from a single transmitter. Atmospheric noise is caused entirely by lightning; non-Gaussian nature of this has important implications receiver design performance. Because ratio ELF...
Abstract This article is a product of breakout session on injury prevention from the 2009 Academic Emergency Medicine consensus conference “Public Health in ED: Screening, Surveillance, and Intervention.” The emergency department (ED) an important entry portal into medical care system. Given epidemiology substance use among ED patients, delivery effective brief interventions (BIs) for alcohol, drug, tobacco has potential to have large public health impact. To date, results randomized...
Background: More than half of the persons living with human immunodeficiency virus (HIV; PLWH) in US smoke cigarettes, and tobacco use is responsible for considerable morbidity mortality this group. Little known about efficacy treatment strategies PLWH. Design: Randomized controlled trial comparing Positively Smoke Free (PSF), an intensive group-therapy intervention targeting HIV-infected smokers, to standard care. Methods: A cohort 145 PLWH recruited from HIV-care center Bronx, New York,...
To measure biopsychosocial domains related to tobacco use in persons living with HIV/AIDS (PLWHAs).Cross-sectional interview study of 60 PLWHA smokers randomly selected from an HIV clinic.Participants averaged 14.4 cigarettes daily. Sixty-five percent were moderately or highly nicotine dependent, and most motivated quit. Substance depression very common. Most reported that smoking helped them cope depression, anxiety, anger. Twenty-seven thought (mistakenly) raised their T-cell counts and/or...