A5063974186- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Telemedicine and Telehealth Implementation
- COVID-19 and healthcare impacts
- Muscle activation and electromyography studies
- Healthcare cost, quality, practices
- Body Composition Measurement Techniques
- Primary Care and Health Outcomes
- Neurological disorders and treatments
- Healthcare Systems and Technology
- Migraine and Headache Studies
- Botulinum Toxin and Related Neurological Disorders
- Clinical practice guidelines implementation
- Acute Ischemic Stroke Management
- Pharmaceutical Economics and Policy
- Electronic Health Records Systems
- Emergency and Acute Care Studies
- Medical Malpractice and Liability Issues
- Chronic Disease Management Strategies
- Patient-Provider Communication in Healthcare
- Cardiac, Anesthesia and Surgical Outcomes
- Patient Satisfaction in Healthcare
- Trigeminal Neuralgia and Treatments
- Long-Term Effects of COVID-19
- Epilepsy research and treatment
Emory University
2016-2025
University of Michigan
2018-2024
Emory Healthcare
2017-2024
Boston University
2018-2024
Yale University
2023-2024
TriNetX (United States)
2024
American Academy of Neurology
2013-2023
National Institute of Neurological Disorders and Stroke
2023
University of Miami
2023
University of Minnesota
2023
Abstract Purpose To validate administrative claims codes with medical chart review for myocardial infarction (MI), ischemic stroke, and severe upper gastrointestinal (UGI) bleed events in a large, commercially‐insured US population. Methods These validation studies were part of larger study examining the risk MI, UGI bleeds patients receiving new prescription selective cyclooxygenase (COX)‐2 inhibitors (coxibs) non‐over‐the‐counter (OTC) non‐steroidal anti‐inflammatory drugs (NSAIDs),...
Copper is an essential cofactor in many enzymatic reactions vital to the normal function of hematologic, vascular, skeletal, antioxidant, and neurologic systems. deficiency United States believed be relatively rare but has been described setting zinc supplementation, myelodysplastic syndrome, use parenteral nutrition chronic tube feeding, various malabsorptive syndromes, including following gastrectomy gastric bypass surgery. Features copper include hematologic abnormalities (anemia,...
Timely access to specialist care is crucial in expeditious diagnosis and treatment. Our study aimed assess the time patients wait from being referred by a physician seeing neurologist using Medicare data. Specifically, we evaluated differences related sex, race/ethnicity, geography, availability of neurologists. We conducted cross-sectional analysis 2018-2019 sample who had new patient visit neurologist. primary outcome was between their last with referring first (the index visit). also...
<h3></h3> This paper examines a paradox arising in connection with an underexamined form of discrimination: socioeconomic discrimination. Recent evidence from the United States suggests that discrimination on basis social class health care delivery is common. Patients poorer backgrounds, for example patients receiving paid by welfare programs, receive lesser quality care. Should such be legally regulated? It generally believed economically left- and right-wing convictions can unite...
Abstract Electrical impedance myography (EIM) is a noninvasive technique for neuromuscular assessment in which low‐intensity alternating current applied to muscle and the consequent surface voltage patterns are evaluated. Previous work using single frequency of 50 kH Z has demonstrated quantitative correlation EIM parameters with disease status. In this investigation we examined use multifrequency EIM, studying prototypical neurogenic (amyotrophic lateral sclerosis, ALS) myopathic disorder...
To determine out-of-pocket costs for neurologic medications in 5 common diseases.
The density of neurologists within a given geographic region varies greatly across the United States. We aimed to measure patient travel distance and time neurologist visits, neurologic conditions subspecialties. Our secondary goal was identify factors associated with long-distance for care.
The objective of this study was to compare the utilization and costs (total out-of-pocket) new-to-market neurologic medications with existing guideline-supported over time.We used a healthcare pharmaceutical claims database (from 2001 2019) identify patients both diagnosis 1 11 separate conditions either medication or an for that condition. Neurologic included orthostatic hypotension, spinal muscular atrophy, Duchenne disease, Parkinson multiple sclerosis, amyotrophic lateral myasthenia...
Following the outbreak of viral infections from severe acute respiratory syndrome coronavirus 2 virus in 2019 (coronavirus disease [COVID-19]), reports emerged long-term neurologic sequelae survivors. To better understand burden health care and incident diagnoses year after COVID-19 vs influenza, we performed an analysis patient-level data a large collection electronic records (EMR).
Electrical impedance myography (EIM) is a new technique with potential for the noninvasive bedside assessment of myopathy. EIM was performed on quadriceps 10 patients inflammatory myopathy and normal subjects. The major parameter, spatially averaged phase, 35% lower in myositis correlated whole-body (<i>r</i> = 0.765, <i>p</i> 0.01) 0.673, 0.03) strength.
Electrical impedance myography (EIM) is a painless and non-invasive technique for the assessment of muscle which we apply here to effects normal aging. The paper presents cross-sectional analysis EIM data from quadriceps tibialis anterior 100 healthy subjects (44 men, 56 women, ages 18–90 years). principal parameter, spatially averaged phase θavg, shows roughly quadratic reduction with increasing age, declining more steeply beyond 60 years. correlation was stronger in men (quadriceps: r2 =...
We prospectively performed sural and radial sensory nerve conduction studies in 92 healthy subjects, aged between 21 88 years, both to determine the lower limits of normal (LLN) assess effects age body mass index (BMI) on action potential (SNAP) amplitudes sural/radial amplitude ratio (SRAR). Using nonparametric bootstrap method calculate 95% confidence intervals, we found that 5% LLN values for SNAPs were 14 microV 25.5 subjects < or =39 7 17.4 40-59 3 12 > =60 years. The SRAR all patients...
EXECUTIVE SUMMARY The COVID-19 pandemic, with its resultant social distancing, has disrupted the delivery of healthcare for both patients and providers. Fortunately, changes to legislation regulation in response pandemic allowed Emory Healthcare rapidly implement telehealth care. Beginning early March 2020 continuing through initial 2-month implementation period (when data collection stopped), clinicians received training certification. Standard workflows created by means a hub-and-spoke...
Telemedicine has rapidly gained momentum in movement disorder neurology during the coronavirus disease (COVID-19) pandemic to preserve clinical care while mitigating risks of in-person visits. We present data from rapid implementation virtual visits a large, academic, practice COVID-19 pandemic.
We report a patient with hydrocephalus who developed levodopa responsive parkinsonism and severe bradyphrenia associated shunt malfunction revision. Magnetic resonance imaging revealed periaqueductal edema involving medial substantia nigra. [18F]dopa positron emission tomography demonstrated reduced uptake in the caudate putamen relative sparing of posterior putamen. Hydrocephalus can cause distinct parkinsonian syndrome greater dysfunction projections from nigra to anterior striatum than...
Abstract Electrical impedance myography (EIM) is a new bioimpedance‐based technique for neuromuscular disease assessment. Past work has focused on EIM in the evaluation of diffuse diseases (such as myopathy). In this study, method's most basic form, linear‐EIM, was used assessment restricted radiculopathic disease. Ten normal subjects and 10 patients with unilateral cervical or lumbosacral radiculopathy, diagnosed by electromyography clinical criteria, were enrolled. Linear‐EIM performed...
Objective: To determine the feasibility of nonmydriatic fundus photography in neurology outpatient setting and to record frequency clinically relevant findings. Methods: Over 5 weeks, photographs were obtained using a camera both eyes adult patients attending our general headache clinics. A neurologist, who had received 15 minutes training on use camera, took photographs. Quality was graded. Photographs reviewed by 2 neuro-ophthalmologists. Treating neurologists completed survey this...
<h3>Objective</h3> To determine the association between out-of-pocket costs and medication adherence in 3 common neurologic diseases. <h3>Methods</h3> Utilizing privately insured claims from 2001 to 2016, we identified patients with incident neuropathy, dementia, or Parkinson disease (PD). We selected who were prescribed medications similar efficacy tolerability, but differential (neuropathy gabapentinoids mixed serotonin/norepinephrine reuptake inhibitors [SNRIs], dementia cholinesterase...
Background Following the emergence of coronavirus disease 2019 (COVID-19), early reports suggested a decrease in stroke and acute coronary syndrome (ACS). We sought to provide descriptive statistics for ACS from sample hospitals throughout United States, comparing data March 2020 similar months pre-COVID. Methods performed retrospective analysis 65 academic community Vizient Clinical Data Base. The primary outcome is monthly count ACS, procedures both, February compared same 2018 2019....