A5035369664- Asthma and respiratory diseases
- Respiratory and Cough-Related Research
- Inhalation and Respiratory Drug Delivery
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Respiratory Support and Mechanisms
- Pneumonia and Respiratory Infections
- Obstructive Sleep Apnea Research
- Neuroscience of respiration and sleep
- Hearing, Cochlea, Tinnitus, Genetics
- Cervical Cancer and HPV Research
- Respiratory viral infections research
- Sinusitis and nasal conditions
- Vaccine Coverage and Hesitancy
- Tracheal and airway disorders
- Bacterial Infections and Vaccines
- Vestibular and auditory disorders
- Vitamin C and Antioxidants Research
- Nasal Surgery and Airway Studies
- Sepsis Diagnosis and Treatment
- Hearing Loss and Rehabilitation
- Influenza Virus Research Studies
- Cystic Fibrosis Research Advances
- Pharmacology and Obesity Treatment
- Assisted Reproductive Technology and Twin Pregnancy
- Allergic Rhinitis and Sensitization
Oakland University
2013-2025
University of Michigan
2023
Beaumont Health
2014-2023
Beaumont Hospital, Royal Oak
2018-2020
Beaumont Hospital, Troy
2010
Physicians have a higher rate of burnout compared with the general population, and burnout's origin can be traced to residency training. Little evidence exists documenting causes burnout, there is even less on protective factors. The goal this exploratory study was determine which resident-identified stressors are associated presence wellness factors absence burnout.In fall 2006, residents from 13 specialties completed demographics questionnaire, survey that promote wellness, Maslach Burnout...
<h3>PURPOSE</h3> Hearing loss, the second most common disability in United States, is under-diagnosed and under-treated. Identifying it early stages could prevent its known substantial adverse outcomes. <h3>METHODS</h3> A multiple baseline design was implemented to assess a screening paradigm for identifying referring patients aged ≥55 years with hearing loss at 10 family medicine clinics 2 health systems. Patients completed consent form Handicap Inventory Elderly (HHI). An electronic alert...
Objective The most recent guidelines for colposcopy practice in the United States, 2017 Colposcopy Standards Consensus Guidelines, did not include recommendations endocervical curettage (ECC). This document provides updated use of ECC among patients referred colposcopy. Methods were developed 2012. To update these concordance with process, an expert workgroup was convened 2021. Literature had been previously reviewed through 2011, before 2012 guideline. from years 2012–2021 and data NCI...
Objectives . To evaluate the adherence rate to prescribed medications in elderly patients 24–48 hours after being discharged from hospital. Methods Family medicine residents visited over age of 65 years at their homes one two days hospital and documented all that they were taking since coming home The list was later compared recorded discharge instructions. Results Complete data available for 46 participants. average patient 76 years; 54.4% women. Only three (6.5%) adhered completely...
Objective: A major focus of health care today is a strong emphasis on improving the and quality for entire patient populations. One common approach utilizes electronic clinical alerts to prompt clinicians when certain interventions are due individual patients being seen. However, these have not been consistently effective, particularly less visible (though important) conditions such as hearing loss (HL) screening. Materials Methods: We conducted hour-long cognitive task analysis interviews...
Abstract Background Clostridioides difficile infection (CDI) is one of the five urgent threats identified by Centers for Diseases Control and Prevention (CDC). In addition to actual infection, C. can colonize patients, particularly those with other gastrointestinal pathologies frequent healthcare exposure. Several studies have shown potential benefit secondary prophylaxis prevent recurrence CDI in patients a recent prior infection. The Screening Prophylax against study (StoP CDI) was double...
In the United States, national guidelines recommend screening adults born between 1945 and 1965 for hepatitis C, but rates in this population continue to be low. We added a C reminder Epic Electronic Health Record educated physicians on use of Maintenance section Epic. assessed effect intervention completion antibody tests. examined data from 2 years before after addition reminder. Completed testing increased 733 6502, rate positive decreased 5.9% 2.0%. Implementing electronic health record...
<i>Objectives:</i> To evaluate the presence of type-specific human papillomavirus (HPV) DNA in atypical glandular cells (AGCs) from cervical liquid-based cytology and to report relationship between HPV types histological abnormalities. <i>Study Design:</i> We used a nested multiplex polymerase chain reaction assay test AGC Papanicolaou (Pap) tests for 14 high-risk (HR) types. <i>Results:</i> HR were detected 33 161 Pap (20.3%). Types 16 and/or 18 13...
Individuals with hearing loss (HL) are at higher risk for hospitalizations, and may be readmissions, compared their peers. The objective of this prospective study was to confirm retrospective studies suggesting that HL increases hospital and, if confirmed, possible causes it.A cohort English-speaking patients >55 years old admitted general medical surgical floors 2 large systems in southeastern Michigan over a 2-year period conducted. All underwent bedside audiometric testing. presence...
To evaluate the ability of collecting Affirm VP-III test sample using residual vaginal discharge found on speculum.One hundred nine symptomatic women (≥18 y) participated in this study. During pelvic examination, fluid was collected onto 3 swabs for office-based diagnostic tests and (referred to as Affirm-R). A fourth swab used collect from speculum, followed by testing Affirm-RVD). Sensitivity, specificity, Cohen κ agreement Affirm-RVD were determined against Affirm-R.Complete results...
Hearing loss (HL) is underdiagnosed and often unaddressed. A recent study of screening for HL using an electronic prompt showed efficacy in increasing appropriate referrals subsequent testing. We build on the results this a qualitative lens to explore implementation processes through perspectives family medicine clinicians.We collected clinic observations semistructured interviews clinicians residents who interacted with prompt. All data were analyzed thematic, framework, mixed methods...
Objective To report the clinical characteristics of patients hospitalised with COVID-19 in Southeast Michigan. Design Retrospective cohort study. Setting Eight hospitals Participants 3219 a positive SARS-CoV-2 infection by nasopharyngeal PCR test from 13 March 2020 until 29 April 2020. Main outcomes measures Outcomes were discharge hospital or in-hospital death. Examined predictors included patient demographics, chronic diseases, home medications, mechanical ventilation, medications and...
Purpose: The purpose of this study was to evaluate the use Fischer cone biopsy excisor (FCBE) as primary electrode for treatment cervical dysplasia in a family medicine office. Methods: Retrospective analysis electrosurgical excision procedures patients with intraepithelial neoplasia (CIN) performed our Family Medicine Center between 2002 and 2005. Results: We reviewed 91 cases. Indication ≥CIN II 86.8% patients. In FCBE group (n = 86), 95% specimen margins were negative dysplasia, 90% had...
Objective: Collecting data that helps evaluate different types of pain may improve physicians' decision-making with regard to treatment selection and on-going monitoring patients. To date, no chronic assessments have been widely implemented in primary care. The aim this study was psychometrically validate the electronic Chronic Pain Questions (eCPQ) a care setting.Research design methods: All men women ≥18 years arriving at two similar clinics southeastern Michigan were invited participate....