- Palliative Care and End-of-Life Issues
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Childhood Cancer Survivors' Quality of Life
- Respiratory Support and Mechanisms
- Family and Patient Care in Intensive Care Units
- Health, psychology, and well-being
- Health disparities and outcomes
- Ethics in medical practice
- Maternal Mental Health During Pregnancy and Postpartum
- Grief, Bereavement, and Mental Health
- Patient-Provider Communication in Healthcare
- Psychosomatic Disorders and Their Treatments
- Family and Disability Support Research
- Neuroendocrine regulation and behavior
- Family Support in Illness
- Health and Wellbeing Research
- Systemic Sclerosis and Related Diseases
- Infant Health and Development
- Posttraumatic Stress Disorder Research
- Chronic Disease Management Strategies
- Health and Well-being Studies
- Patient Safety and Medication Errors
- Clinical practice guidelines implementation
- Frailty in Older Adults
- Healthcare Operations and Scheduling Optimization
University of California, San Francisco
2016-2025
University of California System
2024-2025
Pulmonary and Allergy Associates
2023
General Department of Preventive Medicine
2020
Princess Margaret Cancer Centre
2020
UPMC Health System
2019
University of Pittsburgh
2019
Social isolation and loneliness are gaining recognition for their role in health outcomes, yet they have not been defined people with chronic obstructive pulmonary disease (COPD).
About 30–60% of the patients receiving methadone for opioid use disorder (OUD) actively cocaine. Cocaine (CUD) has no FDA-approved pharmacological treatment; existing psychosocial treatments are inadequate. Oxytocin (OT), a social neuropeptide, preclinical promise as an adjunctive treatment both OUD and CUD. Twenty-two individuals with co-occurring CUD were randomized to receive OT or placebo intranasally 40 IU twice daily two weeks. A priori aims feasibility safety. Exploratory...
This JAMA Internal Medicine Patient Page describes when supplemental oxygen is needed and how to get started with using it.
Importance Approximately 1.5 million adults in the US use supplemental oxygen annually outpatient setting. However, many do not receive delivery systems that adequately meet their needs, and few education about devices or how to maintain independence. This Review summarizes guidelines evidence on across several cardiopulmonary conditions, highlights gaps where benefits are unclear, discusses outcomes inform a person-centered framework for therapy. Observations Most studies of have been...
This cohort study uses national data to investigate the association between social isolation and all-cause mortality in adults with chronic obstructive pulmonary disease.
Rationale: Breakdowns in clinician-family communication intensive care units (ICUs) are common, yet there no easily scaled interventions to prevent this problem.Objectives: To assess the feasibility, usability, acceptability, and perceived effectiveness of a intervention that pairs proactive family meetings with an interactive, web-based tool help surrogates prepare for meetings.Methods: We conducted two-arm, single-blind, patient-level randomized trial comparing Family Support Tool enhanced...
Abstract Background Identifying priority challenges of older adults with chronic obstructive pulmonary disease (COPD) is critical to designing interventions aimed at improving their well‐being and independence. Objective To prioritize COPD those who care for them guide refinement a telephonic nurse coach intervention patients family caregivers (EPIC: E mpowering P eople I ndependence in C OPD). Design Multiphase study guided by Baltes Theory Successful Aging the 5Ms Framework: Phase 1 :...