Juan Espinoza

ORCID: 0000-0003-0513-588X
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About
Contact & Profiles
Research Areas
  • Diabetes Management and Research
  • Mobile Health and mHealth Applications
  • Health Systems, Economic Evaluations, Quality of Life
  • Hyperglycemia and glycemic control in critically ill and hospitalized patients
  • Cardiac Valve Diseases and Treatments
  • Cardiac, Anesthesia and Surgical Outcomes
  • Pharmaceutical studies and practices
  • Atrial Fibrillation Management and Outcomes
  • Food Security and Health in Diverse Populations
  • Health disparities and outcomes
  • Health and Medical Research Impacts
  • Diabetes and associated disorders
  • Cardiac and Coronary Surgery Techniques
  • Cardiac Structural Anomalies and Repair
  • Diabetes Management and Education
  • Innovations in Medical Education
  • Diabetes Treatment and Management
  • Telemedicine and Telehealth Implementation
  • Biomedical and Engineering Education
  • Pancreatic function and diabetes
  • Cardiac Arrhythmias and Treatments
  • Chronic Disease Management Strategies
  • Artificial Intelligence in Healthcare
  • Social Media in Health Education
  • Family and Patient Care in Intensive Care Units

Children's Hospital of Los Angeles
2016-2025

Lurie Children's Hospital
2023-2025

Northwestern University
2023-2025

University of Southern California
2016-2025

Instituto Cardiovascular de Buenos Aires
2014-2024

Thermo Fisher Scientific (United States)
2024

University of Washington
2021-2024

Oregon Health & Science University
2024

Johns Hopkins University
2023-2024

University of Iowa
2024

David C. Klonoff Jing Wang David Rodbard Michael A. Kohn Chengdong Li and 89 more Dorian Liepmann David Kerr David Ahn Anne L. Peters Guillermo E. Umpierrez Jane Jeffrie Seley Nicole Y. Xu Kevin T. Nguyen Gregg D. Simonson Michael S. D. Agus Mohammed E. Al‐Sofiani Gustavo Armaiz-Peña Timothy S. Bailey Ananda Basu Tadej Battelino Sewagegn Yeshiwas Pierre‐Yves Benhamou B. Wayne Bequette Thomas Blevins Marc D. Breton Jessica R. Castle J. Geoffrey Chase Kong Y. Chen Pratik Choudhary Mark A. Clements Kelly L. Close Curtiss B. Cook Thomas Danne Francis J. Doyle Angela Drincic Kathleen Dungan Steven V. Edelman Niels Ejskjær Juan Espinoza G. Alexander Fleming Gregory P. Forlenza Guido Freckmann Rodolfo J. Galindo Ana María Gómez Hanna A. Gutow Lutz Heinemann Irl B. Hirsch Thanh D. Hoang Roman Hovorka Johan Jendle Linong Ji Shashank Joshi Michaël Joubert Suneil K. Koliwad Rayhan A. Lal M. Cecilia Lansang Wei-An Lee Lalantha Leelarathna Lawrence A. Leiter Marcus Lind Michelle L. Litchman Julia K. Mader Katherine Mahoney Boris Mankovsky Umesh Masharani Nestoras Mathioudakis Alexander Yur'evich Mayorov Jordan Messler Joshua D. Miller Viswanathan Mohan James H. Nichols Kirsten Nørgaard David N. O’Neal Francisco J. Pasquel Athena Philis‐Tsimikas Thomas R. Pieber Moshe Phillip William H. Polonsky Rodica Pop‐Busui Gerry Rayman Eun‐Jung Rhee Steven Russell Viral N. Shah Jennifer L. Sherr Koji Sode Elias K. Spanakis Deborah J. Wake Kayo Waki Amisha Wallia Melissa E. Weinberg Howard Wolpert Eugene E. Wright Mihail Zilbermint Boris Kovatchev

Background: A composite metric for the quality of glycemia from continuous glucose monitor (CGM) tracings could be useful assisting with basic clinical interpretation CGM data. Methods: We assembled a data set 14-day 225 insulin-treated adults diabetes. Using balanced incomplete block design, 330 clinicians who were highly experienced analysis and ranked best to worst glycemia. used principal component multiple regressions develop model predict clinician ranking based on seven standard...

10.1177/19322968221085273 article EN Journal of Diabetes Science and Technology 2022-03-29

Background We examined the human toll and subsequent humanitarian crisis resulting from Russian invasion of Ukraine, which began on 24 February 2022. Method extracted analysed data military attacks Ukrainians between 4 August The tracked direct deaths injuries, damage to healthcare infrastructure impact health, destruction residences, infrastructure, communication systems, utility services – all disrupted lives Ukrainians. Results As 2022, 5552 civilians were killed outright 8513 injured in...

10.1136/bmjgh-2022-009550 article EN cc-by-nc BMJ Global Health 2022-09-01

Importance Since the full-scale Russian invasion, hospitals in Ukraine have been compelled to close or operate at reduced capacity due inadequate supplies, damage, destruction caused by war. Objective To analyze hospital services during period before and after invasion. Design, Setting, Participants Of 450 currently functioning Ukraine, a cross-sectional survey was carried out with participation of 74 from 12 oblasts. Hospital administrators responded an online questions on use services....

10.1001/jamahealthforum.2024.0901 article EN cc-by-nc-nd JAMA Health Forum 2024-05-17

This article is the work product of Continuous Glucose Monitor and Automated Insulin Dosing Systems in Hospital Consensus Guideline Panel, which was organized by Diabetes Technology Society met virtually on April 23, 2020. The guideline panel consisted 24 international experts use continuous glucose monitors (CGMs) automated insulin dosing (AID) systems representing adult endocrinology, pediatric obstetrics gynecology, advanced practice nursing, diabetes care education, clinical chemistry,...

10.1177/1932296820954163 article EN Journal of Diabetes Science and Technology 2020-09-28
David C. Klonoff Guido Freckmann Stefan Pleus Boris Kovatchev David Kerr and 89 more Chui Tse Chengdong Li Michael S. D. Agus Kathleen Dungan Barbora Voglová Hagerf Jan S. Krouwer Wei-An Lee Shivani Misra Sang Youl Rhee Ashutosh Sabharwal Jane Jeffrie Seley Viral N. Shah Nam K. Tran Kayo Waki Chris Worth Tiffany Tian Rachel E. Aaron Keetan Rutledge Cindy Ho Alessandra T. Ayers Amanda Adler David Ahn Halis Kaan Aktürk Mohammed E. Al‐Sofiani Timothy S. Bailey Matt Baker Lia Bally Raveendhara R. Bannuru Elizabeth M Bauer Yong Mong Bee Julia E. Blanchette Eda Cengiz J. Geoffrey Chase Kong Y. Chen Daniel R. Cherñavvsky Mark A. Clements Gerard L. Coté Ketan Dhatariya Andjela Drincic Niels Ejskjær Juan Espinoza Chiara Fabris G. Alexander Fleming Mônica Andrade Lima Gabbay Rodolfo J. Galindo Ana María Gómez Medina Lutz Heinemann Norbert Hermanns Thanh D. Hoang Sufyan Hussain Peter G. Jacobs Johan Jendle Shashank Joshi Suneil K. Koliwad Rayhan A. Lal Lawrence A. Leiter Marcus Lind Julia K. Mader Alberto Maran Umesh Masharani Nestoras Mathioudakis Michael J. McShane Chhavi Mehta Sun Joon Moon James H. Nichols David N. O’Neal Francisco J. Pasquel Anne L. Peters Andreas Pfützner Rodica Pop‐Busui Pratistha Ranjitkar Connie M. Rhee David B. Sacks Signe Schmidt Simon M. Schwaighofer Bin Sheng Gregg D. Simonson Koji Sode Elias K. Spanakis Nicole L. Spartano Guillermo E. Umpierrez Maryam Vareth Hubert W. Vesper Jing Wang Eugene E. Wright Alan H.B. Wu Sewagegn Yeshiwas Mihail Zilbermint Michael A. Kohn

An error grid compares measured versus reference glucose concentrations to assign clinical risk values observed errors. Widely used grids for blood monitors (BGMs) have limited value because they do not also reflect accuracy of continuous (CGMs).

10.1177/19322968241275701 article EN Journal of Diabetes Science and Technology 2024-10-06

The coronavirus disease 2019 (COVID-19) outbreak has required institutions to rapidly adapt changing public health circumstances. Centers for Disease Control and Prevention encouraged care facilities explore novel delivery modes. However, many may not be prepared begin offering digital telehealth services. Chatbots are one tool that can help evolve triage screening processes in a scalable manner. Here, we present decision-making implementation framework deploying COVID-19 chatbots at...

10.2196/18808 article EN cc-by JMIR Public Health and Surveillance 2020-04-22

Background: Continuous glucose monitor (CGM) systems were originally intended only for people with diabetes. Recently, there has been interest in monitoring concentrations a variety of other situations. As data accumulate to support the use CGM additional states unrelated diabetes, is likely increase accordingly. Methods: PubMed and Google Scholar searched articles about individuals without Relevant that included sufficient details queried identify what cohorts adopting define trends use....

10.1177/19322968221110830 article EN Journal of Diabetes Science and Technology 2022-07-20

Artificial intelligence can use real-world data to create models capable of making predictions and medical diagnosis for diabetes its complications. The aim this commentary article is provide a general perspective present recent advances on how artificial be applied improve the prediction six significant complications including (1) gestational diabetes, (2) hypoglycemia in hospital, (3) diabetic retinopathy, (4) foot ulcers, (5) peripheral neuropathy, (6) nephropathy.

10.1177/19322968221124583 article EN cc-by Journal of Diabetes Science and Technology 2022-09-19

Abstract Background Social determinants of health (SDoH) describe the complex network circumstances that impact an individual before birth and across lifespan. SDoH contextualize factors in a community are associated with chronic disease risk certain disparities. The main objective this study was to explore on prevalence obesity diabetes, whether these explain disparities outcomes among Latinos Southern California. Methods We utilized three composite indices encompass different SDoH: Healthy...

10.1186/s12889-022-14868-1 article EN cc-by BMC Public Health 2023-01-06

The adverse impact of COVID-19 on marginalized and under-resourced communities color has highlighted the need for accurate, comprehensive race ethnicity data. However, a significant technical challenge related to integrating data in large, consolidated databases is lack consistency how about are collected structured by health care organizations.This study aims evaluate describe variations systems collect report information their patients assess well these integrated when aggregated into...

10.2196/39235 article EN cc-by JMIR Medical Informatics 2022-07-26

There is a need to evaluate how the choice of time interval contributes lack consistency SDoH variables that appear as important COVID-19 disease burden within an analysis for both case counts and death counts.This study identified associated with U.S county-level cumulative incidence six different periods: first 30, 60, 90, 120, 150, 180 days since each county had one per 10,000 residents. The set were in following domains: resource deprivation, access care/health resources, population...

10.1186/s12889-022-13168-y article EN cc-by BMC Public Health 2022-04-14

Introduction: The first meeting of the Integration Continuous Glucose Monitor Data into Electronic Health Record (iCoDE) project, organized by Diabetes Technology Society, took place virtually on January 27, 2022. Methods: Clinicians, government officials, data aggregators, attorneys, and standards experts spoke in panels breakout groups. Three themes were covered: 1) why digital health integration electronic record (EHR) is needed, 2) what integrated continuously monitored glucose will look...

10.1177/19322968221093662 article EN Journal of Diabetes Science and Technology 2022-05-09

The annual Virtual Hospital Diabetes Meeting was hosted by the Technology Society on April 14 and 15, 2023, with goal of reviewing progress made in hospital use continuous glucose monitors (CGMs). topics included (1) Nursing Issues, Protocols, Order Sets, Staff Education for Using CGMs, (2) Implementing CGM Programs Use Wards, (3) Quality Metrics Financial Implications CGMs Hospital, (4) Critical Care Setting, (5) Special Situations: Labor/Delivery Hemodialysis, (6) Research Session (7)...

10.1177/19322968231186575 article EN Journal of Diabetes Science and Technology 2023-08-09

BACKGROUND There are few opportunities in undergraduate medical education that provide formal training engineering and scientific innovation. Institutions have sought to address student-specific career goals through combined degree programs such as the Medical Scientist Training Program MD/MBA. However, only a small percentage of students pursue these additional degrees. Partnerships between schools Technology (MedTech) accelerators may create unique for gain real-world experience with...

10.1177/23821205241299987 article EN cc-by-nc Journal of Medical Education and Curricular Development 2025-01-01

The shortage of novel pediatric devices that accommodate the unique needs children exists due to several scientific, clinical, regulatory, and financial barriers. This global unmet need is being addressed in United States by multiple stakeholders including Food Drug Administration (FDA) its Pediatric Device Consortia (PDC) grant program. One critical area interest suboptimal medical device clinical trial infrastructure currently academic centers compounded at children’s hospitals. Although...

10.1542/peds.2024-066974 article EN cc-by-nc-nd PEDIATRICS 2025-03-04
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