A5084811639- Musculoskeletal pain and rehabilitation
- Primary Care and Health Outcomes
- Health Policy Implementation Science
- Balance, Gait, and Falls Prevention
- Myofascial pain diagnosis and treatment
- Sports injuries and prevention
- Muscle activation and electromyography studies
- Motor Control and Adaptation
- Lower Extremity Biomechanics and Pathologies
- Ergonomics and Musculoskeletal Disorders
- Spine and Intervertebral Disc Pathology
- Occupational Health and Performance
- Heart Failure Treatment and Management
- Interprofessional Education and Collaboration
- Child and Adolescent Psychosocial and Emotional Development
- Sports Performance and Training
- Health disparities and outcomes
- Diabetes Management and Education
- Innovations in Medical Education
- Patient Satisfaction in Healthcare
- Peripheral Nerve Disorders
- Effects of Vibration on Health
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Orthopedic Surgery and Rehabilitation
- Mental Health Treatment and Access
University of Vermont
2016-2025
University of Vermont Medical Center
2023-2024
Weatherford College
2024
University of Colorado Anschutz Medical Campus
2021
University of Colorado Denver
2021
University of Washington
2021
MetroHealth Medical Center
2021
Case Western Reserve University
2021
People with a history of low back pain (LBP) exhibit altered responses to postural perturbations, and the central neural control underlying these changes in remains unclear. To characterize more thoroughly change muscle activation patterns people LBP response perturbation standing balance, gain insight into influence early- vs. late-phase (differentiated by estimates voluntary reaction times), this study evaluated intermuscular electromyographic (EMG) activations from 24 21 without chronic,...
Abstract Background Chronic diseases that drive morbidity, mortality, and health care costs are largely influenced by human behavior. Behavioral conditions such as anxiety, depression, substance use disorders can often be effectively managed. The majority of patients in need behavioral seen primary care, which has difficulty responding. Some practices providing integrated (IBH), where providers work together, one location, using a team-based approach. Research suggests there may an...
The effects of climate change on the endocrine system are increasingly recognized. We aimed to evaluate clinicians’ perspectives awareness and knowledge, motivation for action, need health curricula. designed an online questionnaire with endocrine-specific questions about change, which was shared through social media email. Study data were collected between 9/2022 11/2022. Analyses primarily descriptive. There 164 responses; 98% physicians, a median age 41 years. majority (95%) reported that...
Introduction: Recent clinical practice guidelines do not recommend routine P2Y12 inhibitor pretreatment for patients with non-ST-elevation acute coronary syndromes (NSTE-ACS) treated an early invasive strategy based upon trial data suggesting no improvement in outcomes and increased risk of bleeding. A subset NSTE-ACS who receive subsequently require artery bypass graft (CABG) surgery may lengthy washout to reduce periprocedural bleeding risk, potentially prolonging hospitalization...
Glucagon-like peptide 1 receptor agonists (GLP-1 RAs) help manage type 2 diabetes (T2DM) and may have efficacy in steatotic liver disease.
<h3>Purpose:</h3> Many patients delayed health care during COVID-19. We assessed the extent to which managing multiple chronic conditions (MCC) in first months of pandemic, reasons for delay, and impact delay on patient-reported physical behavioral (BH) outcomes. <h3>Methods:</h3> As part a large clinical trial conducted April 2016–June, 2021, primary MCC were surveyed about symptoms functioning. Surveys administered between September 3, 2020, March 16, included questions any medical BH...
We developed the Practice Integration Profile (PIP) to measure degree of behavioral health integration in clinical practices with a focus on primary care (PC). Its 30 items, completed by providers, managers, and staff, provide an overall score 6 domain scores derived from Lexicon Collaborative Care. describe its history psychometric properties.The PIP was tested convenience sample practices. Linear regression compared across exemplars, PC services, without community mental centers PC. An...
There is current need for objective measures of sciatic nerve mobility in patients with sciatic‐type pain. The the study was to assess feasibility and reliability ultrasound elastography quantify displacement shear strain at nerve–hamstring muscle interface during active passive knee extension‐flexion exercises performed while sitting healthy people. Ultrasound showed excellent intrarater within‐session assessing exercises. These findings will inform similar future work conducted
Insufficient knowledge exists regarding how to measure the presence and degree of integrated care. Prior estimates integration levels are neither grounded in theory nor psychometrically validated. They provide scant guidance inform improvement activities, compare efforts, discriminate among practices by integration, effect on quadruple aim outcomes, or address needs clinicians, regulators, policymakers seeking new models health care delivery funding. We describe development Practice...
<h3>Background:</h3> Occupational burnout is a major concern for personal well-being and patient care. We examined among primary care providers (PCPs), medical residents, behavioral health (BHPs), nurses, other clinical nonclinical team members. <h3>Methods:</h3> This was cross-sectional study, nested within larger randomized trial. Participants completed validated 9-item measure with 3 domains: depersonalization, emotional exhaustion, accomplishment. Multivariable multilevel linear...
Anticipatory postural adjustments (APAs) stabilize potential disturbances to posture caused by movement. Impaired APAs are common with disease and injury. Brain functions associated generating remain uncertain due a lack of paired tasks that require similar limb motion from orientations, but differ in eliciting an APA while also being compatible brain imaging techniques (e.g., functional magnetic resonance imaging; fMRI). This study developed fMRI-compatible differentiated the presence or...
Introduction This study explores the association between self-perceived personal and community changes due to COVID-19 health among vulnerable primary care patients experiencing multiple chronic conditions. Methods Between September 2017 February 2021, we obtained data from 2,426 managing conditions across United States. We assessed relationship change in measured by PROMIS-29 mental physical summary scores, GAD-7 (anxiety), andPHQ-9 (depression), DASI (functional capacity) adjusting for...
Neutropenic fever in adults undergoing chemotherapy for cancer treatment is a medical emergency and has been the focus of numerous studies. However, there paucity data about non-chemotherapy induced neutropenic (non-CINF). We retrospectively reviewed 383 with hospitalized at one academic center between October 2015 September 2020 to characterize frequency, causes, outcomes non-CINF. Twenty-six percent cases were induced. Among these, major causes neutropenia hematologic malignancy,...