- Atrial Fibrillation Management and Outcomes
- Sepsis Diagnosis and Treatment
- Health Systems, Economic Evaluations, Quality of Life
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Mental Health Treatment and Access
- Long-Term Effects of COVID-19
- Respiratory Support and Mechanisms
- Cardiac, Anesthesia and Surgical Outcomes
- Migration, Health and Trauma
- Posttraumatic Stress Disorder Research
- Respiratory viral infections research
- Lipoproteins and Cardiovascular Health
- Transplantation: Methods and Outcomes
- Pharmaceutical Practices and Patient Outcomes
- Anesthesia and Neurotoxicity Research
- Quality and Safety in Healthcare
- Musculoskeletal pain and rehabilitation
- Pain Management and Opioid Use
- Healthcare Operations and Scheduling Optimization
- Health Policy Implementation Science
- Takotsubo Cardiomyopathy and Associated Phenomena
- Pharmacological Effects and Toxicity Studies
- Opioid Use Disorder Treatment
- Gestational Diabetes Research and Management
- Health disparities and outcomes
Baylor Scott & White Health
2017-2022
Texas A&M Health Science Center
2022
Temple College
2018-2022
Baylor Medical Center at Garland
2017-2022
Baylor Scott & White Medical Center - Temple
2017-2021
Texas A&M University
2018
Scott & White Memorial Hospital
2017
The COVID-19 pandemic has resulted in unprecedented consequences. Transdiagnostic factors, such as anxiety sensitivity, could be an important component to understand how individuals experience specific fear, depression and anxiety. A US representative sample (5,023) completed measures including the Anxiety Sensitivity Index-3, Fear of Scale, Generalized Disorder-7 Patient Health Questionnaire-8. Analyses controlled for age, sex, race, marital status, education level, working household...
Transversus abdominis plane blocks can improve pain control and decrease opioid use within an enhanced recovery after surgery (ERAS) protocol in patients undergoing abdominally based autologous breast reconstruction. The authors have transitioned to using a local analgesic cocktail for transversus blocks. purpose of this study was compare postoperative who received the blocks.Patients underwent reconstruction between November 2015 December 2019 were retrospectively reviewed. group...
Uninsured populations have poor treatment engagement and are less likely to receive evidence-based interventions for depression. The objective of the current study was retrospectively examine depression screening, diagnosis, patterns among uninsured patients in primary care. Study sample included all ( N = 11,803) seen nine community-based clinics. Key variables screener and/or a anti-depressant initiation, behavioral health visits, patient follow up measures. Treatment from subsample...
Our hypothesis was that patients managed with noninvasive ventilation (NIV) on the wards could be risk-stratified initial pulse oximetry/fraction of inspired oxygen (SpO2/FiO2) ratios and tidal volumes (Vte). A prospective study consecutive acute respiratory failure requiring NIV conducted. multivariate logistic regression model a negative binomial were used. total 403 (55.8% women) had mean age 65.0 ± 14.9 years body mass index 32.1 11.1 kg/m2. The 28-day mortality 14.1%, intubation rate...
Hospital admissions and readmissions for chronic obstructive pulmonary disease (COPD) exacerbations are associated with increased mortality higher cost. The management of a shortened course systemic corticosteroids has similar efficacy as compared to longer steroid courses, but actual overall dose given is still variable. outcomes side effects, such hyperglycemia, need further evaluation. We hypothesized that the use doses corticosteroids, subsequent contributes readmission.This...
In the context of both chronic pain and opioid crises, this large-system quality improvement project sought to increase use evidence-based multimodal management strategies. Primary care providers (PCPs) in internal medicine family identified as above-median prescribers 30-day supplies were selected for intervention. PCPs received individualized email letters showing their prescribing patterns relative peers urging them view an pain/opioid educational video related system guidelines. The...
Abstract Background The optimal regimen for antibiotic prophylaxis in colorectal surgery is not well defined. aim of this study was to determine whether nonertapenem associated with increased rates surgical site infections (SSI), defined by both deep and incisional infections, compared ertapenem prophylaxis. Secondary aims were identify differences C. difficile infection at 60 days between the two groups. Methods This a single-center retrospective from November 2016 December 2018 600-bed...