A5101911792- Respiratory Support and Mechanisms
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Palliative Care and End-of-Life Issues
- Intensive Care Unit Cognitive Disorders
- Family and Patient Care in Intensive Care Units
- Pleural and Pulmonary Diseases
- Amyotrophic Lateral Sclerosis Research
- Ethics in medical practice
- Anesthesia and Sedative Agents
- Pulmonary Hypertension Research and Treatments
- Neurogenetic and Muscular Disorders Research
- Childhood Cancer Survivors' Quality of Life
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Cardiac Arrest and Resuscitation
- Lung Cancer Diagnosis and Treatment
- Atomic and Subatomic Physics Research
- Ethics and Legal Issues in Pediatric Healthcare
- Respiratory and Cough-Related Research
- Advanced MRI Techniques and Applications
- Healthcare Decision-Making and Restraints
- Asthma and respiratory diseases
- Otitis Media and Relapsing Polychondritis
- Medical Imaging and Pathology Studies
- Tuberculosis Research and Epidemiology
- Vascular Anomalies and Treatments
University of Pennsylvania
2014-2024
Philadelphia University
1991-2022
Pulmonary and Allergy Associates
2007-2021
Hospital of the University of Pennsylvania
2002-2019
American Thoracic Society
2013-2014
Pulmonary and Critical Care Associates
2008
Johns Hopkins Hospital
2004
West Los Angeles College
2003
Medical University of South Carolina
2003
University of Pennsylvania Health System
1999
Recognizing that many Americans draw on religious or spiritual beliefs when confronted by serious illness, some medical educators have recommended physicians routinely ask about spirituality religion conducting a history. The most appropriate wording for such an inquiry remains unknown.To examine patient acceptance of including the following question in history ambulatory outpatients: "Do you would influence your decisions if become gravely ill?"Self-administered questionnaires were...
Breathlessness that persists despite treatment for the underlying conditions is debilitating. Identifying this discrete entity as a clinical syndrome should raise awareness amongst patients, clinicians, service providers, researchers and research funders. Using Delphi method, questions statements were generated via expert group consultations one-to-one interviews (n=17). These subsequently circulated in three survey rounds (n=34, n=25, n=31) to an extended international from various settings...
Department of Medicine, Pulmonary and Critical Care Department, Hospital the University Pennsylvania, Philadelphia, Pennsylvania
We surveyed a national sample of 879 physicians practicing in adult intensive care units the United States, order to determine their practices with regard limiting life-sustaining medical treatment, and particularly decisions continue or forgo life support without consent against wishes patients surrogates. Virtually all respondents (96%) have withheld withdrawn treatment on expectation patient's death, most do so frequently course year. Many despite patient surrogate that it be discontinued...
<h3>Objective.</h3> —To assess current use of sedating drugs and neuromuscular blocking agents in patients requiring mechanical ventilation at US hospitals that participate the training pulmonary fellows. <h3>Design.</h3> —Surveys were mailed September 1990 to head nurses medical intensive care units 265 listed an annual guide listing fellowship programs. In survey, defined as medications prescribed treat anxiety, agitation, or sleeplessness. These included opiates, anesthetics, neuroleptic...
Background: Patients at the Philadelphia Veterans Affairs Medical Center frequently voice concern that air exposure during lung cancer surgery might cause tumor spread. Several African-American patients asserted this belief was common in community. Objective: To assess prevalence of spread and gauge influence on willingness white to have surgery. Design: Prospective questionnaire survey. Setting: University Pennsylvania, Philadelphia, Pennsylvania; Los Angeles Center, Angeles, California;...
▪Living wills and other advance directives currently play a limited role in medical decision making. A new federal law, the Patient Self-Determination Act, will require health care providers hospitals, nursing homes, facilities to inquire about presence of directives, record patient preferences record, develop institutional policies regarding implementation these directives. Unfortunately, law does little promote discussion or preparation before hospitalization. Additional efforts use can...
Abstract Background Improved outcomes with expanding treatment options for patients pulmonary arterial hypertension present the opportunity to consider additional end-points in approaching therapy, including factors that influence health-related quality of life. However, comparatively little is known about life and its determinants hypertension. Methods Health-related was evaluated a cross sectional study 155 outpatients using generic respiratory-disease specific measurement tools. Most had...
"Neuromuscular Blockade in the Intensive Care Unit: More than We Bargained for." American Review of Respiratory Disease, 147(1), pp. 234–236
Increasing numbers of intensive care units (ICUs) are adopting the practice nighttime intensivist staffing despite lack experimental evidence its effectiveness.
In 2009, the American Thoracic Society (ATS) funded an assembly project, Palliative Management of Dyspnea Crisis, to focus on identification, management, and optimal resource utilization for effective palliation acute episodes dyspnea. We conducted a comprehensive search medical literature evaluated available evidence from systematic evidence-based reviews (SEBRs) using modified AMSTAR approach then summarized palliative management knowledge base participants use in discourse at 2009 ATS...
"Withholding and Withdrawing Life-Sustaining Therapy." American Review of Respiratory Disease, 144(3_pt_1), pp. 726–731
Pulmonary fibrosis and atherosclerosis have many similarities at the histopathologic level. Moreover, fibrotic lung diseases exhibit systemic effects potential to affect vasculature beyond lung. The existence of a relationship between two, however, has not been studied.To investigate whether disorders may predispose atherosclerosis, we conducted cross-sectional study 630 patients referred for transplantation evaluation university hospital. We compared prevalence angiographic coronary artery...
Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) have been well described in surgical patients. Large-volume resuscitation is thought to be a risk factor for IAH/ACS this group. However, little known of the incidence critically ill medical The authors aim ascertain ACS patients receiving large-volume resuscitation. Over an 8-month study period, performed prospective cohort intensive care unit (ICU) with minimum net positive fluid balance 5 L within preceding 24...
Noninvasive ventilation (NIV) is standard of care in amyotrophic lateral sclerosis (ALS), yet few data exist regarding its benefits.
There is increasing evidence that survivors of ARDS may have impairments in cognitive function, mood and quality life. This study investigated associations between impairment, disorders life a select group survivors.A cross-sectional was conducted to describe the specific 79 self-selected who contacted an Internet-based support site. A battery tests administered by telephone interview. Standardized scores on were compared with normative values tested for indices anxiety, depression...
A clinically useful model to prognose onset of respiratory insufficiency in amyotrophic lateral sclerosis (ALS) would inform disease interventions, communication and clinical trial design. We aimed derive validate a prognostic for within 6 months presentation an outpatient ALS clinic. used multivariable logistic regression internal cross-validation using single-centre cohort 765 patients who presented between 2006 2015. External validation was performed the multicentre Pooled Resource...