A5046685443- Telemedicine and Telehealth Implementation
- Kidney Stones and Urolithiasis Treatments
- Appendicitis Diagnosis and Management
- Emergency and Acute Care Studies
- Radiation Dose and Imaging
- Pediatric Urology and Nephrology Studies
- Healthcare Systems and Practices
- Chronic Disease Management Strategies
- Mobile Health and mHealth Applications
- Geriatric Care and Nursing Homes
- Healthcare Policy and Management
- Ultrasound in Clinical Applications
- Primary Care and Health Outcomes
- Healthcare Systems and Technology
- COVID-19 and healthcare impacts
- Vaccine Coverage and Hesitancy
- Global Maternal and Child Health
- Trauma and Emergency Care Studies
- Radiology practices and education
- Airway Management and Intubation Techniques
- Psychology of Social Influence
- Global Security and Public Health
- Medication Adherence and Compliance
- Patient Satisfaction in Healthcare
- Digital Mental Health Interventions
Cornell University
2020-2025
Weill Cornell Medicine
2021-2025
Presbyterian Hospital
2020-2025
New York Hospital Queens
2020-2024
NewYork–Presbyterian Hospital
2020-2024
Mount Sinai Hospital
2023
University of California, Davis
2015-2017
California State University, Sacramento
2017
Yale University
2013-2016
Yale New Haven Hospital
2014-2015
Several reports have suggested an increased prevalence of osteopenia and osteoporosis in HIV-infected individuals. Vitamin D deficiency may be a risk factor for bone fractures. We aimed to determine the vitamin insufficiency outpatient HIV clinic Boston. collected serum levels 25-OH evaluated calcium intake adult HIV-positive outpatients during winter spring 2005. Fifty-seven subjects were enrolled. The moderate (≤20 >10 ng/ml) severe (≤10 was 36.8% 10.5%, respectively. Lower significantly...
<b>Objective</b> To derive and validate an objective clinical prediction rule for the presence of uncomplicated ureteral stones in patients eligible computed tomography (CT). We hypothesized that with a high probability would have low acutely important alternative findings. <b>Design</b> Retrospective observational derivation cohort; prospective validation cohort. <b>Setting</b> Urban tertiary care emergency department suburban freestanding community department. <b>Participants</b> Adults...
Abstract Objective Evaluate the impact of community tele-paramedicine (CTP) on patient experience and satisfaction relative to community-level indicators health disparity. Materials Methods This mixed-methods study evaluates patient-reported with CTP, a facilitated telehealth program combining in-home paramedic visits video by emergency physicians. Anonymous post-CTP visit survey responses themes derived from directed content analysis in-depth interviews participants randomized clinical...
Predictors of antiretroviral treatment (ART) failure are not well characterized for heterogeneous clinic populations.A retrospective analysis was conducted HIV-infected patients followed in an urban HIV with RNA measurement < or =400 copies/mL on ART between January 1, 2003, and December 31, 2004. The primary endpoint failure, defined as virologic (> =1 >400 copies/mL), unsanctioned stopping ART, loss to follow-up. Prior adherence other baseline patient characteristics, determined at the...
Abstract Objectives The study was undertaken to determine the prevalence and clinical importance of alternative causes symptoms discovered in patients undergoing flank pain protocol ( FPP ) computed tomography CT scans with classic kidney stone (flank pain, back or both) without evidence urine infection. Methods This a retrospective observational analysis all adult at two emergency departments ED s) between April 2005 November 2010. All s N = 5,383) were reviewed categorized as “no cause...
Purpose To determine if a reduced-dose computed tomography (CT) protocol could effectively help to identify patients in the emergency department (ED) with moderate high likelihood of calculi who would require urologic intervention within 90 days. Materials and Methods The study was approved by institutional review board written informed consent HIPAA authorization obtained. This prospective, single-center ED ureteral stone undergoing CT imaging. Objective determined using previously derived...
NewYork-Presbyterian and the Weill Cornell Medicine Department of Emergency designed implemented Community Tele-Paramedicine program to increase access robust telehealth services for medically underserved populations reduce preventable emergency department visits hospital admissions patients living with multiple chronic illnesses. The uses nurse care managers monitor provide medical social support, while community paramedics, supervised via by physicians, examine in their homes tests...
Introduction Nearly one-quarter of patients discharged from the hospital with heart failure (HF) are readmitted within 30 days, placing a significant burden on patients, families and health systems. The objective ‘Using M obile I nte g rated H ealth T elehealth to support transitions care among Heart ’ (MIGHTy-Heart ) study is compare effectiveness two postdischarge interventions healthcare utilisation, patient-reported outcomes quality HF. Methods analysis MIGHTy-Heart pragmatic comparative...
COVID-19 vaccination is critical for reducing serious illness and hospitalizations, yet many remain hesitant. We conducted a survey of frontline physicians to identify patient concerns physician strategies address vaccine-hesitancy.
No AccessJournal of UrologyAdult Urology1 Dec 2017Predictors Hospital Admission and Urological Intervention in Adult Emergency Department Patients with Computerized Tomography Confirmed Ureteral Stones Brock Daniels, Elizabeth Schoenfeld, Andrew Taylor, Karrin Weisenthal, Dinesh Singh, Christopher L. Moore DanielsBrock Daniels Medicine, School University California-Davis, Sacramento, California More articles by this author , SchoenfeldElizabeth Schoenfeld Massachusetts Medical...
Abstract Computed tomography ( CT ) scanning is an essential diagnostic tool and has revolutionized care of patients in the acute setting. However, there widespread agreement that overutilization , where benefits do not exceed possible costs or harms, occurring. The goal was to seek consensus identifying prioritizing research questions themes involve comparative effectiveness “traditional” use versus alternative strategies A modified Delphi technique used included input from emergency...
<h3>PURPOSE</h3> We undertook a study to evaluate variation in the availability of primary care new patient appointments for Medi-Cal (California Medicaid) enrollees Northern California, and its relationship emergency department (ED) use after Medicaid expansion. <h3>METHODS</h3> placed simulated calls by purported 581 clinicians (PCCs) listed as accepting patients online directories managed plans. Data from California Health Interview Survey, enrollment reports, hospital discharge records...
Abstract Background Older adults discharged from our emergency department (ED) do not receive comprehensive fall risk evaluations. We conducted a quality improvement project using an existing Community Tele‐Paramedicine (CTP) program to perform in‐home assessment and mitigation after ED discharge. Methods High falls‐risk patients, as defined by STEADI score >4, were referred for CTP home visit community paramedics supervised virtually physicians. Home hazards assessment, Timed Up Go test...
<strong>Introduction:</strong> Diagnostic radiology services are severely lacking in many rural settings and the implementation of these poses complex challenges. The purpose this paper is to describe diagnostic at a district-level hospital Achham, district Nepal. <strong>Methods Materials:</strong> We conducted retrospective review services. compiled list challenges proposed solutions based on an internal historical data, records, experiences staff members. used seven-domain analytic...
Cyclone Nargis hit Burma on May 2, 2008, killing over 138,000 and affecting at least 2.4 million people. The Burmese military junta, the State Peace Development Council (SPDC), initially blocked international aid to storm victims, forcing community-based organizations such as Emergency Assistance Teams-Burma (EAT) fill void, helping with cyclone relief long-term reconstruction. Recognizing need for independent monitoring of human rights situation in cyclone-affected areas, particularly given...
Background The COVID-19 pandemic dramatically increased telehealth use; however, it simultaneously widened the digital health divide. Several studies in New York City (NYC) demonstrated that communities with highest prevalence also had lowest use. Moreover, social distancing measures used to curb led isolation, loneliness, and avoidance of needed in-person care. Mobile integrated programs utilizing both components virtual can overcome determinants limit access telehealth. Our mobile program,...
Introduction: The use of telemedicine and ultrasound is emerging novel in the field community paramedicine. However, there a paucity data supporting its even less evidence that shows morbidity mortality benefit. This case highlights unique way to diagnose common medical emergency, which can lead good outcome. Case Report: We describe lung point-of-care by trained paramedic led identification pneumothorax an 86-year-old male at scheduled home visit. images were interpreted over telehealth...