A5007208025- Acute Ischemic Stroke Management
- Stroke Rehabilitation and Recovery
- Venous Thromboembolism Diagnosis and Management
- Neurological Disorders and Treatments
- Traumatic Brain Injury and Neurovascular Disturbances
- Nursing Diagnosis and Documentation
- Intensive Care Unit Cognitive Disorders
- Intimate Partner and Family Violence
- Child Abuse and Trauma
- Planetary Science and Exploration
- Gender and Feminist Studies
- Cerebral Palsy and Movement Disorders
- Public Health and Social Inequalities
- Antiplatelet Therapy and Cardiovascular Diseases
- Health Education and Validation
- Sex and Gender in Healthcare
- Library Science and Administration
- Insurance and Financial Risk Management
- Clinical Reasoning and Diagnostic Skills
- Global Public Health Policies and Epidemiology
- Rocket and propulsion systems research
- Healthcare Policy and Management
- Space Exploration and Technology
- Telemedicine and Telehealth Implementation
- Adolescent Sexual and Reproductive Health
Baylor Scott & White Health
2019-2025
Instituto Nacional de Salud Pública
2009-2024
Ascension
2022
Seton Medical Center
2021
Baylor Scott & White Medical Center - Temple
2017-2019
Baylor Medical Center at Garland
2016
Northrop Grumman (United States)
1970
A 10-hospital regional network transitioned to tenecteplase as the standard of care stroke thrombolytic in September 2019 because potential workflow advantages and reported noninferior clinical outcomes relative alteplase meta-analyses randomized trials. We assessed whether use routine practice reduced times with outcomes.We designed a prospective registry-based observational, sequential cohort comparison tenecteplase- (n=234) alteplase-treated (n=354) patients. hypothesized: (1) an increase...
Introduction: Effective care transition for ischemic or hemorrhagic stroke patients post-hospital discharge is critical. Ensuring a follow-up neurology appointment within two weeks vital to managing risk factors like hypertension, diabetes, and atrial fibrillation. Early helps adjust treatment plans, reducing recurrence. This period also allows additional patient education, addressing queries, reinforcing lifestyle modifications, medication adherence, recognizing warning signs. support...
Introduction: Factors contributing to stroke coordinator turnover include not understanding the role of coordinator, enough time do all things a sufficient resources, and peer support (1). In 2023, was given much-needed definition with regard roles responsibilities (2). This information can help new understand coordinator. our system we looked explore how formalize process onboarding coordinators. We first turned existing group use gather on what would have been helpful their onboarding....
Abstract Background Mexico and other low- middle-income countries (LMICs) present a growing burden of non-communicable diseases (NCDs), with gender-differentiated risk factors access to prevention, diagnosis care. However, the political agenda in LMICs as it relates health gender is primarily focused on sexual reproductive rights preventing violence against women. This research article analyses public policies related NCDs, identifying challenges current response women’s needs, opportunities...
Delays in seeking care compromise diagnosis, treatment options, and outcomes ischemic strokes. This study identified factors associated with time between stroke symptom onset emergency department (ED) arrival at a private nonprofit medical center serving large rural catchment area central Texas, the goal of identifying symptomatic, demographic, historical that might influence care.Demographic clinical data from tertiary center's Get With The Guidelines (GWTG) database were evaluated 1874...
Clinical fluctuations in ischemic stroke symptoms are common, but before hospital arrival have not been previously characterized.A standardized qualitative assessment of was obtained an observational study that enrolled patients with mild (National Institutes Health Stroke Scale [NIHSS] score 0-5) present on to within 4.5 hours onset, a subset 100 hospitals participating the Get With The Guidelines-Stroke quality improvement program. number fluctuations, direction, and overall or worsening...
Background: Our 10-hospital network (2 CSCs, 2PSCs, 6 non-SCs) switched our standard stroke thrombolytic from alteplase (ALT) to tenecteplase (TNK; 0.25 mg/kg) in September 2019. Methods: We designed a two-year prospective cohort analysis of key processes and clinical outcomes for TNK-treated patients with planned quarterly assessments feasibility safety. The TNK is compared the retrospective historical all unique at these hospitals treated ALT during prior 2-year period (n=354). Analysis...
Violence has negative effects on women's physical, mental, sexual, reproductive, and behavioral health. Globally, 50% to 80% of women who have experienced violence suffer some health consequences. We aimed evaluate the prevalence trends self-reported consequences among Mexican adolescents from 2000 2018. Data four nationally representative surveys (2000, 2006, 2012, 2018) were analyzed using logistic regression models assess in stratified by age, education, place residence, employment,...
ABSTRACT The integration of sexualities and gender as the subject matter for education research in public universities Mexico is explored using data such as: statistical data, Internet-based research, testimonials gathered from a series interviews with university faculty students. This article presents general overview policy relating to subjects reflections about possible strategies further incorporation topics universities.
Prehospital delay remains an important reason for low intravenous tissue plasminogen activator administration rates. Study of ischemic stroke patients' responses to onset may be hampered by lack a questionnaire designed specifically examine their cognitive, emotional, and behavioral symptoms.We provide evidence content validity reliability the Responses Ischemic Stroke Symptoms Questionnaire (RISQ) through, expert panel review calculation index study stability among hospitalized acute...
Purpose: Decrease time from emergency department (ED) arrival to stroke activation and ED physician. Background: Delay alert may lead a delay in administration of IV thrombolysis. In reviewing our facility’s data difference was noted MD between patients arriving by medical service (EMS) versus private operated vehicle (POV).In 2015 that arrived EMS - median physician 5 minutes with 11 minutes; for POV 16 22 minutes. At rural facility it had historically been an driven process, after this we...
April 22, 2018April 10, 2018Free AccessImproving Confidence in Nurses When Performing a Neurological Assessment (P1.009)Scott Le, Leigh Allen, and Jeffrey ClarkAuthors Info & AffiliationsApril 2018 issue90 (15_supplement)https://doi.org/10.1212/WNL.90.15_supplement.P1.009 Letters to the Editor
April 24, 2018April 10, 2018Free AccessFactors Affecting Time Between Symptom Onset and Emergency Department Arrival in Stroke Patients (P3.233)Scott Le, Laurel Copeland, John Zeber, I-Chia Liao, Leigh Allen, Jared Benge, Jennifer RasmussenAuthors Info & AffiliationsApril 2018 issue90 (15_supplement) Letters to the Editor
Introduction: Telemedicine (TM) has enabled rapid treatment of acute ischemic stroke with intravenous (IV) t-PA in remote centers where vascular neurologists are scarce. We a Comprehensive Stroke Center (CSC) serving large rural community Central Texas. 24/7 coverage is provided by three neurologists, who evaluate patients at the CSC in-person from 8am to 4pm on weekdays and over telemedicine during all other times. This provides unique opportunity isolate compare effects treatment....
An increased emphasis on stroke care has led to a proliferation of specialized teams despite relatively few trials demonstrating their efficacy. Our academic center incorporated unique setup allowing for the comparison between and emergency physicians. During weekday working hours, team would respond department activations. all other times, physician caring patient make treatment decisions. We sought determine whether there was any difference in outcomes these two groups. conducted...
-The traditional role of the insurance medical director is evolving. RGA surveyed directors to provide an overview their roles, skill sets, future trends, and increasing changing contributions industry in recent years throughout current pandemic.-RGA conducted a first-of-a-kind global survey industry. The online took place from April June 2021 had seven key sections: experience qualifications, roles responsibilities, underwriting claims capabilities, adapting change, disease product trends...
ABSTRACT Background and Purpose A 10-hospital regional network transitioned to tenecteplase as the standard of care stroke thrombolytic in September 2019 because its workflow advantages reported non-inferior clinical outcomes relative alteplase meta-analyses randomized trials. We assessed whether use routine practice reduces times with outcomes. Methods designed a prospective registry-based observational, sequential cohort comparison (n=234) (n=354) treated patients. hypothesized: (1) an...
Background: For stroke centers performing endovascular procedures, ensuring documentation of post procedure assessments - site and pulse is not only important for patient safety but also program certification. Not being able to demonstrate the appropriate during certification visits can lead survey findings action plans that must be created managed. Use tools in an EMR assist nurse with compliance these assessments. Methods: The electronic medical record (EMR) build was mirrored after...