A5073558662- Geriatric Care and Nursing Homes
- Blood Pressure and Hypertension Studies
- Health disparities and outcomes
- Heart Rate Variability and Autonomic Control
- Reproductive tract infections research
- Menstrual Health and Disorders
- Primary Care and Health Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Hemodynamic Monitoring and Therapy
- Urinary Tract Infections Management
- Abdominal Trauma and Injuries
- Colorectal Cancer Screening and Detection
- Elder Abuse and Neglect
- Global Cancer Incidence and Screening
- Urological Disorders and Treatments
- Influenza Virus Research Studies
- Diabetes Management and Education
- Diversity and Career in Medicine
- Advances in Oncology and Radiotherapy
- Health Policy Implementation Science
- Chronic Disease Management Strategies
- Restraint-Related Deaths
- Alcohol Consumption and Health Effects
- Antibiotic Use and Resistance
- Menopause: Health Impacts and Treatments
Baylor College of Medicine
2015-2025
Texas Tech University
2023
Texas Tech University Health Sciences Center
2023
The University of Texas Southwestern Medical Center
2022
SUNY Upstate Medical University
2017
Meharry Medical College
2008-2011
Louisiana State University Health Sciences Center New Orleans
1999-2002
University of Michigan
1999
Louisiana State University
1999
Geriatric Research Education and Clinical Center
1999
Abstract Background Antibiotic use without a prescription (non-prescription use) is highly prevalent issue that poses significant individual and population level risk. We designed patient-focused educational brochure to reduce non-prescription antibiotic report patient survey results about the brochure’s acceptability, appropriateness, usability.Figure 1.Brochure Usability, Appropriateness, Acceptability For three criteria of usability, responses "completely agree" "agree" were categorized...
We have previously demonstrated in normotensive humans an age-associated increase sympathetic nervous system (SNS) activity combined with appropriate downregulation of α-adrenergic responsiveness. Impaired responsiveness, despite a comparable level SNS activity, could contribute to higher blood pressure older hypertensive humans. measured arterial plasma norepinephrine (NE) levels and the extravascular NE release rate (NE 2 ) derived from [ 3 H]NE kinetics (to assess systemic activity),...
The objective of our study was to evaluate the impact a multifaceted stewardship intervention on adherence evidence-based practice guidelines treatment uncomplicated cystitis in primary care. We hypothesised that would increase guideline terms antibiotic choice and duration treatment.A preintervention postintervention comparison with contemporaneous control group performed. During first two periods, we obtained baseline data performed interviews exploring provider prescribing decisions for...
Managed care in its numerous forms is continuing to change the face of healthcare system United States. IMPACT OF MANAGED CARE ON MEDICAL EDUCATION: As managed continues invade market, it has a substantial influence shaping parameters graduate medical education. Various surveys have shown that residents are under-trained principles and practice. There clear need for residency curriculum fully prepares students keep pace with modern markets. EDUCATIONAL METHODOLOGY: This manuscript describes...
Mitochondrial encephalopathy with lactic acidosis and stroke-like syndrome (MELAS) is a progressive neurodegenerative disorder frequently complicated by diabetes mellitus sensory neuronal hearing loss. This tends to present initially symptoms. These strokes are nonvascular in nature linked mitochondrial defect such as transient oxidative phosphorylation dysfunction, which turn results encephalopathy. The combination of acidosis, multiple strokes, encephalopathic psychosis, diabetes, loss...
Diabetes distress (DD), a type of psychological specific to people with diabetes, is strongly associated difficulties in performing self-care and inability meet glycemic targets. Despite increased recognition the need manage DD, interventions that are both feasible effective for reducing DD routine care settings not yet known. A pilot study showed health coaching (HC) has some efficacy addressing but no adequately powered implemented pragmatic research design capable assessing real-world...
<h3>Objective</h3> Vaccines prevent many cases of infectious disease, yet immunization campaigns are hindered by various barriers. This work presents the results a quality improvement project addressing barriers to vaccine compliance in an underserved teaching practice reducing missed opportunities and increasing provider patient rates for pneumococcal, Tdap, influenza, zoster vaccines adults. <h3>Methods</h3> The study intervention aimed address knowledge, knowledge skills, proactive care...
<h3>Objective</h3> To investigate the incidence and trends in colorectal cancer (CRC) among Asian American populations United States. <h3>Methods</h3> CRC data from 1994 through 2013 were obtained 13 Surveillance, Epidemiology, End Results registries. SEER*Stat IBM SPSS Statistics used. <h3>Results</h3> The age-adjusted of Americans decreased 45.6 per 100,000 to 33.0 2013, with annual percent change being −1.8% (<i>P</i><0.05). incidences higher for men, elderly (aged 60 years or older),...
There are important interactions between the renin-angiotensin system and sympathetic nervous system. Therapy with angiotensin-converting enzyme (ACE) inhibitors may suppress activity.To test hypothesis that long-term ACE inhibition by ramipril will activity up-regulate alpha-adrenergic receptor responsiveness in older patients hypertension.This placebo-controlled, double-blind randomized study was conducted at University Hospital, General Clinical Research Center, of Michigan Medical...
Background Alcohol screening and brief intervention (SBI) programs have been shown to be effective in reducing risky alcohol consumption among primary care patients [1-3]. Although various implementation protocols exist, it can difficult launch sustain SBI programs. A number of barriers including those related clinical workflow, the intake process, incorporation into electronic health records (EHR)[4-6]. This study aims present challenges potential solutions incorporating as a standard an...