A5083677490- Venous Thromboembolism Diagnosis and Management
- LGBTQ Health, Identity, and Policy
- Health Systems, Economic Evaluations, Quality of Life
- Obesity, Physical Activity, Diet
- Acute Myocardial Infarction Research
- Clinical practice guidelines implementation
- Atrial Fibrillation Management and Outcomes
- Diabetes Management and Research
- Obesity and Health Practices
- Central Venous Catheters and Hemodialysis
- Patient Satisfaction in Healthcare
- Reproductive Health and Technologies
- Cardiac, Anesthesia and Surgical Outcomes
- Nutrition and Health in Aging
- HIV/AIDS Research and Interventions
- Diagnosis and Treatment of Venous Diseases
- Medication Adherence and Compliance
- Healthcare Policy and Management
- Electronic Health Records Systems
- Mobile Health and mHealth Applications
- Health and Lifestyle Studies
- Physical Activity and Health
- African Sexualities and LGBTQ+ Issues
- Healthcare cost, quality, practices
- Sexuality, Behavior, and Technology
Johns Hopkins University
2015-2024
Johns Hopkins Medicine
2015-2024
National Patient Safety Foundation
2015-2024
GenomeDesigns Lab (United States)
2024
University of Baltimore
2013-2023
Johns Hopkins Hospital
2012-2022
Morgan State University
2021
Institute of Informatics of the Slovak Academy of Sciences
2014-2021
Leeds Arts University
2021
Indiana University – Purdue University Indianapolis
2020
Background.Anal cancer is one of the most common cancers affecting individuals infected with human immunodeficiency virus (HIV), although few have evaluated rates separately for men who sex (MSM), other men, and women.There are also conflicting data regarding calendar trends.Methods.In a study involving 13 cohorts from North America follow-up between 1996 2007, we compared anal incidence among 34 189 HIV-infected (55% MSM, 19% 26% women) 114 260 HIV-uninfected (90% men).Results.Among...
<h3>Importance</h3> Little is known about the incidence of gender-affirming surgical procedures for transgender patients in United States. <h3>Objectives</h3> To investigate and trends over time to analyze characteristics payer status seeking these operations. <h3>Design, Setting, Participants</h3> In this descriptive observational study from 2000 2014, data were analyzed National Inpatient Sample, a representative pool inpatient visits across The initial analyses done June August 2015....
<h3>Objective</h3>Venous thromboembolism is associated with substantial morbidity and mortality largely preventable. Despite this fact, appropriate prophylaxis vastly underutilized. To improve compliance best practice for VTE in hospitalized trauma patients, we implemented a mandatory computerized provider order entry–based clinical decision support tool. The system required completion of checklists risk factors contraindications to pharmacologic prophylaxis. With tool, were able determine...
Background. Cross-sectional plasma human immunodeficiency virus (HIV) viral load (VL) measures have proven invaluable for clinical and research purposes. However, cross-sectional VL fail to capture cumulative HIV burden longitudinally. We evaluated the effect of exposure replication on mortality following initiation combination antiretroviral therapy (ART). Methods. included treatment-naive HIV-infected patients starting ART from 2000 2008 at 8 Center AIDS Research Network Integrated...
The Institute of Medicine and Joint Commission recommend routine documentation patients' sexual orientation in health care settings. Currently, very few systems collect these data since patient preferences professionals' support regarding collection about are unknown.
<b>Problem</b> Venous thromboembolism (VTE) is a common cause of potentially preventable mortality, morbidity, and increased medical costs. Risk-appropriate prophylaxis can prevent most VTE events, but only small fraction patients at risk receive this treatment. <b>Design</b> Prospective quality improvement programme. <b>Setting</b> Johns Hopkins Hospital, Baltimore, Maryland, USA. <b>Strategies for change</b> A multidisciplinary team established Prevention Collaborative in 2005. The...
Purpose: Research suggests that LGBT populations experience barriers to healthcare. Organizations such as the Institute of Medicine recommend routine documentation sexual orientation (SO) and gender identity (GI) in healthcare, reduce disparities. We explore patient views regarding importance SO/GI collection, provider on risks benefits collection various settings. Methods: surveyed LGBT/non-LGBT patients providers their collection. Weighted data were analyzed with descriptive statistics;...
All hospitalized patients should be assessed for venous thromboembolism (VTE) risk factors and prescribed appropriate prophylaxis. To improve best-practice VTE prophylaxis prescription all patients, we implemented a mandatory computerized clinical decision support (CCDS) tool. The tool requires completion of checklists to evaluate contraindications pharmacological prophylaxis, then recommends the risk-appropriate regimen.The objective study was examine effect quality improvement intervention...
The National Academy of Medicine and Joint Commission recommend routine documentation sexual orientation (SO) gender identity (GI) in healthcare to address lesbian, gay, bisexual, or transgender (LGBT) health disparities. We explored patient-reported views on the importance SO/GI collection, their willingness disclose, perceived facilitators collection primary care emergency department (ED) settings.We recruited a national sample self-identified patients. Participants completed demographic...
Venous thromboembolism (VTE) affects over 700,000 Americans annually. Prophylaxis reduces the risk of VTE by 60% but many patients still do not receive risk-appropriate prophylaxis. To improve our institution's prophylaxis performance, we developed mandatory computerized clinical decision support-enabled "smart order sets" that required providers to assess factors and contraindications pharmacologic Using provider responses, set recommends evidence-based study impact set" on prescription...
Plasma human immunodeficiency virus type 1 (HIV-1) viral load is a valuable tool for HIV research and clinical care but often used in noncumulative manner. The authors developed copy-years viremia as measure of cumulative plasma HIV-1 exposure among 297 seroconverters from the Multicenter AIDS Cohort Study (1984–1996). Men were followed seroconversion to incident acquired syndrome (AIDS), death, or beginning combination antiretroviral therapy era (January 1, 1996); median duration follow-up...
patients with complicated appendicitis, 173 (42.3%) were identified as having a serum sodium level of less than 135 mEq/L (to convert to millimoles per liter, multiply by 1.0).Longer hospital lengths stay, deep surgical site infections, and return visits the emergency department more prevalent among appendicitis.Exploratory logistic regression analysis significant cut points 4 independent predictors for which hyponatremia was found have strongest association this outcome (Table 2).The C...
There are few published examples of absolute risk estimated from epidemiologic data subject to censoring and competing risks with adjustment for multiple confounders. We present an example estimating the effect injection drug use on 6-year acquired immunodeficiency syndrome (AIDS) after initiation combination antiretroviral therapy between 1998 2012 in 8-site US cohort study death before AIDS as a risk. estimate standardized total sample by combining inverse probability weights cumulative...
<h3>Importance</h3> Health care and government organizations call for routine collection of sexual orientation gender identity (SOGI) information in the clinical setting, yet patient preferences methods remain unknown. <h3>Objective</h3> To assess optimal patient-centered approach SOGI emergency department (ED) setting. <h3>Design, Setting, Participants</h3> This matched cohort study (Emergency Department Query Patient-Centered Approaches to Sexual Orientation Gender Identity [EQUALITY]...