- Primary Care and Health Outcomes
- Chronic Disease Management Strategies
- Healthcare Policy and Management
- Health disparities and outcomes
- Interprofessional Education and Collaboration
- Health Systems, Economic Evaluations, Quality of Life
- Medical Coding and Health Information
- Mobile Health and mHealth Applications
- Suicide and Self-Harm Studies
- Healthcare cost, quality, practices
- Food Security and Health in Diverse Populations
- Lipoproteins and Cardiovascular Health
- Patient Satisfaction in Healthcare
- Global Health Care Issues
- Clinical practice guidelines implementation
- Healthcare Systems and Reforms
- Obesity and Health Practices
- Multisensory perception and integration
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Diet and metabolism studies
- Obesity, Physical Activity, Diet
- Statistical Methods and Inference
- Child and Adolescent Health
- Evaluation and Performance Assessment
- Health Policy Implementation Science
University of North Carolina at Charlotte
2018-2024
Imperial College London
2013-2024
East Carolina University
2023
Novartis (Switzerland)
2021
Esperion Therapeutics (United States)
2021
University of Strathclyde
2021
Stetson University
2013-2018
Georgia Southern University
2004-2013
Tsinghua University
2005
Harvard University
1999
Abstract Aims The 10-year risk of recurrent atherosclerotic cardiovascular disease (ASCVD) events in patients with established ASCVD can be estimated the Secondary Manifestations ARTerial (SMART) score, and may help refine clinical management. To broaden generalizability across regions, we updated existing tool (SMART2 score) recalibrated it regional incidence rates assessed its performance external populations. Methods results Individuals coronary artery disease, cerebrovascular peripheral...
Research productivity has been linked to a country's intellectual and economic wealth. Further analysis is needed assess the association between distribution of research across disciplines status countries.By using 55 years data, spanning 1962 2017, Elsevier publications large set countries globally, this manuscript explores relationship evolution relative different through network analysis. It also associations those with categories, as measured by World Bank classification. Additional...
This paper provides the results of a year-long evaluation large-scale integrated care pilot in north-west London. The aimed to integrate across primary, acute, community, mental health and social for people with diabetes and/or those aged 75+ through planning, multidisciplinary case reviews, information sharing project management support.
OBJECTIVES: The efficacy of thiopurines (TPs) in altering the risk surgery Crohn's disease (CD) remains controversial. We evaluated impact TP therapy, optimal timing, and duration therapy on first intestinal resection rates using a population-based cohort. METHODS: constructed cohort incident cases CD between 1989 2005. used Kaplan–Meier analysis to calculate time trends use three groups defined by period diagnosis: 1989–1993, 1994–1999, 2000–2005 A, B, C, respectively. quantified timing...
Background and aimsInclisiran, an siRNA therapy, consistently reduces low-density lipoprotein cholesterol (LDL-C) with twice-yearly dosing. Potential cardiovascular benefits of implementing inclisiran at a population level, added to statins, were evaluated through simulation.MethodsFor each participant in the ORION-10 ORION-11 trials comparing placebo, baseline 10-year risk was estimated using SMART equation. The time-adjusted LDL-C difference from observed 90–540 days after assumed persist...
Background HIV testing is the gateway to entering care and prevention services. However, rates remain low among young adults (18–29 years old) in Mecklenburg County, North Carolina (NC), an ending epidemic (EHE) priority jurisdiction. We aim utilize community-engaged participatory approaches co-create implementation strategies promote reach uptake of self-testing (HIVST) region. This study protocol outlines phases project proposed outcomes. Methods The Community-engaged Approaches Expand...
The goal of this study was to examine factors associated with receiving health care transition counseling services as reported by young adults.We analyzed data from the 2007 Survey Adult Transition and Health, a nationwide survey adults aged 19 23 years conducted National Center for Health Statistics, explore self-reported receipt support pediatric adult care. Multivariate logistic regression used identify whether sociodemographic characteristics, status, or markers provider-youth...
Age-specific growth and survival rates were estimated for larval juvenile American shad (Alosa sapidissima) from the Connecticut River 1979 to 1982. Relative indices (CPE) of year-class strength juveniles determined seine sampling in 1978–82 1966–73 are compared with resulting levels adult recruitment. Length–age data sagittal otoliths. Length increments among followed an asymptotic pattern age, both life stages being well described by Gompertz equation. Larval survivorship curves 1982 age...
Introduction: Despite the importance of continuity care and patient engagement, few studies have captured patients' views on integrated care. This study assesses experience in Integrated Care Pilot North West London with aim to help clinicians policy makers understand acceptability design future initiatives.Methods: A survey was developed, validated distributed 2029 randomly selected practice patients identified as having a plan.Results: total 405 questionnaires were included for analysis....
Objectives The objective of this study was to assess the change in energy expenditure levels service users after participation Luton social prescribing programme. Design Uncontrolled before-and-after study. Setting This set East England (Luton). Participants Service with complete covariate information and baseline measurements (n=146) were included analysis. Intervention Social prescribing, which is an initiative that aims link patients primary care sources support within community sector...
Trans individuals (e.g. trans men and women, non-binary, gender fluid) are at higher risk for mental health concerns, in part due to marginalization. Previous work has documented the effects of social support community engagement on outcomes. However, individuals' perceptions may point opportunities intervention. This mixed methods study examines perceived participating communities Semi-structured in-person interviews were conducted with 20 individuals, 60 participated cross-sectional online...
Several local attempts to introduce integrated care in the English National Health Service have been tried, with limited success. The Northwest London Integrated Care Pilot improve quality of elderly and people diabetes by providing a novel integration process across primary, secondary social organisations. It involves predictive risk modelling, planning, multidisciplinary management complex cases an information technology tool support sharing. This paper sets out evaluation approach adopted...
Sonic seasoning refers to the way in which music can influence multisensory tasting experiences. To date, majority of research on sonic has been conducted Europe or USA, typically a within-participants experimental context. In present study, we assessed applicability large-scale between-participants setting Asia. A sample 1611 participants tasted one chocolate while listening song that evoked specific combination cross-modal and emotional consequences. The results revealed music’s character...
Depression is a prevalent and debilitating mental health condition that poses significant challenges for healthcare providers, researchers, policymakers. The diagnostic coding specificity of depression crucial improving patient care, resource allocation, outcomes. We propose novel approach to assess risk-adjusted individuals diagnosed with using vast cohort over one million inpatient hospitalizations in the United States. Considering various clinical, demographic, socioeconomic...
Samples of curves are collected in many applications, including studies reproductive hormone levels the menstrual cycle. Many approaches have been proposed for correlated functional data this type, smoothing spline methods and other flexible parametric modeling strategies. In cases, underlying biological processes involved restrict curve to follow a particular shape. For example, progesterone healthy women increase during cycle peak achieved at random location with decreases thereafter....
Social prescribing programmes expand the range of options available to primary care health professionals address patients' psychosocial needs, impacting on their and well-being. The objective this study was assess change in mental well-being service users after participation Luton social programme.Skew-normal (SN) regression applied analyse post-intervention (N = 63). short Warwick-Edinburgh scale used as outcome measure.The SN found a statistically significant (P < 0.0001) average...