A5064281763- Cardiac, Anesthesia and Surgical Outcomes
- Intensive Care Unit Cognitive Disorders
- Patient Dignity and Privacy
- Medical Malpractice and Liability Issues
- Hip and Femur Fractures
- Health disparities and outcomes
- Anesthesia and Pain Management
- Intergenerational Family Dynamics and Caregiving
- Palliative Care and End-of-Life Issues
- Telemedicine and Telehealth Implementation
- Long-Term Effects of COVID-19
- Patient-Provider Communication in Healthcare
- Herpesvirus Infections and Treatments
- Geriatric Care and Nursing Homes
- Dementia and Cognitive Impairment Research
- COVID-19 and Mental Health
- Anesthesia and Neurotoxicity Research
- Toxoplasma gondii Research Studies
- Aging and Gerontology Research
- Cytomegalovirus and herpesvirus research
- Music Therapy and Health
- Empathy and Medical Education
Yale University
2020-2023
University of California, Los Angeles
2023
QB3
2023
Duke Medical Center
2017-2020
Duke University Hospital
2017-2020
Duke University
2019
Every year, up to 40% of the more than 16 million older Americans who undergo anesthesia/surgery develop postoperative cognitive dysfunction (POCD) or delirium. Each these distinct syndromes is associated with decreased quality life, increased mortality, and a possible risk Alzheimer's disease. One pathologic process hypothesized underlie both delirium POCD neuroinflammation. The INTUIT study described here will determine extent which increases in cerebrospinal fluid (CSF) monocyte...
Abstract Objectives Pre-pandemic research suggests assistance networks for older adults grow over time and are larger those living with dementia. We examined how of changed in response to the onset COVID-19 pandemic whether these changes differed without Methods used three rounds National Health Aging Trends Study. estimated multinomial logistic regression models test during (2019-2020) - defined as expansion, contraction, adaptation from prior (2018-2019). also OLS differences numbers...
Abstract Background The COVID‐19 pandemic has disproportionately impacted older Black Americans. Given that assistance networks play a crucial role in adults' ability to respond challenges, we sought investigate whether network size changed during the and differed by race. Methods We analyzed data from 2018–2020 rounds of U.S. National Health Aging Trends Study for White adults aged 70 receiving help community or residential care settings. used ordinary least squares regression compare...
Objective: To determine the relationship between affective measures and cognition before after non-cardiac surgery in older adults. Methods: Observational prospective cohort study 103 surgical patients age ≥ 60 years old. All participants underwent cognitive testing, Center for Epidemiologic Studies-Depression, State Anxiety Inventory screening 6 weeks surgery. Cognitive test scores were combined by factor analysis into 4 domains, whose mean was defined as continuous index (CCI)....
Abstract Background We present a case report of an immunocompetent host with presumed sexually transmitted cytomegalovirus proctitis and epididymitis, where there currently is sparsity published data. Case presentation A 21-year-old previously healthy Caucasian individual was admitted for severe rectal testicular pain in the setting epididymitis. Serology pathology confirmed acute primary infection. Conclusions This details his diagnostic workup highlights as rare cause disease among persons.
OBJECTIVES/SPECIFIC AIMS: The objective of this project is to determine whether HRV, collected peri-operatively, predictive cognitive decline among older adults who undergo elective surgery/anesthesia. METHODS/STUDY POPULATION: This a part the ongoing INTUIT/PRIME study, which collecting pre- and post-operative testing, fMRI imaging, CSF samples, EEG recordings from 200 (age ≥ 60) undergoing non-cardiac/non-neurologic surgery scheduled last > 2 hours at Duke University Medical Center...