- Obstructive Sleep Apnea Research
- Tracheal and airway disorders
- Spinal Cord Injury Research
- Aging and Gerontology Research
- Hearing Loss and Rehabilitation
- Dysphagia Assessment and Management
- Emergency and Acute Care Studies
- Technology Use by Older Adults
- Cerebrovascular and Carotid Artery Diseases
- Healthcare Decision-Making and Restraints
- Criminal Justice and Corrections Analysis
- Neural dynamics and brain function
- Family and Disability Support Research
- Assistive Technology in Communication and Mobility
- Acute Ischemic Stroke Management
- Trauma Management and Diagnosis
- Primary Care and Health Outcomes
- Intracerebral and Subarachnoid Hemorrhage Research
- Intracranial Aneurysms: Treatment and Complications
- Subtitles and Audiovisual Media
- Ophthalmology and Eye Disorders
- Ergonomics and Musculoskeletal Disorders
- Cardiovascular and Diving-Related Complications
- Neuroscience of respiration and sleep
- Urban Green Space and Health
University of Washington
2014-2025
Seattle University
2022-2025
Harborview Injury Prevention and Research Center
2025
Harborview Medical Center
2023
MetroHealth Medical Center
2022
Case Western Reserve University
2022
VA Puget Sound Health Care System
2022
University of Louisville
2022
The University of Sydney
2022
Cornell University
2022
<i>Background and Relevance:</i> Atherosclerotic stenosis of the major intracranial arteries is an important cause transient ischemic attack (TIA) or stroke. Of 900,000 patients who suffer a TIA stroke each year in USA, responsible for approximately 10%, i.e. 90,000 patients. There have been no prospective trials evaluating antithrombotic therapies preventing recurrent vascular events these The main objective this trial to compare warfarin [International Normalized Ratio (INR)...
Background and objective Disparities in outcomes for pediatric patients with traumatic brain injuries (TBI) rural populations racial ethnic minority groups have been documented. In light of this, we examined physician champions' perceptions healthcare equity hospitalized children TBI. Methods We surveyed 10 TBI champions at US trauma centers (PTCs) regarding organizational characteristics, barriers, facilitators (domains specific) terms improving equity, priorities to redress inequities....
AbstractThe full extent of hearing and vision impairments in older Australians their effects on communication is not well known. The aims the present study were to (1) determine prevalence a sample Australians, (2) investigate nature difficulties experienced everyday life, (3) compare results obtained using objective self-report assessments. 57% 28%, respectively, while 19% participants had dual sensory loss. More reported (35%) than measured impairment, whereas percentage who (55%) was...
Spontaneous synchronous activity (SSA) that propagates as electrical waves is found in numerous central nervous system structures and critical for normal development, but the mechanisms of generation such are not clear. In previous work, we showed ventrolateral piriform cortex uniquely able to initiate SSA contrast dorsal neocortex, which participates in, does initiate, (Lischalk JW, Easton CR, Moody WJ. Dev Neurobiol 69: 407-414, 2009). this study, used Ca(2+) imaging cultured embryonic day...
Background: Intensive rehabilitation of adolescents occurs in general and pediatric inpatient facilities (IRFs), but differences admission outcomes by facility type have not been thoroughly investigated, particularly among persons with spinal cord injury (SCI). Objectives: To investigate factors related to or adult IRFs compare the between types. Methods: Using a single-center retrospective cohort study design, demographic information, medical data, were obtained chart review patients aged...
Communication skills change with age as a result of sensory deficits, memory loss, and increasing word finding difficulties. The Keep on Talking program (L. Hickson, H. Barnett, L. Worrall, & E. Yiu, 1994) was developed to assist older people develop their own strategies for maintaining communication into old age. Two hundred fifty‐two healthy were recruited from the community assessed battery assessments entry study at 1 year after entry. experimental group (n = 120) participated in 5‐week...
Two hundred and forty self‐selected community‐based older people were tested for vision hearing acuity, reported on their difficulties social networks. Social network size, proximity frequency of contacts used as dependent variables in the analysis effects any sensory loss structure. Neither objectively measured nor self‐reported associated with significant changes to however, losses found have more intense networks fewer outside immediate inner circle.
Background and Purpose- Continuous positive airway pressure (CPAP) for the treatment of obstructive sleep apnea may improve stroke recovery, but adherence is poor. We assessed effectiveness an intensive CPAP program during after inpatient rehabilitation on 3-month recovery. Methods- In a single-arm study, 90 patients were enrolled into program. was continued run-in among qualifying with evidence apnea. The primary outcome adherence, defined as ≥4 hours use ≥70% days, over 3 months. Results-...
AbstractThe participation rates and performance of 100 elderly subjects on everyday visual tasks were investigated. The Everyday Literacy Numeracy Assessment (ELNA), which is based the scenario going to die doctor includes 16 real‐life tasks, was used assess reading writing tasks. More than 50 per cent subjects, had some difficulty with 10 items ELNA, 20 rated as performing inadequately ELNA. Small but significant correlations found between years schooling ELNA score, examiner's ratings...
This exploratory study investigated the impact of communication impairments on lives older people. The abilities, social networks and decision‐making experiences 50 community‐based people over 60 years age were examined using screening tests, network analysis critical incident technique. majority subjects (82%) failed at least one hearing, memory naming tests. A significant relationship was found between a forward digit span task number contacts. Communication used in 88% all incidents...
Nominal group technique (Delbecq, Van de Ven, & Gustafson, 1975) was used with seven groups of elderly people and two professionals who work the aged to determine communication difficulties that community‐based older experience appropriate content for a proposed education program. The perceived their most significant problems were hearing difficulties, memory loss, word retrieval difficulties. health welfare had different perceptions about elderly. proved be valuable tool identifying needs...
People experiencing incarceration in the United States receive much of their health care outside custodial settings. Optimizing this setting requires further understanding training and experiences noncustodial workers. We conducted a cross-sectional, exploratory survey workers at single academic institution to assess related caring for patient population. Of 333 respondents, 94.1% had cared patients but only 22.5% received any formal training, with 94.6% somewhat or very interested training....
Context Surgical management of firearm-related spinal cord injury (SCI) remains controversial, and there are no clear guidelines. Time to surgery, surgical indications, patient characteristics on initial presentation in this group not well understood, these factors may impact the potential for neurologic recovery after operative intervention.
Many patients experiencing incarceration (PEI) in the United States (U.S.) have significant and complex medical conditions that require offsite consultation hospitalization. Physicians our academic system report their education caring for PEI is limited. We developed an online learning resource physicians who care within institution. Development included project planning, content development, iterative graphical design, feedback incorporation from key constituents, including individuals...
Violence is the third leading cause of spinal cord injury (SCI) in United States, and people with violence-related SCI have worse long-term outcomes compared to other traumatic etiologies. Little known, however, about underlying reasons for these differences. Access utilization rehabilitation services may differ this population, but their outpatient care has not been previously investigated.
Introduction: Obstructive sleep apnea (OSA) is associated with worse outcome after stroke. Treatment continuous positive airway pressure (CPAP) may improve recovery stroke but has been limited by poor adherence. Methods: In a single-arm ongoing study, adults underwent an intensive CPAP adherence protocol during inpatient rehabilitation, including motivational interviewing and help nurses respiratory therapists. A 3-night run-in period of auto-titrating was used to test for tolerance diagnose...
Background: Continuous positive airway pressure (CPAP) for the treatment of obstructive sleep apnea (OSA) may improve stroke recovery but prior studies have been limited by poor adherence. In a single-arm study rehabilitation patients treated with CPAP, we evaluated environmental, behavioral and social factors associated CPAP Methods: As part an intensive adherence protocol, were assessed OSA based on device download. Qualifying underwent motivational interviewing (MI) sessions to set goals...