A5036591494- Geriatric Care and Nursing Homes
- Palliative Care and End-of-Life Issues
- Dementia and Cognitive Impairment Research
- Artificial Intelligence in Healthcare and Education
- Grief, Bereavement, and Mental Health
- Machine Learning in Healthcare
- Chronic Disease Management Strategies
- Frailty in Older Adults
- Topic Modeling
- Nursing Diagnosis and Documentation
- Pharmacy and Medical Practices
- Occupational Health and Safety Research
- COVID-19 diagnosis using AI
- Hepatitis Viruses Studies and Epidemiology
- Telemedicine and Telehealth Implementation
- Biomedical Text Mining and Ontologies
- Medical Coding and Health Information
- Emergency and Acute Care Studies
- Indoor and Outdoor Localization Technologies
- Family Caregiving in Mental Illness
- Natural Language Processing Techniques
- Organ Transplantation Techniques and Outcomes
- Machine Learning and Algorithms
- Underwater Vehicles and Communication Systems
- Liver Diseases and Immunity
University of California, San Francisco
1996-2025
RMIT Vietnam
2024-2025
University Memory and Aging Center
2022-2025
Hanoi University of Science and Technology
2022
City Of Hope National Medical Center
2020
San Francisco VA Medical Center
2020
Institute on Aging
2020
City of Hope
2020
Asian Health Services
2017-2020
RTX (United States)
2018
Abstract Large language models (LLMs) such as ChatGPT have emerged potential game-changers in nursing, aiding patient education, diagnostic assistance, treatment recommendations, and administrative task efficiency. While these advancements signal promising strides healthcare, integrated LLMs are not without challenges, particularly artificial intelligence hallucination data privacy concerns. Methodologies prompt engineering, temperature adjustments, model fine-tuning, local deployment...
Large language models have the potential to enhance equitable access health information, but their poor performance in some languages could exacerbate digital divide healthcare, say <b>Arthur Tang and colleagues</b>
This study identifies which nursing home residents are eligible for palliative care services, describes their characteristics, and delineates resident family perceptions regarding symptoms quality of life.
The emergency department evaluates many patients with undiagnosed cognitive impairment and presents an opportune setting to facilitate early detection referral memory care specialists. We evaluated a novel navigation pathway that facilitated referrals of ethnoculturally diverse individuals suspected from geriatric professionals embedded in the dementia specialist care. compared rates successful appointment attendance for this traditional primary provider pathway. team successfully identified...
The reported study illustrates a methodology for compiling training datasets to fine-tune Large Language Models (LLMs) healthcare information in Vietnamese, low-resource language. objective is bridge the gap medical accessibility and enhance communication developing countries by adapting LLMs specific linguistic nuances domain needs. involves selecting base model, domain-specific dataset, fine-tuning model with this dataset. Three open-source models were selected. comprising approximately...
Background . Nursing home (NH) residents often experience burdensome and unnecessary care transitions, especially towards the end of life. This paper explores provider perspectives on role that families play in decision to transfer NH emergency department (ED). Methods Multiple stakeholder focus groups (<mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML" id="M1"><mml:mi>n</mml:mi><mml:mo>=</mml:mo><mml:mn>35</mml:mn></mml:math>participants) were conducted with nurses, physicians, nurse...
Background: Cognitive impairment, including dementia, is frequently under-detected in primary care. The Consortium for Detecting Impairment, Dementia (DetectCID) convenes three multidisciplinary teams that are testing novel paradigms to improve the frequency and quality of patient evaluations detecting cognitive impairment care appropriate follow-up. Objective: Our objective was characterize paradigms, similarities differences, identify common key lessons from implementation. Methods: A...
In this descriptive, qualitative study, we conducted eight focus groups with diverse informal and formal caregivers to explore their experiences/challenges nursing home (NH) emergency department (ED) transfers whether telehealth might be able mitigate some of those concerns. Interviews were transcribed analyzed using a grounded theory approach. Transfers commonly viewed as being influenced by perceived lack trust in NH care/capabilities driven four main factors: questioning the quality...
ABSTRACT Background: Nearly 70% of nursing home residents are eligible for palliative care, yet few receive formal care outside hospice. Little is known about staff attitudes, knowledge, skills, and behaviors related to care. Methods: We administered a modified survey measuring attitudes toward death 146 members, including both clinical nonclinical staff, from 14 homes. Results: Nursing generally reported feeling comfortable caring the dying, but half believed end life time great suffering....
Transitioning to a nursing home (NH) is major life event for 1.4 million NH residents in the United States. Most post-acute admissions plan rehabilitation and discharge home, but with nearly 70% of being palliative care (PC) eligible, many evolve into long-term placements secondary poor health associated decline function and/or cognition. This article describes perceptions PC-eligible families transitioning NH.Residents at 3 NHs Northern California (N = 228) were screened PC eligibility. A...
Abstract Several new blood‐based biomarkers (BBMs) of Alzheimer’s disease and related neuropathologies have completed late‐stage validation are beginning to be used in the clinical setting. However, role BBMs various settings, especially their specific context‐of‐use, remains an open question for field. studies systematically collect information on BBM real‐word diagnostic performance, but as transition from research settings implementation, experience providers specialty centers can inform...
Use of telehealth to provide NH palliative care(PC) has been extremely limited, only focusing on end-of-life care. No studies have examined how it can be used proactively deliver PC expertise/support residents, families, and staff. We conducted 6 feasibility tests in 3 NHs with 19 providers staff (53% female, 47% white, 79% age 50+). None had prior experience telehealth. 100% were comfortable the video visit could see themselves using near future (74% for own care; 90% family care). 84%...
Radio frequency-based indoor localization system has attracted commercial developers and researchers in the last few decades. This paper presents an using a wireless sensor network (WSN) with simple configuration, algorithm, easy deployment, expansion, improvement. Sensor nodes use Bluetooth Low Energy (BLE) technology operate at band of 2.4 GHz. Our proposed used 3 beacons grid resolution $1m\times1m$, which applied fingerprint method existed advertising channel Energy, 30 reference points,...
Nearly 70% of nursing home (NH) residents are palliative care eligible, yet few receive formal (PC) outside hospice. Little is known about NH staff PC knowledge, attitudes, skills, behaviors relating to death and dying. We administered the Attitudes Towards Death survey 105 (49 CNAs, 33 nurses, 23 non-clinical staff) from 14 NHs. generally feel comfortable caring for dying, however half believe EOL a time great suffering. Pain control (67%), loneliness(54%), depression(50%) were most...
Abstract Purpose This study aimed to identify the concerns and unmet needs of patients care partners after incident primary diagnosis cognitive impairment. Methods Primary providers referred older adults who had newly diagnosed with impairment for a telephone encounter, ‘Brain Health Consultation’ (BHC), dementia expert nurse. The nurse assessed questions or regarding immediate needs, cognitive, neuropsychiatric, functional, other symptoms; assessment results diagnosis; planning including...
Dementia caregivers (DCGs) have poorer mental health compared to the general population, but research on responding those needs in culturally diverse populations such as Vietnamese American (VA) DCGs is limited. This study describes process evaluation of a tailored, evidence-based skill-building program, Our Family Journey (OFJ), reduce stress and depression among VA San Jose, California, USA.We examined components (program fidelity, dose delivered, received, reach) an intervention for 60...