A5073123315- Stroke Rehabilitation and Recovery
- Respiratory viral infections research
- Dementia and Cognitive Impairment Research
- Acute Ischemic Stroke Management
- Pressure Ulcer Prevention and Management
- HIV/AIDS Research and Interventions
- Obesity, Physical Activity, Diet
- Human-Animal Interaction Studies
- Digital Mental Health Interventions
- Diabetic Foot Ulcer Assessment and Management
- Stress Responses and Cortisol
- HIV Research and Treatment
- Mindfulness and Compassion Interventions
- Mobile Health and mHealth Applications
- Diabetes Management and Education
- Musculoskeletal pain and rehabilitation
- Childhood Cancer Survivors' Quality of Life
- Oral microbiology and periodontitis research
- Wound Healing and Treatments
- Health and Lifestyle Studies
- Cardiac Health and Mental Health
- Parasitic Infections and Diagnostics
- Substance Abuse Treatment and Outcomes
- Pain Management and Opioid Use
- Health and Wellbeing Research
The University of Texas Health Science Center at Houston
2015-2024
Substance Abuse and Mental Health Services Administration
2023
The University of Texas System
2020
E Ink (South Korea)
2020
University of Houston
2016-2020
Stanley Foundation
2007-2020
Institute of Forensic Sciences
2015
Aims Community College
2015
Baylor College of Medicine
1998-2013
Michael E. DeBakey VA Medical Center
2013
To establish a trauma preventable/potentially preventable death rate (PPPDR) within heavily populated county in Texas.The National Academies of Sciences estimated the United States to be 20%, issued call for zero deaths, while acknowledging that an accurate was lacking. In this absence, effective strategies improve quality care across systems will remain difficult.A retrospective review death-related records occurred during 2014 Harris County, TX, diverse population 4.4 million. Patient...
Aside from effective antiretroviral therapy, there is no consistently antiparasitic therapy for cryptosporidiosis in AIDS. The purpose of this study was to assess safety, efficacy, and durability combination with paromomycin azithromycin chronic cryptosporidiosis. Patients AIDS, cryptosporidiosis, <100 CD4 cells/µL were treated open-label (1.0 g twice a day) plus (600 mg once 4 weeks, followed by alone 8 weeks. In 11 patients, median stool frequency decreased 6.5/day (baseline) 4.9/day (week...
Background. The objective of this study was to elucidate the relation between respiratory syncytial virus (RSV) infection and cytokine/chemokine concentrations, as well impact that these factors have on severity bronchiolitis.
Purpose: This study describes levels of stress in stroke survivors and spousal caregivers identifies predictors couples during their first year at home. Method: The Perceived Stress Scale (PSS) was administered to 159 discharge 3, 6, 9, 12 months. Other variables tested included survivor function (FIM™), health status, mutuality, impact (SIS), caregiver coping (F-COPES), support (MOS Social Support Survey), preparedness. Repeated measures analyses PSS scores were conducted with linear mixed...
Abstract BACKGROUND: In addition to neurologic symptoms, fatigue is commonly reported in patients with primary brain tumors during radiation therapy and long–term survivors of low–grade tumors. Other factors have not been explored. The aim this study was identify demographic clinical that predict severity evaluate the association other symptoms throughout disease trajectory. METHODS: Two hundred one completed M. D. Anderson Symptom Inventory–Brain Tumor Module a checklist. Clinical data,...
Because treatment for stroke has improved, individuals are living longer with the effects of a stroke. The resulting long-term impairment can affect both survivors' and their caregivers' health-related quality life (HRQOL). Few studies have examined HRQOL survivors caregivers greater than 2 years poststroke. spousal (n = 30 dyads) who had previously completed 12-month study after discharge from inpatient rehabilitation were assessed at 3-5 related outcomes measured caregivers. Data baseline...
Purpose: This randomized trial compared 6- and 12-month outcomes of a home-based psychoeducational program to mailed information provided 159 survivors stroke (SS) their spousal caregivers (CG). Methods: SS (age 50+) CG were recruited as dyads post-discharge from inpatient rehabilitation. All received for 12 months. Dyads the group an average 36.7 h psychoeducation over 6 Health status, depression, stress, burden, coping, support, mutuality function obtained on all dyads. Repeated measures...
ABSTRACT BACKGROUND: Informal caregiving of stroke survivors often begins with intensity compared the linear trajectories in progressive conditions. caregivers are inadequately prepared for their role, which can have detrimental effects on well-being. A greater depth understanding about burden is needed to identify most need intervention. The purpose this study was examine caregiver and associated factors among a cohort informal survivors. METHODS: cross-sectional 88 completed. Caregiver...
A global measure of life satisfaction has become increasingly important as an adjunctive outcome healthcare interventions for people with disabilities, including those caused by stroke. Life stroke survivors may affect caregiving spouses, well. The purpose this study was to identify, among many physical and psychosocial variables, specific variables that were associated at 12 months after discharge from inpatient rehabilitation, predictive 1 year later (at 24 months). Between months,...
Homebound older adults are prone to depression, which is linked systemic inflammation that promotes executive function decline. A companion animal may reduce the negative biobehavioral processes asso- ciated with inflammation, and reduced in homebound adults. The primary aim of this study was examine dif- ferences between adult pet owners non-pet salivary C-reactive protein (CRP), function. secondary determine if level attachment pets as- sociated CRP, cross-sectional investigated (n = 88)...
Abbreviations used in this article: AIDS, acquired immunodeficiency syndrome; ALT, alanine aminotransferase; AST, aspartate CMV, cytomegalovirus; C. parvum, Cryptosporidium parvum; ELISA, enzyme-linked immunoadsorbent assay; HCHD, Harris County Hospital District; HIV, human virus; IFN, interferon; IL, interleukin; LDH, lactate dehydrogenase; TNF, tumor necrosis factor.
Background: Companion animals may reduce depression and loneliness in socially isolated homebound older adults. However, whether owning a cat or dog is more beneficial this population remains unknown.
CD8+ cytotoxic T lymphocyte (CTL) activity, interferon (IFN)-gamma, and interleukin (IL)-4 production were evaluated in a blinded manner among respiratory syncytial virus (RSV)-infected newborns their mothers for 3 epidemic seasons. Most (80%) exhibited RSV-specific CTL activity. Twenty of the 26 infants significant activity during or after first RSV season. frequency increased with infection rate, reaching 75% by end third who shed (75%) had medically attended lower tract disease (LRD). In...
Objective: This trial compared Mindfulness-Based Stress Reduction, adapted for therapeutic community treatment (MBTC), with as usual (TAU) reducing stress and increasing retention in a residential facility substance use disorders. Method: Four-hundred fifty-nine participants, who met DSM-IV criteria dependence were recruited (TAU = 164, MBTC 295). Results: A survival analysis of time to dropout did not show significant difference between groups, however level participation was associated...
Stigma and insufficient training for addressing alcohol or drug problems in clinical settings are two significant barriers to earlier identification access care patients with (AOD)-related problems. Nurses crucial players this strategy, yet nurses often report poor motivation working AOD-affected patients. This article describes reports preliminary evaluation results of an educational experience that integrated AOD curriculum into a community/public health nursing practicum. The purpose the...
We compared contamination rates of blood cultures obtained either from newly inserted intravenous catheters or via venipuncture. Of 2,431 cultures, the overall rate was 2.7% (intravenous catheter, 3.4%; venipuncture, 2.0%; P=.043). The site lowest antecubital fossa, making this optimal choice for blood-culture sampling.
Background: Substance abuse continues to be a major public health problem. Keeping substance abusers in treatment is challenge, and researchers continue investigate ways increase retention. Objective: The aim of this study was the relationship between impulsivity length stay context therapeutic community. Methods: Barratt Impulsiveness Scale– 11 (BIS-11) used assess 138 at admission nine months Results: Impulsivity significantly decreased subjects who completed Legal stipulation increased...
Abstract Background: Human metapneumovirus (hMPV) has been isolated from children with acute respiratory infection worldwide. Its epidemiology remains to be defined in cystic fibrosis (CF). We describe the and clinical impact of hMPV CF compared it syncytial virus (RSV). Methods: ages 7–18 years were studied prospectively during 1998–1999 RSV season. Nasopharyngeal specimens collected illnesses tested for viruses. Blood drawn early, mid, end season, serological evidence infections. Rates...
<p>This study assesses the preparedness of long-term care facilities in Texas responding to Hurricanes Katrina and Rita. A 41-item questionnaire was mailed facilities; response rate 42%. Among facilities, 4,513 residents were evacuated, 6% respondents reported resident death. Financial losses by 8% nursing 45% assisted living due transportation staff overtime. Respondents indicated need for improved disaster training, better coordination, transportation. Changes policy practice will...