A5113683910- Innovations in Medical Education
- Medical Education and Admissions
- HIV, Drug Use, Sexual Risk
- Maternal and Perinatal Health Interventions
- Health and Well-being Studies
- Maternal Mental Health During Pregnancy and Postpartum
- Maternal and fetal healthcare
- HIV/AIDS Research and Interventions
- Cardiac Arrest and Resuscitation
- Hepatitis C virus research
- Healthcare Policy and Management
- Cannabis and Cannabinoid Research
- Hepatitis B Virus Studies
- Opioid Use Disorder Treatment
- Geriatric Care and Nursing Homes
- Grief, Bereavement, and Mental Health
- Substance Abuse Treatment and Outcomes
- Alcohol Consumption and Health Effects
- Dementia and Cognitive Impairment Research
- Trauma and Emergency Care Studies
- HIV-related health complications and treatments
- Palliative Care and End-of-Life Issues
- Folate and B Vitamins Research
- Sleep and related disorders
- Traumatic Brain Injury Research
VA Palo Alto Health Care System
2022-2025
Puer University
2025
United States Department of Veterans Affairs
2020-2024
Kerman University of Medical Sciences
2008-2024
Palo Alto Veterans Institute for Research
2021-2024
Veterans Health Administration
2020-2023
Health Services Research & Development
2023
Stanford University
2022
San Francisco VA Medical Center
2022
Center for Innovation
2022
Objective: To understand how traumatic brain injury (TBI) clinical severity and military factors were associated with the likelihood of receiving a TBI service-connected disability (SCD) determination monthly total SCD compensation among Veterans. Setting: Veterans Health Administration (VHA) Benefits (VBA). Participants: 1 319 590 veterans VBA rating who entered VHA between October 1, 2000, September 24, 2019. Design: This retrospective study analyzed association determination, percentage,...
The objective of this study was to assess differences in hepatitis C virus (HCV) incidence by sex people who inject drugs (PWID), using a large international multicohort set pooled biological and behavioral data from prospective observational studies incident human immunodeficiency (HIV) HCV infections high-risk cohorts (the InC3 Collaborative). infection date estimated based on hierarchy successive serological (anti-HCV), virological (HCV RNA), clinical (symptoms and/or liver function...
Studies have demonstrated that individuals diagnosed with traumatic brain injury (TBI) frequently use medical and recreational cannabis to treat persistent symptoms of TBI, such as chronic pain sleep disturbances, which can lead disorder (CUD). We aimed determine the Veterans Health Administration (VHA) healthcare utilization costs associated CUD dementia diagnosis in veterans TBI. This observational study used administrative datasets from population post-9/11 Long-term Impact...
Background While emerging evidence supports a link between traumatic brain injury (TBI) and progressive cognitive dysfunction in Veterans, there is insufficient information on the impact of cannabis use disorder (CUD) long-term disorders. This study aimed to examine incidences disorders Veterans with TBI CUD evaluate their relationship. Methods retrospective cohort used US Department Affairs Defense administrative data from Long-term Impact Military-Relevant Brain Injury Consortium-Chronic...
The Veterans Health Administration (VHA) conducted a randomized quality improvement evaluation to determine whether augmenting patient-centered medical homes with Primary care Intensive Management (PIM) decreased utilization of acute and health costs among patients at high risk for hospitalization. PIM was cost-neutral in the first year; we analyzed changes second year.VHA administrative data five demonstration sites from August 2013 March 2019.Administrative extracted VHA's Corporate Data...
Abstract Background The United States has been grappling with the opioid epidemic, which resulted in over 75,000 opioid-related deaths between April 2020 and 2021. Evidence-based pharmaceutical interventions (buprenorphine, methadone, naltrexone) are available to reduce overdoses deaths. However, adoption of these medications for use disorder stifled due individual- system-level barriers. External facilitation is an evidence-based implementation intervention that used increase access...
Abstract Background While opioid agonist therapy (OAT) reduces the risk of hepatitis C virus (HCV) acquisition among people who inject drugs (PWID), protective effects may be attenuated in females. We used pooled data from an international collaboration prospective cohorts to assess sex disparities HCV incidence PWID exposed OAT. Methods Independent predictors infection were identified using Cox regression models with random after accounting for clustering effect study sites. Unadjusted and...
The Veterans Health Administration (VA) implemented the comprehensive life-sustaining treatment (LST) Decisions Initiative to provide training and standardize documentation of goals care LST preferences for seriously ill improve end-of-life (EOL) outcomes. is expected all Home-Based Primary Care (HBPC) because they are at high risk hospitalization mortality.A retrospective, cross-sectional analysis compared associations between Bereaved Family Survey (BFS) EOL ratings documentation....
BACKGROUND:To quantify the internal consistency of medical students' scores.AIM: We assessed associations between scores in physiopathology and clinical courses compared these with their comprehensive exams.SETTINGS AND DESIGN: collected also exam six consecutive years.MATERIALS METHODS:We personal characteristics, theoretical practical courses.STATISTICAL ANALYSIS: used Pearson correlation coefficient linear regression.In addition, we computed difficulty discrimination indices by comparing...
In 2019, nearly three-quarters of Veterans Health Administration patients who were prescribed benzodiazepines had been taking these medications long term (>30 days), and half the long-term users over age 65, raising concerns about such risks as falls, sedation, confusion.
The siloed nature of maternity care has been noted as a system-level factor negatively impacting maternal outcomes. Veterans Health Administration (VA) provides multi-specialty healthcare before, during, and after pregnancy but purchases obstetric from community providers. VA providers may be unaware perinatal complications, while community-based upstream factors affecting the pregnancy. To optimize outcomes, initiated surveillance review process designed to improve non-obstetric for...
Modeled after the Physician Orders for Life Sustaining Treatment program, Veterans Health Administration (VA) implemented Life-Sustaining (LST) Decisions Initiative to improve end-of-life outcomes by standardizing LST preference documentation seriously ill Veterans. This study examined associations between and family evaluation of care in final month life VA nursing homes.
BACKGROUND: Chronic headache after traumatic brain injury (TBI) is a common, yet disabling, disorder whose diverse clinical characteristics and treatment needs remain poorly defined. OBJECTIVE: To examine diagnostic coding patterns cost among military Veterans with comorbid chronic TBI. METHODS: We identified 141,125 post-9/11 era who served between 2001 2019 diagnosed first of Complex Headache Combinations (CHC) then compared the healthcare costs in 2022-dollar values three years following...
Breast cancer (BC) is the most common in women, and it important to identify models that can accurately predict mortality patients with this cancer. The aim of present study was use elastic net regression artificial neural network (ANN) diagnosing predicting factors affecting BC mortality. Study Design: A cross-sectional study. data 2,836 people during 2014-2018 were analyzed Information registered registration system Kerman University Medical Sciences. Death status considered dependent...
Background and Purpose : The relation of comprehensive exams scores other measures students’ performance has been great importance. This study is an attempt to assess the associations between medical in physiopathology clinical courses compare these with their exams. Methods Medical also exam six consecutive years were collected. Using Pearson correlation coefficient linear regression, we assessed personal characteristics, consistency theoretical practical courses. In addition, computed...
Background and purpose: Internship, undergraduate clerkships, is the last stage of training for medical students in Iran during which they work as doctors under supervision academic staff 1.5 years. We assessed validity students’ scores internship one paramount universities Iran. Methods: In an historical cohort study, we collected four consecutive cohorts based on their entrance year to school. checked these internal consistencies by computing Cronbach’s alpha, also using discrimination...
Objective There is evidence Traumatic Brain Injury (TBI) associated with increased risk of dementia (D). We compared VA and non-VA facility costs TBI+D each diagnosis alone, relative to neither diagnosis, annually over time, 2000–2020.Methods estimated adjusted panel models annual VHA in facilities, stratified by age, TBI-dementia status. also cost for the cohort time since TBI diagnoses. All were 2021 inflation adjusted.Results Veterans <65 ($30,736) ≥65 ($15,650) TBI+D, while veterans...