- COVID-19 Clinical Research Studies
- SARS-CoV-2 and COVID-19 Research
- Innovations in Medical Education
- Long-Term Effects of COVID-19
- Breastfeeding Practices and Influences
- interferon and immune responses
- Intensive Care Unit Cognitive Disorders
- Cancer Immunotherapy and Biomarkers
- Maternal and Perinatal Health Interventions
- Interprofessional Education and Collaboration
- Sepsis Diagnosis and Treatment
- Hearing Loss and Rehabilitation
- Telemedicine and Telehealth Implementation
- Hepatitis B Virus Studies
- Hearing, Cochlea, Tinnitus, Genetics
- Race, History, and American Society
- Noise Effects and Management
- Evaluation of Teaching Practices
- Pneumonia and Respiratory Infections
- HIV-related health complications and treatments
- Migration, Health and Trauma
- Maternal Mental Health During Pregnancy and Postpartum
- Child and Adolescent Psychosocial and Emotional Development
- Global Health Workforce Issues
- HIV/AIDS Research and Interventions
Royal Surrey County Hospital
2021-2024
Massachusetts General Hospital
2024
Massachusetts Department of Public Health
2007-2022
Providence Health Care
2022
AIDS Vancouver
2022
Vancouver Coastal Health
2022
Florida College
2022
University of Florida
2022
University of Siena
2021
The Centers
2021
Abstract BACKGROUND: Hospital‐acquired (HA) venous thromboembolism (VTE) is a common source of morbidity/mortality. Prophylactic measures are underutilized. Available risk assessment models/protocols not prospectively validated. OBJECTIVES: Improve VTE prophylaxis, reduce HA VTE, and validate risk‐assessment model. DESIGN: Observational design. SETTING: Academic medical center. PATIENTS: Adult inpatients on medical/surgical services. INTERVENTIONS: A simple linked to menu preferred...
Background: Understanding the influence of perinatal stressors on prevalence postpartum depressive symptoms (PDS) and help-seeking for PDS using surveillance data can inform service provision improve health outcomes. Methods: We used Massachusetts Pregnancy Risk Assessment Monitoring System (MA-PRAMS) 2007–2010 to evaluate associations between selected with subsequent behaviors. categorized 12 into 4 groups: partner, traumatic, financial, emotional. defined as reporting "always" or "often"...
The purpose of this work was to examine loss follow-up on the use diagnostic or intervention services for Massachusetts infants and children screened diagnosed with hearing risk factors becoming lost follow-up.We used data from Childhood Hearing Data System Early Intervention Information System. We calculated percent audiologic evaluation born in 2002-2003 who did not pass screening those loss. generated crude adjusted relative risks, as well confidence intervals, estimate associations...
OBJECTIVES The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) is a federal program that improves the health of low-income women (pregnant postpartum) children up to 5 years age in United States. However, participation suboptimal. We explored reasons incomplete redemption benefits early dropout from WIC. METHODS In 2020–2021, we conducted semistructured interviews explore factors influenced WIC utilization among current caregivers (n = 20) choosing leave while...
Introduction Attracting and retaining qualified medical educators will be a continuing challenge as physicians feel more pressure to produce clinical revenue. With this paper we hope begin identify how teachers, judged excellent by their peers, establish professional identity physician teacher. Method This qualitative study examines the views of 10 teachers characteristics preceptors attribute teaching identity. Results revealed four themes that influence faculty identity: underlying...
Human papillomavirus (HPV) vaccination is safe and efficacious in women without human immunodeficiency virus (HIV). Although good immunogenicity has been observed living with HIV (WLWH), efficacy data this population are needed. We enrolled 420 females aged ≥9 years (range, 9–65) HIV. Participants were to receive 3 doses of qHPV vaccine (0/2/6 months). The main endpoint was failure (ie, incident persistent infection, cervical intraepithelial neoplasia grade 2 or higher [CIN2+], genital...
Background: Faculty development programs focusing on teaching have become widespread. Purpose: Despite the popularity of such programs, evidence as to their effectiveness is limited. This article reports an objective structured exercise (OSTE) and its pilot implementation in evaluation a faculty program module. A written test intended measure feedback skills was also developed tested. Methods: separate-sample, pretest-posttest design used both instruments. Results: The results showed some...
Public health measures designed to reduce SARS-CoV-2 transmission led reduced access care and prevention services for people living with or at risk of acquiring HIV, particularly during the initial introduction extensive restrictions. This reduction in may have contributed increases HIV not outweighed by decreases occurring as a result contact rates promoted same public measures. We synthesize available province-wide data British Columbia, Canada, together mobility phylogenetically...
BACKGROUND: Infertility treatment (IFT) increases the likelihood of multiple gestations, which are associated with postpartum depressive symptoms (PDS). There has been little study association between successful IFT and risk PDS, accounting for gestations. METHODS: Using representative data from Massachusetts Pregnancy Risk Assessment Monitoring System (PRAMS) 2007-2010, we evaluated self-reported use PDS. We categorized as: fertility-enhancing drugs (FD), donor insemination/intrauterine...
Purpose To determine levels of families' satisfaction and anxiety associated with the early hearing detection intervention (EHDI) process in Massachusetts, to assess relationship between a child’s status family satisfaction. Method Surveys were mailed families whose infants (a) passed their initial screening (Group 1), (b) did not pass but subsequently an outpatient rescreen or diagnostic evaluation 2), (c) identified permanent loss 3). Survey instruments measured each stage EHDI process....
Rapid, intensive change in the health care system requires a how outcomes of medical education are measured. The post-Flexner model evaluating institution focuses on teaching (rather than learning) and is not relevant to ambulatory training. Medical needs use assessment that student learning, can respond quickly changes, continuously refined by information about students' abilities. Course-based systematic way gather, analyze, disseminate, course data improve it well suited current trends...
<h3>Background:</h3> Studies examining the relation between comprehensive care and health outcomes associated with comorbidities unrelated to HIV infection have focused mainly on of HIV-infected people comorbid substance use disorders. We aimed assess impact retention in overall, AIDS-related non–AIDS-related mortality. <h3>Methods:</h3> Using a retrospective cohort design, we collected data for patients aged 19 years or more who first visited clinic Vancouver Jan. 1, 2004, Dec. 31, 2014....
To assess the prognostic capabilities of various diagnostic modalities for childhood brachial plexus injuries (BPIs) and birth injury (BPBI) postneonatal BPI.In this single-center retrospective cross-sectional study, we examined children with BPIs diagnosed or confirmed by electrodiagnostic studies between 2013 2020, compared value components electrophysiologic findings, magnetic resonance imaging (MRI) data, Active Movement Scale (AMS). We developed scoring systems MRI including nerve...
Students' ratings of preceptors are widely used in medical education for feedback and evaluation purposes. The present study investigated students' the clinical teaching skills inpatient attending physicians, residents, outpatient physicians to assess differences among types relative strengths weaknesses.A total 268 students from three academic years (1997-2000) at one school rated on an end-of-clerkship evaluation, a 1,680 ratings. When were aggregated by preceptors' names types, there 691...
In 2015, the Massachusetts Department of Public Health (MDPH) adopted a Title V maternal and child health priority to "promote racial equity by addressing justice reducing disparities." A survey assessing staff capacity support this identified data collection use as opportunities for improvement. response, MDPH initiated quality improvement project improve action promote equity.MDPH conducted value stream mapping understand existing processes using inform work. Key informant interviews...
An important goal of a comprehensive faculty development plan is to improve teaching. This especially for clinical preceptors.This study used novel approach assessing the teaching needs preceptors, an essential and often neglected first step in development. Measurement focused on discrepancies between importance current performance related rich variety behaviors. also considered differences perceived among primary care specialties.Twenty-six clerkship directors from 13 participating medical...