A5041023958- Dialysis and Renal Disease Management
- Electrolyte and hormonal disorders
- Diabetes Management and Research
- Muscle and Compartmental Disorders
- Renal function and acid-base balance
- Central Venous Catheters and Hemodialysis
- Blood Pressure and Hypertension Studies
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Nutrition and Health in Aging
- Body Composition Measurement Techniques
- Respiratory Support and Mechanisms
- Diabetes Management and Education
- Hemodynamic Monitoring and Therapy
- Potassium and Related Disorders
- Diabetes Treatment and Management
- Neurological and metabolic disorders
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Pharmacological Effects and Toxicity Studies
- Health Systems, Economic Evaluations, Quality of Life
- Emergency and Acute Care Studies
- Heart Failure Treatment and Management
- Cardiovascular and exercise physiology
- Diabetes and associated disorders
- Climate Change and Health Impacts
Aerospace Medical Association
2024
Acoustical Society of America
2024
American Institute of Physics
2024
United States Department of Veterans Affairs
1991-2022
New Mexico VA Health Care System
2007-2022
Raymond G. Murphy VA Medical Center
2009-2020
Geriatric Research Education and Clinical Center
2020
Radiology Associates of Albuquerque
2000-2019
Murata (United States)
2013-2019
University of New Mexico
2009-2018
The Extension for Community Healthcare Outcomes (ECHO) model was developed to improve access care underserved populations with complex health problems such as hepatitis C virus (HCV) infection. With the use of video-conferencing technology, ECHO program trains primary providers treat diseases.We conducted a prospective cohort study comparing treatment HCV infection at University New Mexico (UNM) clinic by clinicians 21 sites in rural areas and prisons Mexico. A total 407 patients chronic who...
Abstract The Extension for Community Healthcare Outcomes (ECHO) Model was developed by the University of New Mexico Health Sciences Center as a platform to deliver complex specialty medical care underserved populations through an innovative educational model team-based interdisciplinary development. Using state-of-the-art telehealth technology, best practice protocols, and case-based learning, ECHO trains supports primary providers develop knowledge self-efficacy on variety diseases. As...
Many of the estimated thirty-two million Americans expected to gain coverage under Affordable Care Act are likely have high levels unmet need because various chronic illnesses and live in areas that already underserved. In New Mexico an innovative new model health care education delivery known as Project ECHO (Extension for Community Healthcare Outcomes) provides high-quality primary specialty a comparable population. Using state-of-the-art telehealth technology case-based learning, enables...
To examine the effect of intensified self-monitored blood glucose (SMBG) testing on glycemic control.Subjects with stable, insulin-treated type 2 diabetes performed SMBG using an electronic meter before all meals and at bedtime for 8 weeks. Baseline data were collected demographics, clinical characteristics, diet, exercise. HbA(1c) was measured baseline, 4 weeks, After monitoring period, subjects resumed their usual monitoring. then 24, 37, 52 Multivariate linear regression used to determine...
The clinical features, pathogenesis, management, prognosis, and predictors of symptomatic fluid gain (SFR) were analyzed for 71 episodes occurring in 66 patients on continuous peritoneal dialysis, 94.4% ambulatory dialysis (CAPD) 5.6% cycling dialysis. Compared with a control group 149 CAPD patients, the SFR had higher percentage diabetics (64 versus 46%) frequency noncompliance restriction (76 22%), salt (74 23%), performance (30 7%) (all at P < or = 0.015). Peripheral edema (100%),...
Background— A clear need exists for a more systematic understanding of the epidemiology, diagnosis, and management cardiovascular diseases. More robust data are also needed on how well clinical trials translated into contemporary community practice associated resource use, costs, outcomes. Methods Results— The National Heart, Lung, Blood Institute recently established Cardiovascular Research Network, which represents new paradigm to evaluate quality care, outcomes disease conduct future...
We studied the ability of thyroid function tests to predict hospital survival in 116 critically ill patients and compared results with independent predictions made by critical care physicians. Eleven (9.5%) had clinically unsuspected hypothyroidism were less likely survive (p = 0.03). In nonthyroidal disease, low T3, FT3I, T4, FT4I, high TSH, T3U levels each showed significant correlation nonsurvival (all p than 0.02). Of these, however, only T3 0.001) TSH 0.016) prediction nonsurvival,...
Objective: To report a case of idiosyncratic hepatotoxicity associated with metformin in the treatment type 2 diabetes nonalcoholic fatty liver disease (NAFLD). Case Summary: A 61-year-old obese man presented jaundice, nausea, fatigue, and an unintentional weight loss weeks following initiation metformin. Laboratory findings revealed aminotransferase values 10–15 times upper limit normal. Potential causative agents, including metformin, simvastatin, Niaspan (extended-release niacin), were...
Introduction: Little is known about the impact of MST on chronic pain conditions among female Veterans. The primary objective this study was to compare prevalence U.S. veterans with a history military sexual trauma (MST) those without MST. We anticipated that Veterans would have higher associations than Materials and Methods: This large-scale, retrospective using Veterans' Health Administration Corporate Data Warehouse institutional approval (15-H175). International Classification Diseases,...
To develop and validate a method for estimating hypoglycemia risk in stable, insulin-treated subjects with type 2 diabetes mellitus.Subjects (n = 195) monitored their blood glucose levels 4 times daily 8 weeks. An 8-week mean value (GLUMEAN) standard deviation (GLUSD) was derived each patient. Subjects were then randomly allocated to derivation or validation set. For the set, we developed logistic function based on GLUMEAN GLUSD describe of (blood < =60 mg/dL [3.3 mmol/L]). This used assign...
Studies of the hemodynamic effects nasal continuous positive airway pressure (n-CPAP) in normal subjects have had conflicting results. The largest study (n = 19) found no effect up to 15 cm H2O on heart rate (HR), cardiac stroke volume (SV), or index. We hypothesized that n-CPAP, by increasing intrathoracic pressure, should decrease SV and output (CO) a dose-dependent fashion subjects. also mouth position, i.e., open closed, could affect thus CO. Six were tested with four levels CPAP (5, 10,...
To explore the hypothesis that CD36, a scavenger receptor and fatty acid translocase, is upregulated in peripheral blood mononuclear cells (PBMCs) among patients with type 2 diabetes biomarker of PBMC activation inflammation.We used cross-sectional observational design to study multi-racial/ethnic population sample consisting Caucasians, Hispanics, Native Americans (n = 33) nondiabetic control subjects 27). CD36 mRNA/protein plasma high sensitivity (hs) C-reactive protein (hsCRP),...
Chronic pelvic pain (CPP) affects an estimated 30% of women Veterans. Previous research shows high rates narcotic abuse in the Veteran population. Narcotics are not recommended for treatment CPP. Understanding how CPP impacts prescribing population is critical to addressing public health crisis opioid abuse. Our objective was compare chronic therapy (COT) prescribed 5 yr prior and following diagnosis identify predictors COT as well adverse events associated with COT. We choose look at 10...