A5022347524- Acute Ischemic Stroke Management
- Trauma and Emergency Care Studies
- Stroke Rehabilitation and Recovery
- Palliative Care and End-of-Life Issues
- Traumatic Brain Injury and Neurovascular Disturbances
- Healthcare Policy and Management
- Diversity and Career in Medicine
- Dysphagia Assessment and Management
- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- Medical Education and Admissions
- Esophageal and GI Pathology
- Intracerebral and Subarachnoid Hemorrhage Research
- Traumatic Brain Injury Research
- COVID-19 and healthcare impacts
- Parkinson's Disease Mechanisms and Treatments
- Venous Thromboembolism Diagnosis and Management
- Tracheal and airway disorders
- Family and Patient Care in Intensive Care Units
- Healthcare Decision-Making and Restraints
- Telemedicine and Telehealth Implementation
- Cerebrovascular and Carotid Artery Diseases
- Hospital Admissions and Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare cost, quality, practices
University of Rochester Medical Center
2016-2025
University of Rochester
2014-2025
United Nations Economic and Social Commission for Asia and the Pacific
2021-2024
Strong Memorial Hospital
2023
University of Maryland, Baltimore
2021
University of Michigan
2021
University of Maryland Medical Center
2021
Florida State University
2018-2021
Rush University Medical Center
2020
Instituto Benjamin Constant
2014-2020
Medical research is a prerequisite of clinical advances, while health service supports improved delivery, access, and cost. Few previous analyses have compared the United States with other developed countries.To quantify total public private investment personnel (economic inputs) to evaluate resulting patents, publications, drug device approvals, value created outputs).Publicly available data from 1994 2012 were compiled showing trends in US international funding, productivity, disease...
Background Encephalitis rates by etiology and acute-phase outcomes for encephalitis in the 21st century are largely unknown. We sought to evaluate cause-specific of hospitalizations predictors inpatient mortality United States. Methods Using Nationwide Inpatient Sample (NIS) from 2000 2010, a retrospective observational study 238,567 patients (mean [SD] age, 44.8 [24.0] years) hospitalized within non-federal, acute care hospitals U.S. with diagnosis was conducted. Hospitalization were...
The burden of neurological disorders is increasing, but access to care limited. Providing specialty patients via telemedicine could help alleviate this growing problem.To evaluate the feasibility, effectiveness, and economic benefits using web-based videoconferencing (telemedicine) provide with Parkinson disease in their homes.A 7-month, 2-center, randomized controlled clinical trial.Patients' homes outpatient clinics at 2 academic medical centers.Twenty Internet home.Care from a specialist...
We conducted a randomized, controlled pilot trial to evaluate the feasibility of providing subspecialty care via telemedicine for patients with Parkinson's disease residing in remote community located approximately 130 miles from an academic movement disorders clinic. Study participants were randomized receive disorder specialist at University Rochester or their usual care. Participants group received three visits over six months. Feasibility, as measured by completion visits, was primary...
Post-acute inpatient rehabilitation services are associated with improved functional outcomes among persons traumatic brain injury (TBI). We sought to investigate racial and insurance-based disparities in access rehabilitation. Data from the Nationwide Inpatient Sample 2005–2010 were analyzed using standard descriptive methods multivariable logistic regression assess race- differences after TBI, controlling for patient- hospital-level variables. Patients moderate severe TBI aged 18–64 years...
Background: Since the approval of oral factor Xa inhibitors, there have been concerns regarding ability to neutralize their anticoagulant effects after intracranial hemorrhage (ICH). Multiple guidelines suggest using prothrombin complex concentrates (PCCs) in these patients on basis research that includes a limited number with ICH. Given this, we aimed evaluate safety and efficacy PCCs for inhibitor–related ICH large, multicenter cohort patients. Methods: This was multicenter, retrospective,...
Traumatic brain injury (TBI) is a leading cause of death and disability among United States adolescents. The authors sought to determine causes trends for TBI-related hospitalizations in the adolescent population (10-19 years). identified common TBI, overall within 2-year age categories, using hospitalization data from 2005 2009 Nationwide Inpatient Sample. TBI was motor vehicle occupant accidents (35%), which are also 14-15, 16-17, 18-19 year groups. Falls were most 10-11 (23%) 12-13 (20%)...
<h3>Objective:</h3> We sought to identify current US hospital practices for feeding tube placement in ischemic stroke. <h3>Methods:</h3> In a retrospective observational study, we examined the frequency of among hospitals Nationwide Inpatient Sample with ≥30 adult stroke admissions annually length stay greater than 3 days. trends from 2004 2011 and predictors using data more recent years (2008–2011). used multilevel multivariable regression models accounting random effect, adjusted...
Objective: To determine the current practice and plans for telemedicine at leading US neurology departments. Design Setting: An electronic survey was sent to department chairs, administrators, or faculty involved in 47 departments representing top 50 hospitals as ranked by U.S. News World Report. Main Outcome Measures: Current use, size, scope, reimbursement, perceived quality of services. Results: A total 32 individuals from 30 responded (64% response rate). The primary respondents were...
Abstract Background Mitochondrial membrane protein‐associated neurodegeneration (MPAN) is caused by pathogenic sequence variants in C19orf12 . Autosomal recessive inheritance has been demonstrated. We present evidence of autosomal dominant MPAN and propose a mechanism to explain these cases. Methods Two large families with apparently were investigated; additional singleton cases identified. Gene sequencing multiplex ligation‐dependent probe amplification used characterize the causative...
This survey study analyzes the trends in distribution of medical education debt by focusing on increase graduates without such debt.
Individuals with Parkinson's disease (PD) often require nursing home care, where access to neurologists is limited. Telemedicine uses information and communication technologies provide health care individuals who are geographically separate from providers. We present a video report of resident PD received telemedicine visits over 8 months movement disorders specialist. The resulted in improvements motor cognitive symptoms suggest that may be useful for delivering this population.
Background and Purpose— Stroke guidelines recommend time-limited trials of nasogastric feeding prior to percutaneous endoscopic gastrostomy (PEG) tube placement. We sought describe timing PEG placement identify factors associated with early for acute ischemic stroke. Methods— designed a retrospective observational study examine time stroke admissions in the Nationwide Inpatient Sample, 2001 2011. defined as 1 7 days from admission. Using multivariable regression analysis, we identified...
To investigate changes in emergency department (ED) transfers for ischemic stroke (IS) and TIA.We performed a retrospective observational study using the US Nationwide Emergency Department Sample to identify interfacility ED IS TIA from perspective of transferring (2006-2014). We calculated nationwide transfer rates individual IS/TIA by diagnosis hospital characteristics. Hospital-level fractional logistic regression examined over time.The population-estimated number increased 22,576 patient...
To identify trends in educational debt for US medical school graduates entering neurology and compare to anticipated compensation.
To characterize and identify trends in sports-related traumatic brain injury (TBI) emergency department (ED) visits from 2006-2011.This study reviewed data on TBI among individuals under age 65 the Nationwide Emergency Department Sample 2006-2011. Visits were stratified by age, sex, severity, payer status other criteria. Variations incidence severity examined both between groups over time. Odds of inpatient admission calculated using regression modelling.Over period examined, 489 572 ED...