- Stoma care and complications
- Nutrition and Health in Aging
- Colorectal Cancer Surgical Treatments
- Cancer survivorship and care
- Gastroesophageal reflux and treatments
- Frailty in Older Adults
- Diabetes Management and Research
- Eosinophilic Esophagitis
- Diabetes Management and Education
- Obstructive Sleep Apnea Research
- Cardiac, Anesthesia and Surgical Outcomes
- Palliative Care and End-of-Life Issues
- Diverticular Disease and Complications
- Helicobacter pylori-related gastroenterology studies
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Cardiac Health and Mental Health
- Esophageal and GI Pathology
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Anorectal Disease Treatments and Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Diabetic Foot Ulcer Assessment and Management
- Bladder and Urothelial Cancer Treatments
- Pelvic floor disorders treatments
- Wound Healing and Treatments
- Balance, Gait, and Falls Prevention
University of Arizona
2015-2024
Circadian (United States)
2024
University of Alabama
2022
Arizona Research Center
2001-2021
University of Arizona Cancer Center
2021
Canadian Sleep & Circadian Network
2020
University of Iowa
2017-2019
Katharinenhospital
2018
Indiana University – Purdue University Indianapolis
2007-2018
Health Services Research & Development
2018
To prospectively determine risk factors for foot infection in a cohort of people with diabetes.We evaluated then followed 1,666 consecutive diabetic patients enrolled managed care-based outpatient clinic 2-year longitudinal outcomes study. At enrollment, underwent standardized general medical examination and detailed assessment were educated about proper care. They rescreened at scheduled intervals also seen promptly if they developed any problem.During the evaluation period, 151 (9.1%) 199...
Purpose Intestinal stomas can pose significant challenges for long-term (≥ 5 years) rectal cancer (RC) survivors. Specifying common and sociodemographic or clinical differences will further the development of tailored interventions to improve health-related quality life (HRQOL). Patients Methods This was a matched cross-sectional study RC survivors conducted in three Kaiser Permanente regions. The mailed questionnaire included modified City Hope Quality Life-Ostomy (mCOH-QOL-Ostomy) Medical...
PURPOSE The purpose of this study is to describe demographic, clinical, and quality-of-life variables related ostomy complications (skin irritation, leakage, difficulty adjusting an ostomy) in a veteran population the United States. DESIGN original employed descriptive crosssectional using mixed method design. This secondary analysis used quantitative data collected. SAMPLE AND SETTING Two hundred thirty-nine veterans with intestinal ostomies from 3 Veteran's Administration hospitals...
Frailty is a geriatric syndrome resulting from age-related cumulative decline across multiple physiologic systems, impaired homeostatic reserve, and reduced capacity to resist stress. Based on recent estimates, 10% of community-dwelling older individuals are frail another 41.6% prefrail. Frail elders account for the highest health care costs in industrialized nations. Impaired physical function major indicator frailty, functional performance tests useful identification frailty. Objective...
Purpose/Objectives: To describe how gender shapes the concerns and adaptations of long-term (i.e., more than five years) colorectal cancer survivors with ostomies.
OBJECTIVE Some patients with colorectal cancer (CRC) require a permanent ostomy, which changes bodily function and can create psychosocial distress. However, little is known about the influence of men's support on women's adjustment to having an ostomy as result CRC. METHODS Participants initially completed City Hope-CRC Quality Life questionnaire. We then conducted in-depth interviews 30 female participants. Interview questions focused body image, gender, sexuality. Interviews were recorded...
Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality may frequently be associated with sleep disturbances. However, the correlates insomnia in COPD patients have not been well characterized. The aim current study was to describe prevalence disorder elucidate demographic clinical characteristics that are insomnia.Cross-sectional study.Clinic-based sample from an academic hospital.Patients stable COPD.An interviewer-conducted survey administered 183...
Abstract Background Individuals with ostomies experience extensive changes in health‐related quality of life (HRQOL) and daily routine. Patients families are typically forced to use trial error improve self‐management. Methods This is a longitudinal one‐group design pilot study five‐session ostomy self‐care curriculum based on the Chronic Care Model HRQOL self‐management for cancer survivors ostomies. Participants were surveyed evaluate each session. Multiple instruments administered examine...
<b><i>Background:</i></b> Few studies of the association between prospective falls and sensor-based measures motor performance physical activity (PA) have evaluated subgroups frailty status separately. <b><i>Objective:</i></b> To evaluate wearable gait, balance, PA that are predictive future in community-dwelling older adults. <b><i>Methods:</i></b> The Arizona Frailty Cohort Study Tucson, Arizona, followed adults aged...
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...
<h3>BACKGROUND</h3> Gastro-oesophageal reflux disease (GORD) plays a major role in the development of Barrett9s oesophagus. However, it has yet to be elucidated what factors determine length mucosa each individual patient. <h3>AIMS</h3> To if there is correlation between oesophageal acid exposure and mucosa. We also compared extent patients with short segment (SSBE) long (LSBE) <h3>METHODS</h3> Twenty seven oesophagus were recruited prospectively into study from outpatient gastroenterology...
OBJECTIVE—To evaluate the role of activity in development neuropathic foot ulceration individuals with diabetes. RESEARCH DESIGN AND METHODS—We evaluated first 100 consecutive diabetes (95.0% male, aged 68.5 ± 10.0 years concomitant neuropathy, deformity, and/or a history lower-extremity ulceration/partial amputation) enrolled an ongoing prospective longitudinal study. Subjects used high-capacity continuous computerized monitor. Data were collected continuously over minimum 25 weeks (or...
Posttraumatic stress disorder (PTSD) is an anxiety experienced by combat veterans. Nighttime symptoms are often unrelieved selective serotonin reuptake inhibitor therapy, and increased use of prazosin or quetiapine for treatment seen. The purpose this study was to determine the short- long-term effectiveness safety versus treating nighttime in veteran PTSD patients. This a historical prospective cohort using retrospective chart review. Three hundred twenty-four patients with diagnosis PTSD,...
Research on foot problems and frailty is sparse could advance using wearable sensor-based measures of gait, balance, physical activity (PA). This study examined the effect likelihood falls, syndrome, motor performance, PA in community-dwelling older adults.Arizona Frailty Cohort Study participants (community-dwelling adults aged ≥65 years without baseline cognitive deficit, severe movement disorders, or recent stroke) underwent Fried assessment. Gait, balance (bipedal eyes open closed),...
Our overall aim was to assess the feasibility and acceptability of a CPAP adherence program driven by trained "peer-buddies" with sleep apnea. 11Our primary objective evaluate patient ratings peer buddy system (PBS) in veterans receiving therapy for OSA.Our secondary obtain preliminary data on effectiveness PBS sleep-specifi c health-related quality life (HR-QOL; Functional outcomes questionnaire [FOSQ]) veter-Study Objectives: To (PBS).To promote continuous positive airway pressure (CPAP)...