A5028437293- Urinary Tract Infections Management
- Spinal Cord Injury Research
- Urinary Bladder and Prostate Research
- Pelvic floor disorders treatments
- Telemedicine and Telehealth Implementation
- Diabetic Foot Ulcer Assessment and Management
- Diversity and Career in Medicine
- Trauma and Emergency Care Studies
- Stroke Rehabilitation and Recovery
- Healthcare cost, quality, practices
- Surgical site infection prevention
- Reproductive tract infections research
- Patient Satisfaction in Healthcare
- Pharmaceutical Practices and Patient Outcomes
- Innovations in Medical Education
- COVID-19 and healthcare impacts
- Bacteriophages and microbial interactions
- Cerebral Palsy and Movement Disorders
- Health and Medical Research Impacts
- Cardiac Arrest and Resuscitation
- Bacterial Identification and Susceptibility Testing
- Occupational Therapy Practice and Research
- Autopsy Techniques and Outcomes
- Plant Toxicity and Pharmacological Properties
- Antibiotics Pharmacokinetics and Efficacy
Baylor College of Medicine
2009-2024
Michael E. DeBakey VA Medical Center
2016-2024
Center for Innovation
2017-2024
Ben Taub Hospital
2018-2024
VA Puget Sound Health Care System
2022
University of Louisville
2022
University of Toronto
2022
City University of Seattle
2022
Seattle University
2022
University of Washington
2014-2022
To identify factors associated with health-care utilization during the first year after inpatient rehabilitation (IR) in individuals traumatic spinal cord injury (SCI).Prospective cohort.One hundred and sixty-eight patients were prospectively enrolled followed over 1 discharge from an SCI Model System IR program. Telephone follow-up occurred at 3, 6, 9, 12 months. Participants grouped into four impairment levels (C1-4 American Spinal Injury Association (ASIA) Impairment Scale (AIS) A-C,...
High rates of antimicrobial resistance and formation biofilms makes treatment Escherichia coli catheter-associated urinary tract infections (CAUTI) particularly challenging. CAUTI affect 1 million patients per year in the United States are associated with morbidity mortality, as an etiology for sepsis. Phage have been proposed a potential therapeutic option. Here, we report development phage cocktails that lyse contemporary E. strains isolated from urine spinal cord injury (SCI) display...
Importance Robotic exoskeletons leverage technology that assists people with spinal cord injury (SCI) to walk. The efficacy of home and community exoskeletal use has not been studied in a randomized clinical trial (RCT). Objective To examine whether wheelchair plus an exoskeleton compared only led clinically meaningful net improvements patient-reported outcomes for mental physical health. Design, Setting, Participants This RCT veterans SCI was conducted at 15 Veterans Affairs medical centers...
ABSTRACT This study investigated the prevalence of implicit racial associations among academic physiatrists and trainees. We administered Harvard Implicit Association Test (IAT) on race (Black/White) to 71 participants from a national physiatry association. The survey gathered demographic data (age, gender, ethnicity, race, professional role, years experience) IAT results, where reported preference for Black White or no preference. majority respondents (54.5%) displayed with regression...
Through increased temperature-related illness, exposure to wildfire smoke and air pollutants, more frequent intense natural disasters, climate change is disproportionately affecting the health of people with disabilities. Although evidence behind effects growing, there remain critical research gaps in physiatric literature that must be addressed. Increased education throughout medical-education continuum also needed prepare physiatrists address climate-related impacting their patient...
This SHEA white paper identifies knowledge gaps and challenges in healthcare epidemiology research related to coronavirus disease 2019 (COVID-19) with a focus on core principles of epidemiology. These gaps, revealed during the worst phases COVID-19 pandemic, are described 10 sections: epidemiology, outbreak investigation, surveillance, isolation precaution practices, personal protective equipment (PPE), environmental contamination disinfection, drug supply shortages, antimicrobial...
Objectives Guidelines for managing catheter-associated urinary tract infection (CAUTI) and asymptomatic bacteria (ASB) are poorly translated into routine care due in part to cognitive diagnostic errors. This study determines if the accuracy CAUTI ASB diagnosis treatment improves after implementation of a fast frugal algorithm compared with traditional education methods. Materials methods A pre post-intervention contemporaneous comparison site involving inpatient long term wards at two...
Antibiotic stewardship, defined as a multidisciplinary program to reduce the misuse of antibiotics, and in turn, antibiotic resistance, is high priority. Persons with spinal cord injury/disorder (SCI/D) are vulnerable receiving multiple courses antibiotics over their lifetime given frequent healthcare exposure, have rates bacterial infection multi-drug resistant organisms. Additional challenges evaluating appropriate use this population include colonization urine differences presenting signs...
Bacteriuria, either asymptomatic or urinary tract infection, is common in persons with spinal cord injury disorder (SCI/D). In the Veterans Health Administration (VHA), conflicting clinical practice guidelines make appropriate bacteriuria management and antibiotic stewardship challenging.To explore SCI/D provider knowledge, attitudes, teamwork around during VHA annual examination.Mixed methods.VHA centers.SCI/D staff providers physical medicine rehabilitation resident physicians.Knowledge,...
Abstract This case describes a 56‐year‐old man with known thoracic spinal cord injury undergoing evaluation for pruritic rash on the dorsolateral aspect of his forearms no upper extremity neuromuscular symptoms. Common diagnoses were considered and treated little success. The diagnosis brachioradial pruritus (BRP) was made, possible causes revealed large cervicothoracic syrinx. To our knowledge, BRP has not been described previously as presenting sign post‐traumatic syringomelia. patient's...
Cardiometabolic disease (CMD) frequently occurs in individuals with spinal cord injury (SCI), growing awareness surrounding the expansive scope of this problem. As CMD has significant morbidity and mortality, early guidelines-based screening management have been established. However, extent to which these guidelines adopted are unclear.Describe physicians' pattern for patients SCI, as compared SCI-specific guidelines, elucidate variables linked patterns.SCI medicine-boarded physicians were...
Bacteriuria, either asymptomatic (ASB) or symptomatic, urinary tract infection (UTI), is common in persons with spinal cord injury (SCI). Current Veterans Health Administration (VHA) guidelines recommend a screening urinalysis and urine culture for every veteran SCI during annual evaluation, even when asymptomatic, which contrary to other national guidelines. Our preliminary data suggest that positive (even without signs symptoms of infection) drives antibiotic use. Through series innovative...
Antimicrobial-resistant bacterial infections are an increasing public health threat and people with spinal cord injury (SCI) disproportionally at higher risk. National guidelines concerning urine testing after SCI conflicting. Unnecessary in the population (with high asymptomatic bacteriuria prevalence) leads to unnecessary antimicrobial use, propagating resistant infections, especially urinary tract (UTIs).
Many studies in preventing adverse drug events have been researcher-driven, yet few engaged patients the development of a project. This project aims to engage minority elderly with multiple chronic conditions research questions and strategies improve medication safety.Elderly (≥65 years old) who were prescribed 7 or more medications recruited through university-based aging resource network historically African American community Houston, Texas. Patients caregiver participated...
Older adults taking multiple chronic medications experience an increased risk of adverse drug events and other medication-related problems (MRP). Most current literature on medication management involves researcher-driven intervention, yet few studies investigate patients' understanding MRP in a diverse community setting. This report investigates perception patient-centered strategies among cohort the older adult group historically Black urban community. The study design is qualitative using...
Introduction: With the coronavirus disease 2019 (COVID-19) pandemic causing need for social distancing, telemedicine saw a significant increase in use to provide routine medical care. As field, physiatry had already been implementing prior pandemic. In this study, we characterized of among physiatrists during early phase COVID-19 understand barriers and facilitators field future. Methods: Online survey cross-sectional sample physiatrists. Analysis was conducted using logistic regression....