- Telemedicine and Telehealth Implementation
- Sleep and Wakefulness Research
- Antibiotic Resistance in Bacteria
- Patient Satisfaction in Healthcare
- Urinary Tract Infections Management
- Antimicrobial Resistance in Staphylococcus
- Digital Mental Health Interventions
- COVID-19 and Mental Health
- Obstructive Sleep Apnea Research
- Sleep and Work-Related Fatigue
- Poisoning and overdose treatments
- Sleep and related disorders
- Renal function and acid-base balance
- Workplace Health and Well-being
- Antibiotic Use and Resistance
- Airway Management and Intubation Techniques
- Infective Endocarditis Diagnosis and Management
- Bacterial Identification and Susceptibility Testing
- Alcoholism and Thiamine Deficiency
- COVID-19 and healthcare impacts
- Healthcare Systems and Technology
- Youth Substance Use and School Attendance
- Tracheal and airway disorders
East Carolina University
2020-2023
University of Oklahoma Health Sciences Center
2017-2019
OU Health
2019
Wayne State University
2013-2014
Detroit Medical Center
2013-2014
This study aimed to identify risk factors associated with carbapenem-resistant Enterobacteriaceae (CRE) colonization among patients screened rectal cultures upon admission a hospital or long-term acute care (LTAC) center and compare who were screen positive for CRE at the time of those prior LTAC admission.A retrospective nested matched case-control was conducted from June 2009 December 2011. Patients recent exposure carriage admission, admitted regional facility admission. Cases screening...
A case-case-control study was conducted to identify independent risk factors for recovery of Escherichia coli strains producing CTX-M-type extended-spectrum β-lactamases (CTX-M E. coli) within a large Southeastern Michigan medical center. Unique cases with isolation ESBL-producing from February 2010 through July 2011 were analyzed by PCR blaCTX-M, blaTEM, and blaSHV genes. Patients CTX-M compared patients not ESBLs (non-CTX-M uninfected controls. Of 575 coli, 491 (85.4%) isolates contained...
ABSTRACT Vancomycin-resistant enterococci (VRE) are a growing health problem, and uncertainties exist regarding the optimal therapy for bloodstream infection due to VRE. We conducted systematic comparative evaluations of impact different antimicrobial therapies on outcomes patients with infections A retrospective study from January 2008 October 2010 was at Detroit Medical Center. Unique blood cultures VRE were included reviewed. Three major therapeutic classes analyzed: daptomycin,...
Introduction: The COVID-19 pandemic and the intervention measures have increased mental health problems among Americans. Telepsychiatry provides a safe efficient way to serve patients in emergency departments (EDs). objective of this study is evaluate impact on telepsychiatry consultations North Carolina (NC) analyze differences across sex race. Methods: This longitudinal observational used data from NC Statewide Program examine temporal changes ED January 2019 March 2021 (117 weeks),...
Nearly 100,000 deaths are estimated to occur each year in US hospitals attributable medical errors. Sleep deprivation and disorders have been claimed be significant contributors. Nurses at increased risk of sleep poor behaviors due job related factors. However, the prevalence insufficiency is not well studied among large cohorts nurses United States.The objective this study was survey habits estimate shift work disorder, insomnia, restless leg syndrome, excessive daytime sleepiness factors...
Narcolepsy with cataplexy is a chronic, debilitating central nervous system disorder characterized by symptoms of excessive daytime sleepiness and along hypnogogic hallucinations, sleep paralysis fragmented (1, 2).The approval Sodium Oxybate FDA for treating both EDS in adults opened new paradigm (2). Even though clinical trials have established the safety adults, mean age patients those studies ranged from 36 – 47.7 years (3). It not really clear how much dose should be started geriatric...
OSAS is a common condition with prevalence in pediatric population of 1% to 4%.1 standard treatment for obstructive sleep apnea (OSA) children adenoidectomy and/or tonsillectomy when indicated. In other cases CPAP then proposed as recommended by recent evidence based guidelines. However, many kids may not tolerate therapy.2 High-flow nasal cannula (HFNC) therapy has been used OSA selected cases.3 We present case severe an infant treated successfully high flow cannula. An 11 week-old female...