- Anesthesia and Pain Management
- Pain Management and Opioid Use
- Pediatric Pain Management Techniques
- Cardiac, Anesthesia and Surgical Outcomes
- Musculoskeletal pain and rehabilitation
- Sepsis Diagnosis and Treatment
- Stroke Rehabilitation and Recovery
- Gender, Labor, and Family Dynamics
- Spine and Intervertebral Disc Pathology
- Opioid Use Disorder Treatment
- Nausea and vomiting management
- Machine Learning in Healthcare
- Healthcare Systems and Practices
- Medication Adherence and Compliance
- Reproductive Health and Technologies
- Electronic Health Records Systems
Thomas Jefferson University
2020
University of Kansas Medical Center
2020
The University of Kansas Health System
2014-2020
University of Tennessee Medical Center
2013-2019
University Health System
2019
University of Tennessee at Knoxville
2013-2019
University of Kansas
2019
Simpson College
2015
Despite advances in pharmacologic options for the management of surgical pain, there appears to have been little or no overall improvement over last two decades level pain experienced by patients. The importance adequate and effective management, however, is clear, because inadequate control 1) has a wide range undesirable physiologic immunologic effects; 2) associated with poor outcomes; 3) increased probability readmission; 4) adversely affects cost care as well patient satisfaction. There...
( Acta Obstet Gynecol Scand . 2024;103(6):1092–1100. doi:10.1111/aogs.14800) Polycystic ovary syndrome (PCOS) is a complicated disorder with 4 different types, impacting 5% to 20% of females based on diagnostic standards and the specific group being examined. It linked various other health conditions, such as metabolic syndrome, type 2 diabetes, insulin resistance, obesity, cardiovascular risks, well psychological issues like anxiety depression. Matters related reproduction, gestational...
ABSTRACT Background and Purpose Understanding the factors contributing to variability in postoperative pain function following lumbar spine surgeries (LSS) is necessary plan inpatient rehabilitation optimize surgical outcomes. In particular, due age gender has not been studied. This study's aim was evaluate function, during hospital stay, LSS. Methods We conducted a retrospective analysis of 585 patients who underwent LSS their stay. Univariate ANCOVA performed study differences pain,...
Achievement of adequate postoperative pain management is a critical challenge in health care, with an estimated three out four adult surgical patients reporting moderate to extreme after surgery. Overreliance on opioids acute care settings has persisted, despite well-known adverse side effects frequently associated this class drugs. Furthermore, history chronic opioid use present additional challenges terms postsurgical management. Advances the development newer analgesic agents and...
What is known and objective The opioid doses on post-operative day 1 (POD1) a major predictor of recovery in patients following lumbar spine surgery (LSS). However, the vary widely clinical practice. Thus, this study was to explore associations between POD1, pain function during hospital stay LSS. Methods This used medical records who underwent LSS January 2007 March 2018. were divided into three groups (high, medium low dose) according amount (oral morphine equivalents; OME) taken POD1. A...
Clinical research in sepsis patients often requires gathering large amounts of longitudinal information. The electronic health record can be used to identify with sepsis, improve participant study recruitment, and extract data. process extracting data a reliable usable format is challenging, despite standard programming language. aims this project were explore infrastructures for capturing apply criteria identifying sepsis. We conducted prospective feasibility locate capture/abstract future...
Pain is the leading reason people seek health care. In an effort to aggressively manage pain in hospitalized patient, we have seen increase use of opioids. Unfortunately, there has been a similar number opioid-related adverse events. As result, The Joint Commission issued Sentinel Event Alert August 2012 with suggested evidenced-based actions help avoid these This article describes one hospital's initiatives provide opioids safely.
Introduction: Sepsis is frequent cause of ICU admission and a leading morbidity mortality. Early recognition intervention are keys to favorable outcome. Harnessing the electronic medical record (EMR) reduces provider researcher burden in collecting/integrating data will lead improved patient outcomes. Purpose: (1) To validate our ability capture from EMR, (2) describe implementation an automated early warning system that notifies nurses when patients meet severe sepsis criteria, (3) identify...
Abstract Introduction Clinical management of CPAP adherence remains an ongoing challenge. Behavioral and technical interventions such as patient outreach, coaching, troubleshooting, resupply may be deployed to positively impact adherence. Previous authors have described phenotypes that retrospectively categorize patients by discrete usage patterns. We design AI model predictively categorizes into previously studied analyzes the statistical significance effect size several types on subsequent...