A5008626568- Pressure Ulcer Prevention and Management
- Blood Pressure and Hypertension Studies
- Diabetic Foot Ulcer Assessment and Management
- Spinal Cord Injury Research
- Stroke Rehabilitation and Recovery
- Musculoskeletal pain and rehabilitation
- Electronic Health Records Systems
- Quality and Safety in Healthcare
- Complementary and Alternative Medicine Studies
- Cardiovascular Syncope and Autonomic Disorders
- Wound Healing and Treatments
- Assistive Technology in Communication and Mobility
- Heart Rate Variability and Autonomic Control
- Acupuncture Treatment Research Studies
- Healthcare Technology and Patient Monitoring
- Prosthetics and Rehabilitation Robotics
- MRI in cancer diagnosis
- Ergonomics and Musculoskeletal Disorders
- Pain Management and Treatment
- Burn Injury Management and Outcomes
- Chronic Kidney Disease and Diabetes
- Pharmaceutical industry and healthcare
- Heart Failure Treatment and Management
- Mindfulness and Compassion Interventions
- Cardiac Health and Mental Health
Minneapolis VA Health Care System
2016-2025
University of Minnesota
2021-2025
Minneapolis VA Medical Center
2015-2024
Louis Stokes Cleveland VA Medical Center
2023
Case Western Reserve University
2023
Sprint (United States)
2021
SPRINT
2021
Veterans Health Administration
2016
James A. Haley Veterans' Hospital
2014-2016
Banner Life Sciences (United States)
2009
The previously published results of the Systolic Blood Pressure Intervention Trial showed that among participants with hypertension and an increased cardiovascular risk, but without diabetes, rates events were lower those who assigned to a target systolic blood pressure less than 120 mm Hg (intensive treatment) 140 (standard treatment). Whether such intensive treatment affected patient-reported outcomes was uncertain; from trial are reported here.We randomly 9361 blood-pressure or Hg....
When a west central Florida hospital prepared to move an electronic health record with clinical documentation system, the nursing staff and administration were concerned about effects that technology change would have on work behavior. Specifically, toward automation increase time at bedside, decrease nurses spent documentation, administrative tasks? A time-in-motion study was conducted specifically measure six categories of nurse behavior progressive cardiac unit. The observed by data...
Background: The Systolic Blood Pressure Intervention Trial is a multicenter, randomized clinical trial of 9361 participants with hypertension who are ≥50 years old. designed to evaluate the effect intensive systolic blood pressure control (systolic goal <120 mm Hg) compared standard <140 on cardiovascular events using commonly prescribed antihypertensive medications and lifestyle modification. Objective: To describe recruitment strategies lessons learned during cohort five targeted...
Context Clinical Practice Guidelines from the Consortium for Spinal Cord Injury (SCI) Medicine recommend daily self-screening of at-risk skin surfaces, but many Veterans with SCI describe challenges using standard issue long-handled self-inspection mirror (LSIM).
Hypertension, one of the most pervasive disease processes in United States, can lead to target organ damage. Although there is no cause primary hypertension, theory an unchecked long-term stress response continues be a valid argument. Conversely, eliciting relaxation may alter course response. Massage therapists have suggested that their therapy elicits and therefore decrease blood pressure (BP) hypertension. This preliminary study tested effects regularly applied back massage on BP patients...
The primary objective of this analysis is to assess if greater exposure any major antihypertensive drug class was associated with reduced composite outcome events in SPRINT (Systolic Blood Pressure Intervention Trial).This a secondary the trial evaluating whether longitudinal, time varying had impact on events, after adjusting for effects randomization arm, achieved systolic blood pressure, other exposure, and baseline characteristics.Nine thousand two hundred fifty-two participants were...
Vital signs are a fundamental component of patient care. Omitted or inaccurately transcribed vital sign data could result in inappropriate, delayed, missed treatment. A previous baseline study determined that error rates for captured on plain paper then entered into chart EMR were 10% and 4.4%, respectively. This evaluated the impact automated using PDA with bar-code technology identification. The enabled wireless capture transmission directly from monitor EMR. Researchers reviewed 1514 sets...
Objective: This paper reports the iterative redesign, feasibility and usability of Comprehensive Mobile Assessment Pressure (CMAP) system's mobile app used by Veterans with SCI.Design: three-year, multi-staged study a mixed-methods approach.Setting: Minneapolis VA Health Care System, Minneapolis, Minnesota.Participants: spinal cord injury (N = 18).Interventions: engaged in focus groups personal interviews, sharing their needs desires for CMAP redesign. App developers these data The...
The objective was to implement the evidence-based Spinal Cord Impairment Pressure Ulcer Monitoring Tool (SCI-PUMT) in 23 Injury/Disorders Centers (SCI/D) Veterans Health Administration (VHA).A collaborative held Minnesota that attended by key personnel from SCI/D VHA.This initiative based on a 3-year longitudinal study established validity and reliability of novel pressure ulcer monitoring tool for persons with spinal cord impairment. A multifaceted strategy used Institute Healthcare...
Pressure injuries for individuals with spinal cord (SCI) are correlated mortality and a leading cause rehospitalizations. The Assisted Weight Shift (AW-Shift©) is mobile pressure mapping application designed to provide users live map view reminders perform weight shifts. Novel visualization techniques were used understand daily distributions of user interaction wit h AW-Shift©. date time system interactions recorded six participants SCI over 7 days (five males/one female, five manual...
ABSTRACT OBJECTIVE To identify genetic biomarkers predisposing individuals with spinal cord injury (SCI) to recurrent pressure injuries (PIs). METHODS Repeated measures of the transcriptome profile veterans SCI at three Veterans Spinal Cord Injuries and Disorders Centers. Exclusion criteria included having significant active systemic disease time enrollment. Researchers obtained comprehensive profiles clinical health factors demographic information relevant PI history enrollment each...
Concern about falling is common among older hypertension patients and could impact decisions to intensify blood pressure therapy. Our aim was determine whether intensive therapy targeting a systolic (SBP) of 120 mm Hg associated with greater changes in concern when compared standard an SBP 140 Hg.Subsample analysis participants randomized either or the Systolic Blood Pressure Intervention Trial (SPRINT).Approximately 100 outpatient sites.A total 2313 enrollees SPRINT; were all age 50 (mean =...
CIN: Computers, Informatics, Nursing: September 2007 - Volume 25 Issue 5 p 312 doi: 10.1097/01.NCN.0000289181.01767.bb
Context/Objective There are no wheelchair products designed to allow users dynamically control trunk posture both significantly improve functional reach and provide pressure relief during forward lean. This pilot study sought (1) gather stakeholder desires regarding necessary features for a system (2) subsequently develop test first-generation prototype.
The purpose of this study was to explore self-reported Veterans Affairs (VA) amputation clinician perspectives and clinical practices regarding the measurement treatment for amputation-related pain.
Background: Stroke is a significant health burden for Veterans and the fifth leading cause of death women. Beyond traditional stroke risk factors, female sex hormones pregnancy exposures are factors Compared to civilian women, women have multimorbid physical mental conditions contributing their risk. specific not been elucidated. Purpose: This scoping review aimed summarize evidence on United States Veterans. Methods: The search strategy was run across six databases: MEDLINE EMBASE via Ovid,...
Women military Veterans with lower extremity amputations are a growing subpopulation of Veterans. There is paucity exploration into factors influencing participation in meaningful social roles and activities within this population. Thus, the purpose qualitative study was to evaluate influencers among women limb amputations.
Little is understood about community-based standing device use and the impact of on health outcomes (e.g. pressure injury) in those living with spinal cord injury (SCI). This project reports accuracy a commercially available data logger for measuring time seat angle.