A5058066838- Statistical Methods and Inference
- Statistical Methods and Bayesian Inference
- Pediatric Pain Management Techniques
- Palliative Care and End-of-Life Issues
- Childhood Cancer Survivors' Quality of Life
- Advanced Statistical Methods and Models
- Primate Behavior and Ecology
- Air Quality and Health Impacts
- Fault Detection and Control Systems
- Esophageal and GI Pathology
- Pharmaceutical Economics and Policy
- Pharmaceutical industry and healthcare
- COVID-19 epidemiological studies
- Energy and Environment Impacts
- Health, Environment, Cognitive Aging
- COVID-19 Impact on Reproduction
- Animal Behavior and Welfare Studies
- Viral Infections and Outbreaks Research
- Biomedical Ethics and Regulation
- Dysphagia Assessment and Management
- Child and Adolescent Health
- Bayesian Methods and Mixture Models
- Travel-related health issues
- Innovation Diffusion and Forecasting
- Streptococcal Infections and Treatments
Georgetown University
2017-2023
Center for Global Health
2020-2023
University of Kansas
2023
Cincinnati Children's Hospital Medical Center
2008-2022
University of Central Florida
2022
Regional Medical Center
2021
University of Kansas Medical Center
2021
University of Cincinnati Medical Center
2020
Medical Solutions
2020
University of Pittsburgh
2017-2019
Objectives We evaluated whether implementation of lockdown orders in South Africa affected ambulatory clinic visitation rural Kwa-Zulu Natal (KZN). Design Observational cohort Setting Data were analysed from 11 primary healthcare clinics northern KZN. Participants A total 46 523 individuals made 89 476 visits during the observation period. Exposure interest conducted an interrupted time series analysis to estimate changes with a focus on transitions prelockdown level 5, 4 and 3 periods....
Summary Medical and public health research increasingly involves the collection of complex high dimensional data. In particular, functional data—where unit observation is a curve or set curves that are finely sampled over grid—is frequently obtained. Moreover, researchers often sample multiple per person resulting in repeated measures. A common question how to analyze relationship between two variables. We propose general function‐on‐function regression model for repeatedly data on fine...
Abstract Objectives Public health interventions designed to interrupt COVID-19 transmission could have deleterious impacts on primary healthcare access. We sought identify whether implementation of the nationwide lockdown (shelter-in-place) order in South Africa affected ambulatory clinic visitation rural Kwa-Zulu Natal (KZN). Design Prospective, longitudinal cohort study Setting Data were analyzed from Health Research Institute and Demographic Surveillance System, which includes prospective...
ABSTRACT Examination of environmental DNA (eDNA) is a non‐invasive conservation tool that has been used for the detection aquatic organisms. When coupled with quantitative polymerase chain reaction (qPCR), eDNA sampling may be to infer seasonal or diel activities target species. To survey status eastern hellbenders ( Cryptobranchus a. alleganiensis ), fully cryptic salamanders concern, through analyses, we collected water samples monthly from 13 sites across 8 tributaries West Branch...
<h3>Introduction:</h3> One-third of the general public will not accept Coronavirus disease 2019 (COVID-19) vaccination but factors influencing vaccine acceptance among health care personnel (HCP) are known. We investigated barriers and facilitators to within 3 months regulatory approval (primary outcome) adult employees students at a tertiary-care, academic medical center. <h3>Methods:</h3> used cross-sectional survey design with multivariable logistic regression. Covariates included age,...
The ability to communicate serious news patients and families in a caring compassionate way is critical skill for physicians. This study explores the impact of novel communication skills workshop that included bereaved parents role play on pediatric residents' confidence news.Following workshop, residents were surveyed assess their perceived efficacy educational intervention. survey anchored response open-ended questions yield qualitative quantitative results.After completing discussing...
Physician-led home visit care with medical teams (Zaitaku care) has been developed on a national scale to support those who wish stay at the end of life, and promote system community-based integrated in Japan. Medical life can be expensive, is an urgent socioeconomic issue for aging societies. However costs physician-led visits have not well studied. We compared Zaitaku hospital rapidly community rural area A cross-sectional study was performed compare total during patients' final days (30...
The Pediatric Palliative and Comfort Care Team (PACT) at Cincinnati Children's Hospital Medical Center (CCHMC) provides opioids to a large population of patients in the ambulatory setting. Before this project, PACT had no reliable system risk stratify for opioid misuse.The global aim was safe prescribing by palliative care team. specific, measurable, achievable, realistic, timely as follows: "In who present follow up with PACT, we will use "opioid bundle" increase stratification misuse from...
Population-based seroprevalence surveys can provide useful estimates of the number individuals previously infected with serious acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and still susceptible, as well contribute to better case-fatality rate other measures disease 2019 (COVID-19) severity. No serological test is 100% accurate, however, standard correction that epidemiologists use adjust relies on sensitivity specificity often based small validation studies. We have developed a...
Many children are treated for mental health disorders in primary care settings. The system of (SOC) provides a framework collaboration among pediatric providers, but it is unclear if youth receive such coordination. At the South Boston Community Health Center from September /2012 to August 2013 74 individuals ≤18 years, odds contact with SOC agencies (mental health, education, child protective services, juvenile justice and developmental disabilities) were compared treatment versus specialty...
Objectives: Elderly passengers and those with preexisting disease are flying increasing frequency in-flight cardiac emergencies a more frequent occurrence. We conducted study of the physiological effects simulated cabin altitudes resulting lower oxygen levels among such passengers. Methods: monitored 41 participants in hypobaric chamber for 2 days, one at an equivalent 7,000 feet altitude (regulations limit pressurization to 8,000 feet) 4-5 hour flight other ground level using generalized...
Animals housed in naturalistic social groups with access to automated cognitive testing vary whether and how much they participate testing. Understanding demographic, seasonal, factors relate participation is essential evaluating the usefulness of these systems for studying cognition assessing data produced. We evaluated sex, age, reproductive experience, seasonality, rank related patterns a group rhesus monkeys over 4-year period. Females interacted touchscreen more than males were likely...
Fragestellung: Die Narkosemobilisation ist ein anerkanntes Behandlungskonzept der adhäsiven Kapsulitis, wobei optimale Zeitpunkt für den Einsatz Behandlung häufig schwierig festzulegen ist.
Covalent protein adducts formed after exposure to xenobiotics may provide readily measurable indicators of these exposures.After adequate characterization the dose-dependent formation a specific adduct, adduct can often be used as quantitative marker for exposure, DNA formation, or, possibly, risk disease.By elucidating structure an and studying conditions under which it forms, information about reactions that lead its obtained.Continuing work in this area includes methods expand number,...
Background: Health security funding is intended to improve capacities for preventing, detecting, and responding public health emergencies. Recent years have witnessed substantial increases in the amounts of donor financial assistance from countries, philanthropies, other development partners. To date, no work has examined effects on capacity over time. This paper presents an analysis time-lagged (AHS) levels capacity. Methods: We collected publicly available assessment scores published...
Research in functional regression has made great strides expanding to non-Gaussian outcomes, but exploration of ordinal outcomes remains limited. Motivated by a study computer-use behavior rhesus macaques (Macaca mulatta), we introduce the Ordinal Probit Functional Outcome Regression model (OPFOR). OPFOR models can be fit using one several basis functions including penalized B-splines, wavelets, and O'Sullivan splines-the last which typically performs best. Simulation variety underlying...
The 70 cc total artificial heart (TAH) has been utilized as bridge to transplant (BTT) for biventricular failure. However, the utilization of TAH limited large patients low output from pulmonary well systemic vein compression after chest closure. Therefore, 50 was developed by SynCardia (Tucson, AZ) accommodate smaller cavity. We report first exchange a due fit difficulty. patient failed be closed with TAH, although met conventional criteria. successfully TAH.
The ability to identify time periods when individuals are most susceptible exposures as well the biological mechanisms through which these act is of great public health interest. Growing evidence supports an association between prenatal exposure air pollution and epigenetic marks, such DNA methylation, but timing gene-specific effects changes not understood. Here, we present first study that aims windows susceptibility in cord blood methylation. In particular, propose a function-on-function...