A5054387397- Substance Abuse Treatment and Outcomes
- HIV/AIDS Research and Interventions
- Alcohol Consumption and Health Effects
- HIV, Drug Use, Sexual Risk
- Opioid Use Disorder Treatment
- HIV-related health complications and treatments
- Homelessness and Social Issues
- Alcoholism and Thiamine Deficiency
- Prenatal Substance Exposure Effects
- Health Policy Implementation Science
- Digital Mental Health Interventions
- Cannabis and Cannabinoid Research
- Smoking Behavior and Cessation
- HIV Research and Treatment
- Neurological and metabolic disorders
- Musculoskeletal pain and rehabilitation
- Pharmaceutical Practices and Patient Outcomes
- Liver Disease and Transplantation
- Cerebrovascular and Carotid Artery Diseases
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare Policy and Management
- Chronic Disease Management Strategies
- Infectious Encephalopathies and Encephalitis
- Pain Management and Opioid Use
- Primary Care and Health Outcomes
University of Pittsburgh
2016-2025
VA Pittsburgh Healthcare System
2012-2022
University of Pittsburgh Medical Center
2015-2021
University of Maryland, Baltimore
2021
University of Arizona
2020-2021
National Institute on Drug Abuse
2021
University of Maryland Medical Center
2021
Christiana Hospital
2021
UPMC Montefiore
2015-2019
Klinikum Links der Weser
2017
Importance: Whether people infected with human immunodeficiency virus (HIV) are at an increased risk of acute myocardial infarction (AMI) compared uninfected is not clear.Without demographically and behaviorally similar comparators without uniformly measured clinical data on factors fatal nonfatal AMI events, any potential association between HIV status may be confounded.Objective: To investigate whether associated after adjustment for all standard Framingham among a large cohort...
Background.Biomarkers of inflammation, altered coagulation, and monocyte activation are associated with mortality cardiovascular disease (CVD) in the general population among human immunodeficiency virus (HIV)-infected people.We compared biomarkers for between HIV-infected uninfected people Veterans Aging Cohort Study (VACS).Methods.Biomarkers inflammation (interleukin-6 [IL-6]), coagulation (D-dimer), (soluble CD14 [sCD14]) were measured blood samples from 1525 843 VACS...
Despite the significant medical and economic consequences of coexisting alcohol use disorder (AUD) in patients with cirrhosis, little is known about AUD treatment patterns their impact on clinical outcomes this population. We aimed to characterize associated cirrhosis.This retrospective cohort study included Veterans cirrhosis who received Health Administration care had an index diagnosis between 2011 2015. assessed baseline factors (pharmacotherapy or behavioral therapy) for 180 days...
Background: Brief interventions have the potential to reduce heavy drinking in young adults who present emergency department (ED), but require time and resources rarely available. Text‐messaging (TM) may provide an effective way collect data from after ED discharge as well immediate feedback ongoing support for behavior change. The feasibility of screening ED, recruiting them a TM‐based interventional trial, collecting weekly through TM, variance outcomes remains unknown. Methods: Young 3...
<h3>Objective:</h3> Given conflicting data regarding the association of HIV infection and ischemic stroke risk, we sought to determine whether conferred an increased risk among male veterans. <h3>Methods:</h3> The Veterans Aging Cohort Study–Virtual consists HIV-infected uninfected veterans in care matched (1:2) for age, sex, race/ethnicity, clinical site. We analyzed on 76,835 participants who were free baseline cardiovascular disease. assessed demographics, factors, comorbid diseases,...
To determine if race/ethnicity-based differences exist in the management of pediatric abdominal pain emergency departments (EDs).Secondary analysis data from 2006-2009 National Hospital Ambulatory Medical Care Survey regarding 2298 visits by patients ≤ 21 years old who presented to EDs with pain. Main outcomes were documentation score and receipt any analgesics, analgesics for severe (defined as ≥ 7 on a 10-point scale), narcotic analgesics. Secondary included diagnostic tests obtained,...
To describe obstetric health care providers' responses and counseling approaches to patients' disclosures of marijuana use during first prenatal visits.
This study investigated the Alcohol Use Disorders Identification Test's (AUDIT) factor structure and psychometric properties. The was derived from a sample of 7,035 men women primary care patients. A principal components analysis identified 2 factors in AUDIT data supported confirmatory (CFA). were Dependence/Consequences Consumption. CFA also provided support for 3-factor model whose (Alcohol Consumption, Dependence, Related Consequences) matched those proposed by AUDIT's developers....
Background: The efficacy of brief intervention in reducing alcohol consumption is well established for selected outpatients but not medical inpatients. Objective: To determine whether improves outcomes inpatients who were identified by screening as having unhealthy use. Design: Randomized, controlled trial. Setting: Medical service an urban hospital. Patients: 341 drinking risky amounts (defined eligibility >14 drinks/wk or ≥5 drinks/occasion men and >11 ≥4 women persons ≥66 y); 77% had...
Background— Long-term data describing small abdominal aortic aneurysms (AAAs) and increasing infrarenal diameters their relationship to future surgical repair, total mortality, incident cardiovascular disease (CVD) events, particularly among women, are sparse. Methods Results— In 1992 1993, 4734 Cardiovascular Health Study participants ≥65 years old had an ultrasound evaluation. Of those screened, 416 AAA (infrarenal diameter ≥3.0 cm or infrarenal/suprarenal ratio ≥1.2). By 2002, there were...
Whether hepatitis C virus (HCV) confers additional coronary heart disease (CHD) risk among human immunodeficiency (HIV) infected individuals is unclear. Without appropriate adjustment for antiretroviral therapy, CD4 count, and HIV-1 RNA substantially different mortality rates those with without HIV HCV infection, the association between HIV, HCV, CHD may be obscured.We analyzed data on 8579 participants (28% HIV+, 9% HIV+HCV+) from Veterans Aging Cohort Study Virtual who participated in 1999...
Objective: Brief interventions for hazardous and low-dependent drinkers in the primary care setting have considerable empirical support. The purpose of this study was to (1) evaluate effects brief advice (BA) motivational enhancement (ME) on alcohol consumption. In addition, a hindsight matching design used (2) moderator patient readiness change (alcohol use) Method: subjects (N = 301, 70% men) were patients 21 years age or older who presented treatment at one 12 clinics. After screening...
Objective: To determine whether alcohol consumption is associated with cardiovascular disease (CVD) among HIV-infected veterans. Methods: Using established thresholds for consumption, we analyzed cross-sectional data from 4743 men (51% HIV infected) the Veterans Aging Cohort Study, a prospective cohort of veterans and demographically similar HIV-uninfected logistic regression, estimated odds ratio (OR) association between prevalent CVD. Results: Among men, respectively, hazardous drinking...
Unhealthy alcohol use includes the spectrum of consumption from risky drinking to disorders. Routine screening, brief intervention (BI) and referral treatment (RT) are commonly endorsed for improving identification management unhealthy in outpatient settings. However, factors which might impact BI, RT implementation inpatient settings, particularly if delivered by nurses, unknown, must be identified effectively plan randomized controlled trials (RCTs) nurse-delivered BI. The purpose this...
Background: Breast cancer is an issue of serious concern among women all ages. The extent to which providers across primary care specialties assess breast risk and discuss chemoprevention unknown. Methods: Cross-sectional web-based survey completed by 316 physicians in internal medicine (IM), family (FM), gynecology (GYN) from February April 2012. Survey items assessed respondents' frequency use the Gail model chemoprevention, their attitudes behind practice patterns. Descriptive statistics...
We sought to determine if Brief Interventions [BIs, Motivational Enhancement (ME), and Advice (BA)] reduced alcohol consumption among hazardous drinking elderly (65 years or older) whether the responded similarly younger populations. In 12 primary care offices from 10 1995 1997, we screened 13,438 patients of whom 2702 were (180 drinkers). Forty-five enrollees randomized receive ME (n = 18), BA 12), Standard Care (SC, n 12). At baseline, drank more abstained fewer days than cohort (p<0.05)....
We aimed to determine which media exposures are most strongly associated with marijuana and alcohol use among adolescents. In 2004, we surveyed 1,211 students at a large high school in suburban Pittsburgh regarding substance use, exposure entertainment media, covariates. Of the respondents, 52% were female, 8% non-White, 27% reported smoking marijuana, 60% using alcohol. They average 8.6 hr of daily. adjusted models, music was independently but movies use. Implications, limitations,...