Manually screening patients for clinical trials eligibility prior to their clinical encounters is labor-intensive and time-consuming. In order to increase the efficiency of such processes, we have developed a web-based system, called Advanced Screening for Active Protocols (ASAP).
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Challenges Facing Heart Failure Patients With Limited English Proficiency: A Qualitative Analysis Leveraging Interpreters' Perspectives.
JACC Heart Fail
June 2022
Harvard Medical School, Boston, Massachusetts, USA; Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA; Department of Medicine, Cardiology Section, Veterans Affairs Boston Healthcare System, Boston, Massachusetts, USA. Electronic address:
Background: Limited English proficiency (LEP) heart failure (HF) patients experience worse HF outcomes, including higher readmission rates and emergency department visits. To elucidate the challenges this population faces, the authors interviewed interpreters to identify gaps in care quality and ways to improve care for LEP HF patients.
Objectives: The authors sought to understand the challenges facing HF patients with LEP using medical interpreters' perspectives.
Promoting timely goals of care conversations between gynecologic cancer patients at high-risk of death and their providers.
Gynecol Oncol
February 2022
Division of Gynecologic Oncology, Duke Cancer Institute, Durham, NC 27710, United States of America; Duke Cancer Institute, Durham, NC 27710, United States of America.
Objective: We designed a multi-faceted intervention to increase the rate of outpatient goals of care (GOC) conversations in women with gynecologic cancers who are at high-risk of death.
Methods And Materials: A multidisciplinary team developed an educational program around GOC conversations at end-of-life and chose criteria to prospectively identify patients at high-risk of death who might benefit from timely GOC conversations: recurrent or metastatic endometrial, cervical or vulvar cancer or platinum-resistant ovarian cancer. Gynecologic oncology provider consensus was built regarding the need to improve the quality and timing of GOC conversations.
Head to head randomized trial of two decision aids for prostate cancer.
BMC Med Inform Decis Mak
May 2021
Sanford School of Public Policy, Duke University, Durham, NC, USA.
Background: While many studies have tested the impact of a decision aid (DA) compared to not receiving any DA, far fewer have tested how different types of DAs affect key outcomes such as treatment choice, patient-provider communication, or decision process/satisfaction. This study tested the impact of a complex medical oriented DA compared to a more simplistic decision aid designed to encourage shared decision making in men with clinically localized prostate cancer.
Methods: 1028 men at 4 VA hospitals were recruited after a scheduled prostate biopsy.
Assessment of a patient-centered initiative to improve hypertension management for adults with comorbid type 2 diabetes at a free clinic in the rural south.
Nurs Forum
July 2020
Storehouse for Jesus, Mocksville, North Carolina.
Background: Hypertension is the most modifiable risk factor for cardiovascular disease. Low levels of adherence to medication regimens, positive health behaviors, and ideal metric goals are associated with low rates of morbidity and mortality, impaired physical function, and frailty.
Aim: This quality improvement study sought to assess whether a program of patient and provider education, combined with a decision aid (DA) designed to increase shared decision making, would improve (a) patient knowledge about hypertension management, (b) provider adherence to prescription guidelines for the management of hypertension, (c) medication adherence for the management of hypertension by the patient, and (d) communication between provider and patient.
The unexpected surface of asteroid (101955) Bennu.
Nature
April 2019
Lunar and Planetary Laboratory, University of Arizona, Tucson, AZ, USA.
NASA'S Origins, Spectral Interpretation, Resource Identification and Security-Regolith Explorer (OSIRIS-REx) spacecraft recently arrived at the near-Earth asteroid (101955) Bennu, a primitive body that represents the objects that may have brought prebiotic molecules and volatiles such as water to Earth. Bennu is a low-albedo B-type asteroid that has been linked to organic-rich hydrated carbonaceous chondrites. Such meteorites are altered by ejection from their parent body and contaminated by atmospheric entry and terrestrial microbes.
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