Michael S Lyons

Summary

Affiliation: University of Cincinnati
Country: USA

Publications

  1. ncbi request reprint Emergency department pelvic examination and Pap testing: addressing patient misperceptions
    Michael S Lyons
    Department of Emergency Medicine, University of Cincinnati College of Medicine, University Medical Center, PO Box 670769, 231 Albert Sabin Way, Cincinnati, OH 45267 0769, USA
    Acad Emerg Med 11:405-8. 2004
  2. pmc Relationship of self-reported prior testing history to undiagnosed HIV positivity and HIV risk
    Michael S Lyons
    Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267 0769, USA
    Curr HIV Res 7:580-8. 2009
  3. pmc Comparison of emergency department HIV testing data with visit or patient as the unit of analysis
    Michael S Lyons
    Department of Emergency Medicine, 231 Albert Sabin Way, University of Cincinnati Medical Center, PO Box 670769 Cincinnati, OH 45267 0769, USA
    J Med Screen 16:29-32. 2009
  4. pmc Nomenclature and definitions for emergency department human immunodeficiency virus (HIV) testing: report from the 2007 conference of the National Emergency Department HIV Testing Consortium
    Michael S Lyons
    Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH, USA
    Acad Emerg Med 16:168-77. 2009
  5. pmc Contributions to early HIV diagnosis among patients linked to care vary by testing venue
    Michael S Lyons
    Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio USA
    BMC Public Health 8:220. 2008
  6. pmc A novel emergency department based prevention intervention program for people living with HIV: evaluation of early experiences
    Michael S Lyons
    Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA
    BMC Health Serv Res 7:164. 2007
  7. pmc Interpreting and implementing the 2006 CDC recommendations for HIV testing in health-care settings
    Michael S Lyons
    Department of Emergency Medicine, University of Cincinnati College of Medicine, Ohio 45267 0769, USA
    Public Health Rep 122:579-83. 2007
  8. pmc Comparison of missed opportunities for earlier HIV diagnosis in 3 geographically proximate emergency departments
    Michael S Lyons
    Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267 0769, USA
    Ann Emerg Med 58:S17-22.e1. 2011
  9. pmc Health department collaboration with emergency departments as a model for public health programs among at-risk populations
    Michael S Lyons
    Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA
    Public Health Rep 120:259-65. 2005
  10. ncbi request reprint Emergency department HIV testing and counseling: an ongoing experience in a low-prevalence area
    Michael S Lyons
    Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA
    Ann Emerg Med 46:22-8. 2005

Detail Information

Publications32

  1. ncbi request reprint Emergency department pelvic examination and Pap testing: addressing patient misperceptions
    Michael S Lyons
    Department of Emergency Medicine, University of Cincinnati College of Medicine, University Medical Center, PO Box 670769, 231 Albert Sabin Way, Cincinnati, OH 45267 0769, USA
    Acad Emerg Med 11:405-8. 2004
    ..This study describes understanding of Papanicolaou (Pap) smear testing among women undergoing emergency department (ED) pelvic examination and tests the feasibility of educating patients in the ED...
  2. pmc Relationship of self-reported prior testing history to undiagnosed HIV positivity and HIV risk
    Michael S Lyons
    Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267 0769, USA
    Curr HIV Res 7:580-8. 2009
    ..Recent self-reported testing history is not associated with undiagnosed positivity among targeted patients irrespective of the timing of the prior test...
  3. pmc Comparison of emergency department HIV testing data with visit or patient as the unit of analysis
    Michael S Lyons
    Department of Emergency Medicine, 231 Albert Sabin Way, University of Cincinnati Medical Center, PO Box 670769 Cincinnati, OH 45267 0769, USA
    J Med Screen 16:29-32. 2009
    ..We hypothesized that while our ED-based HIV screening programme does test some patients repeatedly, the primary programme outcome of percent positive is not substantially altered by the unit of analysis...
  4. pmc Nomenclature and definitions for emergency department human immunodeficiency virus (HIV) testing: report from the 2007 conference of the National Emergency Department HIV Testing Consortium
    Michael S Lyons
    Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH, USA
    Acad Emerg Med 16:168-77. 2009
    ..These definitions are designed to facilitate discussion, increase comparability of future reports, and potentially accelerate wider implementation of ED HIV testing...
  5. pmc Contributions to early HIV diagnosis among patients linked to care vary by testing venue
    Michael S Lyons
    Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio USA
    BMC Public Health 8:220. 2008
    ..We compared test venues by the number of new diagnoses successfully linked to the regional HIV treatment center and disease stage at diagnosis...
  6. pmc A novel emergency department based prevention intervention program for people living with HIV: evaluation of early experiences
    Michael S Lyons
    Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA
    BMC Health Serv Res 7:164. 2007
    ..Emergency Departments (EDs) frequently care for PLWH, but do not typically endorse a prevention mission. We conducted a pilot exploratory evaluation of the first reported ED program to address the prevention needs of PLWH...
  7. pmc Interpreting and implementing the 2006 CDC recommendations for HIV testing in health-care settings
    Michael S Lyons
    Department of Emergency Medicine, University of Cincinnati College of Medicine, Ohio 45267 0769, USA
    Public Health Rep 122:579-83. 2007
    ..We then discuss potential combinations of the core elements that would enable increased testing in settings where comprehensive guideline implementation is not possible...
  8. pmc Comparison of missed opportunities for earlier HIV diagnosis in 3 geographically proximate emergency departments
    Michael S Lyons
    Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267 0769, USA
    Ann Emerg Med 58:S17-22.e1. 2011
    ..We seek to define missed opportunities for HIV diagnosis within 3 geographically proximate EDs serving different patient populations in a single metropolitan area...
  9. pmc Health department collaboration with emergency departments as a model for public health programs among at-risk populations
    Michael S Lyons
    Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA
    Public Health Rep 120:259-65. 2005
    ....
  10. ncbi request reprint Emergency department HIV testing and counseling: an ongoing experience in a low-prevalence area
    Michael S Lyons
    Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA
    Ann Emerg Med 46:22-8. 2005
    ..This investigation was to evaluate an ongoing, publicly funded, ED-based HIV counseling and testing program in a low-prevalence area...
  11. pmc Randomized comparison of universal and targeted HIV screening in the emergency department
    Michael S Lyons
    Department of Emergency Medicine and Division of Infectious Diseases, University of Cincinnati College of Medicine, Cincinnati, OH
    J Acquir Immune Defic Syndr 64:315-23. 2013
    ..We hypothesized that targeted HIV screening, when fully implemented and using maximally broad risk criteria, could detect nearly as many cases as universal screening with many fewer tests...
  12. pmc Risk, reasons for refusal, and impact of counseling on consent among ED patients declining HIV screening
    Nitin D Ubhayakar
    Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267 0769, USA
    Am J Emerg Med 29:367-72. 2011
    ..However, this should be tempered by the finding that many declined because of a recent negative test. Emphasizing risk during prevention counseling is not a promising strategy for improving opt-in consent rates...
  13. pmc Preliminary program evaluation of emergency department HIV prevention counseling
    Andrea P Sitlinger
    Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267 0769, USA
    Ann Emerg Med 58:S120-5.e1-3. 2011
    ..We investigate these issues by conducting a preliminarily exploration of several related aspects of our ED's HIV prevention counseling and testing program...
  14. pmc Operational methods of HIV testing in emergency departments: a systematic review
    Jason S Haukoos
    Department of Emergency Medicine, Denver Health Medical Center, Denver, CO 80204, USA
    Ann Emerg Med 58:S96-103. 2011
    ..The objective of this study is to provide a detailed account of the various models and operational constructs that have been described for performing HIV testing in EDs...
  15. doi request reprint 2009 US emergency department HIV testing practices
    Richard E Rothman
    Department of Emergency Medicine, Johns Hopkins University, Baltimore, MD 21209, USA
    Ann Emerg Med 58:S3-9.e1-4. 2011
    ..We characterize HIV testing practices and programs in US emergency departments (EDs) in 2009...
  16. pmc Effect of an emergency department HIV testing program on the proportion of emergency department patients who have been tested
    Nathan J Hudepohl
    Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA
    Ann Emerg Med 58:S140-4. 2011
    ..We demonstrate the impact of an ED diagnostic testing and targeted screening program on the proportion of ED patients ever tested for HIV and explore cumulative effects on testing rates over time...
  17. pmc Prevalence of undiagnosed acute and chronic HIV in a lower-prevalence urban emergency department
    Phillip C Moschella
    Phillip C Moschella, Kimberly W Hart, Andrew H Ruffner, Christopher J Lindsell, D Beth Wayne, Matthew I Sperling, Alexander T Trott, and Michael S Lyons are with the Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH Carl J Fichtenbaum is with the Division of Infectious Diseases, University of Cincinnati College of Medicine
    Am J Public Health 104:1695-9. 2014
    ..We estimated the seroprevalence of both acute and chronic HIV infection by using a random sample of emergency department (ED) patients from a region of the United States with low-to-moderate HIV prevalence...
  18. pmc Derivation and validation of the Denver Human Immunodeficiency Virus (HIV) risk score for targeted HIV screening
    Jason S Haukoos
    Department of Emergency Medicine, Denver Health Medical Center, 777 Bannock Street, Mail Code 0108, Denver, CO 80204, USA
    Am J Epidemiol 175:838-46. 2012
    ..63, 1.47) (n = 24/2,431), 1.59% (95% CI: 1.02, 2.36) (n = 24/1,505), and 3.59% (95% CI: 2.73, 4.63) (n = 57/1,588), respectively. The risk score accurately categorizes patients into groups with increasing probabilities of HIV infection...
  19. pmc A simple method for estimating the prevalence of undiagnosed HIV infection in an emergency department
    Christopher J Lindsell
    Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267 0769, USA
    Ann Emerg Med 58:S23-7. 2011
    ..We propose a simple method for estimating the prevalence of undiagnosed HIV in individual EDs...
  20. pmc Performance of a multi-disciplinary emergency department observation protocol for acetaminophen overdose
    Gillian A Beauchamp
    Department of Emergency Medicine, University of Cincinnati, 231 Albert Sabin Way, ML 0769, MSB 1654, Cincinnati, OH, 45206, USA
    J Med Toxicol 9:235-41. 2013
    ..Most patients were successfully discharged from the OU. This evaluation identified both over- and under-utilization of the OU. OU treatment resulted in shorter median length of stay than inpatient admission...
  21. doi request reprint Public health and clinical impact of increasing emergency department-based HIV testing: perspectives from the 2007 conference of the National Emergency Department HIV Testing Consortium
    Aleksandar Kecojevic
    Department of Emergency Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD 21209, USA
    Ann Emerg Med 58:S151-9.e1. 2011
    ..We codify those domains of public health and clinical care most affected by implementing HIV testing in EDs, as determined by expert opinion...
  22. ncbi request reprint Emergency department observation of heart failure: preliminary analysis of safety and cost
    Alan B Storrow
    Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH 45267 0769, USA
    Congest Heart Fail 11:68-72. 2005
    ..These findings need to be further evaluated in a randomized clinical trial...
  23. pmc Brief report: Validation of a quantitative HIV risk prediction tool using a national HIV testing cohort
    Jason S Haukoos
    Department of Emergency Medicine, Denver Health Medical Center, Denver, CO Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO Department of Epidemiology, Colorado School of Public Health, Aurora, CO Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, MD Department of Emergency Medicine, Alameda County Medical Center, Oakland, CA Department of Emergency Medicine, University of California San Francisco, San Francisco, CA Denver Public Health, Denver, CO University of Colorado College of Nursing, Aurora, CO Department of Clinical Pharmacy, University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Aurora, CO Department of Patient Safety and Quality, Denver Health Medical Center, Denver, CO Department of Biostatistics and Informatics, Colorado School of Public Health, Aurora, CO and Department of Medicine, University of Colorado School of Medicine, Aurora, CO
    J Acquir Immune Defic Syndr 68:599-603. 2015
    ..17%), 41% moderate risk (HIV prevalence = 0.39%), 17% high risk (HIV prevalence = 1.19%), and 6% very high risk (HIV prevalence = 3.57%). The Denver HIV Risk Score accurately categorized patients into different HIV risk groups...
  24. pmc Patient perception of whether an HIV test was provided during the emergency department encounter
    Naushad M Khakoo
    Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA
    J Int Assoc Provid AIDS Care 13:506-10. 2014
    ..This misperception could have broad implications, leading to less frequent subsequent testing, false reassurance of HIV-negative status, and inaccuracies in surveillance estimates or surveys that depend on self-report. ..
  25. ncbi request reprint An evaluation of emergency physician selection of observation unit patients
    Libby A Crenshaw
    Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267 0769, USA
    Am J Emerg Med 24:271-9. 2006
    ..Appropriate patient selection is critical for maximal observation unit (OU) effectiveness. We hypothesized emergency physicians underuse the OU for admitted patients and overuse the OU for patients who would otherwise be discharged...
  26. pmc Toward understanding the difference between using patients or encounters in the accounting of emergency department utilization
    Baruch S Fertel
    Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH, USA
    Ann Emerg Med 60:693-8. 2012
    ..We explore differences between patient- and encounter-level accounting of ED utilization...
  27. doi request reprint Opportunities for earlier HIV diagnosis in a pediatric ED
    Michelle D Eckerle
    Division of Emergency Medicine, Cincinnati Children s Hospital Medical Center, Cincinnati, OH, USA
    Am J Emerg Med 33:917-9. 2015
    ..We sought to determine whether there were opportunities for earlier HIV diagnosis in the PED for a cohort of young adults diagnosed with HIV...
  28. doi request reprint Bedside renal ultrasound in the evaluation of suspected ureterolithiasis
    James H Moak
    Department of Emergency Medicine, University of Virginia, Charlottesville, VA 22908, USA
    Am J Emerg Med 30:218-21. 2012
    ..To determine whether ultrasound changes emergency physicians' estimated likelihood of acute ureterolithiasis in patients with flank pain...
  29. pmc Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the current opioid epidemic
    Gillian A Beauchamp
    Gillian A Beauchamp, Shawn A Ryan, and Michael S Lyons are with the Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH Erin L Winstanley is with Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine and the James L Winkle College of Pharmacy, University of Cincinnati
    Am J Public Health 104:2023-9. 2014
    ..Meanwhile, medical education should place greater emphasis on the abuse liability of prescription opioids, and providers should endeavor to attenuate risk when possible. ..
  30. pmc Best evidence topic report. Full blood count and reticulocyte count in painful sickle crisis
    Aaron W Bernard
    Department of Emergency Medicine, University of Cincinnati, Cincinnati, USA
    Emerg Med J 23:302-3. 2006
  31. doi request reprint Needle and guidewire visualization in ultrasound-guided internal jugular vein cannulation
    James H Moak
    Department of Emergency Medicine, University of Virginia, Charlottesville, VA 22908, USA
    Am J Emerg Med 29:432-6. 2011
    ..We hypothesized that physicians often successfully perform ultrasound-guided internal jugular (IJ) cannulation without visualizing the needle in the lumen and that guidewire visualization occurs more frequently...
  32. ncbi request reprint Uncovering HIV infection in the emergency department: a broader perspective
    Richard E Rothman
    Acad Emerg Med 14:653-7. 2007