Espino, David VSchool of Medicine |
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Dr. Espino is a leading Hispanic geriatric researcher who has over 120 publications focusing on various aspects of Hispanic aging. Dr Espino is currently Co-Principal Investigator of the the Hispanic EPESE, which is a 5 state longitudinal epidemiologic survey of elder Mexican Americans and a principal investigator on the DELMA, a bicultural survey of end of life attitudes. He has served on numerous national panels including the Mental Disorders of Aging Review Panel of the National Institute of Mental Health, the Department of Health and Human Services Consensus Panel on Alzheimers Disease and Related Disorders, the National Advisory Council of the National Institute on Aging and the National Research Councils Committee on Population special committee on health disparities in late life. He has also been listed in Best Doctors in America. |
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| 5/2005 - Present | Associate Professor | University of Texas Health Science Center at San Antonio |
| Year | Degree | Discipline | Institution |
| 1987 | Postdoctoral Fellowship | Geriatric Medicine | Mount Sinai Medical Center New York , NY |
| 1986 | Residency | Family Medicine | Spohn-Memorial Medical Center Corpus Christi , TX |
| 1983 | MD | Medicine | University of Texas Medical Branch Galveston , TX |
| 1979 | BS | Biology | University of Texas at San Antonio San Antonio , TX |
| 1977 | AS | Biology | San Antonio College San Antonio , TX |
Clinical Interests- Dementia care, long term care, subacute care and inpatient geriatrics care. |
Research Interests- Areas of research interest include (1) measurement of cognitive impairment, (2) bone health and (3) medication use in elder Mexican American populations |
Journal Article |
| Escobar V, Oakes SL, Wood R, Becho J, Markides KS, Espino DV. Prevalence and Characteristics Associated with Self-Reported Gallbladder Disease in Mexican American Elders: Results from the Hispanic Established Populations for Epidemiologic Studies in the Elderly (H-EPESE) Study (IN PRESS) Aging: Clinical & Experimental Research 2008 Dec;. |
| Espino DV, Silva Ross J, Oakes SL, Becho J, Wood RC. Characteristics of hip fractures among hospitalized elder Mexican American Black and White Medicare beneficiaries in the Southwestern United States Aging Clin Exp Res 2008 Aug;20(4):344-348. |
| Pugh MJ, Palmer FR, Parchman ML, Mortensen EM, Markides K, Espino DV. Association of suboptimal prescribing and change in lower extremity physical function over time Gerontology 2008 Feb;53(6):445-453. |
| Owings KK, Finley MR, Oakes SL, Woods RC, Parker RW, Espino DV. Characteristics of elder Mexican Americans with anemia in skilled nursing facilities in the Southwestern United States Journal of the American Medical Directors Association 2007 Mar;8(3). |
| Espino DV, Bazaldua OV, Palmer RF, Mouton CP, Parchman ML, Miles TP, Markides K. Suboptimal Medication Use and Mortality in an Older Adult Community-Based Cohort: Results From the Hispanic EPESE Study J Gerontol A Biol Sci Med Sci 2006 Feb;61(2):170-175. |
| Reyes-Ortiz CA, Ayele H, Mulligan T, Espino DV, Berges IM, Markides KS. Higher church attendance predicts lower fear of falling in older Mexican-Americans Aging Ment Health 2006 Jan;10(1):13-18. |
| Hepburn Ken,Oakes SL, Talamantes MA, Ross J, Espino DV. Reaching the heart of the caregiver Clinical Gerontologist 2006 Jan;30(2):37-49. |
| Garcez-Leme LE, Leme MD, Espino DV. Geriatrics in Brazil: a big country with big opportunities J Am Geriatr Soc 2005 Nov;53(11):2018-2022. |
| Oakes Sandra L,; Santana, N.; Carcamo; Espino, D. Morganis hernia in an elderly woman with subphrenic abscess Journal of the American Geriatrics Society 2005 Oct;. |
| Simpao MP, Espino DV, Palmer RF, Lichtenstein MJ, Hazuda HP. Association of acculturation and structural assimilation and mini-mental state examination-assessed cognitive impairment in older Mexican Americans: findings from the San Antonio Longitudinal Study of Aging J Am Geriatr Soc 2005 Jul;53(7):1234-1239. |
| Mangione CM, Briceland-Betts D, Ellenberg SS, Emerson SS, Espino DV, et.al. National Institutes of Healths state-of-the-science conference statement: management of menopausal-related symptoms Annals of Internal Medicine 2005 Jun;142(12). |
| Collins- Insel K, Palmer RF, Stroup-Benham CA, Markides KS, Espino DV. Association Between Change in Systolic Blood Pressure & Cognitive Decline Among Elderly Mexican Americans: Data from the Hispanic Established Population for Epidemiologic Study of the Elderly Exp Aging Research 2005 May;31:35-54. |
| Royall DR, Espino DV, Polk MJ, Palmer RF, Markides KS. Prevalence and patterns of executive impairment in community dwelling Mexican Americans: results from the Hispanic EPESE Study Int J Geriatr Psychiatry 2004 Oct;19(10):926-934. |
| Espino DV, Lichtenstein MJ, Palmer RF, Hazuda HP. Evaluation of the mini-mental state examinations internal consistency in a community-based sample of Mexican-American and European-American elders: results from the San Antonio Longitudinal Study of Aging J Am Geriatr Soc 2004 May;52(5):822-827. |
Book/Monograph |
| Espino D. Fractures in Older Adults Thousand Oaks, CA: SAGE Publications; 2007. 227 p. |
| Finley M, Oakes S, Stone, Cynthia L., Espino D. Incontinence in the Elderly Thousand Oaks, CA: SAGE Publications; 2007. 296 p. |
| Espino DV, Oakes LO, Amaya-Grever I, Olivares O, Alford CA, Mouton CP. Health Care for Hispanic Elder Patients Kansas City, MO: AAFP Press; 2004. |
Book Chapter |
| Merkelz KP, Mouton CP, Espino DV. Urinary Tract Infections. In: Ham RJ, Sloane PD, Warshaw GA, Bernard MA, Flaherty E (Eds). Primary Care Geriatrics: A Case-Based Approach, 5th Edition. Philadelphia, PA: Mosby: Elsevier; 2007. |
Abstract |
| Lamaie N,Kurian P,Finley R, Espino DV,Oakes L,. A 92 year old male with Herpes Zoster Encephalitis (HZE) and Prolonged Delirium: did he make it?; 2008 Apr. (Journal of the American Geriatrics Society). |
| Oakes, S. Liliana; Ross, Jeanette; Talamantes, Melissa; Hepburn, Ken W.; Espino, David V. Development and Evaluation of a Culturally Relevant Training Program for Spanish-Speaking Dementia Caregivers Puebla, Mexico: Fourth Panamerican Congress in Geriatrics & Gerontology; 2007 May. |
| Ross J, Oakes SL, Talamantes MA, Hepburn, KW, Espino DV. Evaluation of a Culturally Relevant Pilot Training Program for Spanish-Speaking Dementia Caregivers Chicago, IL; 2006 Apr. (Journal of the American Geriatrics Society; vol. 54, no. 4). |
| K.K. Owings, D.V. Espino, R. Wood, O. Olivares, Oakes Sandra L. Prevalence and Risk Factors for Self-Reported Vertebral Fractures in Mexican-American Elders Rio de Janeiro, Brasil: International Congress in Geriatrics and Gerontology; 2005 Jun. (American Geriatric Society). |
| Ross JS, Oakes SL, Dergance JM, Espino DV. Special Considerations regarding medical decisional capacity in a partially competent elder American Geriatric Society Meeting:Orlando, FL; 2005 Apr. (Journal of the American Geriatrics Society; vol. 53, no. 1). |
| Ross JS, Oakes SL, Wood, RC, Espino DV. Hip fracture cost and length of stay for hospitalized elder Mexican Americans Medicare beneficiaries in the southwestern United States; 2005 Apr. (Journal of the American Geriatrics Society; vol. 53, no. 1). |
Review Article |
| Tovar JJ, Angel RJ, Eschbach K, Espino DV, Markides KS. Hispanic Established Populations for the Epidemiologic Studies of the Elderly: selected longitudinal findings Aging Health 2007 Jul;3(3):325-331. |
| Espino DV, Andel R. Toward optimal health: the experts discuss memory loss in aging women J Womens Health (Larchmt) 2004 Oct;13(8):856-862. |
| Manly JJ, Espino DV. Cultural influences on dementia recognition and management Clin Geriatr Med 2004 Feb;20(1):93-119. |
Editorial |
| Espino DV. Geriatrics Still In Its Infancy San Antonio Medicine 2006 Nov;58(11). |
Electronic/Web Publication |
| Finley MR, Espino DV, Oakes SL, Owings KK, Parker RW. Geriatric Nursing Home curriculum 2007 Jul. |
| Oakes SL, Finley MR, Espino DV, Parker RW, Owings KK. Geriatric Nix Inpatient Curriculum 2006 Jul. |
Other |
| Espino DV. Polypharmacy was associated with mortality in the elderly Hispanic population: How strong was the association? Journal of Gerontology: Medical Science 2006 Aug;61(8):874-874. |
Federal |
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| Funding Agency | Agency for Health Care & Quality |
| Title | Decisionmaking at the End of Life in Mexican American elders (DELMA) |
| Status | Active |
| Period | 2/2006 - 1/2009 |
| Role | Principal Investigator |
| Grant Detail | Pilot study to examine differences in end of life and assisted suicide preferences between older Mexican Americans and Non Hispanic Whites, (UTSA subcontract) |
| Funding Agency | National Institute on Aging |
| Title | Hispanic EPESE (Phase 3) |
| Status | Active |
| Period | 10/2003 - 10/2008 |
| Role | Co-Investigator |
| Grant Detail | Continuation of longitudinal study of Mexican American elders in the Southwestern U.S. |
Private |
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| Funding Agency | John A. Hartford Foundation |
| Title | John A. Hartford Geriatric Center of Excellence (Phase IV) |
| Status | Active |
| Period | 1/2008 - 12/2011 |
| Role | Principal Investigator |
| Grant Detail | Educational grant to increase the number of academic geriatricians at UTHSCSA |
| Funding Agency | Proctor and Gamble |
| Title | Bone Health in Elder MA''s |
| Status | Active |
| Period | 1/2008 - 12/2010 |
| Role | Principal Investigator |
| Grant Detail | Two subprojects on elder bone health. Project 1: examining Calcium supplement usage in elder MA''s and Project 2: examining mortality in elder MA''s with hip fractures. Both projects used the Hispanic EPESE database |
| Funding Agency | John A. Hartford Foundation |
| Title | John A. Hartford Center of Excellence (Phase III) |
| Status | Active |
| Period | 1/2005 - 12/2007 |
| Role | Co-Principal Investigator |
| Grant Detail | The purpose of the Center is to provide pre- and postdoctoral training in geriatrics at the University of Texas Health Science Center at San Antonio and to prepare trainees for careers in clinical and academic geriatrics. |
State |
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| Funding Agency | State of New Jersey |
| Title | ORANJ BOWL Community Database |
| Status | Active |
| Period | 9/2005 - 8/2010 |
| Role | Consultant |
| Grant Detail | Consultant to larger grant to develop ongoing community database of healthy older adults. |