A5020549518- Balance, Gait, and Falls Prevention
- Hearing Loss and Rehabilitation
- Frailty in Older Adults
- Vestibular and auditory disorders
- Hearing, Cochlea, Tinnitus, Genetics
- Surgical Simulation and Training
- Allergic Rhinitis and Sensitization
- Hospital Admissions and Outcomes
- Noise Effects and Management
- Nasal Surgery and Airway Studies
- Facial Nerve Paralysis Treatment and Research
- Glaucoma and retinal disorders
- Ear Surgery and Otitis Media
- Dementia and Cognitive Impairment Research
- Respiratory and Cough-Related Research
- Context-Aware Activity Recognition Systems
- Cardiac, Anesthesia and Surgical Outcomes
- Oropharyngeal Anatomy and Pathologies
- Stroke Rehabilitation and Recovery
- Electronic Health Records Systems
- Organ Transplantation Techniques and Outcomes
- Mast cells and histamine
- Coagulation, Bradykinin, Polyphosphates, and Angioedema
- Patient Safety and Medication Errors
- Medical Malpractice and Liability Issues
ENT and Allergy
2022
Johns Hopkins University
2015-2021
Impact
2021
Triological Society
2021
Johns Hopkins Medicine
2019-2020
Albert Einstein College of Medicine
2014-2016
Montefiore Medical Center
2016
We aimed to determine whether hearing impairment (HI) in older adults is associated with the development of frailty and falls.
Self-reported hearing impairment is often used to gauge objective loss in both clinical settings and research studies. The aim of this study was examine whether demographic factors affect the accuracy subjective, self-reported older adults.We examined 3557 participants aged 50 National Health Nutrition Examination Survey cycles 1999-2006 2009-2010. We relationship between subjective using percent correct classification misclassification bias analyses stratified by gender, age group,...
To explore whether disparities in age and sex access to kidney transplantation (KT) originate at the time of prereferral discussions about KT.
This study evaluated whether reduced vestibular function in aging adults is associated with lower hippocampal volume.
Patients with Alzheimer's disease (AD) and AD related dementias (ADRD) often experience spatial disorientation that can lead to wandering behavior, characterized by aimless or purposeless movement. Wandering behavior has been associated falls, caregiver burden, nursing home placement. Despite the substantial clinical consequences of wandering, there is currently no standardized approach objectively quantify behavior. In this pilot feasibility study, we used a lightweight inertial sensor...
Objectives: Growing evidence suggests that vestibular function impacts higher-order cognitive ability such as visuospatial processing and executive functioning. Despite demonstrating functional impairment impacting performance, it is unknown whether differentially affected according to the type of (semicircular canal [SCC] versus saccule) among patients with diagnosed disease. Design: Fifty-four who presented an academic neurotologic clinic were recruited into study. All received a specific...
Beta-amyloid (Aβ) plaque deposition is a key feature of Alzheimer's disease (AD), and occurs years before the onset symptoms. Aβ has been shown to be present in ~30% cognitively normal older adults using amyloid C-11 labeled Pittsburgh Compound B (11C-PiB) Positron Emission Tomography (PET) imaging. Prior studies have reported link between reduced vestibular function poorer cognition healthy adults. It unknown whether impairment association with AD pathology among individuals preclinical...
Objectives/Hypothesis Black race is a risk factor for angioedema. The primary aim was to examine the relationship between race–ethnicity and factors Study Design Using retrospective case‐control study design, data extracted with Clinical Looking Glass utility, collection management tool that captures from electronic medical record systems within Montefiore Healthcare System. Cases were emergency department (ED) visits or secondary International Classification of Diseases, Ninth Revision,...
Objectives Sublingual immunotherapy (SLIT) has emerged as an effective treatment alternative to subcutaneous (SCIT) given its improved safety profile and more convenient dosing. However, SLIT still relies on daily dosing for many years optimize effectiveness. This study sought investigate factors that influence patient completion of SLIT. Methods We performed institutional retrospective review patients who received (2008–2020). Completion was defined completing at least 36 months Patient...
Objectives Rhinoplasty is commonly performed in children with congenital anomalies and resultant nasal deformity causing airway obstruction. Little known regarding patient factors or perioperative sequelae. We define demographic characteristics complications for undergoing rhinoplasty within a large national cohort. Study Design Retrospective cohort study of aged ≤ 18 years utilizing data from the 2012 to 2015 American College Surgeons National Surgery Quality Improvement Program‐Pediatric...
Background: Eagle syndrome is often considered in the work-up of odynophagia and neck pain. Classically, this manifested by ossification or calcification stylohyoid ligament styloid process. There are no reported cases stylopharyngeal leading to these symptoms. Case: We describe a patient with suspected submucosal pharyngeal foreign body who was found have calcified stylopharyngeus muscle tendon during surgery. The experienced full resolution symptoms after transoral robotic resection. This...
Objectives: Frailty is a state characterized by decreased physiologic reserve and weakness that associated with poor health outcomes. Whether hearing impairment, which physical cognitive decline, frailty, unknown. Methods: We analyzed 2109 individuals 70 years older in the 1999‐2002 cycles of National Health Nutrition Examination Survey (NHANES). Hearing impairment was measured self‐report (good, little trouble, lot trouble). defined as presence at least 3 following: 5% unintentional weight...
Abstract Introduction Falls are a significant problem among older adults with Alzheimer's disease, leading to high rates of fracture, hospitalization, and death. Tracking falls in adults, particularly those cognitive impairment, is clinical research challenge. Methods This prospective pilot study evaluated the feasibility text message program track patients dementia. We also compared this technique calendar method fall data collection. Results There was 96% completion rate messaging 100%...
To describe the use of electronic health records (EHR) among members American Neurotology Society (ANS).Cross-sectional.Active ANS in November 2017.Internet-based survey.Survey that assessed EHR practice, types programs, different elements employed, and respondents' satisfaction efficiency with EHR.One hundred twenty-seven responded to survey 67 (52.8%) respondents working academic practice 60 (47.2%) private practice. Epic was most commonly used 89 (70.1%) using this system. Among all...
Patients with Alzheimer’s disease and related dementias (ADRD) often experience wandering behavior, characterized by aimless or purposeless movement. Wandering has been associated falls, caregiver burden, nursing home placement. Despite the substantial clinical consequences of wandering, there is currently no standardized approach to objectively quantify behavior. In this pilot study, we used a lightweight inertial sensor examine at-home mobility characteristics small group older adults ADRD...