A5077649916- Palliative Care and End-of-Life Issues
- Patient-Provider Communication in Healthcare
- Family and Patient Care in Intensive Care Units
- Childhood Cancer Survivors' Quality of Life
- Empathy and Medical Education
- COVID-19 and healthcare impacts
- Colorectal Cancer Surgical Treatments
- Colorectal Cancer Screening and Detection
- Cancer survivorship and care
- Simulation-Based Education in Healthcare
- Trauma and Emergency Care Studies
- Cultural Competency in Health Care
- Vasculitis and related conditions
- Heart Failure Treatment and Management
- Otitis Media and Relapsing Polychondritis
- Anesthesia and Pain Management
- Patient Dignity and Privacy
- Cardiovascular Function and Risk Factors
- Management of metastatic bone disease
- Artificial Intelligence in Healthcare and Education
- Disaster Response and Management
- Communication in Education and Healthcare
- Medical Case Reports and Studies
- Metabolism, Diabetes, and Cancer
- Opioid Use Disorder Treatment
Virginia Commonwealth University
2017-2025
University Health System
2019-2025
Virginia Commonwealth University Medical Center
2020-2021
Children's Hospital of Richmond at VCU
2017
Suffolk University
2010
Introduction Although many efforts have been made to reduce racial pain disparities over decades, the of black patients is still undertreated. Previous work has identified a host patient and provider factors that contribute in healthcare general, consequently, may care particular. That said, there limited clinically meaningful progress eliminating these disparities. This lack likely because prior research investigated influence isolation, rather than examining their interaction. Successful...
Abstract Background Endoplasmic reticulum (ER) stress is an essential response of epithelial and immune cells to inflammation in Crohn’s disease. The presence mechanisms that might regulate the ER subepithelial myofibroblasts (SEMFs) its role development fibrosis patients with disease have not been examined. Methods Subepithelial were isolated from affected ileum normal each Montreal phenotype non-Crohn’s subjects. Binding GRP78 latent TGF-β1 subcellular trafficking was examined using...
COVID-19 introduced new barriers to health care including cancer screenings. This study evaluated the role of pandemic- and copay-related colonoscopy extent which home-based testing methods were utilized.
Abstract Background Communication between clinicians, patients, and families is a core component of medical care that requires deliberate practice feedback to improve. In March 2020, the COVID‐19 pandemic caused sudden transformation in communication practices because new physical distancing requirements, necessitating physicians communicate bad news via telephone video‐mediated (VMC). This study investigated students’ experience with simulation‐based communications training for having...
The COVID-19 pandemic resulted in a sudden increase the need to effectively use telehealth all realms of health care communication, including delivery bad news.A single arm, unblinded, feasibility study was performed at tertiary center located Central Virginia explore value and utility providing training program based on SPIKES teach surgical residents faculty best practice for disclosing difficult news via video-mediated communication (VMC). Surgical interns (categorical preliminary),...
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The study examined the feasibility and potential benefit of ex vivo sentinel lymph node (SLN) mapping, including multilevel sectioning (MLS) immunohistochemistry (IHC) in colon cancer patients undergoing laparoscopic colectomy. secondary goals were (i) to identify patient tumour characteristics that might influence success SLN technique, (ii) investigate extent lymphadenectomy required encompass tumour-positive nonsentinel nodes (NSLN) (iii) ascertain association status with oncological...
Advance Care Planning (ACP) includes anticipating future medical decisions and designating a decision maker in the event of losing capacity to make one’s own decisions. Many advantages can be seen doing ACP before crisis as well revisiting these discussions over time circumstances change. This case presentation is 74-year-old woman with multiple problems who had context proposed surgery for colon cancer. These conversations highlight elements high-quality importance learning what patients...
Despite decades of efforts to reduce racial pain disparities, abundant evidence demonstrates that Black patients' continues be under-diagnosed and undertreated, including in perioperative contexts.1 Some may attribute such under-diagnosis under-treatment a growing awareness the adverse effects opioids evolving consensus on best practices for opioid prescribing. However, patients are more likely than White prescribed inadequate doses opioids2–4 even when appropriate treatment. These...