- Esophageal and GI Pathology
- Gastric Cancer Management and Outcomes
- Esophageal Cancer Research and Treatment
- Colorectal Cancer Screening and Detection
- Coronary Interventions and Diagnostics
- Acute Myocardial Infarction Research
- Colorectal Cancer Surgical Treatments
- Tracheal and airway disorders
- Nosocomial Infections in ICU
- Gastrointestinal disorders and treatments
- Cardiac Imaging and Diagnostics
- Gastrointestinal Tumor Research and Treatment
- Foreign Body Medical Cases
- Atherosclerosis and Cardiovascular Diseases
- Endometriosis Research and Treatment
- Acute Ischemic Stroke Management
- Renal function and acid-base balance
- Public Health and Environmental Issues
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Sepsis Diagnosis and Treatment
- Biliary and Gastrointestinal Fistulas
- Intensive Care Unit Cognitive Disorders
- Nursing care and research
- Gallbladder and Bile Duct Disorders
- Axon Guidance and Neuronal Signaling
Borland Groover Clinic
2024
Colorado State University
2023
Hospital Universitario Río Hortega
2017-2022
University of Florida
2009-2021
Jacksonville College
2014-2021
Jacksonville University
2008-2021
Augusta University
2021
Universidad Alfonso X el Sabio
2019
Universidad del Desarrollo
2018
Clínica Alemana
2018
Real-time prediction of histologic features small colorectal polyps may prevent resection and/or pathologic evaluation and therefore decrease colonoscopy costs. Previous studies showed that computer-aided diagnosis (CADx) was highly accurate, though it did not outperform expert endoscopists.
Acid suppression therapy (AST) is one of the most commonly prescribed classes medications in hospitalized patients. Multiple studies have shown that AST overused during inpatient admissions. However, minimal data available regarding frequency and patient characteristics those discharged on unnecessary AST. The aims study were to examine administration admission, characterize population determine predictive factors for inappropriate patients.A retrospective chart review randomly selected...
Background and purpose Netrin‐1, an axon guidance protein, reduces serum levels of pro‐inflammatory mediators stabilizes the blood−brain barrier limiting entrance immune cells into central nervous system. The aim was to investigate its presence in experimental autoimmune encephalomyelitis ( EAE ) model multiple sclerosis MS patients with without clinical activity. Methods Netrin‐1 were evaluated mouse tissues. Afterwards, netrin‐1 cross‐sectionally quantified 90 different phenotypes 30...
1. “Folic acid” deficiencies induced by aminopterin and sulfa drugs in rats have been compared. 2. Aureomycin can counteract the toxic effects of 50, 75 100 μg aminopterin/100 g diet. The antibiotic is equally effective whether fed diet or given intraperitoneally. 3. without effect on growth made “folic acid deficient” a 4. Citrovorum factor concentrates are able to completely overcome deficiency produced either type
To report a standing hand-assisted laparoscopic technique for closure of the nephrosplenic space (NS), and short-term outcome in horses.Case series.Horses (n = 12) aged 5-14 years.Medical records (2007-2010) horses treated left dorsal displacement large colon (LDDLC) using correction with NS same surgical procedure were reviewed. A modified grid laparotomy paralumbar fossa was used manual LDDLC, after which closed technique. Follow up obtained by telephone interview owners or referring...
Acid suppression therapy (AST) is commonly overprescribed in hospitalised patients. This indiscriminate use increases cost and drug-related side effects. Minimal data available on interventions aimed at reducing the burden of overprescription. The aim our study was to evaluate impact education medication reconciliation forms admission as well discharge, AST overuse patients.A retrospective chart review randomly selected patients admitted general medicine service University Florida Health...
Percutaneous cardiopulmonary support (CPS) has proven to be a technique of value in high-risk coronary patients undergoing percutaneous balloon angioplasty. Since May 1994, we have combined the use CPS and stent revascularization 92 patients. In 68 them, was used as prophylactic procedure (group 1); remaining 24, an emergency stabilize even resuscitate with acute myocardial infarction circulatory collapse, order attempt urgent treatment 2). Primary success achieved 66 from group 1 (97%). One...
Abstract Diffuse coronary lesions (length > 20 mm) are still considered high risk for percutaneous intervention even in the current stent era. We compared 2‐year outcome of patients with long diffuse stenosis treated by three different strategies. In addition, we also analyzed possible factors influencing a favorable late outcome. Our series is constituted 232 247 between May 1994 and April 1999; 82 received one single (group 1), 71 were overlapped multiple stents 2), 79 nonoverlapped 3)....
Self-expanding metal and plastic esophageal stents (SEMS SEPS, respectively) are used in conjunction with chemoradiation for palliation of malignant dysphagia. To date, the dosimetric effects undergoing proton radiotherapy not known.To investigate dose perturbations caused by varying designs materials external beam treatment cancer.Simulated clinical protocol. Solid acrylic phantom was to mimic tissue environment. Stents made nitinol, stainless steel polyester were tested. Proton 2 Gy-E...
Self-expandable metal stents (SEMS) are used for colonic neoplastic and extracolonic metastatic obstruction relief. Limited data exists on their use locally invasive prostate cancer. We describe a unique approach using overlapping SEMS to alleviate rectosigmoid from A patient with advanced cancer presented obstipation lymphedema. Placement of was performed, relieving the visualized obstruction.
Ultrasound marking by radiologists prior to percutaneous liver biopsy (PLB) results in site adjustment, decreased pain related complications and improved tissue yield. Minimal data exists on the impact of ultrasound gastroenterologists these parameters. The study aim was evaluate whether PLB yield, fewer needle passes failure rates compared blind biopsy, eliminating need for a separate radiological evaluation.All performed from June 1999 February 2003 at University Florida College Medicine,...
AIM:To evaluate if differences exist between selfexpanding esophageal metal stents (SEMS) and plastic (SEPS) when used for benign or malignant disorders with regard to safety, efficacy, clinical outcomes, placement ease cost. METHODS:A retrospective analysis was performed outcome in patients having SEPS/SEMS placed conditions from January 2005 April 2012.Inclusion criteria completed SEMS/SEPS placement.Outcomes assessed included technical success of time required stent placement,...