A5100450925- Trauma and Emergency Care Studies
- Hemodynamic Monitoring and Therapy
- Cardiac Arrest and Resuscitation
- Abdominal Trauma and Injuries
- Venous Thromboembolism Diagnosis and Management
- Radiology practices and education
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Ultrasound in Clinical Applications
- Advanced Semiconductor Detectors and Materials
- Sepsis Diagnosis and Treatment
- Semiconductor Quantum Structures and Devices
- Central Venous Catheters and Hemodialysis
- Pituitary Gland Disorders and Treatments
- Autopsy Techniques and Outcomes
- Patient Safety and Medication Errors
- Intestinal Malrotation and Obstruction Disorders
- Hidradenitis Suppurativa and Treatments
- Meningioma and schwannoma management
- Acute Ischemic Stroke Management
- Blood Coagulation and Thrombosis Mechanisms
- Autoimmune and Inflammatory Disorders
- Minimally Invasive Surgical Techniques
- Healthcare professionals’ stress and burnout
- Hernia repair and management
- Head and Neck Surgical Oncology
Cedars-Sinai Medical Center
2019-2024
Oakton Community College
2023
The Royal Melbourne Hospital
2023
The University of Melbourne
2023
Denver Health Medical Center
2022
University of Colorado Denver
2022
University of California, San Diego
2022
Harbor–UCLA Medical Center
2022
Scripps Institution of Oceanography
2022
University of Maryland, Baltimore
2022
Introduction: Small bowel obstruction (SBO) is a common cause of hospital admission leading to resource utilization. The majority these patients require non-operative management (NOM) which can lead increased length stay (LOS), readmissions, utilization, and throughput delays. Early surgical consultation (SC) for SBO may improve efficiency outcomes. Methods: We implemented an institution-wide intervention (INT) encourage early SC (<1 day diagnosis) in July 2022. A retrospective analysis...
The role of robotic surgery in the nonelective setting remains poorly defined. Accessibility, patient acuity, and high turn-over may limit its applicability utilization. goal is to characterize cholecystectomy (CCY) a busy acute care (ACS) practice at quaternary medical center, compare surgical outcomes resource utilization between laparoscopic CCY.
Abdominal seat belt sign (SBS) has historically entailed admission and observation because of the diagnostic limitations computed tomography (CT) imaging high rates hollow viscus injury (HVI). Recent single-institution, observational studies have questioned utility this practice.To evaluate whether a negative CT scan can safely predict absence HVI in setting an abdominal SBS.This prospective, cohort study was conducted 9 level I trauma centers between August 2020 October 2021 included adult...
Abstract Background Point-of-care lung ultrasound (LUS) allows real-time patient scanning to help diagnose pleural effusion (PE) and plan further investigation treatment. LUS typically requires training experience from the clinician accurately interpret images. To address this limitation, we previously demonstrated a deep-learning model capable of detecting presence PE on at an accuracy greater than 90%, when compared experienced operator. Methods This follow-up study aimed develop provide...
Antithrombin III (ATIII) deficiency may result from hereditary or acquired reduction in ATIII levels and is associated with an increase venous thromboembolism (VTE) the general population. VTE a potentially preventable complication critically ill surgical patients. The objective of this study was to evaluate relation between intensive care unit (SICU) patients.All patients admitted SICU January 2017 April 2018 who had drawn were included study. An level below 80% normal considered low. rate...
This cohort study surveys surgeons, anesthesiologists, residents, nurses, and technicians at a single institution regarding their experiences of intraoperative death, particularly emotional outcomes.
Pairings of single-spore isolates from different basidiocarps were made to examine the numbers and distributions incompatibility factors in tetrapolar basidiomycetes Pleurotus ostreatus sapidus. These do not appear be randomly distributed, with multiple on a single tree or log arising mycelium, sharing common monokaryotic parent, tendency toward spatial clustering even when same are excluded analyses. For one 30-km 2 collection area, estimated A B P. population 126 354, respectively,...
The abdominal seat belt sign (SBS) is associated with an increased risk of hollow viscus injury (HVI). Older age worse outcomes in trauma patients. Thus, older patients ≥65 years (OTPs) may be at HVI SBS. Therefore, we hypothesized incidence and mortality for OTPs vs younger (YTPs)
Abstract Point-of-care lung ultrasound (LUS) allows real-time patient scanning to help diagnose pleural effusion (PE) and plan further investigation treatment. LUS typically requires training experience from the clinician accurately interpret images. To address this limitation, we previously demonstrated a deep-learning model capable of detecting presence PE on at an accuracy greater than 90%, when compared experienced operator. This follow-up study aimed develop provide segmentations for in...
Avoiding excess fluid administration is necessary when managing critically ill surgical patients. The aim of this study was to delineate the current practices IVelectrolyte (IVE) replacement in a ICU and quantify their contribution balance (FB) status. Patients admitted over six-month period were reviewed. undergoing dialysis those with stay <72 hours excluded. A total 248 patients included. median age 60 years, 57 per cent male. Overall, 1131 patient days analyzed. daily FB 672 mL. IVEs...
ABSTRACT Background: Patients with sepsis have significant mortality and morbidity that may improve by normalization of lactate as indication adequate resuscitation. We sought to quantify the volume fluid associated correction in septic surgical patients. Material methods: A retrospective review was conducted all patients elevated who were admitted SICU at a Level I trauma center from February 2016 April 2018. ≥18 years sepsis, shock, infection, >2.5 mmol/l subsequent follow up included....
Surveys assessing attitudes and values about the environment can help predict human behavior towards wildlife develop effective conservation goals alongside local communities. Southern Alabama is a hotspot for biodiversity endemism in United States need of studies to protect its wildlife. Land management practices have moved from indigenous-led management, which more harmony with environment, larger-scale exploitative uses agriculture plantations. We therefore predicted that large proportion...
Introduction: Central venous catheterization (CVC) is often necessary during initial trauma resuscitations, but may result in severe complications including infection, deep thrombosis (DVT), pulmonary emboli (PE), arterial injury, or pneumothoraces. We hypothesized that femoral resuscitation CVCs are safer than subclavian CVCs. Our primary study objective was to compare life-threatening secondary versus CVC placement resuscitations. Methods: A retrospective review (2010–2011) at an urban,...
Purpose: Diverticulosis is a commonly diagnosed condition in patients undergoing colonoscopy. The presence of colonic diverticula can make performing colonoscopy more challenging. However, it unclear if diverticulosis adversely affects cecal intubation rates, scope insertion times, withdrawal or sedation requirements total Our aim was to determine the associated with differences during Methods: A retrospective, single-center, cohort study conducted that included who underwent by one five...