A5062180432- Liver Disease Diagnosis and Treatment
- HIV/AIDS Research and Interventions
- Liver Disease and Transplantation
- Hepatitis C virus research
- Clinical Nutrition and Gastroenterology
- Global Maternal and Child Health
- Nutrition and Health in Aging
- Adolescent Sexual and Reproductive Health
- Healthcare cost, quality, practices
- Inflammatory Bowel Disease
- Hepatocellular Carcinoma Treatment and Prognosis
- Child Nutrition and Feeding Issues
- Palliative Care and End-of-Life Issues
- HIV, Drug Use, Sexual Risk
- Hernia repair and management
- Economic and Financial Impacts of Cancer
- Colorectal Cancer Screening and Detection
- Peptidase Inhibition and Analysis
- Electronic Health Records Systems
- Protein Degradation and Inhibitors
- Healthcare Systems and Reforms
- Radiology practices and education
- Clostridium difficile and Clostridium perfringens research
- Meta-analysis and systematic reviews
- Food Security and Health in Diverse Populations
Columbia University
2015-2024
Columbia University Irving Medical Center
2016-2024
Texas Health Dallas
2024
Icahn School of Medicine at Mount Sinai
2021-2023
NewYork–Presbyterian Hospital
2023
New York Hospital Queens
2023
Mount Sinai Hospital
2022
Mount Sinai Hospital
2020-2021
Columbia College
2019-2020
Royal College of Physicians
2019-2020
There is growing evidence that neck pain common in adolescence and a risk factor for the development of chronic adulthood. The cervical facet joint its capsular ligament source adults, but role adolescent remains unknown. aim this study was to define biomechanics, behavioral sensitivity, indicators neuronal glial activation an model mechanical injury. A bilateral C6-C7 distraction imposed rat biomechanical metrics were measured during Following injury, forepaw hyperalgesia measured, protein...
Abstract Background Successful treatment of hepatitis C reduces liver inflammation and fibrosis; however, patients remain at risk developing hepatocellular carcinoma (HCC). Aims To identify factors for new‐onset HCC in cured C. Methods Imaging, histological, clinical data on whose first was diagnosed >12 months post‐SVR were analyzed. Histology 20 nontumor tissues analyzed a blinded manner using the Knodel/Ishak/HAI system necroinflammation fibrosis/cirrhosis stage Brunt...
The purpose of the research was to examine feasibility and acceptability a father-based sexual reproductive health intervention designed reduce (SRH) disparities increase correct consistent condom use among Latino adolescent males.The current study conducted in-depth semi-structured interviews with father-son dyads (N=30) elicit perspectives on communication regarding sex use. In addition, interview protocol included preferences paternal involvement in instruction perceived obstacles...
Hepatocellular carcinoma (HCC) incidence and mortality vary by race/ethnicity both are higher in Black patients than Whites. For HCC surveillance, all cirrhotic advised to undergo lifelong twice-annual abdominal imaging. We investigated factors associated with surveillance a diverse risk group, recently cured of hepatitis C virus (HCV) infection.In this observational cohort study, participants (n = 357) had advanced fibrosis/cirrhosis were HCV antiviral treatment. None Liver Imaging...
Although chronic HCV infection increases mortality, thousands of patients remain diagnosed-but-untreated (DBU). We aimed to (1) develop a DBU phenotyping algorithm, (2) use it facilitate case finding and linkage care, (3) identify barriers successful treatment.We developed algorithm using Java SQL applied ~2.5 million EPIC electronic medical records (EMRs; data entered January 2003 December 2017). Approximately 72,000 EMRs contained an International Classification Diseases code and/or...
Innovative empirical frameworks to evaluate progress in efforts addressing HIV treatment and prevention barriers resource-limited areas are sorely needed achieve the UNAIDS 90-90-90 goal (90% diagnosed, 90% on treatment, virally suppressed). A triadic implementation framework (TIF) is a comprehensive conceptual tool for (1) monitoring attrition, (2) evaluating operational programs, (3) measuring impact of specific goals within care continuum. TIF will assess effects enhanced programs...
Guilamo-Ramos, Vincent PhD, MPH, LCSW, RN*; Reading, Meghan RN; Bowman, Alex S. MPH; Perlman, David C. MD; Barrett, Sabrina BS Author Information
The Caribbean has the highest adult HIV prevalence in world after sub-Saharan Africa (2011). One sub-population Dominican Republic is migratory Batey community primarily comprised of Haitian immigrants with limited access to healthcare and rates between 3.0% 9.0%, compared 0.7% nationally. This retrospective cohort study describes cumulative retention from diagnosis virological suppression for newly-diagnosed HIV-infected adults presenting Clínica de Familia its programme La Romana, during...
Elastrofibromas are rare lesions characterized by collagen and elastic fiber deposition. They generally found in soft tissues throughout the gastrointestinal tract. The pathogenesis of this lesion is still uncertain, but it hypothesized to be a reactive process. We present case an appendiceal elastofibroma, unique anatomic location that necessitated surgical removal, with pathologic findings suggestive inciting event from sclerosed vascular abnormality.
Refeeding syndrome is characterized by rapid and severe hypokalemia, hypophosphatemia, hypomagnesemia, and/or Wernicke's encephalitis occurring subsequent to reintroduction of calories, usually after prolonged starvation. These electrolyte decrements may lead complications such as organ failure death, which should be prevented with effective monitoring supplementation. However, there poor agreement on the definition refeeding syndrome, limited understanding its risk factors, and,...
The telehealth policy changes enacted for short-term control of the coronavirus disease 2019 (COVID-19) pandemic present an opportunity to address fundamental gap in health care underutilization.
INTRODUCTION Many, but not all, patients with decompensated cirrhosis require portosystemic encephalopathy (PSE) prophylaxis medications. Lactulose can treat PSE and prevent secondary PSE, which helps mortality.1 The American Association for the Study of Liver Diseases (AASLD) in conjunction Choosing Wisely, an initiative Board Internal Medicine, published guidelines 2014.2–4 second recommendation states: do continue treatment HE indefinitely after initial episode identifiable precipitant....
Winters, Adam C.; Nathani, Rohit R.; Bowman, Chip A.; Nahas, Jonathan; Schiano, Thomas D.; Florman, Sander S.; Im, Gene Y. Author Information
Advance care planning in decompensated cirrhosis is recommended but rarely performed. INTRODUCTION: To report outcomes of a 3-year quality improvement pilot study to improve advance directive (AD) completion. METHODS: The consisted champions, education, electronic health record templates, and workflow changes. We assessed changes, predictors, effects AD RESULTS: led greater (8.3%–36%) earlier completion, particularly among those divorced, with alcohol-associated liver disease, higher Model...
INTRODUCTION: Rectal varices are portosystemic collaterals that form as a complication of portal hypertension, with an estimated prevalence up to 56% among patients cirrhosis. While bleeding occurs in only about 5% those rectal varices, the morbidity and mortality is high. Here we present case stercoral ulcer overlying varix, leading massive lower gastrointestinal (LGIB). CASE DESCRIPTION/METHODS: A 68-year-old male chronic back pain on opioids decompensated hepatitis C virus cirrhosis...
Background: Surgical feeding ostomies (SFO, e.g. gastrostomy) have replaced natural orifice tubes (NOFT, nasogastric tube) as the preferred route for long-term enteral nutrition. Reports of complication rates SFO vary. Many hospitalized patients are required to accept before hospital discharge due skilled nursing facilities (SNFs) policy, and without supportive data. We compare adverse event between NOFT.Methods: A prospective cohort study enterally fed inpatients using semiweekly focused...