- Liver Disease Diagnosis and Treatment
- Gastrointestinal disorders and treatments
- Liver Disease and Transplantation
- Genetic factors in colorectal cancer
- Pancreatic and Hepatic Oncology Research
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Celiac Disease Research and Management
- Pancreatitis Pathology and Treatment
- Gallbladder and Bile Duct Disorders
- Esophageal and GI Pathology
- Helicobacter pylori-related gastroenterology studies
- Colorectal Cancer Screening and Detection
- Eosinophilic Esophagitis
- Microscopic Colitis
- Gastroesophageal reflux and treatments
- Hepatitis C virus research
- Diverticular Disease and Complications
- Medical Device Sterilization and Disinfection
- Hepatitis B Virus Studies
- Biliary and Gastrointestinal Fistulas
- Neuroendocrine Tumor Research Advances
- Gastric Cancer Management and Outcomes
- Diagnosis and treatment of tuberculosis
- COVID-19 and healthcare impacts
- Dermatological and COVID-19 studies
MetroHealth Medical Center
2022-2025
MetroHealth
2023-2025
Case Western Reserve University
2010-2024
Metro Health Hospital
2024
Cleveland Clinic
2019-2023
Methodist Hospital
2023
University of Kansas
2023
All India Institute of Medical Sciences
2016-2021
RELX Group (United States)
2020
Pain Clinic of India
2020
Extrapulmonary tuberculosis (EPTB) is frequently a diagnostic and therapeutic challenge. It common opportunistic infection in people living with HIV/AIDS other immunocompromised states such as diabetes mellitus malnutrition. There paucity of data from clinical trials EPTB most the information regarding diagnosis management extrapolated pulmonary TB. Further, there are no formal national or international guidelines on EPTB. To address these concerns, Indian were developed under auspices...
Abstract Telemedicine training was not a substantial element of most residency programmes prior to the COVID-19 pandemic. Social distancing measures changed this. The Cleveland Clinic Internal Medicine Residency Programme (IMRP) is one largest in USA, which made task implementing telemedicine curriculum more complex. Here we describe our experience an effective, expedited for ambulatory resident clinics. This study started April 2020 when implemented resident-led and programme providing...
Adrenocortical tumors are rare, and when large, they often referred to as incidentalomas if detected during evaluation for unrelated symptoms. These may be nonfunctional or have subtle clinical presentations, posing diagnostic management challenges. A 50-year-old male presented with a seven-day history of dull, aching pain in the right hypochondrium, associated sensation fullness upper abdomen. Physical examination revealed palpable mass hypochondrium. Based on evaluation, was suspected an...
Introduction We evaluated the role of gallium-68-labeled [1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid]-1-Nal3-octreotide (68Ga-DOTA-NOC) PET/CT in assessing sarcoidosis disease activity. Patients and methods diagnosed with underwent 68Ga-DOTA-NOC-PET/CT. The maximum standardized uptake value (SUVmax) at pathological site descending thoracic aorta (reference standard, SUVmed) were assessed. A SUVmax/SUVmed ratio (disease activity score) more than one was considered a marker...
Abstract We evaluated the impact of intensive smoking cessation activities as an adjunct to anti-tuberculosis treatment on patient-related outcomes. In this open-label, randomised controlled trial, self-reporting smokers with pulmonary tuberculosis who initiated standard were either nicotine replacement therapy and behaviour change counselling (n = 400) or alone provided at baseline two follow-up visits. The primary outcomes in TBscore 24-weeks culture conversion 8-weeks. Biochemical quit...
In view of the growing complexity managing anticoagulation for patients undergoing gastrointestinal (GI) procedures, this study evaluated ChatGPT-4's ability to provide accurate medical guidance, comparing it with its prior artificial intelligence (AI) models (ChatGPT-3.5) and retrieval-augmented generation (RAG)-supported model (ChatGPT4-RAG).
The effect of elevated ammonia on organ failures (OF), apart from hepatic encephalopathy, in patients with acute decompensation (AD) cirrhosis and acute-on-chronic liver failure (ACLF) is unclear. We aimed to assess the persistent or incident hyperammonemia OF outcomes AD ACLF.A total 229 ACLF 83 were included. Arterial was measured day 1 3 admission. Persistent defined as a level ≥79.5 μmol/L 3. changes levels during first days analyzed respect complications outcomes.At admission, median...
Diabetes mellitus (DM) is an important risk factor for tuberculosis and has received increasing emphasis. However, the reverse association of impacting blood sugar levels not been well studied. The present study was conducted to evaluate prevalence hyperglycemia in patients with assess its resolution following successful treatment tuberculosis.In this prospective study, a total 582 were evaluated hyperglycaemia [DM or impaired glucose tolerance (IGT)] random (RBS) all RBS >100 mg/dl...