A5078490487- Cardiovascular Effects of Exercise
- Cardiac Imaging and Diagnostics
- Atrial Fibrillation Management and Outcomes
- Cardiac pacing and defibrillation studies
- Long-Term Effects of COVID-19
- Cardiovascular Disease and Adiposity
- Cardiac Arrhythmias and Treatments
- Cardiac tumors and thrombi
- Coronary Artery Anomalies
- Congenital Heart Disease Studies
- COVID-19 Clinical Research Studies
- Infective Endocarditis Diagnosis and Management
- Cardiac Structural Anomalies and Repair
- Cardiac, Anesthesia and Surgical Outcomes
- Lymphoma Diagnosis and Treatment
- Sarcoma Diagnosis and Treatment
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Scheduling and Timetabling Solutions
- Occupational Health and Performance
- Advanced X-ray and CT Imaging
- Electrolyte and hormonal disorders
- Bacterial Infections and Vaccines
- Cardiac Arrest and Resuscitation
- Aortic aneurysm repair treatments
- Eicosanoids and Hypertension Pharmacology
Walter Reed National Military Medical Center
2012-2025
Naval Medical Center San Diego
2011-2021
Halliburton (United Kingdom)
2012
Wake Forest University
2004
Description: In January 2020, the U.S. Department of Veterans Affairs (VA) and Defense (DoD) approved a joint clinical practice guideline for diagnosis management hypertension in primary care setting. Methods: The VA/DoD Evidence-Based Practice Work Group convened development effort that included multidisciplinary panel practicing clinician stakeholders conformed to Institute Medicine's tenets trustworthy guidelines. developed key questions collaboration with ECRI Institute, which...
Diagnosis of paroxysmal supraventricular tachycardia (PSVT) may be difficult due to its episodic nature, which can brief and self-limited, limiting the ability for clinicians diagnose specific rhythm disorder in a timely manner. We present case PSVT, was unable diagnosed through typical evaluation with an event monitor despite several years symptoms. The patient ultimately using AliveCor Mobile ECG, smartphone-based ECG device application, he purchased himself captured atrioventricular node...
Meningitis is a common admission diagnosis. No case series or descriptive studies on meningitis have recently been published. Additionally, no recent data exist in the U.S. Military Health System. We reviewed charts of adult patients admitted to Naval Medical Center San Diego between January 2004 and December 2008 with an diagnosis meningitis. Charts were excluded if they did not meet our definition meningitis, missing data, was nosocomial iatrogenic. results cerebrospinal fluid cultures...
Abstract During well intervention, control of the is dependent on integrity intervention-service provider’s pressure- containing equipment. The service company’s equipment becomes a safety critical element duty holder’s case. Also, pipe string being inserted into during HWO to successful control. One provider recently developed two devices that enhance handling and activities. A pipe-handling winch tension-limiting system (TLS) was created helps minimize risk accidental overload ginpole by...
Background: Usual clinical testing rarely reveals cardiac abnormalities persisting after hospitalization for COVID-19. Such may overlook residual changes responsible increased adverse events post-discharge. Methods: To further elucidate long-term status, we performed exercise stress echocardiography (ESE) in 15 patients age 30-63 without myocarditis 3 to 31 months hospital discharge. We compared patient outcomes published data healthy comparisons (HC) exercising according the same protocol....
Abstract Usual clinical testing rarely reveals cardiac abnormalities persisting after hospitalization for COVID. Such may overlook residual changes causing increased adverse events post‐discharge. To clarify status post‐hospitalization, we related exercise stress echocardiography (ESE) in 15 recovering patients (RP) age 30–63 without myocarditis to matching published data from healthy subjects (HS). RP exercise, average duration 8.2 ± 2.2 SD, was halted by dyspnea or fatigue. baselines...
A 67-year-old male underwent general anesthesia for left atrial appendage occlusion. During the procedure, patient developed catecholamine refractory hypotension requiring administration of several vasopressin boluses to maintain adequate perfusion pressure. At conclusion mild venous bleeding necessitated protamine. This led a further decrease in patient's blood Tamponade and continued volume loss were quickly ruled out leading diagnosis vasoplegia syndrome (VS). The was appropriately...
It was recently noted that a shortened activated partial thromboplastin time (aPTT) is associated with increased venous thromboembolic events. The prevalence of aPTT shortening remains unknown.We conducted retrospective analysis results over 2-month period. These were not patient clinical information.We obtained 3,376 samples, which analyzed in groups: <25.0, 25.0-35.0, and >35.0 seconds (two standard deviations from our laboratory's normal values). Eighty-six samples had aPTT<25 (8.5%),...
Abstract Background The pathology of persistent post-COVID-19 symptoms remains poorly understood. We examined radiographic and physiological correlates in those with ongoing dyspnea compared to resolved dyspnea. Methods Epidemiology, Immunology, Clinical Characteristics Emerging Infectious Diseases Pandemic Potential (EPICC) is a COVID-19 cohort study Military Health System (MHS) beneficiaries. Study participants aged 18-65, no pre-existing significant cardiopulmonary disease, respiratory ≥...