A5083286375- Traumatic Brain Injury and Neurovascular Disturbances
- Cardiac, Anesthesia and Surgical Outcomes
- Palliative Care and End-of-Life Issues
- Spinal Fractures and Fixation Techniques
- Cerebrovascular and Carotid Artery Diseases
- Emergency and Acute Care Studies
- Family and Patient Care in Intensive Care Units
- Hip and Femur Fractures
- Parkinson's Disease Mechanisms and Treatments
- Neurosurgical Procedures and Complications
- Acute Ischemic Stroke Management
- Trauma and Emergency Care Studies
- Cardiovascular Health and Disease Prevention
- Neurological disorders and treatments
- Glioma Diagnosis and Treatment
- Management of metastatic bone disease
- Trauma Management and Diagnosis
- Spinal Cord Injury Research
- Spine and Intervertebral Disc Pathology
- Peripheral Artery Disease Management
- Anatomy and Medical Technology
- Meningioma and schwannoma management
- Pelvic floor disorders treatments
- Surgical site infection prevention
- Sarcoma Diagnosis and Treatment
Rush University Medical Center
2021-2025
Brigham and Women's Hospital
2016-2023
Brown University
2020-2022
Rush University
2022
Providence College
2020
Rhode Island Hospital
2020
Oxford University Press (United Kingdom)
2020
Dana-Farber Cancer Institute
2016
Chronically critically ill patients have recurrent infections, organ dysfunction, and at least half die within 1 year. They are frequently cared for in long-term acute care hospitals, yet little is known about their experience this setting. Our objective was to explore the understanding expectations goals of these surrogates.We conducted semi-structured interviews with chronically hospital or surrogates. Conversations were recorded, transcribed, analyzed.One hospital.Chronically patients,...
The ventralis intermedius nucleus of the thalamus (Vim) is preferred target in magnetic resonance-guided focused ultrasound (MRgFUS) for tremor-dominant Parkinson's disease (TdPD), but some patients with TdPD have persistent tremor after Vim thalamotomy. Basal ganglia outflow through oralis anterior and posterior (Voa/p) may be responsible. We present 6 cases dual Voa/p MRgFUS thalamotomies resistant to treatment. Six underwent thalamotomy intraprocedural tremors (resting 5 and/or action 1...
The chronically critically ill have survived acute critical illness but require prolonged mechanical ventilation. These patients are frequently transferred from care to long-term hospitals (LTACHs) for recovery, yet many suffer setbacks requiring readmission care. patient's relatively improved condition while at the LTACH might be an opportunity communication regarding goals; however, there been no prior studies of feasibility such conversations in LTACH.To determine feasibility,...
Clinician-led conversations about future care priorities occur infrequently with end-stage renal disease (ESRD) patients on dialysis. This was a pilot study of structured serious illness using the Serious Illness Conversation Guide (SICG) in single dialysis clinic to assess acceptability approach and explore conversation themes potential outcomes among ESRD. Twelve individuals ESRD from outpatient participated this study. Participants completed baseline demographics survey, engaged...
Abstract BACKGROUND Carotid endarterectomy (CEA) and carotid artery stenting (CAS) represent options to treat many patients with stenosis. Although randomized trial data are plentiful, estimated rates of morbidity mortality for both CEA CAS have varied substantially. OBJECTIVE To evaluate adverse outcomes after in a large national database. METHODS We analyzed 84 191 adult undergoing elective, nonemergent (n = 81 361) or 2830), from 2011 2018, the American College Surgeons’ National Surgical...
Background: Socioeconomic factors can bias clinician decision-making in many areas of medicine. Psychosocial characteristics such as diagnosis alcoholism, substance abuse, and major psychiatric disorder are emerging potential sources conscious unconscious bias. We hypothesized that these psychosocial factors, addition to socioeconomic may impact the decision operate on patients with a traumatic cervicothoracic fracture associated spinal cord injury (SCI). Methods: performed cohort analysis...
ABSTRACT Glioblastoma is the most aggressive type of brain cancer with an average overall survival 15-21 months after first diagnosis. The relapse mainly caused by migrating glioblastoma cells that diffuse away from tumor mass into parenchyma and retain stem cell (GSC) properties. Current therapeutic options are ineffective inevitably result in relapse, indicating a high unmet medical need for innovative therapies treatment invasive glioblastoma. To address this challenge, we propose new...
Retrospective review of prospectively collected data. The aim this study was to investigate risk factors associated with the timing urinary tract infection (UTI) after elective spine surgery, and determine whether postoperative UTI affects short-term outcomes. Urinary is a common post-surgical complication; however, predominant timing, location, potential differential effects have not been carefully studied. We analyzed surgery patients from 2012 2018 in ACS National Surgical Quality...
BACKGROUND Cervicothoracic junction chordomas are uncommon primary spinal tumors optimally treated with en bloc resection. Although resection is the gold standard for treatment of mobile chordoma, tumor location, size, and extent involvement frequently complicate achievement negative margins. In particular, chordoma involving thoracic region can require a challenging anterior access, lead to highly destabilized spine. OBSERVATIONS Modern technological advances make more technically feasible...
Poorer outcomes for infratentorial tumor resection have been reported. There is a lack of large multicenter analyses describing surgery in older patients. We characterized patients aged ≥65 years undergoing cranial surgery.The National Surgical Quality Improvement Project database was queried from 2012 to 2018 ≥18 elective resection. Patients were grouped into 65-74 years, ≥75 and 18-64 cohorts. Multivariable regressions compared outcome measures.Of 2212 patients, 28.3% whom 24.8% years....
OBJECTIVE Frailty is recognized as an important predictor of neurointerventional outcomes. MRI-guided focused ultrasound (MRgFUS) thalamotomy a treatment option for patients with refractory essential tremor (ET) and tremor-dominant Parkinson’s disease (TdPD). The aim this study was to evaluate whether frailer MRgFUS had worse outcomes or more complications. METHODS authors performed cohort analysis treated between 2020 2023. Inclusion criteria were unilateral ET TdPD available follow-up data...