A5089546319- Microscopic Colitis
- Clostridium difficile and Clostridium perfringens research
- Hemophilia Treatment and Research
- Endometriosis Research and Treatment
- Liver Disease and Transplantation
- Cancer Immunotherapy and Biomarkers
- Gastroesophageal reflux and treatments
- Nutrition and Health in Aging
- Heparin-Induced Thrombocytopenia and Thrombosis
- Nosocomial Infections in ICU
- Potassium and Related Disorders
- Gastrointestinal motility and disorders
- Colorectal Cancer Treatments and Studies
- Esophageal and GI Pathology
- Intestinal and Peritoneal Adhesions
- Health Systems, Economic Evaluations, Quality of Life
- Uterine Myomas and Treatments
- Neutropenia and Cancer Infections
- Electrolyte and hormonal disorders
- Long-Term Effects of COVID-19
- Menopause: Health Impacts and Treatments
- Clinical Nutrition and Gastroenterology
- Stoma care and complications
- Frailty in Older Adults
- Child Nutrition and Feeding Issues
Prisma Health
2023-2024
University of South Carolina
2023-2024
Mayo Clinic in Florida
2020-2022
Jacksonville College
2020-2021
WinnMed
2020-2021
Menopause, defined by the complete cessation of menstrual cycles for 12 consecutive months, may occur at a younger age in women who have concomitant immune dysregulation. Our aim was to determine whether with inflammatory bowel disease (IBD) experience an earlier onset menopause compared without IBD.This retrospective cohort study using resources Rochester Epidemiology Project, collaboration between clinics, hospitals, and medical facilities Olmsted County, Minnesota. From these people, were...
To reduce health care facility-onset (HCFO) Clostridioides difficile infection (CDI) incidence by improving diagnostic stewardship and reducing the inappropriate testing of C assays.A multidisciplinary team conducted a quality improvement initiative from January 1, 2020, through March 31, 2021. were identified via electronic records using predefined criteria related to stool quantity/caliber, confounding medications, laboratory data. An intervention bundle was designed including (1) provider...
The Janibacter species are Gram positive, coryneform bacteria that belong to the Actinobacteria phylum and have been linked bacteremia in immunocompromised children. We present first documented adult case of hoylei bacteremia. patient was a 52-year-old woman with history recurrent Clostridioides difficile infection, sinus tachycardia high-risk AML who had admitted one month prior presentation for matched unrelated donor hematopoietic stem cell transplant reduced intensity...
ABSTRACT Endometriosis is a rare cause of large bowel obstruction and has been infrequently reported in patients with inflammatory disease. We present an unusual case young woman ulcerative colitis, who presented colonic stricture peripancreatic mass concerning for malignancy. The evaluation revealed endometriosis, her was successfully managed leuprolide stenting.
In the unprecedented era of COVID-19, ongoing research and evolution evidence has led to ever-changing guidelines for clinical monitoring therapeutic options. Formulating treatment protocols requires understanding application evolving research.The primary objective this study is present a systematic evidence-based approach synthesize necessary data in order optimize management COVID-19.At Mayo Clinic Florida, we developed multidisciplinary centralized COVID Treatment Review Panel (TRP)...
Introduction: Menopause is defined by the complete cessation of menstrual cycles for 12 continuous months. In United States, average age menopause 51 years. most often related to naturally declining reproductive hormones, but there are other causes, including bilateral oophorectomy, radiation and chemotherapy. Some women undergo at an earlier genetic mutations, immune-mediated disease or causes. may occur a younger in with inflammatory bowel (IBD) given its pathophysiology. Our goal was...
Several institutions have integrated histology with other disciplines in team based laboratory approaches, but integration of and pathology instruction tools has been done to a lesser extent. Our aim was develop an e‐learning atlas that integrates microanatomy laboratories for interdisciplinary medical curriculum. A multidisciplinary is developing the online Microanatomy Pathology Atlas (MAPA) (microanatomyatlas.com) includes library images. Traditional manual instructions study objectives...
Hyponatraemia on hospital admission is associated with increased length of stay, healthcare expenditures and mortality. Urine studies collected before fluid or diuretic administration are essential to diagnose the underlying cause hyponatraemia, thereby empowering admitting teams employ appropriate treatment. A multidisciplinary quality improvement (QI) team led by internal medicine residents performed a QI project from July 2020 through June 2021 increase rate urine in emergency department...
Introduction: Endoscopic ultrasound (EUS) is a valuable tool in diagnosing and managing gastrointestinal disorders. However, its role addressing uncommon scenarios such as post-surgical complications remain unanswered. We present case highlighting the innovative use of EUS complication following percutaneous endoscopic gastrostomy (PEG) placement. Case Description/Methods: A 78-year-old woman was admitted to an outside hospital for chronic dysphagia failure thrive. To address her dysphagia,...
Introduction: Variceal hemorrhage is a life-threatening complication of portal hypertension requiring immediate management. Band ligation remains primary treatment strategy. However, active bleeding can interfere with direct visualization the varix and where to deploy band. We present novel case report hemostatic peptide gel used control spurting variceal bleed achieve so that band could be performed. Case Description/Methods: A 39-year-old man decompensated alcoholic cirrhosis presented...
Introduction: Esophageal varices (EV) are a common complication of cirrhosis that have increased mortality from variceal hemorrhage if untreated. Non-selective beta blockers or endoscopic ligation (EVL) treatments. EVL can be completed at same time as screening endoscopy making it convenient, especially for patients unable to tolerate beta-blocker therapy. Transient dysphagia following has been described well; although, complete esophageal obstruction is exceedingly rare with only handful...
Introduction: Sarcopenia (SP) is a measure of body composition. It increasingly recognized as poor prognostic factor in clinical outcomes, predicting the need for surgery patients with Crohn's disease (CD). However, role SP other CD-related outcomes remains unclear. Methods: We retrospectively identified adult (≥18 years) CD who were evaluated at our outpatient tertiary care center between 2017-2020 and underwent CT scan within 3 months their visit. Using cross-sectional measurements L3...
Introduction: Sarcopenia (SP) is a measure of body composition defined as low lean muscle mass with decreased functional strength. It increasingly recognized poor prognostic factor in patients ulcerative colitis (UC), predicting increased disease activity well need for surgical intervention and post-surgical infection. However, its role other UC-related outcomes remains underinvestigated. Methods: We retrospectively identified adult (≥18 years) UC who were evaluated at our outpatient...
Introduction: Immune checkpoint inhibitors (ICI) have revolutionized cancer treatment as an alternative to chemotherapy, but they are associated with immune-mediated adverse events such colitis. However, limited information exists regarding the development and management of inhibitor Here, we present a case colitis secondary Atezolizumab discuss underexplored aspect potential increased risk for antibiotic use in patients previously tolerating immunotherapy. Case Description/Methods: A...
Introduction: Varices are a common sequela of portal hypertension (HTN) with the most locations in esophagus and cardio-fundus. Ectopic varices outside these represent 2 to 5% all variceal hemorrhages. Therefore, patients surgical history altering or cardio-fundus may have an increased risk developing ectopic varices. This case reports patient cirrhosis sleeve gastrectomy presenting hemorrhagic shock secondary isolated duodenal Case Description/Methods: A 53-year-old African American man...
Introduction: Endoscopic ultrasound (EUS) is a widely recognized diagnostic tool for detecting biliary stones and sludge. Despite its high sensitivity, the frequency of incidental choledocholithiasis (CD) on EUS remains unclear. We performed retrospective chart review to evaluate finding CD in patients undergoing an reasons other than Methods: A cohort study was conducted evaluating all studies between 2019 2022 at single tertiary academic medical center. Clinical data including...
Introduction: Duodenoscope-associated multidrug-resistant organisms and carbapenem-resistant Enterobacteriaceae infections have become an increasing concern for patient-to-patient transmission. To address this, the Food Drug Administration has recommended further measures to improve sterilization. However, steps in sterilization been shown not affect transmission rates significantly, may negatively impact endoscopy room turnover time (TT). Single-use duodenoscopes (SUD) recently identified...