A5037756430- Palliative Care and End-of-Life Issues
- Dementia and Cognitive Impairment Research
- Childhood Cancer Survivors' Quality of Life
- Family and Patient Care in Intensive Care Units
- Grief, Bereavement, and Mental Health
- Geriatric Care and Nursing Homes
- Intracerebral and Subarachnoid Hemorrhage Research
- Healthcare Decision-Making and Restraints
- Patient Dignity and Privacy
- Patient-Provider Communication in Healthcare
- Amyotrophic Lateral Sclerosis Research
- Acute Ischemic Stroke Management
- Stroke Rehabilitation and Recovery
- Venous Thromboembolism Diagnosis and Management
- Diversity and Career in Medicine
- Health Policy Implementation Science
- Religion, Spirituality, and Psychology
- Peripheral Neuropathies and Disorders
- Family Support in Illness
- Traumatic Brain Injury and Neurovascular Disturbances
- Cardiac Arrest and Resuscitation
- Neurological disorders and treatments
- Drug-Induced Ocular Toxicity
- Hemophilia Treatment and Research
- Myasthenia Gravis and Thymoma
Jacksonville College
2016-2024
Mayo Clinic in Florida
2015-2024
WinnMed
2015-2024
Mayo Clinic in Arizona
2011-2020
University of Colorado Anschutz Medical Campus
2020
West Los Angeles College
2020
University of Rochester Medical Center
2016-2020
Harborview Medical Center
2016-2020
University of Washington
2016-2020
Stanford University
2020
Background: Little information is available about the incidence of stiff-man syndrome (SMS) (the classic form or its variants) long-term treatment responses and outcomes.Objective: To comprehensively describe characteristics a cohort patients with SMS.
Endogenous circannual clocks are found in many long-lived organisms, but best studied mammal and bird species. Circannual synchronized with the environment by changes photoperiod, light intensity possibly temperature seasonal rainfall patterns. Annual timing mechanisms presumed to have important ultimate functions seasonally regulating reproduction, moult, hibernation, migration, body weight fat deposition/stores. Birds that live habitats where environmental cues such as photoperiod poor...
Introduction We assessed patients’ perceptions of physician empathy during telemedicine consultations as compared to in-person clinical encounters for acute stroke. Methods This prospective cohort study was undertaken at a comprehensive stroke centre hub in collaboration with distant community hospital spoke site. Eligible participants presented or emergency departments suspected within three hours symptom onset. Participants were evaluated the site person remote via by same group...
To examine factors that influence decision-making, preferences, and plans related to advance care planning (ACP) end-of-life among persons with dementia their caregivers, how these may differ by race.
Palliative medicine, as defined by World Health Organization, is the specialty that recognizes and attempts to prevent or alleviate physical, social, psychological, spiritual suffering.1 Understanding principles of palliative care should be an essential component neurologic training, trajectory many illnesses progressive incurable.2 Given delicate nature conversations neurologists have with patients at time diagnosis during acute illness hospitalization, expertise in discussing a patient's...
Background and Purpose— Recombinant Factor VIIa decreases hematoma growth after spontaneous intracerebral hemorrhage (ICH) rapidly international normalized ratios in patients on warfarin but is also associated with an increased risk for thromboembolic complications. In this study, we assessed the of events receiving recombinant ICH treatment. Methods— We reviewed medical charts, laboratory data, radiological findings consecutive anticoagulation-related hemorrhages central nervous system who...
Objectives Palliative Medicine involvement in MICU patients have improved length of stay and mortality, but with varying effects on specific patient decision outcomes, such as, advance care planning. These studies utilized later the hospital or ICU course, some evidence showing that earlier resulted better results. The purpose this study was to evaluate benefits early (within 24 hours) palliative consultation medical (MICU) clinical satisfaction outcomes. Methods An unblinded randomized...
To measure the extent and timing of physicians' documentation communication with patients families regarding limitations on life-sustaining interventions, in a population cohort adults who died within 30 days after hospitalization for ischemic stroke.We used California Office Statewide Health Planning Development Patient Discharge Database to identify retrospective strokes at all acute care hospitals from December 2006 November 2007. Of 326 eligible hospitals, representative sample 39 was...
Introduction: Recently, increased attention has been paid to the association of progressive multifocal leukoencephalopathy (PML) with use immunomodulatory medications for autoimmune diseases. Case Report: A 23-year-old Native American woman a history systemic lupus erythematosus and erosive polyarthritis treated prednisone etanercept presented focal weakness, hemiataxia, diplopia, dysarthria. Brain magnetic resonance imaging demonstrated progressive, T2 signal hyperintensities within...
Combined contraceptive vaginal rings are used as an alternative to oral contraceptives with a purported advantage of allowing lower hormonal doses, and thus potentially confer venous thromboembolism risk. Cerebral sinus thrombosis (CVST) has not been previously described in association use combined ring.A 32-year-old white woman presented severe headache progressively worsening over days subsequently developed acute left sided hemiplegia sensory loss. Brain imaging revealed right parietal...
The coronavirus disease 2019 (COVID-19) pandemic is profoundly affecting neurology patients, families, and providers through direct neurologic complications,1 indirect consequences of COVID-19 on healthcare delivery,2 the social distancing.3 As frontline providers, neurologists see both medical its toll in heightening personal suffering ranging from interruptions or changes standard therapies4 to patients facing isolation hospital even prospect dying without family being present.5 Almost...
Lateral medullary syndrome (LMS) is an ischemic disease of the medulla oblongata, which involves territory posterior inferior cerebellar artery. often missed as cause autonomic dysregulation in patients with recent brain stem stroke. Due to location baroreceptor regulatory center lateral LMS occasionally have dysregulation-associated clinical manifestations. We report a case LMS-associated dysregulation. The presented sinus arrest and syncope, requiring permanent pacemaker placement. A...
A dementia friendly community allows people with and their care partners to remain engaged in well into the disease. This study presents results of primary research aimed at exploring perceptions regarding building a an African American neighborhood northeast Florida. Twelve focus groups five interviews were conducted living dementia, informal formal partners, stakeholders residents, analyzed using grounded theory approach. Three main themes emerged from analyses, including (1) perceived...
<h3>Outcomes</h3> 1. Recognize PUBs and understand the pathophysiology in order to either treat underlying cause with supportive treatment or antibiotics not at all. 2. Provide anticipatory guidance for other clinicians regarding provide counsel reassurance patients families. <h3>Key Message</h3> A patient enrolled hospice has an indwelling Foley catheter purple liquid bag. The family is distress calls their nurse. Purple urine bag syndrome associated prolonged urinary catheterization,...
Background. Despite the potential of palliative care (PC) to enhance quality life for patients with advanced dementia, there is limited knowledge its inpatient utilization patterns. This study investigated PC consultation patterns and evaluated impact on hospital length stay (LOS) medical costs among older diagnosed Alzheimer’s Disease Related Dementia who were at a high risk mortality (ADRD-HRM). Methods. Using 2016-2019 National Inpatient Sample database, we conducted multivariable...