- Medical Malpractice and Liability Issues
- Ethics in medical practice
- Aortic aneurysm repair treatments
- Abdominal vascular conditions and treatments
- Peripheral Artery Disease Management
- Palliative Care and End-of-Life Issues
- Liver Disease and Transplantation
- Renal and Vascular Pathologies
- IgG4-Related and Inflammatory Diseases
- Intraperitoneal and Appendiceal Malignancies
- Anesthesia and Pain Management
- Hospital Admissions and Outcomes
- Pancreatitis Pathology and Treatment
- Sleep and related disorders
- Musculoskeletal pain and rehabilitation
- Mindfulness and Compassion Interventions
- Patient-Provider Communication in Healthcare
- Cardiac Structural Anomalies and Repair
- Pain Management and Opioid Use
- Appendicitis Diagnosis and Management
- Healthcare cost, quality, practices
- Vascular Anomalies and Treatments
- Intensive Care Unit Cognitive Disorders
- Disaster Response and Management
- Healthcare professionals’ stress and burnout
University of Michigan
2019-2025
Michigan Medicine
2020-2024
University of Miami
2016-2018
National Institute for Occupational Safety and Health
2018
Western Oregon University
2018
Northeastern University
2018
Abstract Purpose Hepatic epithelioid hemangioendothelioma (HEHE) is a rare tumor with currently no established standard of care. This international multicenter retrospective study assesses the use percutaneous irreversible electroporation (IRE) as an ablative tool to treat HEHE and provides clinical overview current management role IRE in treatment. Material Methods Between 2017 2023, 14 patients 47 tumors were treated using CT-scan guidance 23 procedures. Baseline patient characteristics...
Portal vein thrombosis (PVT) is a potential complication of cirrhosis and can worsen outcomes after liver transplant (LT). reconstruction-transjugular intrahepatic portosystemic shunt (PVR-TIPS) restore flow through the portal (PV) facilitate LT by avoiding complex vascular conduits. We present case transsplenic PVR-TIPS in setting complete PVT splenic (SV) thrombosis. The patient had 3-year history complicated abdominal pain, ascites, paraesophageal varices. A SV tributary provided access...
Napping has known benefits for fatigue mitigation and improved alertness. However the Accreditation Council Graduate Medical Education (ACGME) New Common Program Requirements recently removed 16 h work limit PGY1 residents any suggestions of napping.We utilized a cross-sectional study design to administer 44-item questionnaire in June 2016 858 fellows at one large urban academic medical center. We assessed: 1) resident physician sentiment environment supportiveness napping work; 2) agreement...
Home healthcare aides (HHAs) are a growing U.S. workforce highly susceptible to workplace stressors and musculoskeletal pain. In the present study we: 1) examine association of pain life satisfaction emotional exhaustion; 2) characterize interest in meditation yoga sample HHAs. A nonprobabilistic HHAs employed at home agencies Florida, Massachusetts, Oregon (n = 285 total) completed self-administered questionnaire with standard survey measures on location, duration, severity; satisfaction;...
The intersection of ethics and medicine becomes more apparent during a global pandemic when resources are limited risks run high. Health care leaders in all fields faced with ethical dilemmas that they have never encountered before. They must decide who to risk the front lines, which patients emergent, where allocate resources. Individual health workers choose draw line between duty personal safety. These issues lack simple solutions. Now than ever, it is important for interventional...
Abstract Background Congenital portosystemic shunts are embryological malformations in which portal venous flow is diverted to the systemic circulation. High morbidity and mortality seen patients with concurrent hepatic encephalopathy, hepatopulmonary syndrome, pulmonary hypertension. Endovascular therapy, correct patient population, offers a less invasive method of treatment rapid relief symptoms. Case presentation In this report, we discuss two-year-old male abnormal chorea-like movements,...
Older adults experience high rates of postoperative complications and poorer outcomes. Current perioperative risk assessments lack specific measures are too time-consuming for busy surgeons.Using data from the Health Retirement Study Survey linked with Medicare data, we performed a cross-sectional study, evaluating all ≥65 years old who underwent high-risk elective surgery between 1992-2012. Primary exposure variables included self-reported preoperative functional cognitive abilities using...