- Thyroid Cancer Diagnosis and Treatment
- Thyroid and Parathyroid Surgery
- Head and Neck Anomalies
- Cardiac, Anesthesia and Surgical Outcomes
- Parathyroid Disorders and Treatments
- Healthcare Policy and Management
- BRCA gene mutations in cancer
- Complementary and Alternative Medicine Studies
- Thyroid Disorders and Treatments
- Primary Care and Health Outcomes
- Neuroendocrine Tumor Research Advances
- Ultrasound and Hyperthermia Applications
- Pituitary Gland Disorders and Treatments
- Patient Satisfaction in Healthcare
- Palliative Care and End-of-Life Issues
- Gastrointestinal Tumor Research and Treatment
- Genetic factors in colorectal cancer
- Genital Health and Disease
- Orthopedic Surgery and Rehabilitation
- Genetic Syndromes and Imprinting
- History of Medical Practice
- Anatomy and Medical Technology
- Gastrointestinal disorders and treatments
- Spectroscopy Techniques in Biomedical and Chemical Research
- Gene expression and cancer classification
Northwestern University
2024
Washington Hospital
2019-2024
MedStar Georgetown University Hospital
2019-2024
Georgetown University
2019-2024
MedStar Washington Hospital Center
2014-2024
Lurie Children's Hospital
2024
University of California, Davis
2024
American College of Surgeons
2022
MedStar Health
2022
University of Alabama at Birmingham
2020-2022
Postoperative pulmonary complications can be a devastating consequence of surgery. Validated strategies to reduce these adverse outcomes are needed.To design, implement, and determine the efficacy suite interventions for reducing postoperative complications.A before-after trial comparing our National Surgical Quality Improvement Program (NSQIP) before after implementing I COUGH, multidisciplinary care program.An urban, academic, safety-net hospital.All patients who underwent general or...
With a focus on design methodology for developing compact and lightweight minimally invasive surgery (MIS) robot manipulator, the goal of this study is progress toward next-generation surgical system that will help surgeons deliver healthcare more effectively. Based an extensive database in-vivo measurements, workspace requirements were clearly defined. The pivot point constraint in MIS makes spherical manipulator natural candidate. An experimental evaluation process helped to understand...
OBJECTIVE: The aim of this study was to explore the relationship between Magnet Recognition® and nurse-reported quality care. BACKGROUND: Magnet® hospitals are recognized for nursing excellence patient outcomes; however, few studies have explored contributing factors these superior outcomes. METHODS: This a secondary analysis linked nurse survey data, hospital administrative listing American Nurses Credentialing Center hospitals. Multivariate regressions were modeled before after propensity...
The 2006 Massachusetts health reform substantially decreased uninsurance rates. Yet, little is known about the reform's impact on actual care utilization among poor and minority populations, particularly for receipt of inpatient surgical procedures that are commonly initiated by outpatient physician referral.
To report on the incidence and predictors of use complementary alternative medicine (CAM) among patients with thyroid cancer.Data were collected using a web-based online anonymous survey under Institutional Review Board approval from Boston University. This is based 1327 responses subjects cancer. Patient factors compared by univariate multivariate analyses.After excluding multivitamin prayer use, 74% (n=941) used CAM. Respondents primarily over age 40, white, female held college degree. The...
Acute myocardial infarction (AMI) is a common high-risk disease with inpatient mortality of 5% nationally. But little known about this outcome among Asian Americans (Asians), fast growing racial/ethnic minority in the country. The objectives study are to obtain near-national estimates differences AMI between minorities (including Asians) and non-Hispanic Whites identify comorbidities sociodemographic characteristics associated these differences. This retrospective analysis 2010–2011 state...
Abstract Thyroid nodules are common, with an estimated incidence of 5%–10% in the United States. The current gold standard for diagnosis is fine needle aspiration biopsy (FNAB). indeterminate diagnoses varies from 10% to 25%. Surgical resection usually indicated exclude cancer these patients. However, only a minority (about 20%) thyroid actually harbor malignancy, resulting surgery diagnostic purposes alone many increased detection benign and microcarcinomas reinforces need improved...
While histopathology of excised tissue remains the gold standard for diagnosis, several new, non-invasive diagnostic techniques are being developed. They rely on physical and biochemical changes that precede mirror malignant change within tissue. The basic principle involves simple optical interrogation. Their accuracy, expressed as sensitivity specificity, reported in a number studies suggests they have potential cost effective, real-time, situ diagnosis.We review Third Scientific Meeting...
Multiple endocrine neoplasia type 1 (MEN1) is an autosomal dominant syndrome caused by mutations in the MEN1 tumor suppressor gene. Loss of functional second copy gene causes individuals to develop multiple tumors, primarily affecting parathyroid, pituitary, and pancreas. While it clear that protein encoded MEN1, menin, suppresses its biochemical functions direct downstream targets remain unclear. Recent studies have suggested menin may act as a scaffold coordinate transcription, oncogenic...
Objective To obtain near‐national rates of potentially preventable hospitalization ( PPH )—a marker barriers to outpatient care access—for Hispanics; examine their differences from other race‐ethnic groups and by Hispanic national origin; identify key mediating factors. Data Sources/Study Setting all‐payer inpatient discharge databases for 15 states accounting 85 percent Hispanics nationally. Study Design Combining counts discharges with census population adults aged 18 older, we estimated...
Background: Initiation of thyroid hormone replacement (THR) after a total thyroidectomy has traditionally relied on the weight patient, regardless patient's body mass index (BMI). Current literature suggests that THR in obese patients differs from nonobese patients. This can lead to overdosing levothyroxine (LT4) and delay achievement euthyroid state. Methods: We retrospectively identified with benign postoperative diagnosis. Patients who achieved euthyroidism were included analysis. Patient...
Social and economic conditions that affect one's ability to satisfy life's most basic needs such as lack of affordable housing, restricted access education employment, or inadequate income are increasingly well-documented barriers optimal health. The burden these challenges among vulnerable patients accessing cancer care services is unknown.We conducted a cross-sectional survey presenting for ambulatory (screening treatment) at an urban safety-net hospital assess socio-legal concerns (social...
Study Design This study retrospectively reviewed the outcomes of 11 patients treated for a cervical spine injury with tracheostomy placed before anterior surgery. Objectives The primary goal was to show that surgery in setting spinal cord is viable option previous tracheostomy. Summary Background Data Respiratory failure after commonly requires tracheostomy, possibly increasing risk soft tissue or bony infection at high morbidity Although numerous studies have explored surgery, no has been...
Medullary thyroid carcinoma is uncommon but accounts for approximately 4 to 5 per cent of all cancers. Although most cases are sporadic, close one-fourth result from germline mutations in the RET proto-oncogene. These clinically important because they predict earliest age medullary cancer diagnosis and clinical aggressiveness, which guide individualized management. This review covers presentation, diagnosis, workup, current management, future directions management carcinoma. Today's chance...
Thyroid nodules are common and often require fine needle aspiration biopsy (FNAB) to determine the presence of malignancy direct therapy. Unfortunately, approximately 15–30% thyroid evaluated by FNAB not clearly benign or malignant cytology alone. These patients surgery for purpose diagnosis alone; most these ultimately prove be benign. Elastic light scattering spectroscopy (ESS) that measures spectral differences between has shown promise in improving preoperative determination status...