A5046956889- Pericarditis and Cardiac Tamponade
- Viral gastroenteritis research and epidemiology
- Central Venous Catheters and Hemodialysis
- Venous Thromboembolism Diagnosis and Management
- Sarcoidosis and Beryllium Toxicity Research
- Dialysis and Renal Disease Management
- Chronic Disease Management Strategies
- Cardiac tumors and thrombi
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Infective Endocarditis Diagnosis and Management
- Selenium in Biological Systems
- Ultrasound in Clinical Applications
- Infectious Diseases and Tuberculosis
- Corneal surgery and disorders
- COVID-19 and healthcare impacts
- Lung Cancer Diagnosis and Treatment
- Dermatology and Skin Diseases
- Respiratory Support and Mechanisms
- Colorectal Cancer Screening and Detection
- COVID-19 Clinical Research Studies
- Autoimmune and Inflammatory Disorders
- Travel-related health issues
- Traumatic Brain Injury and Neurovascular Disturbances
- Contact Dermatitis and Allergies
- Primary Care and Health Outcomes
Northeast Ohio Medical University
2008-2024
Mercy Health
2016-2024
St. Elizabeth Youngstown Hospital
2014-2024
Bon Secours Mercy Health
2024
Mercy College of Ohio
2021
Kent State University
1991-2021
Ohio University
2008-2017
Nepal Medical College Teaching Hospital
2017
Mercy Health System
2015
St. Elizabeth Healthcare
2006-2014
The National Lung Screening Trial (NLST) is a randomized multicenter study comparing low-dose helical computed tomography (CT) with chest radiography in the screening of older current and former heavy smokers for early detection lung cancer, which leading cause cancer-related death United States. Five-year survival rates approach 70% surgical resection stage IA disease; however, more than 75% individuals have incurable locally advanced or metastatic disease, latter having 5-year less 5%. It...
To identify clinically important risk factors associated with upper extremity venous thrombosis following peripherally inserted central catheters (PICC).A retrospective case control study of 400 consecutive patients and without post-PICC insertion was performed. Patient data included demographics, body mass index (BMI), ethnicity, site insertion, size lumen catheter, internal length, infusate, co-morbidities, such as diabetes mellitus, congestive heart failure, renal failure. Additional...
To survey the attitudes of healthcare personnel regarding influenza immunization.A questionnaire was given to all hospital employees.A 650-bed community teaching hospital.Employees were offered an in-service immunization in October 1991. Influenza free charge by Employee Health Services from December One thousand fifty-six employees (30.2%) received vaccines. Survey forms distributed with paychecks during second half January 1992. Completed returned next 2 weeks.One two hundred three 3501...
Background To promote results in the National Lung Screening Trial (NLST) that are generalizable across entire US population, a subset of NLST sites developed dedicated strategies for minority recruitment. Purpose report effects targeted on accrual underrepresented groups, to describe participant characteristics, and estimate costs enrollment. Methods The 2002–2004 Tobacco Use Supplement was used eligible proportions racial ethnic categories. Strategic planning included meetings/conferences...
While cross-national studies have documented rates of chronic obstructive pulmonary disease (COPD) misdiagnosis among patients in primary care, US are scarce. Studies investigating diagnosis uninsured lacking.The purpose this study is to identify who over diagnosed and thus, mistreated, for COPD a federally qualified health center.A descriptive was conducted retrospective cohort from February 2011 June 2012. Spirometry performed by trained personnel following American Thoracic Society...
Joshua J. Fenton, MD, MPH; Richard L. Kravitz, MSPH; Anthony Jerant, MD; Debora A. Paterniti, PhD; Heejung Bang, Donna Williams, Ronald M. Epstein, Peter Franks, MD
The impact of antithrombotic agents (warfarin, clopidogrel, ASA) on traumatic brain injury outcomes is highly controversial. Although cerebral atrophy speculated as a risk for acute intracranial hemorrhage, there no objective literature evidence.This retrospective, consecutive investigation patients with signs external head trauma and age ≥60 years. Outcomes were correlated antithrombotic-agent status, coagulation test results, admission neurologic function, CT-based dimensions.Of 198...
Left atrial appendage occlusion (LAAO) with WATCHMAN currently requires preprocedural imaging, general anesthesia, and inpatient overnight admission. We sought to facilitate simplification of LAAO.
Abstract Objectives: To survey the attitudes of healthcare personnel regarding influenza immunization. Design: A questionnaire was given to all hospital employees. Setting: 650-bed community teaching hospital. Intervention: Employees were offered an in-service immunization in October 1991. Influenza free charge by Employee Health Services from December One thousand fifty-six employees (30.2%) received vaccines. Survey forms distributed with paychecks during second half January 1992....
Historians have suggested that US president Andrew Jackson (1767-1845) experienced lead and mercury poisoning following his therapeutic use of calomel (mercurous chloride) sugar (lead acetate). To evaluate these claims, we performed direct physical measurement 2 samples Jackson's hair (1 from 1815, 1 1839). Following pretreatment acid digestion, was measured using cold vapor generation techniques, while levels were by electrothermal atomic absorption spectrophotometry. Mercury 6.0 5.6 ppm...
Often indistinguishable from restrictive cardiomyopathy and hepatic cirrohis, clinical acumen is essential in the recognition diagnosis of constrictive pericarditis. A thorough medical history should rule out infectious disease exposure. physical examination may include variable signs such as Kussmaul's sign, pulsus paradoxus, pericardial knock, while jugular venous distention cardinal significance eliminating liver cirrhosis cause ascites. complete examination, appropriate imaging studies,...
Idiopathic pulmonary vein thrombosis (PVT) is a rare disease which likely under‐diagnosed because of nebulous presentations. Accurate diagnosis essential to prevent complications.
Pernicious anemia is an autoimmune disease with a variety of clinical presentations. We describe case pernicious presenting pancytopenia hemolytic features. Further workup revealed very low vitamin B12 levels and elevated methylmalonic acid. It important for general internist to identify as one the cause avoid extensive workup. can present strictly hematological abnormalities without neurological problems or vice versa in our case.
A 19-year-old male patient was diagnosed with S. sanguinis brain abscess of unknown etiopathology as a complication subclinical endocarditis. While viridans streptococci are implicated in dental seeding to the heart, abscesses rare. Six previous cases literature reported procedures and maxillofacial trauma. In our patient, there no obvious source infective endocarditis preceding development abscess. This demonstrates importance prompt diagnosis initiation antimicrobial therapy given...