- Pregnancy and preeclampsia studies
- Gestational Diabetes Research and Management
- Maternal and fetal healthcare
- Maternal Mental Health During Pregnancy and Postpartum
- Preterm Birth and Chorioamnionitis
- Bariatric Surgery and Outcomes
- Cardiovascular Issues in Pregnancy
- Breast Cancer Treatment Studies
- Breastfeeding Practices and Influences
- Global Cancer Incidence and Screening
- Colorectal Cancer Surgical Treatments
- Cervical Cancer and HPV Research
- Birth, Development, and Health
- Diabetes Management and Research
- Blood transfusion and management
- Male Breast Health Studies
- Hemoglobinopathies and Related Disorders
- Anorectal Disease Treatments and Outcomes
- Maternal and Perinatal Health Interventions
- DNA Repair Mechanisms
- Pregnancy and Medication Impact
- Cancer Risks and Factors
- Cardiac, Anesthesia and Surgical Outcomes
- Diverticular Disease and Complications
- Neonatal Respiratory Health Research
Duke University
2020-2024
Icahn School of Medicine at Mount Sinai
2022-2024
Duke University Hospital
2021-2023
Duke Medical Center
2019-2021
We present a case of transwoman taking hormonal feminisation therapy for over 20 years, who underwent surgical excision benign phyllodes tumour the breast. Hormones progesterone and oestrogen act on breast epithelium to increase proliferation. For ciswomen, endogenous exogenous exposure lifetime is associated with increased risk certain malignant pathologies. Transwomen may also be at an disease.
Patients with severe preeclampsia (sPREX) face barriers to successful breastfeeding (BF), including an increased risk of maternal and newborn complications, prematurity, low birth weight. early-onset sPREX (before 34 weeks' gestation) may be at even greater risk, yet there are little data available on factors associated BF challenges in this population. We describe rates initiation hospital discharge continuation postpartum (PP) visit identify noninitiation cessation among patients admitted sPREX.
Self-expandable metal stent (SEMS) are widely utilized as a bridge to surgical intervention and for palliative treatment of malignant bowel obstructions. The risk complications associated with SEMS is low in well-selected patients. Stent erosion rare but serious adverse event that high morbidity mortality. Here, we report the case 74-year-old patient colonic obstruction secondary pelvic mass was treated radiotherapy, who developed partial thickness recurrent hematochezia 6 years after...
Patients admitted for preterm prelabor rupture of membranes are more likely to have risk factors postpartum depression, including delivery, low-birthweight infants, and a stressful life event. However, there is paucity data characterizing the development depression in this population. We aim evaluate incidence describe among patients with membranes.This retrospective cohort study single health system between 2013 2019. who developed were compared did not develop depression. Demographic,...
Objective This study aimed to characterize rates of maternal morbidity associated with early (<34 wk) preeclampsia severe features and determine factors developing these morbidities. Study Design Retrospective cohort patients at a single institution from 2013 2019. Inclusion criteria were admission between 23 34 weeks diagnosis features. Maternal defined as death, sepsis, intensive care unit (ICU) admission, acute renal insufficiency (acute kidney injury [AKI]), postpartum (PP) dilation...
We aimed to assess the risk of developing gestational diabetes mellitus (GDM) in women with a normal A1C (<5.7) compared those an pre-diabetic range (5.7-6.4).This study comprises retrospective cohort non-anomalous singleton pregnancies maternal body mass index (BMI) ≥40 at single institution from 2013 2017. Pregnancies multiple gestation, late entry care, type 1 or 2 diabetes, and missing diabetes-screening information were excluded. The primary outcome was development GDM. Secondary...
Because obese women are at increased risk for insulin resistance and development gestational diabetes (GDM), the American College of Obstetricians Gynecologists (ACOG) recommends early GDM screening in this population. For with a normal 1-hour 50 g oral glucose challenge test (eGCT), developing later pregnancy is unknown. Thus, we aimed to assess based on value eGCT.Retrospective cohort non-anomalous singleton pregnancies maternal body mass index (BMI) ≥40 time entry prenatal care single...
Cervical cancer screening guidelines have evolved over time with the incorporation of human papillomavirus (HPV) testing along cytology. Current recommend cytological every 3 years or HPV without cytology 5 in women age 30-65 years. We examined use cervical among average-risk Medicaid beneficiaries.Retrospective cohort study.Women 30-64 at average risk for who underwent cytology, co-testing primary from 2013 to 2016.The IBM Watson Health Multi-State MarketScan Database was used. Subsequent...
INTRODUCTION: ACOG recommends early screening for glucose intolerance in obese women, who are at increased risk of insulin resistance. We aimed to assess the developing GDM based on value a normal 50g oral challenge test (GCT). METHODS: Retrospective cohort non-anomalous singleton pregnancies with maternal BMI ≥40 one institution, 2013–2017. Pregnancies multiple gestation, late entry care, type 1 or 2 diabetes, and missing diabetes-screening information excluded. Primary outcome was...
<h3>Objectives</h3> In 2012, the American Cancer Society updated cervical cancer screening guidelines to recommend cytologic every 3 years or HPV testing with cytology (co-testing) 5 in women age 30–65. We aim examine use of among average-risk Medicaid beneficiaries. <h3>Methods</h3> The MarketScan database was used identify 30–64 coverage who underwent index 2013–2016. Subsequent rates within test were examined. Demographic factors associated early re-screening and annual gynecologic...