A5038193704- Long-Term Effects of COVID-19
- Acute Ischemic Stroke Management
- Alcoholism and Thiamine Deficiency
- Infectious Encephalopathies and Encephalitis
- Venous Thromboembolism Diagnosis and Management
- COVID-19 Clinical Research Studies
- COVID-19 diagnosis using AI
- COVID-19 and healthcare impacts
- Stroke Rehabilitation and Recovery
- Cancer Immunotherapy and Biomarkers
- Folate and B Vitamins Research
- Health Systems, Economic Evaluations, Quality of Life
- Retinal and Optic Conditions
- Infectious Diseases and Tuberculosis
- Myasthenia Gravis and Thymoma
- Pericarditis and Cardiac Tamponade
- Retinoids in leukemia and cellular processes
- Pharmaceutical industry and healthcare
- Antiplatelet Therapy and Cardiovascular Diseases
- Intensive Care Unit Cognitive Disorders
- Pharmaceutical Economics and Policy
- Lipoproteins and Cardiovascular Health
- Infective Endocarditis Diagnosis and Management
- Brain Metastases and Treatment
- Neurological and metabolic disorders
University of Arkansas for Medical Sciences
2020-2024
Johns Hopkins Medicine
2024
Johns Hopkins University
2024
University of Applied Management Studies
2021
Neurology, Inc
2021
Baptist Health Foundation
2020
Parents' Place of Maryland
2020
Sri Ramachandra Institute of Higher Education and Research
2018
Early thrombolytic therapy in acute ischemic stroke has proven to reduce the associated morbidity. Many factors are play, delaying arrival of patients.To ascertain causing delay patients with presenting beyond window period thrombolysis and around Chennai, Tamil Nadu, India.An observational cross-sectional study involving 200 at Sri Ramachandra Medical College, India between June 2015 July 2016 was conducted. The data collected by direct interview using a questionnaire designed such as age,...
No study has compared pharmacologic properties of ticagrelor and clopidogrel in non-dialysis patients with stage 4–5 chronic kidney disease (CKD). We conducted a double-blind RCT to compare effects 48 CKD, the primary outcome ADP-induced platelet aggregation (WBPA) after 2 weeks DAPT. In parallel arm, we plus aspirin on mean changes WBPA markers thromboinflammation among non-CKD controls (n = 26) that CKD ticagrelor-arm. Average age was 53.7 years, 62% women, 54% African American, 42% 5 CKD....
It is uncertain if patients with prior ischemic stroke are vulnerable to coronavirus disease 2019 (COVID-19) and its complications.We used TriNetX, a global health collaborative clinical research platform large COVID-19 database. infection was identified positive lab value for severe acute respiratory syndrome 2 (SARS-CoV-2) related ribonucleic acid (RNA).A total of 604,258 history were identified, which 891 (study cohort) diagnosed COVID-19. A control cohort 32,136 after January 20th 2020...
Background Open Payments is a national disclosure program to promote transparency by the public of financial relationships between pharmaceutical and medical device industries physicians. Objective To explore payments from industry physicians in various neurology subspecialties. Methods Program (OPP) data (https://openpaymentsdata.cms.gov) on industry-to-physician for years 2014-2018 were extracted general neurology, neuromuscular, neurophysiology, vascular neurology. The then analyzed...
This study aims to investigate the utilization of acute ischemic stroke (AIS) services during Corona Virus Disease 2019 (COVID-19) pandemic. Based on early observations among healthcare and other services, we hypothesized that there would be a persistent significant decline in AIS patients presenting hospitals as pandemic has progressed for over year.TriNetX, large research network, is used collect real-time electronic medical data. Data service was collected years 2018, 2019, 2020 variables...
A 21-year-old woman presented with left hemiparesis, fever, dyspnea, tachycardia, and pericardial rub on examination. She was provisionally diagnosed infective endocarditis received the final diagnosis of primary pulmonary tuberculosis (PTB) extra PTB (EPTB) effusion thoracic lymphadenitis. Left hemiparesis due to a pontine infarct attributed TB neurovasculitis. The supported by findings imaging studies such as echocardiography, computed tomography thorax, magnetic resonance brain. improved...
An 85-year-old man was diagnosed with hepatocellular carcinoma (HCC) and initially treated transarterial chemoembolization (TACE) sorafenib. He then switched to nivolumab ipilimumab in view of sorafenib intolerance disease progression. Subsequently, he developed dysphagia generalized dyspnea culminating hypercapnic respiratory failure requiring intubation. After an extensive workup, the etiology his fluctuating issues narrowed down a likely neuromuscular process. Although antibodies...
Objective: A novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), emerged in December 2019 and soon led to a worldwide pandemic, disease (COVID-19). COVID-19 has been shown cause several neurological manifestations including ischemic strokes. Stroke is one of the chronic diseases with very high morbidity mortality causing huge financial burden healthcare economy. The purpose this study explore if patients prior stroke are vulnerable population for worse clinical...
A 50-year-old woman presented to an outside hospital for acute onset bilateral lower limb pain. She was diagnosed with aortoiliac stenosis and underwent stent placement. Post-procedure, she noted have altered mental status, truncal ataxia, neck titubation, incomplete external ophthalmoplegia. rapidly declined a stuporous state. had history of uterine cancer treated chemoradiation which complicated by chronic radiation enteritis. also reported poor oral intake, recurrent emesis, weight loss...
We aimed to evaluate utilization of inpatient hospital and critical care services among critically ill neurologic patients during the COVID-19 pandemic. hypothesized, based on prior observations ischemic stroke patients, that there would be significant decline in presenting hospitals pandemic which may impact outcomes.
Objective: To determine prevalence of acute encephalopathy in hospitalized COVID-19 patients and to outcomes compared those without encephalopathy. Background: Acute the setting any infection is associated with severity disease process. With this pandemic, we did not find studies associate development patients. Design/Methods: This was a retrospective cohort study where examined clinical outcome parameters comprising 'need for critical care services', 'intubation' '30-day mortality' among...
<h3>Objective:</h3> Wernicke encephalopathy is an acute neurological disorder secondary to thiamine deficiency with a clinical triad of confusion, eye disorders, and ataxia. Typical MRI Findings show symmetric hyperintensities in T2-weighted sequences predominantly affecting medial thalami, periaqueductal area, mammillary body, the tectal plate. We describe two atypical cases encephalopathy. <h3>Background:</h3> N/A <h3>Design/Methods:</h3> Retrospective chart review. <h3>Results:</h3>...