- Mental Health and Psychiatry
- Schizophrenia research and treatment
- Psychiatric care and mental health services
- Innovations in Medical Education
- Eating Disorders and Behaviors
- Body Image and Dysmorphia Studies
- Mental Health Treatment and Access
- HIV/AIDS Research and Interventions
- HIV Research and Treatment
- Child and Adolescent Health
- Psychosomatic Disorders and Their Treatments
- Cardiac Fibrosis and Remodeling
- Trauma Management and Diagnosis
- Evolutionary Psychology and Human Behavior
- Cardiac Arrest and Resuscitation
- Lymphatic Disorders and Treatments
- Hernia repair and management
- HIV, Drug Use, Sexual Risk
- Appendicitis Diagnosis and Management
- Suicide and Self-Harm Studies
- Pneumothorax, Barotrauma, Emphysema
- Poisoning and overdose treatments
- Traumatic Ocular and Foreign Body Injuries
- Heart Failure Treatment and Management
- Vascular Malformations and Hemangiomas
Medical University of South Carolina
2020-2024
University of Puerto Rico at Carolina
2021
Harm Reduction Services
2021
Virginia Commonwealth University
2007-2020
Virginia Cancer Specialists
2020
MedStar Washington Hospital Center
2020
East Carolina University
2019
SUNY Brockport
2018
National Drug Addiction Center
2018
Institute of Forensic Science
2018
Background ST-segment-elevation myocardial infarction is associated with an intense acute inflammatory response and risk of heart failure. We tested whether interleukin-1 blockade anakinra significantly reduced the area under curve for hsCRP (high sensitivity C-reactive protein) levels during first 14 days in patients (VCUART3 [Virginia Commonwealth University Anakinra Remodeling Trial 3]). Methods Results conducted a randomized, placebo-controlled, double-blind, clinical trial 99 which were...
Background: Heart failure is an inflammatory disease. Patients with acute decompensated heart (ADHF) exhibit significant activity on admission. We hypothesized that Interleukin-1 blockade, anakinra (Kineret, Swedish Orphan Biovitrum), would quench the response in patients ADHF. Methods: randomized 30 ADHF, reduced left ventricular ejection fraction (<40%), and elevated C reactive protein (CRP) levels (≥5 mg/L) to either 100 mg twice daily for 3 days followed by once 11 or matching placebo, a...
Summary Dysmorphophobia is an uncommon psychiatric syndrome characterized by a subjective feeling of ugliness or physical defect. Although appearance within normal limits, the patient feels that this noticeable to others. Views on nature condition are illustrated two case histories. It proposed dysmorphophobia discrete illness. The symptoms arise in individuals with schizoid, narcissistic, obsessional personality traits and should be distinguished from those phenomena which secondary morbid...
BackgroundThe coronavirus disease 2019 pandemic restricted movement of individuals and altered provision health care, abruptly transforming care-use behaviors. It serves as a natural experiment to explore changes in presentations for surgical diseases including acute appendicitis. The objective was determine if the associated with incidence appendicitis compared historical control there were severity.MethodsThe study is retrospective, multicenter cohort adults (N = 956) presenting...
The Clinical Competency Committee is discussing what milestone level of professionalism to assign a resident. discussion reaching its end, and the about designate strong Level 4. Then 1 faculty member questions rating, mentions that resident was 10 minutes late clinic last week. Another states missed didactic session 3 months ago. A third pipes up recalls didn't read an assigned article year. fourth says, "Not good. Let's give her 3." What happened?In 2013, Accreditation Council for Graduate...
Although few studies have been conducted on burn patients, they indicate that sleep of burned children is altered. We suggest in this review, the basis limited data available factors contributing to disruption individuals may be broadly categorized as pathophysiological responses injury, pain and discomfort experienced by patient medications used treat these symptoms, physical environment Burns Intensive Care Unit. The thermal injury include alterations circulating neuropeptides, hormones,...
Compared with surgical patients awaiting rhinoplasty and control subjects, dysmorphophobic were more dissatisfied facial appearance, anxious, depressed, neurotic less extrovert. Morphanalysis, an objective measure of was applied to the first 11 subjects. The group had a variety abnormal features that not identified by medical practitioners or patient. These subtle anomalies often unrelated focus dissatisfaction which usually normal. A panel lay judges rated appearance as being intermediate...
Community pharmacies are important for health access by rural populations and those who do not have optimum to the system, because they provide myriad services found in most communities. This includes sale of non-prescription syringes, a practice that is legal USA all but two states. However, people inject drugs (PWID) face significant barriers accessing sterile particularly states without laws allowing syringe programming. To our knowledge, no recent studies pharmacy-based purchase...
Background: The coronavirus disease 2019 (COVID-19) pandemic has become an increasingly challenging problem throughout the world. Because of numerous potential modes transmission, surgeons and all procedural staff represent a unique population that requires standardized procedures to protect themselves their patients. Although several protocols have been implemented during other infectious outbreaks, such as Ebola virus, no protocol published in regard COVID-19 pandemic.
A 34-year-old heterosexual intravenous drug abuser presented with a paranoid psychosis and was subsequently found to have the Acquired Immune Deficiency Syndrome (AIDS). The patient died 14 days later of generalised septicaemia. case is reported aetiology pathogenesis organic are discussed. It anticipated that similar psychiatric manifestations will occur as AIDS epidemic increases.
BACKGROUND Rib fractures serve as both a marker of injury severity and guide for clinical decision making trauma patients. Although recent studies have suggested that rib are dynamic, the degree progressive offset remains unknown. The purpose this study was to further characterize change takes place in acute setting. METHODS A 4-year (2016–2019) retrospective assessment adult patients with fracture(s) admitted level I center performed. Initial follow-up computed tomography scans were...
To identify risk factors for in-patient suicide, a case-control study of suicide was conducted in the Wellington Area Health Board region between 1984 and 1989 on 27 cases 86 controls. The increased among individuals who had been compulsorily admitted, suffered from schizophrenia, past history deliberate self harm, hospital more than month, or were unmarried. Notably, there no relationship with physical health, substance abuse, number psychiatric admissions time since last known episode...
Twenty subjects entered a double-blind placebo-controlled trial of SAM in depression. Prolactin concentrations were measured before and after 14 days' treatment. There was highly significant fall prolactin the SAM-treated group