- Acute Ischemic Stroke Management
- COVID-19 and healthcare impacts
- Venous Thromboembolism Diagnosis and Management
- COVID-19 Clinical Research Studies
- Cerebrovascular and Carotid Artery Diseases
- Atrial Fibrillation Management and Outcomes
- Astronomy and Astrophysical Research
- Blood Pressure and Hypertension Studies
- Stellar, planetary, and galactic studies
- Long-Term Effects of COVID-19
- Traumatic Brain Injury and Neurovascular Disturbances
- Stroke Rehabilitation and Recovery
- Primary Care and Health Outcomes
- Electronic Health Records Systems
- Health Systems, Economic Evaluations, Quality of Life
- Intracranial Aneurysms: Treatment and Complications
- Medical Imaging and Analysis
- Climate Change and Health Impacts
- Space Exploration and Technology
- Healthcare Systems and Technology
- Health Literacy and Information Accessibility
- Neurosurgical Procedures and Complications
- Acute Kidney Injury Research
- Intracerebral and Subarachnoid Hemorrhage Research
- Telemedicine and Telehealth Implementation
Northwell Health
2018-2025
Donald & Barbara Zucker School of Medicine at Hofstra/Northwell
2018-2025
Health Innovations (United States)
2018-2024
Feinstein Institute for Medical Research
2020-2024
Hofstra University
2019-2023
California Institute of Technology
2023
Northwestern University
2023
New York City Department of Health and Mental Hygiene
2015
Coronavirus disease 2019 (COVID-19) evolved quickly into a global pandemic with myriad systemic complications, including stroke. We report the largest case series to date of cerebrovascular complications COVID-19 and compare stroke patients without infection.Retrospective imaging-confirmed stroke, treated at 11 hospitals in New York, between March 14 April 26, 2020. Demographic, clinical, laboratory, imaging, outcome data were collected, cases compared date-matched controls from 1 year...
Objective This study examined the association between BMI and clinical outcomes among patients with coronavirus disease 2019 (COVID‐19) infection. Methods A total of 10,861 COVID‐19 infection who were admitted to Northwell Health system hospitals March 1, 2020, April 27, included in this study. was classified as underweight, normal weight, overweight, obesity classes I, II, III. Primary invasive mechanical ventilation (IMV) death. Results 243 (2.2%) 2,507 (23.1%) 4,021 (37.0%) had 2,345...
BACKGROUND: Many national initiatives focus on promoting early hospital arrival of patients with acute ischemic stroke (AIS) because treatment effectiveness is time-dependent. However, several studies reported time-delays in arrival, especially during the COVID-19 pandemic. Our purpose was to evaluate 10-year trends last known well (LKWA) time and assess disparities AIS. METHODS: A retrospective study consecutive AIS United States admitted a large, socioeconomically diverse health care...
Both catheter-directed thrombolysis (CDT) and ultrasound-assisted (USAT) are novel treatment modalities for patients presenting with acute pulmonary embolism (PE). The objective of this study was to compare clinical quality-of-life (QOL) outcomes undergoing either modality. We retrospectively studied 70 consecutive treated CDT or USAT over 3 years at a multicenter health system. primary efficacy endpoint right ventricular systolic pressure (RVSP) reduction post-procedurally. Safety endpoints...
Coronavirus disease 2019 (COVID-19) appears to be an independent risk factor for stroke. We hypothesize that patients who develop stroke while hospitalized severe COVID-19 will have higher inflammatory markers and distinct imaging patterns compared with positive out-of-hospital onset milder or no symptoms.This is a retrospective case series of on polymerase chain reaction testing imaging-confirmed treated within large health care network in New York City Long Island between March 14 April...
Northwell Health, an integrated health system in New York, has treated more than 15,000 inpatients with COVID-19 at the US epicenter of SARS-CoV-2 pandemic.We describe demographic characteristics patients who died COVID-19, observation frequent rapid response team/cardiac arrest (RRT/CA) calls for non-intensive care unit (ICU) patients, and factors that contributed to RRT/CA calls.A team registered nurses reviewed medical records tested positive via polymerase chain reaction before or on...
Socioeconomically disadvantaged neighborhoods are particularly vulnerable to heat-related illnesses. We aim investigate the association between heat vulnerability index (HVI), an established neighborhood-level metric of mortality risk, and acute ischemic stroke (AIS) severity.
Abstract We present the pyKLIP-CHARIS post-processing pipeline, a Python library that reduces high contrast imaging data for CHARIS integral field spectrograph used with SCExAO project on Subaru Telescope. The pipeline is part of pyklip package, dedicated to reduction direct exoplanets, brown dwarfs, and discs. For PSF subtraction, relies core algorithms implemented in but uses image registration calibrations are unique CHARIS. describe procedures, calibration results, capabilities...
Background Treatment and prognosis of vertebrobasilar atherosclerotic disease differs depending on stroke mechanism, such as artery-to-artery embolism, branch atheromatous disease, hemodynamic ischemia. Our aim was to investigate the relationship between infarction pattern flow status using quantitative magnetic resonance angiography (QMRA), determine validity patterns infer mechanism. Methods Results This is a retrospective study patients with ischemic intra- or extracranial stenosis, who...
<h3>BACKGROUND AND PURPOSE:</h3> Delays to reperfusion negatively impact outcomes of patients with ischemic stroke, yet current guidelines recommend selective sequential imaging for thrombectomy candidates. We aimed quantify and analyze time delays associated rescanning in acute stroke imaging. <h3>MATERIALS METHODS:</h3> This was a retrospective cohort study consecutive who underwent treatment decision-making from January 1, 2017, June 30, 2020. Rescan delay defined as ≥10-minute difference...
The Management of Anticoagulation in the Periprocedural Period (MAPPP) app is a free tool providing up-to-date guidelines on periprocedural management patients long-term anticoagulants. After validating its effectiveness post-procedural period, we aimed to study overall cost-effectiveness. SF-12 surveys were sent eligible patients, converted into SF-6D forms, and subsequently quality-adjusted life years (QALYs) calculate incremental cost-effectiveness ratio (ICER). number 30-day readmissions...
Background Warfarin's adverse drug events are dangerous, common, and costly. While outpatient warfarin management tools exist, there is a dearth of guidance for inpatients. Objectives We sought to describe health system's chronic quality metrics in older inpatients, defined by international normalized ratio (INR) control, explore associations between INR overshoots clinical outcomes, identify factors associated with overshoots. Patients/Methods Data on patients 65 years who were prescribed...
Electronic health record (EHR) data on blood pressure (BP) control among patients with hypertension show that practices' rates vary greatly. This suggests providers use different approaches in managing hypertension, and so we aimed to explore challenges small primary care practice face strategies they manage patients' BP. We explored differences between high low BP help inform future quality improvement work.In 2015, recruited practices New York City five or fewer providers. employed a...
Appropriate perioperative management of patients on chronic oral anticoagulation (OAC)—including warfarin and the direct anticoagulants—is a poorly defined yet important clinical issue with potentially severe consequences in postoperative period. We sought to prospectively evaluate effect Management Anticoagulation Periprocedural Period (MAPPP) mobile app as decision tool OAC undergoing elective procedures or surgeries. Between January 1, 2018, 31, 2019, 642 treated our health system were...
Abstract Background The United States Centers for Disease Control and Prevention (CDC)-sanctioned prevention strategies have included frequent handwashing with soap water, covering the mouth nose a mask when around others, cleaning disinfecting maintaining distance of at least 6 feet from etc. Although many these recommendations are based upon observation past infection control practices, it is important to combine explore public data sets identify predictors infection, morbidity mortality...