- Heart Failure Treatment and Management
- Pharmaceutical Practices and Patient Outcomes
- Healthcare Decision-Making and Restraints
- Emergency and Acute Care Studies
- Intensive Care Unit Cognitive Disorders
- Long-Term Effects of COVID-19
- Opioid Use Disorder Treatment
- Psychosomatic Disorders and Their Treatments
- Electronic Health Records Systems
- COVID-19 Clinical Research Studies
- Patient Satisfaction in Healthcare
- Parvovirus B19 Infection Studies
- Mentoring and Academic Development
- Atrial Fibrillation Management and Outcomes
- Homicide, Infanticide, and Child Abuse
- Health Literacy and Information Accessibility
- Pain Management and Opioid Use
- Viral-associated cancers and disorders
- Pharmacovigilance and Adverse Drug Reactions
- COVID-19 and Mental Health
- Diversity and Career in Medicine
- Geriatric Care and Nursing Homes
- Anesthesia and Pain Management
- Cutaneous Melanoma Detection and Management
- Hospital Admissions and Outcomes
Mayo Clinic in Florida
2016-2025
WinnMed
2004-2025
Jacksonville College
2004-2024
Jackson Memorial Hospital
2024
Mayo Clinic Hospital
2008-2023
Mayo Clinic
2019
Government of the United States of America
2019
University of Missouri Hospital
2018
University of Missouri
2018
Nemours Children’s Clinic
2014
Warfarin is still the most commonly used anticoagulant for treatment of venous thromboembolism and other hypercoagulable states. metabolism affected by multiple factors, including diet, medications, individual patient characteristics. As both underdosing overdosing can increase risks to patients, several studies have attempted develop dosing protocols. However, few investigated how weight body mass index (BMI) affect warfarin dosing.The objective this study was determine association between...
Abstract Objectives To determine whether use of a patient portal during hospitalization is associated with improvement in hospital outcomes, 30-day readmissions, inpatient mortality, and mortality. Materials Methods We performed retrospective propensity score–matched study that included all adult patients admitted to Mayo Clinic Hospital Jacksonville, Florida, from August 1, 2012, July 31, 2014, who had signed up for account prior (N = 7538). Results Out the account, 1566 (20.8%) accessed...
Introduction: The Undiagnosed Mass Clinic (UMC) at our institution is a clinical and research program created to address gaps in the early diagnostic phase of cancer care continuum for patients with potential malignant neoplasms. All referred UMC are invited participate registry, which tracks operational metrics while maintaining repository blood tissue specimens future research. Methods: We conducted retrospective cohort study first 100 enrolled registry. analyzed patient demographics,...
Hospital readmission within 30 days of discharge occurs in almost 20% US Medicare patients and may be a marker poor quality inpatient care, ineffective hospital to home transitions, or disease severity. Within patient centered medical home, care transition interventions only practical from cost staffing perspectives if targeted at with the greatest risk readmission. Various scoring algorithms attempt predict for 30-day readmission, but head-to-head comparison performance is lacking. Compare...
The Accreditation Council for Graduate Medical Education requires residents to learn and demonstrate proficiency in practice improvement. Quality improvement (QI) projects are a way improve patient care as well facilitate education on this core competency. There inherent barriers completing these goals the structure of residency training including rigorous resident schedules limited number resources.We developed QI programme using an experiential class project incorporated it into our...
ABSTRACT Purpose of the study To reduce number unnecessary laboratory tests ordered through a measurement effects education and cost awareness on ordering behaviour by internal medicine residents for common tests, including complete blood cell count (CBC) renal profile (RP), to evaluate hospitalisation, 30-day readmission rate mortality rate. Study design 567 patients admitted during February, March April 2014 were reviewed as control group. Total CBC, CBC with differential RP counted, along...
Abstract In a large academic medical center, patient requests from the community and internal referrals for evaluation of suspected hypermobility conditions were being denied consultation because services specific to this condition not available. We identified gap developed comprehensive unique population. The objective paper is demonstrate solution improving outcomes in neglected population by establishing an innovative outpatient clinic specifically tailored patients with EDS. describe...
Pneumatosis intestinalis (PI), defined as gas within the bowel wall, is an uncommon radiographic sign which can represent a wide spectrum of diseases and variety underlying diagnoses. Because its etiology vary greatly, management PI ranges from surgical intervention to outpatient observation (see, Greenstein et al. (2007), Morris (2008), Peter (2003)). Since infrequently encountered, clinicians may be unfamiliar with diagnosis management; this unfamiliarity, combined potential necessity for...
To understand the relationship between opioid use in patients with congestive heart failure and outcomes, we compared length of stay (LOS), 30-day readmission rates, 30- 90-day mortality discharged a primary diagnosis (CHF) who were taking opioids.Retrospective study design.Patients seen at 320-bed academic hospital.All not awaiting transplant from January 1, 2011, through December 31, 2014.Records reviewed for demographic data, comorbidities, status admission or discharge. The association...
ObjectiveTo assess the association between vitamin B12 (B12) deficiency and prevalence of fatigue prespecified neurologic symptoms in patients with fibromyalgia.Patients MethodsA retrospective chart analysis diagnosed fibromyalgia years 2015-2020 was performed. The values were collected. reviews assessed reported symptoms, including brain fog, memory loss, cognitive impairment, paresthesias, numbness, tingling, to their correlation levels. Concurrent D thyroid-stimulating hormone levels...
A male patient in his 70s with a history of tobacco use, organising pneumonia and rheumatoid arthritis that had been treated for several years rituximab currently being tocilizumab, presented progressively worsening shortness breath, increasing oxygen requirements weakness. He COVID-19 infection 6 months prior to presentation. Initial PCR testing at presentation was negative. Bronchoalveolar lavage positive but negative spike antibodies. It thought he did not clear due immunocompromised...