A5082942561- Chemotherapy-induced cardiotoxicity and mitigation
- Cardiac, Anesthesia and Surgical Outcomes
- Peripheral Artery Disease Management
- Aortic aneurysm repair treatments
- Diversity and Career in Medicine
- Childhood Cancer Survivors' Quality of Life
- Global Health Workforce Issues
- Vascular Procedures and Complications
- Hospital Admissions and Outcomes
- Surgical Simulation and Training
- Opioid Use Disorder Treatment
- Colorectal Cancer Surgical Treatments
- Pain Management and Opioid Use
- Peptidase Inhibition and Analysis
- Anesthesia and Pain Management
- Colorectal and Anal Carcinomas
- Aortic Disease and Treatment Approaches
- Innovations in Medical Education
- Cancer Treatment and Pharmacology
- Colorectal Cancer Screening and Detection
- Radiology practices and education
- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- PARP inhibition in cancer therapy
- Diabetic Foot Ulcer Assessment and Management
Dartmouth–Hitchcock Medical Center
2023-2025
White River Junction VA Medical Center
2024
Dartmouth College
2012-2024
Brigham and Women's Hospital
2009-2022
Harvard University
2012-2022
University of Massachusetts Chan Medical School
2016-2019
Massachusetts General Hospital
2019
National Cancer Institute
2018
Wayne State University
2018
Uniformed Services University of the Health Sciences
2017
Doxorubicin causes cardiac injury and cardiomyopathy in children with acute lymphoblastic leukemia (ALL). Measuring biomarkers during therapy might help individualize treatment by immediately identifying cardiomyopathy.Children high-risk ALL were randomly assigned to receive doxorubicin alone (n = 100; 75 analyzed) or dexrazoxane 105; 81 analyzed). Echocardiograms serial serum measurements of troponin T (cTnT; biomarker), N-terminal pro-brain natriuretic peptide (NT-proBNP; high-sensitivity...
The overprescription of pain medications has been implicated as a driver the burgeoning opioid epidemic; however, few guidelines exist regarding appropriateness medication prescriptions after surgery.
Background: There is a growing concern that the use of prescription opioids following surgical interventions, including spine surgery, may predispose patients to chronic opioid and abuse. We sought estimate proportion using up 1 year after discharge common spinal procedures identify factors associated with sustained use. Methods: This study utilized 2006 2014 data from TRICARE insurance claims obtained Military Health System Data Repository. Adults who underwent 4 (discectomy, decompression,...
In the current health care environment with increased scrutiny and growing concern regarding opioid use abuse, there has been a push toward greater regulation over prescriptions of opioids. Trauma patients represent population that may be affected by this regulation, as incidence pain at hospital discharge is than 95%, opioids are considered first line treatment for management. However, in trauma not explored.To study predictors prescription large national cohort.Analysis adult (18-64...
This review of data from the Military Health Data Repository examines causes sustained prescription opioid use.
Barriers to Breastfeeding for US Physicians Who Are MothersThe benefits of breastfeeding both women and infants are well established. 1Despite recommendations from the American Academy Pediatrics World Health Organization, initiating sustaining lactation remains a challenge many women. 2Although 79% mothers in United States initiate breastfeeding, only 27% still at 12 months postpartum. 3hysicians who face substantial challenges that may undermine efforts sustain after they return work.5][6]...
BACKGROUND: Women surgeons are underrepresented in academic surgery and may be subject to implicit gender bias. In colorectal surgery, women comprise 42% of new graduates, but only 19% Diplomates the United States. OBJECTIVE: We evaluated representation at 2017 American Society Colon Rectal Surgeons Scientific Tripartite Meeting assessed for DESIGN: This was a prospective observational study. SETTING: The study occurred Meeting. MAIN OUTCOME MEASURES: primary outcome measured percentage...
Physicians who are mothers face challenges with equal distribution of domestic duties, which can be an obstacle in career advancement and achieving overall job satisfaction.To study report on the association between increased workload dissatisfaction if this differed proceduralists nonproceduralists.Data for were gathered from April 28 to May 26, 2015, via online survey 1712 attending physician recruited Physician Moms Group. Statistical analysis was performed August 25, 2017, November 20,...
The aim of this study was to perform a large-scale, national survey physician mothers define the personal, professional, and financial impact maternity leave its relationship career satisfaction for female physicians in procedural nonprocedural fields.Little is known about on early or how childbearing affects satisfaction.A nationwide sample completed 45-question anonymous, secure, online questionnaire regarding pregnancy childbearing.One thousand five hundred forty-one respondents were...
To establish the number of operative performance observations needed for reproducible assessments competency.Surgical training is transitioning from a time-based to competency-based approach, but reliably competency remains unknown.Using smart phone based evaluation application (SIMPL), residents 13 general surgery programs were evaluated performing common surgical procedures. Two metrics investigated separately: autonomy and overall performance. Analyses performed laparoscopic...
10021 Background: Cross sectional studies show that cardiac abnormalities are common in survivors of doxorubicin (DOX)-treated childhood cancers. Longitudinal data, however, rare. Methods: Serial echocardiograms (N = 900) from 115 DOX-treated ALL (DFCI protocols 72-01 – 85-01) were reported as indexed Z scores, indicating SDs above or below the normal mean for body size. Central single observer remeasurement minimized variability. Median individual and cumulative DOX doses 30 mg/m2/dose 352...
Although many factors influence the management of carotid artery stenosis, it is not well understood whether a preference toward procedural exists when volume and physician compensation are linked in fee-for-service environment.To explore evidence for provider-induced demand stenosis.The Department Defense Military Health System Data Repository was queried individuals diagnosed with stenosis between October 1, 2006, September 30, 2010. A hierarchical multivariable model evaluated association...