- Inflammatory Bowel Disease
- Appendicitis Diagnosis and Management
- Ultrasound in Clinical Applications
- Streptococcal Infections and Treatments
- Central Venous Catheters and Hemodialysis
- Infective Endocarditis Diagnosis and Management
- Hemodynamic Monitoring and Therapy
- Microscopic Colitis
- Opioid Use Disorder Treatment
- HIV, Drug Use, Sexual Risk
- ECG Monitoring and Analysis
- Hematological disorders and diagnostics
- Pharmacological Effects of Natural Compounds
- Diverticular Disease and Complications
- Diagnosis and treatment of tuberculosis
- Autoimmune and Inflammatory Disorders Research
- Hospital Admissions and Outcomes
- Pharmaceutical studies and practices
- Cardiac Imaging and Diagnostics
- Radiation Dose and Imaging
- Sepsis Diagnosis and Treatment
- Cardiac electrophysiology and arrhythmias
- Bone and Joint Diseases
- Bacterial Identification and Susceptibility Testing
- Liver Disease and Transplantation
Boston Medical Center
2020-2022
Northwestern University
2020-2022
VA Boston Healthcare System
2016-2022
Boston University
2016-2019
Clinical Research Institute
2019
Emory and Henry College
2019
Mount Auburn Hospital
2016
Harvard University
2016
University of Michigan
2011-2013
Michigan Medicine
2013
Resveratrol has antiinflammatory and antifibrotic effects. decreases proliferation collagen synthesis by intestinal smooth muscle cells. We hypothesized that resveratrol would decrease inflammation fibrosis in an animal model of Crohn's disease.Peptidoglycan-polysaccharide (PG-PS) or human serum albumin (HSA) was injected into the bowel wall Lewis rats at laparotomy. vehicle administered daily gavage 1-27 days postinjection. On day 28, gross abdominal histologic findings were scored. Cecal...
Infliximab is used increasingly to treat inflammatory bowel disease (IBD). supplied in 100-mg vials. Doses that are typically calculated as 5 mg · kg⁻¹ dose⁻¹ commonly rounded up or down the nearest 100 mg. Variation dosing practices unknown. Underdosing based on weight may increase risk for exacerbation, whereas overimmune suppression could of infection. Children be at greater from dosage rounding. We aimed characterize infliximab practices, use corticosteroid premedication, and duration...
Fournier's gangrene is classically associated with diabetes mellitus and alcohol use disorder. While it chemotherapy, there are few case reports of as the initial presentation acute myelogenous leukemia. A 38-year-old male presented progressive scrotal swelling hematochezia. Blood cell count showed depression all lines without myeloblasts. He received broad-spectrum antibiotics underwent surgical debridement once. Urgent bone marrow biopsy confirmed promyelocytic The patient was started on...
Despite its proven utility, integration of point-of-care ultrasound (POCUS) into internal medicine (IM) residency training has been inconsistent. Due to their unique constraints, community-based teaching hospitals may face particular challenges in providing POCUS IM residents.To evaluate short-term educational outcomes an academic center's curriculum following adaptation and delivery residents at a hospital.A needs assessment (NA) regarding was distributed PGY-2 PGY-3 hospital 2017. Based on...
Abstract Background Prophylaxis against spontaneous bacterial peritonitis (SBP) is a guideline-recommended strategy; there are limited data on rates of concordance with guideline recommendations. We sought to evaluate concordance, hypothesizing that antibiotics would overprescribed for prophylaxis SBP. Methods This retrospective cohort study included all patients at the Boston Veterans Affairs Medical Center who underwent paracentesis between 1/1/2014 and 12/31/2018. Exclusion criteria...
Addiction medicine consultation and medications for opioid use disorder are shown to improve outcomes patients hospitalized with infective endocarditis associated injection drug use. Existing studies describe settings where addiction initiation of not commonplace, rates antibiotic therapy completion infrequently reported. This retrospective study sought quantify in a setting these interventions routinely implemented.Medical records diagnosis bacteremia or at an urban hospital between October...
Background: Addiction medicine consultation and medication-assisted treatment (MAT) have been promoted as a way to improve outcomes for patients hospitalized with injection drug use–associated endocarditis (IDU-IE). However, IDU-IE not evaluated in settings where these services are commonplace. Objective: In this study, we setting involvement of addiction consultants use MAT is well integrated into patient care. Methods: Medical records diagnosis bacteremia or infective (IE) between October...
Abstract Prophylaxis against spontaneous bacterial peritonitis (SBP) is recommended for select patients with cirrhosis, but long-term antibiotic therapy has risks. We evaluated concordance guideline recommendations in 179 veterans cirrhosis; 55% received guideline-concordant management of SBP prophylaxis. Despite stable since 2012, adherence remains low.