A5061648509- Pancreatic and Hepatic Oncology Research
- Trauma and Emergency Care Studies
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Bariatric Surgery and Outcomes
- Colorectal Cancer Surgical Treatments
- Colorectal Cancer Screening and Detection
- Cardiac Arrest and Resuscitation
- Innovations in Medical Education
- Gastric Cancer Management and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare Policy and Management
- Gallbladder and Bile Duct Disorders
- Pancreatitis Pathology and Treatment
- Esophageal and GI Pathology
- Diversity and Career in Medicine
- Surgical Simulation and Training
- Abdominal Trauma and Injuries
- Emergency and Acute Care Studies
- Hepatocellular Carcinoma Treatment and Prognosis
- Liver Disease Diagnosis and Treatment
- Venous Thromboembolism Diagnosis and Management
- Hemodynamic Monitoring and Therapy
- Blood transfusion and management
- Liver Disease and Transplantation
- Respiratory Support and Mechanisms
University of Cincinnati
2014-2024
University of Cincinnati Medical Center
2013-2023
Sabin Vaccine Institute
2014-2021
International Trauma Anesthesia and Critical Care Society
2011-2016
Columbia College - South Carolina
2014
United States Air Force
2011-2014
Cincinnati Children's Hospital Medical Center
2014
American Association for the Surgery of Trauma
2014
Zero to Three
2014
Office of the Attorney General
2014
Objective: Although adolescent-onset bipolar disorder is associated with significant morbidity, there have been few prospective outcome studies of this population. The aim study was to examine the 12-month adolescents following an initial hospitalization for a manic or mixed episode. Method: Bipolar (N=71) were recruited during their first episode and evaluated using diagnostic, symptomatic, functional assessments. Patients also at 1, 4, 8, 12 months after assess syndromic, outcomes....
In Brief Objective and Background: Morbidity, mortality, length of hospital stay after pancreaticoduodenectomy (PD) have significantly decreased over recent decades. Despite this progress, early readmission rates PD been reported as high 50%. Few reports delineated factors associated with PD. Methods: The medical records 6 high-volume institutions were reviewed for patients who underwent between 2005 2010. Data collection included patient characteristics, comorbidities, perioperative...
Safety-net hospitals provide broad services for a vulnerable population of patients and are financially at risk owing to impending reimbursement penalties policy changes.To determine the effect patient hospital factors on surgical outcomes cost safety-net hospitals.Hospitals in University HealthSystem Consortium database from January 1, 2009, through December 31, 2012 (n = 31), were grouped according their burden, defined as proportion Medicaid uninsured charges all hospitalizations during...
Previous research has identified a number of patient and operative factors associated with anastomotic leak after colectomy; however, study that examines these on national level direct coding for is lacking.The purpose this work was to identify risk quantify the additional morbidity mortality experienced by patients.We performed retrospective analysis patients who underwent segmental colectomy anastomosis from 2012 American College Surgeons National Surgical Quality Improvement Program...
Total pancreatectomy and islet cell autotransplantation (TPIAT) has been increasingly utilized for the management of chronic pancreatitis (CP) with early success. However, long-term durability this operation remains unclear.All patients undergoing TPIAT treatment CP 5-year or greater follow-up were identified inclusion in single-center observational study. End points included narcotic requirements, glycemic control, function, quality life (QOL), survival.Between 2000 2013, 166 underwent...
Morbid obesity is a barrier to renal transplantation and inadequately addressed by medical therapy. We present results of prospective evaluation laparoscopic sleeve gastrectomy (LSG) for patients failing achieve significant weight loss with Over 25-month period, 52 obese transplant candidates meeting NIH guidelines metabolic surgery underwent LSG. Mean age was 50.0 ± 10.0 years an average preoperative BMI 43.0 5.4 kg/m(2) (range 35.8-67.7 kg/m(2)). Follow-up after LSG 220 152 days 26-733...
Morbid obesity is a barrier to kidney transplant in patients with end-stage renal disease (ESRD). Laparoscopic sleeve gastrectomy (SG) an increasingly considered intervention, but the safety and long-term outcomes are uncertain. We reviewed prospectively collected data on ESRD chronic (CKD) undergoing SG from 2011 2018. There were 198 45 CKD (stages 1-4) who met National Institutes of Health guidelines for bariatric surgery underwent SG; 72% 48% achieved body mass index ≤ 40 35 kg/m2 ,...
Background: As familiarity with military massive transfusion (MT) triggers has increased, there is a growing interest in applying these the civilian population to initiate MT protocols (MTP) earlier. We hypothesize that do not have equal predictability for and understanding contribution of each would improve our ability MTP Methods: All patients presenting Level I trauma center from October 2007 September 2008 requiring immediate operation were included this study. Emergency department...
The optimal treatment facility for adolescent trauma patients is controversial. We sought to investigate risk-adjusted outcomes of adolescents treated at adult-only centers (ATCs) versus pediatric-only (PTCs) in a state system with legislated American College Surgeons-verified institutions determine ideal prehospital referral patterns.The Ohio Trauma Registry was queried 15 years 19 length stay (LOS) greater than 1 day ATC (Level 1) or PTC (Levels and 2) from 2008 2012. Race, sex, emergency...
Morbid obesity is a barrier to kidney transplantation due inferior outcomes, including higher rates of new-onset diabetes after (NODAT), delayed graft function (DGF), and failure. Laparoscopic sleeve gastrectomy (LSG) increases transplant eligibility by reducing BMI in candidates, but the effect surgical weight loss on posttransplantation outcomes unknown. Reviewing single-center medical records, we identified all patients who underwent LSG before from 2011-2016 (n = 20). Post-LSG recipients...
Background: Early pharmacologic treatment for blunt cerebrovascular injury (BCVI) is often withheld when concomitant traumatic brain or cervical spinal cord occurs. This study examines the safety and efficacy of early patients with both BCVI neurologic (TNI). Methods: Ten-year retrospective review a TNI was performed. Stroke outcomes those treated therapy their were compared not treated. In addition, likelihood worsening determined exposed to exposed. Multivariate logistic regression...
<h3>BACKGROUND:</h3> Prolonged mechanical ventilation, longer hospital stay, and a lower rate of home discharge have been reported with patient-ventilator asynchrony in medical patients. Though commonly encountered, is poorly defined within the traumatically injured population. <h3>METHODS:</h3> Mechanically ventilated trauma patients at an urban, level-1 center were enrolled. Breath waveforms recorded over 30 min first 48 hours following intubation. Asynchronous breaths as ineffective...
In patients with borderline resectable pancreas cancers, clinicians frequently consider radiographic response as the primary driver of whether should be offered surgical intervention following neoadjuvant therapy (NT). We sought to determine any correlation between and pathologic rates NT.Between 2005 2015, 38 at a tertiary care referral center underwent NT followed by pancreaticoduodenectomy for cancer. Radiographic after completion surgery were graded according RECIST Evans' criteria,...