A5003653527- Acute Ischemic Stroke Management
- Stroke Rehabilitation and Recovery
- Cerebrovascular and Carotid Artery Diseases
- Traumatic Brain Injury and Neurovascular Disturbances
- Venous Thromboembolism Diagnosis and Management
- Neurological Disorders and Treatments
- Peripheral Artery Disease Management
- Intracranial Aneurysms: Treatment and Complications
- Telemedicine and Telehealth Implementation
- Cardiovascular Disease and Adiposity
- COVID-19 and healthcare impacts
- Cardiovascular Health and Disease Prevention
- Sepsis Diagnosis and Treatment
- Renal and Vascular Pathologies
- Congenital Heart Disease Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Smoking Behavior and Cessation
- Neuroethics, Human Enhancement, Biomedical Innovations
- Lipid metabolism and disorders
- Long-Term Effects of COVID-19
- Dementia and Cognitive Impairment Research
- Intraoperative Neuromonitoring and Anesthetic Effects
- Social Representations and Identity
- Neurobiology of Language and Bilingualism
- Patient Safety and Medication Errors
University of Maryland, Baltimore
2014-2025
University of Maryland Medical Center
2010-2025
University of Baltimore
2012-2024
University of Maryland, College Park
2023-2024
University of Mary
2019
University of Maryland Baltimore Washington Medical Center
2013-2014
Johns Hopkins Hospital
2006
University of Maryland Medical System
2006
St. Mary's Hospital
2003
The University of Texas Southwestern Medical Center
2002
Background and Purpose— Telemedicine is emerging as a potential timesaving, efficient means for evaluating patients experiencing acute stroke. In areas where local stroke care specialists are not available, telemedicine can link an emergency department physician with specialist in treatment center. This consultation provides opportunity administration of thrombolytic drugs within the short therapeutic time window associated ischemic Here, we describe our center experiences report safe...
When self-tracking encounters clinical practices, the data is reshaped by goals and expertise that exist within a healthcare framework. To uncover these shaping we provided Fitbit Zip step-count sensor to nine patients with Parkinson's disease. Each patient wore for four weeks then returned visit their neurologist. Our analysis focuses on this first after of had been collected. use conversation both talk action makes visible practices engaged in collaborative members 'craft view' toward...
Introduction: Posttraumatic stress disorder (PTSD) has emerged as a mental health barrier that can be experienced by survivors of stroke. PTSD triggered thoughts stroke impacts patient’s ability to optimize their outcome and maintain compliance with secondary prevention. A young adult clinic treating aged 18-50 in an urban setting Maryland implemented standardized practice screen all patients for PTSD. retrospective data analysis was performed determine prevalence the population identify...
<h3>BACKGROUND AND PURPOSE:</h3> Previous studies in acute ischemic stroke have demonstrated the importance of minimizing delays to endovascular treatment and keeping thrombectomy procedural times at <30–60 minutes. The purpose this study was investigate impact on clinical outcomes. <h3>MATERIALS METHODS:</h3> We retrospectively compared 319 patients having undergone according time (<30 minutes, 30–60 >60 minutes) from onset therapy (≤6 or >6 hours). Clinical characteristics with...
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Although the US Black population has a higher incidence of stroke compared with White population, few studies have addressed Black-White differences in contribution vascular risk factors to burden ischemic young adults.A population-based case-control study early-onset stroke, ages 15 49 years, was conducted Baltimore-Washington DC region between 1992 and 2007. Risk factor data obtained by in-person interview both cases controls. The prevalence, odds ratio, population-attributable percent...
Abstract Background The use of antithrombotic therapy (anticoagulants and/or antiplatelets) in the setting traumatic cervical arterial dissection (CAD) for prevention stroke remains controversial. This issue is further complicated by frequent co-existence intracranial hemorrhage (ICH) and other injuries, also wide variability treatment due to a lack evidence-based guidance. To address these controversies, registry major Level I trauma center was created. purpose this investigation compare...
Elevated International Normalized Ratio (INR) is a marker of coagulopathy, but its impact on outcomes following mechanical thrombectomy (MT) in patients with stroke unclear. This study investigates the mild INR elevations clinical MT.In this retrospective cohort study, consecutive treated MT were identified from 2015 to 2020 at Comprehensive Stroke Center. Demographic information, past medical history, INR, National Institutes Health Scale score, use tissue plasminogen activator, and last...
Background: Conventional interferon monotherapy fails to achieve virological clearance in most hepatitis C‐infected patients. The use of high‐dose induction regimens may improve the initial virus, while addition ribavirin appears rates sustained response once is achieved. Aim: To compare efficacy and safety re‐treatment with an regimen alpha‐2b, or without ribavirin, chronic C patients who have not responded standard dose monotherapy. Methods: Previous non‐responders (3–5 MU three times...
Background: Mechanical thrombectomy (MT) is the standard of care for acute ischemic stroke caused by large vessel occlusion, but not available at all centers. Transfers between hospitals lead to treatment delays. Transport directly a facility capable MT based on prehospital severity scale score has been recommended, if transportation time less than 30 min. Aims: We hypothesized that an Emergency Medical Services (EMS) routing algorithm stroke, using Los Angeles Motor Scale (LAMS) in field,...
Introduction: Malignant infarction is characterized by the formation of cerebral edema, and decompressive craniectomy (DC) only proven therapy. The NC (Ca-ATP) channel, regulated SUR1 receptor, blocked sulfonylurea drug glyburide, which attenuates brain water content in preclinical models large stroke. A phase I study has been safely completed. We assessed hypothesis that a pilot RP-1127 (Glyburide for Injection) patients at high risk malignant was safe feasible. Methods: objective this...
Introduction: Recent public health trends suggest increasing rates of substance abuse among young people. Substance use has been associated with an increased risk stroke, and specifically, cocaine is known to more likely cause lacunar cardioembolic strokes. However, less about the stroke etiology other substances. Methods: We conducted a retrospective review patients between ages 18 50 years presenting our Young Stroke Center April 2022 through August 2023. For each case, data including...
Introduction: Carotid webs an increasingly recognized cause of first and recurrent stroke in the young. are non-atherosclerotic non-inflammatory shelf-like intraluminal protrusions carotid bulb. There relatively limited data on race, sex, risk factor profile these patients. Methods: We conducted a retrospective review patients between ages 18 to 50 years presenting our Young Stroke Center April 2022 through August 2023. For each case, including basic demographics medical history were...
Introduction: It is known that past the age of 35, prevalence large artery atherosclerosis (LAA) related strokes increases with a cardiovascular risk factor (CVRF) profile beginning to resemble elderly patients. However, LAA-related still only account for <10% all young over 35. Further, there limited data regarding location, intracranial or extracranial, LAA in this patient population. Methods: We conducted retrospective review stroke patients between ages 18 50 years presenting our...
Determine the predominant stroke etiologies among young adult patients who are active substance users.
To evaluate baseline characteristics and comorbidities associated with carotid web in young stroke.
Determine the prevalence and location of large artery atherosclerosis (LAA) in young stroke population.