A5013756582- Diversity and Career in Medicine
- Breast Implant and Reconstruction
- Reconstructive Surgery and Microvascular Techniques
- Breast Cancer Treatment Studies
- Global Cancer Incidence and Screening
- COVID-19 and healthcare impacts
- Influenza Virus Research Studies
- Advances in Oncology and Radiotherapy
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Pneumonia and Respiratory Infections
- Cancer Diagnosis and Treatment
- Empathy and Medical Education
- Obesity and Health Practices
- Respiratory viral infections research
- Digital Imaging in Medicine
- Wound Healing and Treatments
- Social Media in Health Education
- COVID-19 epidemiological studies
- Genetic Syndromes and Imprinting
- Lymphatic System and Diseases
- Pancreatic and Hepatic Oncology Research
- Healthcare professionals’ stress and burnout
- Soft tissue tumor case studies
- Bariatric Surgery and Outcomes
- Gallbladder and Bile Duct Disorders
Harvard University
2018-2024
Beth Israel Deaconess Medical Center
2023-2024
Center For Reconstructive Urethral Surgery
2024
Brigham and Women's Hospital
2023
American Society for Metabolic and Bariatric Surgery
2023
New College
2022
Harvard University Press
2019
Epigenome-wide association studies (EWAS) profile DNA methylation across the human genome to identify associations with diseases and exposures. Most employ Illumina arrays; this platform, however, under-samples interindividual epigenetic variation. The systemic stable nature of variation at correlated regions (CoRSIVs) should be advantageous EWAS. Here, we analyze 2,203 published EWAS determine whether probes within CoRSIVs are over-represented in literature. Enrichment CoRSIV-overlapping...
Abstract A combination of genetic susceptibility and environmental exposure is thought to cause inflammatory bowel disease (IBD), but the non-genetic component remains poorly characterized. We therefore undertook a search for variables gene-environment interactions associated with future IBD diagnosis in large UK cohort. Using self-report electronic health records, we identified 1946 Crohn’s (CD) 3715 ulcerative colitis (UC) patients after quality control Biobank. Based on prior literature...
Abstract Background Private insurers have considered consolidating the billing codes presently available for microvascular breast reconstruction. There is a need to understand how these different are currently distributed and used help inform coding consolidation may impact patients providers. Methods Using Massachusetts All-Payer Claims Database between 2016 2020, who underwent microsurgical reconstruction following mastectomy cancer-related indications were identified. Multivariable...
Background Little is known about practice patterns and payments for immediate lymphatic reconstruction (ILR). This study aims to evaluate trends in ILR delivery billing practices. Methods We queried the Massachusetts All-Payer Claims Database between 2016 2020 patients who underwent lumpectomy or mastectomy with axillary lymph node dissection oncologic indications. further identified lymphovenous bypass on same date as tumor resection. used ZIP code data analyze geographic distribution of...
As value-based care gains traction in response to towering health expenditures and issues of inequity, hospital capacity, labor shortages, it is important consider how a approach can be achieved plastic surgery. Value defined as outcomes divided by costs across entire cycles care. Drawing on previous studies policies, this article identifies key opportunities surgery move the levers deliver higher value Specifically, should include conventional measures complication rates patient-reported...
Background: Many plastic surgery residency programs adapted to the COVID-19 pandemic by implementing virtual grand rounds. This study aimed assess impact of rounds and how attendees perceived inform future programmatic planning. Methods: was a quality improvement initiative involving cross-sectional survey retrospective review administrative records for 2017–2018 (in-person) 2021–2022 (virtual) academic years two training in Boston, MA. Respondents were residents, fellows, faculty within...
There is great interest in the use of reduced dosing schedules for pneumococcal conjugate vaccines, a strategy premised on maintaining an acceptable level protection against disease and carriage organism. We asked about practicality measuring differential effectiveness population with without widespread vaccine infants. adapted existing transmission-dynamic, individual-based stochastic model fitted to prevaccine epidemiology United States, compared observed vaccine-type prevalence different...
Background: Little information exists on the perceptions of integrated plastic and reconstructive surgery (PRS) residency applicants need for having social media (SoMe) during application process. Methods: A cross-sectional survey study was conducted 2022 match cycle to assess PRS applicants’ role SoMe match. Univariate multivariate analyses were performed variables interest. Qualitative analysis free-form responses. Results: Seventy-nine surveys completed (response rate: 24%). The majority...
Objectives: Dermal regeneration templates (DRTs) are frequently used to treat scalp defects. The aim was compare the time course of healing for DRTs in defects with and without preoperative radiation. Methods: authors conducted a retrospective cohort study DRT-based reconstruction at 2 academic medical centers between 2013 2022. Information collected on demographic variables, comorbidities, medication use, history radiation, DRT outcomes. primary outcome loss, defined as exposed calvarium or...
In April 2024, more than a year after its initial proposal, the Federal Trade Commission (FTC) voted in favor of passing final Non-Compete Clause (NCC) Rule, which will restrict for-profit employers from entering into NCCs with new employees and require existing to be dissolved.1 are included physician contracts prohibit contractee practicing specified geographic area for set amount time termination an employment agreement (eg, 20-mile radius surrounding previous employer 2–3 years). Once it...
Little is known about disparities in oncoplastic breast surgery delivery.
The rigorous demands of medical education create circumstances that can make it challenging to maintain a healthy diet. Evaluations from students at an urban school in the northeast U.S. regarding their surgery clerkship highlighted difficulty finding snacks or meals between operations and patient care obligations. In response, we implemented Nutritional Wellness Initiative, pilot program designed offer accessible, during clerkship. We conducted 3-month three hospital sites surveyed...
Background: Many plastic surgery residency programs adapted to the COVID-19 pandemic by implementing virtual grand rounds. Little is known regarding impact of rounds, how attendees perceived and best implement rounds moving forward. Methods: A cross-sectional survey was administered residents, fellows, faculty within two multi-site training as part a quality improvement initiative. Attendance speaker characteristics were compared between 2017-2018 (in-person) 2021-2022 (virtual) academic...
PURPOSE: Many plastic surgery residency programs adapted to the COVID-19 pandemic by implementing virtual grand rounds. Little is known regarding impact of rounds, how attendees perceived and best implement rounds moving forward. This study aimed assess in order inform future programmatic planning. METHODS: A cross-sectional survey was administered residents, fellows, faculty within two multi-site training as part a quality improvement initiative. Attendance speaker characteristics were...
The patient was on the phone with someone when we arrived, so waited outside his door. “I told he’s kind of grumpy today,” my preceptor whispered at me an expression that said yikes. When eventually stepped inside room, I saw a man graying hair clipped short, just thicker than buzzcut. His face wizened and overrun thin fissures, like hilltop rocks exposed to wind. skin sagged bit, chin melted into neck wax. From taking history, learned lot about M. “Have you ever smoked?” asked him, going...
PURPOSE: Approximately 23 million people struggle with medical debt in the U.S. This amounts to over $195 billion collection. The burden of healthcare costs on patients is defined quantitatively as catastrophic health expenditures (CHE). CHE among surgical remains unknown. goal this study was define METHODS: Survey data from a nationally-representative sample hospitalized adults undergoing surgery between 2016 and 2019 were analyzed using Medical Expenditure Panel Survey. out-of-pocket...
PURPOSE: The over-tightened neck following necklift procedures is a clinical problem that has received little attention in plastic surgical literature. Possibly, surgeons are either reluctant to discuss it or see few cases. Also, an overtightened reflects both the subjective and objective opinions of patient along with findings. METHODS: A retrospective review 250 consecutive from 2013 2020 was performed, whom 211 (84%) had submental crease incision anterior tightening platysmal bands...
To determine whether uncinate duct dilatation (UDD) increases the risk of high-grade dysplasia or invasive carcinoma (HGD/IC) in Fukuoka-positive intraductal papillary mucinous neoplasms (IPMNs).Though classified as a branch duct, is primary pancreatic ventral anlage. We hypothesized that UDD, like main dilatation, confers additional for HGD/IC.A total 467 patients met inclusion criteria retrospective cohort study surgically resected IPMNs at Massachusetts General Hospital. used...
PURPOSE: The over-tightened neck following necklift procedures is a clinical problem that has received little attention in plastic surgical literature. Possibly, surgeons are either reluctant to discuss it or see few cases. Also, an overtightened reflects both the subjective and objective opinions of patient along with findings. METHODS: A retrospective review 250 consecutive from 2013 2020 was performed, whom 211 (84%) had submental crease incision anterior tightening platysmal bands...