- Gastric Cancer Management and Outcomes
- Esophageal Cancer Research and Treatment
- Eosinophilic Esophagitis
- Liver Disease Diagnosis and Treatment
- Gut microbiota and health
- Helicobacter pylori-related gastroenterology studies
- Gastrointestinal disorders and treatments
- Diet and metabolism studies
- Alcohol Consumption and Health Effects
- Hepatitis C virus research
- Colorectal Cancer Treatments and Studies
- Nutritional Studies and Diet
- Gastrointestinal motility and disorders
- Mycobacterium research and diagnosis
- Neuroendocrine Tumor Research Advances
- Cancer Immunotherapy and Biomarkers
- Folate and B Vitamins Research
- Decision Support System Applications
- Telemedicine and Telehealth Implementation
- Genetic factors in colorectal cancer
- Ocular Oncology and Treatments
- Drug Transport and Resistance Mechanisms
- Gastroesophageal reflux and treatments
- IoT-based Control Systems
- Microscopic Colitis
Baylor College of Medicine
2012-2022
Michael E. DeBakey VA Medical Center
2013-2019
OBJECTIVES: The prevalence and disease burden of nonalcoholic fatty liver (NAFLD) are increasing. Nonetheless, little is known about the processes related to identification, diagnosis, referral patients with NAFLD in routine clinical care. METHODS: Using automated data, we isolated a random sample Veterans Administration facility who had ≥2 alanine transaminase (ALT) values >40 IU/ml >6 months apart absence any positive results for hepatitis C RNA, B surface antigen, or screens excess...
One carbon (1C) metabolism nutrients influence epigenetic regulation and they are supplied by diet synthesized gut microbiota. We examined the association between dietary consumption of methyl donors (methionine, betaine choline) B vitamins (folate, B2, B6, B12) community composition structure colonic mucosa-associated microbiota determined 16S rRNA gene sequencing in 97 biopsies 35 men. used food frequency questionnaire to assess daily nutrients, UPARSE SILVA databases for operational...
Summary Background In practice, nonalcoholic fatty liver disease (NAFLD) is diagnosed based on elevated enzymes and confirmatory biopsy or abdominal imaging. Neither method feasible in identifying individuals with NAFLD a large‐scale healthcare system. Aim To develop validate an algorithm to identify patients using automated data. Methods Using the Veterans Administration Corporate Data Warehouse, we identified who had persistent ALT elevation (≥2 values ≥40 IU/mL ≥6 months apart) did not...
Abstrak Gula dan Kopi merupakan dua dari sembilan kebutuhan penting masyarakat indonesia cara takarnya masih menggunakan sistem manual. Mengingat perkembangan zaman yang semakin caggih dibutuhkan alat takar lebih mudah modern. Tujuan penelitian Merancang penakar gula pasir bubuk kopi berbasis Arduino agar proses penakaran atau efektif. Metode digunakan ialah Research and Development (R&D) menghasilkan kaypad sebagai penginput data memprosesnya sehingga di respon oleh motor servo, Sensor...
Introduction: Endoscopic mucosal resection (EMR) is a procedure used for the removal of large colon polyps (>2 cm) that has fewer complications and cost than surgical resection. Variation in training currently exists with EMR approach, technique, follow-up. We performed quality improvement intervention aims to 1) have at least 80% GI providers follow standardized protocol assessing, removing, following EMRs 3 months 2) reduce complication rates while increasing rate complete initial...
INTRODUCTION: In the setting of social distancing measures related to COVID-19, we pilot tested implementation VA Video Connect (VVC)—a VA-specific HIPAA-compliant video telehealth portal—for specialty gastrointestinal (GI) care at Houston hospital. We assessed impact by measuring patient and provider satisfaction with use VVC. METHODS: Pilot GI between March 13 May 27, 2020 was based on Model for Improvement Plan-Do-Study-Act (PDSA) framework. Weekly huddles were rapid cycle PDSA cycles...
Case Presentation: A 64-year-old man with a history of Hepatitis C and alcoholic cirrhosis status post orthotopic liver transplant was transferred to our hospital three weeks non-bloody, watery diarrhea acute renal failure. He reported having six bowel movements day associated cramping, anorexia, fever 102 °F. denied nausea or vomiting. received his 4.5 months prior presentation complicated by moderate cellular rejection maintained on tacrolimus 2 mg twice daily, sirolimus 5 prednisone 25...
Abstract Background: Diet is a modifiable risk factor for multiple cancers. It also known to modulate gut microbial composition and metabolic activity, plays an important role in maintaining homeostasis. However, our understanding of dietary quality mucosa-associated microbiota the large intestine humans limited. We examined association between diet adults underwent routine colonoscopy cross-sectional study. Methods: enrolled 21 men (50-75 years old, 71% White) who were found have grossly...
INTRODUCTION: Head and neck radiation therapy is known to cause esophagitis esophageal strictures as early late effects after exposure, respectively. The negative of on motor function have been speculated in case reports but not studied a larger population with high resolution manometry (HRM). aim this study was evaluate HRM findings patients who received head or mediastinal presented symptoms. METHODS: There were total 718 from 2010 2018 at the Michael E. DeBakey VA Medical Center. Patients...