A5025979090- Liver Disease Diagnosis and Treatment
- COVID-19 Clinical Research Studies
- Alcohol Consumption and Health Effects
- Smoking Behavior and Cessation
- Opioid Use Disorder Treatment
- COVID-19 and healthcare impacts
- HIV/AIDS drug development and treatment
- Salivary Gland Tumors Diagnosis and Treatment
- Inflammatory mediators and NSAID effects
- Health Systems, Economic Evaluations, Quality of Life
- Sensory Analysis and Statistical Methods
- Gastrointestinal Tumor Research and Treatment
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Neurosurgical Procedures and Complications
- Helicobacter pylori-related gastroenterology studies
- Cutaneous Melanoma Detection and Management
- Potassium and Related Disorders
- Aortic Thrombus and Embolism
- MRI in cancer diagnosis
- Simulation-Based Education in Healthcare
- Cardiovascular Disease and Adiposity
- Case Reports on Hematomas
- Cancer Risks and Factors
- Liver Disease and Transplantation
- Clinical Reasoning and Diagnostic Skills
University of Pittsburgh
2024
California State University, Fresno
2021-2023
University of California, San Francisco
2022-2023
Kelly Services (United States)
2020
Stanford University
2020
Center for Prevention Services
2019
National Institute on Drug Abuse
2019
South Warwickshire NHS Foundation Trust
2017
University of Warwick
2017
Emory University
2010-2016
The third leading preventable cause of death in the United States is excessive alcohol consumption. Our study sought to assess impact coronavirus disease 2019 (COVID-19) on hospitalizations for alcohol-related hepatitis at a community hospital system. We hypothesized an increase cases requiring inpatient management, mirroring strain economic and societal norms imposed by COVID-19 pandemic.We performed retrospective chart review incidence patients presenting 3 hospitals Fresno, California,...
Background Most youth and young adult (YA) tobacco users use flavoured products; however, little is known about specific flavours used. Methods We report flavour types among US from the Population Assessment of Tobacco Health Study, wave 2, 2014–2015. At we examined (1) type at past 30-day use; (2) new product type; (3) product-specific patterns across (ages 12–17) (n=920), YA (18–24) (n=3726) (25+) (n=10 346) (4) concordance between self-coded expert-coded brand all adults (18+). Results...
A significant proportion of medical students feel underprepared for clinical practice, especially in skills such as decision making, prioritisation and prescribing. Changes to curricula, including assistantships shadowing, provide supervised practise, but remain unable fully take responsibility patient care. Simulation may assist addressing this deficit. simulation course entitled 'Simulated ward round professional skills' (SWAPS) was developed improve student preparation...
The pharmacological activity and fluorescence characteristics of extracts an appendiceal carcinoid tumor could be accounted for entirely by its serotonin content. amount in the tissue was about 1000 times that normal tissue, enzymatic ability to form from 5-hydroxytryptophane 35 human tissue.
Studies have reported that the COVID-19 pandemic has led to an increase in alcohol consumption and alcohol-associated health problems general population. Our previous study documented a rise severe alcohol-related hepatitis cases requiring inpatient admission our hospital system early (2019 vs. 2020). This assesses rates of latter part (2021).
Hodgkin's lymphoma is a potentially curable malignancy of the lymphatic system characterized by variable number scattered and large mononucleated multinucleated tumor cells, Hodgkin Reed-Sternberg cells residing in an abundant heterogeneous admixture non-neoplastic inflammatory cells. It represents approximately 30% all lymphomas according to World Health Organization (WHO). Patients with typically present painless peripheral adenopathy, fever, night sweats, weight loss. We report rare case...
Liver biopsy is the gold standard to evaluate hepatic fibrosis; however, it has many drawbacks, especially in patients with severe obesity. Noninvasive testing such as FIB-4 score increasingly being used initial screening tool identify at risk for advanced fibrosis. The broader applicability of and precision its cutoff values remain uncertain metabolic dysfunction-associated steatotic liver disease Our study explored correlation between scores intraoperative obesity undergoing bariatric surgery.
Objective: The gold standard to stage hepatic fibrosis is with a liver biopsy. It not without its drawbacks and more challenging for patients severe obesity. Noninvasive testing, including the fibrosis-4 (FIB-4) score vibration-controlled transient elastography (VCTE), have begun be increasingly used as initial screening methods. applicability accuracy of these noninvasive methods remain uncertain in obesity metabolic dysfunction-associated steatotic disease. Our study explored combining...
Hepatitis C virus (HCV) is an ongoing global public health threat affecting millions worldwide. Increasing recognition of its impact and recent advances towards HCV prevention cure have provided incentive for the World Health Organization to call elimination by 2030. The goal therapy achieve a sustained virologic response (SVR-12), defined as undetectable HCV-RNA within 12 weeks after treatment completion. In 2011, approval was given first direct-acting antiviral agents (DAAs). More...
Hepatic encephalopathy (HE) is a reversible brain dysfunction caused by liver insufficiency and portosystemic shunting. common complication of advanced disease on rise with the increasing incidence non-alcoholic steatohepatitis (NASH). Since partnership nursing staff critical part successful management these complex patients, we conducted survey assessing their knowledge regarding HE.169 nurses participated in survey. We found that more than 30% did not know ammonia one toxins responsible...
Most cases of melanoma found in the gastrointestinal tract are result metastasis. Although uncommon and only described isolated case reports, primary gastric should be considered when patients present with vague symptoms a mass is identified on esophagogastroduodenoscopy or imaging. We describe balloon cell 73-year-old man who presented melena. Given high morbidity mortality mucosal melanoma, early diagnosis initiation treatment can lead to improved outcomes survival.
Introduction: Acute esophageal necrosis (AEN) is a rare injury commonly referred to as “black esophagus” due the endoscopic findings of diffuse, circumferential dark mucosal pigmentation. The prevalence AEN very low at 0.01% 0.28%. We report case black esophagus in setting diabetic ketoacidosis (DKA) with complication perforation. Case Description/Methods: A 40-year-old man history type 1 diabetes, hypertension, and hypothyroidism presented 3 days dysphagia, hiccups, abdominal pain,...