- Gestational Diabetes Research and Management
- Maternal and Perinatal Health Interventions
- Pregnancy and preeclampsia studies
- Maternal and fetal healthcare
- Diabetes Management and Research
- Preterm Birth and Chorioamnionitis
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Global Health Workforce Issues
- Pregnancy-related medical research
- Diabetes Treatment and Management
- Breastfeeding Practices and Influences
- Cardiovascular Issues in Pregnancy
- Prenatal Screening and Diagnostics
- Neonatal and fetal brain pathology
- Uterine Myomas and Treatments
- Food Security and Health in Diverse Populations
- Trauma and Emergency Care Studies
- Global Maternal and Child Health
- Iron Metabolism and Disorders
- Assisted Reproductive Technology and Twin Pregnancy
- Appendicitis Diagnosis and Management
- Endometrial and Cervical Cancer Treatments
- Congenital Diaphragmatic Hernia Studies
- Tissue Engineering and Regenerative Medicine
- Child Nutrition and Water Access
Baylor College of Medicine
2023-2024
Dan L Duncan Comprehensive Cancer Center
2024
Medical College of Wisconsin
2019-2022
Washington University in St. Louis
2018
The dual sugar absorption test, specifically the lactulose:mannitol is used to assess gut health. Lactulose said represent damage and mannitol as a measure of normal small bowel function serves normalizing factor for lactulose. A underappreciated limitation this common understanding test that not absorbed any substantial extent by transcellular process. Additionally, interpretation consistent with current paracellular pathways, where three pathway types exist: pore, leak, unrestricted. Pore...
Abstract Background The decision to initiate pharmacotherapy is integral in the care for pregnant women with gestational diabetes mellitus (GDM). We sought compare pregnancy outcomes between two threshold percentages of elevated glucose values prior initiation GDM. hypothesized that a lower at will be associated rates adverse perinatal outcomes. Methods This was retrospective cohort study GDM delivering single tertiary center. Pregnancy were compared using bivariable and multivariable...
Twin pregnancies complicated by complete hydatidiform mole coexisting with a viable fetus are rare and may result in significant complications. We describe the expectant management our surgical approach 27-year-old Rh-negative woman presenting recurrent episodes of vaginal bleeding twin pregnancy consisting molar normal fetus. Inpatient was undertaken close maternal fetal monitoring until cesarean delivery healthy female infant histopathologically confirmed (karyotype 46XX) at 34 weeks no...
Background Cesarean delivery rates continue to remain high despite recent attempts decrease these rates. Prior data suggest that there is great variation in cesarean by hospital.Objective The intent of this study examine the association several hospital characteristics and California.Methods We performed a retrospective singleton, non-anomalous, term (37–42 week) deliveries California. excluded hospitals with <50 per year missing information. separated volume based on previously published...
Primary vaginal leiomyosarcoma (LMS) is an unusual cause of aggressive gynecologic cancer which requires prompt surgical treatment for favorable outcomes. Definitive diagnosis and render unique challenges to clinicians based on vague presentation limited evidence management. Here, we describe a case LMS in middle-aged woman with history cervical dysplasia found have proximal mass after presenting discharge cramping pain. The patient was diagnosed pathologic specimen subsequently underwent...
After failure of diet and exercise prescribed for gestational diabetes mellitus (GDM), pharmacotherapy initiation is recommended. The objective this study was to examine the association between provider type timing initiation.This a retrospective cohort women with singleton pregnancy diagnosis A2GDM (GDM requiring pharmacotherapy) delivering in tertiary care center 2009 2019. Variables including maternal demographics, GDM characteristics, (general obstetrician/gynecologists (OBGYN),...
INTRODUCTION: We sought to examine the strength of macrosomia as a marker for adverse perinatal outcomes associated with poor glycemic control in women pre-gestational diagnosis diabetes mellitus. METHODS: A retrospective cohort study 8,535 California singleton, vertex, non-anomalous gestations was performed assess prevalence macrosomic pregnancies complicated by Macrosomia defined birth weight greater than 4000 g. Neonatal examined included respiratory distress syndrome (RDS), hypoglycemia,...