A5091154618- Autoimmune Neurological Disorders and Treatments
- Cardiac Arrest and Resuscitation
- Cellular transport and secretion
- Innovations in Medical Education
- Peripheral Neuropathies and Disorders
- Traumatic Brain Injury and Neurovascular Disturbances
- Emergency and Acute Care Studies
- Clinical Reasoning and Diagnostic Skills
- Trauma and Emergency Care Studies
- Migraine and Headache Studies
- Restraint-Related Deaths
- Automotive and Human Injury Biomechanics
- Traumatic Brain Injury Research
- Genetics and Neurodevelopmental Disorders
- Glycogen Storage Diseases and Myoclonus
- Neurological Complications and Syndromes
- Alcohol Consumption and Health Effects
- Aortic Disease and Treatment Approaches
- Anesthesia and Pain Management
- Nicotinic Acetylcholine Receptors Study
- Epilepsy research and treatment
- High-Velocity Impact and Material Behavior
- Traumatic Ocular and Foreign Body Injuries
- Spinal Hematomas and Complications
- COVID-19 epidemiological studies
Richardson Hospital
2025
Tallahassee Memorial HealthCare
2024
The University of Texas Health Science Center at Houston
2024
Nationwide Children's Hospital
2024
Joint Base San Antonio
2021-2023
Brooke Army Medical Center
2020-2023
San Antonio Uniformed Services Health Education Consortium
2021-2023
Wilford Hall Ambulatory Surgical Center
2020-2022
Temple University
2017-2019
St. Luke's University Health Network
2017-2018
Polysubstance abuse (PSA) is a significant problem affecting our society. In addition to negatively the health and well-being of substance users, alcohol and/or drug also associated with heavy injury burden. The goal this study was determine if elevated serum (EtOH) levels on initial trauma evaluation correlate simultaneous presence other substances (SOAs). We hypothesized that PSA would be more common among patients who present EtOH in excess legal blood content (BAC) (≥0.10%).An audit...
Alcohol (EtOH) intoxication is common among trauma patients. While providers are familiar with the clinical aspects of acute EtOH intoxication, few studies have investigated effects that levels may on laboratory markers. The aim this study was to identify hematologic and serum chemistry parameters be affected by blood alcohol concentration (BAC), hypothesizing BAC influences both comprehensive count (CBC) (CSC) components.We performed an IRB-exempt institutional registry review all patients...
Status migrainosus (SM) is a subtype of migraine defined by lasting >72 hours and difficult to treat in clinical practice. Magnesium commonly used the treatment migraine. We conducted retrospective cohort study determine if length admission was associated with IV magnesium therapy patients SM. reviewed charts all admitted large military facility from October 2013 December 2018 diagnosis There were 333 that 141 met inclusion criteria. Nearly half received routine care (46.8%, n = 66). not (58...
Investigate the use of a standardized neurology curriculum for medical students and non-neurology residents rotating on service to improve confidence clinical skills.
Evaluate the (1) ability of medic students and CCAT team to utilize, interpret, make clinical decisions based on rr-EEG devices (2) determine usability device a CCAT.
ABSTRACT Introduction Traumatic brain injury often requires neurologic care and specialized equipment, not found downrange. Nonconvulsive seizures (NCSs) nonconvulsive status epilepticus (NCSE) occur in up to 30% of patients with moderate or severe traumatic is associated a 39% morbidity an 18% mortality. It remains difficult identify at bedside because the heterogeneous clinical manifestations. The primary diagnostic tool electroencephalogram (EEG) which large, external power source,...
Introduction The coronavirus disease 2019 (COVID-19) pandemic has precipitated change across the aviation industry, including aeromedical standards. U.S. pilot occupational behavior regarding COVID-19 infections and vaccinations have not been well-studied. Methods We conducted an anonymous survey of 661 pilots from September 1, 2021, through December 15, 2021. Results found 23.8% reported a history infection but only 20.5% infected this to examiner (AME)/flight surgeon. Of uninfected pilots,...
<h3>Objective</h3> N/A. <h3>Background</h3> Leucine-Rich Glioma Inactivated Protein-1 (LGI1) autoimmune encephalitis was first described in 2001 as one of the syndromes caused antibodies against voltage-gated potassium channels (VGKC) until it discovered 2010 that were instead being directed towards protein LGI1. This often presents males their 609s and is associated with faciobrachial dystonic seizures, which have become path pneumonic for this disease process. <h3>Design/Methods</h3>...
<h3>Objective:</h3> We hypothesized that utilization of the Ceribell Rapid Response EEG (RR-EEG) can reduce time to diagnosis in a level one trauma center Department Defense. A secondary aim was evaluate practices and cost savings. <h3>Background:</h3> Non-convulsive seizures (NCS) non-convulsive status epilepticus (NCSE) have been found up 27% patients are critically ill often go unrecognized or delays recognition. Electroencephalography (EEG) is gold standard diagnostic tool but limited...
US and Canadian pilots are required to meet medical standards secure their active flying status, but a subgroup exhibit healthcare avoidance behaviour due fear of loss that status. This phenomenon has the potential impact pilot health, aeromedical screening aviation safety. No international comparison study currently exists between pilots.To compare rate subtypes secondary for status pilots.A analysis data collected during two independent, non-probabilistic, cross-sectional internet surveys...
May 7, 2019April 9, 2019Free AccessDoor to stroke alert timing quality improvement project (P3.3-051)Joshua Luster, Dhanalakshmi Thiyagarajan, and Daniel AckermanAuthors Info & AffiliationsApril 2019 issue92 (15_supplement)https://doi.org/10.1212/WNL.92.15_supplement.P3.3-051 Letters the Editor
Traumatic brain injury (TBI) is a major health concern affecting both military and civilian populations. Despite notable advances in TBI research recent years, there remains significant gap linking the impulsive loadings from blast or blunt impact to clinical patterns observed TBI. Synthetic head models phantoms can be used establish this link as they constructed with geometry, anatomy, material properties that match human brain, an alternative animal models. This study presents one such...
Myasthenia Gravis is a disorder characterized by autoantibodies targeting different proteins across the neuromuscular junction. The typical presentation of involves oculobulbar weakness, classically ptosis that may or not be symmetric. Patients also present with more dramatic generalized weakness even in myasthenic crisis requiring respiratory support for oxygenation. While these are common presentations, our patient, 63 year old male, presented an atypical what described as Limb-Girdle...
Posterior reversible encephalopathy syndrome (PRES) is a symptomatic and radiographic characterized by neurologic changes concomitant neuroimaging findings typically involving posterior cerebral white matter edema. While there are many competing views on the pathophysiology of PRES, inflammatory conditions, particularly autoimmune diseases, tend to have some degree correlation. Most cases where patients who PRES diseases involve systemic lupus erythematosus. There relatively little...
Leucine-Rich Glioma Inactivated Protein-1 (LGI1) autoimmune encephalitis was first described in 2001 as one of the syndromes caused antibodies against voltage-gated potassium channels (VGKC) until it discovered 2010 that were instead being directed towards protein LGI1. This often presents males their 60′s and is associated with faciobrachial dystonic seizures, which have become path pneumonic for this disease process. 77-year-old female history hyponatremia, anxiety, hypertension, lacunar...