A5103177938- Cardiac Valve Diseases and Treatments
- Obstructive Sleep Apnea Research
- Coronary Interventions and Diagnostics
- Ear Surgery and Otitis Media
- Neuroscience of respiration and sleep
- Reconstructive Facial Surgery Techniques
- Tracheal and airway disorders
- Cardiac Imaging and Diagnostics
- Mechanical Circulatory Support Devices
- Eosinophilic Esophagitis
- Cardiac, Anesthesia and Surgical Outcomes
- Video Analysis and Summarization
- Congenital Heart Disease Studies
- Facial Nerve Paralysis Treatment and Research
- Voice and Speech Disorders
- Speech and Audio Processing
- Airway Management and Intubation Techniques
- Cardiovascular Disease and Adiposity
- Head and Neck Anomalies
- Dialysis and Renal Disease Management
- Health Systems, Economic Evaluations, Quality of Life
- Infective Endocarditis Diagnosis and Management
- Dysphagia Assessment and Management
- Gallbladder and Bile Duct Disorders
- Streptococcal Infections and Treatments
University Hospitals of Cleveland
2018-2024
Case Western Reserve University
2015-2024
Franciscan Health
2024
Rainbow Babies & Children's Hospital
2022-2023
The University of Texas Health Science Center at San Antonio
2022-2023
Saint Louis University
2023
University School
2020-2022
Cleveland University
2022
Swiss Federal Laboratories for Materials Science and Technology
2022
ETH Zurich
2022
Importance The utility of adenotonsillectomy in children who have habitual snoring without frequent obstructive breathing events (mild sleep-disordered [SDB]) is unknown. Objectives To evaluate early compared with watchful waiting and supportive care (watchful waiting) on neurodevelopmental, behavioral, health, polysomnographic outcomes mild SDB. Design, Setting, Participants Randomized clinical trial enrolling 459 aged 3 to 12.9 years an apnea-hypopnea index (AHI) less than enrolled at 7 US...
Obstructive sleep apnea is associated with neurobehavioral dysfunction, but the relationship between disease severity as measured by apnea-hypopnea index and morbidity unclear. The objective of our study to compare mild sleep-disordered breathing versus obstructive apnea.Children 3-12 years old recruited for (snoring index<3) into Pediatric Adenotonsillectomy Trial Snoring were compared children 5-9 (obstructive 2-30) Childhood Trial. Baseline demographic, polysomnographic, outcomes using...
Background and objectives: Novel individualized quality-of-life (IQOL) measures permit patients with chronic kidney disease (CKD) to nominate unique areas of their lives that contribute well-being. This study assessed for differences in domains nominated by CKD. We also examined the strength association between (<i>1</i>) multidimensional health-related IQOL (<i>2</i>) psychosocial factors IQOL. Design, setting, participants, & measurements: performed a cross-sectional 151 who were...
We report the initial human evaluation of novel BioMimeTM sirolimus-eluting stent (SES) (Meril Life Sciences Pvt. Ltd., Gujarat, India) with an ultra-thin platform (65 μm) and a biodegradable polymer for treatment de novo coronary lesions.The meriT-1 trial was prospective, non-randomised, single-arm, single-centre, first-in-human safety, feasibility performance BioMime SES. Lesion criteria included non-occlusive stenosis ≤ 19 mm in length located native vessels. Clinical follow-up (FU)...
Ear diseases are frequently occurring conditions affecting the majority of pediatric population, potentially resulting in hearing loss and communication disabilities. The current standard care diagnosing ear includes a visual examination tympanic membrane (TM) by medical expert with range available otoscopes. However, is subjective depends on various factors, including experience expert. This work proposes decision fusion mechanism to combine predictions obtained from digital otoscopy images...
Objectives/Hypothesis With the increasing emphasis on developing effective telemedicine approaches in Otolaryngology, this study explored whether a single composite image stitched from digital otoscopy video provides acceptable diagnostic information to make an accurate diagnosis, as compared with that provided by full video. Study Design Diagnostic survey analysis. Methods Five Ear, Nose, and Throat (ENT) physicians reviewed same set of 78 otoscope eardrum videos four conditions: normal,...
Abstract Objective The aim of this study was to evaluate the financial trends in Medicare reimbursement rates for most billed procedures at a single institution from 2000 2020 within pediatric otolaryngology. Study Design Retrospective data analysis. Setting United States. Methods surgical and in‐office otolaryngology our were identified Physician Fee Schedule Look‐up Tool Centers Medicaid Services extract each CPT code ( Current Procedural Terminology ). Monetary adjusted inflation US...
It is unknown whether children with primary snoring and mild obstructive sleep apnea (OSA) represent populations substantially different clinical characteristics. Nonetheless, an apnea-hypopnea index (AHI) of 1 or greater often used to define OSA plan for adenotonsillectomy (AT).
Background and Objective: the aim of this study is to develop validate an automated image segmentation-based frame selection stitching framework create enhanced composite images from otoscope videos. The proposed framework, called SelectStitch, useful for classifying eardrum abnormalities using a single instead entire raw video dataset. Methods: SelectStitch consists convolutional neural network (CNN) based semantic segmentation approach detect in each video, engine generate high-quality...
Transnasal endoscopy (TNE) has been introduced in the care of pediatric patients with eosinophilic esophagitis (EoE) who require repeated esophagoscopies. TNE, as compared to conventional endoscopy, is less invasive and avoids sedation or anesthesia allowing for frequent assessments esophageal mucosa when making management decisions. The aim this study review our early experience TNE.We extracted data from all EoE underwent TNE at UH Rainbow Babies & Children's Hospital, Cleveland, Ohio...
Abstract Background and Objective The aim of this study is to develop validate an automated image segmentation-based frame selection stitching framework create enhanced composite images from otoscope videos. proposed framework, called SelectStitch, useful for classifying eardrum abnormalities using a single instead the entire raw video dataset. Methods SelectStitch consists convolutional neural network (CNN) based semantic segmentation approach detect in each video, engine generate...
To describe a rare presentation of acute lymphoblastic leukemia (ALL) that is important to the field pediatric otolaryngology. The case nine-year old female who presented with left periorbital edema as her initial symptom ALL was reviewed along pertinent literature. At time patient's presentation, computed tomography scan sinuses showed sphenoid sinus opacification and lateral rectus muscle enlargement. She started on antibiotics without improvement. Subsequently, magnetic resonance imaging...
Eosinophilic Esophagitis (EoE) is a chronic immune-related inflammation, and challenges to its diagnosis treatment evaluation persist. This literature review evaluates all AI applications EOE, including 15 studies using algorithms for counting eosinophils in biopsies, as well newer diagnostics mRNA transcripts endoscopic photos, blood urine biomarkers, an improved scoring system disease classification. We also discuss the clinical impact of these models, faced applying EoE, future...
Abstract Objectives With the increasing emphasis on developing effective telemedicine approaches in Otolaryngology, this study explored whether a single composite image stitched from digital otoscopy video provides acceptable diagnostic information to make an accurate diagnosis, as compared with that provided by full video. Methods Five Ear, Nose, and Throat (ENT) physicians reviewed same set of 78 otoscope eardrum videos four conditions: normal, effusion, retraction, tympanosclerosis, along...
Simultaneous velocity and temperature measurements are important in understanding the heat momentum transfer thermal fluid flow applications. PIV measures displacement of a constellation tracer particles using cross-correlation to obtain field, while LIF uses temperature-dependent fluorescence emission map intensity calibration. In this work, we present low-cost PIV-LIF system simultaneously measure fields aqueous flows with single color camera, CW laser (λe = 465 nm) novel dye RuPhen. The...
Dermoid cysts are benign cutaneous neoplasms that contain germ cells from the ectoderm and mesoderm. Approximately 70% diagnosed during childhood before age of 5. Although they can present throughout body, prevalence is 7% for those arising head neck. These lesions primarily as midline masses classified sublingual, submental, or overlapping depending on their relationship with muscles floor mouth. A 10-year-old female presented a 2-week history right submental swelling. She denied pain,...
Abstract Objective This study investigated the comparative performance of ear, nose, and throat (ENT) physicians in correctly detecting ear abnormalities when reviewing digital otoscopy imaging using 3 different visualization methods, including computer‐assisted composite images called “SelectStitch,” single video frame “Still” images, clips. The also explored clinicians' diagnostic confidence levels time to make a diagnosis. Study Design Clinician reader study. Setting Online survey ENT...