A5080100700- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac and Coronary Surgery Techniques
- Cardiac Valve Diseases and Treatments
- Mechanical Circulatory Support Devices
- Health and Medical Research Impacts
- Neurogenetic and Muscular Disorders Research
- Ultrasound in Clinical Applications
- Diversity and Career in Medicine
- Antiplatelet Therapy and Cardiovascular Diseases
- COVID-19 and healthcare impacts
- Coronary Interventions and Diagnostics
- Sport Psychology and Performance
- Muscle Physiology and Disorders
- Atrial Fibrillation Management and Outcomes
- Radiology practices and education
- Peripheral Artery Disease Management
- 3D Printing in Biomedical Research
- Cardiac Health and Mental Health
- Appendicitis Diagnosis and Management
- Sports injuries and prevention
- Health Systems, Economic Evaluations, Quality of Life
- Patient Safety and Medication Errors
- Additive Manufacturing and 3D Printing Technologies
- Homicide, Infanticide, and Child Abuse
- Healthcare Operations and Scheduling Optimization
Akron Children's Hospital
2025
Mayo Clinic in Arizona
2015-2024
Mayo Clinic
2017-2022
WinnMed
2021-2022
University of Auckland
2020
Northport VA Medical Center
2014-2019
NorthEast Regional Epilepsy Group
2018
Stony Brook Medicine
2018
Stony Brook University
2015
Columbia University
2013-2015
The long-term benefits of off-pump ("beating heart") vs on-pump coronary artery bypass grafting (CABG) remain controversial.To evaluate the 10-year outcomes and costs CABG in Department Veterans Affairs (VA) Randomized On/Off Bypass (ROOBY) trial.From February 27, 2002, to May 7, 2007, 2203 veterans ROOBY trial were randomly assigned or procedures at 18 participating VA medical centers. Per protocol, observed for 10 years; 10-year, post-CABG clinical assessed via centralized abstraction...
Initiated in 1989, the Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database (ACSD) includes more than 1085 participating centers, representing 90%-95% current US-based adult cardiac surgery hospitals. Since its inception, primary goal STS ACSD has been to use clinical data track and improve surgical outcomes. Patients׳ preoperative risk characteristics, procedure-related processes care, outcomes have captured analyzed, with timely risk-adjusted feedback reports providers. In...
The benefits of exercise on long-term health and well-being are well established. possible in Spinal Muscular Atrophy (SMA) have not been explored a controlled clinical trial format.To assess the effects measures function, strength, capacity ambulatory SMA patients.Fourteen participants, ages 10-48 years, were randomized to control cohorts after 1 month lead-in period. group received 6 months intervention. Thereafter, both groups intervention for remaining 12 months. Participants monitored...
In December 2017, Lancet called for gender inequality investigations. Holding other factors constant, trends over time significant author (i.e., first, second, last or any of these authors) publications were examined the three highest-impact medical research journals New England Journal Medicine [NEJM], American Medical Association [JAMA], and Lancet).Using randomly sampled 2002-2019 MEDLINE original (n = 1,080; 20/year/journal), author-based publication-based characteristics extracted....
Abstract Background Hospital acquired infections, including central line infections (CLABSIs), increase morbidity and mortality in immunocompromised patients. Environmental decontamination with HHP fogging reduces bacterial growth bioburden the hospital setting. The investigators sought to test feasibility of an oncology unit-based hybrid hydrogen peroxide (HHP) program assess impact on CLABSIs. Methods At a large Midwest freestanding children's hospital, this study evaluated implementation...
Clinical feedback is an important part of residency training, yet literature suggests this complex interaction not completely understood. In particular, little known about what resident versus attending physicians expect as feedback. This study investigates gap in knowledge by examining differences interactions that residents and attendings view feedback.Surveys containing sample clinical scenarios were distributed to emergency medicine general surgery at a large academic medical center....
The timed "up & go" (TUG) test is a quick measure of balance and mobility. TUG scores correlate with clinical, functional, strength assessment decline linearly over time. Reliability validity have not been tested in spinal muscular atrophy (SMA).Fifteen ambulatory SMA participants performed testing strength, clinical assessments. Intraclass correlation coefficients quantified test-retest reliability. Convergent was determined using Pearson coefficients.Test-retest reliability excellent for...
Spinal Muscular Atrophy (SMA) is a recessively-inherited neuromuscular disease characterized by weakness and muscle atrophy. Although anecdotal benefits from exercise have been noted, despite promising pre-clinical pilot reports, the effect of has not addressed in controlled trial SMA.To assess effects on measures function, strength, capacity ambulatory SMA patients.An evaluator-blinded, randomized, aerobic strengthening 14 patients aged 8-50 years. Patients will be randomized to either or...
Clinical risk models are commonly used to predict short-term coronary artery bypass grafting (CABG) mortality but less long-term mortality. The added value of clinical over traditional actuarial has not been evaluated. To address this, the predictive performance a model was compared with that an identify variable(s) most responsible for any differences observed.Long-term 1028 CABG patients estimated using Hannan New York State and (based on age, gender, race/ethnicity). Vital status assessed...
Background The optimal methodology to identify cardiac versus non-cardiac cause of death following surgery has not been determined. Methods Randomized On/Off Bypass Trial was a multicenter, randomized, controlled clinical trial 2203 patients (February 2002-May 2008) comparing 1-year outcomes between off-pump and on-pump bypass surgery. In 2013, the Veterans Affairs (VA) Cooperative Studies Program funded follow-up study assess 5-year including mortality. Deaths were identified confirmed...
ABSTRACTBackground: Stuttering is associated with negative stereotypes and attitudes. Teachers play a pivotal role in children's lives but need to be well educated about stuttering order support children the classroom. This study (i) explored New Zealand teachers' attitudes knowledge (ii) piloted an online education package for teachers.Method: In phase one, 59 teachers (35 primary 24 secondary) completed survey examining their of strategies classroom management. two, 27 school short...
Studies of the relationship between patient self-reported angina symptoms using Seattle Angina Questionnaire (SAQ) and angiographic findings after coronary artery bypass grafting surgery (CABG) are lacking. Nested within a randomized controlled trial, this prospective observational cohort comparison study aimed to assess which clinical characteristics associated with 1 year CABG.Patients from ROOBY trial (Randomized On/Off Bypass) protocol-specified 1-year post-CABG angiography SAQ...
To retrospectively evaluate the trends in utilization and results of computed tomography pulmonary angiography (CTPA study) for detection acute embolism (PE) hospital inpatients during different phases COVID-19 public health emergency. We conducted an Institutional Review Board (IRB)-approved retrospective review CTPA studies our years from 2019 to 2023, ranging prepandemic year (2019) coinciding with end declarations (2023). Collected characteristics included patient age, sex, result study....
Incidental findings in diagnostic imaging are common, but follow-up recommendations often lack consistency. The Society of Radiologists Ultrasound (SRU) issued guidelines 2021 for managing incidentally detected gallbladder polyps, aiming to balance with avoiding overtreatment. There is variable adherence these radiology reports, however, which makes it difficult the clinician pursue appropriate patient. purpose this project test feasibility a Large Language Model (LLM)-based tool incorporate...