- Obstructive Sleep Apnea Research
- Dysphagia Assessment and Management
- Neuroscience of respiration and sleep
- Airway Management and Intubation Techniques
- Sleep and related disorders
- Tracheal and airway disorders
- Healthcare Operations and Scheduling Optimization
- Facial Nerve Paralysis Treatment and Research
- Vaccine Coverage and Hesitancy
- Cleft Lip and Palate Research
- Cardiac, Anesthesia and Surgical Outcomes
- Hearing Loss and Rehabilitation
- Coagulation, Bradykinin, Polyphosphates, and Angioedema
- Head and Neck Cancer Studies
- Nasal Surgery and Airway Studies
- Health and Well-being Studies
- Intensive Care Unit Cognitive Disorders
- Congenital Ear and Nasal Anomalies
- Ear Surgery and Otitis Media
- Hospital Admissions and Outcomes
- Hearing, Cochlea, Tinnitus, Genetics
- Child Nutrition and Feeding Issues
- Voice and Speech Disorders
- Surgical Simulation and Training
- Patient Safety and Medication Errors
Thomas Jefferson University Hospital
2021-2022
Thomas Jefferson University
2021-2022
Tulane University
2014-2020
Washington University in St. Louis
2009
A biodegradable positron-emitting dendritic nanoprobe targeted at α v β 3 integrin, a biological marker known to modulate angiogenesis, was developed for the noninvasive imaging of angiogenesis. The has modular multivalent core-shell architecture consisting heterobifunctional core chemoselectively functionalized with polyethylene oxide (PEO) chains that form protective shell, which imparts stealth and dictates pharmacokinetics. Each 8 branches labeling radiohalogens. Placement radioactive...
To compare cost and time spent in surgical postoperative courses patients with obstructive sleep apnea (OSA) undergoing surgery either total intravenous anesthesia (TIVA) or inhalational anesthesia.Retrospective chart review.Retrospective review on for OSA under general from January 2019 to October 2020. Cost per service was acquired the day of surgery.A 230 were included: 95 received TIVA; 135 inhalation anesthesia. Total significantly higher TIVA nasal group by $286 (P = .035). produced...
Human papillomavirus (HPV) is a preventable disease that plays causative role in significant proportion of malignant neoplasms the head and neck. Inner-city populations are at risk for HPV-related oropharyngeal cancer, least likely to receive HPV vaccination, report lack information regarding HPV.To determine whether an educational platform affects knowledge, attitudes, practices vaccination inner-city community.This prospective cohort study, conducted from March 1 December 31, 2014,...
Maneuvers during drug-induced sleep endoscopy (DISE), for patients with obstructive apnea (OSA), have been used as predictors success oral appliances. Hypoglossal nerve stimulation (HGNS) promotes opening at the velum through palatoglossus coupling. In this study, we evaluate maneuvers DISE HGNS treatment efficacy.We evaluated undergoing between November, 2014 and February, 2021. We assessed including jaw thrust chin lift preoperative DISE. The impact of tongue base palatal these were rated...
Neonatal nasal septal deviations can occur as a result of trauma in utero or during birth. They are associated with significant clinical implications, including respiratory distress and failure to thrive. The incidence classification these deformities varied the otolaryngology literature. Some authors advocate conservative observation, but no consensus on management has been reached. We present 2 cases neonatal deviation that occurred difficult deliveries. repaired defects closed reduction...
To determine if there is a recovery time difference between patients with and without obstructive sleep apnea (OSA) when using total intravenous anesthesia (TIVA) compared to volatile gas inhalational anesthesia.OSA Non-OSA were identified at tertiary institution January 2019 November 2020. defined as those who have not been formerly diagnosed OSA. A modified STOP-BANG score (MSBS) was performed screen for Recovery measured by Phase I time, or it took patient reach ≥9/10 on the Aldrete...
The objective was to determine the prevalence and predictors of comorbid insomnia in patients presenting for sleep surgery evaluation. severity index (ISI) utilized evaluate patients' severity.A retrospective chart review performed an otolaryngology clinic; also completed a history questionnaire. Patients were divided between those with without clinically significant defined as ISI ≥ 15.A total 119 included study: 50 (42%) 15 69 (58%) < 15. Clinically associated respiratory disturbance (P =...
Abstract Introduction Chiari malformations (CM) are congenital conditions defined by craniocervical junction anatomic anomalies with downward displacement of cerebellar structures. Sleep-disordered breathing (SDB) including obstructive sleep apnea (OSA), bradypnea, central (CSA), and hypoventilation described in CM patients. Report case(s) 31-year-old male history type 1 presented to the medicine clinic for management OSA CSA diagnosed at age 16. PSG showed an apnea-hypopnea index (AHI)...
Abstract Introduction The remedē® system is a transvenous phrenic nerve stimulator used to treat central sleep apnea (CSA). It safe and effective implantable device that has demonstrated significant improvements in objective quality of life. While complex represents development during treatment with continuous positive airway pressure (CPAP) for obstructive apnea, been well-described the literature, we present novel case predominantly treated stimulation augmentation events thereafter. This...
Abstract Introduction Proton pump inhibitors (PPIs) are widely used for gastroesophageal reflux disease (GERD) despite possible side effects including increased susceptibility to infections, secondary hypergastrinemia, and incomplete absorption of micronutrients. Upper airway stimulation (UAS) surgery involves delivering an electrical impulse the distal hypoglossal nerve management obstructive sleep apnea.. The functional threshold (FT) is minimum required achieve bulk tongue motion....
Abstract Introduction Sleep disruption is common among hospitalized patients due to psychological, physiological, and environmental reasons including illness, pain, anxiety, invasive interventions, frequent monitoring, stimuli, especially noise light. The AASM has published guidelines for the use of actigraphy in outpatient setting, but there a paucity literature evaluating validity inpatients. aim this study evaluate sleep general medicine undergoing consultation using qualitative surveys....