- Thyroid Disorders and Treatments
- Thyroid Cancer Diagnosis and Treatment
- Pregnancy and preeclampsia studies
- Innovations in Medical Education
- Vitamin D Research Studies
- Growth Hormone and Insulin-like Growth Factors
- Gestational Trophoblastic Disease Studies
- Neonatal Health and Biochemistry
- Reproductive System and Pregnancy
- Birth, Development, and Health
- Health Sciences Research and Education
- Pregnancy and Medication Impact
- Diabetes and associated disorders
- Gestational Diabetes Research and Management
- Neuroscience of respiration and sleep
- Neonatal Respiratory Health Research
- Health and Medical Research Impacts
- Hypothalamic control of reproductive hormones
- Homicide, Infanticide, and Child Abuse
- Primary Care and Health Outcomes
- Advances in Oncology and Radiotherapy
- Diversity and Career in Medicine
- Maternal and fetal healthcare
- Global Health Workforce Issues
- Folate and B Vitamins Research
University of Illinois Chicago, Rockford campus
2014-2022
Illinois College
2014-2022
Association of American Medical Colleges
2017
George Washington University
2010-2015
University of Illinois Urbana-Champaign
2014-2015
University of California, Los Angeles
2014
University of Illinois Chicago
2010-2014
Washington University in St. Louis
2013
Touro University California
2010
Weatherford College
2010
Thyroid disease in pregnancy is a common clinical problem. Since the guidelines for management of these disorders by American Association (ATA) were first published 2011, significant and scientific advances have occurred field. The aim to inform clinicians, patients, researchers, health policy makers on evidence relating diagnosis thyroid women during pregnancy, preconception, postpartum period.The specific questions addressed based prior versions guidelines, stakeholder input, input task...
Objective: The objective is to provide clinical guidelines for the management of thyroid problems present during pregnancy and in postpartum.
We screened 552 women who presented to their obstetrician in the first trimester of pregnancy using highly sensitive enzyme-linked immunosorbent assays for presence thyroglobulin and thyroid peroxidase autoantibodies found an incidence positivity 19.6%. The tendency secrete detectable levels was significantly correlated with increased rate miscarriage. Thyroid autoantibody-positive miscarried at a 17%, compared 8.4% autoantibody-negative women. Individual were similarly related this...
The definition of what constitutes a normal TSH during pregnancy is in flux. Recent studies suggested that the first trimester upper limit for should be 2.5 mIU/liter.The objective study was to evaluate loss and preterm delivery rate first-trimester thyroid peroxidase antibody-negative women with values between 5.0 present component recently published large-scale prospective trial evaluated impact levothyroxine treatment on maternal neonatal complications peroxidase-positive levels above...
Context: Thyroid disease during pregnancy has been associated with multiple adverse outcomes. Whether all women should be screened for thyroid is controversial. Objective: The objective of the study was to determine whether treatment decreases incidence outcomes and compare ability universal screening vs. case finding in detecting dysfunction. Design: Women first trimester were randomly assigned group or case-finding group. both groups stratified as high risk low based on factors disease....
In 2014, the Association of American Medical Colleges (AAMC) published a list 13 Core Entrustable Professional Activities for Entering Residency (Core EPAs) that medical school graduates might be expected to perform, without direct supervision, on first day residency. Soon after, AAMC commissioned five-year pilot with 10 schools across United States, seeking implement EPA framework improve transition from undergraduate graduate education.In this article, team presents organizational...
The major cause of neonatal mortality and morbidity is preterm delivery in general (< 37 completed weeks), especially very 32 weeks). objective this study to determine if either thyroid hormonal dysfunction and/or the presence autoantibodies mother are associated with an increased risk delivery. Data were collected prospectively analyzed as a nested-case control study. There 953 delivered gravidas enrolled between 1996 2002. Samples at entry care stored –70°C. Cases included all women (n =...
Immune function in normal pregnancy and the postpartum period remains poorly defined. We hypothesized that a comparative study between pregnant women with abnormal immune would further our understanding of mechanisms pregnancy. chose to cohort at risk for development thyroid dysfunction (PPTD) as well group controls. PPTD model because relative ease monitoring disease relatively high prevalence reported earlier studies. Five hundred fifty-two were screened presence autoantibodies first...
Hypothyroidism in pregnancy can lead to adverse maternal and fetal outcomes. Although screening of high-risk women is advocated, universal remains controversial.The objective the study was compare cost-effectiveness pregnant for autoimmune thyroid disease (AITD) with only no screening.A decision-analytic model compared incremental cost per quality-adjusted life-year (QALY) gained among following: 1) screening, 2) 3) screening. Screening consisted a first-trimester thyroid-stimulating hormone...
Thyroid antibody positivity during pregnancy has been associated with adverse outcomes including spontaneous miscarriage, recurrent and preterm delivery.The objective of the study was to determine whether thyroid in first trimester euthyroid women maternal neonatal outcomes.The present trial is a component prospective published 2010 that evaluated screening for disease impact levothyroxine therapy who were peroxidase positive TSH above 2.5 mIU/liter. The compared 14 245 (TSH < mIU/liter)...
Postpartum thyroid dysfunction (PPTD) is a common autoimmune disorder. Type I diabetes mellitus (IDDM) an disease with high incidence of concomitant failure. We hypothesized that women IDDM would have increased PPTD. Women in New York City, were followed prospectively during the second and third trimester pregnancy at 6 weeks, 3 months, 9 1 yr postpartum. A long-term follow-up was performed 31 months Forty-one recruited their initial prenatal visit. Two (4.8%) had function test abnormalities...
We assessed the clinical and biochemical parameters associated with development of posttransplantation diabetes (PTDM) in 52 liver transplant recipients followed up for 1 year. Diabetes was present before transplantation 9.6% (5 52) patients, PTDM occurred 23% (11 47) remaining recipients. Of 13 patients who had hepatitis C as cause their failure (HC-LD), 8 (62%) developed PTDM; 34 other causes failure, 3 (9%) (p < 0.001). Posttransplantation also early hyperglycemia, a higher number...
The incidence of postpartum thyroiditis (PPT) varies widely in the literature. Limited data exist concerning hormonal status women with PPT at end first year.Our aim was to conduct a large prospective study and clinical course PPT.A total 4394 were screened for thyroid function autoantibodies 6 12 months postpartum. Women classified as being high or low risk having disease before any testing.The conducted two ambulatory clinics southern Italy, an area mild iodine deficiency.A pregnant...