A5020007036- Acute Myocardial Infarction Research
- Cardiac Imaging and Diagnostics
- Heart Failure Treatment and Management
- Emergency and Acute Care Studies
- Atrial Fibrillation Management and Outcomes
- Coronary Interventions and Diagnostics
- Sepsis Diagnosis and Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Transportation Planning and Optimization
- Healthcare professionals’ stress and burnout
- Urban and Freight Transport Logistics
- COVID-19 and Mental Health
- Posttraumatic Stress Disorder Research
- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Clinical Reasoning and Diagnostic Skills
- Mechanical Circulatory Support Devices
- Crystallization and Solubility Studies
- Patient Satisfaction in Healthcare
- Bacterial Identification and Susceptibility Testing
- X-ray Diffraction in Crystallography
- Medical Coding and Health Information
- Intracranial Aneurysms: Treatment and Complications
- Venous Thromboembolism Diagnosis and Management
- Vascular Malformations Diagnosis and Treatment
Florida College
2012-2025
University of Florida
2016-2025
East Carolina University
2025
John Peter Smith Hospital
2021
University of North Texas at Dallas
2020
University of Florida Health
2013-2019
UF Health Shands Hospital
2016-2019
Newberry College
2019
Rensselaer Polytechnic Institute
2018
University of Pittsburgh
2017
This paper examines the chief findings of research conducted on policies to foster off-hour deliveries (OHDs) in New York City metropolitan area. The goal was estimate overall impacts eventual full implementation an OHD program. As part research, a system incentives designed for receivers combined Global Positioning System (GPS) remote sensing monitoring with GPS-enabled smart phones induce shift off-hours from 7:00 p.m. 6:00 a.m. concept pilot tested Manhattan by 33 companies that switched...
Importance The European Society of Cardiology (ESC) 0/1-hour algorithm is a validated high-sensitivity cardiac troponin (hs-cTn) protocol for emergency department patients with possible acute coronary syndrome. However, limited data exist regarding its performance in known artery disease (CAD; prior myocardial infarction [MI], revascularization, or ≥70% stenosis). Objective To evaluate and compare the diagnostic ESC 30-day death MI among without CAD determine if could achieve negative...
(1) To investigate the vulnerability of nurses to experiencing professional burnout and low fulfilment across 5 months COVID-19 pandemic. (2) identify modifiable variables in hospital leadership individual vulnerabilities that may mitigate these effects.
Abstract Background In suspected myocardial infarction (MI), guidelines recommend using high-sensitivity cardiac troponin (hs-cTn)-based approaches. These require fixed assay-specific thresholds and timepoints, without directly integrating clinical information. Using machine-learning techniques including hs-cTn routine variables, we aimed to build a digital tool estimate the individual probability of MI, allowing for numerous assays. Methods 2,575 patients presenting emergency department...
Because healthcare providers may be experiencing moral injury (MI), we inquired about their morally distressing experiences (HMDEs), MI perpetrated by self (Self MI) or others (Others MI), and burnout during the COVID-19 pandemic. Participants were 265 in North Central Florida (81.9% female, Mage = 37.62) recruited via flyers emailed brochures that completed online surveys monthly for four months. Logistic regression analyses investigated whether was associated with specific HMDEs, risk...
BACKGROUND: The High-STEACS (High-Sensitivity Troponin in the Evaluation of Patients With Acute Coronary Syndrome) pathway risk stratifies emergency department patients with possible acute coronary syndrome. This study aims to determine if hs-cTnT (high-sensitivity cardiac troponin T) can achieve ≥99% negative predictive value (NPV) safety threshold for 30-day death or myocardial infarction (CDMI) a multisite US cohort and without known artery disease (CAD). METHODS: A secondary analysis...
Objective: The aim of this study was to evaluate pre-resection risk factors for neurodevelopmental impairment (NDI) in infants with necrotizing enterocolitis (NEC) that might better inform the timing intestinal resection. Summary Background Data: Surgical NEC is associated a 57% NDI. Methods: A retrospective patients who underwent resection within 10 days diagnosis between 2010 and 2019 conducted 11 US children’s hospitals. primary outcome NDI at 16-26 months. Demographics, findings...
Abstract Background N-terminal pro-B-type natriuretic peptide (NT-proBNP) measurement has class 1, level of evidence A recommendations in heart failure (HF) guidelines for diagnosis and prognosis. Analytical characterization a novel automated NT-proBNP assay is necessary to examine its fitness validation pivotal clinical trials. Methods The Access an immunoenzymatic using monoclonal capture detection reagents on the DxI 9000 Immunoassay Analyzer. Clinical Laboratory Standards Institute...
The New York City Off-Hour Delivery (NYC OHD) program is the work of a private-public-academic partnership—a collaborative effort leading private-sector groups and companies, public-sector agencies led by Department Transportation, research partners Rensselaer Polytechnic Institute. efforts this partnership have induced more than 400 commercial establishments in NYC to accept OHD without supervision. economic benefits are considerable: carriers reduced operational costs parking fines 45...
Abstract Although it is intuitive that antibiotics administered before obtaining a blood culture would reduce the likelihood of positive culture, not clear exactly how rapidly and to what extent becomes sterile after administration intravenous (IV) antibiotics. Using large data set patients admitted from UFHealth Shands Adult Emergency Department (ED) between 2012 2016 (n = 25 686), we had opportunity more closely examine effect starting IV vs cultures. We present on pretreatment with for...
Objectives. To assess the impact of a scribe program on an academic, tertiary care facility. Methods. A retrospective analysis emergency department (ED) data, prior to and after implementation, was used quantitatively measures ED throughput. An electronic survey distributed all medicine residents advanced practice providers qualitatively providers. Results. Several throughput time were significantly lower in postscribe group, compared prescribe including disposition. The left without being...
An integrated practice unit (IPU) that provides a multidisciplinary approach to patient care, typically involving primary care provider, registered nurse, social worker, and pharmacist has been shown reduce healthcare utilization among high-cost super-utilizer (SU) patients or multi-visit (MVP). However, less is known about differences in the impact of these interventions on insured vs. uninsured SU super high frequency SUs ([Formula: see text]8 ED visits per 6 months) (4-7 months).We...
To determine if the European Society of Cardiology 0/1-hour (ESC 0/1-h) algorithm with high-sensitivity cardiac troponin T (hs-cTnT) meets ≥99% negative predictive value (NPV) safety threshold for 30-day death or myocardial infarction (MI) in older, middle-aged and young subgroups. We conducted a subgroup analysis adult emergency department patients chest pain prospectively enrolled from eight US sites (January 2017 to September 2018). Patients were stratified into rule-out, observation...
Abstract Background Data comparing the performance of sex‐specific to overall (non–sex‐specific) high‐sensitivity cardiac troponin (hs‐cTn) cut‐points for diagnosing acute coronary syndrome (ACS) are limited. This study aims compare safety and efficacy versus 99th percentile T (hs‐cTnT) cut‐points. Methods We conducted a secondary analysis STOP‐CP cohort, which prospectively enrolled emergency department patients ≥ 21 years old with symptoms suggestive ACS without ST‐elevation on initial...
Introduction Dispositional traits of wellbeing and stress-reaction are strong predictors mood symptoms following stressful life events, the COVID-19 pandemic introduced many stressors, especially for healthcare workers. Methods We longitudinally investigated relationships among positive negative temperament group status (created according to personality measures), burnout (exhaustion, interpersonal disengagement), COVID concern (e.g., health, money worries), moral injury (personal acts,...
Cervical vertebral AV fistulae are uncommon vascular lesions involving abnormal communication between the extradural artery and surrounding venous structures. We examine case of a female evaluated in emergency department with fistula presenting classically as pulsatile tinnitus later successfully treated standard endovascular techniques. A discussion on etiology, pathophysiology, management follows.
Abstract Objectives This study aimed to assess the effectiveness of a continuous quality improvement initiative at University Florida Health Physicians practice in reducing time administer factor replacement therapy (FRT) for hemophilia patients presenting with bleeding emergency department (ED). Methods The study, quasi‐experimental, interventional design, was conducted between January 2020 and 2023. intervention, implemented September 2021, involved training ED physicians, creating...