A5102891613- Urinary Bladder and Prostate Research
- Pelvic floor disorders treatments
- Urological Disorders and Treatments
- Pediatric Urology and Nephrology Studies
- Urinary Tract Infections Management
- Spinal Dysraphism and Malformations
- Diet and metabolism studies
- Sexual function and dysfunction studies
- Ureteral procedures and complications
- Bladder and Urothelial Cancer Treatments
- Anorectal Disease Treatments and Outcomes
- Diversity and Career in Medicine
- Pelvic and Acetabular Injuries
- Innovations in Medical Education
- Botulinum Toxin and Related Neurological Disorders
- Cancer, Hypoxia, and Metabolism
- Dietary Effects on Health
- Kidney Stones and Urolithiasis Treatments
- Central Venous Catheters and Hemodialysis
- Prostate Cancer Diagnosis and Treatment
- Pain Management and Treatment
- Cardiovascular Syncope and Autonomic Disorders
- Cancer, Lipids, and Metabolism
- Healthcare professionals’ stress and burnout
- Diabetes Management and Research
Duke Medical Center
2010-2023
Bellevue College
2020
Cleveland Clinic
2017-2019
Georgia Institute of Technology
2019
Neurobehavioral Systems
2019
Cleveland Clinic Lerner College of Medicine
2017-2018
University of California, Los Angeles
2012-2017
Duke University
2009-2016
Queen Mary University of London
2016
Durham University
2010-2014
Sacral neuromodulation (SNM) is an accepted therapy for a variety of conditions. However, despite over 20 years experience, it remains specialized procedure with number subtleties. Here we present the recommendations issued from International Continence Society (ICS) SNM Consensus Panel.Under auspices ICS, eight urologists, three colorectal surgeons and two urogynecologists, covering wide breadth geographic specialty interest representation, met in January 2017 to discuss best practices...
Anecdotal evidence suggests that complex congenital genitourinary anomalies are occurring less frequently. However, few epidemiological studies available to confirm or refute this suggestion.The Kids' Inpatient Database (KID) is a national, all payer database of several million inpatient pediatric hospitalizations per year, including complicated and uncomplicated in-hospital births. We reviewed the 1997 2009 KID determine birth prevalence spina bifida, posterior urethral valves, bladder...
Bladder dysfunction in patients with spina bifida can lead to significant morbidity due renal insufficiency. Indications for surgery vary among institutions and the impact is unclear. We examined trends variations urological interventions chronic insufficiency bifida.
Plain pelvic radiographs are commonly used for a variety of pediatric orthopedic disorders. Lead shielding is typically placed over the gonads to minimize radiation exposure these sensitive tissues. However, misplaced can sabotage efforts protect patients from excessive either by not covering radiosensitive tissues or obscuring anatomic areas interest, prompting repeat radiographic examinations. The goal this study was determine incidence obtained evaluation. Children 8 16 years old who had...
INTRODUCTION Hemicolectomies are not tailored in right-sided colon cancer resections, despite significant variation the incidence and origin of right colic artery (RCA). Early evidence suggests that removal relevant lymphovascular package associated as part complete mesocolic excision (CME), rather than entire colon, may produce better outcomes. Advancing laparoscopic techniques making this possible, so it is increasingly important to more precisely define anatomy RCA. METHODS To demonstrate...
Diagnosis (exploratory cohort).2b.To clarify the relationship between estimated blood loss (EBL) and biochemical recurrence, assessed by prostate-specific antigen (PSA) level, as is a long-standing concern associated with radical prostatectomy (RP), no studies to date have examined association cancer control.In all, 1077 patients were identified in Shared Equal-Access Regional Cancer Hospital database who underwent retropubic RP (between 1998 2008) had EBL follow-up data available. We...
Many urologists use urodynamic testing (UDS) to assist clinical decision-making. The VALUE study, a multi-institutional, randomized controlled trial published in 2012, demonstrated that UDS prior midurethral sling placement for uncomplicated stress urinary incontinence (SUI) did not change management. We sought determine whether of evaluation SUI diminished thereafter.Records patients who underwent isolated mid-urethral surgery at our tertiary-care referral center from 2008 2009 (pre-VALUE)...
Robotic surgical procedures have become more common in female pelvic reconstruction. Purported benefits of robotic assisted floor reconstruction (RAPFR) include shorter hospital stay, faster recovery, lower blood loss, and decreased postoperative pain. Following RAPFR procedures, the current accepted practice is discharge after a one-night hospitalization. We assessed whether same day (SDD) affects short term safety patient satisfaction with reconstructive relative to those who remain...
An evidence-based trauma-informed resilience skills training program developed for deployed military personnel was adapted and pilot-tested with pediatric residents. We anticipated high satisfaction ratings changes in knowledge, beliefs, self-efficacy related to coping stress trauma.The intervention included 6 skill-based modules covering emotion regulation, communication angry patients parents, reflective narrative, inspirational goal setting, problem-solving, developing a self-care...
To evaluate feasibility and acceptability of a health professional resilience skills training program with neurology residents.
The Diabetes Control and Complications Trial (DCCT) demonstrated that the rate-limiting step to intensification of diabetes management in adolescents adults was hypoglycemia. Young children were presumed be at even greater risk for hypoglycemia with severe consequences, particularly if they had HbA1c levels < 8%.A retrospective chart review performed on 148 patients type 1 insulin injection therapy who 8 yr age (mean 5.7 +/- 1.5, mean duration 3.0 1.4 yr) followed quarterly from July 1999...
Leiomyomatosis peritonei disseminata is a condition seen uncommonly in states of oestrogen hypersecretion women childbearing age. There are no clear guidelines for the primary management and follow-up these patients. Here, rare case postmenopausal woman with normal hormonal state who may be considered higher risk presented, review suggesting pathway
Urinary tract infections (UTIs) are a source of substantial morbidity in children the neonatal intensive care unit. The incidence UTIs that occur critically ill infants during course antibiotic prophylaxis (i.e., breakthrough urinary [BUTIs]) is not known. We investigated BUTI cohort hospitalized on prophylactic antibiotics units. Predictors were evaluated using multivariable Cox regression. Out 716 787 infants, 631 (0.09%) prescribed 821 courses prophylaxis. Among this cohort, 60 (9.5%)...
You have accessJournal of UrologyInfections/Inflammation/Cystic Disease the Genitourinary Tract: Interstitial Cystitis II1 Apr 2017MP29-16 IMPROVING THE UTILITY OF CLINICAL PHENOTYPING IN INTERSTITIAL CYSTITIS/PAINFUL BLADDER SYNDROME: FROM UPOINT TO INPUT Alice Crane, Jessica Lloyd, and Daniel Shoskes CraneAlice Crane More articles by this author , LloydJessica Lloyd ShoskesDaniel View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.928AboutPDF ToolsAdd to favoritesDownload...
You have accessJournal of UrologyPediatrics: Neuropathic Bladder/Reconstruction1 Apr 2013480 DOES REGIONAL VARIATION IN BLADDER AUGMENTATION RATES CORRELATE WITH RENAL OUTCOMES AMONG CHILDREN SPINA BIFIDA? Jessica Lloyd, Sherry Ross, John Wiener, and Jonathan Routh LloydJessica Lloyd Durham, NC , RossSherry Ross WienerJohn Wiener RouthJonathan View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.1872AboutPDF ToolsAdd to favoritesDownload CitationsTrack...