A5102772177- Ultrasound in Clinical Applications
- Cardiac Arrest and Resuscitation
- Hemodynamic Monitoring and Therapy
- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Sepsis Diagnosis and Treatment
- Birth, Development, and Health
- Appendicitis Diagnosis and Management
- Pregnancy and preeclampsia studies
- Trauma Management and Diagnosis
- Air Quality and Health Impacts
- Non-Invasive Vital Sign Monitoring
- Cardiac Imaging and Diagnostics
- Cardiac, Anesthesia and Surgical Outcomes
- Gestational Diabetes Research and Management
- Cardiovascular Disease and Adiposity
- Diverticular Disease and Complications
- Cardiovascular and Diving-Related Complications
- Cardiac and Coronary Surgery Techniques
- Streptococcal Infections and Treatments
- Renal and Vascular Pathologies
- Maternal and fetal healthcare
- Pulmonary Hypertension Research and Treatments
- Climate Change and Health Impacts
- Ectopic Pregnancy Diagnosis and Management
Donald & Barbara Zucker School of Medicine at Hofstra/Northwell
2022-2024
North Shore University Hospital
2018-2024
Northwell Health
2020-2024
North Shore Diabetes and Endocrine Associates
2024
Neurological Surgery
2024
Joslin Diabetes Center
2007-2016
Harvard University
2007-2016
Hadassah Medical Center
2013
John Brown University
2012
University of Duisburg-Essen
2009
Diabetes increases the risk of hypertension and orthostatic hypotension raises cardiovascular death during heat waves high pollution episodes.We examined whether short-term exposures to air (fine particles, ozone) resulted in perturbation arterial blood pressure (BP) persons with type 2 diabetes mellitus (T2DM).We conducted a panel study 70 subjects T2DM, measuring BP by automated oscillometric sphygmomanometer pulse wave analysis every weeks on up five occasions (355 repeated measures)....
Red blood cells (RBCs) undergo numerous changes during storage; however, the clinical relevance of these storage "lesions" is unclear. We hypothesized that duration transfused RBCs associated with mortality after repeat sternotomy for cardiac surgery, because patients are at high risk both RBC transfusion and adverse outcome. retrospectively analyzed 434 who underwent median coronary artery bypass graft or valve surgery received allogeneic RBCs. Three-hundred-twenty-one (74%) met criteria...
Objective: To assess whether glycemic control, soluble fms-like tyrosine kinase 1 (sFlt1) and placental growth factor (PlGF) were associated with the development of preeclampsia (PE) or gestational hypertension (GHTN) in women preexisting diabetes. Methods: Maternal circulating angiogenic factors (sFlt1 PlGF) measured on automated platform studied at four time points during pregnancy diabetes (N = 159) reported as multiples median (MOM) sFlt1/PlGF ratio (median, 25th–75th percentile) noted...
Heart failure exacerbations are a common cause of hospitalizations with high readmission rate. There few validated predictors after treatment for acute decompensated heart (ADHF). Lung ultrasound (LUS) is sensitive and specific in the assessment pulmonary congestion; however, it not frequently utilized to assess congestion before discharge. This study assessed association between number B-lines, on LUS, at patient discharge risk 30-day patients hospitalized (ADHF).This was single-center...
OBJECTIVES: Nonconventional ventilators (NCVs), defined here as transport and certain noninvasive positive pressure devices, were used extensively crisis-time for intubated patients with COVID-19. We assessed whether there was an association between the use of NCV higher mortality, independent other factors. DESIGN: This is a multicenter retrospective observational study. SETTING: The sample recruited from single healthcare system in New York. recruitment period spanned March 1, 2020, to...
Preeclampsia is characterized by the development of proteinuria and hypertension after 20 weeks gestation, it associated with maternal fetal morbidity. affects ∼5% pregnancies, though women preexisting diabetes are three to four times more likely develop preeclampsia (1). altered angiogenic factors, including increased levels circulating soluble FMS-like tyrosine kinase 1 (sFlt1) reduced vascular endothelial growth factor placental (PlGF). Hypertension may be caused an imbalance these...
A 31-year-old male with no past medical history presented to the emergency department (ED) for six months of episodic headaches, chest pain, palpitations, and diaphoresis. He denied fevers, vision changes, or focal neurological changes. The patient reported multiple ED visits similar complaints, a negative computed tomography (CT) head clear diagnosis. On arrival, he was hypertensive 230/100, tachycardic, anxious appearing, but his physical examination unrevealing. Point-of-care ultrasound...
Objective: Determine the independent association between time-specific placental growth factor (PIGF)—a marker of vasculature—and infant birth weight in offspring mothers with preexisting type 1 and 2 diabetes. Methods: A total 150 women were recruited from Joslin Diabetes Center's/Beth Israel Deaconess Medical Center's Pregnancy Program. PlGF was measured up to four times during pregnancy. Infant covariate data collected medical records. Hemoglobin A1c assessed drawn blood samples. We used...
Abstract Infective endocarditis is a severe condition that requires rapid identification and treatment. Early diagnosis often difficult due to diverse vague presenting symptoms. One uncommon complication acute coronary syndrome can be secondary dissemination of septic emboli. Although rare, this life threatening associated with increased mortality. Point‐of‐care ultrasound (POCUS) useful diagnostic modality in patients suspected because it attempt identify vegetations evidence cardiac...
Introduction: Ruptured ectopic pregnancy is one of the leading causes maternal death. Point-of-care ultrasound (POCUS) has been shown to be highly sensitive for excluding pregnancy. Ectopic after a hysterectomy rare but life-threatening occurrence. We present case where POCUS helped diagnose post-hysterectomy Case report: A 36-year-old female with prior surgical history without oophorectomy presented emergency department lower abdominal pain. revealed free fluid in right upper quadrant an...
Gastric outlet obstruction (GOO) is a rare condition occurring as consequence of numerous processes that prevent gastric emptying. Presenting symptoms GOO are non-specific and include nausea, vomiting, epigastric discomfort decreased appetite. The diagnosis often challenging. Emergency physicians must have heightened awareness to ensure proper rapid treatment. Although the gold standard for diagnoses endoscopy, many patients identified by computerized tomography imaging. Point-of-care...
Ischemic colitis is the most common form of gastrointestinal ischemia . The diagnosis ischemic made by clinical data and computed tomography (CT) imaging abdomen pelvis While colonoscopy considered gold standard for diagnosis, this not performed in emergency department (ED) Few studies have been to describe sonographic findings using point care ultrasound (POCUS). We report a case that highlights patient who had two separate visits ED, showcasing utility POCUS making diagnosis. can be used...