Samuel Francis

ORCID: 0000-0003-3210-0789
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About
Contact & Profiles
Research Areas
  • Venous Thromboembolism Diagnosis and Management
  • Heparin-Induced Thrombocytopenia and Thrombosis
  • Platelet Disorders and Treatments
  • Atrial Fibrillation Management and Outcomes
  • Erythrocyte Function and Pathophysiology
  • Acute Myocardial Infarction Research
  • Hemoglobinopathies and Related Disorders
  • Venomous Animal Envenomation and Studies
  • Rabies epidemiology and control
  • Ultrasound in Clinical Applications
  • Blood Coagulation and Thrombosis Mechanisms
  • Neonatal Health and Biochemistry
  • Central Venous Catheters and Hemodialysis
  • Forensic Anthropology and Bioarchaeology Studies
  • Vascular anomalies and interventions
  • Morphological variations and asymmetry
  • Cerebral Venous Sinus Thrombosis
  • Paleopathology and ancient diseases
  • Forensic and Genetic Research
  • Complement system in diseases
  • Infectious Aortic and Vascular Conditions
  • Law, logistics, and international trade
  • Biochemical and Structural Characterization
  • Credit Risk and Financial Regulations
  • Phagocytosis and Immune Regulation

Duke University
2015-2024

Duke University Hospital
2019-2024

Duke Medical Center
2021-2024

Tel Aviv University
2023

Durham University
2023

Janssen (United States)
2017

University of Washington
2017

Harvard University
2017

Stony Brook Medicine
2017

The University of Texas Southwestern Medical Center
2017

Background It may be possible to safely rule out pulmonary embolism (PE) in patients with low pretest probability (PTP) using a higher than standard D-dimer threshold. The YEARS criteria, which include three questions from the Wells PE score identify low-PTP and variable threshold, was recently shown decrease need for imaging by 14% multicenter study Netherlands. However, approach has not been studied United States. Methods This prospective, observational of consecutive adult evaluated 17...

10.1111/acem.13417 article EN Academic Emergency Medicine 2018-03-31

Abstract Potent and selective inhibition of the structurally homologous proteases coagulation poses challenges for drug development. Hematophagous organisms frequently accomplish this by fashioning peptide inhibitors combining exosite active site binding motifs. Inspired biological strategy, we create several EXACT targeting thrombin factor Xa de novo linking EXosite-binding aptamers with small molecule ACTive inhibitors. The aptamer component within inhibitor (1) synergizes enhances potency...

10.1038/s41467-024-48211-6 article EN cc-by Nature Communications 2024-05-10

Abstract Background Hospitalization for low‐risk pulmonary embolism ( PE ) is common, expensive, and of questionable benefit. Objective The objective was to determine if patients discharged from the emergency department ED on rivaroxaban require fewer hospital days compared standard care SOC ). Methods Multicenter, open‐label randomized trial in defined by Hestia criteria. Adult subjects were early discharge or . Primary outcome total number initial hours, plus hours hospitalization bleeding...

10.1111/acem.13451 article EN cc-by-nc Academic Emergency Medicine 2018-05-14

Introduction Snakebite envenoming (SBE) results in over 500 000 deaths or disabling injuries annually. Varespladib methyl, an oral inhibitor of secretory phospholipase A2, is a nearly ubiquitous component snake venoms. We conducted phase II clinical trial to assess efficacy and safety varespladib methyl patients bitten by venomous snakes. Methods This double-blind, randomised, placebo-controlled enrolled emergency departments India the USA. Patients with SBE were randomly assigned (1:1)...

10.1136/bmjgh-2024-015985 article EN cc-by-nc-nd BMJ Global Health 2024-10-01
Cynthia Portal‐Celhay Eduardo Forleo‐Neto Will Eagan Bret J. Musser John D. Davis and 95 more K. C. Turner Thomas Norton Andrea T. Hooper Jennifer D. Hamilton Cynthia X. Pan Adnan Mahmood Alina Baum Christos A. Kyratsous Yun‐Ji Kim Janie Parrino Wendy Kampman Lilia Roque-Guerrero Roxana Stoici Adil Fatakia Yuhwen Soo Gregory P. Geba Bari Kowal A. Thomas DiCioccio Neil Stahl Leah Lipsich Ned Braunstein Gary Herman George D. Yancopoulos David M. Weinreich Dario Altamirano Dickson Ellington Najmuddin Karimjee Munib Daudjee Jessica Laabs Karen Marler Natalee Calais Zachary Sheppard Kristy Carroll Anita Kohli Vicki McIntyre Yessica Sachdeva Ashley Carney Amanda McFarland Dina Gibson Victorine Ekoko Kenneth Kim Jason Ahn Nayna Paryani Amber Mottola Eva Day Martha Navarro Apinya Vutikullird Lilia Roque-Guerrero Ana Gomez Ramirez Javier Capote Gisel Paz Nancy Patel Ravikumar Patel Ryan Sattar Michael Seep Celeste J. Brown Joshua Whatley Dennis J. Levinson Azazuddin Ahmed Norman J. James Saad Alvi Ann Kuehl Robinson Koilpillai Stephanie Cassady Jennifer Cox Eduardo Torres Michael Winnie Omesh Verma Richard Leggett Ramon Reyes Keith R. Beck Brian Poliquin Murtaza Mussaji Jignesh Shah John Eppensteiner Alexander T. Limkakeng Samuel Francis Haresh Boghara Sunny Patel Bari Eichelbaum Duane C. Anderson Sean Su Alexander Akhavan Joy Venglik Diana Kirby Crista Fedora Faisal A. Fakih Faisal M. Fakih Fernando Alvarado Daniel Layish José María Hernández Díaz Andrés M. Perez Bhaktasharan Patel Gary Tarshis Roxana Stoici

<h3>Importance</h3> The monoclonal antibody combination of casirivimab and imdevimab reduced viral load, hospitalization, or death when administered as a 1200-mg greater intravenous (IV) dose in phase 3 COVID-19 outpatient study. Subcutaneous (SC) and/or lower IV doses should increase accessibility drug supplies for patients. <h3>Objective</h3> To assess the virologic efficacy across different SC compared with placebo. <h3>Design, Setting, Participants</h3> This 2, randomized, double-blind,...

10.1001/jamanetworkopen.2022.25411 article EN cc-by-nc-nd JAMA Network Open 2022-08-15

Objectives In patients with suspected venous thromboembolism (VTE), the D-dimer assay is commonly utilized as part of workup. The primarily used to determine whether proceed radiographic imaging. We compared levels in having VTE. hypothesized that higher values predict a likelihood subsequent VTE diagnosis. Methods conducted secondary analysis multinational, prospective observational study low- intermediate-risk adult presenting emergency department suspicion Demographic and clinical data...

10.1055/s-0038-1677029 article EN cc-by TH Open 2019-01-01

D-dimer is generally considered positive above 0.5 mg/L irrespective of sex. However, women have been shown to be more likely a after controlling for other factors. Thus, differences may exist between males and females using as marker venous thromboembolic (VTE) disease. We hypothesized that the accuracy tests enhanced by appropriate cutoff values reflect sex-related in levels.This research secondary analysis multicenter, international, prospective, observational study adult (18+ years)...

10.1111/acem.14220 article EN Academic Emergency Medicine 2021-01-26

Anti-platelet factor 4 (PF4)/heparin immune complexes that cause heparin-induced thrombocytopenia (HIT) activate complement via the classical pathway. Previous studies have shown alternative pathway of substantially amplifies activation through C3b feedback cycle.

10.1111/jth.15856 article EN publisher-specific-oa Journal of Thrombosis and Haemostasis 2022-08-23

Abstract The transition to bipedal locomotion was a fundamental milestone in human evolution. Consequently, the skeleton underwent substantial morphological adaptations. These adaptations are responsible for many of today’s common physical impairments, including hip fractures. This study aims reveal changes proximal femur, which increase risk intracapsular fractures present-day populations. Our sample includes chimpanzees, early hominins, Homo Neanderthals, as well prehistoric and recent...

10.1038/s42003-023-04633-4 article EN cc-by Communications Biology 2023-03-17

While thrombosis is the leading cause of morbidity and mortality in United States, an understanding its triggers, progression, response to anticoagulant therapy lacking. Intravital fluorescence microscopy has advanced study thrombus formation by providing targeted, multi-color contrast. However, photodegradation fluorophores limits application longitudinal studies (e.g., clot progression and/or dissolution). Fluorescent nanodiamond (FND) a fluorophore which utilizes intrinsic chromogenic...

10.3390/nano13060961 article EN cc-by Nanomaterials 2023-03-07

Diabetic bladder dysfunction is not understood. Previous work suggests that male MetS Ossabaw pigs have stiffer and more contractile detrusor muscle compared with lean pigs. The purpose of the current study was to determine if altered function in gender dependent. Detrusor strips from female maintained on an atherogenic or control diet were mounted at slack length baths. Following equilibration, stimulated supramaximal electrical field stimulation (EFS). relaxation, cycles incremental...

10.1096/fasebj.23.1_supplement.781.12 article EN The FASEB Journal 2009-04-01
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