A5059638914- Ultrasound in Clinical Applications
- Cardiac Arrest and Resuscitation
- Trauma Management and Diagnosis
- Cardiac Imaging and Diagnostics
- Trauma and Emergency Care Studies
- Medication Adherence and Compliance
- Chronic Lymphocytic Leukemia Research
- HIV Research and Treatment
- Clusterin in disease pathology
- Hemodynamic Monitoring and Therapy
- HIV/AIDS drug development and treatment
- Sepsis Diagnosis and Treatment
- Social Media in Health Education
- Bone health and osteoporosis research
- Iron Metabolism and Disorders
- Antifungal resistance and susceptibility
- Amphibian and Reptile Biology
- Advanced X-ray and CT Imaging
- Amoebic Infections and Treatments
- Traumatic Ocular and Foreign Body Injuries
- Global Maternal and Child Health
- Systemic Lupus Erythematosus Research
- HIV-related health complications and treatments
- Cardiovascular Effects of Exercise
- Body Image and Dysmorphia Studies
University of Massachusetts Chan Medical School
2015-2025
UMass Memorial Health Care
2018-2023
Park Terrace Care Center
2023
Memorial Medical Center
2021-2022
UMass Memorial Medical Center
2018-2021
University of Chester
2018
Brigham and Women's Hospital
2009-2010
BC Centre for Disease Control
2005
Health Canada
1998
University of Ottawa
1992-1995
Prior research demonstrates that hydroxychloroquine (HCQ) lowers glycosylated hemoglobin (HbA(1c) ) in diabetes patients without rheumatic disease. We examined medical records of with mellitus (DM) and concomitant illness to measure changes HbA(1c) after starting HCQ or methotrexate (MTX).We used electronic identify beginning treatment either MTX who had a diagnosis DM (or pretreatment value ≥7%) at least 1 measurement both before within 12 months initiation treatment. Using structured...
Cardiac arrest patients with a shockable rhythm are more likely to survive an out-of-hospital cardiac (OHCA) compared nonshockable rhythm. An electrocardiogram (ECG) is the most common way identify rhythm, but it can miss clinically significant ventricular fibrillation (vfib). We sought determine percentage of OHCA that demonstrated vfib on echo. Secondary analysis echo images recorded from prior study our group, Real-Time Evaluation and Assessment for Sonography-Outcomes Network (REASON),...
Background: Point-of-care ultrasound can be used to identify foreign bodies (FBs) in soft tissue. Imaging interfaces such as standoff pads and water baths improve image resolution for superficial tissue structures. Our objective was determine the optimal interface FB detection. We hypothesized that would associated with greatest detection accuracy quality. Methods: Prospective analysis of imaging detect FBs. 18 emergency physicians training were enrolled: 8 interns, senior residents, 2...
Pre-pause imaging during cardiopulmonary resuscitation (CPR) involves the acquisition of poor-quality, brief images immediately prior to stopping CPR allow shorter, better-quality pause. We hypothesize that pre-pause is associated with a decrease in pause length and shorter image time.Prospective, interventional cohort study enrolling out-of-hospital (OOH) cardiac arrest patients. pre-localizing approximate sonographic window support subsequent fine tuning when pauses. Physicians were...
Dengue is a mosquito-borne viral infection with increasing global prevalence. It endemic in more than 100 countries, heavy burden Asia. Ultrasound findings including gallbladder wall thickening, ascites, and pleural effusions secondary to plasma leakage have been described dengue. We aimed determine if the presence of point-of-care ultrasound early suspected dengue could predict clinical worsening ambulatory pediatric patients.We did prospective, single-blinded, observational cohort study at...
‘Ted’ (Trace editor) is a graphical editor for sequence and trace data from automated fluorescence sequencing machines. It provides facilities viewing (in top or bottom strand orientation), editing the base sequence, manual trimming of head (vector) tail (uncertain data) vertical horizontal scaling, keeping history editing, output edited sequence. Ted has been used extensively in C.elegans genome project, both as standalone program integrated into Staden assembly package, greatly aided...
Abstract Testosterone‐repressed prostate message‐2 (TRPM‐2) was originally isolated and cloned from the regressing ventral of rat. In this tissue, in other hormone‐dependent tissues such as mammary gland, gene is induced absence appropriate trophic hormone. Sequence analysis cDNA genomic clones TRPM‐2 have demonstrated that coding sequence identical to S35‐S45 (also known SGP‐2 clusterin), which constitutively expressed by Sertoli cells adult testis. Using Northern, slot blot, S1‐nuclease...
Research into echocardiography (echo) during cardiac arrest has suffered from methodological flaws that limit aggregation of findings. We developed and validated a novel image rating scale for qualitative analysis echo images obtained resuscitation.A 5-point ordinal was using recorded 145 consecutive patients. Recorded were reviewed in blinded fashion by investigators experienced echo, quality rated this scale. Cardiac activity subsequently classified as no activity, disorganized organized...
Introduction: Point-of care-ultrasound (POCUS) has become ubiquitous in emergency medicine practice for the management of emergent pathophysiology. There is growing interest its potential as a diagnostic tool prehospital setting. Few studies have examined feasibility or efficacy curricula targeted at teaching POCUS to personnel. Our objective this study was investigate curriculum extended focused assessment with sonography trauma (eFAST) exam helicopter medical services (HEMS) crews....
A 40-year-old male presented to the emergency department (ED) after self-inflicted injury his oropharynx. The physical exam was notable for respiratory distress, blood in upper airway, and subcutaneous emphysema from eyebrows knees. Computed tomography showed extensive emphysema, bilateral pneumothoraces, pneumomediastinum (See Figures 1-4) patient developed Ekbom's delusional parasitosis had attempted remove “parasites” throat with a dental pick. Delusional can present an ethical dilemma...
Habitat fragmentation and road mortalities are major contributors towards declines in amphibian populations. This has seen the introduction of culverts, passages that run under roads provide safe passage for amphibians. Research investigating effects rainfall upon culvert use is limited. study, conducted at Frankfield Loch Glasgow, assesses how time elapsed since influences migration behaviour culverts across four different species; common toads (Bufo bufo), frogs (Rana temporaria newts, a...
Introduction: Cardiac rhythm by ECG can be different from cardiac visualized echocardiography (echo). arrest interventions are largely based on the and some patients with ventricular fibrillation (vfib) demonstrating a non-shockable may not rapidly defibrillated. Hypothesis: A significant percentage of out hospital (OHCA) vfib unrecognized ECG. Goals - To measure prevalence survival outcomes for but echo. Methods: Analysis echo images recorded during previous multi-center, observational...