- Colorectal Cancer Surgical Treatments
- Inflammatory Bowel Disease
- Hepatocellular Carcinoma Treatment and Prognosis
- Cardiac, Anesthesia and Surgical Outcomes
- Enhanced Recovery After Surgery
- Mycobacterium research and diagnosis
- Diverticular Disease and Complications
- Tuberculosis Research and Epidemiology
- Intraperitoneal and Appendiceal Malignancies
- Pelvic floor disorders treatments
- Gastric Cancer Management and Outcomes
- Hernia repair and management
- Maternal and Perinatal Health Interventions
- Maternal and fetal healthcare
- Hepatitis B Virus Studies
- Bariatric Surgery and Outcomes
- Minimally Invasive Surgical Techniques
- Intestinal and Peritoneal Adhesions
- Cancer, Lipids, and Metabolism
- Nutrition and Health in Aging
- Pneumonia and Respiratory Infections
- Infectious Diseases and Tuberculosis
- Cancer Immunotherapy and Biomarkers
- Ovarian cancer diagnosis and treatment
- Bipolar Disorder and Treatment
Florida College
2025
University of Central Florida
2025
Primary Health Care
2025
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust
2024
Alexandria University
2024
Doncaster Royal Infirmary
2024
Mercy Medical Center
2023-2024
WinnMed
2020-2023
Mayo Clinic
2020-2023
EIA University
2023
The NEJM Image Challenge app brings a popular online feature to the smartphone.Optimized for viewing on iPhone and iPod Touch, lets you test your diagnostic skills anytime, anywhere.The randomly selects from 300 challenging clinical photos published in NEJM, with new image added each week.View an image, choose answer, get immediate feedback, see how others answered.The is available at iTunes App Store.
Statins can decrease hepatocellular carcinoma (HCC) occurrence, but the magnitude and predictors of these effects remain unclear. This meta-analysis provides a pooled estimate impact statin use on HCC occurrence. Pooled were calculated using random-effects model by means DerSimonian Laird test. Primary endpoint was time-dependent correlation between incidence expressed as hazard ratio (HR), both crude adjusted. The adjusted odds ratios (OR) for occurrence users non-users analyzed....
We compared laparoscopic and robotic pyeloplasty to identify factors associated with procedural efficacy.We conducted a retrospective multicenter trial incorporating 865 cases from 15 centers. collected perioperative data including anatomical factors. Failure was defined subjectively as pain that unchanged or worse per medical records after surgery. Radiographic failure worsening drainage on renal scans hydronephrosis computerized tomography. Bivariate analyses were performed all outcomes...
Anti-synthetase syndrome (ASS) is a rare autoimmune disorder characterized by interstitial lung disease (ILD), myositis, and arthritis, primarily associated with antibodies, such as anti-Jo-1, that target the t-ribonucleic acid (tRNA) synthetase enzymes. This case report describes 45-year-old man who presented isolated flexor tenosynovitis bilateral hand pain, later diagnosed anti-Jo-1 positive ASS. Initially, patient's symptoms were attributed to trivial injury, but subsequent imaging...
Abstract Background There has been growing awareness of antibiotic resistance as a significant public health issue, notably widespread prescription antibiotics for upper respiratory tract infections (URTIs). Understanding the knowledge, attitude, and practices (KAP) healthcare providers is crucial in designing interventions to reduce inappropriate use. Our aim was determine KAP primary care physicians towards prescriptions outpatient setting develop strategies improve appropriate Physician...
Abstract Background Antibiotics are often inappropriately prescribed in the outpatient settings. Among most common reasons for inappropriate antibiotic prescriptions upper respiratory tract infections (URI) which known or highly likely to be viral origin. Our aim was test a bundle of complementary interventions reduce setting patients presenting with various URIs. Here we present preliminary data from cluster randomized trial using pre-intervention baseline (August October 2023) and after...
Background Urinary tract infection (UTI) is a recognized complication of shock wave lithotripsy (SWL) for urolithiasis. Evidence guiding antibiotic prophylaxis remains low certainty, contributing to substantial practice variation and conflicting guidelines. A well-powered, blinded randomized trial essential provide trustworthy evidence clinical practice. Study Design An international, multicentre, controlled (the APPEAL trial) assessing the benefits harms single dose ciprofloxacin versus...
Abstract Magnetic resonance imaging (MRI) is routinely used for preoperative tumor staging and to assess response therapy in rectal cancer patients. The aim of our study was evaluate the accuracy MRI based restaging after neoadjuvant chemoradiotherapy (CRT) predicting pathologic response. This multicenter cohort included adult patients with histologically confirmed locally advanced adenocarcinoma treated CRT followed by curative intent elective surgery between January 2014 December 2019 at...
By May 13, 2020, 1,342,594 cases of coronavirus disease (COVID-19) had been confirmed in the United States.1Centers for Disease Control and PreventionCoronavirus 2019 (COVID-19): U.S. Centers Prevention website.https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/cases-in-us.htmlGoogle Scholar Of these patients, 80,820 (6%) died.1Centers This rapid viral spread, unencumbered by an effective treatment or vaccine, required wise health care resource utilization decisions. Consequently, many...
BMI ≤18.5 kg/m2 and preoperative weight loss may lead to inaccurate assessment of nutritional status, given the increasing prevalence obesity. The aim this study was assess whether clinical evaluation malnutrition based on these parameters is sufficient predict complications after colorectal cancer surgery.The American College Surgeons-National Quality Improvement Program database queried from 2005 2018. Patients undergoing elective surgery were divided into 4 groups: (1) albumin <3.1 g/dL...
Abstract Utility of adjuvant chemotherapy for stage II cancer remains a matter debate. Clinical guidelines suggest tumors with high‐risk features, in particular T4 tumors. However, limited consensus exists regarding the importance other features (lymphovascular or perineural invasion, microsatellite instability). Our study aimed to investigate impact IIA (T3N0) colon patients. Patients who underwent colectomy adenocarcinoma (2010‐2015) were identified National Cancer Database (NCDB) and...
We aimed to determine a safe zone of intraoperative fluid management associated with the lowest postoperative complication rates without increased acute kidney injury (AKi) risk for elective colorectal surgery patients.To date, standard practice within institutions, let alone national expectations related administration, are limited. This fact has perpetuated quality gap.Elective surgeries between 2018 and 2020 were included. Unadjusted odds ratios (ORs) ileus, prolonged LOS, AKi plotted...