A5040462138- Innovations in Medical Education
- Child Nutrition and Feeding Issues
- Clinical Nutrition and Gastroenterology
- Liver Disease Diagnosis and Treatment
- Esophageal Cancer Research and Treatment
- Diet and metabolism studies
- Intestinal Malrotation and Obstruction Disorders
- Liver Disease and Transplantation
- Bariatric Surgery and Outcomes
- Aging and Gerontology Research
- Radiology practices and education
- Virus-based gene therapy research
- Metabolism and Genetic Disorders
- Drug-Induced Hepatotoxicity and Protection
- Healthcare Policy and Management
- Gastric Cancer Management and Outcomes
- Esophageal and GI Pathology
- Pharmaceutical Practices and Patient Outcomes
- Metastasis and carcinoma case studies
- Primary Care and Health Outcomes
- Alcohol Consumption and Health Effects
- Telemedicine and Telehealth Implementation
- Eosinophilic Esophagitis
- Body Contouring and Surgery
- Health Sciences Research and Education
Reliant Medical Group
2024
Duke University Hospital
1994-2023
Kansas State University
2022
Royal Children's Hospital
2016-2019
American College of Clinical Pharmacy
2019
Monroe Carell Jr. Children's Hospital
2019
Vanderbilt University Medical Center
2019
Health Sciences and Nutrition
2018
University of Arizona
2018
University of Arkansas for Medical Sciences
2016
The clinical and pathologic features of carcinoma arising in Barrett's esophagus were studied resection specimens from 26 patients. White males predominated (73%). A history symptomatic gastroesophageal reflux was frequently absent, being elicited only eight 14 patients (57%) with a carefully obtained at the time presentation carcinoma. Survival relatively short median survival 23 +/- 5 months, three had disease-free longer than 2 years. spectrum found: differentiation ranged well to poorly...
Background: Assessing in undergraduate medical education the educational effectiveness of a short computer-based session, integrating lecturer's video with standardized structure, for evidence based medicine (EBM) teaching, compared to lecture-based teaching session similar structure and duration.Method: A concealed, randomized controlled trial computer versus lecture equal duration (40 minutes) identical content EBM systematic reviews. The study was at Medical School, University Birmingham,...
Sex and racial predilection, social history, histology were analyzed in a biopsy-proven adenocarcinoma of the lower esophagus/esophagogastric junction collected over 5-year period two teaching institutions with different patient populations. Adenocarcinoma occurred 11% patients esophageal cancer. The disease only males at one center, 7:1 ratio to females other center. Clear predilection was seen, since 12 13 esophagus white, whereas less than 20% squamous carcinoma white. finding Barrett's...
<h3>Introduction</h3> Postoperative delirium is one of the most common complications major surgery, affecting 10–70% surgical patients 60 years and older. Delirium an acute change in cognition that manifests as poor attention illogical thinking associated with longer intensive care unit (ICU) hospital stay, long-lasting cognitive deterioration increased mortality. Ketamine has been used anaesthetic drug for over 50 established safety record. Recent research suggests that, addition to...
Background In the United States, innovation is needed to address increasing need for mental health care services and widen patient-to-provider ratio. Despite benefits of digital interventions (DMHIs), they have not been effective in addressing patients’ behavioral challenges as stand-alone treatments. Objective This study evaluates implementation effectiveness precision (PBH), a digital-first model embedded within routine primary that refers patients an ecosystem evidence-based DMHIs with...
Many academic medical centers are developing complex organizations of physicians and large health networks that provide managed care to groups people. Leaders these believe will the financial resources have previously been obtained through clinical provided at center itself. The rationale is a surplus revenues from by hospitals professionals needed continue support for research teaching.13 In race develop managed-care networks, basic questions about cultural organizational implications...
Abstract Competency standards in pharmacy education and training have been formulated by different organizations to focus on various stages the development of students, residents, clinical pharmacists. This commentary advocates a deliberate alignment educational outcomes, goals, competencies across developmental continuum practitioners. Consistent use terminology appropriate sequencing expectations will help develop pharmacists who can meet demands profession changing health care landscape....
VARIOUS electrocardiographic abnormalities have been described in patients with subarachnoid hemorrhage, meningitis, and other central nervous system processes.<sup>1,2</sup>We report a patient pathologically proved hemorrhage whom the ECG changes were striking included both complete heart block pronounced of ST segment T wave. <h3>Report Case</h3> A 65-year-old woman was admitted to hospital abrupt onset severe headache, diplopia, nausea, vomiting. She gave history mild hypertension,...
ABSTRACT Background and Aims: The aim of the study was to aid decisions on prognosis transplantation; this describes outcome children with intestinal failure managed by multidisciplinary rehabilitation program at Royal Children's Hospital, Melbourne. Methods: Retrospective review requiring parenteral nutrition (PN) for >3 months who were assessed home PN between 1991 2011. Results: A total 51 included. Forty‐two (82%) had short bowel syndrome (SBS), 5 (10%) chronic pseudo‐obstruction...
Implementation of interprofessional education (IPE) across health care disciplines continues to anchor the coordination and integration a multidisciplinary approach clinical care. Since publication ACCP white paper on IPE in 2009, has received increased attention among professional organizations accrediting bodies been focus hundreds new publications. Notable advances include updated core competencies from Interprofessional Education Collaborative (IPEC), addition 14 representing many...
Between the years of 1975 and 1979, frequency diagnosis esophageal cancer has doubled at Baltimore VA Medical Center due to a rapid increase among black males. This was not related increased yearly hospital admission rates, percentage patients admitted yearly, or use for chronic disease processes. Detailed chart review comparison with consecutive medical admissions as controls revealed heavy alcohol urbanization be risk factors experienced more frequently by than white male veterans. A...
In summary, then, it can be said that hepatic encephalopathy is a process caused by the underlying inability of certain products to metabolized in damaged liver. These lead altered neurotransmission with resulting neurologic finding affect, confusion, somnolence, or coma. Augmentation deficit occurs when patient suffers additional metabolic insults. Treatment requires careful monitoring and aggressive therapy for those factors known precipitate encephalopathy, as well treatment encephalopathy.
Background Invasive fungal infection (IFI) prophylaxis is recommended in patients with acute myeloid leukemia (AML) during induction chemotherapy. Posaconazole (POSA) the agent of choice; however, this medication can be associated QTc prolongation, hepatotoxicity, and drug-drug interactions. Furthermore, there conflicting evidence for role isavuconazole (ISAV) setting as an alternative to POSA. Objective The primary objective study was evaluate use ISAV IFI prevention AML undergoing...
Intraportal injection of 6-hydroxydopamine (6-OHDA) was used to produce selective hepatic sympathectomy in the dog. Previously reported techniques for 6-OHDA induced rats and cats were modified considerably using α β adrenergic blocking agents prevent otherwise intense fatal sympathomimetic response which has prevented adaptation intraportal dogs. After injection, histofluorescent staining demonstrated loss nerves with preservation normal innervation heart pancreas. Tyramine iv further...
Associate Director for Education and Evaluation Geriatric Research, Education, Clinical Center, Department of Veterans Affairs Medical Durham, North Carolina