A5089484743- Health Systems, Economic Evaluations, Quality of Life
- HIV-related health complications and treatments
- HIV Research and Treatment
- Pharmacological Effects and Toxicity Studies
- Frailty in Older Adults
- Eosinophilic Esophagitis
- Gastrointestinal disorders and treatments
- Cardiac Valve Diseases and Treatments
- Nutrition and Health in Aging
- Cytomegalovirus and herpesvirus research
- COVID-19 Clinical Research Studies
- Cardiovascular Health and Risk Factors
- Influenza Virus Research Studies
- Substance Abuse Treatment and Outcomes
- HIV/AIDS Research and Interventions
- Cardiac Health and Mental Health
- Intimate Partner and Family Violence
- Health disparities and outcomes
- Cardiac Arrhythmias and Treatments
- Venous Thromboembolism Diagnosis and Management
- Organ Donation and Transplantation
- Adolescent Sexual and Reproductive Health
- Cardiovascular Function and Risk Factors
- Inflammatory Bowel Disease
- Pancreatic and Hepatic Oncology Research
The University of Texas Medical Branch at Galveston
2022-2024
Aventura Hospital and Medical Center
2017-2020
Miami Dade College
2020
Miami VA Healthcare System
2018
Geriatric Research Education and Clinical Center
2018
Kasturba Medical College, Manipal
2014-2017
Manipal Academy of Higher Education
2014-2017
Frailty is a state of vulnerability to stressors that prevalent in older adults and associated with higher morbidity, mortality healthcare utilization. Multiple instruments are used measure frailty; most time-consuming. The Care Assessment Need (CAN) score automatically generated from electronic health record data using statistical model. methodology for calculation the CAN consistent deficit accumulation model frailty. At 95 percentile, predictor hospitalization Veteran populations. purpose...
Background Cardiovascular complications from COVID-19 include myocarditis, acute myocardial infarction, heart failure, and others. Population-level data is lacking about the relationship between cardiovascular complications; therefore, we conducted a study to examine incidence of infarction (AMI), failure (HF) after infection. Methods Retrospective cohort using de-identified 50 health systems across United States. Cohort groups were created patients ≥18 who admitted hospitals for respiratory...
Background We aim to compare the burden of cardiovascular disease risk factors and major adverse cardiac events in-hospital outcomes among young Black patients (aged 18-44 years) hospitalized in 2007 2017 using data obtained from National Inpatient Sample database. Method Results Comparison sociodemographic characteristics, comorbidities, inpatient outcomes, including (all-cause mortality, acute myocardial infarction, cardiogenic shock, arrest, ventricular fibrillation/flutter, pulmonary...
With the increase in popularity of cannabis and its use lack large-scale data on venous thromboembolism pulmonary embolism (PE), we used a nationally representative cohort young adults (aged 18-44 years) to compare odds admissions in-hospital mortality PE with without disorder (CUD).
Background: Intimate partner violence (IPV) is a severe form of abuse prevalent in urban and rural areas India with its effects on mental physical health the person receiving it, leading to poorer quality life. Methods: A cross-sectional study was conducted among 99 women living HIV, information collected using assessment scale. The data were entered analyzed SPSS version 17.0. Results: IPV reported by 19.2% respondents, which psychological (14.1%) most common followed (4.1%) sexual (1.0%)....
Background: HIV associated neurocognitive dysfunction (HAND) ranges from asymptomatic impairment (ANI) to mild disorders (MND) dementia (HAD). Cognitive may impact medication adherence which will ultimately affect morbidity and mortality. Aim: This study was undertaken evaluate among positive patients using the International Dementia scale(IHDS). Materials Methods: cross sectional conducted in a tertiary care hospital attached medical college that caters large number of patients. The...
Eosinophilic gastroenteritis (EGE) is a rare idiopathic disease affecting multiple organs (stomach and small intestine) of the digestive tract. It characterized by eosinophilic infiltration bowel wall to variable depth symptoms associated with gastrointestinal tract disease. The prevalence this condition ranging from 8 28 per 100,000. We present presentation EGE manifesting as upper GI bleeding. A 28-year-old male PMH EGE, duodenal ulcers, stricture presented hospital chief complaints three...
Carotid webs are abnormal luminal projections at the carotid bulb associated with blood flow stasis, artery dissection, and subsequent complications. considered to be a rare variant of fibromuscular dysplasia (FMD). Young individuals symptomatic found ischemic stroke. The incidence web is low, it rarely reported. Only 150 cases FMD have been reported so far. non-inflammatory non-atherosclerotic arteriopathy. most common arterial beds involved renal extracranial carotids. Presentation varies...
INTRODUCTION: Pancreatic duct disruption is a known complication of pancreatitis which leads to the formation pancreatic pseudocysts, ascites, and high amylase pleural effusions. pseudocysts migrate along with tissue rupture either into surrounding organs or free peritoneal cavity. Splenic complications are rare include splenic vein thrombosis, artery rupture, infarction, hematoma. CASE DESCRIPTION/METHODS: 39 y/o alcoholic male admitted for acute pancreatitis. Imaging revealed ascites....
Cytomegalovirus (CMV) infections are typically seen in individuals with immunosuppressive conditions such as malignancies, HIV/AIDS, and organ transplantation, patients on chemotherapy or steroids. Recurrent disease can occur if the virus reactivates due to disruption of immunity factors older age drugs. CMV is common, a seroprevalence (CMV IgG-positive) 40-100 % adults, increasing age. It has been reported that inflammatory bowel remission be exacerbated by colitis complicate steroids...
Background: Anxiety, depression, and cognitive changes are common adverse outcomes after acute coronary syndromes (ACS). These challenges also predict increased risk of cardiac outcomes. While it is known that females have higher rates psychological symptoms generally, data on sex differences in onset following an event scarce, especially among older adults. Goal: Our goal was to determine if exist mental health syndrome Hypothesis: Females more likely new issues within one year ACS compared...
INTRODUCTION: Drug-induced hepatitis is inflammation of the liver that caused by a toxic amount certain medicines, vitamins, herbal or food supplements. We present case young adult male with testosterone booster induced acute hepatitis, abnormally high enzymes but otherwise relatively asymptomatic presentation. CASE DESCRIPTION/METHODS: 35 year old man, who presented to hospital flu like symptoms for 3 days. Gastroenterology was consulted urgent evaluation new onset nausea, vomiting and...
Background: HIV associated neurocognitive dysfunction (HAND) ranges from asymptomatic impairment (ANI) to mild disorders (MND) dementia (HAD). Cognitive may impact medication adherence which will ultimately affect morbidity and mortality. Aim: This study was undertaken evaluate among positive patients using the International Dementia scale(IHDS). Materials Methods: cross sectional conducted in a tertiary care hospital attached medical college that caters large number of patients. The...
Frailty is a state of vulnerability to stressors resulting in higher morbidity, mortality and healthcare utilization older adults. impact on patients with T2DM not well characterized. The aim this study was determine community cohort (65 years older) type 2 diabetes mellitus (T2DM) whether frailty associated utilization. Community dwelling Veterans underwent assessment the validated 5-item FRAIL Scale (frail ≥ 3; pre-frail 1-2; robust 0 points) between January 2016 December 2017. At one year...
INTRODUCTION: Pylephlebitis, also known as infective suppurative thrombosis of the portal vein, requires imaging revealing vein in a bacteremic patient. It has high mortality symptoms are nonspecific. We present rare case UTI complicated by PV thrombosis, further liver abscesses. CASE DESCRIPTION/METHODS: 76 y/o female presented to ER with non-specific like fevers, chills, lethargy, decreased appetite, dark-foul smelling urine, for week. Her vital were WNL. She had no abdominal pain, but RUQ...
INTRODUCTION: Cytomegalovirus (CMV) infections are more commonly seen in individuals with immunosuppressive diseases. We present a unique case of CMV colitis superimposed as ischemic an immunocompetent individual. CASE DESCRIPTION/METHODS: A 68-year-old man history PE (on Xarelto), pneumothorax & COPD presented 10 weeks diarrhea, associated chills, lower abdominal discomfort, poor appetite, and weight loss 15 pounds. Rectal exam showed dark stool FOBT was positive Lab data elevated ESR...
INTRODUCTION: Eosinophilic gastroenteritis (EGE) is a rare idiopathic disease affecting multiple organs (stomach and small intestine) of the gastrointestinal tract (GIT). It characterized by eosinophilic infiltration bowel wall to variable depth symptoms associated with GIT. Klein et al classified EGE into 3 subtypes predominant mucosal, muscular or subserosal. The prevalence has been found be ranging from 8.4 28 per 100,000. CASE DESCRIPTION/METHODS: Our patient 28-year-old male PMHx EGE,...