A5055096843- Medication Adherence and Compliance
- Atrial Fibrillation Management and Outcomes
- Alcoholism and Thiamine Deficiency
- Colorectal and Anal Carcinomas
- Cardiovascular Issues in Pregnancy
- Gastric Cancer Management and Outcomes
- Cardiac tumors and thrombi
- Cardiac Structural Anomalies and Repair
- Cardiac Imaging and Diagnostics
- Gastrointestinal disorders and treatments
- Cardiac Arrhythmias and Treatments
- Biodiesel Production and Applications
- Esophageal and GI Pathology
- Intestinal Malrotation and Obstruction Disorders
- Cardiac Health and Mental Health
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare cost, quality, practices
- Urological Disorders and Treatments
- Intestinal and Peritoneal Adhesions
- Colorectal Cancer Surgical Treatments
- COVID-19 and healthcare impacts
- Uterine Myomas and Treatments
- Glycogen Storage Diseases and Myoclonus
- Kawasaki Disease and Coronary Complications
- Pharmacology and Obesity Treatment
University of Alabama at Birmingham
2024-2025
Augusta University
2022-2023
University of Georgia
2022-2023
Georgia Gwinnett College
2019-2022
Piedmont Atlanta Hospital
2022
St Helens and Knowsley Teaching Hospitals NHS Trust
2016
John Radcliffe Hospital
2006-2009
Texas A&M University
1988
Introduction: Infliximab is a monoclonal antibody against tumor necrosis factor-alpha, which has been shown to be effective in fistulating Crohn's disease. The safety of infliximab patients with potential perianal sepsis uncertain. This study was designed assess the and outcome therapy combined surgery for anal Methods: All receiving disease between 2000 2004 were studied. Patients' demographics, clinical findings, magnetic resonance imaging, examination under anesthesia recorded. Perianal...
Biodiesel was synthesized from locally sourced, on-campus, dining facility waste cooking oil and grease by base-catalyzed transesterification with methanol. The components properties of the biodiesel were characterized gas chromatography–mass spectrometry (GC–MS), Fourier transform infrared spectroscopy (FT-IR), nuclear magnetic resonance (NMR (1H 13C)), inductively coupled plasma-mass (ICP–MS), viscometer, bomb calorimetery. Five major fatty acid methyl esters (FAMEs) in oleate, linoleate,...
Spontaneous rupture of the urinary bladder is a rare occurrence, and when encountered it diagnostic challenge. We present an unusual case in patient with severe cerebral palsy who initially presented localized abdominal pain during admission developed generalized peritonitis caused by rupture. In this case, had none risk factors associated bladder.
Background: Stress cardiomyopathy (SCM) is rarely triggered by ketamine and seldom leads to cardiogenic shock. Ketamine-induced catecholaminergic surge can lead myocardial stunning with transient ischemia subsequent reversible heart failure. Mechanical circulatory support be successfully leveraged in SCM-associated shock while awaiting recovery. Case Presentation: A 28-year-old female chronic pain was admitted for failure thrive secondary opioid-induced gastroparesis. The patient weaned off...
We present a female patient with history of systolic heart failure an ejection fraction 25-30%, and unprovoked pulmonary embolism on extended anticoagulation therapy rivaroxaban who underwent pericardial window for cardiac tamponade due to hemopericardium in the setting direct oral anticoagulant (DOAC). The was held following window, she experienced another episode before could be restarted. Currently, there are no guidelines when restart postpericardial DOAC-associated hemopericardium....
Introduction: Peripartum cardiomyopathy (PPCM) is the leading cause of late postpartum pregnancy-related death and often precipitates acute heart failure cardiogenic shock. Limited contemporary data exists on long-term outcomes among PPCM patients who develop shock (PPCM-CS), especially those require extra-corporeal membrane oxygenation (ECMO). Methods: This retrospective cohort study identified with PPCM-CS from January 2012-January 2024, using EHR-based academic medical centers across US...
Background: Kawasaki disease (KD) is a systemic vasculitis that rare and underdiagnosed in adults given its atypical presentation, especially non-Asian patients. Incomplete KD characterized by less than 4 of the classic clinical findings mucocutaneous inflammation more common adults. shock syndrome (KSS) complication has features both cardiogenic vasoplegic shock. Case: A 48-year-old Black male was admitted for subjective fevers, abdominal pain, cervical adenopathy, jaundice. Labs include...
Embolic myocardial infarction (MI) due to malignancy is a rare clinical entity defined by embolization of cancerous tissue the coronary arteries. We present case 49-year-old man presenting with an anterolateral MI in setting metastatic melanoma tumor embolization.
Abstract Objective The COVID‐19 pandemic has been associated with decreased incidence of acute coronary syndrome worsened outcomes. Few studies have addressed the effects beyond initial phases pandemic. This study elucidated incidence, clinical characteristics, management, and outcomes NSTEMI at a tertiary referral center from sample time periods 2019–2022. Methods included consecutive patients March 14–May 9, Variables baseline features on arrival, management strategy, parameters, adverse...
Aim: This study identifies the most cited papers on spontaneous coronary artery dissection and evaluates their focus characteristics of current literature. Methods: The Web Science database was queried for publications between 1971 2021. articles were ranked from to least citations, each reviewed by two authors. Results: total citations ranged 44 457, with a median (interquartile range) citation 78.5 (60-140). Females 28% first authors, about half (52/100) published in last decade,...
Introduction: Extensive small bowel resection often results in the need for long‐term nutritional support. This study aimed to assess factors affecting long term outcome following extensive resection. Method: Patients who underwent extreme were assessed. Indication resection, length of remaining bowel, presence ileocaecal valve, colonic and total parental (TPN) requirements recorded. Results: There 24 patients age range 28–79 (median 49 years). Fourteen male. Indications included...
Objective: The LGBTQ community faces unique psychosocial stressors and barriers in access to care. This study seeks characterize the difference hypertension (HTN) medication adherence between straight men women. Methods: cross-sectional examines 1,905 self-identifying 2,349 women, who selected “gay” or “bisexual”, 66,938 76,464 “straight”, for sexual orientation response National Health Interview Survey (NHIS) conducted by Center Disease Control Prevention (CDC) from 2016-2021. Other...
Objective: Hypertension (HTN) affects 47% of adults in the United States (US). Medication adherence is difficult to achieve due its benign course. This study aims characterize difference HTN medication between major regions US and incongruity urban rural areas. Methods: a cross-sectional consisting 11,494 persons, representing over 71 million US, with diagnosis HTN. Data was obtained from National Health Interview Survey 2020. Variables include adherence, access regular care, household...
Background: Percutaneous left atrial appendage (LAA) closure is contraindicated in patients with LAA thrombus. It can be challenging to distinguish slow flow (sludge) from organized thrombus on echocardiography. Recent case reports have shown that isoproterenol infusion sludge thrombus, however, no mid/long-term outcome data exists. Methods: A retrospective study was conducted 32 who underwent Watchman™ implantation at Piedmont Atlanta Hospital during 2021. Patients were divided into two...
Introduction: Less than 50% adherence is reported 1 year after initiating antihypertensives. We examined social disparities in cost-related medication non-adherence (CRN) by insurance and family income categories adults with hypertension. Methods: used National Health Interview Survey 2014-2017 data from who hypertension were taking antihypertensive medications. Respondents their plan income. A cumulative SDoH index was created aggregating 45 determinants 6 domains, respondents grouped...