A5017817171- Dysphagia Assessment and Management
- Tracheal and airway disorders
- Esophageal and GI Pathology
- Voice and Speech Disorders
- Child Nutrition and Feeding Issues
- Pain Management and Opioid Use
- Musculoskeletal pain and rehabilitation
- Stroke Rehabilitation and Recovery
- Mentoring and Academic Development
- Acute Ischemic Stroke Management
- Neurobiology of Language and Bilingualism
- Muscle activation and electromyography studies
- Bone and Joint Diseases
- Dialysis and Renal Disease Management
- Anesthesia and Pain Management
- Dementia and Cognitive Impairment Research
- Pharmaceutical Practices and Patient Outcomes
- Diversity and Career in Medicine
- Musculoskeletal Disorders and Rehabilitation
- Pediatric Pain Management Techniques
- Innovations in Medical Education
- Opioid Use Disorder Treatment
- Stuttering Research and Treatment
- EEG and Brain-Computer Interfaces
- Healthcare Operations and Scheduling Optimization
Johns Hopkins Medicine
2015-2024
Johns Hopkins University
2015-2024
Johns Hopkins Hospital
2016-2023
Fusion for Energy
2022
Faculdades Guarulhos
2020
PES University
2020
Messerschmitt-Bölkow-Blohm (Germany)
2020
Loma Linda University
2018
Columbia University Irving Medical Center
2018
University of Pittsburgh
2018
To explore how sponsorship functions as a professional relationship in academic medicine.The authors conducted semistructured interviews with Johns Hopkins University School of Medicine faculty 2016: department chairs (sponsors) and participants an executive leadership development program (protégés). Using editing analysis style, the coded interview transcripts for thematic content; coding framework themes were derived using iterative process.Five identified from 23 (12 sponsors, 11...
Prehabilitation is the process of enhancing preoperative functional capacity to improve tolerance for upcoming stressor; it was associated with improved postoperative outcomes in a handful studies, but never evaluated transplantation. Kidney transplant (KT) candidates may be uniquely suited prehabilitation because they experience profound loss while waiting years on dialysis. To better understand feasibility and effectiveness KT, we conducted pilot study center-based candidates; this...
Prediction models for post-kidney transplantation mortality have had limited success (C-statistics ≤0.70). Adding objective measures of potentially modifiable factors may improve prediction and, consequently, kidney transplant (KT) survival through intervention. The Short Physical Performance Battery (SPPB) is an easily administered test lower extremity function consisting three parts (balance, walking speed, chair stands), each with scores 0–4, a composite score 0–12, higher indicating...
In this study, the relationship between patients' perceptions of pain control during hospitalization and their overall satisfaction with care was examined. Satisfaction data were collected from federally mandated Hospital Consumer Assessment Healthcare Providers Systems survey for 4349 adult patients admitted to any surgical unit over an 18-month period. Patients' staff's efforts associated scores. These varied widely among services nursing units. Interestingly, patient more strongly...
To assess demographic and clinical factors associated with celiac plexus neurolysis outcomes.Retrospective data analysis.A tertiary care, academic medical center.Forty-four patients terminal visceral (mostly pancreatic) cancer who failed conservative measures. Interventions. Fifty alcohol neurolytic procedures done for pain control after a positive diagnostic block.A successful treatment was predefined as >50% relief sustained > or =1 month. The following variables were analyzed their...
Cognitive decline is common and increases mortality risk in hemodialysis patients. Intradialytic interventions like cognitive training (CT) exercise (ET) may preserve function.We conducted a pilot randomized controlled trial of 20 patients to study the impact 3 months intradialytic CT (tablet-based brain games) (n = 7), ET (foot peddlers) 6), or standard care (SC) 7) on function. Global function was measured by Modified Mini Mental Status Exam (3MS), psychomotor speed Trail Making Tests A B...
Objectives To determine whether symptoms and clinical signs of swallowing dysfunction could be easily identified in community‐dwelling elderly adults to examine the association between self‐report direct observation dysfunction. Design Physiological substudy conducted as a home visit within an observational cohort study. Setting Baltimore City County, Maryland. Participants Community‐dwelling women without history dysphagia or neurological disease aged 85 94 enrolled W omen's H ealth A ging...
The coronavirus disease 2019 (COVID-19) pandemic is having a profound effect on the provision of medical care. As curve progresses and patients are discharged, rehabilitation wave brings high number postacute COVID-19 suffering from physical, mental, cognitive impairments threatening their return to normal life. complexity severity in recovering severe infection require an approach that implemented as early recovery phase possible, concerted systematic way. To address wave, we describe...
Background and Purpose— Dysphagia is a common problem after stroke associated with significant morbidity mortality. Except for patients brain stem strokes, particularly lateral medullary it difficult to predict which cases are likely develop swallowing dysfunction based on their neuroimaging. Clear models of control integration cortico-bulbar input have not been defined the role subcortical structures unclear. The purpose this study was identify supratentorial regions interest (ROIs) that...
Videofluoroscopic examination of swallowing (VF) is the gold standard in diagnosis and management dysphagia. During VF, patient ingests radiopaque foods liquids, oral, pharyngeal, esophageal stages physiology are observed evaluated. Aspiration defined as passage materials through vocal folds, laryngeal penetration into larynx, but not folds. In this study, we compared risk or aspiration during VF using various liquid volumes food consistencies. Between January 2006 September 2008, 229...
Background. In addition to its conventional use as a treatment for refractory neuropathic extremity pain, spinal cord stimulation (SCS) has recently emerged possible visceral and arthritic pain. But concurrent with the expansion of conditions amenable SCS, other studies have questioned long-term efficacy SCS traditional indications. These disparate findings argue strongly refinement selection criteria. The purpose this study is identify correlates outcome SCS. Methods. Data were...
Rationale: Endotracheal intubation is associated with postextubation swallowing dysfunction, but no guidelines exist for assessments.Objectives: We evaluated the prevalence, patient demographic and clinical factors, intensive care unit (ICU) hospital organizational factors assessment after oral endotracheal mechanical ventilation in patients acute lung injury (ALI).Methods: performed a secondary analysis of prospective cohort study which investigators 178 eligible ALI who were mechanically...
During feeding, solid food is chewed and propelled to the oropharynx, where bolus gradually aggregates while larynx remains open breathing continues. The aggregated in valleculae exposed respiratory airflow, yet aspiration rare healthy individuals. mechanism for preventing during aggregation unclear. One possibility that alterations pattern of respiration feeding could help prevent inhalation from pharynx. We hypothesized was inhibited valleculae. Videofluorography performed on 10 volunteers...
To determine the clinical performance characteristics of Mann Assessment Swallowing Ability (MASA) for predicting aspiration (determined by videofluoroscopic swallowing study [VFSS]) in a mixed population.We selected 133 cases clinically evaluated using MASA and VFSS from January through June 2007. Ordinal risk rating (ORR) total numeric score (TNS) were as predictors on VFSS. account missing items, maximum possible was determined weighted percentage calculated each patient. We used receiver...