- Traumatic Brain Injury Research
- Traumatic Brain Injury and Neurovascular Disturbances
- Palliative Care and End-of-Life Issues
- Cardiac Arrest and Resuscitation
- Intracerebral and Subarachnoid Hemorrhage Research
- Psychosomatic Disorders and Their Treatments
- Healthcare Systems and Reforms
- Blood donation and transfusion practices
- Health Systems, Economic Evaluations, Quality of Life
- Organ Donation and Transplantation
- Acute Ischemic Stroke Management
- Cerebrospinal fluid and hydrocephalus
- Cardiovascular Syncope and Autonomic Disorders
- Medication Adherence and Compliance
- Epilepsy research and treatment
- Trauma, Hemostasis, Coagulopathy, Resuscitation
Athinoula A. Martinos Center for Biomedical Imaging
2024
Harvard University
2024
Spaulding Rehabilitation Hospital
2024
Massachusetts General Hospital
2024
Columbia University Irving Medical Center
2022-2024
Columbia University
2022-2023
New York Hospital Queens
2022-2023
NewYork–Presbyterian Hospital
2022-2023
Columbia College
2022
Royal College of Physicians
2022
Patients with brain injury who are unresponsive to commands may perform cognitive tasks that detected on functional magnetic resonance imaging (fMRI) and electroencephalography (EEG). This phenomenon, known as motor dissociation, has not been systematically studied in a large cohort of persons disorders consciousness.
Abstract In unconscious appearing patients with acute brain injury, wilful activation to motor commands without behavioural signs of command following, known as cognitive dissociation (CMD), is associated functional recovery. CMD can be detected by applying machine learning EEG recorded during presentation in behaviourally unresponsive patients. Identifying carries clinical implications for patient interactions, communication families, and guidance therapeutic decisions but underlying...
OBJECTIVES: Low hemoglobin concentration impairs clinical hemostasis across several diseases. It is unclear whether impacts laboratory functional coagulation assessments. We evaluated the relationship of on viscoelastic hemostatic assays in intracerebral hemorrhage (ICH) and perioperative patients admitted to an ICU. DESIGN: Observational cohort study separate vitro study. SETTING: Multicenter tertiary referral ICUs. PATIENTS: Two acute ICH cohorts receiving distinct testing modalities:...
Abstract Background One of the most cost-effective treatments for secondary prevention stroke and other non-communicable diseases is a long-term medication regimen. However, complexities adherence extend far beyond individual behavior change, particularly in low- middle-income countries. The purpose this study was to examine stakeholder perspectives on barriers patients Beijing, China, identifying opportunities improve care policy resource-constrained settings. Methods We conducted...
Abstract Background Impaired consciousness is common in intensive care unit (ICU) patients, and an individual’s degree of crucial to determining their prognosis. However, there are no methods that continuously monitor alert clinicians changes. We investigated the use physiological signals collected ICU classify levels critically ill patients. Methods studied 61 patients with subarachnoid hemorrhage (SAH) 178 intracerebral (ICH) from neurological at Columbia University Medical Center a...
<h3>Objective:</h3> To determine the minimum level of recovery (LOR) deemed acceptable by surrogate decision makers and healthcare professionals (HCPs) unconscious patients with intracerebral hemorrhage (ICH). <h3>Background:</h3> Prognosticating acutely brain-injured is imprecise but may be improving development novel technology. Understanding functional outcomes factors that influence these thresholds for families caregivers neurological injury critical to ensure effective communication...
<h3>Objective:</h3> To determine the impact of cognitive motor disassociation (CMD) in goals care (GOC) decisions for surrogate decision makers and healthcare professionals (HCPs) unconscious patients assess support clinical research participation. <h3>Background:</h3> Predictions recovery from acute disorders consciousness are imprecise but novel diagnostic tools emerging. CMD refers to detection willful brain activation following commands absence behavioral command as detected by machine...