A5025283279- Spinal Cord Injury Research
- Clinical Nutrition and Gastroenterology
- Colorectal Cancer Screening and Detection
- Palliative Care and End-of-Life Issues
- Esophageal and GI Pathology
- Obstructive Sleep Apnea Research
- Diabetic Foot Ulcer Assessment and Management
- Stroke Rehabilitation and Recovery
- Dysphagia Assessment and Management
- Cardiovascular Issues in Pregnancy
- Telemedicine and Telehealth Implementation
- Gastrointestinal motility and disorders
- Grief, Bereavement, and Mental Health
- Urinary Bladder and Prostate Research
- Cardiac Health and Mental Health
- Cardiac Arrest and Resuscitation
- Amyotrophic Lateral Sclerosis Research
- Pelvic floor disorders treatments
- Abdominal Surgery and Complications
- Trauma and Emergency Care Studies
- Diverticular Disease and Complications
- Heart Rate Variability and Autonomic Control
- Adipokines, Inflammation, and Metabolic Diseases
- Prosthetics and Rehabilitation Robotics
- Urinary Tract Infections Management
Icahn School of Medicine at Mount Sinai
2013-2024
James J. Peters VA Medical Center
2009-2023
Louis Stokes Cleveland VA Medical Center
2023
Case Western Reserve University
2023
New York Medical College
2021
NewYork–Presbyterian Hospital
2020-2021
Cornell University
2021
New York Hospital Queens
2020
Columbia University
2020
The Bronx Defenders
2011
Autonomic impairment may lead to increased prevalence of heart rate (HR) and blood pressure (BP) abnormalities in veterans with spinal cord injury (SCI). In addition, comorbid medical conditions prescription medication use influence these abnormalities, including bradycardia, tachycardia, hypotension, hypertension as well autonomic dysreflexia (AD), orthostatic hypotension (OH).
Decentralized autonomic cardiovascular regulation may lead to increased prevalence of heart rate (HR) and blood pressure (BP) abnormalities in veterans with SCI. In addition, comorbid medical conditions prescription medication use increase HR BP abnormalities. These include bradycardia, tachycardia, hypotension, hypertension as well dysreflexia orthostatic hypotension; the which is unknown.HR data were measured during a routine annual physical examination 64 Measurements recorded seated...
Abstract Background To determine the degree of blood pressure instability over a 30-day home observation in participants with spinal cord injury grouped by level pertaining to cardiovascular autonomic regulation. Methods This is an observational study completed at Kessler Foundation and James J. Peters Veterans Medical Center. Seventy-two tetraplegia (C1–T1), 13 high thoracic (T2–T4), 28 low (T5–T12) participated this study. Participants were asked record their using ambulatory monitor three...
Background: Postprandial lipemia (PPL) is associated with vascular dysfunction and may be an etiologic factor in the progression of atherogenic cardiovascular disease.Objective: In 10 men paraplegia able-bodied men, magnitude PPL responses relationship abdominal adiposity were determined.Methods: Anthropometrics, dual energy x-ray absorptiometry, ultrasonography performed to determine visceral fat total body fat. A fasting lipid profile was performed. high-fat milkshake (1.3 g fat/kg mass)...
The care of a spinal cord injury (SCI) person constitutes great challenge for the provider: SCI persons are mobility impaired, and they prone to develop multiple comorbidities such as diabetes mellitus, hypertension, obesity, bladder infections, wounds, depression. Furthermore, disease manifestations can be misleading depending on level injury. utilization telemedicine monitor patients deliver has opened new horizon persons. Several telehealth programs now in use pressure ulcers...
Persons with spinal cord injury (SCI) often have low levels of physical activity, which predispose to increased adiposity and decreased high density lipoprotein cholesterol (HDL-C) concentrations, and, generally, normal (LDL-C) concentrations. In spite the mixed profile, SCI population has been reported an elevated risk cardiovascular-related morbidity mortality. Nuclear magnetic resonance spectroscopy may permit a more precise quantification particle (P) species, enabling accurate inference...
As difficulty with evacuation is a common occurrence in individuals spinal cord injury, preparation prior to colonoscopy may be suboptimal and, perhaps, more hazardous.To assess the safety and efficacy of bowel cleansing regimens persons injury.Randomized, prospective, single blind study comparing polyethylene glycol (PEG), oral sodium phosphosoda (OSPS) combination both for colonic subjects injury.Thirty six eGFR > or =60 mL/min/1.73 m(2) were randomized PEG OSPS PEG+OSPS. Regardless...
Poor preparation for elective colonoscopy is exceedingly common in persons with spinal cord injury (SCI). This unsatisfactory outcome likely due to long-standing difficulty evacuation and decreased colonic motility, which may result inadequate responses conventional bowel regimens. We determined whether the addition of neostigmine MoviPrep before produced a higher percentage acceptable preparations patients SCI.Twenty-seven SCI subjects were prospectively randomized 1 2 arms: low-volume...
To describe the clinical features and disease course of COVID-19 in veterans with spinal cord injury (SCI).Case series consecutive SCI treated at a single center.SCI Unit an urban Veterans Administration hospital epicenter pandemic US.Seven confirmed infection by PCR; all were male, mean age was 60.6. Five had cervical level injury, five complete (AIS A). Six BMI > 22; three chronic obstructive pulmonary disease; kidney disease.None.Presence co-morbidities, diagnostic values,...
ABSTRACT OBJECTIVE To identify genetic biomarkers predisposing individuals with spinal cord injury (SCI) to recurrent pressure injuries (PIs). METHODS Repeated measures of the transcriptome profile veterans SCI at three Veterans Spinal Cord Injuries and Disorders Centers. Exclusion criteria included having significant active systemic disease time enrollment. Researchers obtained comprehensive profiles clinical health factors demographic information relevant PI history enrollment each...
Background: Poor preparation for elective colonoscopy is common in persons with spinal cord injury (SCI).This unsatisfactory outcome likely due to long-standing difficulty evacuation and decreased colonic motility.Our objective was determine the most effective applying a novel traditional approach bowel cleansing.Methods: Twenty-four subjects SCI were consented scheduled receive one of two possible arms: pulsed irrigation enhanced (PIEE) or polyethylene glycol-electrolyte lavage solution...
Early during the COVID-19 pandemic, rehabilitation providers received reports from people with spinal cord injury (SCI) of considerable disruptions in caregiver services, medical and nursing care, access to equipment supplies; concomitantly, community raised concerns related elevated risk acquiring infection due SCI-specific conditions. Due novel nature few tools existed systematically investigate outcomes needs SCI this emergency.To develop a multidimensional assessment tool for surveying...