- Cardiovascular and Diving-Related Complications
- Ocean Acidification Effects and Responses
- Advances in Oncology and Radiotherapy
- Heme Oxygenase-1 and Carbon Monoxide
- Diabetic Foot Ulcer Assessment and Management
- Advanced Radiotherapy Techniques
- Occupational and environmental lung diseases
- Palliative Care and End-of-Life Issues
- Intracranial Aneurysms: Treatment and Complications
- Cancer Immunotherapy and Biomarkers
- Cardiac Arrest and Resuscitation
- Marine and fisheries research
- Coral and Marine Ecosystems Studies
- Simulation-Based Education in Healthcare
- Bone and Joint Diseases
- Cerebrospinal fluid and hydrocephalus
- Marine Bivalve and Aquaculture Studies
- Marine Toxins and Detection Methods
- Ethics in Clinical Research
- Healthcare Education and Workforce Issues
- Education and Learning Interventions
- Business Process Modeling and Analysis
- Health Systems, Economic Evaluations, Quality of Life
- Colorectal and Anal Carcinomas
- Cancer Research and Treatments
The University of Western Australia
2023
Winship Cancer Institute
2019-2021
Emory University
2019-2021
Hospital Tuanku Ja’afar
2021
University of California, Los Angeles
2015-2020
Radiation Oncology Associates
2017-2019
Universidad Marista de Mérida
2018
Day Family Medicine
2016
Los Angeles Medical Center
2015
Decompression sickness (DCS) is a systemic disorder, assumed due to gas bubbles, but additional factors are likely play role. Circulating microparticles (MPs)—vesicular structures with diameters of 0.1-1.0 μm—have been implicated, data in human divers have lacking. We hypothesized that the number blood-borne, Annexin V-positive MPs and neutrophil activation, assessed as surface MPO staining, would differ between self-contained underwater breathing-apparatus suffering from DCS vs....
PURPOSE: Magnetic resonance–guided radiation therapy (MRgRT) has recently become commercially available, offering the opportunity to accurately image and target moving tumors as compared with computed tomography-guided (CTgRT) systems. However, costs of delivering care these 2 modalities remain poorly described. With localized unresectable hepatocellular carcinoma an example, we were able use time-driven activity-based costing determine cost treatment on linear accelerators CTgRT MRgRT....
Small-scale fishermen work in a high risk environment, but other variables could exert pressure and increase their likelihood of accidents, such is the case diving. The paper addresses issues associated with perception attitudes toward about risk, strategies developed to face economic, environmental management policies stress. Surveys focus groups were undertaken Yucatan fishing village. Decompression sickness was identified as main health problem among divers. Carbon monoxide poisoning not...
The probabilities of decompression sickness (DCS) among diving fishermen are higher than in any other group divers. Diving behavior artisanal has been directed mainly to target high-value species. aim this study was learn about the occurrence DCS derived from sea cucumber harvesting Yucatán Peninsula, Mexico. We conducted a retrospective chart review treated at multiplace hyperbaric chamber Tizimín, In total, 233 recompression therapies were rendered 166 2014 2016. average age 36.7 ± 9.2...
Background: There is an association between higher hospital and urologist case volume improved survival outcomes for patients with bladder cancer.Less data on facility exists following trimodality preservation TURBT followed by definitive chemoradiation (CRT). Materials Methods:The National Cancer Database was queried from 2004-2013 urothelial cancer (cT2-4aN0M0) receiving CRT after TURBT.We compared OS high-and low-bladder (BPCV) centers using Cox proportional hazard models.BPCV...
Despite the fact that current decompression schedules reduce risk of sickness (DCS), recreational scuba divers continue to experience DCS. Therapy outcomes in these are difficult track. Our study aims understand efficacy United States Navy (USN) Treatment Tables (5, 6, 6A, 9) providing symptomatic relief among divers. We conducted a single-center retrospective review treated from 2003 2013. A total 187 were identified: 84 excluded, and charts remaining 103 independently reviewed by three...
Introduction: In Yucatán, Mexico, during the sea cucumber season fishermen dive intensely to obtain good catches but are often at risk of decompression sickness (DCS). We present a single case fatality. Objective: analyzed clinical course, medical assessment and recompression treatment plan an untrained fisherman. Case report: A 35-year-old male ascended rapidly using compressed-air diving. Before reaching coast, he reported dizziness, shortness breath, pain in abdomen legs. Three hours...
Introduction: Decompression sickness is endemic to small- scale fishermen-divers from coastal communities in southeast Mexico; overweight and obesity are also highly prevalent the region. Existing literature suggests it possible that fat tissue could play a role decompression pathophysiology. Our aim this study describe association between number severity of DCS events treated at hyperbaric program fishermen-diver body mass index. Methods: In cross-sectional study, we obtained anthropometric...
Artisanal diving fishermen in Yucatán, Mexico have high rates of decompression sickness as a result frequently unsafe practices with surface supplied compressed air. In this study, we investigated the prevalence dysbaric osteonecrosis (DON), type avascular necrosis, most susceptible joints cohort these fishermen.We performed radiographs bilateral shoulders, hips, and knees 39 surveyed them about their medical histories. We pairwise correlations to examine if fishermen's behaviours affected...
Introduction: This observational study was conducted to assess the knowledge, attitudes, and perceptions (KAP) of Malaysians toward participating in clinical trials. It also aimed look for factors that will influence people’s willingness participate We planned developed future outreach, education tools, recruitment strategies increase trial enrolment. Methods: A cross-sectional carried out on a randomly selected sample 398 Malaysian literate adults. An online questionnaire created...
Introduction. Safety and human health conditions are precarious in small-scale fisheries notwithstanding an important source of income food for millions people. First-aid training is vital fishers because the high frequency fatal non-fatal injuries during fishing seasons, however, it extremely uncommon. Objective. The aim this study was to implement evaluate a first-aid course tailored fishers’ using High Fidelity Medical Simulation Technology (HDMST). Methods: capacities strategy CPR,...
Diving as a method of fishing is used worldwide in small-scale fisheries. However, one the main causes morbidity and mortality among fishermen decompression sickness (DCS). We report case 46-year-old male fisherman diver who presented with chronic inguinal pain that radiated to lower left limb. Living working port Yucatan, he had prior history DCS. A diagnosis avascular necrosis femoral head secondary DCS was made via analysis clinical radiological findings. The surgically resolved by total...
In Taiwan, tobacco is associated with 20,000 deaths each year among 3.5 million smokers. Our hospital has joined the Smoke-Free Hospital Program in 2015 to help smokers quit smoking. This study aimed at evaluating effectiveness of smoking abstinence our after implementation program involving patient education and pharmacotherapy. The number participants 3-month rate were compared before between January 2014 October a tertiary referral setting (E-Da Hospital). Successful cessation was...