Explanipedia

1317 Addressing OSA Care in Rural Communities: Development of the West Virginia OSA Academic Mentoring Partnership Open

Robert Stansbury, Nicole L. Stout, Toni Marie Rudisill, Judith Feinberg, Geri Dino , et al. · 2025

Introduction This study used implementation science and community engaged research methods to address a significant care gap for obstructive sleep apnea (OSA) in West Virginia (WV). To this end, we designed an intervention to support prima…

1486 Hypoglossal Neuropraxia Following Electrical Cardioversion for Atrial Fibrillation Open

Robert G. Young, Kassandra Olgers, Anam Sabzwari, Edward Rojas, John D. Armstrong , et al. · 2025

Introduction Hypoglossal nerve stimulation (HNS) is an alternative therapy for moderate-to-severe obstructive sleep apnea (OSA). Atrial fibrillation (AF) frequently co-occurs with OSA due to their interrelationship. Report of case A 71-yea…

1357 Sleep Apnea in Hospitalized Patients in a Rural Cohort: A 5 Year Experience (SAHARA Study) Open

Kassandra Olgers, Mayuri Mudgal, Asif Rahman, Scott Knollinger, Vishal Deepak , et al. · 2025

Introduction Introduction Hospital sleep medicine is a novel and growing field. At our tertiary care center, patients are screened by a dedicated respiratory therapist with STOP BANG if BMI > 30 and admitted to internal medicine or card…

1488 A Severe Case of Propriospinal Myoclonus Open

Robert Young, Mouhannad Azzouz, Anam Sabzwari, Edward Rojas, Robert Stansbury , et al. · 2025

Introduction Propriospinal myoclonus (PSM) is a rare disorder characterized by axial muscle jerks originating in the thoracoabdominal region and spreading outward. These are often exacerbated in recumbent positions and preceded by an inter…

1333 Impact of the Distance from a Sleep Center on Telehealth Rates and Compliance with OSA Therapy Open

Robert G. Young, Jesse Thompson, Anam Sabzwari, Edward Rojas, Robert Stansbury , et al. · 2025

Introduction Compliance with therapy for obstructive sleep apnea (OSA) is critical for achieving optimal patient outcomes. Factors such as the distance from a sleep center and the mode of consultation (in-person vs. telehealth) may influen…

1318 Initial Implementation Outcomes of the West Virginia Obstructive Sleep Apnea Academic Mentoring Partnership Open

Robert Stansbury, Toni Marie Rudisill, Judith Feinberg, Nicole L. Stout, Sunil Sharma , et al. · 2025

Introduction There is a critical need to create sustainable interventions for the nearly 80% of patients with undiagnosed obstructive sleep apnea (OSA), particularly in rural communities where notable health disparities exist. The West Vir…

0653 High Incidence of Undiagnosed Obstructive Sleep Apnea in Hospitalized Patients with Congestive Heart Failure Open

Mayuri Mudgal, Kassandra Olgers, Scott Knollinger, Robert Stansbury, Edward Rojas , et al. · 2025

Introduction Sleep-disordered breathing (SDB) is highly prevalent in hospitalized patients. This is also true for patients with congestive heart failure (CHF) who get hospitalized with either stable or decompensated CHF. We aim to understa…

1109 Impact of Obstructive Sleep Apnea and Pulmonary Hypertension on Hospital Re-admission and Overall Survival in Rural Appalachia Population Open

Kassandra Olgers, Mortoza Farahnaz Anwar, A. Rahman, Manoj Nepal, Scott Knollinger , et al. · 2025

Introduction Obstructive sleep apnea (OSA) is a highly prevalent comorbid condition and is present in 12-13% of patients with pulmonary hypertension (PH). However direct causality for pulmonary hypertension and its impact on long-term outc…

1416 Micronized Progesterone Induced Sleep Parasomnias: A Rare Association Open

Anam A Sabwari, Edward Rojas, Robert Stansbury, Robert G. Young, Stephen Coutras , et al. · 2025

Introduction Progesterone-induced sleep parasomnia is a rare neuropsychological condition that can manifest as somnambulism and sleep-related eating disorder (SRED) in women. The precise mechanism underlying this phenomenon remains unclear…

0654 Sleep Apnea in Hospitalized Patients with Systolic Heart Failure (SLEEP-HEART STUDY) Open

Mayuri Mudgal, Kassandra Olgers, Scott Knollinger, Robert Stansbury, Edward Rojas , et al. · 2025

Introduction Sleep disordered breathing(SDB) is common in patients with heart failure(CHF) and is subtyped into obstructive (OSA) and central sleep apnea(CSA). Based on prior studies,CSA occurs in 25-40% of patients with CHF with reduced e…

Post-Discharge non-invasive ventilation for hypercapnic respiratory failure: Outcomes in a Rural Cohort Open

Sunil Sharma, Robert Stansbury, Mayuri Mudgal, Priyanka Srinivasan, Edward Rojas , et al. · 2025

Rationale Patients with acute-on-chronic hypercapnic respiratory failure suffer from recurrent readmissions due to acute exacerbations. These patients carry higher readmission and mortality rates compared to the general population. Objecti…

Early recognition and treatment of OSA in hospitalized patients and its impact on health care utilization in rural population: a real-world study Open

Sunil Sharma, Robert Stansbury, Priyanka Srinivasan, Edward Rojas, Stuart F. Quan , et al. · 2024

Sharma S, Stansbury R, Srinivasan P, et al. Early recognition and treatment of OSA in hospitalized patients and its impact on health care utilization in rural population: a real-world study. J Clin Sleep Med. 2024;20(8):1313-1319.

1030 Alice in wonderland: A rare side effect of montelukast Open

Edward Rojas, Robert Stansbury, Mouhannad Azzouz, Sunil Sharma, Christopher K. Pham , et al. · 2023

Introduction Alice in wonderland syndrome (AIWS), also known as Todd’s syndrome, is a neuropsychological condition that causes a set of symptoms with alteration of body image. These distortions include appearing smaller(micropsia) or large…

Elaboración de un snack a base de carne magra, enriquecido con omega 3 y antioxidantes como productos saludables Open

Edward Rojas, Pilar Galindo Martínez, Jhon Alexander Cardozo Bedoya, Holman Yesid Pinzón Moyano · 2023

En la actualidad el mercado ofrece una amplia gama de snacks, pero son muy pocos los que se encuentran diseñados para cuidar la salud del consumidor, es por ende que se busca diseñar un snack que contenga un omega y un antioxidante buscand…

High incidence of barotrauma in patients admitted with COVID-19 to ICU and associated mortality in rural Appalachia: An observational study Open

Sunil Sharma, V. Badami, Edward Rojas, Rahul Sangani, Kyle Chapman , et al. · 2023

Objectives To assess the incidence of barotrauma and its impact on mortality in COVID-19 patients admitted to ICU. Design Single-center retrospective study of consecutive COVID-19 patients admitted to a rural tertiary-care ICU. The primary…

Right atrial structural remodeling predict worse outcomes in transcatheter mitral valve repair Open

Matthew Miller, Jamey Cutts, Marissa Donatelle, Kajal Shah, Fardous Charles Abeya , et al. · 2022

Background In the current study, we assess the predictive role of right and left atrial volume indices (RAVI and LAVI) as well as the ratio of RAVI/LAVI (RLR) on mortality following transcatheter mitral valve repair (TMVr). Methods Transth…

Evaluation of a novel mechanical compression device for hematoma prevention and wound cosmesis after CIED implantation Open

Edward Rojas, Katerina Morgaenko, Louis Brown, Sieu Kim, Sula Mazimba , et al. · 2022

Background An important complication of cardiac implantable electronic devices (CIED) implantation is the development of hematoma and device infection. Objective We aimed to evaluate a novel mechanical compression device for hematoma preve…

ICU Mortality in Patients With Coronavirus Disease 2019 Infection: Highlighting Healthcare Disparities in Rural Appalachia Open

Sunil Sharma, V. Badami, Edward Rojas, Abhinav Mittal, Robert Stansbury , et al. · 2021

OBJECTIVES: To assess 30-day mortality in coronavirus disease 2019 acute respiratory distress syndrome patients transferred from rural Appalachian hospitals. DESIGN: Retrospective case controlled, based on consecutive patients transferred …

The Sick Adipose Tissue: New Insights Into Defective Signaling and Crosstalk With the Myocardium Open

Valmore Bermúdez, Pablo Durán, Edward Rojas, María P. Díaz, José Rivas , et al. · 2021

Adipose tissue (AT) biology is linked to cardiovascular health since obesity is associated with cardiovascular disease (CVD) and positively correlated with excessive visceral fat accumulation. AT signaling to myocardial cells through solub…

Old Friend in a New Territory- CWP Complicated by Fibrosing Mediastinitis Open

Edward Rojas, Kristen Catherman, V. Badami, R. Zulfikar · 2021

Early Recanalization of a Traumatic Coronary Artery Dissection With Medical Therapy Alone Open

Edward Rojas, Lawrence W. Gimple, Mohamed Morsy, Todd C. Villines · 2020

Electronic Cigarettes and Vaping-Associated Lung Injury (EVALI): A Rural Appalachian Experience Open

Rahul Sangani, Edward Rojas, Michael Forte, R. Zulfikar, Nicole Prince , et al. · 2020

BACKGROUND: Electronic cigarette use has increased dramatically since their introduction in 2007. Respiratory complications, particularly lipoid pneumonia, have been reported as early as 2012. An outbreak of pulmonary injury in 2019 has be…

Diagnostic criteria and management of metabolic syndrome: Evolution overtime Open

Edward Rojas, Ana Valéria Castro, Alexander Manzano, M Suarez, Víctor Lameda , et al. · 2020

The beginnings of the Metabolic Syndrome (MetS) as a suspected, not yet recognized entity can be traced back to 1923 when a study concerning a particularly common clustering of metabolic entities observed in diabetic patients was first pub…

Impact of COVID-19 Pandemic on Patients Perceptions of Safety and Need for Elective Foot and Ankle Surgery in the United States Open

Jimmy Yu Wai Chan, Kevin K. Chen, P. Choi, Edward Rojas, Oliver N. Schipper , et al. · 2020

Category: Ankle; Ankle Arthritis; Arthroscopy; Bunion; Hindfoot; Lesser Toes; Midfoot/Forefoot; Sports Introduction/Purpose: With the development of the COVID-19 pandemic, elective foot and ankle surgeries were delayed throughout the U.S. …

Massive Pulmonary Embolism in a Recent Intracranial Hemorrhage: A Case Report of Inhaled Nitric Oxide to Improve Outcomes Open

Abhinav Mittal, Anne P Mittal, Edward Rojas, Hatim Al-Jaroushi · 2020

Disseminated Cryptococcus Neoformans Following Treatment for PR-3 ANCA Vasculitis Open

H.A. Suleiman, Karen E. Chapman, V. Badami, Edward Rojas · 2020

Downward Dog: A Case of VA-ECMO for Septic Shock Causing LV Failure Due to Capnocytophaga Open

Edward Rojas, B. Hackett, A. Roohollahi, Syed Waqas Ali, Paul McCarthy , et al. · 2020

Pyoderma gangrenosum in a patient with type 2 diabetes: a case report Open

Abdón Toledo-Contreras, Valmore Bermúdez, Andres José Toledo, Juan Salazar, Maria Sofía Martinez , et al. · 2020

We are presenting a case of patient with type 2 diabetes mellitus that was diagnosed with a soft tissue infection in the lower extremity. This was initially treated as cellulitis and antibiotic treatment was initiated. Due to a poor clinic…

Pyoderma gangrenosum in a tipe 2 diabetic patient: a case report Open

Abdón Toledo-Contreras, Valmore Bermúdez, Andres José Toledo, Juan Salazar, Maria Sofía Martinez , et al. · 2020

We are presenting a case of patient with type 2 diabetes mellitus that was diagnosed with a soft tissue infection in the lower extremity. This was initially treated as cellulitis and antibiotic treatment was initiated. Due to a poor clinic…

Assessment of the Effect of the Go Red for Women Campaign on Search Engine Queries for Cardiovascular Disease in Women Open

Giselle Alexandra Suero-Abreu, Aldo Barajas‐Ochoa, Arturo Perez-Peralta, Edward Rojas, Robert Berkowitz · 2020

Search engines are a valuable resource to provide insights on information demand and to assess the effectiveness of social campaigns and interventions. Our study showed an increase in the RSVs for queries of GoRedW and all CVD terms which …

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