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  1. Article ; Online: SARS-CoV-2 and Thrombosis: More Than Just by Chance.

    Shah, Kushang

    The American journal of the medical sciences

    2020  Volume 360, Issue 6, Page(s) 733–734

    MeSH term(s) Aged ; Anticoagulants/therapeutic use ; COVID-19/complications ; COVID-19/pathology ; Factor Xa Inhibitors/therapeutic use ; Heparin/therapeutic use ; Humans ; Male ; Pulmonary Embolism/drug therapy ; Pulmonary Embolism/etiology ; Pulmonary Embolism/pathology ; Pyrazoles/therapeutic use ; Pyridones/therapeutic use ; SARS-CoV-2
    Chemical Substances Anticoagulants ; Factor Xa Inhibitors ; Pyrazoles ; Pyridones ; apixaban (3Z9Y7UWC1J) ; Heparin (9005-49-6)
    Keywords covid19
    Language English
    Publishing date 2020-07-17
    Publishing country United States
    Document type Case Reports ; Letter
    ZDB-ID 82078-7
    ISSN 1538-2990 ; 0002-9629
    ISSN (online) 1538-2990
    ISSN 0002-9629
    DOI 10.1016/j.amjms.2020.07.023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: SARS-CoV-2 and Thrombosis

    Shah, Kushang

    The American Journal of the Medical Sciences ; ISSN 0002-9629

    More Than Just by Chance

    2020  

    Keywords General Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    DOI 10.1016/j.amjms.2020.07.023
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article: Large Pleural Effusion After Transjugular Intrahepatic Portosystemic Shunt, a Rare but Deadly Complication.

    Shah, Kushang / Jin, Michael X / Bright, Rachel

    Cureus

    2021  Volume 13, Issue 7, Page(s) e16759

    Abstract: Cirrhosis affects more than 630,000 adults globally and can lead to development of ascites. Transjugular intrahepatic portosystemic shunt (TIPS) is an alternative option for refractory ascites in patients who are ineligible or are waiting for liver ... ...

    Abstract Cirrhosis affects more than 630,000 adults globally and can lead to development of ascites. Transjugular intrahepatic portosystemic shunt (TIPS) is an alternative option for refractory ascites in patients who are ineligible or are waiting for liver transplants. However, this procedure can have serious complications. We present a case that highlights the development of a complex pleural effusion complicated by hemorrhagic shock and disseminated intravascular coagulation after TIPS in a 54-year-old man. Our case is the first to report such a complication and aims to provide awareness.
    Language English
    Publishing date 2021-07-30
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.16759
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: An Infrequent Extraintestinal Manifestation of Ulcerative Colitis: Pulmonary Necrobiotic Nodules.

    Myer, Adam S / Shah, Kushang / Patel, Kinner M

    Cureus

    2020  Volume 12, Issue 8, Page(s) e9774

    Abstract: Pulmonary necrobiotic nodules are a rare extraintestinal manifestation (EIM) of inflammatory bowel disease (IBD), which are often overlooked when diagnosing cavitary pulmonary nodules. We present this case to highlight the importance of a thorough ... ...

    Abstract Pulmonary necrobiotic nodules are a rare extraintestinal manifestation (EIM) of inflammatory bowel disease (IBD), which are often overlooked when diagnosing cavitary pulmonary nodules. We present this case to highlight the importance of a thorough differential diagnosis, which includes EIMs of ulcerative colitis (UC), in this case as necrobiotic nodules. Herein, we present a 25-year-old male patient with a history of poorly controlled UC who presented with fevers, left-sided abdominal pain, and bloody diarrhea. Imaging revealed cavitary pulmonary nodules without an infectious or malignant etiology. Lung biopsy and pathology confirmed a diagnosis consistent with necrobiotic nodules.
    Language English
    Publishing date 2020-08-16
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.9774
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Younger Patients Do Not Develop More Advanced Polyps on Surveillance Colonoscopy Than Their Index Colonoscopy When Compared With Older Patients.

    Mizrahi, Joseph / Shah, Kushang / Myer, Adam / Sheyman, Michelle / Meier, Karl / Redhead, Katey-Rose / Williams, Jennie / Aroniadis, Olga / Desai, Deepak / Gathungu, Grace

    Journal of clinical gastroenterology

    2021  Volume 56, Issue 9, Page(s) 772–780

    Abstract: Background and goals: Colonic polyp surveillance guidelines are based on data from patients 50 and above. Given the recent lowering for colorectal cancer (CRC) screening to age 45, the aim of this study was to assess whether existing colonic polyp ... ...

    Abstract Background and goals: Colonic polyp surveillance guidelines are based on data from patients 50 and above. Given the recent lowering for colorectal cancer (CRC) screening to age 45, the aim of this study was to assess whether existing colonic polyp surveillance guidelines are appropriate to use in younger patients.
    Materials and methods: We performed a retrospective cohort study of patients who underwent 2 colonoscopies within a 10-year period. Five Risk Stratification Groups (RSG) were developed based on surveillance colonoscopy interval times recommended by the US Multi-Society Task Force (USMSTF) on CRC, and changes in RSG from index to surveillance colonoscopy were compared between 3 age cohorts-those below 45, those 45 to 49, and those 50 and above. Further analysis was performed for patients whose RSG worsened from index to surveillance colonoscopy, as this was defined as an inappropriate surveillance interval.
    Results: A total of 1895 patients were included in the final analysis. A multivariate regression model showed that a worsened RSG was not significantly associated with age group, both when comparing below 45 to those 50 and above [odds ratio (OR)=0.840, 95% confidence interval (CI): 0.504-1.399, P=0.50] and when comparing those 45 to 49 to those 50 and above (OR=1.416, 95% CI: 0.905-2.216, P=0.13). Only being female was found to be statistically associated with worsened RSG after controlling for other variables (OR=0.652, 95% CI: 0.486-0.875, P<0.01).
    Conclusions: Our study found that younger cohorts of patients, both below 45 and those 45 to 49, are not statistically more likely to develop more advanced polyps necessitating a shorter time to surveillance colonoscopy compared with patients 50 years and above. This finding supports using existing colonic polyp surveillance colonoscopy guidelines that were developed for patients 50 years and above in both patients below 45 and those 45 to 49 years old.
    MeSH term(s) Colonic Polyps/diagnosis ; Colonic Polyps/epidemiology ; Colonoscopy ; Colorectal Neoplasms/diagnosis ; Colorectal Neoplasms/epidemiology ; Colorectal Neoplasms/prevention & control ; Early Detection of Cancer ; Female ; Humans ; Male ; Middle Aged ; Retrospective Studies
    Language English
    Publishing date 2021-12-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 448460-5
    ISSN 1539-2031 ; 0192-0790
    ISSN (online) 1539-2031
    ISSN 0192-0790
    DOI 10.1097/MCG.0000000000001649
    Database MEDical Literature Analysis and Retrieval System OnLINE

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