About Us: The Population Health and Outcomes Research team at the Center for Research provides support to the research operations at the Baptist Health South Florida Centers of Excellence. The Center focuses their research questions to provide insight about making our clinical efforts more effective, efficient, equitable, timely, and patient-centered. The research conducted at the Center includes randomized clinical trials, prospective observational studies and retrospective studies all with the aim of improving our quality of care and promoting the health of the populations and patients we serve.

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Submissions from 2024

Prophylactic Radiotherapy Of MInimally Symptomatic Spinal Disease (PROMISSeD): study protocol for a randomized controlled trial, Robert Rothrock, Maria Avendano, Susana Herrera, Haley Appel, Suyen Ramos, Amy Starosciak, Muni Rubens, Michael McDermott, Manmeet Ahluwalia, Minesh Mehta, and Rupesh Kotecha

Submissions from 2023

Preexisting Depression and Ambulatory Status After Stroke: Florida-Puerto Rico Collaboration to Reduce Stroke Disparities, Amy Starosciak

Submissions from 2022

Abstract TP94: Stroke Severity Scales Do Not Predict Adverse Hospital Outcome Variables In Young Stroke Patients: Results From A Regional Stroke Center Of Excellence, Donna Lee Armaignac, Venkataraghavan Ramamoorthy, Muni Rubens, Star Belnap, Amy Starosciak, Maygret Ramirez, and Felipe De Los Rios La Rosa

The Effect Of Biological Sex On A County Prehospital Stroke Initiative, Star Belnap and Felipe De Los Rios La Rosa

Comparing Echocardiograms of Haitian and non-Haitian Stroke Patients, Star Belnap and Amy Starosciak

Stroke Severity Scales Do Not Predict Adverse Hospital Outcome Variables In Young Stroke Patients: Results From A RegionalStroke Center Of Excellence, Felipe De Los Rios La Rosa, Donna Lee Armaignac, Venkataraghavan Ramamoorthy, Muni Rubens, Star Belnap, Amy Starosciak, and Maygret Ramirez

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Endovascular thrombectomy time metrics in the era of COVID-19: observations from the Society of Vascular and Interventional Neurology Multicenter Collaboration, Italo Linfante and Amy Starosciak

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Implementation of a conversion from intravenous alteplase to tenecteplase for treatment of acute ischemic stroke, Lourdes R. Menendez, Erika Dittmar, Felipe De Los Rios La Rosa, Star Belnap, Maygret Ramirez, and Thomas Wolfel

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Efficacy and safety evaluation of avatrombopag in immune thrombocytopenia: analyses of a phase III study and long-term extension, Srikanth Nagalla

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Evaluation of Anti-Factor Xa Level Usage for Low Molecular Weight Heparin in a Healthcare System, Natalie Quesep, Lourdes R. Menendez, Erika Dittmar, Radhan B. Gopalani, Payal Patel, and Srikanth Nagalla

Examining the Item-Level Factor Structure of the Behavior Rating Inventory of Executive Function-Adult Version Within a Traumatic Brain Injury Sample, Amy Starosciak and Sergio Gonzalez-Arias

Submissions from 2021

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Risk factor control across the spectrum of cardiovascular risk: Findings from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), William Arguelles

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Maximum intravenous alteplase dose for obese stroke patients is not associated with greater likelihood of worse outcomes, Star Belnap, Anshul Saxena, Emir Veledar, Amy Starosciak, and Felipe De Los Rios La Rosa

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Longitudinal Survey of COVID-19 Burden and Related Policies in U.S. Neonatal Intensive Care Units, Ashley Darcy Mahoney

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Predicting 90-Day Outcome After Thrombectomy: Baseline-Adjusted 24-Hour NIHSS Is More Powerful Than NIHSS Score Change, Felipe De Los Rios La Rosa and Amy Starosciak

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Cortical screw fixation using CT-navigation coupled with real-time electrophysiological monitoring of individual screw placement for unstable degenerative lumbar spondylolisthesis, FIU Herbert Wertheim College of Medicine Affiliates, Kunal Patel, Daniel Segui, Amy Starosciak, and Sergio Gonzalez-Arias

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Abstract P153: SARS-CoV-2 (COVID-19) Protection Efforts on Acute Stroke Treatment, Jessica Greenwood, Star Belnap, Rodney Bedgio, Guilherme Dabus, Italo Linfante, and Felipe De Los Rios La Rosa

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Risk of contracting SARS-CoV-2 (COVID-19) from hospital admission and the impact of protection efforts on acute stroke treatment, Jessica Greenwood, Star Belnap, Guilherme Dabus, Italo Linfante, and Felipe De Los Rios La Rosa

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Intravenous Cangrelor and Oral Ticagrelor as an Alternative to Clopidogrel in Acute Intervention, Italo Linfante, FIU Herbert Wertheim College of Medicine Affiliates, Amy Starosciak, Dennys Reyes Candedo, and Guilherme Dabus

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Global Impact of COVID-19 on Stroke Care and IV Thrombolysis, Italo Linfante and Amy Starosciak

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Anticoagulation After Ischemic Stroke or Transient Ischemic Attack (TIA) in the Time of Direct Oral Anticoagulation (DOAC) and Thrombectomy, Claudia Martin Diaz, Eduardo Guizan Corrales, Star Belnap, Jonathan Kline, Radhan Gopalani, Sylvia Marrero, and Felipe De Los Rios La Rosa

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Lipid Metabolite Biomarkers in Cardiovascular Disease: Discovery and Biomechanism Translation from Human Studies, Peter McGranaghan, Anshul Saxena, Muni Rubens, and Emir Veledar

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Angiotensin-converting enzyme (ACE) inhibitors for proteinuria and microalbuminuria in people with sickle cell disease, Srikanth Nagalla

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Perspectives on the quality and utility of letters conforming to the AAIM guidelines, Srikanth Nagalla

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The Impact of Erythropoietin on Short and Long-term Kidney-Related Outcomes in Extremely Low Gestational Age Neonates. Results of a Multi-center Double-Blind Placebo-Controlled Randomized Clinical Trial, Jorge Perez, Magaly Diaz-Barbosa, Arturo Serize, Jorge Jordan, Edshelee Galvis, Susana Bombino, Lauren Carbonell, Anna Maria Patino-Fernandez, Carmen de Lerma, Kelly McDonough, and Maiana De Cortada

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Abstract P286: The Effects of COVID-19 on the Reasons for Not Calling 911 for Acute Stroke, Maygret Ramirez, Rodney Bedgio, Virginia Ramos, Ivis Gonzalez, Yaima Miro Gonzalez, Star Belnap, and Felipe De Los Rios La Rosa

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Abstract 51: Disposition of Female Stroke Patients: The Interaction of Age and Race/Ethnicity, Amy Starosciak, Star Belnap, and Felipe De Los Rios La Rosa

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Blood pressure reduction and outcome after endovascular therapy: a secondary analysis of the BEST study, Amy Starosciak and Felipe De Los Rios La Rosa

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Abstract 2: Acute Stroke Care During The Covid-19 Pandemic: The Society Of Vascular And Interventional Neurology Collaboration, Amy Starosciak and Italo Linfante

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Influence of the COVID-19 Pandemic on Treatment Times for Acute Ischemic Stroke: The Society of Vascular and Interventional Neurology Multicenter Collaboration, Amy Starosciak and Italo Linfante

Submissions from 2020

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Loneliness, Cardiovascular Disease, and Diabetes Prevalence in the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study, William Arguelles

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A Nurse Driven Acute Stroke Alert Process Improves Treatment Times and Treatment Rates, Daniel D'Amour, Jayme Strauss, Amy Starosciak, Maygret Ramirez, and Star Belnap

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Bilingualism and the executive function advantage in preterm-born children, Ashley Darcy Mahoney

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Háblame Bebé: A phone application intervention to support Hispanic children’s early language environments and bilingualism, Ashley Darcy Mahoney

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Impact of restrictions on parental presence in neonatal intensive care units related to coronavirus disease 2019, Ashley Darcy Mahoney

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Optimal Early Clinical Endpoints for Long-Term Functional Outcome Prediction After Thrombectomy, Felipe De Los Rios La Rosa and Amy Starosciak

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Pre-endovascular therapy change in blood pressure is associated with outcomes in patients with stroke, Felipe De los Rios La Rosa and Amy Starosciak

Abstract B054: Analysis of a cancer gene expression and next-generation sequencing dataset representing hispanic predominant South Florida population, Zuanel Diaz, Arpit Mehta, Zasha Pou, Muni Rubens, Don Parris, and Miguel Villalona Calero

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Endovascular Treatment of Giant Intracranial Aneurysms, Italo Linfante, FIU Herbert Wertheim College of Medicine Affiliates, Amy Starosciak, and Guilherme Dabus

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High-Dose Erythropoietin in Extremely Low Gestational Age Neonates Does Not Alter Risk of Retinopathy of Prematurity, Jorge Perez, Magaly Diaz-Barbosa, Edshelee Galvis, and Susana Bombino

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Prevalence of Acute Kidney Injury (AKI) in Extremely Low Gestational Age Neonates (ELGAN), Jorge Perez, Magaly Diaz-Barbosa, Arturo Serize, Jorge Jordan, Edshelee Galvis, Susana Bombino, Lauren Carbonell, Anna Maria Patino-Fernandez, Carmen de Lerma, Kelly McDonough, and Maiana De Cortada

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Case Study: How to Run Three Simultaneous Stroke Alerts that Require Endovascular Therapy, Jessilyn Pozo, Peter De Armas, Andrew Waisbrot, Daniel D'Amour, Amy Starosciak, Star Belnap, and Jayme Strauss

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Triage Nursing Intervention Improves Stroke Treatment Rate and Times for Walk-in Strokes, Nayive Quezada, Ron Burke, Yaima Miro Gonzalez, Maygret Ramirez, Ivis Gonzalez, Daniel D'Amour, Amy Starosciak, Star Belnap, and Jayme Strauss

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The Effect of a County Prehospital FAST-ED Initiative on Endovascular Treatment Times, Joseph Souchak, Ned Shashoua, Maygret Ramirez, Ivis Gonzalez, Virginia Ramos, Anshul Saxena, Emir Veledar, Amy Starosciak, and Felipe De los Rios La Rosa

Abstract 256: Length of Stay, Type of Stroke and NIHSS Score in Persons With Self-reported Diabetes, Amy Starosciak and Felipe De los Rios La Rosa

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Blood Pressure Variability and Neurologic Outcome After Endovascular Thrombectomy: A Secondary Analysis of the BEST Study, Amy Starosciak and Felipe De los Rios La Rosa

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Noncontrast CT versus Perfusion-Based Core Estimation in Large Vessel Occlusion: The Blood Pressure after Endovascular Stroke Therapy Study, Amy Starosciak and Felipe De los Rios La Rosa

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Thrombectomy in DAWN- and DEFUSE-3-Ineligible Patients: A Subgroup Analysis From the BEST Prospective Cohort Study, Amy Starosciak and Felipe De los Rios La Rosa

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White Matter Disease and Outcomes of Mechanical Thrombectomy for Acute Ischemic Stroke, Amy Starosciak and Felipe De los Rios La Rosa

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Implementation of Stroke Pathways to Reduce Length of Stay, Cost, Readmissions, and Mortality, Jayme Strauss, Daniel Hartnett, Peter De Armas, Albert Fernandez, Felipe De Los Rios La Rosa, Kunal Patel, Amy Starosciak, Andrew Waisbrot, Star Belnap, and Daniel D'Amour

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Hemiarthroplasty vs. total hip arthroplasty for femoral neck fractures: 2010-2017 trends in complication rates, Juan Carlos Suarez, William Arguelles, Don Parris, Priscilla Rivera, Anshul Saxena, and Emir Veledar

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Association of contrast and acute kidney injury in the critically ill: A propensity matched study, Lisa-Mae Williams, Gail Walker, James Loewenherz, and Louis Gidel

Submissions from 2019

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Association of acculturation with cardiac structure and function among Hispanics/Latinos: a cross-sectional analysis of the echocardiographic study of Latinos, William Arguelles

Hispanic vs. Non-Hispanic disparities in discharge destination after outpatient total knee arthroplasty (TKA), William Arguelles, Giovanni Paraliticci, and Juan Carlos Suarez

National trends in the surgical management of femoral neck fractures (FNFs) from 2008 to 2017 by age group, William Arguelles, Anshul Saxena, Juan Carlos Suarez, and Priscilla Rivera

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Bilingualism enhances preterm-born children’s executive function: An fNIRSstudy, Ashley Darcy Mahoney

Abstract 94: Blood Pressure After Endovascular Stroke Therapy (BEST): Final Results of a Prospective Multicenter Cohort Validation Study, Felipe De Los Rios La Rosa and Amy Starosciak

Determining the Best Bariatric Surgery for Older Patients, Jose Escobar-Dominguez, Michelle Gallas, Rupa Seetharamaiah, Jorge Rabaza, Christian Hernandez-Murcia, Anthony Gonzalez, and Gail Walker

Falls Prevention Following Hospital Discharge, FIU Herbert Wertheim College of Medicine Affiliates, Vida Samcam, Amy Starosciak, and Keila Matos

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Management of Clubfoot Relapses With the Ponseti Method: Results of a Survey of the POSNA Members, Pooya Hosseinzadeh and Gary Kiebzak

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Timing of anticoagulation therapy in patients admitted with a primary diagnosis of ischemic stroke or transient ischemic attack due to non-valvular atrial fibrillation, Claudia Martin Diaz, Eduardo Guizan Corrales, Felipe De Los Rios La Rosa, Heidi Clarke, Jonatha Kline, Sylvia Marrero, Radhan Gopalani, and Star Belnap

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Addressing Stroke Patient and Family Reasons for Not Calling 911, Maygret Ramirez, Rodney Bedgio, Virginia Ramos, Ivis Gonzalez, Yaima Miro Gonzalez, Amy Starosciak, Daniel D'Amour, Jayme Strauss, and Felipe De Los Rios La Rosa

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A Real World Experience of the FAST-ED Based Pre-Hospital Stroke Triage System to Detect Large Vessel Occlusions, Ned Shashoua, Amy Starosciak, Jayme Strauss, and Felipe De Los Rios La Rosa

Maximum IV-tPA Dose is Associated with Greater Likelihood of Hemorrhagic Conversion, and Worse Functional Outcome at Discharge, Amy Starosciak

Predictors of good functional outcome at discharge in stroke patients with depression in the Florida Puerto Rico Collaboration to Reduce, Amy Starosciak

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Predictors of Good Functional Outcome at Discharge in Stroke Patients with Depression in the FL-PR Collaboration to Reduce Stroke Disparities, Amy Starosciak

Abstract 109: Thrombectomy is Safe for Dawn- and Defuse-3-Ineligible Patients Who Present Within the Extended Window: A Subgroup Analysis From the BEST Prospective Cohort Study, Amy Starosciak and Felipe De Los Rios La Rosa

Abstract WMP21: Underestimation of Ischemic Core on Perfusion CT in Patients With Acute Large Vessel Occlusion: Results From the BEST Prospective Cohort Study, Amy Starosciak and Felipe De Los Rios La Rosa

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Maximum IV tPA Dose for Obese Patients is Associated with Greater Likelihood of Hemorrhagic Conversion and Worse Functional Outcome at Discharge, Amy Starosciak and Felipe De Los Rios La Rosa

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A Comparative Case Series of Haitian and non-Haitian Stroke Patients at a Single Center in Miami, Florida, Amy Starosciak and FIU Herbert Wertheim College of Medicine Affiliates

Abstract 33: FAST-ED Based Pre-Hospital Stroke Triage System Improves Endovascular Treatment Times, Especially off Hours, Amy Starosciak, Jayme Strauss, and Felipe De Los Rios La Rosa

FAST-ED Based Pre-Hospital Stroke Triage System Improves Endovascular Treatment Times, Especially Off Hours, Amy Starosciak, Jayme Strauss, and Felipe De Los Rios La Rosa

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Implementation of Stroke Pathways to Reduce Length of Stay, Cost, Readmissions, and Mortality, Jayme Strauss, Daniel Hartnett, Jenny Ductant, Peter De Armas, Albert Fernandez, Andrew Waisbrot, Amy Starosciak, and Felipe De Los Rios La Rosa

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Preoperative Factors Related to Delayed Discharge after Total Knee Arthroplasty Removal from Inpatient-Only List, Juan Carlos Suarez, William Arguelles, Priscilla Rivera, Yvette Hernandez, and Don Parris

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Preoperative factors related to delayed discharge after total knee arthroplasty removal from inpatient-only list, Juan Carlos Suarez, William Arguelles, Priscilla Rivera, Yvette Hernandez, Don Parris, and Giovanni Paraliticci

Hemiarthroplasty vs. Total Hip Arthroplasty for Femoral Neck Fractures: 2010-2017 Trends in Complication Rates, Juan Carlos Suarez, William Arguelles, Anshul Saxena, and Priscilla Rivera

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Development of an Advanced Analytics DataMart for Machine Learning, Effectiveness Research, and Population Health Trends, Carlos Valle, Lourdes Rojas, Chintan Bhatt, Eduardo Martinez-DuBouchet.se-ccu-icu, Lisa-Mae Williams, Don Parris, Louis Gidel, and Donna Lee Armaignac

Submissions from 2018

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Compliance and Real Life Performance of a FAST-ED Scale Based Pre-Hospital Stroke Initiative, Felipe De Los Rios La Rosa, Maygret Ramirez, Jayme Strauss, Ivis Gonzalez, and Amy Starosciak

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Association between self-rated health and ideal cardiovascular health: The Baptist Health South Florida Employee Study, Oluseye Ogunmoroti, Joseph Salami, Javier Valero-Elizondo, Maribeth Rouseff, Don Parris, Sankalp Das, Henry Guzman, Arthur Agatston, Theodore Feldman, Emir Veledar, and Khurram Nasir

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A Real World Experience of the FAST-ED Based Pre-Hospital Stroke Triage System to Detect Large Vessel Occlusions, Ned Shashoua, Amy Starosciak, Jayme Strauss, and Felipe De Los Rios La Rosa

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Effect of FAST-ED Implementation and Age on Distance Patients Travel from Scene to Comprehensive Stroke Center, Amy Starosciak

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Falls prevention program for older adults after discharge: a randomized controlled trial protocol, Amy Starosciak

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Pre-Hospital FAST-ED Initiatives Improve t-PA and Endovascular Treatment Times, Amy Starosciak, Maygret Ramirez, Ivis Gonzalez, Virginia Ramos, Jayme Strauss, and Felipe De Los Rios La Rosa

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Effect of FAST-ED Implementation and Age on Distance Patients Travel from Scene to Comprehensive Stroke Center, Amy Starosciak, Maygret Ramirez, Virginia Ramos, Ivis Gonzalez, Jayme Strauss, and Felipe De Los Rios La Rosa

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The Road to Target: Stroke Honor Roll Elite Plus, Jayme Strauss, Andrew Waisbrot, Daniel Hartnett, and Amy Starosciak

Submissions from 2017

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Estimates of Mortality Benefit From Ideal Cardiovascular Health Metrics: A Dose Response Meta-Analysis, Ehimen Aneni, Emeka Osondu, Javier Valero-Elizondo, Adnan Younus, Khurram Nasir, and Emir Veledar

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Association of Subjective and Objective Sleep Duration as well as Sleep Quality with Non-Invasive Markers of Sub-Clinical Cardiovascular Disease (CVD): A Systematic Review, Muhammad Aziz, Shozab Ali, Sankalp Das, Adnan Younus, Rehan Malik, Muhammad Latif, Choudhry Humayun, Joseph Salami, Javier Valero-Elizondo, Emir Veledar, and Khurram Nasir

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The Association of Sleep Duration and Morbid Obesity in a Working Population: The Baptist Health South Florida Employee Study, Muhammad Aziz, Emeka Osondu, Adnan Younus, Rehan Malik, Maribeth Rouseff, Sankalp Das, Henry Guzman, Theodore Feldman, Arthur Agatston, Emir Veledar, Ehimen Aneni, and Khurram Nasir

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Effect of Thyroxin Treatment on Carotid Intima-Media Thickness (CIMT) Reduction in Patients with Subclinical Hypothyroidism (SCH): a Meta-Analysis of Clinical Trials, Muhammad Aziz, Anshul Saxena, Sankalp Das, Adnan Younus, Rehan Malik, Muhammad Latif, Choudhry Humayun, Idrees Khan, Ali Adus, Aisha Rasool, Emir Veledar, and Khurram Nasir

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Thrombolysis of a stroke patient with history of rtPA-associated angioedema, Felipe De Los Rios La Rosa, Amy Starosciak, and Brian Wolf

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Robotic-assisted ventral hernia repair: a multicenter evaluation of clinical outcomes, Anthony Gonzalez, Ernesto Escobar-Domingues, Rey Romero, Gail Walker, Jacqueline Mejias, Michelle Gallas, and Jorge Rabaza

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Breast Cancer Metastases to the Gastrointestinal Tract Presenting with Anemia and Intra-abdominal Bleed., Idrees Khan

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Association Between Coronary Artery Disease and MicroRNA: Literature Review and Clinical Perspective, Raja Mushtaque, Usman Siddiqui, Adnan Younus, Muhammad Aziz, Choudhry Humayun, Kanaan Mansoor, Idrees Khan, Daniel Del Campo, Ali Adus, and Swetha Gannarapu

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Does education modify the effect of ethnicity in the expression of ideal cardiovascular health? The Baptist Health South Florida Employee Study, Oluseye Ogunmoroti, Javier Valero-Elizondo, Victor Okunrintemi, Sankalp Das, Maribeth Rouseff, Don Parris, Arthur Agatston, Theodore Feldman, Emir Veledar, and Khurram Nasir

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Favorable Cardiovascular Health Is Associated With Lower Health Care Expenditures and Resource Utilization in a Large US Employee Population: The Baptist Health South Florida Employee Study, Emeka Osondu, Ehimen Aneni, Javier Valero-Elizondo, Joseph Salami, Maribeth Rouseff, Sankalp Das, Henry Guzman, Adnan Younus, Oluseye Ogunmoroti, Theodore Feldman, Arthur Agatston, Emir Veledar, Barry Katzen, and Khurram Nasir

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Association Between Modifiable Risk Factors and Pharmaceutical Expenditures Among Adults With Atherosclerotic Cardiovascular Disease in the United States: 2012-2013 Medical Expenditures Panel Survey, Joseph Salami, Javier Valero-Elizondo, Oluseye Ogunmoroti, Adnan Younus, Emir Veledar, and Khurram Nasir

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Symptom Screening Improves Accuracy of the FAST-ED Scale, Amy Starosciak, Maygret Ramirez, Jayme Strauss, Virginia Ramos, Ivis Gonzalez, and Felipe De Los Rios La Rosa

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The Road to Target: Stroke Honor Roll Elite Plus, Jayme Strauss, Andrew Waisbrot, Daniel Hartnett, and Amy Starosciak

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Subclinical Cardiovascular Disease in Patients with Chronic Obstructive Pulmonary Disease: A Systematic Review, Chen Ye, Adnan Younus, Rehan Malik, Lara Roberson, Sameer Shaharyar, Emir Veledar, Rameez Ahmad, Shozab Ali, Muhammad Latif, Ehimen Aneni, and Khurram Nasir

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Lipoprotein-associated phospholipase A2 and its relationship with markers of subclinical cardiovascular disease: A systematic review, Adnan Younus, Choudhry Humayun, Rameez Ahmad, Oluseye Ogunmoroti, Muhammad Aziz, Rehan Malik, Aisha Saand, Cyndi Valdes, Rohan Badlani, Muhammad Younus, Shozab Ali, Ye Chen, and Khurram Nasir