Children and Adults; Clinical Neurophysiology; Forensic Psychiatry; Psychiatry
Wearing many hats, my work include administrative, clinical, academic, and research responsibilities. Administratively, I oversee our department’s forensic faculty and staff, forensic programs, and the forensic psychology training program. Clinically, I (or my team) conduct psychological evaluations that address clinical and forensic questions (e.g. emotional problems, cognitive issues, risk, competency, criminal responsibility, etc). Using social-psychological-physiological methods, I help clients overcome psychological and emotional problems and optimize their performance. Academically, I teach and supervise students at all levels, with the ultimate goal of facilitating scholarly thinking and work. All students are encouraged to get involved in my research program, which focuses on the neurobiological, behavioral, and societal factors that underlie human emotions, aggression and impulsivity.
Clinical Neurophysiology; Physical Medicine and Rehabilitation; Neurobiology
As director of UB’s Neuroengineering and Informatics for Rehabilitation Laboratory (NIRlab), I conduct interdisciplinary research in neural engineering, the application of engineering to the neurosciences. My academic and research training in neurotechnology, motor rehabilitation, clinical neurophysiology and cerebrovascular medicine provides me with the expertise for translational research focused on developing computational models and hardware technologies for neural interfaces to monitor and activate beneficial neural function. My research transcends conventional academic boundaries in my overarching goal to treat, cure and even prevent neurological disorders using ‘electroceuticals’--bioelectronics that stimulate the nervous system. Specifically, my research is directed toward an enhanced understanding of the neurophysiological mechanisms associated with the relearning of visomotor function. My special focus on neurorehabilitation uses neuroengineering and informatics to leverage human-machine interfaces. Here, the human brain and body act in concert with biofeedback and multilevel neurostimulation to promote neuroplasticity and lead to neurorestorative therapy. I am developing electroencephalography (EEG) and electromyography (EMG) and near-infrared spectroscopy-based (NIRS) portable multimodal imaging to understand skeletal, muscle and brain physiology during noninvasive electrical stimulation. If achieved, the bench-to-bedside translation of electroceuticals, developed through innovations in computational methods and instrumentation, will have a very high societal impact since neurological disorders—e.g., stroke and dementia-- will likely dramatically increase as the world population ages. I collaborate with researchers from industry and academia locally as well as from across the globe in conducting the interdisciplinary translational research of NIRlab. I welcome undergraduate, graduate engineering students and medical students to work with me. I am particularly interested in medical students who are focused on clinical neurophysiology, physical medicine and rehabilitation, e.g. students from the departments of Neurology, Neurosurgery, Orthopaedics and the Rehabilitation Sciences. Additionally, I teach courses in neural and rehabilitation engineering. My courses are open to engineering students and medical students, especially those with interest in the application of engineering methods to the clinical neurophysiology and rehabilitation sciences.
Clinical Neurophysiology; Developmental Pediatrics and Rehabilitation; Neurology; Pediatrics
I am trained as a pediatric neurologist and am board-certified in both pediatrics and neurology with special qualification in child neurology. My clinical practice focuses on autism spectrum disorders and children with related developmental disabilities. I also completed fellowship training in clinical neurophysiology and have related knowledge of seizures as well as skill in reading electroencephalograms (EEGs) used to diagnose and manage epilepsy. Children with autism and related developmental disabilities often have an increased risk of seizures; my experience in neurophysiology contributes to my clinical acumen in thoroughly evaluating and treating my patients. I am the medical director of the Children’s Guild Foundation Autism Spectrum Disorder Center at the John R. Oishei Children’s Hospital, a center I helped create and one that is jointly operated by the University at Buffalo and Kaleida Health. The goal of the center is to reach the increasing number of children in need of autism evaluation, diagnosis and treatment. The center is the only one of its kind in Western New York for medically-based, multidisciplinary evaluation and diagnosis of children with autism spectrum disorders. The center takes a team-based approach to evaluation; during a visit, each child is seen by a developmental pediatrician, child neurologist and child psychologist. After the visit, the team discusses the child and determines the diagnosis and/or need for any additional testing or services. The center has a full-time social worker and nurse and offers a monthly parent group, information resources for parents of children diagnosed with an autism spectrum disorder and sessions for new patients that have not yet been diagnosed on the autism spectrum but who may be exhibiting behavioral or developmental issues. Medical students, residents and fellows are welcome to work with me on research projects. I have a particular interest in the neurobiology of autism and conduct research regarding how behavior is affected in autism in the concurrent presence of a seizure disorder. I am also interested in the etiology, screening and evaluation techniques in children with autism. As well, I research epileptiform abnormalities that are seen in patients with autism spectrum disorders. My goal is to find the pattern among children on the autism spectrum who have more risk of an EEG abnormality. My research informs my efforts to promote awareness in, and educate families and medical providers about the approach to caring for a child with these specialized needs.
Clinical Neurophysiology; Neurology; Epilepsy
I am board-certified in neurology and clinical neurophysiology. My clinical practice focuses on the care of patients with epilepsy. With advanced training, my expertise lies not only in clinical care but also in interpreting electroencephalography (EEG) and performing electrodiagnostic studies, including nerve conduction studies (NCS) and electromyography (EMG). I see outpatients at Buffalo General Medical Center (BGMC) and the UBMD Neurology clinic in Williamsville. I am one of the attending physicians in the epilepsy monitoring unit at the Women and Children’s Hospital of Buffalo. I also attend the inpatient neurology service at BGMC and the Buffalo VA Medical Center (Buffalo VAMC). My research focus is on epilepsy, but I am open to research ideas that address other neurological diseases which can help patient management. My current research is mainly chart review retrospective studies on: 1.) the yield of EEG after new-onset seizures and 2.) potential modifiable factors contributing to the delay of epilepsy surgery. I will participate in a few multicenter studies, including one that aims to determine the main reason for 30-day readmission to the epilepsy monitoring unit. Another is a prospective study for a new medication that might help with super-refractory status epilepticus. I am also interested in conducting retrospective studies on the association between epilepsy and stress. I am the clinical neurophysiology fellowship director. I design training curriculum, interview fellowship applicants and coordinate the scholarly activity of fellows. I feel fortunate to have the opportunity to help fellows develop into successful neurologists specialized in clinical neurophysiology. I am also actively involved in research mentorship and in the teaching of medical students, neurology residents and clinical neurophysiology fellows. With my extensive experience in conducting research with trainees, I am familiar with the needs of residents and fellows and enjoy helping them and providing guidance to them throughout the duration of their training.