A5021002813- Innovations in Medical Education
- Spinal Fractures and Fixation Techniques
- Orthopedic Infections and Treatments
- Hip disorders and treatments
- Scoliosis diagnosis and treatment
- Clinical Reasoning and Diagnostic Skills
- Musculoskeletal Disorders and Rehabilitation
- Infectious Diseases and Tuberculosis
- Medical Education and Admissions
- Bone fractures and treatments
- Osteomyelitis and Bone Disorders Research
- Spine and Intervertebral Disc Pathology
- Neurogenetic and Muscular Disorders Research
- Interpreting and Communication in Healthcare
- Diversity and Career in Medicine
- Hematological disorders and diagnostics
- Medical Imaging and Analysis
- Orthopedic Surgery and Rehabilitation
- Antibiotics Pharmacokinetics and Efficacy
- Radiology practices and education
- Higher Education Learning Practices
- Orthopaedic implants and arthroplasty
- Educational Philosophies and Pedagogies
- Cervical and Thoracic Myelopathy
- American Literature and Humor Studies
Thomas Jefferson University
2017-2023
Clinical Academic Center of Braga
2023
University of Minho
2023
National Board of Medical Examiners
2002-2012
Shriners Hospitals for Children - Philadelphia
2005
Bryn Mawr College
2005
Professional Services Group (United States)
2003
Hôpital Saint Roch
2003
Weatherford College
2001
University Hospitals of Cleveland
1995
Multiple morphologic parameters were studied in 50 normal adult vertebral columns ranging age from 20 to 40 years at the time of death. Posterior element morphology is highly variable and largely unpredictable. Minimum pedicle diameters ranged 1.8 mm T6 6.4 L5, did not correlate with any more readily measured dimensions. Penetration 5 screw threads through cortex can be expected occur routinely lower thoracic spine, a lesser but significant number lumbar vertebrae.
In a cadaver-derived skeletal collection of 1,384 thoracolumbar spinal columns, 103 (7.4%) individuals with vertebral changes Scheuermann's kyphosis were identified. Anterior extension the specimens was noted in 94% affected specimens. No evidence osteoporosis by single-photon absorptiometric analysis sample compared normal control group. Biopsy from two immature patients obtained at surgery suggested disorganized endochondral ossification similar to that Blount's disease. It concluded...
Twenty-six adults, ranging in age from nineteen to fifty-eight years old, were treated for idiopathic scoliosis by two-stage anterior and posterior spinal fusion. The goals of the combined procedure increase correction curve decrease rate pseudarthrosis. Preoperatively, major curves measured an average 83 degrees, on best side-bend they averaged 59 a 29 per cent degree flexibility. At time discharge hospital had improved 44 preoperative 39 degrees or 47 cent. length follow-up forty-nine...
Magnetic resonance (MR) imaging was performed in five children, ages 9 to 12, with acute, subacute, chronic, and recurrent osteomyelitis. Saturation recovery (SR), T2-weighted spin echo, inversion (IR) pulse sequences were employed. A reduction the normally bright image of bone marrow corresponded abnormalities seen on radiographs, CT scans, radionuclide scans. SR images produced best signal-to-noise ratios. Contrast between normal abnormal most pronounced IR sequences, which suggested an...
The cases of eighteen patients who underwent thoracotomy for treatment tracheoesophageal fistula or esophageal atresia were reviewed after a follow-up ten years more. In nine spinal curves 10 degrees more had developed, and eight the convex away from side incision. Curves found to have appeared at any time early childhood skeletal maturity, but those that developed before adolescent growth spurt most likely progress. Patients undergone in should be watched carefully development scoliosis.
Multiple parameters of hip development were analyzed in 100 children at 3, 6, 9, and 12 months. The acetabular index decreased from 25 degrees girls 22 boys 3 months to 18 19 degrees, respectively, 24 H distance did not vary with age or sex, but D increased increasing age. Measurement the medial gap was found be highly variable. Asynchronous appearance secondary ossification centers occurred eight associated subsequent abnormal joint development. true teardrop is consistently present these...
Retrospective review of the results submuscular rod placement with and without limited apical fusion for treatment severe spinal deformities in young children.To determine success this method controlling while allowing growth to compare previously reported results.A variety methods scoliosis children have been reported, but complications including spontaneous fusion, loss correction, instrumentation failure, are common.The cases 29 progressive or kyphoscoliosis as a result diagnoses treated...
Summary: Risser's sign, a measure of the excursion iliac crest apophysis, has been used to estimate remaining skeletal growth. We Brush-Bolton Collection correlate with other roentgenographic standards age. Iliac was measured using technique. were able determine mean chronologic and ages for each Risser stage boys girls. The state maturation together clinical observations secondary sexual maturation, permit an accurate assessment without need wrist hand roentgenograms.
The radiographic anatomy of the cervical spine in children is complex and can be difficult to interpret. present study was undertaken document radiographically growth development a prospective, longitudinal manner establish standard measurements on basis findings patients who were followed serially from age three months until skeletal maturity.The resources Cleveland Study Normal Growth Development (Bolton-Brush Collection, Cleveland, Ohio) reviewed. From this large database, we identified...
Eighty-six patients with idiopathic scoliosis who underwent a posterior spinal fusion using sublaminar segmental instrumentation were analyzed retrospectively. There two operative groups: group 1, 66 had Harrington rod and wiring, 2, 20 Luque instrumentation. The clinical radiographic data of the groups similar except for passage more wires increased intraoperative blood loss in 2. Twenty or postoperative complications occurred 19 (22%) including 14 neurologic complications. Three (3%) major...
SCOLES, PETER V. M.D.; QUINN, TIMOTHY P. M.D.Editor(s): URIST, MARSHALL R. M.D. Author Information
Changes consistent with Scheuermann's kyphosis were noted in 103 specimens (7.4%) of a sample 1,384 thoracic spines the Hamann-Todd collection human skeletons. In 94% affected vertebrae, distinct anterior elongation vertebral centrum was present. This extension composed mature cancellous bone and morphologically roentgenographically different from marginal osteophyte formation. It not present any vertebrae control group 50 unaffected spines. Associated findings included wedging Schmorl's nodes.
SCOLES, PETER V. M.D.; HILTY, MILO D. SFAKIANAKIS, GEORGE N. M.D., PH.D.Editor(s): SMITH, CHADWICK F. MONSEN, DAVID C. G. M.D. Author Information
Background: Though progress tests have been used for several decades in various medical education settings, a few studies offered analytic frameworks that could be by practitioners to model growth of knowledge as function curricular and other variables interest.Aim: To explore the use one form testing clinical modeling disciplines well assessing impact recent training (core rotation order) on performance using hierarchical linear (HLM) analysis variance (ANOVA) frameworks.Methods: This study...
Purpose The French government, as part of medical education reforms, has affirmed that an examination program for national residency selection will be implemented by 2004. purpose this study was to develop a multiple-choice (MC) using the National Board Medical Examiners' (NBME) expertise and materials. Method Evaluation Standardisée du Second Cycle (ESSC), four-hour clinical sciences examination, administered in January 2002 285 students at four university test sites France. ESSC had 200...
SCOLES, PETER V. M.D.; KING, DENNIS M.D.Editor(s): KATZ, JACOB F. M.D. Author Information
The introduction of a clinical skills examination (CSE) to Step 2 the U.S. Medical Licensing Examination (USMLE) has focused attention on design and delivery large-scale standardized tests raised question appropriateness evaluation these competencies across span physician's career. This initiative coincides with growing pressure periodically assess continued competence physicians in practice. USMLE CSE is designed certify that candidates have basic required for safe effective practice...
Nine children with osteomyelitis and/or septic arthritis were treated sequentially parenteral sulbactam/ampicillin and oral sultamicillin. Causative pathogens identified in six cases; all susceptible to the combination of ampicillin sulbactam. The mean duration therapy was 7.1 days (6-11 days), average hospital stay 10.3 (6-18 days). Peak serum bactericidal titers greater than or equal 1:8 achieved patients during therapy; only one child receiving did not achieve a titer 1:4. At follow-up,...