A5029062946- Burn Injury Management and Outcomes
- Reconstructive Surgery and Microvascular Techniques
- Breast Implant and Reconstruction
- Disaster Response and Management
- Nerve Injury and Rehabilitation
- Diversity and Career in Medicine
- Hidradenitis Suppurativa and Treatments
- Cancer Cells and Metastasis
- Orthopedic Surgery and Rehabilitation
- COVID-19 and healthcare impacts
- Wound Healing and Treatments
- Injury Epidemiology and Prevention
- Peripheral Nerve Disorders
- Reconstructive Facial Surgery Techniques
- Tissue Engineering and Regenerative Medicine
- Pressure Ulcer Prevention and Management
- Sex and Gender in Healthcare
- Musculoskeletal pain and rehabilitation
- Body Contouring and Surgery
- Nasal Surgery and Airway Studies
- Intramuscular injections and effects
- Trauma and Emergency Care Studies
- Facial Rejuvenation and Surgery Techniques
- Colorectal and Anal Carcinomas
- Mesenchymal stem cell research
Johns Hopkins University
2022-2024
Johns Hopkins Medicine
2022-2024
Tulane University
2021-2024
Johns Hopkins Bayview Medical Center
2023-2024
Emory University
2024
Duke Raleigh Hospital
2024
St. Johns Hospital
2023
Temple University Health System
2023
Temple University Hospital
2023
American Society of Plastic Surgeons
2023
Background Plastic surgery training continues to evolve with integrated residents spending more time in plastic versus general surgery. Herein, we provide an updated description of interprogram differences core general, plastic, and surgery-adjacent curricula. Methods We obtained rotation schedules from US residency websites or program coordinators for AY2021–2022. Rotation months were recorded categorized into Core General Surgery, Surgery-Adjacent. Rotations compared American Board Surgery...
Background Prepectoral tissue expander (TE) placement is an increasingly used breast reconstruction technique but may have a higher risk for mastectomy skin flap ischemia compared to subpectoral TE placement. Hyperbaric oxygen therapy (HBOT) has been shown salvage compromised flaps, there limited evidence on which patients require HBOT and benefit most from this treatment. Methods We retrospectively reviewed undergoing immediate over 6-year period. Patient demographics, intraoperative data,...
Solid tumor progression is significantly influenced by interactions between cancer cells and the surrounding extracellular matrix (ECM). Specifically, cell-driven changes to ECM fiber alignment collagen deposition impact growth metastasis. Current methods of quantifying these processes are incomplete, require simple or artificial matrixes, rely on uncommon imaging techniques, preclude use biological technical replicates, destruction tissue, prone segmentation errors. We present a set...
Abstract Background In thoracic “outlet” syndrome (TOS), pathologic evidence is well documented for vascular but not neurologic compression. We hypothesized that histologic of compression would be identified at sites where the upper trunk was impacted by anterior scalene muscle and lower anatomic anomalies or first rib. The purpose this study to investigate hypothesis in human cadavers. Materials Methods Twenty‐five cadavers' brachial plexuses were dissected excised. Histologic descriptive...
Background: Autologous breast reconstruction is a valuable option for many patients. But, various clinical factors, including cancer laterality, post-mastectomy radiation therapy (PMRT), and tissue expander (TE) plane placement, may cause variability in the quality of recipient internal mammary arteries veins (IMA/V). Notably, prepectoral TE placement becoming more widely used improved post-operative outcomes. However, biomechanical benefit staging over traditional subpectoral not well...
Abstract Introduction Burns are a leading cause of morbidity and mortality, with long-term complications including pain poor physical function. While neighborhood disadvantage has been shown to be associated burn severity, its relationship not yet investigated. Therefore, we hypothesized that higher area deprivation index (ADI), an aggregate marker disadvantage, will increased likelihood function post-burn. Methods We obtained data from the Burn Model System (BMS) database. linked patient...
Purpose: Autologous breast reconstruction is a valuable option for many patients. Yet, various clinical factors, including cancer laterality, post-mastectomy radiation therapy, and tissue expander (TE) placement plane, may cause variations in the quality of recipient internal mammary arteries veins (IMA/IMV). Notably, prepectoral TE increasingly used to minimize complications improve postoperative outcomes. However, biomechanical benefit staging over traditional subpectoral not well...
In academic craniofacial surgery, gender disparities exist across various metrics including faculty positions, leadership roles, and conference representation. This study benchmarks the productivity of surgeons in 2022 surveys their perspectives regarding diversity, equity, inclusion (DEI). Total, first author, senior author PubMed publications were recorded for 193 attendings fellows. Craniofacial also surveyed experience, DEI perceptions. Electronic 26 publication counts Women comprised...
Abstract Introduction Burn injuries cost the USA ~$976.6 million annually. Physician reimbursement has lagged despite years of lobbying by physician groups. The Centers for Medicare and Medicaid Services plan to cut 4.2% in 2023. Evaluating data hospital-based procedures is timely, including burn procedures. We hypothesized trends common decreased from 2010-2022. Methods obtained pricing publicly-available Fee Schedule Look-Up Tool 26 Current Procedural Terminology (CPT) codes:...
Abstract Food security (FS) is defined as access to sufficient and nutritious food. Children, especially those in low- middle- income countries (LMICs), are disproportionately affected by low FS. We hypothesized high FS would be predictive of decreased pediatric postburn mortality LMICs. Publicly-available, deidentified datasets were obtained from the World Health Organization’s Global Burn Registry (GBR) Economist Intelligence Unit’s Index (GFSI). The GFSI calculates scores annually...
Background Major shifts in health care systems worldwide have occurred because of coronavirus disease 2019 (COVID-19). With nearly half all Americans now having a history COVID-19 infection, there is pressing need to better understand the importance prior infection as potential surgical risk factor. The aim this study was investigate impact on patient outcomes after autologous breast reconstruction. Methods We performed retrospective using TriNetX research database, which contains...
PURPOSE: Muscle spasticity is defined as a velocity-dependent hyper-excitability of the stretch reflex leading to syndrome hypertonia, hyperreflexia, and involuntary spasms. estimated affect 12 million people globally can interfere with activities daily living contribute pain contractures. Hyperselective neurectomy (HSN) surgical intervention that has been demonstrated durably reduce spastic muscle tone in upper limb minimal loss long-term functional strength. However, mechanisms underlying...
Abstract Introduction The COVID-19 pandemic’s impact on school closures, workforce/employment status, and the enactment of stay-at-home orders may have resulted in changes incidence, mechanisms, time to presentation for treatment burn injuries. Given need prompt injuries prevent worsening injury, infection, and/or critical illness, potential delays during pandemic poorer patient outcomes. We hypothesize that patients demonstrated presentation, injury increased mortality intra-pandemic...
Abstract Introduction Hidradenitis suppurativa (HS) is a condition that involves recurring inflammation and fibrosis of intertriginous areas. With increasing inpatient hospitalization rates in patients with HS, our study sought to examine differences outcomes between weekend weekday admission. The authors hypothesized admitted on will have worse in-hospital mortality when compared those weekday. Methods We used national database perform cross-sectional focusing 12,365 primary diagnosis HS...
Abstract Introduction Food security (FS) is defined as access to sufficient and nutritious food. Children are disproportionately affected by low FS. Globally, burns contribute over 50% of the disability-adjusted life years lost among 0-14 year-old children. Given significance nutrition in postburn outcomes, we hypothesized that high FS would be predictive decreased global mortality pediatric patients. Methods Publicly-available, deidentified datasets were obtained from World Health...
Abstract Introduction Hidradenitis suppurativa (HS) is a chronic condition that defined by recurring inflammation and fibrosis of intertriginous areas. Patients with HS have had increasing inpatient hospitalization rates over the years. Our study investigates mortality morbidity factors in patients primary payer status. We hypothesized who are uninsured or insured Medicaid Medicare will worse in-hospital when compared to those private insurance. Methods Using national database, we performed...
This study investigates the effect of prophylactic perioperative antibiotic use on patients with small burns [≤20% total body surface area (TBSA)] rates infection, graft loss, or readmission.A retrospective chart review was conducted admitted to our institution's burn center between January 2020 and July 2021. Patients were included if they had a 20% less TBSA 1 more operating room visit for excision excluded preoperative infection present. Data gathered regarding patient demographics,...