- Infant Nutrition and Health
- Neonatal Respiratory Health Research
- Infant Development and Preterm Care
- Birth, Development, and Health
- Spinal Fractures and Fixation Techniques
- Glioma Diagnosis and Treatment
- Diabetes Management and Research
- Gastrointestinal motility and disorders
- Trauma Management and Diagnosis
- Surgical Simulation and Training
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Nanoplatforms for cancer theranostics
- Child Abuse and Related Trauma
- Meningioma and schwannoma management
- Restraint-Related Deaths
- Pediatric Pain Management Techniques
- Diabetes and associated disorders
- Sexual Differentiation and Disorders
- Augmented Reality Applications
- Gastroesophageal reflux and treatments
- Automotive and Human Injury Biomechanics
- Brain Metastases and Treatment
- Anatomy and Medical Technology
- Cervical and Thoracic Myelopathy
- Autopsy Techniques and Outcomes
University of Pittsburgh Medical Center
2018-2025
King's College London
2025
Neurological Surgery
2014-2024
University of Pittsburgh
1993-2024
Poole Hospital
2023-2024
University Hospitals Dorset NHS Foundation Trust
2024
University Hospital Southampton NHS Foundation Trust
2017-2021
Poole Hospital NHS Foundation Trust
2020
Princess Anne Hospital
2018-2019
Children's Hospital of Pittsburgh
2018
Retrospective case series.To demonstrate the microbial trends of spinal surgical site infections in patients who had previously received crystallized vancomycin operative bed.Prior large, control series significant decrease infection with administration wound bed.A single institution, electronic database search was conducted for all underwent surgery prophylactic crystalline powder bed. Patients a prior history infection, intrathecal pumps, or stimulators were excluded.A total 981...
Previously published data have demonstrated that preterm infants experience a fall across marked centile lines for weight in early life with poor head growth also reported. This study describes single neonatal unit's of longitudinal change weight, circumference (HC) and length cohort born <32 weeks' gestation.Data were collected from unit between July 2012 June 2017. period followed the introduction improved nutritional guidelines. Patients grouped according to their gestational age at...
Abstract Context Although primary adrenal insufficiency (PAI) in children and young people is often due to congenital hyperplasia (CAH) or autoimmunity, other genetic causes occur. The relative prevalence of these conditions poorly understood. Objective We investigated PAI over a 25 year period. Design, Setting Participants Unpublished published data were reviewed for 155 the United Kingdom who underwent analysis unknown etiology three major research centers between 1993 2018. pre-excluded...
Abstract Background Pain affects approximately 70% of patients with inflammatory bowel disease (IBD), persisting for five or more years in nearly half, and significantly impacts their quality life.1 However, surveys indicate it is not routinely discussed the IBD clinic.1,2 Clinicians often focus on objective measures activity rather than pain its management, assuming that addressing disease-related factors will alleviate pain.3 Compounding this, find hard to articulate may report because...
Abstract Introduction Mixed reality (MR) allows virtual content to be merged with the physical world, enabling novel visualization affordances not available traditional displays. These are particularly beneficial in medical domain, as surgeons can view imaging and other relevant patient data a 3D spatial context. In burn surgery, excision grafting mainstay treatments for deep partial full-thickness burns. However, identifying regions excised is nontrivial. Recent work has developed...
In adults, primary spinal cord tumors account for 5% of all the central nervous system, with schwannomas making up about 74% nerve sheath tumors. Thoracic can pose a threat to neurovasculature, presenting significant challenge safe and complete surgical resection. For patients complex pathologies including tumors, dual surgeon approach may be used optimize patient care improve outcomes.
BACKGROUND: The concept of maximally safe resection (MSR) has been shown to improve clinical outcomes in the treatment high-grade gliomas (HGGs). To achieve MSR, surgical adjuncts such as functional imaging, neuronavigation, intraoperative mapping, ultrasound, and fluorescence-guided surgery are routinely used. 5-Aminolevulinic acid (5-ALA) is an oral agent that increasingly adopted HGG. In randomized trials 5-ALA, it increase extent progression-free survival Current commercially available...
BACKGROUND: Augmented reality (AR) is the process of visually overlaying digital information on top physical world and can include interactions between display world. Within field plastic reconstructive surgery (PRS), AR utilize patient imaging to aid preoperative surgical planning, intraoperative image guidance, as well resident education. Previous reviews in PRS have been limited not addressing underlying technological shortcomings nor fully evaluating physician usability limitations. In...
Objective To use repeated measurements of weight, length and head circumference to generate growth centile charts reflecting real-world a population very preterm infants with well-described nutritional intake close current recommendations. Design Infants born before 30 weeks gestational age (GA) were recruited. received nutrition according an integrated care pathway, nutrient recorded daily, weight twice-weekly weekly. The LMS method was used construct between 24 36 corrected GA for each...
This paper presents preliminary work on the development of SterileAR, a software platform for providing real-time feedback to pharmacy students during training in sterile pharmaceutical compounding procedures. Simulation pedagogy requires that learner receive immediate recognize procedural errors and internalize learning objectives. Instructors task trainers are often utilized tandem allow deliberate practice novices specialized clinical In this work, we explore possibility augmenting...
Embedding electronic growth charts (EGCs) into clinical practice in a children's hospital. We employed initial implementation the outpatient setting and subsequently extended this across inpatients with chart following child's records through both settings significantly increasing data documentation.
Abstract The benefits of regular exercise in children and young people (CYP) with type 1 diabetes (T1D) are undisputed. Although encouraged, the total amount this cohort remains suboptimal, uncertainty glycaemic response a barrier to involvement. bulk literature for T1D concentrates on aerobic activities, but resistance (RE) must not be overlooked. There many RE – including physiological, psychological, musculoskeletal cardiovascular effects emerging evidence highlights possible...
Mixed reality (MR) holds potential for transforming endovascular surgery by enhancing information delivery. This advancement could significantly alter surgical interfaces, leading to improved patient outcomes. Our research utilizes MR technology transform physical monitor displays inside the operating room (OR) into holographic windows. We aim reduce cognitive load on surgeons counteracting split attention effect and enabling ergonomic display layouts. is tackling key design challenges,...
We are grateful for Menon et al ’s editorial in response1 to our recent article.2 They set out several pertinent points and issue a call action future research. Menon question whether ‘catch-up’ growth of infants with intrauterine restriction (IUGR) contributed substantially the overall change weight SD Score (∆SDS) between birth 36 weeks corrected gestational age (CGA). Further analysis data sheds some light on this proposition. Infants IUGR (defined as at least 1.33 below 1990 British...