A5055976301- Trauma and Emergency Care Studies
- Agricultural pest management studies
- Burn Injury Management and Outcomes
- Insect-Plant Interactions and Control
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Insect Pest Control Strategies
- Cardiac Arrest and Resuscitation
- Liver Disease Diagnosis and Treatment
- Agronomic Practices and Intercropping Systems
- Respiratory Support and Mechanisms
- Appendicitis Diagnosis and Management
- Peanut Plant Research Studies
- Metabolism and Genetic Disorders
- Sepsis Diagnosis and Treatment
- Trauma Management and Diagnosis
- Disaster Response and Management
- Rice Cultivation and Yield Improvement
- Hepatocellular Carcinoma Treatment and Prognosis
- Injury Epidemiology and Prevention
- Cardiac, Anesthesia and Surgical Outcomes
- Intraperitoneal and Appendiceal Malignancies
- Emergency and Acute Care Studies
- Hepatitis C virus research
- Drug-Induced Hepatotoxicity and Protection
- Intensive Care Unit Cognitive Disorders
Johns Hopkins Medicine
2023-2025
Johns Hopkins University
2022-2025
Annamalai University
2023
Kerala Agricultural University
2016-2022
Johns Hopkins Bayview Medical Center
2022
Hospital of the University of Pennsylvania
2019-2022
University of Pennsylvania Health System
2022
University of Pennsylvania
2019-2021
Prince Charles Hospital
2021
Jawaharlal Institute of Post Graduate Medical Education and Research
2021
BACKGROUND Cold-stored whole blood (CWB) provides a balance of red cells, plasma, and platelets in less anticoagulant volume than standard component therapy (BCT). We hypothesize that patients receiving CWB along with BCT have improved survival compared only BCT. METHODS performed dual-center case-match study trauma who received at two urban, Level-I Trauma Centers. Criteria to receive included boys 16 years older, women older 50 years, SBP 90 mm Hg, identifiable source hemorrhage. 2:1...
For a cohort of extremely premature, ventilated, newborn infants, we determined the power either serial caretaker intuitions "die before discharge" or illness severity scores to predict outcomes death in NICU neurologic performance at corrected age 2 years.We identified 268 premature infants who were admitted our 1999-2004 and required mechanical ventilation. each infant on day ventilation, asked nurses, residents, fellows, attending physicians following question: "Do you think this child is...
Cassava mealybug, Phenacoccus manihoti is a noxious pest on cassava. A pot culture experiment was taken up to evaluate the bioefficacy of two native isolates Purpureocillium lilacinum (EPF 3 and EPF 7) against in cassava at concentration 1×108 spores ml-1. Efficacy these were evaluated compared with NBAIR isolate Lecanicillium lecanii @ 1x108 ml-1, neem oil emulsion (2%) dimethoate 30 EC 1.5 ml L-1. Maximum reduction mealybug population observed treated plants. Among fungal isolates,...
Hemorrhage control surgery is an essential trauma center function. Airway management of the unstable bleeding patient in emergency department (ED) presents a challenge. Premature intubation ED can exacerbate shock and precipitate extremis. We hypothesized that versus operating room patients requiring urgent hemorrhage associated with adverse outcomes at hospital-levels.Patients who underwent within 60 minutes arrival level 1 or 2 centers were identified (National Trauma Data Bank 2017-2019)....
Illicit drug use is common among patients admitted following burn injury. The authors sought to evaluate whether abuse results in worse outcomes. National Burn Repository (NBR) was queried for data on all with testing available. Outcomes included mortality, hospital length of stay (LOS), intensive care unit (ICU) LOS, and duration ventilator support. Propensity score weighting performed control age, alcohol use, size, gender, etiology burn. A total 20,989 had screen available; 11,642 (55.5%)...
The effect of burn center volume on mortality has been demonstrated in adults. authors sought to evaluate whether such a relationship existed burned children. National Burn Repository, voluntary registry sponsored by the American Association, was queried for all data points patients aged 18 years or less and treated from 2002 2011. Facilities were divided into quartiles based average annual volume. Demographics clinical characteristics compared across groups, univariate multivariate logistic...
BACKGROUND No guidelines exist for the evaluation of patients after near hanging. Most receive a comprehensive workup, regardless examination. We hypothesize that with normal neurologic examination, without major signs or symptoms suggestive injury, require no additional workup. METHODS reviewed medical charts adult trauma who presented to Level I center between 1995 and 2013 an isolated near-hanging episode. Demographics, Glasgow Coma Scale (GCS) score, imaging, management were collected....
End-of-life (EoL) care after geriatric burns (geri-burns) is understudied.To examine the practices of burn surgeons for initiating EoL discussions and impact decisions made on courses geri-burn patients who died injury.This retrospective cohort study examined all subjects ≥65 years our Level I service from April 1, 2009, to December 31, 2014. Measurements obtained were timing first discussion (EARLY <24 hours post-admission; LATE ≥24 post-admission), made, age, total body surface area...
Laparoscopic appendectomy (LA) is the standard of care for treatment acute appendicitis. There an ongoing debate regarding optimal management appendicitis, which led us to study outcomes after at a large safety-net hospital. We hypothesize that despite high-risk population, LA remains safe and effective A retrospective review was performed all patients who underwent from 2011 2013. The primary end point significant morbidity defined as score three or greater on Clavien-Dindo scale surgical...
BACKGROUND Motor vehicle crashes (MVCs) are a leading cause of preventable trauma death in the United States. Access to center care is highly variable nationwide. The objective this study was measure association between geospatial access and MVC mortality. METHODS This population-based MVC-related deaths that occurred 3,141 US counties (2017–2020). American College Surgeons state-verified Level I III centers were mapped. Geospatial network analysis estimated ground transport time nearest...
Increased globalization and trade have made India a target for entry of many new alien insect pests.One such unintentional recent introduction is the cassava mealybug (CMB), Phenacoccus manihoti on cassava.Monitoring occurrence damage potential CMB was undertaken during 2020.Among places surveyed, maximum score (4-5) density (>1000/shoot tip) were recorded in Salem Namakkal districts Tamil Nadu Thrissur district Kerala.In absence effective native natural enemies other methods control, might...
Background Prompt drainage of traumatic hemothorax is recommended to prevent empyema and trapped lung. Some patients do not present the day their trauma, leading delayed treatment. Delayed could be challenging as clotted blood may evacuate through a standard chest tube. We hypothesized that such delays would increase need for surgery or secondary interventions. Methods Our trauma registry was reviewed with admitted our level 1 center from 1/1/00 4/30/19. Patients were included in group if...