A5019378488- Trauma and Emergency Care Studies
- Abdominal Trauma and Injuries
- Muscle activation and electromyography studies
- Trauma Management and Diagnosis
- Prosthetics and Rehabilitation Robotics
- Cardiac Arrest and Resuscitation
- Respiratory Support and Mechanisms
- Cardiac, Anesthesia and Surgical Outcomes
- Esophageal and GI Pathology
- Injury Epidemiology and Prevention
- Reconstructive Surgery and Microvascular Techniques
- Intensive Care Unit Cognitive Disorders
- Appendicitis Diagnosis and Management
- Nerve Injury and Rehabilitation
- Reconstructive Facial Surgery Techniques
- Traffic and Road Safety
- Disaster Response and Management
- Airway Management and Intubation Techniques
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Traumatic Ocular and Foreign Body Injuries
- Metabolism, Diabetes, and Cancer
- Hospital Admissions and Outcomes
- COVID-19 and healthcare impacts
- Healthcare Operations and Scheduling Optimization
- Spinal Dysraphism and Malformations
Oregon Health & Science University
2017-2023
Johns Hopkins University Applied Physics Laboratory
2019-2021
Hospital of the University of Pennsylvania
2019
University of Portland
2019
Children's Hospital of Philadelphia
2013-2018
Johns Hopkins Medicine
2011-2015
Johns Hopkins University
2004-2015
Johns Hopkins Hospital
2013-2015
Massachusetts Institute of Technology
2014
Institute for Soldier Nanotechnologies
2014
There is an interesting and long history of prostheses designed for those with upper-limb difference, yet issues still persist that have not been solved. Prosthesis needs children are particularly complex, due in part to their growth rates. Access a device can significant impact on child's psychosocial development. Often, devices supporting both cosmetic form user function accessible high costs, insurance policies, medical availability, perceived durability complexity control. These...
Abstract Background The aim of this study was to investigate trends in the practice selective non-operative management (SNOM) for penetrating abdominal injury (PAI) and determine factors associated with its failure. Methods National Trauma Data Bank 2002–2008 reviewed. Patients PAI were categorized as those who underwent successful SNOM (operative not required) failed (surgery required more than 4 h after admission). Yearly rates versus non-therapeutic laparotomy (NTL) plotted. Multivariable...
The frequency of bedside percutaneous tracheostomies is increasing in intensive care medicine, and both safety efficiency are critical elements continuing success this procedure. Prioritizing patient safety, a tracheostomy team was created at our institution to provide expertise surgery, anesthesiology, respiratory, technical support. This study performed evaluate the metrics outcome, care, cost-benefit analysis multidisciplinary Johns Hopkins Percutaneous Tracheostomy Program.A review for...
Plasma hemoglobin A1c (HbA1c) reflects quality of glucose control in diabetic patients. Literature reports that patients undergoing surgery with an elevated HbA1c level are associated increased postoperative morbidity and mortality. The aim our study was to evaluate the impact on outcomes after emergency general (EGS).We performed a 3-year analysis prospectively maintained EGS database. Patients who had levels measured within 3 months before were included. divided into two groups (HbA1c < 6...
Objective.Full restoration of arm function using a prosthesis remains grand challenge; however, advances in robotic hardware, surgical interventions, and machine learning are bringing seamless human-machine interfacing closer to reality.Approach.Through extensive data logging over 1 year, we monitored at-home use the dexterous Modular Prosthetic Limb controlled through pattern recognition electromyography (EMG) by an individual with transhumeral amputation, targeted muscle reinnervation,...
<b><i>Background:</i></b> The steady rise in the number of critically ill patients USA has led to an increase need for tracheostomies requiring chronic ventilatory support. There is a matched experienced operators safely and efficiently perform these procedures. <b><i>Objectives:</i></b> We evaluated effects on procedural outcomes efficiency percutaneous dilatational tracheostomy (PDT) placement medical intensive care unit (MICU) by surgical...
Decreasing application into trauma surgery may be attributed to decreased exposure during medical school. We instituted a voluntary call program for students provide the field. After 3 years, participants completed survey gauge their experience. Of 126 who participated, 68 (54%). Interest in among not previously planning on career (n = 48) improved after experience (4.4-5.3 of 10 points; P < .005). Operative experience, higher number cases, and time with residents were associated...
Intensive insulin therapy can reduce mortality. Hypoglycemia related to intensive may worsen outcomes. This study compared risk adjusted mortality for different glycemic states. A retrospective review of patients admitted a surgical care unit over 4 years was performed. Patients were divided into groups: HYPER (≥1 episode > 180 mg/dL, any <60), HYPO < 60 >180), BOTH and ≥1 mg/dL), NORMO (all episodes 60-180 HYPER-Only 180, none <60 HYPO-Only 60, >180 mg/dL). Observed...
The evolution of prosthetic limbs continues to develop, with novel manufacturing techniques being evaluated, including additive manufacturing. Additive (AM), or 3D-printing, holds promise for enabling personalized and tailored medical device options. requirements medicine, coupled the limitations small-batch manufacturing, have made technique viable exploration. In this manuscript, an approach is presented incorporating prostheses, both as a final part in applications intermediate step. As...
The introduction of targeted muscle reinnervation has improved amputation pain outcomes and the control upper-extremity myoelectric prostheses. However, patients with proximal transhumeral levels soft tissue deficits present a unique challenge. Existing described techniques in amputees rely on recipient motor nerves from biceps triceps; however, these may be absent more injuries. Here, we describe use pedicled latissimus dorsi flap for both coverage additional targets high-transhumeral...