A5026160493- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Cervical and Thoracic Myelopathy
- Musculoskeletal pain and rehabilitation
- Pelvic and Acetabular Injuries
- Anesthesia and Pain Management
- Spinal Hematomas and Complications
- Medical Imaging and Analysis
- Management of metastatic bone disease
- Spinal Dysraphism and Malformations
- Artificial Intelligence in Healthcare and Education
- Neuroscience and Neuropharmacology Research
- Cardiac, Anesthesia and Surgical Outcomes
- Head and Neck Surgical Oncology
- Surgical Simulation and Training
- Scoliosis diagnosis and treatment
- Neural dynamics and brain function
- Epilepsy research and treatment
- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Neurosurgical Procedures and Complications
- Clinical practice guidelines implementation
- Bone Tumor Diagnosis and Treatments
- Infectious Diseases and Tuberculosis
- Neurofibromatosis and Schwannoma Cases
Brown University
2016-2025
Rhode Island Hospital
2016-2025
Providence College
2018-2025
Lifespan
2018-2024
Neurosciences Institute
2024
Neurological Surgery
2018-2020
Stony Brook University
2020
John Brown University
2015-2019
Hasbro Children's Hospital
2014
Texas Tech University Health Sciences Center
2010
BACKGROUND AND OBJECTIVES: General large language models (LLMs), such as ChatGPT (GPT-3.5), have demonstrated the capability to pass multiple-choice medical board examinations. However, comparative accuracy of different LLMs and LLM performance on assessments predominantly higher-order management questions is poorly understood. We aimed assess 3 (GPT-3.5, GPT-4, Google Bard) a question bank designed specifically for neurosurgery oral boards examination preparation. METHODS: The 149-question...
Interest surrounding generative large language models (LLMs) has rapidly grown. Although ChatGPT (GPT-3.5), a general LLM, shown near-passing performance on medical student board examinations, the of or its successor GPT-4 specialized examinations and factors affecting accuracy remain unclear. This study aims to assess 500-question mock neurosurgical written examination. The Self-Assessment Neurosurgery Examinations (SANS) American Board Neurological Surgery Examination 1 was used evaluate...
Abstract Background Interest surrounding generative large language models (LLMs) has rapidly grown. While ChatGPT (GPT-3.5), a general LLM, shown near-passing performance on medical student board examinations, the of or its successor GPT-4 specialized exams and factors affecting accuracy remain unclear. Objective To assess 500-question mock neurosurgical written boards examination. Methods The Self-Assessment Neurosurgery Exams (SANS) American Board Neurological Surgery (ABNS) Exam 1 was...
Informed consent is integral to the practice of medicine. Most informed documents are written at a reading level that surpasses comprehension average American. Large language models, type artificial intelligence (AI) with ability summarize and revise content, present novel opportunity make used in forms more accessible American thus, improve quality consent. In this study, we experience largest health care system state Rhode Island implementing AI readability documents, highlighting one...
International consensus paper on a unified nomenclature for full-endoscopic spine surgery.Minimally invasive endoscopic spinal procedures have undergone rapid development during the past decade. Evolution of working-channel endoscopes and surgical instruments as well innovation in techniques expanded types pathology that can be addressed. However, there is literature heterogeneous defining approach corridors procedures, this lack common language has hampered communication between surgeons,...
Few neurosurgeons practicing today have had training in the field of endoscopic spine surgery during residency or fellowship. Nevertheless, over past 40 years individual surgeons from around world worked to create a subfield minimally invasive that takes point visualization away surgeon's eye lens microscope and puts it directly at pathology. What follows is an attempt describe story how developed credit some those who been biggest contributors its development.
Abstract Background General large language models (LLMs), such as ChatGPT (GPT-3.5), have demonstrated capability to pass multiple-choice medical board examinations. However, comparative accuracy of different LLMs and LLM performance on assessments predominantly higher-order management questions is poorly understood. Objective To assess three (GPT-3.5, GPT-4, Google Bard) a question bank designed specifically for neurosurgery oral boards examination preparation. Methods The 149-question...
Spinal endoscopy has the stigma of being reserved for only a few surgeons who can figure out how to master steep learning curve and develop clinical practice settings where endoscopic spine surgery thrive. In essence, treatment herniated discs specifically nerve root compression in lumbar general amounts replacing traditional open protocols with spinal techniques. doing so, surgeon must be confident that degenerative spine's common painful problems handled techniques at least comparable...
Durotomy during endoscopic spine surgery can cause a patient's neurological or cardiovascular status to deteriorate unexpectedly intra- postoperatively. There is currently limited literature regarding appropriate fluid management strategies, irrigation-related risk factors, and clinical consequences of incidental durotomy spinal endoscopy, no validated irrigation protocol exists for surgery. Thus, the present article sought (1) describe 3 cases durotomy, (2) investigate standard epidural...
Summary: Purpose: Epileptiform discharges that resemble interictal spikes can be generated by slices of neocortex treated with antagonists γ‐aminobutyric acid A (GABA ) receptors. These propagate horizontally for long distances. We tested the hypothesis propagation occurs through preferred horizontal pathways lie in a particular cortical layer. Methods: Slices were prepared from primary somatosensory cortex rats, maintained vitro, and bathed GABA receptor antagonist picrotoxin. Electrical...
Aim Mortality from malignant middle cerebral artery infarction (MMCAI) approaches 80% in adult series. Although decompressive craniectomy decreases mortality and leads to an acceptable outcome selected patients, there are few data on MMCAI children with stroke. This study evaluated the frequency of use children. Method We retrospectively reviewed cases five pediatric tertiary care centers. Results Ten (two females, eight males; median age 9y 10mo, range 22mo–14y) had MMCAI, a Glasgow Coma...
OBJECTIVE The authors describe a cadaveric analysis to determine the ideal dimensions and trajectory for considering endoscopic transforaminal interbody implantation. METHODS soft tissues of 8 human cadavers were removed from L-1 sacrum, exposing posterior bony elements. Facetectomies performed bilaterally at each lumbar level with resection pars interarticularis, revealing pedicles, nerve roots, disc space. Each was digitally photographed marker scale evaluated digital software. traversing...
OBJECTIVE The aim of this study was to describe patient radiation exposure during single-level transforaminal endoscopic lumbar discectomy procedures at levels L2–5 and L5–S1. METHODS Radiation monitored in 151 consecutive patients undergoing procedures. Two groups were studied: the L4–5 level or above those an L5–S1 procedure. RESULTS For above, average duration fluoroscopy 38.4 seconds mean calculated dose 1.5 mSv. procedures, time 54.6 2.1 among these cases represents a 3.5-fold decrease...
Personalized care models are dominating modern medicine. These rooted in teaching future physicians the skill set to keep up with innovation. In orthopedic surgery and neurosurgery, education is increasingly influenced by augmented reality, simulation, navigation, robotics, some cases, artificial intelligence. The postpandemic learning environment has also changed, emphasizing online skill- competency-based incorporating clinical bench-top research. Attempts improve work–life balance...
Use of lumbar fusion has increased substantially over the last 2 decades. For patients with stenosis and degenerative spondylolisthesis, landmark prospective randomized clinical trials (RCTs) published in New England Journal Medicine 2016 did not find clear evidence favor decompression alone this population.To assess national use vs for surgical treatment spondylolisthesis from to 2019.This retrospective cohort study included 121 745 hospitalized adult (aged ≥18 years) undergoing 1-level or...
1. Medial temporal lobe sclerosis is a common pathological finding in patients with medically intractable epilepsy. This disease characterized by extensive cell loss the hilus and hippocampal CA1 CA3 fields addition to synaptic reorganization throughout dentate gyrus. 2. The granule cells from slices of diagnosed medial exhibit reduced inhibition concommitant hyperexcitability. These physiological changes were studied relative hippocampi tumors which are not seen. 3. We attempted determine...
The diagnosis, treatment, and postoperative care of morbidly obese patients undergoing spinal surgery require modifications for body habitus. With a growing percentage the United States population becoming obese, surgeon may need elective or emergency treatment plans that address special needs these patients. authors retrospectively reviewed severely patient surgery.To assess associated results complications management required modification habitus, 12 were included in study (nine females);...