A5041229626- Meningioma and schwannoma management
- Reconstructive Surgery and Microvascular Techniques
- Pharmaceutical Practices and Patient Outcomes
- Health Literacy and Information Accessibility
- Central Venous Catheters and Hemodialysis
- Vascular Procedures and Complications
- Vascular Malformations Diagnosis and Treatment
- Patient-Provider Communication in Healthcare
- Glioma Diagnosis and Treatment
- Bone Tissue Engineering Materials
- Reconstructive Facial Surgery Techniques
- Intracranial Aneurysms: Treatment and Complications
- Mobile Health and mHealth Applications
- Head and Neck Surgical Oncology
- Breast Implant and Reconstruction
- Advanced Radiotherapy Techniques
- Mental Health Treatment and Access
- Health Systems, Economic Evaluations, Quality of Life
- Venous Thromboembolism Diagnosis and Management
- Neurofibromatosis and Schwannoma Cases
- Medication Adherence and Compliance
- Peripheral Artery Disease Management
- Trigeminal Neuralgia and Treatments
- Uterine Myomas and Treatments
- Infectious Aortic and Vascular Conditions
Kaiser Permanente
2008-2025
Institute of Electrical and Electronics Engineers
2019-2024
Strategic Education Research Partnership
2023-2024
SUNY Upstate Medical University
2024
Los Angeles Medical Center
2007-2023
Colorado Permanente Medical Group
2023
Johns Hopkins University
2020-2023
Community Initiatives
2021-2023
Atrium Health Wake Forest Baptist
2023
City University of New York
2007-2023
The purpose of this study was to assess the effect obesity on flap and donor-site complications in patients undergoing free transverse rectus abdominis myocutaneous (TRAM) breast reconstruction. All reconstruction with TRAM flaps at our institution from February 1, 1989, through May 31, 1998, were reviewed. Patients divided into three groups based their body mass index: normal (body index <25), overweight 25 29), obese > or =30). Flap compared. A total 936 reconstructions performed 718...
Since its inception at our institution in 1988, microvascular reconstructive surgery has become an integral part of the treatment head and neck cancer patients. This review 308 free flaps performed over last 4 years was done to evaluate complication flap loss rates investigate which factors may contribute these rates. The overall rate 36.1 percent, vessel thrombosis 6.8 5.5 salvage 19.0 percent. Multifactorial analysis delayed reconstruction, tobacco use, alcohol consumption, previous...
A review of 854 consecutive free flaps was performed to determine whether the choice flap used for reconstruction influenced probability a successful outcome. Flaps were grouped into nine categories: rectus abdominis, transverse abdominis myocutaneous, radial forearm, jejunum, latissimus dorsi, fibula, scapula, iliac crest, and other. There significant differences among success rates different (p < 0.0001). Rectus abdominis-based breast or head neck had lower failure (0.9 percent) than did...
Porous biodegradable poly(DL-lactic-co-glycolic acid) foams were seeded with rat marrow stromal cells and implanted into the mesentery to investigate in vivo bone formation at an ectopic site. Cells a density of 6.83 × 105 cells/cm2 onto polymer having pore sizes ranging from either 150 300 or 500 710 μm cultured for 7 days vitro prior implantation. The polymer/cell constructs harvested after 1, 7, 28, 49 processed histology gel permeation chromatography. Visual observation hematoxylin...
The purpose of this study was to compare the sensitivity a 20-mHz ultrasonic Doppler device detect microvascular thrombosis placed on vein with that artery. A feasibility in animals preceded comparative clinical patients. Six rabbits were used develop bilateral hind limb perfusion model. femoral artery and isolated, probes affixed each. Clamping separately followed by simultaneous measurements both vascular using audio signals strip-chart recordings. total 48 obtained. Probes immediately...
Restoring normal function and appearance after massive facial injuries with bone loss is an important unsolved problem in surgery. An limitation of the current methods heuristic ad hoc design replacements by operating surgeon at time This might be addressed incorporating a computational method known as topological optimization into routine surgical planning. We tested feasibility using multiresolution three-dimensional to for midface loss. The final solution meet functional requirements may...
An interactive digital education aid for breast reconstruction patients was developed because of a perceived need to provide with more regarding the treatment so that they can make better informed decisions. A prospective randomized study conducted assess its effectiveness.Breast cancer who were candidates recruited and into control group group. Both groups received routine assessment in plastic surgery clinic, but also watched aid. Questionnaires assessing knowledge, anxiety, satisfaction...
Recombinant human transforming growth factor β1 (TGF-β1) was incorporated into microparticles of blends poly(DL-lactic-co-glycolic acid) (PLGA) and poly(ethylene glycol) (PEG) to create a delivery vehicle for the factor. The entrapment efficiency TGF-β1 in containing 5% PEG 40.3 ± 1.2% loading density 6.0 ng/1 mg microparticles. For same loading, 17.9 0.6 32.1 2.5% loaded released after 1 8 days, respectively, followed by plateau remaining 3 weeks. Rat marrow stromal cells showed dose...
The purpose of this study was to assess the effectiveness free tissue transfer for treatment advanced mandibular osteoradionecrosis (ORN) in head and neck cancer patients.We reviewed 29 patients who were treated ORN by radical resection reconstruction with flaps at our institution. All had either failed respond conservative treatment, including hyperbaric oxygen therapy debridement or pathological fracture due ORN.Twenty-four vascularized bone (17 fibula, five iliac, two scapula), four...
Aims: Physicians recovering from substance-related disorders are usually allowed to return practice if they agree remain abstinent drugs, including alcohol, and undergo random urine testing. Over 9000 physicians currently involved in such monitoring programs the US. To date, it has been difficult adequately monitor abstinence alcohol due short half-life of no other highly specific marker. Ethyl glucuronide (EtG), a direct metabolite offers an extended window for assessment drinking status...