- Ear Surgery and Otitis Media
- Head and Neck Surgical Oncology
- Meningioma and schwannoma management
- Ear and Head Tumors
- Hernia repair and management
- Abdominal Surgery and Complications
- Trauma and Emergency Care Studies
- Opioid Use Disorder Treatment
- Pelvic and Acetabular Injuries
- Facial Nerve Paralysis Treatment and Research
- Neurofibromatosis and Schwannoma Cases
- Sepsis Diagnosis and Treatment
- Emergency and Acute Care Studies
- Pediatric Pain Management Techniques
- Erythrocyte Function and Pathophysiology
- Hemoglobin structure and function
- Vestibular and auditory disorders
- Pain Management and Opioid Use
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Arrest and Resuscitation
- Blood transfusion and management
- Thermal Regulation in Medicine
- Anesthesia and Pain Management
- Neonatal Health and Biochemistry
- Surgical Sutures and Adhesives
Ulsan National Institute of Science and Technology
2024
Memorial Hermann
2023
University of Kentucky
2005-2020
University of Kentucky HealthCare
2011-2018
Synedgen (United States)
2018
University of Pittsburgh
2017-2018
UNSW Sydney
2015
St Vincent's Hospital Sydney
2015
Massachusetts General Hospital
2013
Faculty (United Kingdom)
2011
Background: Previous evidence-based guidelines on the management of intra-abdominal infection (IAI) were published by Surgical Infection Society (SIS) in 1992, 2002, and 2010. At time most recent guideline was released, plan to update every five years ensure timeliness appropriateness recommendations. Methods: Based previous guidelines, task force outlined a number topics related treatment patients with IAI then developed key questions these various topics. All approached using general...
Background: Delayed transfer to a trauma center due unnecessary imaging results in suboptimal patient outcome and increases healthcare costs. Unnecessary may result from beliefs regarding requirements legal concerns. We hypothesized that referring physicians consider factors other than clinical criteria when deciding order studies before of patients. Methods: A mail survey 218 level I elicited affecting decision obtain transfer. Graded answers six questions were obtained demographics the...
The aim of our study was to assess quality life (QOL) among patients who underwent microsurgical excision vestibular schwannoma (VS) compared with those managed conservatively.Retrospective study.Tertiary care center.There a total sample population 376 diagnosed unilateral VS.A 223 VS returned the mailed questionnaires. These were then divided into two groups-78 that had undergone and 145 conservatively. Subgroups within these primary groups created for analysis.The outcome measure Medical...
Abstract Cholesterol granuloma and cholesteatoma are the two most common destructive lesions of petrous apex. Arachnoid cyst is less common. These three expansile often indistinguishable on clinical grounds. granulomas can be treated effectively through internal drainage into mastoid cavity or middle ear. Cholesteatomas, however, managed by more aggressive complicated removal, which mandates sacrifice hearing. Symptomatic arachnoid cysts amenable to simple surgical drainage. Therefore,...
Results of an initiative at academic medical center to reduce prescription opioid use in patients with acute traumatic injuries are reported.In 2014, the University Kentucky Hospital trauma service implemented a pain management strategy consisting patient and provider education emphasizing nonopioid analgesics minimize without compromising analgesia effectiveness. To assess impact initiative, retrospective analysis data on cohorts admitted before (n = 489) after 424) project implementation...
Dramatic increases in damage control and decompressive laparotomies a significant increase patients with open abdominal cavities have resulted numerous techniques to facilitate fascial closure. We hypothesized addition of the reapproximation anchor system (ABRA) KCI Abdominal Wound Vac™ (VAC) or ABThera™ would successful primary closure rates reduce operative costs. Fourteen abdomens were prospectively randomized into group using VAC alone (control) study plus ABRA (VAC-ABRA). All underwent...
Background: Packed red blood cells (PRBCs) transfusion is associated with immune suppression, but these mechanisms are incompletely understood. PRBCs contain arginase, an enzyme that converts arginine to ornithine, and known limit availability suppress cellular immunity. We sought determine whether PRBC arginase causes depletion, potentially contributing immunosuppression. Methods: A model of was designed by adding either centrifuged acellular supernatant from the unit (plasma) or total...
Wireless capsule endoscopy has revolutionized the diagnostic evaluation of small intestine and is increasingly used by gastroenterologists. However, complications can occur with this seemingly safe procedure. We report two cases Crohn's disease in which was performed retention capsules. Both patients were taken to operating room electively after careful preoperative planning address both surgical aspect retained capsule. reviewed literature on use wireless discuss approach a new complication.
This case report describes a complication caused by cooling pads used for therapeutic hypothermic resuscitation. The authors hope to highlight and emphasize the importance of thorough evaluation all skin surfaces that are in direct contact with such pads. Skin injury from hypothermia should be recognized as potential treatment.