A5024716285- Trauma and Emergency Care Studies
- Bone fractures and treatments
- Foot and Ankle Surgery
- Musculoskeletal Disorders and Rehabilitation
- Orthopedic Surgery and Rehabilitation
- Primary Care and Health Outcomes
- Traffic and Road Safety
- Musculoskeletal pain and rehabilitation
- Hip and Femur Fractures
- Lower Extremity Biomechanics and Pathologies
- Healthcare Policy and Management
- Diversity and Career in Medicine
- Diabetic Foot Ulcer Assessment and Management
- Innovations in Medical Education
- Patient Satisfaction in Healthcare
- Orthopedic Infections and Treatments
- Nursing Roles and Practices
- Emergency and Acute Care Studies
- Hip disorders and treatments
- Traumatic Brain Injury Research
- Hospital Admissions and Outcomes
- Clinical Reasoning and Diagnostic Skills
- Tendon Structure and Treatment
- Posttraumatic Stress Disorder Research
- Injury Epidemiology and Prevention
Case Western Reserve University
2018-2024
University Hospitals of Cleveland
2022-2024
Chester County Hospital
2024
Forrest General Hospital
2024
University School
2018-2023
Duke University Hospital
2023
Northeast Ohio Medical University
2023
Creative Commons
2023
MetroHealth
2023
Orthopaedic Trauma Association
2023
Abstract Background Identifying ideal candidates for orthopaedic surgery residency is difficult. Data available applicant selection are evolving; preclinical grades and the Alpha Omega (AOA) honors society being phased out at some medical schools. Similarly, three-digit United States Medical Licensing Examination (USMLE) Step 1 scores have been eliminated. There renewed interest in improving resident to provide a diverse, comprehensive educational opportunity that produces surgeons who...
In an era of increasing healthcare costs, the number and value nonclinical workers, especially hospital management, has come under increased study. Compensation executives, at major nonprofit medical centers, "wage gap" with physicians clinical staff been highlighted in national news. To our knowledge, a systematic analysis this wage gap its importance not investigated.(1) How do trends compare between executives centers? (2) What are wages workers industry? (3) contribute to growth cost...
The purpose of this study is to assess the impact Trauma Recovery Services (TRS), a program facilitating engagement and recovery on satisfaction after orthopaedic trauma.
To characterize the charges and collections associated with initial inpatient management of trauma patients who undergo operative fracture management.Retrospective.Level 1 center.Four hundred forty consecutive, adult, patients.Fixation for spine, pelvis, acetabulum, and/or femur fractures.Professional technical (facility) from 6 months subsequent related care.Patients were predominantly male (74.3%) white (63.2%) a mean age 41 years injury severity score 18.5. Uninsured (self-pay)...
Abstract Despite the rising prevalence of arthroplasty and aging population, limited data exist regarding differences in periprosthetic fracture clinical outcomes compared with native counterparts. This study compares hospital treatment, morbidity, mortality associated distal femur fractures at an urban level 1 trauma center. We retrospectively reviewed all adult AO/OTA type 33 (526) that presented to our institution between 2009 2018. In total, 54 were matched by age gender. recorded...
Abstract Objectives: To identify comorbidities and injury characteristics associated with surgical site infection (SSI) following internal fixation of malleolar fractures in an urban level 1 trauma setting. Design: Retrospective. Setting: Level center. Patients/Participants: Seven-hundred seventy-six consecutive patients operatively managed from 2006 to 2016. Intervention: Open reduction fixation. Main Outcome Measurements: Superficial SSI (erythema drainage treated oral antibiotics wound...
What are the differences between elective and trauma patient satisfaction do diagnosis factors predict physician scores?Prospective cohort study.Urban Level 1 Trauma center.Three hundred twenty-three patients 433 orthopaedic treated at our center by same surgeons.Trauma surgery for one or more fractures; with hip, knee, shoulder arthroplasty, rotator cuff repair.Telephone survey regarding experience their care. The included questions from Hospital Consumer Assessment of Healthcare Providers...
Patient function after arthrodesis of the first metatarsophalangeal joint (MTPJ) relies on proper positioning MTPJ. To maximize likelihood good postoperative function, dorsiflexion angle, referred to as fusion sagittal should range between 20° and 30°, corresponding 10° 15° off weightbearing axis. However, achieving appropriate alignment intraoperatively is challenging. The artificial floor technique (AFT) uses a rigid, flat surface simulate position foot accurately MTPJ without fluoroscopy....
We have developed and tested two linked but separable structured inquiry exercises using a set of Drosophila melanogaster GAL4 enhancer trap strains for an upper-level undergraduate laboratory methods course at Bucknell University. In the first, students learn to perform inverse PCR identify genomic location insertion, FlyBase flanking sequences primary literature synthesize current knowledge regarding nearest gene. second, we cross each strain UAS-CD8-GFP reporter strain, whole mount CNS...
Background Optimal lateral ankle imaging is important for the diagnosis and treatment of multiple conditions. The effects limb deformity on are not well described clarified in this osteological study. Materials methods We utilized an collection imaged all specimens after first positioning talus position tibia fibula to match. then measured relative positions their widths calculate standard ratios. All measurements were evaluated reliability using intra-class correlation coefficients....
1Assistant Professor, Department of Orthopaedic Surgery, Case Western Reserve University, University Hospitals Cleveland Medical Center, Cleveland, OH, USA A. S. Rascoe, Surgeon and Assistant UH Surgery Department, 1100 Euclid Ave OH 44106, USA, Email: [email protected] This CORR Insights® is a commentary on the article "Can Patient-centered Education Pain Management Delivered by Coaches Improve Outcomes After Trauma? A Randomized Trial" Giordano colleagues available at: DOI:...
Purpose When treating limb length discrepancy (LLD), decisions regarding lengthening versus contralateral shortening require careful consideration of deformity and patient factors. Using the National Longitudinal Survey Youth 1979 (NLSY79) database, income as a quantitative representation overall socioeconomic benefit, we sought to determine height at which incremental gains in have greatest value. Methods NLSY79 collected demographic data, height, yearly from wages, college education (full-...
Objective: To calculate the revenue generated for injury- and noninjury-related services after initial injury event in an orthopaedic trauma population. Design: Retrospective cohort study. Setting: Single Level 1 center. Participants: Four hundred forty adult patients treated operatively spine, pelvis, and/or upper or lower extremity fractures with ≥1 night stay. Intervention: Operative fracture management. Main Outcome Measurement: Revenue follow-up care indications 24 months. Results: Most...
No guidelines exist for recommending return to driving. This study will examine time brake (TTB) after lower extremity injuries versus in uninjured people. The potential effect of various types on TTB be measured.Patients with the pelvis, hip, femur, knee, tibia, ankle, and foot underwent testing using a driving simulator assess TTB. Comparison was control group people.Two-hundred thirty-two patients participated. majority were tibia ankle regions (47%). Mean subjects 0.74 seconds, compared...
Patient-specific factors may influence posttraumatic stress disorder (PTSD) development and warrant further examination. This study investigates potential association between patient-reported fear of death at the time injury PTSD.Over 35 months, 250 patients were screened for PTSD their first posthospitalization clinic visit asked "Did you think going to die from this injury?" (yes or no). screening was conducted using checklist DSM-5 questionnaire. A score ≥33 considered positive PTSD,...
To evaluate a noninvasive hemoglobin measurement device in an orthopaedic trauma population.Prospective.Level 1 center.One hundred five patients consecutively admitted to the service after surgical treatment of fracture.Transcutaneous (TcHgb) monitoring using Masimo Pronto Pulse CO-Oximeter model with Rainbow SET Technology for spot TcHgb measurement.TcHgb measurements and standard venipuncture (vHgb) were obtained. Patient preferences each recorded.TcHgb obtained 100 compared their...
Musculoskeletal (MSK) complaints, including back pain, represent a large percentage of physician office visits. Despite the disease burden, current literature suggests physicians are not adequately trained to care for these conditions. Enabling future providers address MSK complaints requires revising medical school curriculum. Here we report novel curriculum developed through application contextual learning theory and targeted needs assessment. The course emphasizes clinical reasoning in...
In the background of increasing competition between trauma centers, this study investigated relative reimbursement care provided in an urban setting, comparing patients previously unknown (new) to system, representing potential sources new revenue, and those who were known (established), having received medical same system.A retrospective review 440 with high-energy fractures at a single level 1 center was conducted. Payment charge (P/C) ratios for professional facilities services within 6...
Intra-articular calcaneus fractures are associated with a high rate of malunion resulting in hindfoot and ankle impingement, peroneal tendinitis, sural neuritis, arthritis, varus or valgus deformity, loss height, gastrocnemius-soleus complex weakness gait dysfunction. These issues can arise whether the patient’s injury is treated conservatively non–weight-bearing precautions, neglected/missed, surgically open reduction internal fixation. The sequelae calcaneal malunions early late this...
Purpose Symptomatic and planned implant removals are common in pediatric orthopaedic surgery patients. As a matter of hospital policy, one our regional centers mandates the gross pathologic evaluation any removed from surgical patient. Owning to commonality removal procedures orthopaedics, we sought determine frequency utility examination cases. Methods We retrospectively queried financial database cases at institution identified patients by CPT code who underwent …