A5052125958- Spinal Cord Injury Research
- Urinary Bladder and Prostate Research
- Urinary Tract Infections Management
- Cerebral Palsy and Movement Disorders
- Pelvic floor disorders treatments
- Stroke Rehabilitation and Recovery
- Pressure Ulcer Prevention and Management
- Diabetic Foot Ulcer Assessment and Management
- Elder Abuse and Neglect
- Nerve Injury and Rehabilitation
- Simulation-Based Education in Healthcare
- Spinal Dysraphism and Malformations
- Cardiovascular Issues in Pregnancy
- Cardiovascular Function and Risk Factors
- Bladder and Urothelial Cancer Treatments
- Pediatric Urology and Nephrology Studies
- Disability Rights and Representation
- Family and Disability Support Research
- Trauma and Emergency Care Studies
- Shoulder Injury and Treatment
- Periodontal Regeneration and Treatments
- Sports injuries and prevention
- Telemedicine and Telehealth Implementation
- Assistive Technology in Communication and Mobility
- Mobile Health and mHealth Applications
MedStar National Rehabilitation Hospital
2015-2024
Georgetown University
2015-2024
Georgetown University Medical Center
2012-2024
MedStar Georgetown University Hospital
2014-2023
MedStar Health
2017-2021
United Spinal Association
2021
United States Food and Drug Administration
2017
University of Miami
2017
Center for Drug Evaluation and Research
2017
Neurological Surgery
2017
Clinical dogma is that healthy urine sterile and the presence of bacteria with an inflammatory response indicative urinary tract infection (UTI). Asymptomatic bacteriuria (ABU) represents state in which are present but negligible. Differentiating ABU from UTI diagnostically challenging, critical because overtreatment can perpetuate antimicrobial resistance while undertreatment result increased morbidity mortality. In this study, we describe key characteristics microbiomes utilizing 16S rRNA...
Rising prevalence of secondary conditions among persons with spinal cord injury (SCI) has focused recent attention to potential health promotion programs designed reduce such adverse conditions. A healthy lifestyle for people SCI, including and specifically, the adoption a vigorous exercise routine, been shown produce an array benefits, prompting many providers recommend implementation activity those SCI. Successfully adopting regimen however, requires confidence in one's ability engage or...
Background/Objectives: To examine nutrient intake and body mass index (BMI) in the spinal cord injury (SCI) population according to level of sex.Design: Cross-sectional study conducted at 2 SCI treatment centers.Participants/Methods: Seventy-three community-dwelling individuals with C5-T12 ASIA Impairment Scale (AIS) A or B SCI. Subjects were divided into 4 groups: male tetraplegia (N = 24), paraplegia 37), female 1), 11). Mean age was 38 years; 84% male; 34% white, 41 % African American,...
This text is excerpted from the complete document, which includes Consortium Member Organizations and Steering Committee Representatives, Acknowledgments, Reviewers, Glossary, Appendix (Search Strategies).Administrative financial support provided by Paralyzed Veterans of America.Reprinted with permission America (PVA) for Spinal Cord Medicine Clinical Practice Guidelines Consumer Guide: "Cardiometabolic Risk after Injury: A Guideline Health Care Providers." Washington, DC: © 2018 America....
Purpose: Compared to the microbiome of other body sites, urinary remains poorly understood. Although noninvasive voided urine specimens are convenient, contamination by urethral microbiota may confound understanding bladder microbiome. Herein we compared voiding- versus catheterization-associated healthy men and women.Methods: An asymptomatic, cohort 6 women 14 underwent midstream collection, followed sterile catheterization after refilling. Urine samples dipstick testing conventional...
In Brief This study described the cardiometabolic risk factors by level of injury in a population with spinal cord injury. Elevated body mass index, low-density lipoprotein cholesterol, systolic blood pressure, total and low high-density cholesterol were most prevalent factors. Carbohydrate metabolism appeared preferentially affected persons suffering from tetraplegia.
We used the PathoScope platform to perform species level analyses of publicly available, 16S rRNA pyrosequenced, asymptomatic urine data determine relationships between microbiomes, and clinical functional phenotypes.We reanalyzed previously reported, cross-sectionally acquired samples from 47 subjects, including 23 controls 24 subjects with neuropathic bladder. Urine was originally collected by usual method bladder drainage analyzed urinalysis, culture pyrosequencing. Urinalysis values were...
Administrative and financial support provided by Paralyzed Veterans of AmericaReprinted with permission from the America (PVA) Consortium for Spinal Cord Medicine Clinical Pra...
Background: Evidence suggests an elevated prevalence of cardiometabolic risks among persons with spinal cord injury (SCI); however, the unique clustering risk factors in this population has not been fully explored. Objective: The purpose study was to describe differentiated by level injury. Methods: One hundred twenty-one subjects (mean 37 ± 12 years; range, 18–73) chronic C5 T12 motor complete SCI were studied. Assessments included medical histories, anthropometrics and blood pressure,...
Skin breakdown is a prevalent and costly medical condition worldwide, with the etiologic healing processes being complex multifactorial. Quantitative assessment of wound challenging due to subjective measurement size related characteristics. We propose that in vivo spectral reflectance measurements can serve as valuable clinical monitoring tool/device study healing. have designed multi camera able acquire 18 wavelength sensitive images single snapshot. A lenslets array front digital combined...
The purpose of this study was to test the hypothesized association between exercise self-efficacy and behavior, controlling for demographic variables clinical characteristics, in a sample individuals with spinal cord injuries.A cross-sectional national survey 612 community-dwelling adults injury United States ranging from 18 89 yrs age conducted. Sample consisted 63.1% men mean (SD) duration 15.8 (12.79) postinjury; 86.3% reported using wheelchair.Self-efficacy only independent variable that...
Abstract Background Spinal cord injury (SCI) triggers an “accelerated aging” process that may include development of hypogonadism, even among younger men with SCI; however, few studies have investigated the prevalence or etiology hypogonadism in SCI. Young SCI also are at increased risk for developing metabolic dysfunction after injury, which be exacerbated by concomitant testosterone (T) deficiency, thus identifying and factors T deficiency is important their long‐term health. Objective To...
To determine whether intensive electrical stimulation (ES) can reduce femoral bone mineral density (BMD) loss in acute spinal cord injury (SCI).Randomized controlled trial.Inpatient rehabilitation hospital.Twenty-six subjects with C4 to T12 American Spinal Injury Association Impairment Scale A or B SCI less than 12 weeks postinjury.The control group received usual rehabilitative care and the intervention plus 1 hour of ES over quadriceps 5 days per week for 6 weeks.Outcome measurements were...
The aim of this study was to determine whether a skin-specific bioengineered regenerating agent (RGTA) heparan sulphate mimetic (CACIPLIQ20) improves chronic wound healing. design article is prospective within-subject study. setting an urban hospital. Patients were 16 African-American individuals (mean age 42 years) with 22 wounds duration 2·5 because either pressure, diabetic, vascular or burn wounds. Two participants each lost follow-up removed poor compliance, resulting in 18 analysed....