- Orthopedic Surgery and Rehabilitation
- Shoulder Injury and Treatment
- Shoulder and Clavicle Injuries
- Cardiac, Anesthesia and Surgical Outcomes
- Elbow and Forearm Trauma Treatment
- Bone fractures and treatments
- Diversity and Career in Medicine
- Total Knee Arthroplasty Outcomes
- Peripheral Nerve Disorders
- Medical Malpractice and Liability Issues
- Venous Thromboembolism Diagnosis and Management
- Nerve Injury and Rehabilitation
- Management of metastatic bone disease
- Medical Imaging and Pathology Studies
- Spine and Intervertebral Disc Pathology
- Traumatic Ocular and Foreign Body Injuries
- COVID-19 and healthcare impacts
- Anesthesia and Pain Management
- Cancer Diagnosis and Treatment
- Innovations in Medical Education
- Bone health and treatments
- Gun Ownership and Violence Research
- Rheumatoid Arthritis Research and Therapies
- Blood transfusion and management
- Ear and Head Tumors
Mayo Clinic in Florida
2022-2025
WinnMed
2022-2025
Jacksonville College
2023-2024
Johns Hopkins Medicine
2018-2023
Johns Hopkins University
2017-2023
Johns Hopkins Hospital
2017-2021
University of Cincinnati
2021
Shimada Municipal Hospital
2021
Miles College
2021
Johns Hopkins Berman Institute of Bioethics
2020
The purpose of this study was to evaluate the performance and evolution Chat Generative Pre-Trained Transformer (ChatGPT; OpenAI) as a resource for shoulder elbow surgery information by assessing its accuracy on American Academy Orthopaedic Surgeons shoulder-elbow self-assessment questions. We hypothesized that both ChatGPT models would demonstrate proficiency there be significant improvement with progressive iterations. A total 200 questions were selected from 2019 2021 3.5 4 used all...
Abstract Background While artificial intelligence (AI) is revolutionizing healthcare, inaccurate or incomplete information from pre-trained large language models (LLMs) like ChatGPT poses significant risks to patient safety. Retrieval-Augmented Generation (RAG) offers a promising solution by leveraging curated knowledge bases enhance accuracy and reliability, especially in high-demand specialties plastic surgery. Objectives This study evaluates the performance of RAG-enabled AI addressing...
Background: Anatomically accurate illustrations are imperative in medical education, serving as crucial tools to facilitate comprehension of complex anatomical structures. While traditional illustration methods involving human artists remain the gold standard, rapid advancement Generative Artificial Intelligence (GAI) models presents a new opportunity automate and accelerate this process. This study evaluated potential GAI produce craniofacial anatomy for educational purposes. Methods: Four...
In order to reduce viral spread, elective surgery was cancelled in most US hospitals for an extended period during the COVID-19 pandemic. The purpose of this study estimate national hospital reimbursement and net income losses due orthopaedic cancellation
Our goal was to determine whether postoperative delirium is associated with inpatient complication rates after primary elective total hip arthroplasty (THA).Using the National Inpatient Sample, we analyzed records of patients who underwent THA from 2000 through 2009 identify (n = 13,551) and without 1,992,971) assess major perioperative complications (acute renal failure, death, myocardial infarction, pneumonia, pulmonary embolism, stroke) minor (deep vein thrombosis, dislocation, general...
Systemic lupus erythematosus (herein, lupus) is a complex, chronic autoimmune inflammatory disease with many clinical and immunologic manifestations.It occurs dis-proportionately among women African Americans. 1,2)[5] Arthritic changes in patients are different from those arthropathies.These arthritic may be related closely to vasculitic that also occur lupus. 6,7)In some series, 4%-30% of develop osteonecrosis, the femoral head being most common site involvement. 8,9)Lupus often treated...
The incidence of total shoulder arthroplasty (anatomic and reverse) is increasing as indications expand. purpose this study to identify predictors short-term complications readmission following for patients with glenohumeral osteoarthritis.The American College Surgeons National Surgical Quality Improvement Program was used 12,982 who underwent or from 2011-2016. Demographic data, postoperative complications, within 30 days were analyzed. Multivariable logistic regression determine...
Objectives Chronic steroid use has been associated with poor healing and worse long-term outcomes in patients undergoing orthopedic surgery, but the specific risk profile short-term complications related to chronic steroids outpatient shoulder surgery are inadequately defined. The purpose of this study is characterize effects on 30-day post-operative following arthroscopic open surgery.Methods American College Surgeons National Surgical Quality Improvement Program was used identify who...
Introduction: Intramuscular myxomas are rare, benign mesenchymal tumors which commonly arise in muscle of the upper limb, pelvis, abdominal tissue, spine, or facial muscle. There few case reports intramuscular myxomas, and none these describe myxoma as a cause compressive neuropathy. Case Report: We 67-year-old woman who presented to us with 1-year history progressive enlargement painless right elbow mass. She gradually developed increasing numbness tingling her small finger, was worse at...
Objectives Diabetes has been associated with poor healing and prior literature shown worse functional outcomes in diabetic patients undergoing both open arthroscopic shoulder surgery. However, the effects of diabetes on perioperative complications for non-arthroplasty type procedures are not well defined. The purpose this study was to analyze 30-day following surgery.Methods American College Surgeons National Surgical Quality Improvement Program used identify who underwent (excluding...
Osseous metastases to the hands and feet (acrometastases) are exceedingly rare. Historically, most common primary cancer observed has been lung carcinoma, treated either nonoperatively or with amputation. The aim of this study was describe clinical characteristics associated acrometastases. This a retrospective review 28 patients histologically proven osseous metastatic disease feet. Variables recorded included histology, age at diagnosis acrometastases, location burden disease, treatment,...
Objectives: Smoking has been associated with poor cuff healing and worse long-term outcomes in patients undergoing rotator repair. The effects of smoking on short-term complications following open repair are not well defined. purpose this study is to analyze the 30-day repair.Methods: American College Surgeons National Surgical Quality Improvement Program was used identify who underwent from 2011 2016. Patients were current smokers (within 1 year prior surgery) identified compared...
PURPOSE: To determine whether differences in estimated operative times between the Centers for Medicare & Medicaid Services (CMS) and National Surgical Quality Improvement Program (NSQIP) contribute to payment work relative value unit (wRVU) misvaluation hospital-based hand upper extremity procedures. METHODS AND METHODS: Data on wRVUs, payments, were collected from CMS 53 Using regression analysis, we compared relationships these variables, addition actual median as reported NSQIP database,...
Introduction—March 25, 2020 COVID-19 is in its second week of taking over the national consciousness. The financial markets have been turmoil. People across world are sick and some dying. Discussions at hospitals intense. military looking for medical help. Ships being deployed to each coast. Hospitals under siege major urban areas. Schools workplaces closed, people isolated. older population threatened, although younger possibly physically less their behaviors could be riskier. Commonwealth...