A5006129082- Acute Ischemic Stroke Management
- Stroke Rehabilitation and Recovery
- Cerebrovascular and Carotid Artery Diseases
- Cardiovascular Health and Risk Factors
- Venous Thromboembolism Diagnosis and Management
- Neurological Disorders and Treatments
- Intracerebral and Subarachnoid Hemorrhage Research
- Orthopaedic implants and arthroplasty
- Total Knee Arthroplasty Outcomes
- Dysphagia Assessment and Management
- Traumatic Brain Injury and Neurovascular Disturbances
- Esophageal and GI Pathology
- Cerebral Venous Sinus Thrombosis
- Healthcare Systems and Public Health
- Intracranial Aneurysms: Treatment and Complications
- Orthopedic Infections and Treatments
- Spine and Intervertebral Disc Pathology
- Tracheal and airway disorders
- Infective Endocarditis Diagnosis and Management
- Lower Extremity Biomechanics and Pathologies
- Healthcare Systems and Practices
- Spinal Fractures and Fixation Techniques
- Clinical practice guidelines implementation
- Hip disorders and treatments
- Vasculitis and related conditions
Soroka Medical Center
2018-2025
Cincinnati Children's Hospital Medical Center
2022-2024
Brown University
2024
University of Cincinnati
2016-2024
Ben-Gurion University of the Negev
2024
University of Alabama at Birmingham
2024
Columbia University Irving Medical Center
2023
Indiana University – Purdue University Indianapolis
2022-2023
University of Cincinnati Medical Center
2023
Providence College
2023
Background and Purpose- Sex differences in stroke incidence over time were previously reported from the GCNKSS (Greater Cincinnati/Northern Kentucky Stroke Study). We aimed to determine whether these continued through 2015 they driven by particular age groups. Methods- Within population of 1.3 million, incident (first ever) strokes among residents ≥20 years ascertained at all local hospitals during 5 periods: July 1993 June 1994 calendar 1999, 2005, 2010, 2015. Out-of-hospital cases sampled....
Modular hip arthroplasty systems, currently widely employed, offer the advantage of increased intraoperative flexibility in component selection with reduced inventory, as well disadvantage modular dissociation. Dissociation during closed reduction for dislocation is reported three patients at different interface levels: (1) fixed acetabular shell-polyethylene liner interface, (2) bipolar component-femoral head and (3) femoral head-neck interface. Subsequent open was required each case....
Twenty-nine patients underwent surgery for far lateral herniated nucleus pulposus. Average patient age was 65 years in the 14 male and 15 female involved. The L4-5 disc most commonly level (59%) followed by L3-4 (31%), L5-S1 (7%), L2-3 (3%). All were initially seen with radiculopathy 23 (79%) had motor weakness. A pars interarticularis sparing technique is described approaching this type of herniation. This approach allows direct visualization involved root. results are encouraging 72%...
Localized C1-C2 lateral mass osteoarthritis is a degenerative disorder of the upper cervical spine that has natural history markedly different from afflictions lower spine. Atlantoaxial arthritis distinct cause occasionally severe occipitocervical pain in elderly persons. In this series, diagnosis was suggested by medical nine patients who presented with (frequently diagnosed as occipital neuralgia). Physical examination demonstrated marked restriction rotation to affected side, and...
There are significant racial disparities in stroke the United States, with Black individuals having a higher risk of incident even when adjusted for traditional factors. It is unknown whether also at recurrent stroke.Over an 18-month period spanning 2014-2015, we ascertained index cases within Greater Cincinnati/Northern Kentucky population 1.3 million. We then followed up all patients 3 years and determined recurrence. Multivariable survival analysis was performed to determine effect race...
Introduction: Acute treatment for stroke often requires emergent interhospital transfer access to advanced therapies not available at the initial hospital. Prolonged times have been associated with worse outcomes. Door-in-door-out time (DIDO: amount of a patient spends in transferring emergency department [ED]) is an important quality metric acute care, current recommendations DIDO ≤ 120 minutes. We sought characterize trends and predictors transfers using Greater Cincinnati Northern...
Background: Understanding the trends of stroke incidence and how those strokes are distributed across race is a critical step to implement trials programs decrease burden caused by nationally. In 2015, we reported that decreasing in both Black White adults. We investigated continued 2020. Methods: this population-based surveillance study, all cases within 5-county population surrounding Cincinnati adults aged ≥20 years were ascertained during full year every 5 from 1993 Cases abstracted...
Introduction: Recurrent stroke accounts for approximately 1/4 of all strokes and is associated with high morbidity mortality. Glucagon-like peptide-1 receptor agonists (GLP-1), while originally developed to treat diabetes, have demonstrated efficacy in preventing cardiovascular events overweight or obese (BMI>27) patients without diabetes. It unknown whether these agents could also be useful recurrence non-diabetic patients. To guide potential trial planning, we sought characterize the...
Background: Prior literature has reported patterns of racial differences in percutaneous endoscopic gastrostomy (PEG) placement for patients with post-stroke dysphagia. Reasons this disproportion are not well understood, but critical clinical decision making. Long-term implications PEG considerable, given complication rates and that reducing oral intake can significantly impact recovery swallow function. In population-based study, we evaluated the influence patient-related factors stroke...
Background: Certain findings on transthoracic echocardiography (TTE) are associated with a recognized cardioembolic stroke mechanism but less is known about the prevalence of those in other subtypes, especially cryptogenic patients. We sought to describe these abnormalities reported TTE patients large, population-based study and compare specifically identified subtypes. Methods: In 2015, Greater Cincinnati/Northern Kentucky Stroke Study all cases 5-county area surrounding Cincinnati by ICD...
Background: Ongoing surveillance of stroke incidence over time by demographic groups is critical to understand trends in disease burden and effective interventions. Our objective was examine changes sex age 27 years. Methods: In a population-based study covering 5-county region southern Ohio northern Kentucky, hospital cases were ascertained adjudicated trained physicians during six 1-year periods (07/1993–06/1994, 1999, 2005, 2010, 2015, 2020). Temporal evaluated sex, age, subtype (ischemic...
Introduction: Time from stroke symptom onset to emergency department (ED) arrival (OTA) is an important driver of acute functional outcomes and mortality for both ischemic (AIS) intracerebral hemorrhage (ICH). Acute therapies AIS are time-sensitive, there several recently published time-dependent therapeutic trials ICH, yet little known about the patterns ED presentation over time. We sought analyze trends predictors times ICH within Greater Cincinnati/Northern Kentucky Stroke Study....
The purpose of this study was to determine the effect patellar bone and implant thickness on patellofemoral forces after resurfacing in total knee arthroplasty. Seven cadaver knees were tested using an Oxford Knee Testing Rig. This model gave specimens 6° freedom while dynamic data collected. Each from full extension 95° flexion. Knees implanted with Press Fit Condylar femoral, tibial, implants. varying determined by custom modular oval-domed polyethylene components progressive increments 2...
Understanding the current status of and temporal trends stroke epidemiology by age, race, subtype is critical to evaluate past prevention efforts plan future interventions eliminate existing inequities. We investigated in incidence case fatality over a 22-year time period.
Background Dysphagia after stroke is common and can impact morbidity death. The purpose of this population‐based study was to determine specific epidemiological health risk factors that development dysphagia acute stroke. Methods Results Ischemic hemorrhagic cases from 2010 2015 were identified via chart review the GCNKSS (Greater Cincinnati Northern Kentucky Stroke Study), a representative sample ≈1.3 million adults southwestern Ohio northern Kentucky. status determined on basis clinical...
Poverty is associated with greater stroke incidence. The relationship between poverty and recurrence less clear.
BACKGROUND: As stroke endovascular thrombectomy (EVT) treatment indications expand, understanding population-based EVT eligibility becomes critical for resource planning. We aimed to project current and future in the United States. METHODS: conducted a post hoc analysis of physician-adjudicated GCNKSS (Greater Cincinnati Northern Kentucky Stroke Study; 2015 epoch), population-based, cross sectional, observational study incidence, treatment, outcomes across 5-county region. All hospitalized...