A5012508235- Orthopaedic implants and arthroplasty
- Total Knee Arthroplasty Outcomes
- Orthopedic Infections and Treatments
- Musculoskeletal pain and rehabilitation
- Opioid Use Disorder Treatment
- Hip disorders and treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Pelvic and Acetabular Injuries
- Lower Extremity Biomechanics and Pathologies
- Sports injuries and prevention
- Anesthesia and Pain Management
- Bone fractures and treatments
- Hip and Femur Fractures
- Pain Management and Opioid Use
- Shoulder Injury and Treatment
- Electrolyte and hormonal disorders
- Artificial Intelligence in Healthcare and Education
- Surgical site infection prevention
- Meta-analysis and systematic reviews
- Nausea and vomiting management
- Medical Malpractice and Liability Issues
- Musculoskeletal Disorders and Rehabilitation
- Medical Device Sterilization and Disinfection
- Radiology practices and education
- Cardiac Arrest and Resuscitation
Naval Medical Center Portsmouth
2020-2024
Uniformed Services University of the Health Sciences
2022-2024
Royal Brisbane and Women's Hospital
2022
American Academy of Orthopaedic Surgeons
2022
Mayo Clinic in Arizona
2019-2020
Government of the United States of America
2020
Temple University Hospital
2020
Clinical Orthopaedics and Related Research
2020
Virginia Commonwealth University
2012-2017
Mayo Clinic
2017
Abstract Background Aseptic revision THA and TKA are associated with an increased risk of adverse outcomes compared primary TKA. Understanding the profiles for patients undergoing aseptic or may provide opportunity to decrease postsurgical complications. There stratification tools postoperative complications after THA; however, current only include nonmodifiable factors, such as medical comorbidities, do not modifiable factors. Questions/purposes (1) Can machine learning predict 30-day...
Surgical gloves can be damaged during the course of a procedure, which place surgeon and patient at risk. Glove perforation may not always readily apparent, determining risk factors for glove aid in deciding when change is advisable. Time wear needle sticks have been well studied; however, other mechanisms including mechanical stress from surgical equipment had limited evaluation to date.We evaluated that were caught rotatory device (such as drills reamers). The aims our study (1) determine...
Natural language processing is a collection of techniques designed to empower computer systems comprehend and/or produce human language. The purpose this investigation was train several large models (LLMs) explore the tradeoff between model complexity and performance while classifying narrative feedback on trainees into Accreditation Council for Graduate Medical Education subcompetencies. We hypothesized that classification accuracy would increase with complexity.
Hyponatremia and hypernatremia, as conventionally defined (<135 mEq/L >145 mEq/L, respectively), are associated with increased perioperative morbidity mortality. However, the effects of subtle deviations in serum sodium concentration within normal range not well-characterized.The purpose this analysis is to determine association between borderline hyponatremia (135-137 mEq/L) hypernatremia (143-145 on mortality.A retrospective cohort study was performed using data from American College...
Introduction: Prosthetic joint infection (PJI) due to Streptococcus bovis group (SBG), specifically S. biotype I (S. gallolyticus), is rare and associated with colorectal carcinoma. Little has been published regarding SBG PJI. We analyzed nine cases of PJI at our institution, the largest series date. Methods: The medical records patients diagnosed between 2000-2017 were reviewed. Patients followed until death, failure, or loss follow-up. Mean follow-up was 37 months (range 0.5-74 months)....
Prescription opioids remain an important driver of the opioid crisis in United States. The purpose this study was to examine recent changes prescribing patterns Military Health System (MHS) which is a nationwide health system service active duty military personnel and civilian beneficiaries. All patients prescribed analgesics by MHS providers filled at pharmacies between 2014 2018 were identified. Prescriptions converted oral morphine equivalents (OMEs) categorized based on specialty...
Introduction While civilian opioid prescriptions have seen a dramatic decline in recent years, there are few studies investigating trends prescription the active duty military population. We evaluated oral prescribing patterns to personnel Military Health System (MHS) from 2017 2020 determine incidence of as well demographic and military-specific risk factors for receiving an prescription. Methods The MHS Data Repository was queried identify all outpatient August each year information on...
Abstract Background Ankle instability is common and previous studies have documented greater than 85% good-to-excellent outcomes based upon both patient-reported outcome measures subjective evaluation of ability to return activity levels after lateral ankle stabilization in the civilian population. However, performance may differ military The oftentimes requires servicemembers navigate uneven terrain ladderwells, which can stress ankles differently their counterparts. There has been limited...
ABSTRACT Introduction Patient demographics, such as sex and age, are known risk factors for undergoing revision following primary total hip arthroplasty (THA). The military population is unique because of the increased rates secondary osteoarthritis hip. Treatment options limited returning patients to their line duty; however, THA has been shown be an effective option. purpose this study was evaluate contrast demographic differences between U.S. active duty general population. goal identify...