- Surgical site infection prevention
- Reconstructive Surgery and Microvascular Techniques
- Breast Implant and Reconstruction
- Surgical Sutures and Adhesives
- Wound Healing and Treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Orthopedic Surgery and Rehabilitation
- Pressure Ulcer Prevention and Management
- Bone fractures and treatments
- Cancer-related cognitive impairment studies
- Orthopedic Infections and Treatments
- Peripheral Nerve Disorders
- Reconstructive Facial Surgery Techniques
- Nerve Injury and Rehabilitation
- Amyotrophic Lateral Sclerosis Research
- Neurogenetic and Muscular Disorders Research
- Primary Care and Health Outcomes
- Streptococcal Infections and Treatments
- Myasthenia Gravis and Thymoma
- Body Contouring and Surgery
- Patient Satisfaction in Healthcare
- Hip and Femur Fractures
- Trauma and Emergency Care Studies
- Intensive Care Unit Cognitive Disorders
- Phytoestrogen effects and research
3M (United States)
2021-2024
Health Economics and Outcomes Research (United Kingdom)
2024
SSM Health Care
2023
Medical Solutions
2023
Columbia University Irving Medical Center
2023
KCI (United States)
2019-2020
Wake Forest University
2010-2017
Creative Commons
2017
University of Pennsylvania
2017
DuPage Medical Group
2017
During the pitching motion, velocity is generated by upper extremity kinetic chain on internal rotation of shoulder and trunk translational/rotational motion. This generation power places significant forces torques elbow shoulder. Elbow valgus torque rotational are theoretically linked to injury.Pitchers experiencing higher levels external throughout motion more likely suffer injury than pitchers with lower torque.Cohort study; Level evidence, 3.With an established biomechanical analysis...
ABSTRACT BACKGROUND Transcranial Doppler (TCD) ultrasonography has been extensively used in the evaluation and management of patients with cerebrovascular disease since clinical application was first described 1982 by Aaslid colleagues TCD is a painless, safe, noninvasive diagnostic technique that measures blood flow velocity various cerebral arteries. Numerous commercially available devices are currently approved for use worldwide, recognized to have an established value variety indications...
Intensive care unit acquired weakness (ICU-AW) results from a complex mixture of nerve and muscle pathology, early identification is challenging. This pilot study was designed to examine the ultrasonographic changes that occur in muscles during ICU hospitalization.Patients admitted for acute respiratory failure were enrolled prospectively underwent serial ultrasound thickness gray-scale assessment tibialis anterior, rectus femoris, abductor digiti minimi, biceps, diaphragm over 14...
Introduction : Nerve and muscle ultrasound has been studied in several conditions, but validity reliability have not assessed systematically. Methods cross‐sectional area thickness were measured ultrasonographically at sites 4 cadavers, which then dissected, actual measurements obtained. To assess intrarater interrater reliability, between 3 5 ultrasonographers, with varying experience levels, made repeated on healthy volunteers. Results Correlation coefficients for nerve >0.968 ( P <...
Abstract Introduction: High‐resolution ultrasound has been used to evaluate several neuromuscular conditions, but it only on a limited basis in amyotrophic lateral sclerosis (ALS) patients. It not assess their peripheral nerves. This study was designed use investigate nerve cross‐sectional area and muscle thickness ALS. Methods: Twenty individuals with ALS 20 matched controls underwent measure the of median sural nerves biceps/brachialis complex. Results: The mid‐arm smaller group than (10.5...
Nerve cross-sectional area reference values have been reported for many nerves, but there few studies in pediatric and geriatric populations. This study was conducted to determine the influence of age on nerve area.Thirty-two children (3 months 16 years) 20 adults (67-92 without known neurologic conditions underwent bilateral ultrasound measure following nerves: median at wrist forearm; ulnar elbow; radial spiral groove; sciatic distal thigh; fibular knee; tibial knee ankle; sural ankle.In...
Surgical site infections (SSIs) are associated with increased morbidity and mortality; however, current SSI rates across open procedures their effect on healthcare delivery unknown. The objective of this study was to examine incidence SSIs for surgical in the United States impact length stay (LOS) costs.This retrospective utilizing 2019-2020 data from Medicare Premier identified patients occurring during hospitalization or within 90 days discharge. Propensity score matching used calculate...
Studies report that incision management with closed negative pressure therapy (ciNPT) may provide clinical benefits, including protecting surgical incisions, for postsurgical incisions (eg, orthopedic, sternotomy, and colorectal). This retrospective analysis compared postoperative outcomes in patients who received ciNPT versus standard of care (SOC) after breast reconstruction postmastectomy.Patient demographics, chemotherapy exposure, technique, use, number drains, time to drain removal,...
Young adulthood (age 18 to 35) is a high-risk period for unhealthy weight gain. Few studies have recruited prevention of gain, particularly in young adults. This paper describes the recruitment protocol used Study Novel Approaches Prevention (SNAP). We conducted extensive formative work inform methods and message development. worked with professional marketing firm synthesize major themes subsequently develop age-appropriate messages recruitment. A variety approaches channels were across two...
Muscle cramping is a common symptom in amyotrophic lateral sclerosis (ALS) that lacks efficacious treatment. The natural history of this unknown, which hampers efforts to design optimal clinical trials.We surveyed early stage ALS patients about their experience with cramps each month by phone for up 21 months.Cramps developed 95% over the course disease. number experienced an individual varied widely from month-to-month and trended lower after first year illness (P = 0.26). Those limb-onset...
Purpose Hot flashes occur in approximately 80% of androgen-deprived men. Few intervention studies have been conducted to relieve hot Patients and Methods Eligible men were randomly assigned one four daily regimens (2 × 2 factorial design) for 12 weeks: milk protein powder placebo pill, venlafaxine powder, soy or powder. The primary end point was flash symptom severity score (HFSSS), defined as number times severity. secondary quality life (QoL), assessed by using the Functional Assessment...
Effective communication is critical to providing quality health care and can be affected by a number of modifiable organizational factors. The authors performed prospective multisite validation study an climate assessment tool in 13 geographically ethnically diverse organizations. Communication was measured across 9 discrete domains. Patient staff surveys with matched items each domain were developed using national consensus process, which then underwent psychometric field testing coherence....
Patients with panniculus morbidus have an abdominal that becomes a pathologic entity, associated the development of candidal intertrigo, dermatitis, lymphedema, and ischemic panniculitis. Panniculectomy is standard treatment for this problem. The objective study was to determine risk factors complications panniculectomy surgery lower complication rate. We performed retrospective chart review patients who underwent between 1999 2007 by looking at data related surgical complications,...
ABSTRACT Introduction : Neuromuscular ultrasound is valid, reliable, and accurate, but it not known whether combining with electrodiagnostic studies leads to better outcomes in individuals focal neuropathies. Methods One hundred twenty neuropathy, based on history, examination, electrodiagnosis, were enrolled this study. All patients underwent neuromuscular randomized either have their results sent the referring physician or them sent. Outcomes assessed at 6 months by evaluators blinded...
Closed incision negative pressure therapy (ciNPT) is an emerging approach to managing closed incisions of patients at risk postoperative complications. There are primarily 2 different commercially available ciNPT systems. Both systems consist a single-use, battery-powered device and foam- or gauze-based peel-and-place dressing designed for incisions. These vary in design, there no data comparing outcomes between the systems.We performed separate meta-analyses compare surgical site infection...
As part of the safety net, free clinics (FCs) increase access to preventive and primary care for uninsured. This study compared a group uninsured FC users non-FC explore impact enrollment on pattern ED visits, as characterized by (1) level complexity received at ED, (2) avoidable vs. unavoidable classified an existing clinical algorithm. Emergency department visits were less likely be low-level-of-care than (OR 0.89, 95% CI 0.84-0.93). Free clinic was not statistically significant predictor...
Centrifugation (Cf) is a common method of fat processing but may be time consuming, especially when large volumes. To determine the effects on grafting time, volume efficiency, reoperations, and complication rates Cf vs an autologous system (Rv) that incorporates harvesting in single unit. We performed retrospective cohort study consecutive patients who underwent during reconstructive breast surgery with Rv or Cf. Endpoints measured were harvested (lipoaspirate) injected after processing, to...