A5002708853- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Shoulder Injury and Treatment
- Orthopedic Surgery and Rehabilitation
- Pelvic and Acetabular Injuries
- Hip and Femur Fractures
- Vaccine Coverage and Hesitancy
- Bone fractures and treatments
- Shoulder and Clavicle Injuries
- Homelessness and Social Issues
- Global Maternal and Child Health
- Trauma and Emergency Care Studies
- Elbow and Forearm Trauma Treatment
- Streptococcal Infections and Treatments
- Abdominal Trauma and Injuries
- HIV-related health complications and treatments
- Poverty, Education, and Child Welfare
- Medical and Biological Ozone Research
- Viral Infections and Outbreaks Research
- Medication Adherence and Compliance
- Nerve Injury and Rehabilitation
- Cardiovascular Function and Risk Factors
- Pharmaceutical Practices and Patient Outcomes
- Peripheral Nerve Disorders
- Pregnancy-related medical research
University of Maryland, Baltimore
2019-2023
Mayo Clinic
2023
University of Maryland, College Park
2020
Johns Hopkins University
2016-2018
To compare the early pain and functional outcomes of operative fixation versus nonoperative management for minimally displaced complete lateral compression (LC; OTA/AO 61-B1/B2) pelvic fractures.Prospective clinical trial.Two academic trauma centers.Forty-eight adult patients with LC ring injuries <10 mm displacement were treated nonoperatively 47 surgical fixation. Sixty percent participants randomized. Seventy-three fractures <5 mm, 71% LC-1 patterns.Operative management.The primary...
Background Right ventricular (RV) maladaptation to elevated pulmonary afterload is the primary determinant of outcomes in artery (PA) hypertension; however, pathobiological mechanisms underlying RV decompensation remain poorly understood. Methods We performed global untargeted metabolomics on plasma from 55 patients who underwent gold‐standard RV‐PA coupling measurements using multibeat pressure volume loop assessment a single‐center cohort and 1027 with surrogate larger multicenter cohort,...
Widespread adoption of prehospital pelvic circumferential compression devices (PCCDs) by emergency medical services (EMS) systems has been slow and variable across the United States. We sought to determine frequency PCCD use EMS providers. Secondarily, we hypothesized that would improve early hemorrhagic shock outcomes.
The 2020 National HIV AIDS Strategy (NHAS) sets a target of 90% diagnosed people living with (PLWH) retained in care. Access to Care (A2C) was national linkage, re-engagement, and retention care program funded by United support from the Corporation for Community Service that aimed link retain most vulnerable PLWH into high-quality This study explores barriers facilitators implementing A2C perspective staff. Ninety-eight qualitative interviews were conducted staff at organizations over 5...
ABSTRACT Objective To assess mothers’ knowledge, attitude, and practices to malaria its prevention as well willingness accept the RTS,S/AS01 vaccine. Methods A cross-sectional study design was used administer questionnaires 180 mothers within six public secondary health facilities in Abuja, Nigeria. Regression analyses were effect of maternal demographics exposure related messages on outcome measures. Results Knowledge preventive measures approximately 59% (124/180). Multivariate logistic...
Abstract Background The effect of postoperative shoulder sling compliance on surgical outcomes is unknown. goal was to determine an accurate method measure compliance. We compared volunteer recorded wear time with temperature-based sensors monitor Methods Data loggers sutured at three locations measured heat generated in 15-minute intervals. Slings wearers logged accurately cross-reference temperature sensors. Secondary experiments analyzed whether surrounding ambient can be discerned from...
Background: Perioperative education and socioeconomic factors influence patient behavior. Recent evidence has suggested that sling compliance is associated with improved outcomes after shoulder surgery; it important to investigate compliance. Purpose: To determine the associations between postoperative wear patients’ understanding of necessity, home assistance, social deprivation. Study Design: Cohort study; Level evidence, 2. Methods: A total 66 patients were prospectively enrolled from...
Background: Radial head fractures are often associated with poor outcomes. Both open reduction and internal fixation (ORIF) radial arthroplasty (RHA) might be considered in operative cases. This study aimed to compare long-term patient-reported functional outcomes among patients operatively treated fractures. Methods: A cross sectional conducted at a Level I trauma center was used identify fracture who underwent ORIF or RHA between 2006 2018, agreed complete survey 2020. The primary outcome...
The 2014 West African Ebola outbreak was unprecedented in scale and required significant international assistance. Many U.S.-based health professionals traveled to Africa participate the response, whereas others considered participation, but ultimately decided against it. This study explores motivators, facilitators, barriers care worker mobilization. We conducted 24 semistructured in-depth interviews one focus group discussion with clinical nonclinical responders nonresponders. Responders...
Limb-threatening lower extremity injuries often require secondary bone grafting after soft tissue reconstruction. We hypothesized that there would be fewer wound complications when performing via a remote surgical approach rather than direct flap elevation. A retrospective cohort study was performed at single Level 1 trauma center comparing in patients who had undergone previous reconstruction open tibia fractures between 2006 and 2020. Comparing incision versus elevation, we evaluated...
Malaria constitutes a major public health challenge and Nigeria contributes hugely to the global burden. In recent times, there has been massive scale up of all interventions for evident impact. One novel preventive measures being considered is RTS,S malaria vaccine. The objective this study was assess mothers’ knowledge, attitude, practices its prevention as well willingness accept RTS,S/AS01 A cross-sectional design used administer questionnaires 180 mothers within six secondary facilities...
The Drill Cover system was developed as a low-cost alternative to conventional surgical drills with specific applicability low- and middle-income countries. However, the may also be useful for sterile placement of traction pins in emergency department high-income country hospitals. In September 2019, US-based Level-1 trauma center began using apply skeletal patients femoral shaft fractures. With these data, we performed retrospective interrupted time series study determine if noninferior...
The National HIV AIDS Strategy (NHAS) calls for a more coordinated response to the epidemic. Global Engagement in Care Convening created forum domestic and international experts identify best practices care. This manuscript summarizes meeting discussions recommendations from notes an audio recording of meeting. Recommendations include: further standardization performance goals measures; additional research; robust system support competing needs clients receiving services; electronic...
Available surveys that evaluate shoulder strength and pain often combine rotator cuff muscles making the test unable to differentiate subscapularis tears from other pathology including concomitant supraspinatus, infraspinatus tears. The purpose of this study was validate a subscapularis-specific survey (Baltimore Orthopedic Subscapularis Score) as viable clinical outcome assessment through analysis psychometric properties.A 5-question given population 390 patients, 136 whom had full...