A5101931445- Spine and Intervertebral Disc Pathology
- Cardiac, Anesthesia and Surgical Outcomes
- Obstructive Sleep Apnea Research
- Anesthesia and Pain Management
- Musculoskeletal pain and rehabilitation
- Sarcoma Diagnosis and Treatment
- Heart Failure Treatment and Management
- Liver Disease Diagnosis and Treatment
- Infant Development and Preterm Care
- ATP Synthase and ATPases Research
- Intraoperative Neuromonitoring and Anesthetic Effects
- Pelvic and Acetabular Injuries
- Respiratory Support and Mechanisms
- Tuberculosis Research and Epidemiology
- Pharmaceutical Practices and Patient Outcomes
- Entrepreneurship Studies and Influences
- Diabetes and associated disorders
- Transplantation: Methods and Outcomes
- Healthcare and Environmental Waste Management
- Hip and Femur Fractures
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Emergency and Acute Care Studies
- Management of metastatic bone disease
- Medical Coding and Health Information
- Opioid Use Disorder Treatment
Western University
2017-2025
London Health Sciences Centre
2018-2025
Baylor College of Medicine
2011-2025
Cleveland Clinic
2019-2024
University of Tennessee at Knoxville
2023-2024
University of Tennessee Medical Center
2023-2024
Michael E. DeBakey VA Medical Center
2019-2024
Banasthali University
2024
World Health Organization - India
2024
Mohanlal Sukhadia University
2024
OBJECT The aim of this study was to evaluate the value intraoperative neurophysiological monitoring (IONM) using electromyography (EMG), brainstem auditory evoked potentials (BAEPs), and somatosensory (SSEPs) predict and/or prevent postoperative neurological deficits in pediatric patients undergoing endoscopic endonasal surgery (EES) for skull base tumors. METHODS All consecutive with tumors who underwent EES at least 1 modality IONM (BAEP, SSEP, EMG) our institution between 1999 2013 were...
Importance There is a paucity of data comparing patient-reported outcomes across surgeon age. Prior work has focused on adverse event rates for age variety surgical procedures. Objective To compare outcomes, expectation fulfillment, and satisfaction measures after spine surgery categories. Design, Setting, Participants This retrospective cohort study was conducted at multicentered tertiary referral centers Canada. Patients with degenerative conditions the were enrolled in national research...
Background: Hereditary multiple osteochondromas (HMO) is a common pediatric condition defined by cartilage-capped bony lesions. Spinal affect up to 68% of HMO patients. Although most are asymptomatic, intraspinal can cause significant neurological symptoms and morbidity. Limited guidelines exist regarding the use advanced imaging screen for spinal osteochondromas. This study evaluates incidence detected through in Methods: A systematic review meta-analysis were conducted following Cochrane...
Abstract Introduction Central sleep apnea (CSA) and Cheyne-Stokes respiration (CSR) frequently occur in patients with congestive heart failure (CHF), particularly those reduced ejection fraction (EF). This report details two cases of CHF CSA who failed BiPAP therapy were treated phrenic nerve stimulator (PNS; the Remedē® system) but required eventual explantation. Both demonstrate how comorbidities influenced outcomes. Report case Patient 1: Insomnia A 65-year-old male (EF 20%), CSA,...
Abstract Introduction Obstructive sleep apnea (OSA) is a disorder characterized by recurrent episodes of airway obstruction during sleep. Hypoglossal nerve stimulation (HGNS) an emerging treatment option for patients who are intolerant to continuous positive pressure (CPAP) therapy. Report case A 62-year-old male with history generalized anxiety presented the clinic seeking alternative treatments OSA. He reported daytime sleepiness, loud snoring, and bruxism. had previously been CPAP due...
Abstract Introduction Central sleep apnea (CSA) is characterized by recurrent episodes of due to a lack respiratory effort, often associated with heart failure. This case discusses an instance Biot’s central exacerbated chronic opioid use secondary rheumatoid arthritis (RA), highlighting the successful phrenic nerve stimulator (PNS) as treatment modality in this patient. Report A 52-year-old male RA presented our center complaints excessive daytime sleepiness, frequent nocturnal arousals,...
Abstract Introduction Hypoglossal nerve stimulation (HGNS) is a second-line treatment for obstructive sleep apnea (OSA) in patients who cannot tolerate positive airway pressure (PAP) therapy. However, its efficacy as standalone severe cases limited. This case highlights the challenges of HGNS and supports multimodal strategy enhanced by drug-induced endoscopy (DISE). Report We present 57-year-old female with BMI 32 OSA an apnea-hypopnea index (AHI) 92. She was intolerant to PAP due mask...
Abstract Introduction Phrenic Nerve stimulation (PNS) has been FDA-approved for the treatment of moderate-severe central sleep apnea (CSA). Whether PNS impacts burden persistent atrial fibrillation (AF) in unclear. The objective is to determine impact CSA on AF Methods This study a multicentric, retrospective chart review implants conducted between 2018 and 2024. A total 21 patients with polysomnography (PSG)-confirmed moderate severe predominant hypopnea Index (AHI) underwent implantation...
Background. Brain metastases occur in approximately 8–15% of patients with testicular germ cell tumors and invariably are associated relapse at other sites, most commonly the lungs, or as a terminal event. Methods. The authors, from Institute Rotary Cancer Hospital, regional cancer center northern India, did retrospective analysis to determine how many previously treated had isolated cerebral metastasis develop. Results. Three 123 tumor seen during 6-year period starting January 1986 develop...
OBJECTIVE Postoperative length of stay (LOS) significantly contributes to healthcare costs and resource utilization. The primary goal this study was identify patient, clinical, surgical, institutional variables that influence LOS after elective surgery for degenerative conditions the cervical spine. secondary objectives were examine variability in practices used decrease LOS. METHODS This a multicenter observational retrospective cohort patients enrolled Canadian Spine Outcomes Research...
OBJECTIVE Despite efforts toward achieving gender-based equality in clinical trial enrollment, females are frequently underrepresented and gender-specific data analysis is lacking. Identifying addressing gender bias medical decision-making outcome reporting may facilitate more equitable healthcare delivery. This study aimed to determine if differences exist the evaluation surgical management of patients with degenerative lumbar conditions. METHODS Consecutive adult undergoing spinal surgery...
Background: Prescription opioid misuse is a significant issue with multiple consequences for our patients and society. The purpose of this study was to evaluate the role postoperative pain guideline pamphlet on patient satisfaction, number seeking renewal prescription, appropriate disposal leftover prescription medication. Methods: This prospective, randomized controlled trial included aged 18 65 yr undergoing elective foot ankle surgery, who were naïve had no preexisting chronic conditions....
Influenza myocarditis is an underappreciated and severe complication of influenza infection, estimated to be present in about 10% all cases. We a case woman who precipitously died fulminant then review the historical data, literature expert recommendations for suspecting managing myocarditis.
Abstract Introduction Hypoglossal nerve stimulation (HGNS) is an implantable body that protrudes the tongue anteriorly during sleep. This surgical procedure effective with minimal side effects, however for some patients 80 complications arise and require additional treatment modalities. One such alternative oral appliance therapy uses a different mechanism of action to displace mandible which worn on upper lower teeth. Methods Five patient charts were identified out had undergone hypoglossal...
Background: Hospitalization is stressful condition for children of all age groups. Venipuncture one the common painful procedures performed in hospital. Pediatric patients are often subjected to unexpected medical that cause pain and anxiety.Statement problem: “A study assess effectiveness Diversional Activity on anxiety during venipuncture among a selected Hospital Dehradun, Uttarakhand”.Objectives: To determine diversional activity both experimental control group find association between...
The purpose of the study to assess stress and coping among mothers children with cerebral palsy. Children palsy display prominent motor dysfunction associated other developmental disorders. Parenting a child presents number challenges stress. CP, parents are heavily involved in self care activities which may add an additional parents. incidence is about 2 per 1000 live births. was conducted selected rehabilitation institutes Amritsar. sample comprising 150 children. Subjects were snowball...
Background. Hospital discharge summaries are deemed to be an essential part of the medical record in South Africa, but formal assessment their quality is rarely undertaken. At Chris Hani Baragwanath Academic (CHBAH) Johannesburg, admission notes (bedletters) difficult retrieve from hospital archives and summary often only readily available that documents details admission. Objectives. To determine proportion were appropriately completed for children admitted general paediatric wards at...
# Abstract 45. Determining clinically important improvement following surgery for degenerative conditions of the spine: analysis Canadian Spine Outcomes and Research Network (CSORN) Registry {#article-title-2} There is significant variability in (CII)