Publications by authors named "Andrew T Humbert"
Objective: Intraoperative neurophysiological monitoring (IONM) was investigated as a complex intervention (CI) as defined by the United Kingdom Medical Research Council (MRC) in published studies to identify challenges and solutions in estimating IONM's effects on postoperative outcomes.
Methods: A scoping review to April 2022 of the influence of setting on what was implemented as IONM and how it influenced postoperative outcomes was performed for studies that compared IONM to no IONM cohorts. IONM complexity was assessed with the iCAT_SR tool.
Article Synopsis
- This pilot clinical trial investigated how baseline cognitive function (specifically executive function and memory) affects gait outcomes after a 10-week treadmill training program in individuals with Parkinson's disease (PD).
- Out of 19 participants, improvements in gait speed were observed after both short-term and long-term assessments, regardless of cognitive status (no impairment vs. mild impairment); however, those with better memory and less severe motor symptoms showed more significant improvements.
- The study emphasizes the importance of tailoring rehabilitation approaches to address cognitive and motor deficits in PD, as memory impairments and greater motor severity may influence rehabilitation outcomes.
Background: Physical inactivity is a risk factor for many chronic conditions. This retrospective cohort study examined associations between physical activity (PA) with health care utilization (HU).
Methods: A PA vital sign was recorded in clinics from January 2018 to December 2020.
Aim: To compare the efficacy of 0, 5, and 20 sessions of transcranial direct current stimulation (tDCS) for reducing symptoms of autism spectrum disorder (ASD).
Method: Thirty-six male children with ASD (mean age 2 years 3 months, SD 4 months, age range 1 years 6 months-2 years 11 months) were balanced and stratified by age, sex, and baseline severity of ASD, to: (1) a control group that received 20 sessions of sham tDCS; (2) a 5-session tDCS group (5-tDCS) that received 5 sessions of active tDCS followed by 15 sessions of sham tDCS; and (3) a 20-session tDCS group (20-tDCS) that received 20 sessions of active tDCS. All groups participated in the special school activity of Khon Kaen Special Education Center, Thailand.
Oral adverse outcomes associated with the buccal mucosa graft for urethroplasty.
Oral Surg Oral Med Oral Pathol Oral Radiol
December 2022
Objective: The buccal mucosa graft (BMG) is the standard graft for reconstructive urology, but management of the donor site remains under debate. The authors compared postoperative oral adverse outcomes between management methods (closure, nonclosure, or xenograft-assisted closure).
Study Design: A retrospective cohort study was conducted, enrolling patients treated at Harborview Medical Center, Seattle, Washington.
Article Synopsis
- - The study investigates how different types of prosthetic feet affect the energy costs of walking and running in individuals with transtibial amputations, assessing various factors such as surface conditions and participant activity levels.
- - A total of fifteen studies involving 141 mostly male participants with unilateral, non-dysvascular amputations were analyzed, showing that powered dorsiflexion feet tend to be more energy-efficient on certain surfaces compared to other types of prosthetic feet.
- - Although some prosthetic feet may demonstrate energy cost benefits under specific conditions, the evidence base is limited and primarily consists of small, homogenous samples, highlighting the need for further research on this topic.
Background: Multiple sclerosis (MS) organizations have recommended that adults with MS obtain the COVID-19 vaccination. Vaccine hesitancy is a barrier to full COVID-19 inoculation in the general population. Whether vaccine hesitancy is also a barrier towards optimizing vaccination rates in the MS community is unknown.
View Article and Find Full Text PDFBackground: Virtually all anesthesiologists care for patients who sustain traumatic injuries; however, the frequency with which operative anesthesia care is provided to this specific patient population is unclear. We sought to better understand the degree to which anesthesia providers participate in operative trauma care and how this differs by trauma center designation (levels I-V), using data from a comprehensive, regional database-the Washington State Trauma Registry (WSTR). We also sought to specifically assess operative anesthesia care frequency vis a vis the American College of Surgeons guidelines for continuous anesthesiology coverage for Level II trauma center accreditation.
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