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Book ; Online: Analysis of Cell Packing Behavior to Enhance Wound Assessment

Kim, Erin

2022

Abstract: Wound assessment is a critical aspect of wound treatment, as the healing progress of a wound determines the optimal approach to care. However, the heterogeneity of burn wounds often complicates wound assessment, causing inaccurate wound evaluation and ... ...

Abstract	Wound assessment is a critical aspect of wound treatment, as the healing progress of a wound determines the optimal approach to care. However, the heterogeneity of burn wounds often complicates wound assessment, causing inaccurate wound evaluation and ineffective treatment. Traditional wound assessment methods such as Gross Area Reduction (GAR) and Percentage Area Reduction (PAR) are prone to misinterpretation, due to irregular results. Inaccurate wound assessment leads to higher rates of death and life-long physical and psychological morbidities in burn patients, especially in low-income communities that lack specialty care and medical resources. Therefore, I propose a novel approach to wound assessment: wound healing from the biophysical perspective of collective cell migration by analyzing cell packing behavior. This approach was modeled through Voronoi Tessellation simulations and applied to a wound healing system, where changes in the cell morphology parameters of aspect ratio and shape index were plotted over time to numerically evaluate the geometry of different cell migration packing patterns. Experimental results demonstrate the effectiveness of measuring aspect ratio, as a reduction in aspect ratio indicates that cell shapes become increasingly rounded throughout wound closure. This is further proven when considering physical principles in wound healing and changes in cell elongation. By placing a microscope objective on a phone camera, it is possible to directly examine any wound, with the calculations done on the phone as well. This efficient and accurate mechanism can be especially useful in low-resource communities, as it is accessible regardless of technical or medical background. Comment: 19 pages, 7 figures
Keywords	Quantitative Biology - Cell Behavior
Publishing date	2022-08-29
Publishing country	us
Document type	Book ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Pathogenesis and treatment of electrolyte problems post transplant.

Kim, Erin

Current opinion in pediatrics

2018 Volume 31, Issue 2, Page(s) 213–218

Abstract: Purpose of review: Electrolyte abnormalities posttransplant are common occurrences that can have significant short-term and long-term effects on graft outcome and patient quality of life. Understanding the pathophysiology of these electrolyte ... ...

Abstract	Purpose of review: Electrolyte abnormalities posttransplant are common occurrences that can have significant short-term and long-term effects on graft outcome and patient quality of life. Understanding the pathophysiology of these electrolyte derangements can help guide management to optimize bone health and minimize cardiovascular disease. This review explores the pathogenesis of the most common postrenal transplant electrolytes abnormalities as well as current treatment options. Recent findings: Clarifications of the role of FGF-23 has improved our understanding of posttransplant bone disease in addition to the known roles of hyperparathyroidism and vitamin D. The mechanisms of renal electrolyte wasting by immunosuppressive agents give insight into potential treatment options for hyperkalemia and hypomagnesemia. Summary: Understanding the pathogenesis of the common electrolyte abnormalities found post renal transplant may lead to targeted treatment options that in turn may improve transplant complications. Further studies are required to evaluate the effects on long-term outcomes of renal allografts.
MeSH term(s)	Electrolytes/metabolism ; Humans ; Hyperparathyroidism ; Immunosuppressive Agents ; Kidney Transplantation/adverse effects ; Quality of Life
Chemical Substances	Electrolytes ; Immunosuppressive Agents
Language	English
Publishing date	2018-12-26
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1049374-8
ISSN	1531-698X ; 1040-8703
ISSN (online)	1531-698X
ISSN	1040-8703
DOI	10.1097/MOP.0000000000000715
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Article ; Online: Sources of Facial Injury Across Age Groups: A Nationwide Overview Using the National Electronic Injury Surveillance System Database.

Kim, Erin J / Bustos, Valeria P / Lee, Bernard T

The Journal of craniofacial surgery

2023 Volume 34, Issue 7, Page(s) 1927–1930

Abstract: Background: Facial trauma comprises a significant portion of injuries that occur each year in the United States, with injuries ranging from lacerations to complex facial fractures. This study aims to provide a broad epidemiologic overview of facial ... ...

Abstract	Background: Facial trauma comprises a significant portion of injuries that occur each year in the United States, with injuries ranging from lacerations to complex facial fractures. This study aims to provide a broad epidemiologic overview of facial trauma in the United States to direct preventative safety measures. Methods: A cross-sectional study was conducted utilizing the National Electronic Injury Surveillance System database to identify the weighted national incidence of facial injuries from 2017 to 2021. Descriptive and inferential statistical analysis was used to compare the demographics of patients, the settings where the injury occurred, and the products resulting in the injury. Results: A total of 8,465,538 out of 64,312,132 weighted encounters involved facial injuries. Less than 10 years was the highest-represented age group (36.8%). The most frequent disposition was treated and released (91.1%), with increasing age associated with higher rates of hospitalization (odds ratio: 1.04, P < 0.001). Cases predominantly occurred at home (49.0%), and the most common type of injury was laceration (36.5%). At-home injuries increased with age, comprising 39.2% of facial injuries for 21 to 40 years, 52.0% for 41 to 64 years, and 58.0% for older than 65 years. Building structures (21.4%) were the most prevalent source of injury, composed predominantly of floors (58.3%) and ceilings and walls (10.4%). Conclusions: There is an understated burden of at-home facial injuries across all age groups, beyond the pediatric and geriatric population. Fall prevention and home environmental hazards education could benefit all ages, reducing the incidence of facial trauma.
Language	English
Publishing date	2023-08-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	1159501-2
ISSN	1536-3732 ; 1049-2275
ISSN (online)	1536-3732
ISSN	1049-2275
DOI	10.1097/SCS.0000000000009582
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Article ; Online: Air Versus Saline in Tissue Expanders: A Systematic Review of the Literature.

Kim, Erin J / Friedman, Rosie / Nickman, Sasha / Perry, Dylan J / Bustos, Valeria P / Lee, Bernard T

Journal of reconstructive microsurgery

2024

Abstract: Background: There has been a greater focus in recent literature proposing air to be a superior medium to saline in tissue expanders. This study aims to review the literature and assess the quality of data on the efficacy and safety of air as an ... ...

Abstract	Background: There has been a greater focus in recent literature proposing air to be a superior medium to saline in tissue expanders. This study aims to review the literature and assess the quality of data on the efficacy and safety of air as an alternative medium to saline in tissue expanders, in the setting of postmastectomy two-stage reconstruction. Methods: A systematic review regarding air inflation of tissue expanders was conducted using PubMed, Embase, Cochrane Library, and Web of Science. The methods followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Three reviewers separately performed data extraction and comprehensive synthesis. Results: A total of 427 articles were identified in our search query, of which 11 met the inclusion criteria. Three pertained to inflation with room air, and eight pertained to inflation with CO Conclusion: There is insufficient evidence to suggest improved outcomes with room air inflation of tissue expanders. Further work is needed to fully characterize the benefits and safety profiles of air insufflation before being adopted into clinical practice.
Language	English
Publishing date	2024-02-21
Publishing country	United States
Document type	Journal Article
ZDB-ID	605983-1
ISSN	1098-8947 ; 0743-684X ; 0743-684X
ISSN (online)	1098-8947 ; 0743-684X
ISSN	0743-684X
DOI	10.1055/s-0044-1782208
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Article ; Online: A needs assessment for simulation in African surgical education.

Obayemi, Joy E / Donkersloot, John / Kim, Erin / Thelander, Keir / Byrnes, Mary / Kim, Grace J

Surgical endoscopy

2024 Volume 38, Issue 3, Page(s) 1654–1661

Abstract: Introduction: There is a critical need for comprehensive surgical training in African countries given the unmet surgical burden of disease in this region. Collaborative and progressive initiatives in global surgical education will have the greatest ... ...

Abstract	Introduction: There is a critical need for comprehensive surgical training in African countries given the unmet surgical burden of disease in this region. Collaborative and progressive initiatives in global surgical education will have the greatest impact on trainees. Little is known about surgical education needs from the perspective of practicing surgeons and trainees in low-middle-income countries (LMICs). Even less is known about the potential role for simulation to augment training. Methods: A modified Delphi methodology with 2 rounds of responses was employed to survey program directors (PD) and associate program directors (APD) of Pan-African Association of Christian Surgeons (PAACS) general surgery residency programs across eight low-middle-income countries in Africa. 3 PD/APDs and 2 surgical residents participated in semi-structured interviews centered around the role of simulation in training. Descriptive analysis was performed to elicit key themes and illustrative examples. Results: The survey of program directors revealed that teaching residents the psychomotor skills need to perform intracorporeal suturing was both high priority and desired in multiple training sites. Other high priority skills were laparoscopic camera driving and medial visceral rotation. The interviews revealed a specific desire to perform laparoscopic surgery and a need for a simulation curriculum to familiarize staff and trainees with laparoscopic techniques. Several barriers to laparoscopic surgery exist, such as lack of staff familiarity with the equipment, lack of public buy in, and lack of generalizable and adaptable educational modules. Trainees saw utility in the use of simulation to optimize time in the operating room and sought opportunities to improve their laparoscopic skills. Conclusion: Faculty and surgical trainees in LMICs have interest in learning advanced surgical techniques, such as laparoscopy. Developing a simulation curriculum tailored to the trainees' local context has the potential to fill this need.
MeSH term(s)	Humans ; Needs Assessment ; Curriculum ; Internship and Residency ; Educational Status ; Surgeons ; Laparoscopy/education ; Clinical Competence ; Simulation Training ; Computer Simulation ; Education, Medical, Graduate/methods
Language	English
Publishing date	2024-02-07
Publishing country	Germany
Document type	Journal Article
ZDB-ID	639039-0
ISSN	1432-2218 ; 0930-2794
ISSN (online)	1432-2218
ISSN	0930-2794
DOI	10.1007/s00464-023-10665-y
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Article ; Online: An in-person and technology-implemented holistic health promotion program for older Black adults in low-income communities.

Wippold, Guillermo M / Tucker, Carolyn M / Farishta, Aashna / Kim, Erin / Hill, Rhonda / Burwell, Alexanderia / Sapia, Paul

Journal of the National Medical Association

2024 Volume 116, Issue 1, Page(s) 83–92

Abstract: The COVID-19 pandemic halted many in-person programs of research and required researchers to pivot to technology-enhanced approaches. To date, there are no examples or guidelines on how to use technology to implement health promotion programs rooted in ... ...

Abstract	The COVID-19 pandemic halted many in-person programs of research and required researchers to pivot to technology-enhanced approaches. To date, there are no examples or guidelines on how to use technology to implement health promotion programs rooted in the community-based participatory research (CBPR) model among low-income older Black adults. The aims of this paper are (a) to describe and report on the health-related outcomes of an in-person CBPR model-based health promotion intervention program for older Black adults in a low-income community, and (b) to describe the process of adapting this program to a technology-enhanced and Zoom-delivered format and provide preliminary evidence on the health-related outcomes and acceptability of this program. This paper highlights the potential benefits of a technology-enhanced and Zoom-delivered health promotion program among low-income older Black adults and provides recommendations to optimize such efforts to foster these benefits. These recommendations are aligned with the four domains of the CBPR model (i.e., contexts, partnership processes, intervention and research, and outcomes). We conclude that CBPR model-based, technology implemented health promotion interventions for low-income older Black adults are acceptable to such adults and should attend to the values, perspectives, and preferences of these individuals. The information in this manuscript is relevant to health promotion specialists at this seemingly ongoing though post-pandemic era because technology-enhanced interventions are scalable and cost-effective and those anchored in CBPR are well-positioned to promote health equity.
MeSH term(s)	Humans ; Health Promotion ; Pandemics/prevention & control ; Black People ; Poverty ; Community-Based Participatory Research
Language	English
Publishing date	2024-01-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	419737-9
ISSN	1943-4693 ; 0027-9684
ISSN (online)	1943-4693
ISSN	0027-9684
DOI	10.1016/j.jnma.2023.12.008
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Article ; Online: Gender differences in ergonomics during simulated ureteroscopy.

Kim, Erin / Sun, Alec / Rodriguez-Alvarez, Juan Sebastian / Ho, Louisa / O'Laughlin, Kyle / De, Smita

American journal of surgery

2024

Abstract: Background: Female urologists report higher rates of work-related physical discomfort compared to male urologists. We compared ergonomics during simulated ureteroscopy, the most common surgery for kidney stones, between male and female urologists.: ... ...

Abstract	Background: Female urologists report higher rates of work-related physical discomfort compared to male urologists. We compared ergonomics during simulated ureteroscopy, the most common surgery for kidney stones, between male and female urologists. Methods: Surface electromyography was used to measure muscle activation during common ureteroscopic tasks in urology trainees and staff with different surgeon positions and ureteroscopes. Subjective workload was assessed using the NASA Task Load Index (NASA-TLX). Paired t-tests, Wilcoxon rank-sum tests, and multivariate regressions were used to compare muscle activation by gender for each trial condition. Results: There was no difference in age or distribution of training level between genders, though men had larger glove sizes. Across all conditions, women required greater muscle activation in multiple muscle groups and had greater NASA-TLX scores compared to men. Conclusions: There may be gender differences in ergonomics during ureteroscopy based on muscle activation and subjective workload, suggesting potential for personalizing surgical ecosystems.
Language	English
Publishing date	2024-02-22
Publishing country	United States
Document type	Journal Article
ZDB-ID	2953-1
ISSN	1879-1883 ; 0002-9610
ISSN (online)	1879-1883
ISSN	0002-9610
DOI	10.1016/j.amjsurg.2024.02.034
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Article ; Online: Impact of the COVID-19 pandemic on college students' mental health and lifestyle factors.

Chen, Caitlin / Jew, Ashlyn / Chui, Charlotte / Horn, Jill / Kim, Erin / Melkonian, Dina / Eisenberg, Daniel

Journal of American college health : J of ACH

2023 , Page(s) 1–9

Abstract: Objective: ...

Abstract	Objective:
Language	English
Publishing date	2023-10-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	604907-2
ISSN	1940-3208 ; 0744-8481
ISSN (online)	1940-3208
ISSN	0744-8481
DOI	10.1080/07448481.2023.2266000
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Article ; Online: Using Data-Driven Approaches to Classify and Predict Health Care Spending in Patients With Gout Using Urate-Lowering Therapy.

Lauffenburger, Julie C / Lu, Zhigang / Mahesri, Mufaddal / Kim, Erin / Tong, Angela / Kim, Seoyoung C

Arthritis care & research

2023 Volume 75, Issue 6, Page(s) 1300–1310

Abstract: Objective: Despite increasing overall health care spending over the past several decades, little is known about long-term patterns of spending among US patients with gout. Current approaches to assessing spending typically focus on composite measures or ...

Abstract	Objective: Despite increasing overall health care spending over the past several decades, little is known about long-term patterns of spending among US patients with gout. Current approaches to assessing spending typically focus on composite measures or patients agnostic to disease state; in contrast, examining spending using longitudinal measures may better discriminate patients and target interventions to those in need. We used a data-driven approach to classify and predict spending patterns in patients with gout. Methods: Using insurance claims data from 2017-2019, we used group-based trajectory modeling to classify patients ages 40 years or older diagnosed with gout and treated with urate-lowering therapy (ULT) by their total health care spending over 2 years. We assessed the ability to predict membership in each spending group using logistic and generalized boosted regression with split-sample validation. Models were estimated using different sets of predictors and evaluated using C statistics. Results: In 57,980 patients, the mean ± SD age was 71.0 ± 10.5 years, and 17,194 patients (29.7%) were female. The best-fitting model included the following groups: minimal spending (13.2%), moderate spending (37.4%), and high spending (49.4%). The ability to predict groups was high overall (e.g., boosted C statistics with all predictors: minimal spending [0.89], moderate spending [0.78], and high spending [0.90]). Although average adherence was relatively high in the population, for the high-spending group, the most influential predictors were greater gout medication adherence and diabetes melllitus diagnosis. Conclusion: We identified distinct long-term health care spending patterns in patients with gout using ULT with high accuracy. Several clinical predictors could be key areas for intervention, such as gout medication use or diabetes melllitus.
MeSH term(s)	Humans ; Female ; Middle Aged ; Aged ; Aged, 80 and over ; Male ; Uric Acid ; Gout Suppressants/therapeutic use ; Health Expenditures ; Gout/diagnosis ; Gout/drug therapy ; Medication Adherence
Chemical Substances	Uric Acid (268B43MJ25) ; Gout Suppressants
Language	English
Publishing date	2023-01-18
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	645059-3
ISSN	2151-4658 ; 0893-7524 ; 2151-464X
ISSN (online)	2151-4658
ISSN	0893-7524 ; 2151-464X
DOI	10.1002/acr.25008
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Article ; Online: The Impact of Health Literacy on Trust in Online Plastic Surgery Content: A Nationwide Analysis.

Kim, Erin J / Foppiani, Jose / Alvarez, Angelica Hernandez / Valentine, Lauren / Weidman, Allan A / Bustos, Valeria P / Lin, Samuel J / Lee, Bernard T

The Journal of surgical research

2024 Volume 298, Page(s) 300–306

Abstract: Introduction: On most online platforms, just about anyone can disseminate plastic surgery (PS) content regardless of their educational or professional background. This study examines the general public's perceptions of the accuracy of online PS content ... ...

Abstract	Introduction: On most online platforms, just about anyone can disseminate plastic surgery (PS) content regardless of their educational or professional background. This study examines the general public's perceptions of the accuracy of online PS content and the factors that contribute to the discernment of credible information. Methods: The Amazon Mechanical Turk crowdsourcing platform was used to survey adults in the United States. The survey assessed respondent demographics, health literacy (HL), and perceptions of online PS content accuracy. T-tests, Chi-square tests, and post hoc analyses with Bonferroni corrections assessed differences between HL groups. Multivariate linear regressions assessed associations between sociodemographic variables and perceptions of online content. Results: In total, 428 (92.0%) of 465 complete responses were analyzed. The median age of respondents was 32 y (interquartile range: 29-40). Online sources were predominantly perceived to have a high degree of accuracy, with mean scores of various platforms ranging from 3.8 to 4.5 (1 = not accurate at all; 5 = extremely accurate). The low HL group perceived social media sites and review sites to be more accurate than the high HL respondents, particularly for Reddit (P = 0.004), Pinterest (P = 0.040), and Snapchat (P = 0.002). Conclusions: There is a concerning relationship between low HL and the perceptions of the accuracy of online PS sources. This study underscores the need for education campaigns, the development of trustworthy online resources, and initiatives to improve HL. By fostering a more informed public, individuals seeking PS can make better informed decisions.
Language	English
Publishing date	2024-04-18
Publishing country	United States
Document type	Journal Article
ZDB-ID	80170-7
ISSN	1095-8673 ; 0022-4804
ISSN (online)	1095-8673
ISSN	0022-4804
DOI	10.1016/j.jss.2024.03.027
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