Carl B Paulino

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STUDY DESIGN A cross section of Web sites accessible to the general public was surveyed. OBJECTIVE To evaluate the quality and accuracy of information on scoliosis that a patient might access on the Internet. SUMMARY OF BACKGROUND DATA The Internet is a rapidly expanding communications network with an estimated 765 million users worldwide by the year(More)
AIMS Some individuals have a preference for the present rather than for the future. We investigated the impact of this impatient relationship to temporality on adherence to medication and HbA(1c) level in type 2 diabetic patients. METHODS An observational, cross-sectional monocenter study in 90 patients consulting for a health check-up at a Center for(More)
Reduced hospital staffing on weekends is a hypothesized risk factor for adverse health outcomes--commonly referred to as the weekend effect. We conducted a study on the effect of weekend admission on short-term outcomes among US hip fracture patients. We selected Nationwide Inpatient Sample (1998-2010) patients with a principal diagnosis of femoral neck(More)
To achieve optimal results after fusion for adolescent idiopathic scoliosis (AIS), radiographic parameters must be aligned with motion and performance. The effects of fusion on balance are poorly understood. Center of mass (COM) excursion and instantaneous interaction with center of pressure (COP) provides information about patients' balancing ability(More)
BACKGROUND Systemic corticosteroids are commonly used to treat autoimmune and inflammatory diseases, but they can be associated with various musculoskeletal problems and disorders. There currently is a limited amount of data describing the postoperative complications of THA associated specifically with chronic corticosteroid use. QUESTIONS/PURPOSES For(More)
STUDY DESIGN A systematic review. OBJECTIVE To systematically review the previous literature regarding revision surgery for real recurrent lumbar disk herniation. SUMMARY OF BACKGROUND DATA "Real" recurrent lumbar disk herniation means the presence of herniated disk material at the same level and side as the primary disk herniation. If conservative(More)
Indications for open reduction and internal fixation (ORIF) of tibia and/or fibula fractures vary; however, some patients require removal of hardware (ROH) due to various complications. Currently, data evaluating the epidemiology of and risk factors for ROH of the tibia/fibula are limited. We examined the associations between tibia/fibula fractures and (1)(More)
PURPOSE To measure anatomic variations of the lumbar plexus within the psoas in relation to the L2/3, L3/4, and L4/5 disc spaces and to delineate a safe zone to avoid nerve injury during retractor placement via the transpsoas approach. METHODS Six male and 6 female cadavers (24 psoas/ lumbar plexuses) aged 35 to 74 years were dissected. The lumbar plexus(More)
BACKGROUND Although resident physicians play a vital role in the US health care system, they are believed to create inefficiencies in the delivery of care. Under the regional component of the Comprehensive Care for Joint Replacement model, teaching hospitals are forced to compete on efficiency and outcomes with nonteaching hospitals. METHODS We identified(More)
BACKGROUND Hemophilia can lead to the development of arthropathies secondary to recurrent hemarthroses. However, given these patients' bleeding tendencies, postoperative complications associated with blood loss are a considerable concern. METHODS We identified men in the Nationwide Inpatient Sample who underwent total hip or knee arthroplasty between(More)