Richard L. S. F. George

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BACKGROUND Although the "open abdomen" has likely contributed to improved outcomes in trauma patients, the challenge of subsequent fascial closure has emerged. Since mid 2004, we have incorporated Wittmann Patch staged abdominal closure into our management of the open abdomen. The purpose of this study was to evaluate the impact of this device on our(More)
Fifty percent of the earth's population lives within 60 kms of the shoreline. So preventing or mitigating against coastal or estuary flooding is important, especially because of the predicted sea level rise from climate change. A key calculation in simulating flooding over an estuary is hydrodynamic flux, but typically this is complex and tedious to compute(More)
We have been developing iCove: the interactive coastal oceanographic visualization environment. The challenge for the ocean scientists is that their models are complex and the datasets that are generated are huge; furthermore, the oceanographers wish to interactively investigate and quantitatively compare different runs of these models. We propose a novel(More)
The self-medication hypothesis proposes that individuals experiencing posttraumatic stress disorder (PTSD) symptoms may use alcohol (or other substances) to self-medicate distress, while the mutual maintenance hypothesis proposes that alcohol use also exacerbates or maintains distress. Existing research largely supports the self-medication hypothesis.(More)
BACKGROUND Intracranial pressure is routinely monitored in patients with severe traumatic brain injury (TBI). Patients with TBI sometimes develop hydrocephalus, requiring permanent cerebrospinal fluid (CSF) diversion. OBJECTIVE To quantify the need for permanent CSF diversion in patients with TBI. METHODS Patients who received a ventriculostomy after(More)
OBJECTIVE Prior research has identified different PTSD symptom (PTSS) trajectories over months and years posttrauma that warrant different levels of clinical attention. Earlier identification of at-risk trauma victims can facilitate efficient and appropriate intervention efforts. METHOD Using latent class growth analysis, we examined daily PTSS(More)
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