Search

Your search keyword '"Stephen A. Firkins"' showing total 6 results
Start Over Author "Stephen A. Firkins" Search Limiters Available in Library Collection
6 results on '"Stephen A. Firkins"'

1. Mixed Martial Arts: Comparing the King-Devick and Sport Concussion Assessment Tool 5 in knockouts, technical knockouts and choke holds

Author

Eric E. Twohey, MD, Ike B. Hasley, MD, Patrick J. Shaeffer, MD, George A. Ceremuga, MD, Stephen A. Firkins, MD, Gene C. Stringer, MD, Mario Roberto Vaz Carneiro Filho, MD, John H. Hollman, P.T., PhD, Rodolfo Savica, MD, PhD, and Jonathan T. Finnoff, DO

Subjects
Athletes, Brain injury, Martial arts, Perfusion, ROC Curve, Medicine (General), R5-920
Abstract

Objective: To compare validity indices of the King-Devick (KD) test and Sport Concussion Assessment Tool 5 (SCAT5) for traumatic events in MMA, and to determine if perfusion events (alterations in consciousness as the result of choke holds) cause similar changes in KD/SCAT5 scores. Design: A prospective cohort study in MMA fighters who completed KD and SCAT5 assessments before and after a match. Outcomes were categorized as non-event, traumatic event, or perfusion event. KD/SCAT5 changes were compared between all athletes. Participants: One hundred forty MMA athletes (7 women, 133 men), mean age=27.1 ± 4.9 years. Intervention: N/A Main outcome measures: King-Devick (KD) test and Sport Concussion Assessment Tool 5 (SCAT5) Results: Among the 140 athletes, 19 sustained traumatic and 15 perfusion events. Testing provided sensitivities/specificities of 21.05%/93.39% (KD) and 77.78%/52.99% (SCAT5) in detecting a traumatic event. KD and SCAT5 Symptom Severity scores differed between athletes with and without traumatic events (P=.041 and .014). KD and SCAT5 Symptoms Score changes were observed between athletes with and without traumatic events (P=.023 and .042). Neither KD nor SCAT5 differed significantly between athletes with and without perfusion events. Conclusions: The KD test provides high specificity and the SCAT5 demonstrates reasonable sensitivity when detecting a traumatic event. Of the SCAT5, symptoms-related scores may most effectively identify a traumatic event. A traumatic event may cause KD/SCAT5 changes similar to a concussion, while perfusion events did not.

Published
2023
Full Text
View/download PDF

3. Identification of a Risk Profile for New Onset Diabetes After Acute Pancreatitis

Author

Phil A. Hart, Zobeida Cruz-Monserrate, Georgios I. Papachristou, David Bradley, Stephen A. Firkins, Darwin L. Conwell, Somashekar G. Krishna, Luis F. Lara, and Alice Hinton

Subjects
Adult, Male, medicine.medical_specialty, Time Factors, Adolescent, Databases, Factual, Endocrinology, Diabetes and Metabolism, Population, Comorbidity, Patient Readmission, Risk Assessment, Article, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Endocrinology, New onset diabetes, Recurrence, Risk Factors, Internal medicine, Diabetes mellitus, Internal Medicine, Diabetes Mellitus, Medicine, Humans, education, Aged, Retrospective Studies, education.field_of_study, Hepatology, business.industry, Odds ratio, Middle Aged, medicine.disease, Prognosis, Confidence interval, United States, Quartile, Pancreatitis, 030220 oncology & carcinogenesis, Acute pancreatitis, 030211 gastroenterology & hepatology, Female, Metabolic syndrome, business
Abstract

OBJECTIVES: There is a paucity of studies evaluating predictors of new-onset diabetes mellitus (DM) following acute pancreatitis (AP-related DM). We utilized a population-based database to evaluate predictors of AP-related DM. METHODS: The Nationwide Readmissions Database (2010–2014) was utilized to identify all non-diabetic adults with an index primary diagnosis of acute pancreatitis (AP). Multiple exclusions were applied to identify cohorts with and without AP-related DM. A case-control study was conducted to identify risk factors for developing AP-related DM within the calendar year. RESULTS: We identified 2510 subjects with AP-related DM and 40,308 controls with AP who did not develop DM. Multivariable analysis revealed that increasing age (50–64 years, adjusted Odds Ratio [aOR], 1.35, 95% confidence interval [CI], 1.14–1.60), male sex (aOR, 1.2, 95% CI, 1.03–1.40), lowest income quartile (aOR, 1.48, 95% CI, 1.18–1.84), Elixhauser comorbidity index ≥3 (aOR, 1.47, 95% CI, 1.23–1.75), components of metabolic syndrome (aOR, 2.12, 95% CI, 1.21–3.70), severe AP (aOR, 1.60, 95% CI, 1.34–1.90), and recurrent AP (aOR, 1.46, 95% CI, 1.24–1.72) were independently associated with increased risk of AP-related DM. CONCLUSION: These population-level variables predictive of developing AP-related DM can potentially identify patients who may benefit from closer follow-up, intensive education, and implementation of preventative strategies.

Published
2021

5. S0133 Incidence and Predictors of New Onset Diabetes Mellitus Following Surgical Resection of Pancreatic Cystic Lesions

Author

Jordan M. Cloyd, Mary Dillhoff, Andrei Manilchuk, Allan Tsung, Darwin L. Conwell, Kyle Porter, Georgios I. Papachristou, Stephen A. Firkins, Somashekar G. Krishna, Luis L. Lara, Timothy M. Pawlik, and Philip A. Hart

Subjects
Surgical resection, medicine.medical_specialty, Cystic lesion, Hepatology, New onset diabetes, business.industry, Incidence (epidemiology), Gastroenterology, medicine, business, Surgery
Published
2020
Full Text
View/download PDF

6. Su1476 IDENTIFICATION OF A RISK PROFILE FOR NEW ONSET DIABETES AFTER INDEX EPISODE OF ACUTE PANCREATITIS

Author

Phil A. Hart, Zobeida Cruz-Monserrate, Alice Hinton, Stephen A. Firkins, Khalid Mumtaz, Georgios I. Papachristou, Darwin L. Conwell, Somashekar G. Krishna, and Luis F. Lara

Subjects
medicine.medical_specialty, Index (economics), Hepatology, New onset diabetes, business.industry, Internal medicine, Gastroenterology, medicine, Acute pancreatitis, Identification (biology), medicine.disease, business, Risk profile
Published
2020
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results