Publications by authors named "Rohit Prem Kumar"

Objective: Collective bargaining unions frequently represent employees across industries, including healthcare workers such as nurses. In recent years, resident physicians have been increasingly unionizing to improve working conditions and benefits. However, whether resident unionization will benefit or harm neurosurgery training is unclear.

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Study Design: Literature review.

Objectives: Review prehabilitation techniques used for elective spine surgery to create a comprehensive list of recommendations.

Methods: A systematic review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines by searching three electronic databases from 1997 to 2021.

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Pregnancy-induced changes to spinal anatomy and physiology can increase the complexity of neurosurgical intervention in this population. There are numerous reports focused on the neurosurgical management of intracranial pathology for pregnant patients. However, less is known about the neurosurgical management of acute spinal pathology.

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Introduction: Women represent over 50% of graduating medical students in the United States and approximately 20% of current neurosurgical residents in training. An increase in female representation requires an increase in advocacy efforts related to pregnancy. Although there is extensive literature on pregnancy in neurosurgical residents, the postpartum period, sometimes referred to as the "fourth trimester", is frequently overlooked.

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Introduction: There is a scarcity of literature exploring fluid-based biomarkers that have the potential to provide deeper insights into the cellular mechanisms underlying cervical spondylotic myelopathy (CSM) symptom presentation and postoperative recovery. This systematic review synthesized the literature on invasive, fluid-based biomarkers and their clinical significance with CSM.

Materials And Methods: A comprehensive search strategy was developed for concepts of biomarkers and CSM.

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Background: Magnetic resonance imaging-guided focused ultrasound (MRgFUS) thalamotomy offers incisionless treatment for essential tremor or tremor-dominant Parkinson's disease, gaining acceptance as an alternative to deep brain stimulation. Compared to other methods, it offers real-time efficacy assessment without ionizing radiation.

Case Description: A 63-year-old male underwent MRgFUS, initially yielding subtle results due to skull limitations.

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Article Synopsis
  • - AtlasGPT is a generative model designed for neurosurgery that adjusts its responses based on the user's level of expertise, but it's unclear if all users can understand its outputs properly.
  • - A study evaluated the readability of AtlasGPT's responses from four user perspectives (surgeon, resident, medical student, and patient) using readability analysis tools and statistical tests.
  • - Results showed that patient-targeted content was harder to read than preferred levels, while medical student responses were slightly easier, highlighting a need for improvement to meet readability standards set by U.S. authorities.
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Article Synopsis
  • - The study investigated spinal and paraspinal injuries related to golf, analyzing emergency department data from 2003 to 2023 to understand the associated risks and outcomes.
  • - A total of 69,153 emergency visits were estimated for golf-related spine injuries, with the majority of injured individuals being males aged around 52.8 years, and lumbar injuries making up 76.9% of cases.
  • - Strains were the most common diagnosis, and while the overall injury frequency remained stable, the average age of those injured has increased significantly over the years.
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Background And Objective: Neurosurgical research is a rapidly evolving field, with numerous studies continuously published. As the body of research grows, upholding high-quality standards becomes increasingly essential. Open science practices offer tools to ensure quality and transparency.

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Background: Proper documentation is essential for patient care. The popularity of artificial intelligence (AI) offers the potential for improvements in neurosurgical note-writing. This study aimed to assess how AI can optimize documentation in neurosurgical procedures.

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Article Synopsis
  • The study investigates the "July Effect," which suggests that the influx of inexperienced physicians in July could lead to worse patient outcomes, focusing on traumatic brain injury (TBI) cases in teaching hospitals.
  • Using nationwide data, researchers compared patient outcomes based on admission month and found July admissions had a decreased likelihood of death and complications.
  • The results showed no significant effect of July admissions on length of stay or routine discharge rates for TBI patients undergoing surgery.
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Background/objective: Neurosurgery emphasizes the criticality of accurate differential diagnoses, with diagnostic delays posing significant health and economic challenges. As large language models (LLMs) emerge as transformative tools in healthcare, this study seeks to elucidate their role in assisting neurosurgeons with the differential diagnosis process, especially during preliminary consultations.

Methods: This study employed 3 chat-based LLMs, ChatGPT (versions 3.

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Objective: The relationship between environmental contaminants and brain tumor incidence in adults has been thoroughly explored but research into how these contaminants affect pediatric brain tumor (PBT) incidence has not been explored. Children, typically having more limited geographical movement and thus more consistent environmental contaminant exposure, might offer more reliable insights into which environmental contaminants affect the incidence of brain tumors. The present study is the first to focus on exploring whether a possible association exists between the incidence of PBTs and exposure to environmental pollutants in New Jersey (NJ).

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Article Synopsis
  • * The study involved 89 severe TBI patients, primarily male and Caucasian, and measured long-term functional outcomes using the Glasgow Outcome Scale (GOS) at multiple time points (3, 6, 12, and 24 months).
  • * Results indicated that patients with an RSS score of 3 or lower had better survival rates and more favorable long-term outcomes compared to those with higher RSS scores, highlighting the score's predictive value for long-term recovery.
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Background: Patient-facing websites serve as essential platforms for disseminating information, engaging with patients, and increasing access to neurosurgical resources and services. Diversity, Equity, and Inclusion are at the forefront of issues facing the field of neurosurgery, especially concerning race and gender disparities in regards to providers in the field.

Methods: Data were collected in regards to the race and gender of patients and providers displayed on the neurosurgery department's patient-facing website in addition to accommodations for disabilities, decreased ability to pay, and language.

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Article Synopsis
  • Correctly choosing the uppermost instrumented vertebra (UIV) during surgery for adult spinal deformity (ASD) significantly affects patient outcomes and quality of life.
  • Factors influencing UIV selection include preoperative spinal alignment, patient health conditions, and the surgeon's experience and available resources.
  • Research indicates that optimizing UIV selection can improve deformity correction and lower the risk of complications like proximal junctional kyphosis, although the impact on postoperative quality of life remains unclear.
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A historical overview of the evolution of anterolateral approaches to the lumber spine and associated patient outcomes is presented. In addition, the modern incorporation of new technologies is discussed, including interbody cages, intraoperative image guidance, robotics, augmented reality, and machine learning, which have significantly improved the spine surgery safety and efficacy profile. Current challenges and future directions are also covered, emphasizing the need for further research and development, particularly in robotic assistance and machine learning algorithms.

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Background: Neurosurgery is a specialty that has been dominated by males. Although there has been an increase in the number of women in the field, it is not yet close to being equal. Some noteworthy women who have carved the path for other women to follow in their footsteps include Drs.

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Article Synopsis
  • The study investigates the use of ChatGPT in neurosurgery, focusing on the accuracy and usefulness of AI-generated responses to common postsurgical questions.
  • A total of 1080 responses from different versions of ChatGPT were analyzed, revealing that while the answers were generally accurate, they were complex and not always rated as highly helpful by healthcare practitioners.
  • The findings suggest that even though ChatGPT-4.0 showed improvements in response quality, the AI's readability may make it challenging for patients to fully benefit from the information provided.
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Objective: Coding for neurosurgical procedures is a complex process that is dynamically changing year to year, through the annual introduction and removal of codes and modifiers. The authors hoped to elucidate if publicly available artificial intelligence (AI) could offer solutions for neurosurgeons with regard to coding.

Methods: Multiple publicly available AI platforms were asked to provide Current Procedural Terminology (CPT) codes and Revenue Value Units (RVU) values for common neurosurgical procedures of the brain and spine with a given indication for the procedure.

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Article Synopsis
  • The study examines how social media, specifically Instagram and Twitter, is used by patients with spinal cord injuries (SCI) to share their experiences and connect with others.
  • Researchers analyzed over 270,000 Instagram posts and 117 tweets related to SCI to identify common themes, such as positivity, wheelchair appearance, and recovery.
  • The findings suggest that social media serves as a vital support tool for SCI patients, highlighting positivity and awareness, which are important for their overall treatment.
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Art in neurosurgery has been a critical part of the discipline for centuries. Numerous cultures, such as ancient India, China, and Egypt, and more contemporary scientists, such as Leonardo da Vinci, Max Brödel, and Norman Dott, have significantly contributed to medical illustration. Today, advancements in three-dimensional technology have allowed for the creation of detailed neuroanatomy models for surgical planning and education.

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