Robin Howard - Academia.edu (original) (raw)
Papers by Robin Howard
Annals of Internal Medicine, 1994
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The American Journal of Tropical Medicine and Hygiene, 2008
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JAMA, 2004
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PloS one, 2015
Although myocarditis/pericarditis (MP) has been identified as an adverse event following smallpox... more Although myocarditis/pericarditis (MP) has been identified as an adverse event following smallpox vaccine (SPX), the prospective incidence of this reaction and new onset cardiac symptoms, including possible subclinical injury, has not been prospectively defined. The study's primary objective was to determine the prospective incidence of new onset cardiac symptoms, clinical and possible subclinical MP in temporal association with immunization. New onset cardiac symptoms, clinical MP and cardiac specific troponin T (cTnT) elevations following SPX (above individual baseline values) were measured in a multi-center prospective, active surveillance cohort study of healthy subjects receiving either smallpox vaccine or trivalent influenza vaccine (TIV). New onset chest pain, dyspnea, and/or palpitations occurred in 10.6% of SPX-vaccinees and 2.6% of TIV-vaccinees within 30 days of immunization (relative risk (RR) 4.0, 95% CI: 1.7-9.3). Among the 1081 SPX-vaccinees with complete follow-u...
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Journal of cataract and refractive surgery, 2016
To determine whether patients without dry eye preoperatively have an altered conjunctival goblet ... more To determine whether patients without dry eye preoperatively have an altered conjunctival goblet cell density and mucin secretion postoperatively and to explore what factors affect changes in goblet cell density and mucin secretion. The former Walter Reed Army Medical Center, Washington, DC, USA. Prospective nonrandomized clinical study. Impression cytology was used to determine conjunctival goblet cell density before and 1 week, 1 month, and 3 months after photorefractive keratectomy (PRK) or laser in situ keratomileusis (LASIK). The McMonnies questionnaire, Schirmer test, tear breakup time, corneal sensitivity, rose bengal staining, and computerized videokeratoscopy were also performed to assess tear-film and ocular-surface health. The ratio of goblet cell to total cells changed postoperatively from baseline in both groups (P < .001). The most significant change was a median 29% decrease 1 month postoperatively. However, there were no significant differences between groups over...
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Surgery, 2010
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Prostate Cancer and Prostatic Diseases, 2002
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Pain Medicine, 2010
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Journal of the American College of Surgeons, 2014
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Journal of Neurosurgery, 2011
Object There are no published long-term data for patients with penetrating head injury treated wi... more Object There are no published long-term data for patients with penetrating head injury treated with bilateral supratentorial craniectomy, or supra- and infratentorial craniectomy. The authors report their experience with 33 patients treated with bilateral or bicompartmental craniectomy from the ongoing conflicts in Iraq and Afghanistan. Methods An exploratory analysis of Glasgow Outcome Scale (GOS) scores at 6 months in 33 patients was performed. Follow-up lasting a median of more than 2 years was performed in 30 (91%) of these patients. The association of GOS score with categorical variables was explored using the Wilcoxon rank-sum test or Kruskal-Wallis analysis of variance. The Spearman correlation coefficient was used for ordinal/continuous data. To provide a clinically meaningful format to present GOS scores with categorical variables, patients with GOS scores of 1–3 were categorized as having a poor outcome and those with scores of 4 and 5 as having a good outcome. This analys...
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Journal of Diabetes Science and Technology, 2011
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The Journal of Clinical Endocrinology & Metabolism, 2012
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Journal of Cataract and Refractive Surgery, 2011
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Fertility and Sterility, 2013
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American Journal of Ophthalmology, 2005
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Annals of Surgery, 2007
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PLoS Neglected Tropical Diseases, 2010
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Military medicine, 2017
To compare the circumference measurement (CM) body composition method and 8-point segmental bioel... more To compare the circumference measurement (CM) body composition method and 8-point segmental bioelectrical impedance analysis (DSM-BIA) to dual energy X-ray absorptiometry (DEXA) in military members. The objective was to compare three body composition methods. Our hypothesis was the CM is as accurate as DSM-BIA and DEXA in assessing body fat percentage (%BF). Cross sectional, observational study. Healthy active duty military males and nonpregnant females. Seventy-six participants (mean age 35.0 ± 9.7 years, mean body mass index 28.9 ± 4.7 kg/m(2)), outpatient clinic setting was used. Agreement between DEXA and the other two methods was examined using an intraclass correlation coefficient (ICC) using the two-way random method with absolute agreement. Repeated measures analysis of covariance was used to examine the effect of gender and waist circumference on differences in %BF. The agreement of DSM-BIA with DEXA for females was ICC = 0.93 (95% confidence interval [CI]: 0.87-0.96) and f...
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Pain medicine (Malden, Mass.), Jan 10, 2016
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Obstetrics & Gynecology, 2013
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Annals of Internal Medicine, 1994
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The American Journal of Tropical Medicine and Hygiene, 2008
Bookmarks Related papers MentionsView impact
JAMA, 2004
Bookmarks Related papers MentionsView impact
PloS one, 2015
Although myocarditis/pericarditis (MP) has been identified as an adverse event following smallpox... more Although myocarditis/pericarditis (MP) has been identified as an adverse event following smallpox vaccine (SPX), the prospective incidence of this reaction and new onset cardiac symptoms, including possible subclinical injury, has not been prospectively defined. The study's primary objective was to determine the prospective incidence of new onset cardiac symptoms, clinical and possible subclinical MP in temporal association with immunization. New onset cardiac symptoms, clinical MP and cardiac specific troponin T (cTnT) elevations following SPX (above individual baseline values) were measured in a multi-center prospective, active surveillance cohort study of healthy subjects receiving either smallpox vaccine or trivalent influenza vaccine (TIV). New onset chest pain, dyspnea, and/or palpitations occurred in 10.6% of SPX-vaccinees and 2.6% of TIV-vaccinees within 30 days of immunization (relative risk (RR) 4.0, 95% CI: 1.7-9.3). Among the 1081 SPX-vaccinees with complete follow-u...
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Journal of cataract and refractive surgery, 2016
To determine whether patients without dry eye preoperatively have an altered conjunctival goblet ... more To determine whether patients without dry eye preoperatively have an altered conjunctival goblet cell density and mucin secretion postoperatively and to explore what factors affect changes in goblet cell density and mucin secretion. The former Walter Reed Army Medical Center, Washington, DC, USA. Prospective nonrandomized clinical study. Impression cytology was used to determine conjunctival goblet cell density before and 1 week, 1 month, and 3 months after photorefractive keratectomy (PRK) or laser in situ keratomileusis (LASIK). The McMonnies questionnaire, Schirmer test, tear breakup time, corneal sensitivity, rose bengal staining, and computerized videokeratoscopy were also performed to assess tear-film and ocular-surface health. The ratio of goblet cell to total cells changed postoperatively from baseline in both groups (P < .001). The most significant change was a median 29% decrease 1 month postoperatively. However, there were no significant differences between groups over...
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Surgery, 2010
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Prostate Cancer and Prostatic Diseases, 2002
Bookmarks Related papers MentionsView impact
Pain Medicine, 2010
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Journal of the American College of Surgeons, 2014
Bookmarks Related papers MentionsView impact
Journal of Neurosurgery, 2011
Object There are no published long-term data for patients with penetrating head injury treated wi... more Object There are no published long-term data for patients with penetrating head injury treated with bilateral supratentorial craniectomy, or supra- and infratentorial craniectomy. The authors report their experience with 33 patients treated with bilateral or bicompartmental craniectomy from the ongoing conflicts in Iraq and Afghanistan. Methods An exploratory analysis of Glasgow Outcome Scale (GOS) scores at 6 months in 33 patients was performed. Follow-up lasting a median of more than 2 years was performed in 30 (91%) of these patients. The association of GOS score with categorical variables was explored using the Wilcoxon rank-sum test or Kruskal-Wallis analysis of variance. The Spearman correlation coefficient was used for ordinal/continuous data. To provide a clinically meaningful format to present GOS scores with categorical variables, patients with GOS scores of 1–3 were categorized as having a poor outcome and those with scores of 4 and 5 as having a good outcome. This analys...
Bookmarks Related papers MentionsView impact
Journal of Diabetes Science and Technology, 2011
Bookmarks Related papers MentionsView impact
The Journal of Clinical Endocrinology & Metabolism, 2012
Bookmarks Related papers MentionsView impact
Journal of Cataract and Refractive Surgery, 2011
Bookmarks Related papers MentionsView impact
Fertility and Sterility, 2013
Bookmarks Related papers MentionsView impact
American Journal of Ophthalmology, 2005
Bookmarks Related papers MentionsView impact
Annals of Surgery, 2007
Bookmarks Related papers MentionsView impact
PLoS Neglected Tropical Diseases, 2010
Bookmarks Related papers MentionsView impact
Military medicine, 2017
To compare the circumference measurement (CM) body composition method and 8-point segmental bioel... more To compare the circumference measurement (CM) body composition method and 8-point segmental bioelectrical impedance analysis (DSM-BIA) to dual energy X-ray absorptiometry (DEXA) in military members. The objective was to compare three body composition methods. Our hypothesis was the CM is as accurate as DSM-BIA and DEXA in assessing body fat percentage (%BF). Cross sectional, observational study. Healthy active duty military males and nonpregnant females. Seventy-six participants (mean age 35.0 ± 9.7 years, mean body mass index 28.9 ± 4.7 kg/m(2)), outpatient clinic setting was used. Agreement between DEXA and the other two methods was examined using an intraclass correlation coefficient (ICC) using the two-way random method with absolute agreement. Repeated measures analysis of covariance was used to examine the effect of gender and waist circumference on differences in %BF. The agreement of DSM-BIA with DEXA for females was ICC = 0.93 (95% confidence interval [CI]: 0.87-0.96) and f...
Bookmarks Related papers MentionsView impact
Pain medicine (Malden, Mass.), Jan 10, 2016
Bookmarks Related papers MentionsView impact
Obstetrics & Gynecology, 2013
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