Browsing by Author "Flahiff, Charlene M"

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    A BIOMECHANICAL EVALUATION OF AN INTRAMEDULLARY FIXATION DEVICE FOR INTERTROCHANTERIC FRACTURES
    (The Journal of Trauma: Injury, Infection, and Critical Care, 1993-07) Flahiff, Charlene M; Nelson, Carl L; Gruenwald, J Michael; Hollis, J Marcus
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    Biomechanical Analysis of Patellar Tendon Allografts as a Function of Donor Age
    (The American Journal of Sports Medicine, 1995-05) Flahiff, Charlene M; Brooks, Andrew T; Hollis, J Marcus; Vander Schilden, Jack L; Nicholas, Richard W
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    Cartilage mechanics in the guinea pig model of osteoarthritis studied with an osmotic loading method.
    (Osteoarthritis and cartilage, 2004-05) Flahiff, Charlene M; Kraus, Virginia B; Huebner, Janet L; Setton, Lori A
    To determine the material properties of articular cartilage in the Hartley guinea pig model of spontaneous osteoarthritis.Cartilage-bone samples from the medial femoral condyle and tibial plateau of 12 month-old guinea pig knees were subjected to osmotic loading. Site-matched swelling strains and fixed charge density values were used in a triphasic theoretical model for cartilage swelling to determine the modulus of the cartilage solid matrix. The degree of cartilage degeneration was assessed in adjacent tissue sections using a semi-quantitative histological grading scheme.Decreased values for both moduli and surface zone fixed charge density were associated with increasing grades of cartilage degeneration. Decreases in moduli reflect damage to the collagen matrix, which give rise to greater swelling strains.Histological evidence of cartilage degeneration was associated with impaired cartilage mechanics in the aging Hartley guinea pig.
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    Depression, quality of life, and medical resource utilization in sickle cell disease.
    (Blood advances, 2017-10-12) Adam, Soheir S; Flahiff, Charlene M; Kamble, Shital; Telen, Marilyn J; Reed, Shelby D; De Castro, Laura M
    Sickle cell disease (SCD) is a chronic, debilitating disorder. Chronically ill patients are at risk for depression, which can affect health-related quality of life (HRQoL), health care utilization, and cost. We performed an analytic epidemiologic prospective study to determine the prevalence of depression in adult patients with SCD and its association with HRQoL and medical resource utilization. Depression was measured by the Beck Depression Inventory and clinical history in adult SCD outpatients at a comprehensive SCD center. HRQoL was assessed using the SF36 form, and data were collected on medical resource utilization and corresponding cost. Neurocognitive functions were assessed using the CNS Vital Signs tool. Pain diaries were used to record daily pain. Out of 142 enrolled patients, 42 (35.2%) had depression. Depression was associated with worse physical and mental HRQoL scores (P < .0001 and P < .0001, respectively). Mean total inpatient costs ($25 000 vs $7487, P = .02) and total health care costs ($30 665 vs $13 016, P = .01) were significantly higher in patients with depression during the 12 months preceding diagnosis. Similarly, during the 6 months following diagnosis, mean total health care costs were significantly higher in depressed patients than in nondepressed patients ($13 766 vs $8670, P = .04). Depression is prevalent in adult patients with SCD and is associated with worse HRQoL and higher total health care costs. Efforts should focus on prevention, early diagnosis, and therapy for depression in SCD.