Gurbani, like Bader, has chosen to study in India, the second graduating senior in a row that Hopkins will send there on a Fulbright. "It's a complete experience, from the time you open your eyes in the morning, until the time you close them exhausted at night - it's just a bombardment of new ideas and images."
"It was an extraordinary, life changing experience, and the time I spent in India was the most educationally intense of my life. "The Fulbright is something I really believe in," Bader said. Named after Senator William Fulbright, who sponsored legislation to fund the program in 1946, the scholarship covers travel, schooling and living expense fully for one year while the scholars conduct their research.Īssistant Dean of Academic Advising John Bader, himself a former Fulbright Scholar in India, advises all Fulbright applicants at Hopkins. Students design their own program based on academic experiences or interests. The Fulbright scholarship, sponsored by the State Department's Educational and Cultural Affairs Department, gives students and professionals the opportunity to begin graduate study and research in a foreign country in an effort to increase the exchange of ideas and knowledge between the United States and other countries. and Jill Pederson were named Fulbright Scholars earlier this year. Winners of the Fulbright scholarship, they are among 1,106 winners nationwide who will study in any one of 100 countries for a year.Ĭlass of 2004 graduates Barkha Gurbani and Ami Karnik and graduate students Sally McGrane, Jacquelyn Williamson, Edward Monroe Jr.
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Hospital volume did not play a significant role in the rates of short-term or intermediate-term complications. Fracture type was a strong predictor of reoperation for ankle fusion or replacement. Open injury, diabetes, and peripheral vascular disease were strong risk factors predicting a complicated short-term postoperative course. Conclusions: By analyzing a large, diverse patient population, the present study clarifies the risks associated with open reduction and internal fixation of ankle fractures. Treatment at a low-volume hospital was not significantly associated with either the aggregate risk of short-term complications or the risk of intermediate-term reoperation. The intermediate-term rate of reoperation for ankle fusion or replacement was higher in patients with trimalleolar fractures (hazard ratio, 2.07 p <0.001) and open fractures (hazard ratio, 5.29 p <0.001). The presence of complicated diabetes was a particularly strong predictor (odds ratio, 2.30 p < 0.001), as was peripheral vascular disease (odds ratio, 1.65 p < 0.001). Open fractures, age, and medical comorbidities were significant predictors of short-term complications. The intermediate-term rates of reoperation were also low, with ankle fusion or ankle replacement being performed in 0.96% of the patients who were observed for five years. Results: The overall rate of short-term complications was low, including the rates of pulmonary embolism (0.34%), mortality (1.07%), wound infection (1.44%), amputation (0.16%), and revision open reduction and internal fixation (0.82%). Logistic regression and proportional hazard regression models were used to determine the strength of the relationships between the rates of complications and fracture type, patient demographics and comorbidities, and hospital characteristics. The intermediate-term rate of reoperation for ankle fusion or arthroplasty was also analyzed. Short-term complications were examined on the basis of the rates of readmission within ninety days after discharge. Methods: With use of California's discharge database, we identified 57,183 patients who had undergone open reduction and internal fixation of a lateral malleolar, bimalleolar, or trimalleolar ankle fracture as inpatients in the years 1995 through 2005.
The purpose of the present investigation was to examine the risks of complications after open reduction and internal fixation of ankle fractures in a large population-based study.
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