Journal ArticleWorld J Surg · April 2024
BACKGROUND: Choledochal cysts are rare congenital anomalies of the biliary tree that may lead to obstruction, chronic inflammation, infection, and malignancy. There is wide variation in the timing of resection, operative approach, and reconstructive techni ...
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Journal ArticleWorld J Surg · April 1, 2024
Biliary atresia is a progressive cholangiopathy in neonates, which often results in liver failure. In high-income countries, initial treatment requires prompt diagnosis followed by Kasai portoenterostomy. For those with a late diagnosis, or those in whom K ...
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Journal ArticleSemin Fetal Neonatal Med · June 2023
Maternal-fetal surgical interventions have become a more common part of prenatal care. This third option, beside termination or post-natal interventions, complicates prenatal decision-making: while interventions may be lifesaving, survivors may face a life ...
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Journal ArticleHosp Pediatr · April 1, 2022
BACKGROUND: Although pediatric health care use declined during the coronavirus disease 2019 (COVID-19) pandemic, the impact on children with complex chronic conditions (CCCs) has not been well reported. OBJECTIVE: To describe the impact of the pandemic on ...
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Journal ArticlePediatrics · December 1, 2021
OBJECTIVES: To characterize patterns of surgery among pediatric patients during terminal hospitalizations in children's hospitals. METHODS: We reviewed patients ≤20 years of age who died among 4 424 886 hospitalizations from January 2013-December 2019 with ...
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Journal ArticleAnnals of Pediatric Surgery · December 1, 2021
Background: Omental cysts are rare, predominantly occur in children, and often initially present with symptoms masquerading as other more common intra-abdominal pathologies. In this case report, we present the case of a child with an omental cyst that orig ...
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Journal ArticleSemin Pediatr Surg · October 2021
Pediatric surgeons play an essential role in prenatal consultation for congenital anomalies likely to require surgery in the newborn period. The involvement of pediatric surgeons during multi-disciplinary prenatal meetings has been an important part of the ...
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Journal ArticlePediatrics · June 2021
BACKGROUND AND OBJECTIVES: The coronavirus disease 2019 (COVID-19) pandemic has led to changes in health care use, including decreased emergency department visits for children. In this study, we sought to describe the impact of the COVID-19 pandemic on inp ...
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Journal ArticlePediatr Crit Care Med · October 2020
OBJECTIVE: To describe current hospital guidelines and the opinions of extracorporeal membrane oxygenation leaders at U.S. children's hospitals concerning the use of extracorporeal membrane oxygenation for coronavirus disease 2019-positive pediatric patien ...
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Journal ArticlePediatrics · September 2020
Coronavirus disease 2019 can lead to respiratory failure. Some patients require extracorporeal membrane oxygenation support. During the current pandemic, health care resources in some cities have been overwhelmed, and doctors have faced complex decisions a ...
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Journal ArticleJ Pediatr Surg · August 2020
PURPOSE: To determine if there is a role for routine pouchogram before ileostomy reversal after IPAA in pediatric patients. METHODS: The medical records of pediatric patients who underwent pouchogram between 2007 and 2017 prior to ileostomy reversal after ...
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Journal ArticleJ Gen Intern Med · July 2020
BACKGROUND: Physicians play a key role in mitigating and managing costs in healthcare which are rising. OBJECTIVE: Conduct a cross-sectional survey in 2017, comparing results to a 2012 survey to understand US physicians' evolving attitudes and strategies c ...
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Journal ArticleJ Pediatr Hematol Oncol · November 2019
Uptake of prenatal genetic testing (PGT) is low among those with sickle cell disease (SCD). This study evaluated the association of knowledge and attitudes towards prenatal genetic counseling (PGC), awareness of posttesting intervention options and omissio ...
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Journal ArticleNeurosurg Focus · October 1, 2019
OBJECTIVE: The Management of Myelomeningocele Study (MOMS) compared prenatal with postnatal surgery for myelomeningocele (MMC). The present study sought to determine how MOMS influenced the clinical recommendations of pediatric neurosurgeons, how surgeons' ...
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Journal ArticleHealth Aff (Millwood) · September 2019
Physicians play a key role in implementing health policy, and US physicians were split in their opinions about the Affordable Care Act (ACA) soon after its implementation began. We readministered elements of a prior survey of US physicians to a similar sam ...
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Journal ArticleJ Pain Symptom Manage · May 2019
CONTEXT: Do-not-resuscitate (DNR) orders are common among children receiving palliative care, who may nevertheless benefit from surgery and other procedures. Although anesthesia, surgery, and pediatric guidelines recommend systematic reconsideration of DNR ...
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Journal ArticleJ Perinatol · July 2018
OBJECTIVE: To evaluate whether infants with congenital diaphragmatic hernia (CDH) can be safely resuscitated with a reduced starting fraction of inspired oxygen (FiO2) of 0.5. STUDY DESIGN: A retrospective cohort study comparing 68 patients resuscitated wi ...
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Journal ArticleJ Med Ethics · April 2018
BACKGROUND: While prenatal surgery historically was performed exclusively for lethal conditions, today intrauterine surgery is also performed to decrease postnatal disabilities for non-lethal conditions. We sought to describe physicians' attitudes about pr ...
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Journal ArticleWorld J Surg · April 2024
BACKGROUND: Choledochal cysts are rare congenital anomalies of the biliary tree that may lead to obstruction, chronic inflammation, infection, and malignancy. There is wide variation in the timing of resection, operative approach, and reconstructive techni ...
Full textLink to itemCite
Journal ArticleWorld J Surg · April 1, 2024
Biliary atresia is a progressive cholangiopathy in neonates, which often results in liver failure. In high-income countries, initial treatment requires prompt diagnosis followed by Kasai portoenterostomy. For those with a late diagnosis, or those in whom K ...
Full textLink to itemCite
Journal ArticleSemin Fetal Neonatal Med · June 2023
Maternal-fetal surgical interventions have become a more common part of prenatal care. This third option, beside termination or post-natal interventions, complicates prenatal decision-making: while interventions may be lifesaving, survivors may face a life ...
Full textLink to itemCite
Journal ArticleHosp Pediatr · April 1, 2022
BACKGROUND: Although pediatric health care use declined during the coronavirus disease 2019 (COVID-19) pandemic, the impact on children with complex chronic conditions (CCCs) has not been well reported. OBJECTIVE: To describe the impact of the pandemic on ...
Full textLink to itemCite
Journal ArticlePediatrics · December 1, 2021
OBJECTIVES: To characterize patterns of surgery among pediatric patients during terminal hospitalizations in children's hospitals. METHODS: We reviewed patients ≤20 years of age who died among 4 424 886 hospitalizations from January 2013-December 2019 with ...
Full textLink to itemCite
Journal ArticleAnnals of Pediatric Surgery · December 1, 2021
Background: Omental cysts are rare, predominantly occur in children, and often initially present with symptoms masquerading as other more common intra-abdominal pathologies. In this case report, we present the case of a child with an omental cyst that orig ...
Full textCite
Journal ArticleSemin Pediatr Surg · October 2021
Pediatric surgeons play an essential role in prenatal consultation for congenital anomalies likely to require surgery in the newborn period. The involvement of pediatric surgeons during multi-disciplinary prenatal meetings has been an important part of the ...
Full textLink to itemCite
Journal ArticlePediatrics · June 2021
BACKGROUND AND OBJECTIVES: The coronavirus disease 2019 (COVID-19) pandemic has led to changes in health care use, including decreased emergency department visits for children. In this study, we sought to describe the impact of the COVID-19 pandemic on inp ...
Full textLink to itemCite
Journal ArticlePediatr Crit Care Med · October 2020
OBJECTIVE: To describe current hospital guidelines and the opinions of extracorporeal membrane oxygenation leaders at U.S. children's hospitals concerning the use of extracorporeal membrane oxygenation for coronavirus disease 2019-positive pediatric patien ...
Full textLink to itemCite
Journal ArticlePediatrics · September 2020
Coronavirus disease 2019 can lead to respiratory failure. Some patients require extracorporeal membrane oxygenation support. During the current pandemic, health care resources in some cities have been overwhelmed, and doctors have faced complex decisions a ...
Full textLink to itemCite
Journal ArticleJ Pediatr Surg · August 2020
PURPOSE: To determine if there is a role for routine pouchogram before ileostomy reversal after IPAA in pediatric patients. METHODS: The medical records of pediatric patients who underwent pouchogram between 2007 and 2017 prior to ileostomy reversal after ...
Full textLink to itemCite
Journal ArticleJ Gen Intern Med · July 2020
BACKGROUND: Physicians play a key role in mitigating and managing costs in healthcare which are rising. OBJECTIVE: Conduct a cross-sectional survey in 2017, comparing results to a 2012 survey to understand US physicians' evolving attitudes and strategies c ...
Full textLink to itemCite
Journal ArticleJ Pediatr Hematol Oncol · November 2019
Uptake of prenatal genetic testing (PGT) is low among those with sickle cell disease (SCD). This study evaluated the association of knowledge and attitudes towards prenatal genetic counseling (PGC), awareness of posttesting intervention options and omissio ...
Full textLink to itemCite
Journal ArticleNeurosurg Focus · October 1, 2019
OBJECTIVE: The Management of Myelomeningocele Study (MOMS) compared prenatal with postnatal surgery for myelomeningocele (MMC). The present study sought to determine how MOMS influenced the clinical recommendations of pediatric neurosurgeons, how surgeons' ...
Full textLink to itemCite
Journal ArticleHealth Aff (Millwood) · September 2019
Physicians play a key role in implementing health policy, and US physicians were split in their opinions about the Affordable Care Act (ACA) soon after its implementation began. We readministered elements of a prior survey of US physicians to a similar sam ...
Full textLink to itemCite
Journal ArticleJ Pain Symptom Manage · May 2019
CONTEXT: Do-not-resuscitate (DNR) orders are common among children receiving palliative care, who may nevertheless benefit from surgery and other procedures. Although anesthesia, surgery, and pediatric guidelines recommend systematic reconsideration of DNR ...
Full textLink to itemCite
Journal ArticleJ Perinatol · July 2018
OBJECTIVE: To evaluate whether infants with congenital diaphragmatic hernia (CDH) can be safely resuscitated with a reduced starting fraction of inspired oxygen (FiO2) of 0.5. STUDY DESIGN: A retrospective cohort study comparing 68 patients resuscitated wi ...
Full textLink to itemCite
Journal ArticleJ Med Ethics · April 2018
BACKGROUND: While prenatal surgery historically was performed exclusively for lethal conditions, today intrauterine surgery is also performed to decrease postnatal disabilities for non-lethal conditions. We sought to describe physicians' attitudes about pr ...
Full textLink to itemCite
Journal ArticleJ Pediatr Surg · February 2018
INTRODUCTION: Supraglottic airway (SGA) use and outcomes in pediatric trauma are poorly understood. We compared outcomes between patients receiving prehospital SGA versus bag mask ventilation (BVM). METHODS: We reviewed pediatric multisystem trauma patient ...
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Journal ArticleJ Pediatr Rehabil Med · 2018
BACKGROUND: Prenatal surgery for myelomeningocele (MMC) has been demonstrated to have benefits over postnatal surgery. Nevertheless, prenatal surgery requires a significant emotional, physical, and financial commitment from the entire family. METHODS: Mixe ...
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Journal ArticlePediatrics · December 2017
OBJECTIVES: The ethics of maternal-fetal surgery involves weighing the importance of potential benefits, risks, and other consequences involving the pregnant woman, fetus, and other family members. We assessed clinicians' ratings of the importance of 9 con ...
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Journal ArticleSemin Fetal Neonatal Med · December 2017
The field of maternal-fetal intervention is rapidly evolving with new technologies and innovations. This raises complex ethical and medico-legal challenges related to what constitutes innovative treatment versus human experimentation, with or without the u ...
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Journal ArticleJ Pediatr Surg · December 2017
PURPOSE: The purpose of this study was to evaluate the impact of impaired growth on short-term neurodevelopmental (ND) outcomes in CDH survivors. METHODS: Between 9/2005-12/2014, 84 of 215 (39%) CDH survivors underwent ND assessment at 12months of age usin ...
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Journal ArticleMed Decis Making · November 2017
BACKGROUND: In utero hematopoietic cell transplantation (IUHCT) has curative potential for sickle cell disease (SCD) but carries a risk of fetal demise. METHODS: We assessed the conditions under which parents of children with SCD and young adults with SCD ...
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Journal ArticleClin Pediatr (Phila) · November 2017
Adolescents with postural orthostatic tachycardia syndrome (POTS) often have pain and functional impairment. This study evaluated how parental attributions of children's symptoms relate to child functional impairment. Adolescents with chronic pain and clin ...
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Journal ArticleJ Perinatol · September 2017
OBJECTIVE: Examine how pediatric and obstetrical subspecialists view benefits and burdens of prenatal myelomeningocele (MMC) closure. STUDY DESIGN: Mail survey of 1200 neonatologists, pediatric surgeons and maternal-fetal medicine specialists (MFMs). RESUL ...
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Journal ArticleAnn Surg · August 2017
OBJECTIVES: The aim of the study was to evaluate and study the full spectrum of swallowing dysfunction and long-term disease-specific outcomes in adults with surgically corrected esophageal atresia/tracheaesophageal fistula (EA/TEF). BACKGROUND: Long-term ...
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Journal ArticleJ Pediatr Surg · March 2017
OBJECTIVE: To evaluate neurodevelopmental sequelae in congenital diaphragmatic hernia (CDH) children at 5years of age. MATERIALS AND METHODS: The study cohort of 35 CDH patients was enrolled in our follow-up program between 06/2004 and 09/2014. The neurode ...
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Journal ArticleFetal Diagn Ther · 2017
INTRODUCTION: The Management of Myelomeningocele Study (MOMS) compared prenatal with postnatal surgery for fetal myelomeningocele (MMC). We sought to understand how subspecialists interpreted the trial results and whether their practice has changed. MATERI ...
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Journal ArticleJ Pediatr Surg · December 2016
PURPOSE: The purpose of this study was to evaluate the management and outcomes of CDH patients with scoliosis. METHODS: From January 1996 to August 2015, 26 of 380 (7%) CDH patients were diagnosed with scoliosis. Six (23%) were prenatally diagnosed by ultr ...
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Journal ArticleAm J Med · October 2016
OBJECTIVE: The purpose of this study is to investigate whether mitral valve prolapse is associated with the patient's psychoemotional status and health-related quality of life. METHODS: Mitral valve prolapse and mitral regurgitation were prospectively and ...
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Journal ArticleAm J Obstet Gynecol · October 2016
BACKGROUND: The Management of Myelomeningocele Study was a multicenter, randomized controlled trial that compared prenatal repair with standard postnatal repair for fetal myelomeningocele. OBJECTIVE: We sought to describe the long-term impact on the famili ...
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Journal ArticleAm Surg · June 2016
Approximately 350,000 ventral hernia repairs are performed in the United States each year. Patients expect fast recovery after laparoscopic ventral hernia repair (LVHR) and undisturbed postoperative quality of life (QOL). We examined the utility of a brief ...
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Journal ArticleSemin Perinatol · June 2016
This article explores some of the complex ethical challenges that exist in the field of fetal diagnosis and treatment, especially surrounding maternal-fetal surgery. The rise of these new treatments force us to reconsider who or what is the fetus, what are ...
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Journal ArticlePediatrics · March 2016
Professionalism requires that doctors acknowledge their errors and figure out how to avoid making similar ones in the future. Over the last few decades, doctors have gotten better at acknowledging mistakes and apologizing to patients when a mistake happens ...
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Journal ArticleJ Pediatr Surg · February 2016
PURPOSE: Children with thoracic or abdominal trauma, presenting to referring hospitals, may undergo CT imaging prior to transfer to a pediatric trauma center (PTC). We sought to determine if children who undergo pretransfer imaging experience a delay in de ...
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Journal ArticleHeart Rhythm · January 2016
BACKGROUND: Left cardiac sympathetic denervation (LCSD) provides an additive or potentially alternative treatment option for patients with life-threatening cardiac channelopathies/cardiomyopathies. OBJECTIVE: We sought to examine the effects of LCSD on qua ...
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Journal ArticleJ Gen Intern Med · July 2015
BACKGROUND: It is not known whether medical students support the Affordable Care Act (ACA) or possess the knowledge or will to engage in its implementation as part of their professional obligations. OBJECTIVE: To characterize medical students' views and kn ...
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Journal ArticlePediatrics · May 2015
A central principle of justice is that similar cases should be decided in similar ways. In pediatrics, however, there are cases in which 2 infants have similar diagnoses and prognoses, but their parents request different treatments. In this Ethics Rounds, ...
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Journal ArticleAnn Thorac Surg · March 2015
BACKGROUND: Severe mitral regurgitation (MR) is associated with frequent alteration of psychoemotional status (PES), with anxiety and stress symptoms related to health-related quality of life (HR-QOL). Yet, it is unknown whether surgical correction of MR l ...
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Journal ArticlePhilos Ethics Humanit Med · November 4, 2014
Moral pluralism is the norm in contemporary society. Even the best philosophical arguments rarely persuade moral opponents who differ at a foundational level. This has been vividly illustrated in contemporary debates in bioethics surrounding contentious is ...
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Journal ArticleJ Pediatr Surg · April 2014
PURPOSE: Children with chronic ulcerative colitis (CUC) are at increased risk for venous thromboembolism, especially after colectomy procedures. We aim to review our patients with CUC who underwent a colectomy and suffered intra-abdominal thrombosis; moreo ...
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Journal ArticleJ Laparoendosc Adv Surg Tech A · February 2014
BACKGROUND: The existence, etiology, diagnosis, and treatment of median arcuate ligament syndrome (MALS) have long been subjects of debate. To our knowledge, there have not been any studies assessing the effectiveness of surgical treatment in improving phy ...
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Journal ArticleAJOB Empirical Bioethics · January 1, 2014
Background: The Health and Human Services (HHS) contraceptives mandate, recommended on the advice of the Institute of Medicine (IOM), has evoked a heated debate about whether religiously affiliated organizations should be required to provide contraceptive ...
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Journal ArticleAm J Med · October 2013
OBJECTIVE: To define the prevalence and consequences of post-traumatic stress disorder (PTSD) as an emotional response to cardiac diseases in patients with mitral regurgitation. METHODS: We prospectively enrolled 186 patients with moderate or severe organi ...
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Journal ArticlePhilos Ethics Humanit Med · September 8, 2013
INTRODUCTION: Physicians vary in their moral judgments about health care costs. Social intuitionism posits that moral judgments arise from gut instincts, called "moral foundations." The objective of this study was to determine if "harm" and "fairness" intu ...
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Journal ArticleWorld Journal of Endocrine Surgery · July 9, 2013
Postoperative complications of thyroid surgery are generally limited, though not entirely rare. Cervical hematoma, recurrent laryngeal nerve damage and hypoparathyroidism are of greatest concern, with the latter being the most frequently encountered. We re ...
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Journal ArticleJ Gen Intern Med · June 25, 2013
BACKGROUND: Little is known about how U.S. physicians' political affiliations, specialties, or sense of social responsibility relate to their reactions to health care reform legislation. OBJECTIVE: To assess U.S. physicians' impressions about the direction ...
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Journal ArticleJAMA Surg · May 2013
OBJECTIVE: To measure the implications of the new Accreditation Council for Graduate Medical Education duty hour regulations for education, well-being, and burnout. DESIGN: Longitudinal study. SETTING: Eleven university-based general surgery residency prog ...
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Journal ArticlePLoS One · 2013
The broad diversity in physicians' judgments on controversial health care topics may reflect differences in religious characteristics, political ideologies, and moral intuitions. We tested an existing measure of moral intuitions in a new population (U.S. p ...
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Journal ArticleJ Pain Symptom Manage · September 2012
CONTEXT: Debates persist about the relevance of "dignity" as an ethical concept in U.S. health care, especially in end-of-life care. OBJECTIVES: To describe the attitudes and beliefs regarding the usefulness and meaning of the concept of dignity and to exa ...
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Journal ArticleArch Surg · June 2012
OBJECTIVE: To describe the perspectives of surgical interns regarding the implications of the new Accreditation Council for Graduate Medical Education (ACGME) duty-hour regulations for their training. DESIGN: We compared responses of interns and surgery pr ...
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Journal ArticleAnn Thorac Surg · March 2012
BACKGROUND: Early mitral valve (MV) repair of degenerative mitral regurgitation is associated with superior clinical outcomes compared with prosthetic replacement and restores normal life expectancy, even in those without symptoms. Although current guideli ...
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Journal ArticleJ Surg Educ · 2012
OBJECTIVES: Along with a decline in interest in general surgery among United States medical school graduates, reports indicate a decrease in the amount of time students are spending on their surgical clerkship. In an effort to offer early exposure to gener ...
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Journal ArticleMinn Med · December 2011
In the summer of 1910, William James Mayo, M.D., delivered the commencement address at Rush Medical College in Chicago. In his speech, he uttered words that have become the cornerstone of Mayo Clinic's model of care: "The best interest of the patient is th ...
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Journal ArticleSouth Med J · August 2011
OBJECTIVES: More than 10% of adolescents suffer from severe fatigue and/or orthostatic intolerance. Adult studies show correlations between iron insufficiency and fatigue as well as between hypovitaminosis D and non-specific pain. We sought to determine wh ...
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Journal ArticleJ Med Ethics · July 2011
BACKGROUND: Regarding controversial medical services, many have argued that if physicians cannot in good conscience provide a legal medical intervention for which a patient is a candidate, they should refer the requesting patient to an accommodating provid ...
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Journal ArticleJ Child Neurol · May 2011
A retrospective review identified 99 adolescents (79% female) referred to a tertiary care center to evaluate the relationship between symptoms of orthostatic intolerance and chronic pain. Regression analysis indicated that functional disability was strongl ...
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Journal ArticleMayo Clin Proc · March 2011
OBJECTIVE: To describe the views of residency program directors regarding the effect of the 2010 duty hour recommendations on the 6 core competencies of graduate medical education. METHODS: US residency program directors in internal medicine, pediatrics, a ...
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Journal ArticleJ Pediatr Gastroenterol Nutr · March 2008
OBJECTIVE: To describe the relationships between gastric emptying, autonomic function, and postural tachycardia in adolescent patients with nausea and/or abdominal discomfort. It was hypothesized that patients with both gastrointestinal symptoms and sympto ...
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