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Journal ArticleJ Cardiothorac Vasc Anesth · November 2025
Assessing the severity of right ventricular (RV) dysfunction using echocardiography (echo) remains subjective, in part because current guidelines do not recommend how to synthesize various echo parameters to form a global assessment of RV dysfunction. To a ...
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Journal ArticleJ Vis Exp · July 22, 2025
A major risk factor for morbidity and mortality in critical illness is the presence of right ventricular dysfunction (RVD). However, characterizing and grading the severity of RVD remains highly subjective, with significant inter-operator and intra-operato ...
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Journal ArticleJ Vis Exp · July 3, 2025
A major cause of morbidity and healthcare resource utilization is gastrointestinal (GI) dysfunction. Although GI symptoms are frequently evaluated with computed tomography (CT), this modality subjects patients to ionizing radiation, high costs, and high re ...
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Journal ArticleJ Surg Res · June 2025
INTRODUCTION: There is a documented decline in formal procedural skill training in undergraduate medical education. We evaluated a simulation-based skills curriculum before the core surgical clerkship at a large academic institution on its concordance with ...
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Journal ArticleJ Surg Res · February 2025
INTRODUCTION: For lower extremity penetrating traumas (LEPT), the impact of race and insurance status, as a surrogate of socioeconomic status, is still not fully elucidated. This study aims to explore the relationship between these variables and the likeli ...
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Journal ArticleJ Surg Res · December 2024
INTRODUCTION: As undergraduate medical education becomes increasingly longitudinal, particular attention is needed to maintain sufficient exposure to surgical disciplines. While traditional medical student clerkships are isolated 4 to 8-wk blocks on a sing ...
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Journal ArticleJ Surg Res · October 2024
INTRODUCTION: Suboptimal nutrition promotes unfavorable outcomes in trauma patients, particularly among those aged 60 and over. While many institutions employ predictive energy equations to determine patients' energy requirements, mounting evidence shows t ...
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Journal ArticleAcad Med · August 1, 2024
PURPOSE: Surgical subinternships are important rotations for students preparing for a career in general surgery; however, these rotations often vary by institution and service. This modified Delphi study was conducted to reach a consensus set of roles, res ...
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Journal ArticleJ Surg Res · July 2024
INTRODUCTION: Responses to COVID-19 within medical education prompted significant changes to the surgical clerkship. We analyzed the changes in medical student end of course feedback before and after the COVID-19 outbreak. METHODS: Postclerkship surveys fr ...
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Journal ArticleJ Surg Educ · March 2024
OBJECTIVE: Longitudinal integrated clerkships (LICs) are an increasingly popular approach to medical student clinical education, and the literature describing them is expanding. Despite this, there is a lack of understanding for how surgery didactics and s ...
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Journal ArticleJ Surg Res · February 2024
INTRODUCTION: The surgical clerkship is a formative experience in the medical school curriculum and can leave a lasting impression on students' perception of surgery. Given the historical negative stereotypes of surgeons, the clerkship represents an opport ...
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Journal ArticleJ Surg Educ · October 2023
OBJECTIVE: Medical students frequently report ambiguity of expectations in their feedback of the surgery clerkship. Herein, we aimed to gauge general surgery resident and attending expectations of students on their clerkship. DESIGN: Residents and attendin ...
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Journal ArticleSurg Open Sci · August 2023
BACKGROUND: Proficiency in ultrasound usage is quickly becoming an expectation in multiple residency programs: emergency medicine, obstetrics-gynecology, surgery, and internal medicine. There is a lack of affordable training devices for ultrasound training ...
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ConferenceNeurocrit Care · April 2023
BACKGROUND: Although levetiracetam has been increasingly used as an alternative to phenytoin for early posttraumatic seizure prophylaxis following traumatic brain injury (TBI), an optimal dosing strategy has not been elucidated. The objective of this study ...
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Journal ArticleASAIO J · May 1, 2022
Long-term continuous-flow left ventricular assist device (CFLVAD) therapy is limited by complications. Compared with stroke and renal dysfunction, post-CFLVAD bowel ischemia is poorly characterized. Adult patients who underwent first-time durable CFLVAD im ...
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Journal ArticleAnticancer Res · February 2022
Pancreatic neuroendocrine tumors (PNETs) arise from endocrine pancreatic cells and comprise 3-5% of pancreatic cancers. Surgical resection is the only potentially curative option for PNETs. Surgical candidates should be carefully selected according to tumo ...
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Journal ArticleJ Surg Educ · 2022
OBJECTIVE: We describe a novel approach to promoting medical student learning and engagement during trauma resuscitation with implementation of a structured observation and debriefing tool. DESIGN: In the context of a multifaceted quality improvement effor ...
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Journal ArticleTrauma Surg Acute Care Open · 2022
BACKGROUND: Antibiotic prophylaxis is routinely administered for most operative procedures, but their utility for certain bedside procedures remains controversial. We performed a systematic review and meta-analysis and developed evidence-based recommendati ...
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Journal ArticleAnn Surg Open · December 2021
OBJECTIVES: Integrate a predictive model for massive transfusion protocol (MTP) activation and delivery in the electronic medical record (EMR) using prospectively gathered data; externally validate the model and assess the accuracy and precision of the mod ...
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Journal ArticleJ Tissue Eng Regen Med · November 2021
Platelet rich plasma (PRP) has been shown to improve incorporation and reduce inflammation in ventral hernia repair (VHR) with acellular dermal matrix (ADM). The concentration of platelets in PRP varies in clinical studies and an ideal concentration has ye ...
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Journal ArticleJ Crit Care · August 2021
PURPOSE: Acute Respiratory Distress Syndrome (ARDS) is an infrequent, yet morbid inflammatory complication in injury victims. With the current project we sought to estimate trends in incidence, determine outcomes, and identify risk factors for ARDS and rel ...
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Journal ArticleJ Tissue Eng Regen Med · July 2021
Incisional hernia is a common complication of hernia repair despite the development of various synthetic and bio-synthetic repair materials. Poor long-term mechanical strength, leading to high recurrence rates, has limited the use of acellular dermal matri ...
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Journal ArticleJ Tissue Eng Regen Med · January 2021
The recurrence of ventral hernias continues to be a problem faced by surgeons, in spite of efforts toward implementing novel repair techniques and utilizing different materials to promote healing. Cadaveric acellular dermal matrices (Alloderm) have shown s ...
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Journal ArticleJ Trauma Acute Care Surg · December 2020
BACKGROUND: Assessment of the immediate need for specific blood product transfusions in acutely bleeding patients is challenging. Clinical assessment and commonly used coagulation tests are inaccurate and time-consuming. The goal of this practice managemen ...
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Journal ArticleJ Surg Res · August 2019
BACKGROUND: Racial, ethnic, and socioeconomic disparities have been shown to exist in trauma patients. Management of blunt splenic injuries (BSIs) can include splenectomy, embolization, or nonoperative management. This study assesses the effect of race and ...
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Journal ArticleSurgery · June 2019
BACKGROUND: Acute traumatic coagulopathy has been described in adult trauma patients. Acute traumatic coagulopathy may be associated with higher mortality and morbidity in pediatric trauma patients. We aimed to (1) compare acute traumatic coagulopathy inci ...
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Journal ArticleJ Surg Res · March 2019
BACKGROUND: Socioeconomic status (SES) and race have been shown to increase the incidence of being afflicted by a traumatic brain injury (TBI) resulting in worse posthospitalization outcomes. The goal of this study was to determine the effect disparities h ...
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Journal ArticleAm J Crit Care · January 2018
BACKGROUND: The incidence and long-term outcomes of acute kidney injury in patients with severe acute respiratory distress syndrome (ARDS) due to influenza A(H1N1) pdm09 virus (pH1N1) have not been examined. OBJECTIVE: To assess long-term renal recovery in ...
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