Journal of Surgical Research
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#1Molly P. Jarman (Harvard University)H-Index: 11
#2Michael J. Weaver (Brigham and Women's Hospital)H-Index: 27
Last. Mitchel B. Harris (Harvard University)H-Index: 58
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Abstract null null Background null Management of orthopaedic injury is an essential component of comprehensive trauma care, and availability of orthopaedic surgeons impacts trauma system capacity and accessibility of care. We sought to estimate the geographic distribution of orthopaedic injury in the United States and identify regions needing additional orthopaedic trauma resources. null null null Methods null In this retrospective cross-sectional study using 2014 Agency for Healthcare Research ...
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#1Eric Sulava (NMCP: Naval Medical Center Portsmouth)H-Index: 1
#2William Bianchi (NMCP: Naval Medical Center Portsmouth)H-Index: 2
Last. Jonathan D. Auten (NMCP: Naval Medical Center Portsmouth)H-Index: 9
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BACKGROUND Blood transfusion via single site intraosseous access is a critical modality when caring for a trauma victim that lacks intravascular access. Flow rates and potential clinical compilations when utilizing two sites of intraosseous access are not well known. MATERIALS AND METHODS Anesthetized adult female Yorkshire swine (Sus scrofa; n = 48; 76.7 ± 1.75kg; range 66-90kg) were cannulated and then bled approximately 30% total blood volume. Swine were randomly assigned to treatment groups:...
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#1Teppei Kamada (International University of Health and Welfare)H-Index: 3
#2Eisaku Ito (Jikei University School of Medicine)H-Index: 6
Last. Yutaka Suzuki (International University of Health and Welfare)H-Index: 14
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Abstract null null Background null Surgical site infections (SSI) are one of the most frequent complications following stoma reversal (SR-SSI) and lead to multiple problems such as decreased mobility of the patients or increased hospital costs. Several risk factors for SR-SSI have been reported, but there are no risk scoring systems for predicting SR-SSI. The current study aimed to analyze the risk factors for SR-SSI and develop a scoring system. null null null Materials and methods null Multiva...
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#1Tandis Soltani Md (UCF: University of Central Florida)
#2KeyYan Tsoi (UCF: University of Central Florida)
Last. Darwin Ang (USF: University of South Florida)H-Index: 16
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Abstract null null Background null Morbidity and Mortality Conference (MMC) is a traditional quality assessment tool among surgical residencies to evaluate complications within their care and to integrate and educate best practices. Unfortunately, it is difficult to validate and measure loop closure as a result of MMC. This may result in repeating past mistakes or worse, becoming a meeting of anecdotal experiences. The goal of this study is to present results from a morbidity and mortality asses...
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#1Kathleen E. Singer (UC: University of Cincinnati)H-Index: 3
#2Aron P. Bercz (UC: University of Cincinnati)H-Index: 3
Last. Amy T. Makley (UC: University of Cincinnati)H-Index: 14
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ABSTRACT null null Introduction null Thrombocytosis and leukocytosis are common after splenectomy. The potential effect of emergency surgery on these postoperative findings is unknown. We hypothesized that emergency splenectomy leads to a more profound and persistent hematologic change as compared to elective splenectomy. null null null Methods null A retrospective review was conducted of patients who underwent elective or trauma splenectomy. Records were queried for platelet (PLT) and white blo...
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#1Alison S. Baskin (UM: University of Michigan)H-Index: 2
#2Ton Wang (UM: University of Michigan)H-Index: 6
Last. Lesly A. Dossett (UM: University of Michigan)H-Index: 27
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Abstract null null Introduction null Unnecessary health care not only drive up costs, but also contribute to avoidable patient harms, underscoring an ethical obligation to eliminate practices which are harmful, lack evidence, and prevent spending on more beneficial services. To date, de-implementation ethics discussions have been limited and focused on clinical ethics principles. An analysis of de-implementation ethics in the broader context of the health care system is lacking. null null null M...
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#1Grace E. Kennedy (UAB: University of Alabama at Birmingham)
#2Shelby Bergstresser (UAB: University of Alabama at Birmingham)H-Index: 2
Last. Danielle C. Sutzko (UAB: University of Alabama at Birmingham)H-Index: 2
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Abstract null null Background null Workplace diversity is beneficial and results in new ideas and improved performance. Within surgery leadership, the gender gap is improving, but still present. Given the increasing number of women surgery department chairs, we aimed to examine the association of surgery chair gender with division and residency program director gender. We hypothesized that surgery departments with female leadership would have an increase in gender diversity compared to departmen...
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#1Samuel Enumah (Brigham and Women's Hospital)H-Index: 6
#2David C. Chang (Harvard University)H-Index: 27
Abstract null null Background null Hospitals are closing after poor financial performance leaving many patients without access to medical care. Identifying the factors associated with financial distress offers hospitals avenues for potential intervention to avoid bankruptcy and closure. null null null Materials and Methods null We performed a retrospective analysis of private U.S. hospitals’ financial information from 2011 to 2018. A mixed effects logistic regression model was used with the prim...
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INTRODUCTION Surgical informed consent (SIC) to procedures is necessary to ensure patient autonomy is adequately respected. It is also necessary to protect doctors, and their institutions, from claims of negligence. While SIC is often acquired by senior consultants, it also commonly falls to the junior doctors on a team to ensure SIC is adequately acquired and documented. A growing body of literature suggests that junior doctors are not sufficiently educated about the legal and practical issues ...
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#1Cody L. Mullens (WVU: West Virginia University)H-Index: 4
#2J. Andres Hernandez (Duke University)H-Index: 1
Last. David C. Borgstrom (WVU: West Virginia University)H-Index: 9
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Abstract null null Background null Undergraduate and graduate medical education offerings continue to create opportunities for medical students to pursue MD+ degree education. These educational endeavors provide formal education in fields related to surgery, which gives trainees and surgeons diverse perspectives on surgical care. This study sought to assess current prevalence of additional advanced degrees among leaders in academic surgery to assess the relationship between dual degree attainmen...
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