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Prior studies found low skeletal muscle mass on CT scans linked to postoperative complications. This retrospective study analyzed body composition from CT scans to predict frailty and adverse outcomes after abdominal surgery. Results showed that higher muscle quantity and quality scores correlated with reduced risk…
This study presents the implementation of surgical activity regulation methodology in operating rooms to mitigate organizational dysfunction, enhance surgical staff's quality of work life, and reduce overtime. Utilizing a scrub nurse as a real-time regulator akin to an air traffic controller, decisions are made collaboratively…
Older surgical patients faced emotional challenges before and after surgery, impacting recovery. They relied on personal and social resources to navigate these challenges, while desiring more healthcare support. Findings emphasize the importance of addressing emotional well-being in perioperative care for older adults undergoing major elective…
Quantification of fluorescence angiography for visceral perfusion assessment revealed a mean relative difference of +58.2% in normalized maximum slope measurements between two software algorithms. The agreement deteriorated at higher values, suggesting a linear bias. These discrepancies highlight potential limitations in the external validity of quantitative…
Laparoscopic simulation significantly improves surgical skills and reduces errors and time, even for participants with limited experience. In contrast, robotic simulation is less effective without prior laparoscopic experience. Transfer of skills from simulation to real surgical settings is feasible. Simulation is a valuable tool for…
High-intensity interval training (HIT) is safe for postoperative inpatients, with favorable physiologic outcomes and recovery. Results show higher perceived exertion, shorter exercise completion time, and trend towards faster gait speed compared to low-intensity ambulation. HIT may be beneficial in promoting positive recovery after major surgery.
Hospitals are significant contributors to global warming, with operating theatres generating 70% of hospital waste. This study explores the assignment of use-by dates to surgical equipment and the potential for reusing or re-sterilizing expired items to reduce waste. While incineration is common, alternative disposal methods,…
Letters of recommendation are crucial for applicant selection in medical education. The shift to pass/fail USMLE scoring has increased their importance. Narratives may introduce bias and inflation. Standardized letters can address these issues. Interviews and focus groups informed the development of a new standardized letter…
QoL is maintained, with high symptom burden, during neoadjuvant therapy for gastrointestinal cancers. Functional well-being scores were consistently lower, while social well-being scores were higher. Common symptoms included fatigue, insomnia, and anxiety. Patients emphasized anxiety, fear, and frustration in free-text journaling but highlighted the importance…
This study establishes prioritized lists of operative procedures for simulation-based assessments in general surgery training, essential for competency-based programs. Through a Delphi consensus study, 21 and 16 procedures were identified as suitable for assessments at key training stages, aiding in trainee progression and end-of-training certification.…
