Annals of surgery
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Multicenter Study Comparative Study
Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams.
To test the feasibility of implementing a standardized teamwork training program with full operating room teams in multiple institutions, driven by malpractice insurer support and incentives. ⋯ A standardized multicenter team training program involving full operative teams is feasible with high-fidelity simulation and modest compensation for lost time. The vast majority of the multidisciplinary participants believed the course to have had a meaningful impact on their approach to clinical practice.
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Randomized Controlled Trial Comparative Study
Sternotomy or drainage for a hemopericardium after penetrating trauma: a randomized controlled trial.
To determine if stable patients with a hemopericardium detected after penetrating chest trauma can be safely managed with pericardial drainage alone. ⋯ SPW and drainage is effective and safe in the stable patient with a hemopericardium after penetrating chest trauma, with no increase in mortality and a shorter ICU and hospital stay. (ClinicalTrials.gov Identifier: NCT00823160).
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Randomized Controlled Trial Comparative Study
Pudendal nerve stimulation for bowel dysfunction in complete cauda equina syndrome.
Pudendal nerve stimulation (PNS) aims to maximize afferent or efferent stimulation from the sacral plexus. ⋯ PNS is an effective treatment in the short term for bowel dysfunction in some patients with complete CES.
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Randomized Controlled Trial
Individualized deliberate practice on a virtual reality simulator improves technical performance of surgical novices in the operating room: a randomized controlled trial.
The purpose of this study was to investigate whether individualized deliberate practice on a virtual reality (VR) simulator results in improved technical performance in the operating room. ⋯ A curriculum of deliberate individualized practice on a VR simulator improves technical performance in the OR. This has implications to greatly improve the feasibility of implementing simulation-based curricula in residency training programs, rather then having them being limited to research protocols.
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Comparative Study
Employment status and work-related difficulties in lung cancer survivors compared with the general population.
To investigate the employment status of lung cancer survivors and the work-related problems they face. ⋯ Lung cancer survivors experienced more difficulties in employment than did the general population. Age, monthly household income, number of comorbidities, and social functioning appear to be important factors influencing employment status. These findings suggest that lung cancer survivors need support to cope with the financial impact of cancer.