Annals of surgery
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To analyze all published prospective, randomized, and blinded clinical studies on the proficiency-based progression (PBP) training using objective performance metrics. ⋯ Our systematic review and meta-analysis confirms that PBP training in comparison to conventional or quality assured training improved trainees' performances, by decreasing procedural errors and procedural time, while increasing the number of correct steps taken when compared to standard simulation-based training.
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Multicenter Study
Tracheostomy for COVID-19: Multidisciplinary, Multicenter Data on Timing, Technique, and Outcomes.
The aim of this study was to assess the outcomes of tracheostomy in patients with COVID-19 respiratory failure. ⋯ Early, percutaneous tracheostomy was associated with improved outcomes compared to surgical tracheostomy in a multi-institutional series of ventilated patients with COVID-19.
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We aimed to determine whether gentrification predicts the movement of shooting victims over time and if this process has decreased access to care. ⋯ Shootings in Philadelphia predictably moved out of gentrified areas and concentrated in non-gentrified ones. In this case study of a national crisis, the pattern of change paradoxically resulted in an increased clustering of shootings around trauma centers in non-gentrified areas. Repetition of this work in other cities can guide future resource allocation and be used to improve access to trauma care.
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Randomized Controlled Trial Multicenter Study
Immediate Oral Refeeding in Patients With Mild and Moderate Acute Pancreatitis: A Multicenter, Randomized Controlled Trial (PADI trial).
To establish the optimal time to start oral refeeding in mild and moderate acute pancreatitis (AP) to reduce hospital length-of-stay (LOS) and complications. ⋯ IORF is safe and feasible in mild and moderate AP, resulting in significantly shorter LOS and cost savings, without causing adverse effects or complications.
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Randomized Controlled Trial
Art Heals: Randomized Controlled Study Investigating the Effect of a Dedicated In-House Art Gallery on the Recovery of Patients following Major Oncologic Surgery.
We sought to investigate the effect of exposure to a dedicated art gallery during the perioperative period on the recovery of patients undergoing major oncologic procedures. ⋯ Dedicated exposure to art was associated with improved hope, anxiety, and mental well-being of patients after major oncologic surgery.