Annals of surgery
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To examine case logs reported by general surgery residents and identify potential disparities in operative experience. ⋯ Overall, URiM residents submitted fewer cases in the 5-year study period than their non-URiM peers. The gap in submitted cases between male and female residents was more pronounced, with male residents submitting significantly more cases than their female counterparts. This finding was consistent and statistically significant throughout the entire study period, in most case categories, and without narrowing of difference over time. A difference of 30 to 40 cases can amount to 1 to 3 months of surgical training and is a concerning national trend deserving the attention of every training program and our governing institutions.
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To determine the utility of Autologous Skin Cell Suspension (ASCS) in closing full-thickness (FT) defects from injury and infection. ⋯ When used for the closure of FT wounds, point-of-care ASCS is effective and safe. Benefits include rapid re-epithelialization, high rate of limb salvage, reduction of donor site size and morbidity, and low incidence of hypertrophic scarring.
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Historical Article
The American Surgical Association in the 21st Century.
Writing a presidential address is an interesting exercise, and for those of you who have been fortunate enough to lead an organization, you know that not a day goes by since you become President-elect that you do not think about something that you should include, some experience with a mentor you have had that is worthy of documentation, a message you hope the audience remembers after you are finished, and the hope that it will measure up to the memorable presidential addresses that you have heard in many societies, including the American Surgical Association.
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Evaluate associations between volatile organic compounds (VOCs) in heat and moisture exchange (HME) filters and the presence of ventilator-associated pneumonia (VAP). ⋯ Carbon disulfide associated with gram-negative VAP can be identified on HME filters up to 3 days before the initial clinical suspicion, and approximately a week before culture confirmation. This suggests VOC sensors may have potential as an adjunctive method for early detection of VAP.