Articles: cations.
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We sought to understand the effect of sex on compensation among colorectal surgeons and to determine which factors contribute to gender-based differences in compensation. ⋯ We found a 12% adjusted sex wage gap among colorectal surgeons. Gender-based differences in leadership positions and allocation of effort may contribute. Further research will be necessary to clarify sources of wage inequalities. Still, our results should prompt expedient actions to support closing the gap.
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J. Thorac. Cardiovasc. Surg. · Apr 2023
Editorial CommentCommentary: To classify means to choose a threshold.
Classification requires a threshold; however, methods like C-statistic and AUC obfuscate this. Luckily, there is a sensible strategy for imbalanced data thresholding.
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Molecular classification has transformed the management of brain tumors by enabling more accurate prognostication and personalized treatment. Access to timely molecular diagnostic testing for brain tumor patients is limited, complicating surgical and adjuvant treatment and obstructing clinical trial enrollment. ⋯ Our results demonstrate how artificial intelligence and optical histology can be used to provide a rapid and scalable alternative to wet lab methods for the molecular diagnosis of brain tumor patients during surgery.
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Surgical management of skull base chordomas has changed significantly in the past 2 decades, most notably with use of the endoscopic endonasal approach (EEA), although high quality outcome data using these modern approaches remain scarce. ⋯ In multivariable analysis, overall survival and progression-free survival of chordoma resection was most positively affected by radical resection, better preoperative functional status, and tumor location at the clivus rather than craniovertebral junction.
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Minerva anestesiologica · Apr 2023
Electroencephalographic Density Spectral Array monitoring in pediatric anesthesia: clinical background and practical applications.
Depth of hypnosis monitoring using numerical index based processed electroencephalography is part of the standard anesthesia equipment in many operating rooms. Unfortunately, this method has its limitations, especially in pediatric patients. ⋯ Electroencephalographic density spectral array (DSA) monitoring is a real-time technique that can be used in all age groups and with all common anesthetics. We present a practice-oriented introduction to the principle of DSA monitoring in pediatric anesthesia for pediatric anesthesiologists and two algorithms for using this technology in children under sevoflurane and propofol anesthesia.