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Current Surgery Reports最新文献

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Confronting Leaky Pipelines: Diversity in Plastic Surgery 面对泄漏的管道:整形外科的多样性
IF 0.6 Q4 SURGERY Pub Date : 2022-02-20 DOI: 10.1007/s40137-022-00308-x
Megan E. Lane, Erika D. Sears, J. Waljee
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引用次数: 0
Surgical Competency Assessment in Ophthalmology Residency 眼科住院医师手术能力评估
IF 0.6 Q4 SURGERY Pub Date : 2022-02-01 DOI: 10.1007/s40137-022-00309-w
J. Minjy Kang, D. Pyatetsky, N. Volpe
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引用次数: 1
Peri and Postoperative Management of Cataract Surgery in Eyes with Ocular Inflammation 眼部炎症性白内障手术的围手术期及术后处理
IF 0.6 Q4 SURGERY Pub Date : 2022-02-01 DOI: 10.1007/s40137-022-00310-3
Cody Blanchard, G. O’Keefe
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引用次数: 0
Gender Equity in Gynecologic Surgery: Lessons from History, Strengthening the Future 妇科手术中的性别平等:历史的教训,加强未来
IF 0.6 Q4 SURGERY Pub Date : 2022-01-01 DOI: 10.1007/s40137-022-00307-y
C. Heisler, S. Temkin
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引用次数: 1
Cultural Competence, Safety, Humility, and Dexterity in Surgery. 手术中的文化能力、安全、谦逊和灵巧。
IF 0.6 Q4 SURGERY Pub Date : 2022-01-01 Epub Date: 2022-01-13 DOI: 10.1007/s40137-021-00306-5
Charlotte B Smith, Laura N Purcell, Anthony Charles

Purpose of review: As the United States' population diversifies, urgent action is required to identify, dismantle, and eradicate persistent health disparities. The surgical community must recognize how patients' values, beliefs, and behaviors are influenced by race, ethnicity, nationality, language, gender, socioeconomic status, physical and mental ability, sexual orientation, and occupation.

Recent findings: Lately, health disparities have been highlighted during the COVID-19 pandemic. Surgery is no exception, with notable disparities occurring in pediatric, vascular, trauma, and cardiac surgery. In response, numerous curricula and training programs are being designed to increase cultural competence and safety among surgeons.

Summary: Cultural competence, safety, humility, and dexterity are required to improve healthcare experiences and outcomes for minorities. Various opportunities exist to enhance cultural competency and can be implemented at the medical student, resident, attending, management, and leadership levels.

审查目的:随着美国人口的多样化,需要采取紧急行动来确定、消除和消除持续存在的健康差距。外科社区必须认识到患者的价值观、信仰和行为如何受到种族、民族、国籍、语言、性别、社会经济地位、身心能力、性取向和职业的影响。最近的调查结果:最近,在2019冠状病毒病大流行期间,卫生差距突出。外科手术也不例外,在儿科、血管、创伤和心脏手术中存在显著差异。为此,许多课程和培训项目正在设计中,以提高外科医生的文化能力和安全性。总结:文化能力、安全、谦逊和灵活性是改善少数民族医疗保健体验和结果所必需的。在医学生、住院医师、主治医师、管理人员和领导阶层,有各种各样的机会来增强文化能力。
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引用次数: 2
The Role of Technology in Ophthalmic Surgical Education During COVID-19. 新冠肺炎期间技术在眼科外科教育中的作用
IF 0.6 Q4 SURGERY Pub Date : 2022-01-01 DOI: 10.1007/s40137-022-00334-9
Katherine S Hu, Jeff Pettey, Jeffrey R SooHoo

Purpose of review: To describe the effect of COVID-19 on ophthalmic training programs and to review the various roles of technology in ophthalmology surgical education including virtual platforms, novel remote learning curricula, and the use of surgical simulators.

Recent findings: COVID-19 caused significant disruption to in-person clinical and surgical patient encounters. Ophthalmology trainees worldwide faced surgical training challenges due to social distancing restrictions, trainee redeployment, and reduction in surgical case volume. Virtual platforms, such as Zoom and Microsoft Teams, were widely used during the pandemic to conduct remote teaching sessions. Novel virtual wet lab and dry lab curricula were developed. Training programs found utility in virtual reality surgical simulators, such as the Eyesi, to substitute experience lost from live patient surgical cases.

Summary: Although several of these described technologies were incorporated into ophthalmology surgical training programs prior to COVID-19, the pandemic highlighted the importance of developing a formal surgical curriculum that can be delivered virtually. Novel telementoring, collaboration between training institutions, and hybrid formats of didactic and practical training sessions should be continued. Future research should investigate the utility of augmented reality and artificial intelligence for trainee learning.

综述目的:描述COVID-19对眼科培训计划的影响,并回顾技术在眼科外科教育中的各种作用,包括虚拟平台、新型远程学习课程和手术模拟器的使用。最近的发现:COVID-19对面对面的临床和手术患者就诊造成了严重干扰。由于社会距离限制、培训生重新部署和手术病例量减少,世界各地的眼科培训生面临着外科培训方面的挑战。在疫情期间,Zoom和Microsoft Teams等虚拟平台被广泛用于开展远程教学。开发了新型虚拟湿实验和干实验课程。培训项目在虚拟现实手术模拟器(如Eyesi)中发现了实用性,可以替代从实际手术病例中失去的经验。总结:尽管在2019冠状病毒病之前,上述几种技术已被纳入眼科手术培训计划,但大流行凸显了开发可虚拟授课的正式外科课程的重要性。应继续进行新的远程教学、培训机构之间的合作以及教学和实践培训课程的混合形式。未来的研究应探讨增强现实和人工智能对学员学习的效用。
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引用次数: 0
The Role of Indirect Calorimetry in Care of the Surgical Patient. 间接量热法在手术患者护理中的作用。
IF 0.7 Q4 SURGERY Pub Date : 2022-01-01 Epub Date: 2022-09-14 DOI: 10.1007/s40137-022-00326-9
Saskya E Byerly, D Dante Yeh

Purpose of review: This is a review of recent literature on the role of indirect calorimetry in surgical nutrition.

Recent findings: All critical care societal guidelines recommend the use of indirect calorimetry as the standard of care to determine energy needs. Recent studies confirm discrepancy between measured and equation-predicted energy expenditure and further demonstrate improved outcomes with indirect calorimetry-guided nutrition. Patients that undergo ECMO, CRRT and those with COVID-19 would benefit from the use of indirect calorimetry.

Summary: Indirect calorimetry-guided nutrition is the standard of care in mechanically ventilated surgical patients.

综述目的:这是一篇关于间接热量测定法在外科营养学中作用的最新文献综述:所有重症监护社会指南都建议使用间接热量测定法作为确定能量需求的标准护理方法。最近的研究证实,测量的能量消耗与方程预测的能量消耗之间存在差异,并进一步证明间接热量计指导的营养可改善疗效。接受 ECMO、CRRT 和 COVID-19 的患者将受益于间接热量测定法。摘要:间接热量测定法指导营养是机械通气手术患者的护理标准。
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引用次数: 0
Current Trends in Macular Hole Repair 黄斑孔修复的发展趋势
IF 0.6 Q4 SURGERY Pub Date : 2021-11-17 DOI: 10.1007/s40137-021-00305-6
Amy Yuan, Dong Yang, Lisa C Olmos de Koo
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引用次数: 0
Optimal Management of Carotid Artery Restenosis 颈动脉再狭窄的最佳治疗
IF 0.6 Q4 SURGERY Pub Date : 2021-10-04 DOI: 10.1007/s40137-021-00303-8
Sarah A. Applebaum, S. Toursavadkohi, K. Endicott
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引用次数: 0
Modern Management of Type B Aortic Dissections B型主动脉夹层的现代治疗
IF 0.6 Q4 SURGERY Pub Date : 2021-07-01 DOI: 10.1007/s40137-021-00299-1
Alyssa J Pyun, Sukgu M. Han
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引用次数: 0
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