for Journals by Title or ISSN
for Articles by Keywords
help

Publisher: Elsevier   (Total: 3049 journals)

 A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  

        1 2 3 4 5 6 7 8 | Last   [Sort by number of followers]   [Restore default list]

Showing 1 - 200 of 3089 Journals sorted alphabetically
A Practical Logic of Cognitive Systems     Full-text available via subscription   (Followers: 7)
AASRI Procedia     Open Access   (Followers: 15)
Academic Pediatrics     Hybrid Journal   (Followers: 25, SJR: 1.402, h-index: 51)
Academic Radiology     Hybrid Journal   (Followers: 22, SJR: 1.008, h-index: 75)
Accident Analysis & Prevention     Partially Free   (Followers: 86, SJR: 1.109, h-index: 94)
Accounting Forum     Hybrid Journal   (Followers: 25, SJR: 0.612, h-index: 27)
Accounting, Organizations and Society     Hybrid Journal   (Followers: 30, SJR: 2.515, h-index: 90)
Achievements in the Life Sciences     Open Access   (Followers: 4)
Acta Anaesthesiologica Taiwanica     Open Access   (Followers: 5, SJR: 0.338, h-index: 19)
Acta Astronautica     Hybrid Journal   (Followers: 363, SJR: 0.726, h-index: 43)
Acta Automatica Sinica     Full-text available via subscription   (Followers: 3)
Acta Biomaterialia     Hybrid Journal   (Followers: 25, SJR: 2.02, h-index: 104)
Acta Colombiana de Cuidado Intensivo     Full-text available via subscription   (Followers: 1)
Acta de Investigación Psicológica     Open Access   (Followers: 2)
Acta Ecologica Sinica     Open Access   (Followers: 8, SJR: 0.172, h-index: 29)
Acta Haematologica Polonica     Free   (SJR: 0.123, h-index: 8)
Acta Histochemica     Hybrid Journal   (Followers: 3, SJR: 0.604, h-index: 38)
Acta Materialia     Hybrid Journal   (Followers: 228, SJR: 3.683, h-index: 202)
Acta Mathematica Scientia     Full-text available via subscription   (Followers: 5, SJR: 0.615, h-index: 21)
Acta Mechanica Solida Sinica     Full-text available via subscription   (Followers: 9, SJR: 0.442, h-index: 21)
Acta Oecologica     Hybrid Journal   (Followers: 10, SJR: 0.915, h-index: 53)
Acta Otorrinolaringologica (English Edition)     Full-text available via subscription   (Followers: 1)
Acta Otorrinolaringológica Española     Full-text available via subscription   (Followers: 3, SJR: 0.311, h-index: 16)
Acta Pharmaceutica Sinica B     Open Access   (Followers: 1)
Acta Poética     Open Access   (Followers: 4)
Acta Psychologica     Hybrid Journal   (Followers: 24, SJR: 1.365, h-index: 73)
Acta Sociológica     Open Access  
Acta Tropica     Hybrid Journal   (Followers: 6, SJR: 1.059, h-index: 77)
Acta Urológica Portuguesa     Open Access  
Actas Dermo-Sifiliograficas     Full-text available via subscription   (Followers: 4)
Actas Dermo-Sifiliográficas (English Edition)     Full-text available via subscription   (Followers: 3)
Actas Urológicas Españolas     Full-text available via subscription   (Followers: 4, SJR: 0.383, h-index: 19)
Actas Urológicas Españolas (English Edition)     Full-text available via subscription   (Followers: 2)
Actualites Pharmaceutiques     Full-text available via subscription   (Followers: 5, SJR: 0.141, h-index: 3)
Actualites Pharmaceutiques Hospitalieres     Full-text available via subscription   (Followers: 4, SJR: 0.112, h-index: 2)
Acupuncture and Related Therapies     Hybrid Journal   (Followers: 4)
Acute Pain     Full-text available via subscription   (Followers: 13)
Ad Hoc Networks     Hybrid Journal   (Followers: 11, SJR: 0.967, h-index: 57)
Addictive Behaviors     Hybrid Journal   (Followers: 15, SJR: 1.514, h-index: 92)
Addictive Behaviors Reports     Open Access   (Followers: 6)
Additive Manufacturing     Hybrid Journal   (Followers: 7, SJR: 1.039, h-index: 5)
Additives for Polymers     Full-text available via subscription   (Followers: 21)
Advanced Cement Based Materials     Full-text available via subscription   (Followers: 3)
Advanced Drug Delivery Reviews     Hybrid Journal   (Followers: 132, SJR: 5.2, h-index: 222)
Advanced Engineering Informatics     Hybrid Journal   (Followers: 11, SJR: 1.265, h-index: 53)
Advanced Powder Technology     Hybrid Journal   (Followers: 17, SJR: 0.739, h-index: 33)
Advances in Accounting     Hybrid Journal   (Followers: 9, SJR: 0.299, h-index: 15)
Advances in Agronomy     Full-text available via subscription   (Followers: 15, SJR: 2.071, h-index: 82)
Advances in Anesthesia     Full-text available via subscription   (Followers: 26, SJR: 0.169, h-index: 4)
Advances in Antiviral Drug Design     Full-text available via subscription   (Followers: 3)
Advances in Applied Mathematics     Full-text available via subscription   (Followers: 6, SJR: 1.054, h-index: 35)
Advances in Applied Mechanics     Full-text available via subscription   (Followers: 11, SJR: 0.801, h-index: 26)
Advances in Applied Microbiology     Full-text available via subscription   (Followers: 22, SJR: 1.286, h-index: 49)
Advances In Atomic, Molecular, and Optical Physics     Full-text available via subscription   (Followers: 16, SJR: 3.31, h-index: 42)
Advances in Biological Regulation     Hybrid Journal   (Followers: 4, SJR: 2.277, h-index: 43)
Advances in Botanical Research     Full-text available via subscription   (Followers: 3, SJR: 0.619, h-index: 48)
Advances in Cancer Research     Full-text available via subscription   (Followers: 25, SJR: 2.215, h-index: 78)
Advances in Carbohydrate Chemistry and Biochemistry     Full-text available via subscription   (Followers: 9, SJR: 0.9, h-index: 30)
Advances in Catalysis     Full-text available via subscription   (Followers: 5, SJR: 2.139, h-index: 42)
Advances in Cell Aging and Gerontology     Full-text available via subscription   (Followers: 4)
Advances in Cellular and Molecular Biology of Membranes and Organelles     Full-text available via subscription   (Followers: 12)
Advances in Chemical Engineering     Full-text available via subscription   (Followers: 27, SJR: 0.183, h-index: 23)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10, SJR: 0.665, h-index: 29)
Advances in Chronic Kidney Disease     Full-text available via subscription   (Followers: 9, SJR: 1.268, h-index: 45)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 29, SJR: 0.938, h-index: 33)
Advances in Colloid and Interface Science     Full-text available via subscription   (Followers: 18, SJR: 2.314, h-index: 130)
Advances in Computers     Full-text available via subscription   (Followers: 16, SJR: 0.223, h-index: 22)
Advances in Dermatology     Full-text available via subscription   (Followers: 12)
Advances in Developmental Biology     Full-text available via subscription   (Followers: 11)
Advances in Digestive Medicine     Open Access   (Followers: 7)
Advances in DNA Sequence-Specific Agents     Full-text available via subscription   (Followers: 5)
Advances in Drug Research     Full-text available via subscription   (Followers: 22)
Advances in Ecological Research     Full-text available via subscription   (Followers: 45, SJR: 3.25, h-index: 43)
Advances in Engineering Software     Hybrid Journal   (Followers: 26, SJR: 0.486, h-index: 10)
Advances in Experimental Biology     Full-text available via subscription   (Followers: 7)
Advances in Experimental Social Psychology     Full-text available via subscription   (Followers: 43, SJR: 5.465, h-index: 64)
Advances in Exploration Geophysics     Full-text available via subscription   (Followers: 3)
Advances in Fluorine Science     Full-text available via subscription   (Followers: 8)
Advances in Food and Nutrition Research     Full-text available via subscription   (Followers: 51, SJR: 0.674, h-index: 38)
Advances in Fuel Cells     Full-text available via subscription   (Followers: 16)
Advances in Genetics     Full-text available via subscription   (Followers: 15, SJR: 2.558, h-index: 54)
Advances in Genome Biology     Full-text available via subscription   (Followers: 11)
Advances in Geophysics     Full-text available via subscription   (Followers: 6, SJR: 2.325, h-index: 20)
Advances in Heat Transfer     Full-text available via subscription   (Followers: 22, SJR: 0.906, h-index: 24)
Advances in Heterocyclic Chemistry     Full-text available via subscription   (Followers: 9, SJR: 0.497, h-index: 31)
Advances in Human Factors/Ergonomics     Full-text available via subscription   (Followers: 26)
Advances in Imaging and Electron Physics     Full-text available via subscription   (Followers: 2, SJR: 0.396, h-index: 27)
Advances in Immunology     Full-text available via subscription   (Followers: 36, SJR: 4.152, h-index: 85)
Advances in Inorganic Chemistry     Full-text available via subscription   (Followers: 9, SJR: 1.132, h-index: 42)
Advances in Insect Physiology     Full-text available via subscription   (Followers: 3, SJR: 1.274, h-index: 27)
Advances in Integrative Medicine     Hybrid Journal   (Followers: 6)
Advances in Intl. Accounting     Full-text available via subscription   (Followers: 4)
Advances in Life Course Research     Hybrid Journal   (Followers: 8, SJR: 0.764, h-index: 15)
Advances in Lipobiology     Full-text available via subscription   (Followers: 2)
Advances in Magnetic and Optical Resonance     Full-text available via subscription   (Followers: 9)
Advances in Marine Biology     Full-text available via subscription   (Followers: 16, SJR: 1.645, h-index: 45)
Advances in Mathematics     Full-text available via subscription   (Followers: 10, SJR: 3.261, h-index: 65)
Advances in Medical Sciences     Hybrid Journal   (Followers: 6, SJR: 0.489, h-index: 25)
Advances in Medicinal Chemistry     Full-text available via subscription   (Followers: 5)
Advances in Microbial Physiology     Full-text available via subscription   (Followers: 4, SJR: 1.44, h-index: 51)
Advances in Molecular and Cell Biology     Full-text available via subscription   (Followers: 22)
Advances in Molecular and Cellular Endocrinology     Full-text available via subscription   (Followers: 10)
Advances in Molecular Toxicology     Full-text available via subscription   (Followers: 8, SJR: 0.324, h-index: 8)
Advances in Nanoporous Materials     Full-text available via subscription   (Followers: 4)
Advances in Oncobiology     Full-text available via subscription   (Followers: 3)
Advances in Organ Biology     Full-text available via subscription   (Followers: 2)
Advances in Organometallic Chemistry     Full-text available via subscription   (Followers: 15, SJR: 2.885, h-index: 45)
Advances in Parallel Computing     Full-text available via subscription   (Followers: 7, SJR: 0.148, h-index: 11)
Advances in Parasitology     Full-text available via subscription   (Followers: 7, SJR: 2.37, h-index: 73)
Advances in Pediatrics     Full-text available via subscription   (Followers: 24, SJR: 0.4, h-index: 28)
Advances in Pharmaceutical Sciences     Full-text available via subscription   (Followers: 13)
Advances in Pharmacology     Full-text available via subscription   (Followers: 15, SJR: 1.718, h-index: 58)
Advances in Physical Organic Chemistry     Full-text available via subscription   (Followers: 8, SJR: 0.384, h-index: 26)
Advances in Phytomedicine     Full-text available via subscription  
Advances in Planar Lipid Bilayers and Liposomes     Full-text available via subscription   (Followers: 3, SJR: 0.248, h-index: 11)
Advances in Plant Biochemistry and Molecular Biology     Full-text available via subscription   (Followers: 8)
Advances in Plant Pathology     Full-text available via subscription   (Followers: 5)
Advances in Porous Media     Full-text available via subscription   (Followers: 4)
Advances in Protein Chemistry     Full-text available via subscription   (Followers: 17)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 20, SJR: 1.5, h-index: 62)
Advances in Psychology     Full-text available via subscription   (Followers: 62)
Advances in Quantum Chemistry     Full-text available via subscription   (Followers: 5, SJR: 0.478, h-index: 32)
Advances in Radiation Oncology     Open Access  
Advances in Small Animal Medicine and Surgery     Hybrid Journal   (Followers: 2, SJR: 0.1, h-index: 2)
Advances in Space Biology and Medicine     Full-text available via subscription   (Followers: 5)
Advances in Space Research     Full-text available via subscription   (Followers: 360, SJR: 0.606, h-index: 65)
Advances in Structural Biology     Full-text available via subscription   (Followers: 8)
Advances in Surgery     Full-text available via subscription   (Followers: 7, SJR: 0.823, h-index: 27)
Advances in the Study of Behavior     Full-text available via subscription   (Followers: 30, SJR: 1.321, h-index: 56)
Advances in Veterinary Medicine     Full-text available via subscription   (Followers: 16)
Advances in Veterinary Science and Comparative Medicine     Full-text available via subscription   (Followers: 13)
Advances in Virus Research     Full-text available via subscription   (Followers: 5, SJR: 1.878, h-index: 68)
Advances in Water Resources     Hybrid Journal   (Followers: 44, SJR: 2.408, h-index: 94)
Aeolian Research     Hybrid Journal   (Followers: 5, SJR: 0.973, h-index: 22)
Aerospace Science and Technology     Hybrid Journal   (Followers: 330, SJR: 0.816, h-index: 49)
AEU - Intl. J. of Electronics and Communications     Hybrid Journal   (Followers: 8, SJR: 0.318, h-index: 36)
African J. of Emergency Medicine     Open Access   (Followers: 5, SJR: 0.344, h-index: 6)
Ageing Research Reviews     Hybrid Journal   (Followers: 8, SJR: 3.289, h-index: 78)
Aggression and Violent Behavior     Hybrid Journal   (Followers: 417, SJR: 1.385, h-index: 72)
Agri Gene     Hybrid Journal  
Agricultural and Forest Meteorology     Hybrid Journal   (Followers: 16, SJR: 2.18, h-index: 116)
Agricultural Systems     Hybrid Journal   (Followers: 30, SJR: 1.275, h-index: 74)
Agricultural Water Management     Hybrid Journal   (Followers: 40, SJR: 1.546, h-index: 79)
Agriculture and Agricultural Science Procedia     Open Access  
Agriculture and Natural Resources     Open Access   (Followers: 2)
Agriculture, Ecosystems & Environment     Hybrid Journal   (Followers: 55, SJR: 1.879, h-index: 120)
Ain Shams Engineering J.     Open Access   (Followers: 5, SJR: 0.434, h-index: 14)
Air Medical J.     Hybrid Journal   (Followers: 5, SJR: 0.234, h-index: 18)
AKCE Intl. J. of Graphs and Combinatorics     Open Access   (SJR: 0.285, h-index: 3)
Alcohol     Hybrid Journal   (Followers: 11, SJR: 0.922, h-index: 66)
Alcoholism and Drug Addiction     Open Access   (Followers: 8)
Alergologia Polska : Polish J. of Allergology     Full-text available via subscription   (Followers: 1)
Alexandria Engineering J.     Open Access   (Followers: 1, SJR: 0.436, h-index: 12)
Alexandria J. of Medicine     Open Access   (Followers: 1)
Algal Research     Partially Free   (Followers: 8, SJR: 2.05, h-index: 20)
Alkaloids: Chemical and Biological Perspectives     Full-text available via subscription   (Followers: 3)
Allergologia et Immunopathologia     Full-text available via subscription   (Followers: 1, SJR: 0.46, h-index: 29)
Allergology Intl.     Open Access   (Followers: 4, SJR: 0.776, h-index: 35)
Alpha Omegan     Full-text available via subscription   (SJR: 0.121, h-index: 9)
ALTER - European J. of Disability Research / Revue Européenne de Recherche sur le Handicap     Full-text available via subscription   (Followers: 9, SJR: 0.158, h-index: 9)
Alzheimer's & Dementia     Hybrid Journal   (Followers: 46, SJR: 4.289, h-index: 64)
Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring     Open Access   (Followers: 4)
Alzheimer's & Dementia: Translational Research & Clinical Interventions     Open Access   (Followers: 4)
Ambulatory Pediatrics     Hybrid Journal   (Followers: 5)
American Heart J.     Hybrid Journal   (Followers: 49, SJR: 3.157, h-index: 153)
American J. of Cardiology     Hybrid Journal   (Followers: 48, SJR: 2.063, h-index: 186)
American J. of Emergency Medicine     Hybrid Journal   (Followers: 40, SJR: 0.574, h-index: 65)
American J. of Geriatric Pharmacotherapy     Full-text available via subscription   (Followers: 9, SJR: 1.091, h-index: 45)
American J. of Geriatric Psychiatry     Hybrid Journal   (Followers: 14, SJR: 1.653, h-index: 93)
American J. of Human Genetics     Hybrid Journal   (Followers: 32, SJR: 8.769, h-index: 256)
American J. of Infection Control     Hybrid Journal   (Followers: 26, SJR: 1.259, h-index: 81)
American J. of Kidney Diseases     Hybrid Journal   (Followers: 32, SJR: 2.313, h-index: 172)
American J. of Medicine     Hybrid Journal   (Followers: 46, SJR: 2.023, h-index: 189)
American J. of Medicine Supplements     Full-text available via subscription   (Followers: 3)
American J. of Obstetrics and Gynecology     Hybrid Journal   (Followers: 200, SJR: 2.255, h-index: 171)
American J. of Ophthalmology     Hybrid Journal   (Followers: 59, SJR: 2.803, h-index: 148)
American J. of Ophthalmology Case Reports     Open Access   (Followers: 6)
American J. of Orthodontics and Dentofacial Orthopedics     Full-text available via subscription   (Followers: 6, SJR: 1.249, h-index: 88)
American J. of Otolaryngology     Hybrid Journal   (Followers: 25, SJR: 0.59, h-index: 45)
American J. of Pathology     Hybrid Journal   (Followers: 27, SJR: 2.653, h-index: 228)
American J. of Preventive Medicine     Hybrid Journal   (Followers: 25, SJR: 2.764, h-index: 154)
American J. of Surgery     Hybrid Journal   (Followers: 35, SJR: 1.286, h-index: 125)
American J. of the Medical Sciences     Hybrid Journal   (Followers: 12, SJR: 0.653, h-index: 70)
Ampersand : An Intl. J. of General and Applied Linguistics     Open Access   (Followers: 6)
Anaerobe     Hybrid Journal   (Followers: 4, SJR: 1.066, h-index: 51)
Anaesthesia & Intensive Care Medicine     Full-text available via subscription   (Followers: 58, SJR: 0.124, h-index: 9)
Anaesthesia Critical Care & Pain Medicine     Full-text available via subscription   (Followers: 12)
Anales de Cirugia Vascular     Full-text available via subscription  
Anales de Pediatría     Full-text available via subscription   (Followers: 2, SJR: 0.209, h-index: 27)
Anales de Pediatría (English Edition)     Full-text available via subscription  
Anales de Pediatría Continuada     Full-text available via subscription   (SJR: 0.104, h-index: 3)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 4, SJR: 2.577, h-index: 7)
Analytica Chimica Acta     Hybrid Journal   (Followers: 37, SJR: 1.548, h-index: 152)
Analytical Biochemistry     Hybrid Journal   (Followers: 166, SJR: 0.725, h-index: 154)
Analytical Chemistry Research     Open Access   (Followers: 8, SJR: 0.18, h-index: 2)
Analytical Spectroscopy Library     Full-text available via subscription   (Followers: 12)
Anesthésie & Réanimation     Full-text available via subscription   (Followers: 1)
Anesthesiology Clinics     Full-text available via subscription   (Followers: 22, SJR: 0.421, h-index: 40)
Angiología     Full-text available via subscription   (SJR: 0.124, h-index: 9)
Angiologia e Cirurgia Vascular     Open Access  

        1 2 3 4 5 6 7 8 | Last   [Sort by number of followers]   [Restore default list]

Journal Cover American Journal of Surgery
  [SJR: 1.286]   [H-I: 125]   [35 followers]  Follow
    
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 0002-9610
   Published by Elsevier Homepage  [3049 journals]
  • Surgical education: Lessons from parenthood
    • Authors: Clay Cothren Burlew
      Pages: 983 - 992
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Clay Cothren Burlew
      Although one might think surgery and parenting have little in common, there are clear parallels. Historically there has been little formal education for either role. Educators and parents relied on modelling the behavior of others, or trial and error techniques. Mentorship and role models have played a critical role in professional development and continue to have a profound impact. Over the past two decades there has been a marked increase in the resources that are available. Coaching, debriefing, deliberate practice, and formal training are now incorporated in residency programs. Specific lessons from parenthood that can be applied to surgical education include: providing a framework, learning through graduated responsibility, communicating expectations, creating a culture, setting the example, encouraging resilience, promoting autonomy, providing feedback, and navigating failure. The final lesson from parenthood: trust that you have taught them well. And you have to let them go.

      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.09.014
       
  • Informed consent—It's more than a signature on a piece of paper
    • Authors: Christine S. Cocanour
      Pages: 993 - 997
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Christine S. Cocanour
      Informed consent is an ethical concept that is codified in the law and is in daily practice at every health care institution. Three fundamental criteria are needed for clinical informed consent: the patient must be competent, adequately informed and not coerced. Physician-patient interaction is rooted in the ethical concept of beneficence, but over the 19th and 20th centuries, case law and societal changes brought respect for autonomy and with it--informed consent. This article briefly reviews the basics of informed consent, when is it required, how did informed consent evolve into what it is today and what can the surgeon do to truly achieve informed consent.

      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.09.015
       
  • Why the VA matters: Resident education, research and patient care
    • Authors: John T. Moore
      Pages: 1002 - 1006
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): John T. Moore
      The Veterans' Health Administration (VHA) has had a long and storied relationship with academic medicine and particularly academic surgery throughout its history. Since the initial inception of the Veterans' Health Administration in 1946 there have been relationships between medical schools and the VHA to provide care to our veterans as well as provide a fertile training environment for the residents that will enhance their overall training experience and prepare them to the provide health care for the nation as a whole. At this point in our history that relationship is in jeopardy. The problems facing the Veterans' Health Administration are well known and seemingly are proving to be an insurmountable obstacle for continuation of this relationship. It is my intention in this lecture honoring Dr. Organ, who was committed to surgical education as well as the surgical care of our veterans to demonstrate why the Veterans' Health Administration is more important than ever to the well-being of our residents and graduate medical education as a whole.

      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.09.017
       
  • Outpatient laparoscopic appendectomy can be successfully performed for
           uncomplicated appendicitis: A Southwestern Surgical Congress multicenter
           trial
    • Authors: Richard Frazee; Clay Cothren Burlew; Justin Regner; Robert McIntyre; Erik Peltz; Chris Cribari; Julie Dunn; Larry Butler; Paul Reckard; Sharmila Dissanaike; Karen Karimi; Charles Behnfield; Nic Melo; Daniel Margulies
      Pages: 1007 - 1009
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Richard Frazee, Clay Cothren Burlew, Justin Regner, Robert McIntyre, Erik Peltz, Chris Cribari, Julie Dunn, Larry Butler, Paul Reckard, Sharmila Dissanaike, Karen Karimi, Charles Behnfield, Nic Melo, Daniel Margulies
      Background Many laparoscopic procedures are now performed on an outpatient basis. We hypothesize laparoscopic appendectomy can be safely performed as an outpatient procedure. Methods Seven institutions adopted a previously described outpatient laparoscopic appendectomy protocol for uncomplicated appendicitis. Patients were dismissed unless there was a clinical indication for admission. Patient demographics, success with outpatient management, time of dismissal, morbidity, and readmissions were analyzed. Results Two hundred six men and one hundred seventy women with a mean age of 35.4 years were included in the protocol. Seventy-eight patients (21%) had pre-existing comorbidities. 299 patients (80%) were managed as outpatients. There were no conversions to open appendectomy. Postoperative morbidity was 5%. The time of patient dismissals was evenly distributed throughout the day and night. Twelve patients (3%) required readmission. Outpatient follow-up occurred in 63% of patients. Conclusions An outpatient laparoscopic appendectomy protocol was successfully applied at multiple institutions with low morbidity and low readmission rates. Application of this practice nationally could reduce length of stay and decrease overall health care costs for acute appendicitis.

      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.08.029
       
  • Discussion of: “Outpatient laparoscopic appendectomy can be successfully
           performed for uncomplicated appendicitis: A Southwestern Surgical Congress
           multicenter trial”
    • Authors: Richard Frazee; Clay Cothren Burlew; Justin Regner; Robert McIntyre; Erik Peltz; Chris Cribari; Julie Dunn; Larry Butler; Paul Reckard; Sharmila Dissanaike; Karen Karimi; Charles Behnfield; Nic Melo; Daniel Margulies
      Pages: 1007 - 1009
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Richard Frazee, Clay Cothren Burlew, Justin Regner, Robert McIntyre, Erik Peltz, Chris Cribari, Julie Dunn, Larry Butler, Paul Reckard, Sharmila Dissanaike, Karen Karimi, Charles Behnfield, Nic Melo, Daniel Margulies


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.08.029
       
  • Discussion of: “Risky business' Investigating outcomes of patients
           undergoing urgent laparoscopic appendectomy on antithrombotic therapy”
    • Authors: Christopher Pearcy; Khalid Almahmoud; Theresa Jackson; Cassie Hartline; Anthony Cahill; Lara Spence; Dennis Kim; Oluwabukola Olatubosun; S. Rob Todd; Eric M. Campion; Clay Cothren Burlew; Justin Regner; Richard Frazee; David Michaels; Sharmila Dissanaike; Collin Stewart; Neal Foley; Paul Nelson; Vaidehi Agrawal; Michael S. Truitt
      Pages: 1016 - 1017
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Christopher Pearcy, Khalid Almahmoud, Theresa Jackson, Cassie Hartline, Anthony Cahill, Lara Spence, Dennis Kim, Oluwabukola Olatubosun, S. Rob Todd, Eric M. Campion, Clay Cothren Burlew, Justin Regner, Richard Frazee, David Michaels, Sharmila Dissanaike, Collin Stewart, Neal Foley, Paul Nelson, Vaidehi Agrawal, Michael S. Truitt


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.10.012
       
  • Follow-up trends after Emergency Department discharge for acutely
           symptomatic hernias
    • Authors: Lara Spence; Eric Pillado; Dennis Kim; David Plurad
      Pages: 1018 - 1021
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Lara Spence, Eric Pillado, Dennis Kim, David Plurad
      Background Patients frequently present to the Emergency Department (ED) with symptomatic hernias. This study evaluated the outcomes of patients presenting with symptomatic hernias without indication for immediate operation who are discharged for elective repair. Methods A three-year retrospective analysis of patients discharged from the ED with a symptomatic hernia was performed at a university affiliated county referral center. The incidences of ED revisits, clinic follow up and repairs occurring in the elective versus emergency setting were assessed. Results There were 111 patients evaluated and discharged from the ED with a symptomatic hernia where 21% (23) were recurrent and 27% (30) were chronically incarcerated. Of the 111 patients only 23% (26) followed-up in clinic and only 18% (20) underwent hernia repair. However, 25% (28) of all patients required a return visit to the ED and 45% (9) of herniorrhaphies were emergent. Conclusions Discharge and failure of follow-up after an ED visit for a symptomatic hernia leaves many patients at risk for recurrent ED visits and emergent surgery.

      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.08.028
       
  • Discussion of: “Follow-up trends after Emergency Department discharge
           for acutely symptomatic hernias”
    • Authors: Lara Spence; Eric Pillado; Dennis Kim; David Plurad
      Pages: 1022 - 1023
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Lara Spence, Eric Pillado, Dennis Kim, David Plurad


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.09.029
       
  • Discussion of: “Day versus night laparoscopic cholecystectomy for acute
           cholecystitis: A comparison of outcomes and cost”
    • Authors: Sammy S. Siada; Shaina S. Schaetzel; Allen K. Chen; Huy D. Hoang; Fatima G. Wilder; Rachel C. Dirks; Krista L. Kaups; James W. Davis
      Pages: 1028 - 1029
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Sammy S. Siada, Shaina S. Schaetzel, Allen K. Chen, Huy D. Hoang, Fatima G. Wilder, Rachel C. Dirks, Krista L. Kaups, James W. Davis


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.09.028
       
  • Addressing the quality and cost of cholecystectomy at a safety net
           hospital
    • Authors: Roy P. Won; Scott Friedlander; Christian de Virgilio; Steven L. Lee
      Pages: 1030 - 1033
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Roy P. Won, Scott Friedlander, Christian de Virgilio, Steven L. Lee
      Background The aim of this study was to evaluate the effects of safety-net burden on outcomes of a common, urgent operation like cholecystectomy. Methods We identified all cholecystectomies performed from 2005 to 2011 in the California State Inpatient Database and separated them into three cohorts based on the performing hospital's safety-net burden. Hierarchical multivariable regression analyses were performed with outcomes including laparoscopy, advanced disease, morbidity, length of hospitalization, and cost. Results Safety-net hospitals had similar rates of laparoscopy, overall advanced disease, and post-operative morbidity. Yet, they were able to maintain lower overall costs (cost difference −5592, 95% CI -8928, −2256, p < 0.01), despite having similar lengths of stay. Conclusion Safety-net hospitals performed cholecystectomy with similar rates of laparoscopy and morbidity, while achieving lower costs. Safety-net hospitals may be well equipped to perform common, urgent operations like cholecystectomy.

      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.08.026
       
  • Discussion of: “Addressing the quality and cost of cholecystectomy at a
           safety net hospital”
    • Authors: Roy P. Won; Scott Friedlander; Christian de Virgilio; Steven L. Lee
      Pages: 1034 - 1035
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Roy P. Won, Scott Friedlander, Christian de Virgilio, Steven L. Lee


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.09.027
       
  • Post-operative delirium is associated with increased 5-year mortality
    • Authors: Eliza E. Moskowitz; Douglas M. Overbey; Teresa S. Jones; Edward L. Jones; Todd R. Arcomano; John T. Moore; Thomas N. Robinson
      Pages: 1036 - 1038
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Eliza E. Moskowitz, Douglas M. Overbey, Teresa S. Jones, Edward L. Jones, Todd R. Arcomano, John T. Moore, Thomas N. Robinson
      Background Post-operative delirium is associated with increased short term morbidity and mortality. Limited data exists on long term outcomes for older adults with postoperative delirium. We hypothesize that postoperative delirium is associated with increased 5-year mortality. Methods Patients ≥50 years undergoing elective operations with planned intensive care unit (ICU) admissions were prospectively enrolled. The Confusion Assessment Method ICU (CAM-ICU) was used to diagnose delirium. The primary outcome variable was 5-year mortality. Results 172 patients were enrolled with an average age of 64 years. The overall incidence of delirium was 44% (75/172). At 5-years post-operatively, mortality was higher (59%, 41/70) in patients with delirium compared to patients without delirium (13%, 12/94, p < 0.001). These results remained true after multivariable risk adjustment, showing the odds of five year mortality following delirium were 7.35 fold greater (95% CI: 1.49–36.18). Conclusions Postoperative delirium is associated with increased long term mortality.

      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.08.034
       
  • Discussion of: “Post-operative delirium is associated with increased
           5-year mortality”
    • Authors: Eliza E. Moskowitz; Douglas M. Overbey; Teresa S. Jones; Edward L. Jones; Todd R. Arcomano; John T. Moore; Thomas N. Robinson
      Pages: 1039 - 1040
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Eliza E. Moskowitz, Douglas M. Overbey, Teresa S. Jones, Edward L. Jones, Todd R. Arcomano, John T. Moore, Thomas N. Robinson


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.10.011
       
  • Targeting resuscitation to normalization of coagulating status: Hyper and
           hypocoagulability after severe injury are both associated with increased
           mortality
    • Authors: Hunter B. Moore; Ernest E. Moore; Ioannis N. Liras; Charles Wade; Benjamin R. Huebner; Clay Cothren Burlew; Fredric M. Pieracci; Angela Sauaia; Bryan A. Cotton
      Pages: 1041 - 1045
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Hunter B. Moore, Ernest E. Moore, Ioannis N. Liras, Charles Wade, Benjamin R. Huebner, Clay Cothren Burlew, Fredric M. Pieracci, Angela Sauaia, Bryan A. Cotton
      Introduction The prevalence and impact of hypercoagulability (hypo) in severely injured patients early after injury remains unclear. We hypothesize that the predominant phenotype of postinjury coagulopathy is hypercoagulability (hyper) and it is associated with increased mortality. Material and methods Blood samples from 141 healthy volunteers assayed with thrombelastography (TEG) were used to identify thresholds of hypo and hypercoagulability (above 95th/below the 5thpercentile) in four TEG indices. These cutoffs were subsequently evaluated in severely injured trauma patients (ISS>15) from two level 1 trauma centers. Results 2540 patients with a median ISS of 25 were analyzed. Normal TEG was present in 36% of patients. Hyper was found in 38% of patients, with mixed (11%) and hypo (15%) being less common. Compared to normal coagulation patients and after controlling for age, sex, blood pressure, and injury hyper (0.013), mixed (p < 0.001) and hypo (p < 0.001) were all independent predictors of mortality. Conclusion These data support the ongoing need for goal directed resuscitation in trauma patients, it appears the optimal resuscitation strategy should be targeted towards normalization of coagulation status as both early hyper and hypocoagulability are associated with increased mortality.

      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.08.036
       
  • Discussion of: “Targeting resuscitation to normalization of coagulating
           status: Hyper and hypocoagulability after severe injury are both
           associated with increased mortality”
    • Authors: Hunter B. Moore; Ernest E. Moore; Ioannis N. Liras; Charles Wade; Benjamin R. Huebner; Clay Cothren Burlew; Fredric M. Pieracci; Angela Sauaia; Bryan A. Cotton
      Pages: 1041 - 1045
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Hunter B. Moore, Ernest E. Moore, Ioannis N. Liras, Charles Wade, Benjamin R. Huebner, Clay Cothren Burlew, Fredric M. Pieracci, Angela Sauaia, Bryan A. Cotton


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.08.036
       
  • Discussion of: “Impact of geriatric consultations on clinical outcomes
           of elderly trauma patients: A retrospective analysis”
    • Authors: James P. Dugan; Keith M. Burns; Mustafa Baldawi; David G. Heidt
      Pages: 1053 - 1054
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): James P. Dugan, Keith M. Burns, Mustafa Baldawi, David G. Heidt


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.10.004
       
  • Discussion of: “Is routine head CT indicated in awake stable older
           patients after a ground level fall'”
    • Authors: Rebecca Sartin; Christine Kim; Sharmila Dissanaike
      Pages: 1055 - 1058
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Rebecca Sartin, Christine Kim, Sharmila Dissanaike
      Background Despite the development of several prediction rules to guide head CT imaging, determining whom to screen for head trauma in the geriatric population after a ground level fall remains controversial. The purpose of this study was to assess the impact of head CT on the management of older adult patients who present with a normal GCS after a ground level fall, and to identify factors that could predict the need for neurosurgical intervention. Methods A retrospective study was conducted on hemodynamically stable patients >55 years of age with GCS of 15, who presented to a level 1 trauma center after a ground level fall. Radiological reads of head CT scans were reviewed for new findings and clinical documentation was analyzed for evidence of a change in management. Univariate analysis of key demographic and clinical factors was performed to probe for statistically significant differences between patients receiving medical management versus surgical management. Results Of 437 patients receiving head CTs, 146 (33.4%) had a positive finding. 95 (21.7%) patients had a change in management; 76 (17.4%) were medication changes and 19 (4.3%) required neurosurgical intervention. Age 85 years and older, and having a neurologic deficit on initial physical examination were found to be significantly associated with the need for neurosurgery. Conclusion The results of this study confirm that head CT findings often alter clinical management of elderly patients presenting with a GCS of 15 after ground level falls, and should be a part of standard evaluation.

      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.07.038
       
  • Discussion of: “Is routine head CT indicated in awake stable older
           patients after a ground level fall'”
    • Authors: Rebecca Sartin; Christine Kim; Sharmila Dissanaike
      Pages: 1055 - 1058
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Rebecca Sartin, Christine Kim, Sharmila Dissanaike


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.07.038
       
  • Pretransfer CT scans are frequently performed, but rarely helpful in rural
           trauma systems
    • Authors: Danielle A. Thornburg; Wade E. Paulson; Paul A. Thompson; Paul M. Bjordahl
      Pages: 1061 - 1064
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Danielle A. Thornburg, Wade E. Paulson, Paul A. Thompson, Paul M. Bjordahl
      Background Rural trauma patients often undergo workup prior to transfer to a trauma center. Repeat and redundant imaging at the trauma center is common. Methods Two hundred consecutive adult trauma patients transferred to a regional trauma center were retrospectively evaluated. Results 197 patients met criteria. 152 underwent CT scan prior to transfer and CT was the indication for transfer in 88 patients (44.7%). One intervention was performed as a result of CT imaging. 84 patients (55.3%) received repeat CT imaging. There were no statistically significant differences in rates of CT imaging at the outside facility based on injury severity, mechanism of injury, or age. The most common reason for repeat CT scans was incomplete initial imaging. The ability to obtain initial imaging was not a significant factor. Conclusions Repeat CT imaging in transferred trauma patients is very common. The majority of reimaging is done for incomplete initial imaging. Rural trauma systems may benefit from improved protocols for more efficient care.

      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.07.037
       
  • Discussion of: “Pretransfer CT scans are frequently performed, but
           rarely helpful in rural trauma systems”
    • Authors: Danielle A. Thornburg; Wade E. Paulson; Paul A. Thompson; Paul M. Bjordahl
      Pages: 1065 - 1066
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Danielle A. Thornburg, Wade E. Paulson, Paul A. Thompson, Paul M. Bjordahl


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.10.007
       
  • Discussion of: “Returning from the acidotic abyss: Mortality in trauma
           patients with a pH < 7.0”
    • Authors: Samuel W. Ross; Bradley W. Thomas; A. Britton Christmas; Kyle W. Cunningham; Ronald F. Sing
      Pages: 1073 - 1074
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Samuel W. Ross, Bradley W. Thomas, A. Britton Christmas, Kyle W. Cunningham, Ronald F. Sing


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.10.010
       
  • Discussion of: “Laparoscopic common bile duct exploration versus
           endoscopic retrograde cholangiopancreatography for choledocholithiasis
           found at time of laparoscopic cholecystectomy: Analysis of a large
           integrated health care system database”
    • Authors: Mohammed H. Al-Temimi; Edwin G. Kim; Bindupriya Chandrasekaran; Vanessa Franz; Charles N. Trujillo; Asrai Mousa; Deron J. Tessier; Samir D. Johna; David A. Santos
      Pages: 1080 - 1081
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Mohammed H. Al-Temimi, Edwin G. Kim, Bindupriya Chandrasekaran, Vanessa Franz, Charles N. Trujillo, Asrai Mousa, Deron J. Tessier, Samir D. Johna, David A. Santos


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.10.005
       
  • Discussion of: “Does lymph node status influence adjuvant therapy
           decision-making in women 70 years of age or older with clinically node
           negative hormone receptor positive breast cancer'”
    • Authors: Anees B. Chagpar; Nina Horowitz; Tara Sanft; Lynn D. Wilson; Andrea Silber; Brigid Killelea; Meena S. Moran; Michael P. DiGiovanna; Erin Hofstatter; Gina Chung; Lajos Pusztai; Donald R. Lannin
      Pages: 1089 - 1090
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Anees B. Chagpar, Nina Horowitz, Tara Sanft, Lynn D. Wilson, Andrea Silber, Brigid Killelea, Meena S. Moran, Michael P. DiGiovanna, Erin Hofstatter, Gina Chung, Lajos Pusztai, Donald R. Lannin


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.09.025
       
  • Discussion of: “Radioactive seed localization for breast conservation
           surgery: Low positive margin rate with no learning curve”
    • Authors: Cristine S. Velazco; Nabil Wasif; Barbara A. Pockaj; Richard J. Gray
      Pages: 1094 - 1095
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Cristine S. Velazco, Nabil Wasif, Barbara A. Pockaj, Richard J. Gray


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.09.026
       
  • Discussion of: “The success of sentinel lymph node biopsy after
           neoadjuvant therapy: A single institution review”
    • Authors: James M. Chang; Heidi E. Kosiorek; Nabil Wasif; Richard J. Gray; Chee-Chee H. Stucky; Donald W. Northfelt; Karen S. Anderson; Ann E. McCullough; Idris Tolgay Ocal; Barbara A. Pockaj
      Pages: 1096 - 1101
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): James M. Chang, Heidi E. Kosiorek, Nabil Wasif, Richard J. Gray, Chee-Chee H. Stucky, Donald W. Northfelt, Karen S. Anderson, Ann E. McCullough, Idris Tolgay Ocal, Barbara A. Pockaj


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.08.024
       
  • Discussion of: “Re-excision rates after breast conserving surgery
           following the 2014 SSO-ASTRO guidelines”
    • Authors: Alicia A. Heelan Gladden; Sharon Sams; Ana Gleisner; Christina Finlayson; Nicole Kounalakis; Patrick Hosokawa; Regina Brown; Tae Chong; David Mathes; Colleen Murphy
      Pages: 1110 - 1111
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Alicia A. Heelan Gladden, Sharon Sams, Ana Gleisner, Christina Finlayson, Nicole Kounalakis, Patrick Hosokawa, Regina Brown, Tae Chong, David Mathes, Colleen Murphy


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.09.023
       
  • Discussion of: “Southwestern Surgical Congress Jack A. Barney award
           competition presenters – Where are they now'”
    • Authors: Shanu N. Kothari; Kara J. Kallies
      Pages: 1116 - 1117
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Shanu N. Kothari, Kara J. Kallies


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.09.022
       
  • PTSD and surgical residents: Everybody hurts… sometimes
    • Authors: Theresa Jackson; Amanda Provencio; Karalyn Bentley-Kumar; Chris Pearcy; Taylor Cook; Kevin McLean; Jake Morgan; Yoseful Haque; Vaidehi Agrawal; Brittany Bankhead-Kendall; Kevin Taubman; Michael S. Truitt
      Pages: 1118 - 1124
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Theresa Jackson, Amanda Provencio, Karalyn Bentley-Kumar, Chris Pearcy, Taylor Cook, Kevin McLean, Jake Morgan, Yoseful Haque, Vaidehi Agrawal, Brittany Bankhead-Kendall, Kevin Taubman, Michael S. Truitt
      Background We aim to evaluate the prevalence of PTSD, its association with physician burnout, and risk factors for PTSD among surgical residents. Methods A cross-sectional national survey of surgical residents was conducted screening for PTSD. Causative traumatic stressors were queried, and thirty-one potential risk factors for PTSD were evaluated. Results A positive PTSD screen (PTSD+) was found in 22% of 582 surgical residents, and an additional 35% were “at risk” for PTSD. Traumatic experiences occurred most commonly as a PGY1, and the most common stressor was bullying. An increase in average hours of work per week (p < 0.001), a high-risk screen for PBO (p < 0.001), and feeling unhealthy (p = 0.001) were associated with an increasing prevalence of screening PTSD+. Conclusions The prevalence of screening PTSD+ among surgical residents (22%) was more than three times the general population. Increased work-hours, a high-risk PBO screen, and reduced resident wellness were associated with screening PTSD+.

      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.08.037
       
  • Discussion of: “PTSD and surgical residents: Everybody hurts …
           sometimes”
    • Authors: Theresa Jackson; Amanda Provencio; Karalyn Bentley-Kumar; Chris Pearcy; Taylor Cook; Kevin McLean; Jake Morgan; Yoseful Haque; Vaidehi Agrawal; Brittany Bankhead-Kendall; Kevin Taubman; Michael S. Truitt
      Pages: 1125 - 1126
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Theresa Jackson, Amanda Provencio, Karalyn Bentley-Kumar, Chris Pearcy, Taylor Cook, Kevin McLean, Jake Morgan, Yoseful Haque, Vaidehi Agrawal, Brittany Bankhead-Kendall, Kevin Taubman, Michael S. Truitt


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.10.014
       
  • Discussion of: “Venous thromboembolism in common laparoscopic abdominal
           surgical operations”
    • Authors: Reza Fazl Alizadeh; Sarath Sujatha-Bhaskar; Shiri Li; Michael J. Stamos; Ninh T. Nguyen
      Pages: 1133 - 1134
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Reza Fazl Alizadeh, Sarath Sujatha-Bhaskar, Shiri Li, Michael J. Stamos, Ninh T. Nguyen


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.10.009
       
  • Discussion of: “Perioperative complications increase the risk of venous
           thromboembolism following bariatric surgery”
    • Authors: Melissa C. Helm; Kathleen Simon; Rana Higgins; Tammy L. Kindel; Jon C. Gould
      Pages: 1141 - 1142
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Melissa C. Helm, Kathleen Simon, Rana Higgins, Tammy L. Kindel, Jon C. Gould


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.09.021
       
  • Endostapler versus Hem-O-Lok clip to secure the appendiceal stump and
           mesoappendix during laparoscopic appendectomy
    • Authors: Mohammed H. Al-Temimi; Mendy A. Berglin; Edwin G. Kim; Deron J. Tessier; Samir D. Johna
      Pages: 1143 - 1148
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Mohammed H. Al-Temimi, Mendy A. Berglin, Edwin G. Kim, Deron J. Tessier, Samir D. Johna
      Background Our study evaluates the safety and cost of using the Hem-O-Lok (HOL) clip in laparoscopic appendectomy (LA). Method We prospectively compared 30-day postoperative outcomes and cost between HOL clip and endoscopic stapler (ES) in LA at a single institution. Results HOL clip was used in 45 out of 92 LA. Perforated appendicitis (29.8% vs. 11.1%, P = 0.027) and postoperative complications were more common in the ES group (19.2% vs. 2.2%, p = 0.009). In multivariate analysis, HOL clip was associated with lower complications rate (OR = 0.05, 95% CI 0.003–0.744; p = 0.030). In propensity score matched cohort, complications were not different (p > 0.05). In patients with non-perforated appendicitis, HOL use increased operative time by 10 min on average (p = 0.004). Minimum ES cost per single appendectomy was $273.13, while HOL clip cost was $32.14. Conclusion The use of HOL clip in LA is safe and it reduced the costs of the procedure in comparison to the use of ES.

      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.08.031
       
  • Discussion of: “Endostapler versus Hem-O-Lok clip to secure the
           appendiceal stump and mesoappendix during laparoscopic appendectomy”
    • Authors: Mohammed H. Al-Temimi; Mendy A. Berglin; Edwin G. Kim; Deron J. Tessier; Samir D. Johna
      Pages: 1149 - 1150
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): Mohammed H. Al-Temimi, Mendy A. Berglin, Edwin G. Kim, Deron J. Tessier, Samir D. Johna


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.10.006
       
  • Discussion of: “Is it necessary to perform full pathologic review of all
           gastric remnants following sleeve gastrectomy'”
    • Authors: S.K. Hansen; B.J. Pottorf; H.W. Hollis; J.L. Rogers; F.A. Husain
      Pages: 1156 - 1157
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): S.K. Hansen, B.J. Pottorf, H.W. Hollis, J.L. Rogers, F.A. Husain


      PubDate: 2017-11-18T21:33:04Z
      DOI: 10.1016/j.amjsurg.2017.09.019
       
  • Planning and performance under stress
    • Authors: Rob Todd
      Abstract: Publication date: December 2017
      Source:The American Journal of Surgery, Volume 214, Issue 6
      Author(s): S. Rob Todd


      PubDate: 2017-11-18T21:33:04Z
       
 
 
JournalTOCs
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
Email: journaltocs@hw.ac.uk
Tel: +00 44 (0)131 4513762
Fax: +00 44 (0)131 4513327
 
Home (Search)
Subjects A-Z
Publishers A-Z
Customise
APIs
Your IP address: 54.227.51.103
 
About JournalTOCs
API
Help
News (blog, publications)
JournalTOCs on Twitter   JournalTOCs on Facebook

JournalTOCs © 2009-2016