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Katz posted an update 7 months, 2 weeks ago
Residency programs providing financial assistance supplemented $73 ± $64 per interviewee, corresponding to 13.7% of per-interview cost. To cover costs, 33.8% of applicants sought additional funding, and 30.7% of applicants stated that they had supplemental income, with an average monthly supplemental income of $1971 ± $1558.
This study quantifies the recent total and per-interview cost of applying to integrated plastic surgery residency. It also identifies the importance of cost to applicants and how the cost burden of residency applications is supported.
This study quantifies the recent total and per-interview cost of applying to integrated plastic surgery residency. It also identifies the importance of cost to applicants and how the cost burden of residency applications is supported.Our objective was to determine the potential impact of the surgical treatment of ameloblastoma in children through validated health state utility outcome measures.
A survey-based preference health utility assessment using the visual analog scale, time trade-off, and standard gamble methods was undertaken among a general population sample. Quality-adjusted life years were derived from these measures. A one-way ANOVA was used for statistical analysis, with a mean (
) value of 0.05 considered significant. Demographic parameters were individually assessed as possible predictors of each utility score.
In total, 86 participants took part in this study, with a mean age of 29.9 years. Greater utility scores were observed among participants reporting no religious beliefs (
= 0.025,
= 2.28). No other demographic parameters showed statistically significant prediction of utility score. From the mean utility scores (± SD) (visual analog scale = 0.60 ± 0.17; time trade-off = 0.65 ± 0.22; standard gamble = 0.64 ± 0yses at broader societal levels.Despite the lack of guidelines regarding the use of intra-arterial lines in postmastectomy breast reconstruction (PMBR), they continue to be used in this setting. In this study of patients undergoing PMBR, we aimed to (1) identify factors associated with intra-arterial line placement, (2) analyze the correlation between intra-arterial monitoring and noninvasive blood pressure (NIBP) monitoring, and (3) investigate whether hemodynamic management differs significantly between patients undergoing intra-arterial blood pressure monitoring versus NIBP.
All patients undergoing flap-based PMBR between 2017 and 2019 were retrospectively reviewed. Patients were pair-matched based on flap donor site, BMI, and age to identify factors associated with intra-arterial line placement. Methods described by Bland and Altman
were utilized to determine agreement between intra-arterial line measurements and NIBP.
Thirty-two patients were included with 16 patients in the intra-arterial line group and 16 in the NIBP group. None of the factors studied were significantly related to the likelihood of intra-arterial line placement. Agreement analysis demonstrated that mean arterial pressures calculated from intra-arterial line readings were as much as 23 points lower or 12 points higher than those from NIBP. Bias calculations with this extent of difference suggest poor correlation between intra-arterial line readings and NIBP. There was no difference between groups in rate of administration of blood-pressure altering medications (hypertensive n = 3, 18.8%,
= 1.000; hypotensive n = 7, 3.8%,
= 1.000).
Our findings highlight the need for more definitive guidance regarding the use of intra-arterial monitoring in patients undergoing PMBR.
Our findings highlight the need for more definitive guidance regarding the use of intra-arterial monitoring in patients undergoing PMBR.The COVID-19 pandemic has brought seismic shifts in healthcare delivery. The objective of this study was to examine the impact of telemedicine in the disadvantaged population.
All consecutive patients with outpatient appointments amongst 5 providers in the Plastic and Reconstructive Surgery Department between March 2, 2020, and April 10, 2020, were retrospectively reviewed. Appointment and patient characteristics collected include visit modality, reason for visit, new or established patient, history of recorded procedure, age, sex, race, insurance provider, urban/rural designation of residence, Social Vulnerability Index, and income. The primary outcome of interest was whether or not a patient missed their appointment (show versus no-show).
During the study period, there were a total of 784 patient appointments. Before the COVID-19 pandemic, patients with a higher Social Vulnerability Index were more likely to have a no-show appointment (0.49 versus 0.39,
= 0.007). PHA-767491 Multivariate regression modeling showeoutcomes-of utilizing telemedicine. Future studies should focus on improving access, reducing technological barriers, and policy reform to improve the spread of telemedicine.Hump (dorsum) reduction is one of the most desired outcomes of primary rhinoplasty. However, serious complications relating to the current methods exist. Reduction of the nasal spine by way of traditional rhinoplasty leads to destruction of the nasal anatomy, and reconstruction is needed for aesthetic and functional reasons. As a result, the natural anatomy of the nose becomes altered dramatically. The purpose of this study was to demonstrate that the preservation of only the cartilaginous part of the nasal dorsum was possible during hump reduction.
From September 2018 to December 2019, the author performed a total of 210 rhinoplasties using a cartilaginous dorsum repositioning technique (CDRT). Statistical analysis was also performed.
CDRT resulted in relatively limited edema and more rapid patient recovery in comparison with the traditional rhinoplasty technique used. No serious complications were observed using this new technique.
This technique allows for the treatment of almost 90% of primary rhinoplasty patients, without destruction of the cartilaginous portion of the nasal dorsum and septum cartilage, and allows us to save nasal anatomy almost in its entirety. At the same time, we are able to obtain great aesthetic results.
This technique allows for the treatment of almost 90% of primary rhinoplasty patients, without destruction of the cartilaginous portion of the nasal dorsum and septum cartilage, and allows us to save nasal anatomy almost in its entirety. At the same time, we are able to obtain great aesthetic results.