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  1. Article ; Online: Educational Podcasts: Effect of Content Delivery Timing on Knowledge Acquisition and Retention.

    Gottlieb, Michael / Fung, Cha-Chi / Haas, Mary R C / Cooney, Robert / King, Andrew / Riddell, Jeffrey

    Academic medicine : journal of the Association of American Medical Colleges

    2024  

    Abstract: Purpose: This study examined whether the order of podcast content influenced knowledge acquisition and retention among emergency medicine (EM) resident physicians.: Method: This preplanned secondary analysis of 2 large, multicenter trials included a ... ...

    Abstract Purpose: This study examined whether the order of podcast content influenced knowledge acquisition and retention among emergency medicine (EM) resident physicians.
    Method: This preplanned secondary analysis of 2 large, multicenter trials included a randomized, crossover trial conducted from November 2019 to June 2020 of 100 residents that compared driving and seated condition for two 30-minute podcasts and a randomized, crossover trial conducted from September 2022 to January 2023 of 95 EM residents that compared exercise with seated condition for the same two 30-minute podcasts. Each podcast contained 6 journal article reviews, with the segments recorded in forward or backward order. After completing each podcast, participants completed an initial 20-question test and a 40-question delayed recall test with separate questions. Segments were divided into 3 subgroups based on the order in which they were played (primacy group, recency group, and reference group) for assessment of recency and primacy effects. The mean scaled scores from the primacy and recency groups were compared with scores from the reference group.
    Results: The study included 195 residents (390 podcasts), with 100 residents listening in the forward order and 95 residents the reverse order. No statistically significant difference was found in immediate recall scores between the primacy and reference groups (d = 0.094; 95% CI, -0.046 to 0.234) or the recency and reference groups (d = -0.041; 95% CI, -0.181 to 0.099) or in 30-day delayed recall score between the primacy and reference groups (d = -0.088; 95% CI, -0.232 to 0.056) or the recency and reference groups (d = -0.083; 95% CI, -0.227 to 0.060).
    Conclusions: The order of podcast information did not significantly affect immediate knowledge acquisition or delayed knowledge retention. This finding can inform podcast creators and listeners regarding the order of content when using podcasts for learning.
    Language English
    Publishing date 2024-03-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 96192-9
    ISSN 1938-808X ; 1040-2446
    ISSN (online) 1938-808X
    ISSN 1040-2446
    DOI 10.1097/ACM.0000000000005722
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A Randomized Trial Assessing the Effect of Exercise on Residents' Podcast Knowledge Acquisition and Retention.

    Gottlieb, Michael / Cooney, Robert / Haas, Mary R C / King, Andrew / Fung, Cha-Chi / Riddell, Jeffrey

    Academic medicine : journal of the Association of American Medical Colleges

    2023  Volume 99, Issue 5, Page(s) 575–581

    Abstract: Purpose: Podcasts are commonly used by residents as part of their learning, with many listening concomitantly with other activities (e.g., driving and exercise). The effects of exercise on learning are controversial, with some suggesting potential ... ...

    Abstract Purpose: Podcasts are commonly used by residents as part of their learning, with many listening concomitantly with other activities (e.g., driving and exercise). The effects of exercise on learning are controversial, with some suggesting potential benefit and others suggesting impaired learning. This study examined whether exercise influences knowledge acquisition and retention among resident physicians listening to a podcast while exercising versus those with undistracted listening.
    Method: This multicenter, randomized, crossover trial assessed emergency medicine residents across 5 U.S. institutions from September 2022 to January 2023. Residents were randomized to a group that listened to one 30-minute podcast while seated or a group that listened to a 30-minute podcast while engaging in 30 minutes of continuous aerobic exercise, with stratification by site and postgraduate year. Within 30 minutes of completing the podcast, they completed a 20-question multiple-choice test. They subsequently crossed over to the other intervention and listened to a different 30-minute podcast followed by another 20-question test. Each podcast focused on emergency medicine-relevant journal articles that had not been covered in journal club or curriculum at any sites. Residents also completed a 40-question delayed recall test with separate questions on both podcasts at 30 days.
    Results: Ninety-six residents were recruited for the study, with 95 (99.0%) completing the initial recall portion and 92 (97.0%) completing the delayed recall tests. No statistically significant differences were found between the exercise and seated cohorts on initial recall (74.4% vs 76.3%; d = -0.12; 95% CI, -0.33 to 0.08; P = .12) or delayed recall (52.3% vs 52.5%; d = -0.01; 95% CI, -0.22 to -0.19; P = .46).
    Conclusions: Exercising while listening to podcasts did not appear to meaningfully affect knowledge acquisition or retention at 30 days when compared with listening while seated and undistracted.
    MeSH term(s) Humans ; Internship and Residency/methods ; Cross-Over Studies ; Webcasts as Topic ; Exercise/psychology ; Emergency Medicine/education ; Female ; Male ; United States ; Retention, Psychology ; Adult ; Educational Measurement/methods
    Language English
    Publishing date 2023-12-18
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial ; Multicenter Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 96192-9
    ISSN 1938-808X ; 1040-2446
    ISSN (online) 1938-808X
    ISSN 1040-2446
    DOI 10.1097/ACM.0000000000005592
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Successful Recanalization of Complete Bronchus Intermedius Stenosis after Lung Transplantation Guided by Intraprocedural Computed Tomographic Imaging.

    Ma, Kevin C / DiBardino, David M / Haas, Andrew R

    Annals of the American Thoracic Society

    2021  Volume 18, Issue 5, Page(s) 889–892

    MeSH term(s) Bronchi/diagnostic imaging ; Bronchi/surgery ; Constriction, Pathologic/diagnostic imaging ; Constriction, Pathologic/surgery ; Humans ; Lung Transplantation/adverse effects
    Language English
    Publishing date 2021-04-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2717461-X
    ISSN 2325-6621 ; 1943-5665 ; 2325-6621
    ISSN (online) 2325-6621 ; 1943-5665
    ISSN 2325-6621
    DOI 10.1513/AnnalsATS.202006-633CC
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Recanalization of Complete Airway Stenosis After Blunt Force Chest Trauma.

    Kim, Roger Y / Ma, Kevin C / Haas, Andrew R

    The American journal of medicine

    2020  Volume 134, Issue 2, Page(s) e125–e126

    MeSH term(s) Airway Obstruction/etiology ; Airway Obstruction/surgery ; Bronchi/pathology ; Female ; Humans ; Middle Aged ; Pulmonary Atelectasis/diagnostic imaging ; Pulmonary Atelectasis/etiology ; Pulmonary Atelectasis/pathology ; Stents ; Thoracic Wall ; Wounds and Injuries
    Language English
    Publishing date 2020-07-28
    Publishing country United States
    Document type Case Reports ; Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 80015-6
    ISSN 1555-7162 ; 1873-2178 ; 0002-9343 ; 1548-2766
    ISSN (online) 1555-7162 ; 1873-2178
    ISSN 0002-9343 ; 1548-2766
    DOI 10.1016/j.amjmed.2020.06.035
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Evaluation of Factors Affecting Return to Work Following Carpal Tunnel Release: A Statewide Cohort Study of Workers' Compensation Subjects.

    Anderson, Joshua T / Stephens, Andrew R / Haas, Arnold R / Ahn, Nicholas U / Kazmers, Nikolas H

    The Journal of hand surgery

    2022  Volume 47, Issue 6, Page(s) 544–553

    Abstract: Purpose: Most randomized trials comparing open carpal tunnel release (OCTR) to endoscopic carpal tunnel release (ECTR) are not specific to a working population and focus mainly on how surgical technique has an impact on outcomes. This study's primary ... ...

    Abstract Purpose: Most randomized trials comparing open carpal tunnel release (OCTR) to endoscopic carpal tunnel release (ECTR) are not specific to a working population and focus mainly on how surgical technique has an impact on outcomes. This study's primary goal was to evaluate factors affecting days out of work (DOOW) following carpal tunnel release (CTR) in a working population and to evaluate for differences in medical costs, indemnity payments, disability ratings, and opioid use between OCTR and ECTR with the intent of determining whether one or the other surgical method was a determining factor.
    Methods: Using the Ohio Bureau of Workers' Compensation claims database, individuals were identified who underwent unilateral isolated CTR between 1993 and 2018. We excluded those who were on total disability, who underwent additional surgery within 6 months of their index CTR, including contralateral or revision CTR, and those not working during the same month as their index CTR. Outcomes were evaluated at 6 months after surgery. Multivariable linear regression was performed to evaluate covariates associated with DOOW.
    Results: Of the 4596 included participants, 569 (12.4%) and 4027 (87.6%) underwent ECTR and OCTR, respectively. Mean DOOW were 58.4 for participants undergoing OCTR and 56.6 for those undergoing ECTR. Carpal tunnel release technique was not predictive of DOOW. Net medical costs were 20.7% higher for those undergoing ECTR. Multivariable linear regression demonstrated the following significant predictors of higher DOOW: preoperative opioid use, legal representation, labor-intensive occupation, increasing lag time from injury to filing of a worker's compensation claim, and female sex. Being married, higher income community, and working in the public sector were associated with fewer DOOW.
    Conclusions: In a large statewide worker's compensation population, demographic, occupational, psychosocial, and litigatory factors have a significant impact on DOOW following CTR, whereas differences in surgical technique between ECTR and OCTR did not.
    Type of study/level of evidence: Therapeutic III.
    MeSH term(s) Analgesics, Opioid ; Carpal Tunnel Syndrome/surgery ; Cohort Studies ; Endoscopy ; Female ; Humans ; Return to Work ; Workers' Compensation
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2022-04-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605716-0
    ISSN 1531-6564 ; 0363-5023
    ISSN (online) 1531-6564
    ISSN 0363-5023
    DOI 10.1016/j.jhsa.2022.02.015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Microbiome Profiling Demonstrates Concordance of Endotracheal Tube Aspirates With Direct Lower Airway Sampling in Intubated Patients.

    McGinniss, John E / Graham-Wooten, Jevon / Whiteside, Samantha A / Fitzgerald, Ayannah S / Khatib, Layla A / Ma, Kevin C / DiBardino, David M / Haas, Andrew R / Bushman, Fredric D / Fuchs, Barry D / Collman, Ronald G

    Chest

    2024  

    Abstract: Background: Endotracheal aspirates (ETAs) are widely used for microbiologic studies of the respiratory tract in intubated patients. However, they involve sampling through an established endotracheal tube using suction catheters, both of which can ... ...

    Abstract Background: Endotracheal aspirates (ETAs) are widely used for microbiologic studies of the respiratory tract in intubated patients. However, they involve sampling through an established endotracheal tube using suction catheters, both of which can acquire biofilms that may confound results.
    Research question: Does standard clinical ETA in intubated patients accurately reflect the authentic lower airway bacterial microbiome?
    Study design and methods: Comprehensive quantitative bacterial profiling using 16S rRNA V1-V2 gene sequencing was applied to compare bacterial populations captured by standard clinical ETA vs contemporaneous gold standard samples acquired directly from the lower airways through a freshly placed sterile tracheostomy tube. The study included 13 patients undergoing percutaneous tracheostomy following prolonged (median, 15 days) intubation. Metrics of bacterial composition, diversity, and relative quantification were applied to samples.
    Results: Pre-tracheostomy ETAs closely resembled the gold standard immediate post-tracheostomy airway microbiomes in bacterial composition and community features of diversity and quantification. Endotracheal tube and suction catheter biofilms also resembled cognate ETA and fresh tracheostomy communities.
    Interpretation: Unbiased molecular profiling shows that standard clinical ETA sampling has good concordance with the authentic lower airway microbiome in intubated patients.
    Language English
    Publishing date 2024-01-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1016/j.chest.2024.01.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: High-volume prostate biopsy core involvement is not associated with an increased risk of cancer recurrence following 5-fraction stereotactic body radiation therapy monotherapy.

    Lischalk, Jonathan W / Sanchez, Astrid / Santos, Vianca F / Mendez, Christopher / Akerman, Meredith / Carpenter, Todd / Tam, Moses / Byun, David / Wise, David R / Mahadevan, Anand / Evans, Andrew / Huang, William / Katz, Aaron / Lepor, Herbert / Haas, Jonathan A

    Radiation oncology (London, England)

    2024  Volume 19, Issue 1, Page(s) 29

    Abstract: Purpose: Percentage of positive cores involved on a systemic prostate biopsy has been established as a risk factor for adverse oncologic outcomes and is a National Comprehensive Cancer Network (NCCN) independent parameter for unfavorable intermediate- ... ...

    Abstract Purpose: Percentage of positive cores involved on a systemic prostate biopsy has been established as a risk factor for adverse oncologic outcomes and is a National Comprehensive Cancer Network (NCCN) independent parameter for unfavorable intermediate-risk disease. Most data from a radiation standpoint was published in an era of conventional fractionation. We explore whether the higher biological dose delivered with SBRT can mitigate this risk factor.
    Methods: A large single institutional database was interrogated to identify all patients diagnosed with localized prostate cancer (PCa) treated with 5-fraction SBRT without ADT. Pathology results were reviewed to determine detailed core involvement as well as Gleason score (GS). High-volume biopsy core involvement was defined as ≥ 50%. Weighted Gleason core involvement was reviewed, giving higher weight to higher-grade cancer. The PSA kinetics and oncologic outcomes were analyzed for association with core involvement.
    Results: From 2009 to 2018, 1590 patients were identified who underwent SBRT for localized PCa. High-volume core involvement was a relatively rare event observed in 19% of our cohort, which was observed more in patients with small prostates (p < 0.0001) and/or intermediate-risk disease (p = 0.005). Higher PSA nadir was observed in those patients with low-volume core involvement within the intermediate-risk cohort (p = 0.004), which was confirmed when core involvement was analyzed as a continuous variable weighted by Gleason score (p = 0.049). High-volume core involvement was not associated with biochemical progression (p = 0.234).
    Conclusions: With a median follow-up of over 4 years, biochemical progression was not associated with pretreatment high-volume core involvement for patients treated with 5-fraction SBRT alone. In the era of prostate SBRT and MRI-directed prostate biopsies, the use of high-volume core involvement as an independent predictor of unfavorable intermediate risk disease should be revisited.
    MeSH term(s) Male ; Humans ; Prostate ; Prostate-Specific Antigen ; Radiosurgery/adverse effects ; Prostatic Neoplasms/radiotherapy ; Prostatic Neoplasms/surgery ; Biopsy
    Chemical Substances Prostate-Specific Antigen (EC 3.4.21.77)
    Language English
    Publishing date 2024-03-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 2224965-5
    ISSN 1748-717X ; 1748-717X
    ISSN (online) 1748-717X
    ISSN 1748-717X
    DOI 10.1186/s13014-023-02397-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Evaluation of Engineering Controls at Bagging Operations to Reduce Exposures to Respirable Crystalline Silica Dust.

    Louk, A Kyle / Patts, Justin R / Haas, Emily J / Cecala, Andrew B

    Mining, metallurgy & exploration

    2020  Volume 37, Issue 4, Page(s) 1055–1064

    Abstract: The National Institute for Occupational Safety and Health (NIOSH) and the former U.S. Bureau of Mines (USBM) have given a significant effort over the past four decades in researching and developing engineering controls and interventions to reduce mine ... ...

    Abstract The National Institute for Occupational Safety and Health (NIOSH) and the former U.S. Bureau of Mines (USBM) have given a significant effort over the past four decades in researching and developing engineering controls and interventions to reduce mine workers' dust exposures during the bagging and palletizing of industrial minerals. Workers performing manual bagging and palletizing of 50- to 100-pound bags typically have some of the highest dust exposures of all workers at mining and mineral processing operations. This paper will provide an overview of available dust control technologies for bagging operations and present the findings of a recent case study that was conducted at four different industrial sand operations to identify the current types of bagging and palletizing technologies being used and to evaluate their effectiveness in reducing workers' exposures to respirable crystalline silica dust. An evaluation will also be performed to determine if further reductions in respirable dust levels can be achieved by incorporating additional modifications or improvements into the existing technology.
    Language English
    Publishing date 2020-06-08
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2524-3470
    ISSN (online) 2524-3470
    DOI 10.1007/s42461-020-00210-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Malignant Mesothelioma: Has Anything Changed?

    Kim, Roger Y / Sterman, Daniel H / Haas, Andrew R

    Seminars in respiratory and critical care medicine

    2019  Volume 40, Issue 3, Page(s) 347–360

    Abstract: Malignant pleural mesothelioma is a rare cancer associated with asbestos exposure and portends a dismal prognosis. Its worldwide incidence has been increasing, and treatment options are currently suboptimal and noncurative. However, since the turn of the ...

    Abstract Malignant pleural mesothelioma is a rare cancer associated with asbestos exposure and portends a dismal prognosis. Its worldwide incidence has been increasing, and treatment options are currently suboptimal and noncurative. However, since the turn of the century, several encouraging steps have been made toward improving outcomes for mesothelioma patients. An increased understanding of disease pathophysiology has led to more accurate diagnosis and staging, and the establishment of the standard of care first-line pemetrexed/platin doublet chemotherapy regimen in 2003 initially revolutionized treatment. While significant debate remains regarding the preferred approach to surgical and radiation therapy in the context of multimodal therapy, recent breakthroughs in immunotherapy offer hope for another paradigm shift in the near future. This review will summarize the current clinical approach to diagnosis, staging, and treatment of malignant pleural mesothelioma.
    MeSH term(s) Antineoplastic Agents, Immunological/therapeutic use ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Asbestos/adverse effects ; Biomarkers, Tumor ; Biopsy ; CTLA-4 Antigen/antagonists & inhibitors ; Catheters, Indwelling ; Combined Modality Therapy ; Humans ; Immunohistochemistry ; Lung Neoplasms/diagnosis ; Lung Neoplasms/pathology ; Lung Neoplasms/therapy ; Mesothelioma/diagnosis ; Mesothelioma/pathology ; Mesothelioma/therapy ; Mesothelioma, Malignant ; Neoplasm Staging ; Pleural Neoplasms/diagnosis ; Pleural Neoplasms/pathology ; Pleural Neoplasms/therapy ; Pneumonectomy/methods ; Prognosis ; Programmed Cell Death 1 Receptor/antagonists & inhibitors ; Radiotherapy, Adjuvant ; Thoracoscopy
    Chemical Substances Antineoplastic Agents, Immunological ; Biomarkers, Tumor ; CTLA-4 Antigen ; Programmed Cell Death 1 Receptor ; Asbestos (1332-21-4)
    Language English
    Publishing date 2019-09-16
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1183617-9
    ISSN 1098-9048 ; 1069-3424
    ISSN (online) 1098-9048
    ISSN 1069-3424
    DOI 10.1055/s-0039-1693406
    Database MEDical Literature Analysis and Retrieval System OnLINE

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