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Article ; Online: Sports participation after craniosynostosis repair: the critical role of post-operative guidance in parental decision-making.

Parikh, Neil / Hu, Kevin G / Allam, Omar / Ihnat, Jacqueline M / Rancu, Albert L / Boroumand, Sam / Persing, John A / Alperovich, Michael

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery

2024

Abstract: Purpose: Despite previous research supporting patient safety in sports after craniosynostosis surgery, parental anxiety remains high. This study sought to evaluate the role of healthcare providers in guiding patients and families through the decision- ... ...

Abstract	Purpose: Despite previous research supporting patient safety in sports after craniosynostosis surgery, parental anxiety remains high. This study sought to evaluate the role of healthcare providers in guiding patients and families through the decision-making process. Methods: Parents of children with repaired craniosynostosis were asked to assess sports involvement and parental decision-making in children ages 6 and older. Questions were framed primarily on 5-point Likert scales. Sport categorizations were made in accordance with the American Academy of Pediatrics. Chi-squared, linear regression, and Pearson correlation tests were used to analyze associations between the questions. Results: Forty-three complete parental responses were recorded. Mean ages at surgery and time of sports entry were 7.93 ± 4.73 months and 4.76 ± 2.14 years, respectively. Eighty-two percent of patients participated in a contact sport. Discussions with the primary surgeon were more impactful on parental decisions about sports participation than those with other healthcare providers (4.04 ± 1.20 vs. 2.69 ± 1.32). Furthermore, children whose parents consulted with the primary surgeon began participating in sports at a younger age (4.0 ± 1.0 vs. 5.8 ± 2.7 years, p = 0.034). The mean comfort level with contact sports (2.8 ± 1.4) was lower than that with limited-contact (3.8 ± 1.1, p = 0.0001) or non-contact (4.4 ± 1.3, p < 0.0001) sports. Conclusion: This study underscores the critical role that healthcare professionals, primarily surgeons, have in guiding families through the decision-making process regarding their children's participation in contact sports.
Language	English
Publishing date	2024-04-05
Publishing country	Germany
Document type	Journal Article
ZDB-ID	605988-0
ISSN	1433-0350 ; 0302-2803 ; 0256-7040
ISSN (online)	1433-0350
ISSN	0302-2803 ; 0256-7040
DOI	10.1007/s00381-024-06381-0
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Article ; Online: Virtual Rotations During COVID-19: An Opportunity for Enhancing Diversity.

Asaad, Malke / Glassman, Gabriella E / Allam, Omar

The Journal of surgical research

2020 Volume 260, Page(s) 516–519

Abstract: The COVID-19 pandemic has presented unique challenges to medical education. With the lack of in-person away rotations for the 2020-2021 residency application cycle, virtual rotations have surfaced as an alternative. The virtual rotations that the authors ...

Abstract	The COVID-19 pandemic has presented unique challenges to medical education. With the lack of in-person away rotations for the 2020-2021 residency application cycle, virtual rotations have surfaced as an alternative. The virtual rotations that the authors participated in allowed for active participation in various resident educational activities such as journal club, grand rounds, and morning conferences. One critical aspect of virtual rotations was the one-on-one meetings with the program leadership. In addition to a virtual tour of the hospital and campus, many programs offered virtual social hours with the residents to converse about the program, the city, and the match process. A few programs even allowed applicants to attend virtually live-streamed surgeries. These rotations offer students, especially those without a corresponding home program, an invaluable opportunity to express their interest in a particular program and gain foundational knowledge about the specialty. Virtual rotations also provide underrepresented minorities and international medical graduates with clinical exposure, mentorship, and networking opportunities, mitigating some of the challenges presented by COVID-19.
MeSH term(s)	COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19/transmission ; Cultural Diversity ; Education, Distance/methods ; Education, Distance/organization & administration ; Education, Distance/statistics & numerical data ; Humans ; Internship and Residency/methods ; Internship and Residency/organization & administration ; Internship and Residency/statistics & numerical data ; Mentors ; Pandemics/prevention & control ; Personnel Selection/organization & administration ; Personnel Selection/statistics & numerical data ; Physical Distancing ; Teaching Rounds/methods ; Teaching Rounds/organization & administration ; Teaching Rounds/statistics & numerical data
Language	English
Publishing date	2020-11-25
Publishing country	United States
Document type	Journal Article
ZDB-ID	80170-7
ISSN	1095-8673 ; 0022-4804
ISSN (online)	1095-8673
ISSN	0022-4804
DOI	10.1016/j.jss.2020.11.071
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Article: Prophylactic Desexualizing Mastectomy for an Intellectually Disabled Woman: Protective Measure or Disregard for Autonomy?

Allam, Omar / Gudbranson, Emily / Long, Aaron S / Alperovich, Michael / Avraham, Tomer

Plastic and reconstructive surgery. Global open

2022 Volume 10, Issue 5, Page(s) e4347

Abstract: Historically, sterilization of the so-called feeble-minded has been advocated in the name of eugenics. Surrogate decision-making that impacts sexuality of the intellectually disabled presents significant ethical dilemmas. We describe a 19-year-old ... ...

Abstract	Historically, sterilization of the so-called feeble-minded has been advocated in the name of eugenics. Surrogate decision-making that impacts sexuality of the intellectually disabled presents significant ethical dilemmas. We describe a 19-year-old intellectually disabled woman who presented with her legal decision-maker for surgical correction of her asymmetric chest and hypoplastic breast. The decision-maker requested a mastectomy to make the patient's breasts as inconspicuous as possible, and to reduce the risk of sexual assault and pregnancy. This case covers the ethical considerations on whether or not to prophylactically desexualize an intellectually disabled woman.
Language	English
Publishing date	2022-05-23
Publishing country	United States
Document type	Case Reports
ZDB-ID	2851682-5
ISSN	2169-7574 ; 2169-7574
ISSN (online)	2169-7574
ISSN	2169-7574
DOI	10.1097/GOX.0000000000004347
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Article ; Online: The Impact of the SARS-CoV-2 (COVID-19) Pandemic on the 2020 to 2021 Integrated Plastic Surgery Residency Cycle.

Allam, Omar / Park, Kitae E / Hsia, Henry / Prsic, Adnan / Alperovich, Michael

Plastic and reconstructive surgery

2022 Volume 148, Issue 4, Page(s) 696e–698e

MeSH term(s)	COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19/transmission ; Educational Measurement/standards ; Educational Measurement/statistics & numerical data ; Humans ; Internship and Residency/organization & administration ; Internship and Residency/standards ; Internship and Residency/statistics & numerical data ; Pandemics/prevention & control ; Surgeons/education ; Surgeons/statistics & numerical data ; Surgery, Plastic/education ; Surgery, Plastic/standards ; Surgery, Plastic/statistics & numerical data ; Surveys and Questionnaires/statistics & numerical data
Language	English
Publishing date	2022-05-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	208012-6
ISSN	1529-4242 ; 0032-1052 ; 0096-8501
ISSN (online)	1529-4242
ISSN	0032-1052 ; 0096-8501
DOI	10.1097/PRS.0000000000008378
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Article: Application possibilities of artificial intelligence in facial vascularized composite allotransplantation-a narrative review.

Knoedler, Leonard / Knoedler, Samuel / Allam, Omar / Remy, Katya / Miragall, Maximilian / Safi, Ali-Farid / Alfertshofer, Michael / Pomahac, Bohdan / Kauke-Navarro, Martin

Frontiers in surgery

2023 Volume 10, Page(s) 1266399

Abstract: Facial vascularized composite allotransplantation (FVCA) is an emerging field of reconstructive surgery that represents a dogmatic shift in the surgical treatment of patients with severe facial disfigurements. While conventional reconstructive strategies ...

Abstract	Facial vascularized composite allotransplantation (FVCA) is an emerging field of reconstructive surgery that represents a dogmatic shift in the surgical treatment of patients with severe facial disfigurements. While conventional reconstructive strategies were previously considered the goldstandard for patients with devastating facial trauma, FVCA has demonstrated promising short- and long-term outcomes. Yet, there remain several obstacles that complicate the integration of FVCA procedures into the standard workflow for facial trauma patients. Artificial intelligence (AI) has been shown to provide targeted and resource-effective solutions for persisting clinical challenges in various specialties. However, there is a paucity of studies elucidating the combination of FVCA and AI to overcome such hurdles. Here, we delineate the application possibilities of AI in the field of FVCA and discuss the use of AI technology for FVCA outcome simulation, diagnosis and prediction of rejection episodes, and malignancy screening. This line of research may serve as a fundament for future studies linking these two revolutionary biotechnologies.
Language	English
Publishing date	2023-10-30
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2773823-1
ISSN	2296-875X
ISSN	2296-875X
DOI	10.3389/fsurg.2023.1266399
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Article ; Online: The selective heating effect of microwave irradiation on a binary mixture of water and polyethylene oxide: a molecular dynamics simulation approach.

Chen, Junhe / Warner, Matthew J / Sikora, Benjamin / Kiddle, Daniel / Coverdell, Danielle / Allam, Omar / Kohl, Paul A / Jang, Seung Soon

Physical chemistry chemical physics : PCCP

2023 Volume 25, Issue 17, Page(s) 12522–12531

Abstract: In this study, we investigate the molecular mechanisms of a microwave-driven selective heating process by performing molecular dynamics simulations for three different systems including pure water, pure polyethylene oxide (PEO), and water-PEO mixed ... ...

Abstract	In this study, we investigate the molecular mechanisms of a microwave-driven selective heating process by performing molecular dynamics simulations for three different systems including pure water, pure polyethylene oxide (PEO), and water-PEO mixed systems in the presence of a microwave with two different intensities of electric field such as 0.001 V Å
Language	English
Publishing date	2023-05-03
Publishing country	England
Document type	Journal Article
ZDB-ID	1476244-4
ISSN	1463-9084 ; 1463-9076
ISSN (online)	1463-9084
ISSN	1463-9076
DOI	10.1039/d3cp00349c
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Article ; Online: Neurocognitive Outcomes in Deformational Plagiocephaly: Is There an Association between Morphologic Severity and Results?

Park, Kitae E / Chandler, Ludmila / Ahmad, Maham / Singh, Anusha / Allam, Omar / Mets, Elbert / Bridgett, David J / Persing, John A / Alperovich, Michael

Plastic and reconstructive surgery

2023 Volume 152, Issue 3, Page(s) 488e–498e

Abstract: Background: The neurodevelopmental effects of skull asymmetry and orthotic helmet therapy for deformational plagiocephaly (DP) have had limited investigation. This study assessed the long-term neurocognitive outcomes in patients with DP and their ... ...

Abstract	Background: The neurodevelopmental effects of skull asymmetry and orthotic helmet therapy for deformational plagiocephaly (DP) have had limited investigation. This study assessed the long-term neurocognitive outcomes in patients with DP and their association with orthotic helmet therapy and head shape abnormality. Methods: A total of 138 school-age children with a history of DP, 108 of whom received helmet therapy, were tested with a neurocognitive battery assessing academic achievement, intelligence quotient, and visual-motor function. Severity of presenting plagiocephaly was calculated using anthropometric and photometric measurements. Analysis of covariance was used to compare outcomes between helmeted and nonhelmeted cohorts, unilateral plagiocephaly and concomitant brachycephaly, and left-sided and right-sided plagiocephaly. The association between severity of plagiocephaly and neurocognitive outcome was assessed through a residualized change approach. Results: There were no significant differences in neurocognitive outcomes between the helmeted and nonhelmeted DP cohorts or the unilateral plagiocephaly and brachycephaly cohorts. Participants with left-sided DP had significantly lower motor coordination scores than participants with right-sided DP (84.8 versus 92.7; effect size = -0.50; P = 0.03). There was a significant laterality by cephalic index interaction, with a negative association between cephalic index and reading comprehension and spelling for participants with left-sided DP. No significant associations were found between severity of presenting or posttreatment deformity and neurocognitive outcome. Conclusions: Pretreatment and posttreatment severity of plagiocephaly were not correlated with neurocognitive function at school age. Helmet therapy was not associated with better or worse long-term neurocognitive function. However, participants with left-sided DP demonstrated worse neurocognitive outcomes than participants with right-sided DP in the domains of motor coordination and some types of academic achievement. Clinical question/level of evidence: Therapeutic, III.
MeSH term(s)	Child ; Humans ; Infant ; Plagiocephaly, Nonsynostotic/complications ; Plagiocephaly, Nonsynostotic/therapy ; Treatment Outcome ; Head Protective Devices ; Plagiocephaly/therapy ; Craniosynostoses/complications ; Craniosynostoses/therapy ; Orthotic Devices
Language	English
Publishing date	2023-02-28
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	208012-6
ISSN	1529-4242 ; 0032-1052 ; 0096-8501
ISSN (online)	1529-4242
ISSN	0032-1052 ; 0096-8501
DOI	10.1097/PRS.0000000000010330
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Article: Smooth versus Textured Tissue Expanders: Comparison of Outcomes and Complications in 536 Implants.

Allam, Omar / Dinis, Jacob / Almeida, Mariana N / Junn, Alexandra / Mozaffari, Mohammad Ali / Shah, Rema / Chong, Lauren / Olawoyin, Olamide / Mehta, Sumarth / Park, Kitae Eric / Avraham, Tomer / Alperovich, Michael

Archives of plastic surgery

2024 Volume 51, Issue 1, Page(s) 42–51

Abstract: ... ...

Abstract	Background
Language	English
Publishing date	2024-02-07
Publishing country	Korea (South)
Document type	Journal Article
ZDB-ID	2694943-X
ISSN	2234-6171 ; 2234-6163
ISSN (online)	2234-6171
ISSN	2234-6163
DOI	10.1055/s-0043-1775592
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Article ; Online: Microsurgery in the sickle cell trait population: is it actually safe?

Abraham, Paul F / Allam, Omar / Park, Kitae Eric / Alperovich, Michael

BMJ case reports

2020 Volume 13, Issue 5

Abstract: Although sickle cell disease has long been viewed as a contraindication to free flap transfer, little data exist evaluating complications of microsurgical procedures in the sickle cell trait patient. Reported is the case of a 55-year-old woman with ... ...

Abstract	Although sickle cell disease has long been viewed as a contraindication to free flap transfer, little data exist evaluating complications of microsurgical procedures in the sickle cell trait patient. Reported is the case of a 55-year-old woman with sickle cell trait who underwent a deep inferior epigastric perforator microvascular free flap following mastectomy. The flap developed signs of venous congestion on postoperative day 2 but was found to have patent arterial and venous anastomoses on exploration in the operating room. On near-infrared indocyanine green angiography, poor vascular flow was noted despite patent anastomoses and strong cutaneous arterial Doppler signals. Intrinsic microvascular compromise or sickling remains a risk in the sickle cell trait population as it does for the sickle cell disease population. Just like in sickle cell disease patients, special care should be taken to optimise anticoagulation and minimise ischaemia-induced sickling for patients with sickle cell trait undergoing microsurgery.
MeSH term(s)	Anticoagulants/therapeutic use ; Breast Neoplasms/surgery ; Epigastric Arteries/transplantation ; Female ; Heparin/therapeutic use ; Humans ; Hyperemia/drug therapy ; Hyperemia/etiology ; Mastectomy ; Microsurgery ; Middle Aged ; Patient Safety ; Perforator Flap/blood supply ; Perforator Flap/transplantation ; Sickle Cell Trait/complications
Chemical Substances	Anticoagulants ; Heparin (9005-49-6)
Language	English
Publishing date	2020-05-06
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1757-790X
ISSN (online)	1757-790X
DOI	10.1136/bcr-2020-234924
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Article ; Online: Accuracy of Online Pictorial Resources for Common Hand Surgery Procedures.

Park, Kitae E / Allam, Omar / Kim, Samuel / Prsic, Adnan

Hand (New York, N.Y.)

2020 Volume 17, Issue 2, Page(s) 361–365

Abstract: Background: ...

Abstract	Background:
MeSH term(s)	Carpal Tunnel Syndrome ; Hand/surgery ; Humans ; Trigger Finger Disorder/surgery
Language	English
Publishing date	2020-07-25
Publishing country	United States
Document type	Journal Article
ZDB-ID	2277325-3
ISSN	1558-9455 ; 1558-9447
ISSN (online)	1558-9455
ISSN	1558-9447
DOI	10.1177/1558944720937360
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