Publications by authors named "Ee Zheng"

Background: Nursing internship play a crucial role in cultivating nursing students. However, nursing interns often face challenges of career anxiety, which can have negative impacts on their professional development and work quality. Therefore, understanding the factors influencing career anxiety among nursing interns is important.

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Background: Acellular dermal matrices (ADM) are an adjunct in implant-based breast reconstruction. While clinical outcomes have generally been equivocal between brands, a cost analysis between these brands has yet to be conducted. This study reports a single, academic institution's experience with 2 ADM brands in breast reconstruction and provides data on clinical and financial outcomes.

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Objective: The pattern, rate, and natural history of bone flap resorption following cranioplasty with frozen, autologous bone flap has not been fully defined. The authors sought to quantify the progression and natural history of bone flap resorption.

Methods: Patients who had craniectomy and delayed cranioplasty with stored, frozen bone flap between 2012 and 2022 were included in this study.

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Article Synopsis
  • This study reviews the use of free flap reconstruction for patients with cleft palates who have persistent oronasal fistulas, gathering data on various flap types and surgical outcomes.
  • A systematic review included 23 retrospective case studies, encompassing 65 patients with an average age of 19.3 years and a common use of the radial forearm flap.
  • Results indicated a low rate of complications, with only 13.8% experiencing recurrent fistulas and significant speech improvement noted in many cases.
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  • The study examined the Schnur scale, which uses body surface area (BSA) to decide how much breast tissue to remove during reduction surgeries, revealing inconsistencies in BSA and mastectomy weights among patients.
  • Researchers conducted a chart review of 130 patients who had mastectomies, finding significant variations in BSA, body mass index (BMI), and Schnur weight requirement (SWR) even among those with similar mastectomy weights.
  • The findings suggest that there is no reliable link between BSA and breast weight, which could lead to unsuitable outcomes for patients needing breast reductions if the Schnur weight requirement is strictly enforced.
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Lymphaticovenous anastomosis (LVA) surgery is an effective surgery for the treatment of lymphedema in the extremities. Indocyanine green lymphography is the reference standard for visualizing lymphatics for LVA surgery, but it has several limitations; most notably, superficial dermal congestion can mask deeper lymphatic vessels. To overcome the limitations, we add contrast-enhanced ultrasound (CEUS) lymphography.

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Background: We performed an assessment of patient response rates and clinical outcomes to the global recall for textured breast implants and to our institution's letters informing them of their risk of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).

Methods: A retrospective review of patients who had textured implants placed at our institution was completed. Outcome measures included patient response rates to either the global recall or our institution's letters, rate of textured implant removal, and type of subsequent revision surgery.

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Purpose: Timothy syndrome (TS) is characterized by congenital long-QT arrhythmia and limb syndactyly. Patients who undergo syndactyly repair with undiagnosed TS may have their abnormal cardiac electrical activity unmasked during surgery. The purpose of this study was to detail the extremity phenotype seen in patients with TS, which may help hand surgeons in their preoperative assessment.

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Background: One of the most devastating complications following implant-based breast reconstruction is periprosthetic infection. Making a prompt and accurate diagnosis has been a challenge as plastic surgeons are limited by nonspecific systemic markers of infection, clinical examination findings, or imaging modalities.

Objectives: The aim of this study is to evaluate the use of periprosthetic fluid using cell count and differential as an aid in the diagnosis of infection.

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Article Synopsis
  • Ultrasound vibrometry noninvasively measures shear wave propagation in soft tissue and estimates shear moduli by analyzing velocities at different frequencies.
  • Three classical models—Voigt, Maxwell, and Zener—were tested for their effectiveness in characterizing tissue, specifically porcine livers with varying thermal damage and storage times.
  • The Zener model excelled in estimating shear moduli with minimal errors but does not directly indicate damage levels; however, its creep and relaxation behaviors offered valuable insights.
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