ChatGPT-4 Can Help Hand Surgeons Communicate Better With Patients.

The American Society for Surgery of the Hand and British Society for Surgery of the Hand produce patient-focused information above the sixth-grade readability recommended by the American Medical Association. To promote health equity, patient-focused content should be aimed at an appropriate level of health literacy. Artificial intelligence-driven large language models may be able to assist hand surgery societies in improving the readability of the information provided to patients.

Diving into the vertical dimension of elasmobranch movement ecology.

Knowledge of the three-dimensional movement patterns of elasmobranchs is vital to understand their ecological roles and exposure to anthropogenic pressures. To date, comparative studies among species at global scales have mostly focused on horizontal movements. Our study addresses the knowledge gap of vertical movements by compiling the first global synthesis of vertical habitat use by elasmobranchs from data obtained by deployment of 989 biotelemetry tags on 38 elasmobranch species.

The danger of DIY Do-It-Yourself related full thickness burn injury: Case report during COVID-19 lockdown in Ireland.

DIY injuries are a common cause of presentation to hospital around the world. During the COVID19 Pandemic there was a significant increase in the number of household injuries. Many of these injuries occur commonly in the home and they presented in increased proportions due to lockdown measures.

Description of first nursery area for a pygmy devil ray species (Mobula munkiana) in the Gulf of California, Mexico.

Munk's pygmy devil rays (Mobula munkiana) are medium-size, zooplanktivorous filter feeding, elasmobranchs characterized by aggregative behavior, low fecundity and delayed reproduction. These traits make them susceptible to targeted and by-catch fisheries and are listed as Vulnerable on the IUCN Red List. Multiple studies have examined fisheries impacts, but nursery areas or foraging neonate and juvenile concentrations have not been examined.

Management of Temporal Bone Malignancy in Ireland.

 Lateral temporal bone malignancy remains a challenging rare disease. We report 17 years of multidisciplinary care of these tumors with univariate and multivariate analyses of key prognostic indicators for consideration in contemporary oncological management.  This is a retrospective cohort study.

A comparison of oncological outcomes after abdominoperineal excision before and after the implementation of a selective perineal flap closure program.

Background And Objectives: Abdominoperineal excision (APE) is the operation chosen when a patient has low rectal cancer unamenable to sphincter preserving surgery. Perineal flap reconstruction is associated with less wound morbidity but little is known about oncological outcomes. The objective was to compare outcomes in patients undergoing APE before and after the introduction of a program that utilized flap reconstruction of the perineum.

An evaluation of body condition and morphometric relationships within southern California juvenile white sharks Carcharodon carcharias.

Length, mass and girth relationships are presented for 112 juvenile white sharks (JWS) Carcharodon carcharias caught in the Southern California Bight (SCB) nursery area between June 2008 and August 2017. No difference was found between male and female JWS length-mass relationships, but data suggest that JWS in the SCB gain more mass per unit length for the juvenile size classes compared with other C. carcharias populations.

A re-evaluation of the size of the white shark (Carcharodon carcharias) population off California, USA.

White sharks are highly migratory and segregate by sex, age and size. Unlike marine mammals, they neither surface to breathe nor frequent haul-out sites, hindering generation of abundance data required to estimate population size. A recent tag-recapture study used photographic identifications of white sharks at two aggregation sites to estimate abundance in "central California" at 219 mature and sub-adult individuals.

Evidence of maternal offloading of organic contaminants in white sharks (Carcharodon carcharias).

Organic contaminants were measured in young of the year (YOY) white sharks (Carcharodon carcharias) incidentally caught in southern California between 2005 and 2012 (n = 20) and were found to be unexpectedly high considering the young age and dietary preferences of young white sharks, suggesting these levels may be due to exposure in utero. To assess the potential contributions of dietary exposure to the observed levels, a five-parameter bioaccumulation model was used to estimate the total loads a newborn shark would potentially accumulate in one year from consuming contaminated prey from southern California. Maximum simulated dietary accumulation of DDTs and PCBs were 25.

Hydrocolloid dressing in pediatric burns may decrease operative intervention rates.

Introduction: Partial-thickness scalds are the most common pediatric burn injury, and primary management consists of wound dressings to optimize the environment for reepithelialization. Operative intervention is reserved for burns that fail to heal using conservative methods. Worldwide, paraffin-based gauze (Jelonet) is the most common burn dressing; but literature suggests that it adheres to wounds and requires more frequent dressing change that may traumatize newly epithelialized surfaces.

Phyllodes tumor of breast.

Phyllodes tumors account for 0.3%-0.5% of all the breast tumors.