Outcomes of Gastroschisis and Omphalocele Treated at Children's Surgery Verified Centers in Texas.

Introduction: Anterior abdominal wall defects (AWDs), such as gastroschisis or omphalocele, are often diagnosed prenatally and counseled to deliver at facilities with resources capable of managing their AWD and complex-associated anomalies. The American College of Surgeons instituted their Children's Surgery Verification (CSV) program to identify facilities with the optimal resources for pediatric surgical care. We aimed to evaluate the impact of CSV status on the outcomes of AWD and potential health disparities in the care of AWD in the first year of life in Texas.

Long-Term Paddy Soil Development Buffers the Increase in Arsenic Methylation and Thiolation after Sulfate Fertilization.

Sulfate fertilization has been proposed to limit arsenic (As) mobility in paddy soils and accumulation in rice grains. However, As and sulfur (S) have complex biogeochemical interactions. Besides the desired precipitation of sulfides that sorb or incorporate As, S can enhance As biotic methylation and abiotic thiolation.

The treatment effect of operative intervention for flame versus scald burns in resource-limited settings.

Introduction: In resource-limited environments, it is critical to triage burn patients most likely to benefit from operative intervention. This study sought to identify patients with a more significant treatment effect after operative intervention following burn injury at a tertiary burn center in Lilongwe, Malawi.

Methods: This is a retrospective analysis of burn patients presenting to Kamuzu Central Hospital from 2011 to November 2022.

Ex Utero Intrapartum Treatment for Prenatally Diagnosed Cervicofacial Lymphatic Malformations.

Introduction: Cervicofacial lymphatic malformations (cf-LM) may be identified on prenatal ultrasound, prompting consideration of ex utero intrapartum treatment (EXIT) to secure the fetal airway. Furthermore, the recent shift in postnatal management of cf-LM from resection alone toward a multimodal approach including sirolimus and sclerotherapy may impact the neonatal outcomes of cf-LM. This study aims to characterize the neonatal outcomes of patients with prenatally diagnosed cf-LM who underwent EXIT-to-airway.