Preoperative Risk Factors for Discharge to Facility After Surgery in Geriatric Patients.

Background: The Geriatric Surgery Verification Program (GSV) was developed to address perioperative care for patients ≥75 years, with a goal of improving outcomes and functional abilities after surgery. We sought to evaluate preoperative factors that place patients at risk for inability to return home (ie, discharge to a facility).

Methods: Retrospective review of patients ≥75 years old who underwent inpatient surgery from January 2018 to December 2022 at a referral Veterans Administration Medical Center enrolled in the GSV program.

Feeding Tube Clinic Effect on Nutrition.

Background: Optimizing nutrition is essential for recovery after major surgery or severe illness. Feeding tubes (FT) can be placed in patients limited by oral enteral nutrition. Given the myriad of locations in which these procedures are performed (radiology, intensive care unit, and endoscopy suite), routine follow-up is challenging.

Clin-STAR corner: Practice-changing advances at the interface of surgery and geriatrics.

Older adults who undergo major operations are at high risk for complications, disability, and death. The physio-social compromises unique to older adults are not routinely assessed and managed in the perioperative setting. Currently, the most practice-changing topic nationally in geriatric surgery is the implementation of comprehensive, multidisciplinary geriatric care pathways to provide age-friendly care for older adults throughout their perioperative course.

Telehealth for general surgery postoperative care.

Background: Telehealth utilization rapidly increased following the pandemic. However, it is not widely used in the Veteran surgical population. We sought to evaluate postoperative telehealth in patients undergoing general surgery.

Balancing media selections over time: Emotional valence, informational content, and time intervals of use.

The sequencing of information in media can influence processing of content via mechanisms like framing, mood management, and emotion regulation. This study examined three kinds of media sequences on smartphones: (1) balancing positive and negative emotional content; (2) balancing emotional content with informational content; and (3) balancing time spent on and off the media device. Actual media use was measured in natural settings using the Screenomics framework which gathers screenshots from smartphones every 5 s when devices are on.

Outpatient surgery postoperative ambulation and emergency department utilization.

Background: The ability to ambulate is an important indicator for wellness and quality of life. A major health event, such as a surgery, can derail this ability, and return to preoperative walking ability is a marker for recovery. Self-reported walking measurements by patients are subject to bias, thus wearable technology such as activity monitors have risen in popularity.

Simple dietary substitutions can reduce carbon footprints and improve dietary quality across diverse segments of the US population.

Changing what foods we eat could reduce environmental harms and improve human health, but sweeping dietary change is challenging. We used dietary intake data from a nationally representative sample of 7,753 US children and adults to identify simple, actionable dietary substitutions from higher- to lower-carbon foods (for example, substituting chicken for beef in mixed dishes such as burritos, but making no other changes to the diet). We simulated the potential impact of these substitutions on dietary carbon emissions and dietary quality.

Changes in leukocyte telomere length among children with obesity participating in a behavioural weight control program.

Objective: To examine changes in leukocyte telomere length (LTL) during and after a behavioural weight control program for children with obesity.

Methods: We measured LTL among a cohort of 158 children 8-12 years of age with a body mass index greater than or equal to the 95th percentile for age and sex. Children were 55% female, 29% white, 52% Latinx, 8% Asian and 11% Pacific Islander, other or multiethnic.

The Affective Dynamics of Everyday Digital Life: Opening Computational Possibility.

Unlabelled: Up to now, there was no way to observe and track the affective impacts of the massive amount of complex visual stimuli that people encounter "in the wild" during their many hours of digital life. In this paper, we propose and illustrate how recent advances in AI-trained ensembles of deep neural networks-can be deployed on new data streams that are long sequences of screenshots of study participants' smartphones obtained unobtrusively during everyday life. We obtained affective valence and arousal ratings of hundreds of images drawn from existing picture repositories often used in psychological studies, and a new screenshot repository chronicling individuals' everyday digital life from both = 832 adults and an affect computation model (Parry & Vuong, 2021).

Stray energy injury during robotic versus laparoscopic inguinal hernia repair: a randomized controlled trial.

Background: Stray energy transfer from monopolar instruments during laparoscopic surgery is a recognized cause of potentially catastrophic complications. There are limited data on stray energy injuries in robotic surgery. We sought to characterize stray energy injury in the form of superficial burns to the skin surrounding laparoscopic and robotic trocar sites.

Binding the Person-Specific Approach to Modern AI in the Human Screenome Project: Moving past Generalizability to Transferability.

Advances in ability to comprehensively record individuals' digital lives and in AI modeling of those data facilitate new possibilities for describing, predicting, and generating a wide variety of behavioral processes. In this paper, we consider these advances from a person-specific perspective, including whether the pervasive concerns about of results might be productively reframed with respect to of models, and how self-supervision and new deep neural network architectures that facilitate transfer learning can be applied in a person-specific way to the super-intensive longitudinal data arriving in the Human Screenome Project. In developing the possibilities, we suggest Molenaar add a statement to the person-specific Manifesto - "In short, the concerns about commonly leveled at the person-specific paradigm are unfounded and can be fully and completely replaced with discussion and demonstrations of .

Multisite Implementation of an American College of Surgeons Geriatric Surgery Quality Improvement Initiative.

Background: The American College of Surgeons (ACS) Coalition for Quality in Geriatric Surgery (CQGS) identified standards of surgical care for the growing, vulnerable population of aging adults in the US. The aims of this study were to determine implementation feasibility for 30 selected standards, identify barriers and best practices in their implementation, and further refine these geriatric standards and verification process.

Study Design: The CQGS requested participation from hospitals involved in the ACS NSQIP Geriatric Surgery Pilot Project, previous CQGS feasibility analyses, and hospitals affiliated with a core development team member.

Media Production on Smartphones: Analysis of the Timing, Content, and Context of Message Production Using Real-World Smartphone Use Data.

Although media production is a critical concept in communication theory, we know surprisingly little about the timing, content, and context of individuals' production behavior. Intensive observation and analysis of 94 American adults' smartphone use over 1 week showed that although time spent in producing content was on average only about 6 percent of the amount of time spent on smartphones, the production content was more purposeful, expressive, articulate, condensed, confident, personal, and emotionally charged than consumption content. Analysis of the temporal dynamics of production suggests that the content consumed in the minute before individuals' production began to resemble the subsequently produced content.

Telehealth Follow-Up After Inguinal Hernia Repair in Veterans.

Introduction: Telehealth has been increasingly utilized with a renewed interest by surgical specialties given the COIVD-19 pandemic. Limited data exists evaluating the safety of routine postoperative telehealth follow-up in patients undergoing inguinal hernia repair, especially those who present urgent/emergently. Our study sought to evaluate the safety and efficacy of postoperative telehealth follow-up in veterans undergoing inguinal hernia repair.

Are mobile phone ownership and age of acquisition associated with child adjustment? A 5-year prospective study among low-income Latinx children.

This prospective, longitudinal study examined associations between whether and when children first acquire a mobile phone and their adjustment measures, among low-income Latinx children. Children (N = 263; 55% female; baseline M  = 9.5) and their parents were assessed annually for 5 years from 2012.

Simulation-Based Evaluation of Methods for Handling Nonwear Time in Accelerometer Studies of Physical Activity.

Unlabelled: Accelerometer data are widely used in research to provide objective measurements of physical activity. Frequently, participants may remove accelerometers during their observation period resulting in missing data referred to as nonwear periods. Common approaches for handling nonwear periods include discarding data (days with insufficient hours or individuals with insufficient valid days) from analyses and single imputation (SI) methods.

Telehealth follow-up after cholecystectomy is safe in veterans.

Background: The COVID-19 pandemic has brought many challenges including barriers to delivering high-quality surgical care and follow-up while minimizing the risk of infection. Telehealth has been increasingly utilized for post-operative visits, yet little data exists to guide surgeons in its use. We sought to determine safety and efficacy of telehealth follow-up in patients undergoing cholecystectomy during the global pandemic at a VA Medical Center (VAMC).

Correction: Mathur et al. Effectiveness of a Theory-Informed Documentary to Reduce Consumption of Meat and Animal Products: Three Randomized Controlled Experiments. 2021, , 4555.

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Robotic stray energy with constant-voltage versus constant-power regulating electrosurgical generators.

Introduction: Stray energy from surgical energy instruments can cause unintended thermal injuries. There are no published data regarding electrosurgical generators and their influence on stray energy transfer during robotic surgery. There are two approved generators for the DaVinci Xi robotic platform: a constant-voltage regulating generator (cVRG) and a constant-power regulating generator (cPRG).

A dedicated feeding tube clinic reduces emergency department utilization for gastrostomy tube complications.

Introduction: Enteral access is required for a variety of reasons from neuromuscular disorders to dysphagia. Gastrostomy tubes (GTs) can be placed endoscopically, surgically, or radiographically and complications include infection, bleeding, leakage and unintentional removal. Routine post-procedural follow-up is limited by inconsistent guidelines and management by different specialty teams.

Safer operating room teams: rationale for the fundamental use of surgical energy (FUSE) hospital compliance module.

Background: The Fundamental Use of Surgical Energy (FUSE) program was developed by The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) to promote the safe use of surgical energy. A curriculum that could be used in hospital educational programs was needed to expand access. The goal of this project was to develop a short, inexpensive, online module that emphasizes key FUSE learning objectives.

Effectiveness of a Theory-Informed Documentary to Reduce Consumption of Meat and Animal Products: Three Randomized Controlled Experiments.

Several societal issues could be mitigated by reducing global consumption of meat and animal products (MAP). In three randomized, controlled experiments (n=217 to 574), we evaluated the effects of a documentary that presents health, environmental, and animal welfare motivations for reducing MAP consumption. Study 1 assessed the documentary's effectiveness at reducing reported MAP consumption after 12 days.

A Multidisciplinary High-Risk Surgery Committee May Improve Perioperative Decision Making for Patients and Physicians.

Surgeons must evaluate and communicate the risk associated with operative procedures for patients at high risk of poor postoperative outcomes. Multidisciplinary approaches to complex decision making are needed. To improve physician decision making for high-risk surgical patients.