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Surgical training trends in the Americas: A cross-continental assessment of minimally invasive surgery and open surgery among surgical trainees.
World J Surg
November 2024
Division of General and Acute Care Surgery, Department of Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
Introduction: Minimally invasive surgery (MIS) has become standard of care in many high-income countries, but its adoption in low- and middle-income countries (LICs/MICs) has been impeded by resource- and training-related barriers. We hypothesized that trainees in MICs perform MIS procedures less often, and that as procedure complexity increases, the rate of MIS decreases.
Methods: A 22-question survey, distributed to representative leaders across Latin America, collected country-specific graduating trainee case requirements and volumes for four index procedures (cholecystectomy, appendectomy, inguinal hernia repair, colectomy) using MIS or open surgery (OS).
Latin American consensus recommendations for the management and treatment of patients with treatment-resistant depression (TRD).
Span J Psychiatry Ment Health
September 2023
Research Center on Neurosciences, University of Palermo, Buenos Aires, Argentina; Department of Psychiatry, Queen's University, Kingston, Ontario, Canada. Electronic address:
Unlabelled: Despite the abundance of literature on treatment-resistant depression (TRD), there is no universally accepted definition of TRD, and available treatment pathways for the management of TRD vary across the Latin American region, highlighting the need for a uniform definition and treatment principles to optimize the management of TRD in Latin America.
Methods: Following a thematic literature review and pre-meeting survey, a Latin America expert panel comprising 14 psychiatrists with clinical experience in managing patients with TRD convened and utilized the RAND/UCLA appropriateness method to develop consensus-based recommendations on the appropriate definition of TRD and principles for its management.
Results: The expert panel agreed that 'treatment-resistant depression' (TRD) is defined as 'failure of two drug treatments of adequate doses, for 4-8 weeks duration with adequate adherence, during a major depressive episode'.
The Effect of Obesity on Vaginoplasty Outcomes.
Ann Plast Surg
April 2024
Department of Plastic and Reconstructive Surgery, MedStar Washington Hospital Center, Washington, DC.
Background: Some surgeons use body mass index criteria within the patient selection processes before vaginoplasty, thereby limiting access to select obese patients. We sought to better characterize the effect of obesity on postoperative outcomes across multiple vaginoplasty techniques.
Methods: A single-center retrospective review of all transfeminine patients undergoing primary vaginoplasty procedures from December 2018 to July 2022 was conducted.
Effects of disturbances and environmental changes on an aridland riparian generalist.
PeerJ
June 2023
School of Natural Resources and the Environment, University of Arizona, Tucson, Arizona, United States.
Anthropogenic climate change and ecosystem disturbances can detrimentally affect habitats and species. Areas with concentrated biodiversity, such as aridland riparian zones, often yield the greatest number of vulnerable species. A better understanding of ecological and environmental relationships can guide more effective conservation strategies.
View Article and Find Full Text PDFIs the temperament of crossbred dairy cows related to milk cortisol and oxytocin concentrations, milk yield, and quality?
PLoS One
June 2023
Nucleus of Studies and Research in Ethology and Animal Welfare (NEBEA), Department of Zoology, Institute of Biological Sciences, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.
Reactive dairy cows are more susceptible to stress, and this may result in negative effects on milk yield and quality. The aims of this study were to investigate the relationships between temperament traits and concentration of milk cortisol and oxytocin, milk yield, milkability, and milk quality in Holstein-Gyr cows. Temperament traits were assessed in 76 Holstein-Gyr cows in the milking parlor (by scoring milking reactivity and recording the numbers of steps and kicks during pre-milking udder preparation and when fitting the milking cluster) and during handling in the corral (by measuring the time to enter in the squeeze chute, ET and flight speed, FS).
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