479 results match your criteria: "Miami Valley Hospital[Affiliation]"
Smelling Salts Use and Abuse-Evidence and Myths for Practice.
Clin Nurse Spec
December 2024
Author Affiliation: Nurse Scientist, Premier Health-Miami Valley Hospital, Dayton, Ohio.
Socioeconomic deprivation is predictive of incomplete postoperative follow-up in patients with tibial shaft fractures.
Arch Orthop Trauma Surg
December 2024
Department of Orthopaedic Surgery, Wright State University Boonshoft School of Medicine, Dayton, OH, 45409, USA.
Introduction: Patients who sustain tibial shaft fractures are at risk for delayed recognition of complications with inadequate postoperative follow-up. Area Deprivation Index (ADI) is a surrogate which may be used to analyze the effects of socioeconomic deprivation on postoperative follow-up rates. The purpose of this study was to determine if ADI is associated with incomplete postoperative follow-up after intramedullary (IM) nailing for fractures of the tibial diaphysis.
View Article and Find Full Text PDFMain versus segmental hepatic artery angioembolization in patients with traumatic liver injuries: A Western Trauma Association multicenter study.
Surgery
November 2024
Division of Trauma, Department of Surgery, Burns and Surgical Critical Care, University of California, Irvine, CA. Electronic address:
Introduction: Hepatic angioembolization is highly effective for hemorrhage control in hemodynamically stable patients with traumatic liver injuries and contrast extravasation. However, there is a paucity of data regarding the specific location of angioembolization within the hepatic arterial vasculature and its implications on patient outcomes.
Methods: A post-hoc analysis of a multicenter prospective observational study across 23 centers was performed.
Observation-first versus angioembolization-first approach in stable patients with blunt liver trauma: A WTA multicenter study.
J Trauma Acute Care Surg
November 2024
From the Division of Division of Trauma, Burns and Surgical Critical Care, Department of Surgery (P.D.N., J.N., N.A., A.G.), University of California, Irvine, Orange, California; Section of Surgical Sciences (J.M.S.), Vanderbilt University Medical Center, Nashville, TN; Department of Surgery, University of Colorado, Aurora, Colorado (M.C., H.C., R.M., S.U., C.C.B., C.V.); Department of Surgery (S.B., R.C.D.), UCSF-Fresno, Fresno, California; Division of Trauma and Acute Care Surgery (M.C.S.), Mount Carmel East; Trauma, Critical Care and Acute Care Surgery (A.L.), Grant Medical Center, Columbus, Ohio; Department of Surgery (M.S.F.), Lehigh Valley Health Network, Allentown, Pennsylvania; Departments of Emergency Medicine and Surgery, Program in Trauma (D.M.S.), R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, Maryland; Graduate Medical Education (M.S.T., H.M.G.V.), Methodist Dallas Medical Center, Dallas, Texas; Division of Trauma, Acute Care Surgery and Surgical Critical Care, Department of Surgery (C.J.M., T.J.M.), Spartanburg Regional Medical Center, Spartanburg, South Carolina; Department of Surgery (C.G.B.), University of Calgary, Calgary, Alberta, Canada; Division of Acute Care Surgery (K.M., G.M.), Loma Linda University Health, Loma Linda, California; Department of Surgery (D.J.H., H.A.), University of Maryland School of Medicine, Baltimore, Maryland; Department of Trauma and Acute Care Surgery (T.J.S., J.R.), UCHealth Memorial Hospital, Colorado Springs, Colorado; Department of General Surgery (M.B.), Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel; Division of Trauma, Acute Care Surgery and Surgical Critical Care (N.K., M.C.), Banner-University Medical Center Phoenix, Phoenix, Arizona; Division of Trauma and Critical Care, Department of Surgery (N.K.D., E.J.L.), Cedars-Sinai Medical Center, Los Angeles, California; Department of Surgery (T.E., J.W.), Cooper University Hospital, Camden, New Jersey; Department of Surgery and Perioperative Care (T.C.P.C., V.E.), Dell Medical School, University of Texas at Austin, Austin, Texas; Division of Trauma Acute Care Surgery, Department of Surgery (K.P., K.C.), Banner Thunderbird Medical Center, Glendale, Arizona; Division of Trauma and Surgical Critical Care, Department of Surgery (S.B.), Hackensack University Medical Center, Hackensack, New Jersey; Division of Trauma and Surgical Critical Care, Department of Surgery (F.S.E.), Rutgers New Jersey Medical School, Newark, New Jersey; Department of Trauma and Acute Care Surgery (W.D., C.P.), Medical Center of the Rockies, Loveland, Colorado; University of Wisconsin-Madison School of Medicine and Public Health (N.L.W.), Madison, Wisconsin; Department of Trauma (J.M.H., K.L.), Ascension Via Christi Saint Francis, Wichita, Kansas; Department of Surgery (G.S.), Miami Valley Hospital, Wright State University, Dayton, Ohio; Department of Surgery (K.S.), Prisma Health-Upstate, Greenville, South Carolina; and Department of Surgery (L.A.H.), Boulder Community Hospital, Boulder, Colorado.
Background: Prior studies evaluating observation versus angioembolization (AE) for blunt liver injuries (BLT) with contrast extravasation (CE) on computed tomography imaging have yielded inconsistent conclusions, primarily due to limitations in single-center and/or retrospective study design. Therefore, this multicenter study aims to compare an observation versus AE-first approach for BLT, hypothesizing decreased liver-related complications (LRCs) with observation.
Methods: We conducted a post hoc analysis of a multicenter, prospective observational study (2019-2021) across 23 centers.
Antihypertensive therapy and unplanned maternal postpartum healthcare utilization in patients with mild chronic hypertension.
Am J Obstet Gynecol MFM
December 2024
Department of Obstetrics and Gynecology and Center for Women's Reproductive Health, University of Alabama at Birmingham (Tita), Birmingham , Alabama, USA.
Article Synopsis
- - The study aimed to see if treating mild chronic hypertension (CHTN) during pregnancy would lead to fewer unplanned healthcare visits after childbirth.
- - An analysis of 2,293 pregnant patients showed that overall unplanned healthcare utilization rates were similar between the treatment and control groups, though emergency visits were notably lower in the treated group.
- - Factors like higher BMI and cesarean deliveries were found to increase the likelihood of needing unplanned postpartum care, even though treating mild CHTN showed some specific benefits.
Comparison of intraoperative and postoperative outcomes between open, wiltse, and percutaneous approach to traumatic thoracolumbar spine fractures without neurological injury: A systematic review and meta-analysis.
N Am Spine Soc J
December 2024
Department of Neurosurgery, Duke University School of Medicine, Durham, NC, United States.
Article Synopsis
- - A systematic review compared different surgical approaches for fixing traumatic thoracolumbar fractures without neurological injury, focusing on traditional open, mini-open Wiltse, and percutaneous methods.
- - Results showed the Wiltse approach had advantages such as lower operative time, blood loss, and hospital stay compared to the traditional open method, while also performing better in certain metrics against the percutaneous approach.
- - The study concludes that minimally invasive techniques may reduce patient complications and improve care, recommending a prospective trial for better evaluation of outcomes and surgical choices.
Comparative effectiveness trial of metformin versus insulin for the treatment of gestational diabetes in the USA: clinical trial protocol for the multicentre DECIDE study.
BMJ Open
September 2024
Department of Obstetrics and Gynecology, The Ohio State University, Columbus, Ohio, USA.
Article Synopsis
- Gestational diabetes mellitus (GDM) is a common pregnancy complication, requiring glycaemic control to prevent negative outcomes for both the mother and baby, with about 25% needing medication like insulin or metformin.
- A study will compare the effectiveness and safety of metformin versus insulin in a diverse group of 1572 pregnant individuals needing treatment, tracking their health and their children's health for two years.
- Ethical approval has been obtained, and plans include publishing detailed results on the findings related to treatment experiences and safety outcomes.
A Case Report of Hemophagocytic Lymphohistiocytosis Masquerading as Sepsis.
Cureus
August 2024
Hospital Medicine, Miami Valley Hospital, Dayton, USA.
Article Synopsis
- - The text discusses hemophagocytic lymphohistiocytosis (HLH), a severe condition often triggered by a cytokine storm, which can lead to death, particularly in the presence of sepsis that masks early HLH signs.
- - A case study is presented where a patient showed persistent symptoms like high fever and confusion, ultimately being diagnosed with HLH after complications such as deep vein thrombus and renal failure despite treatments.
- - Despite aggressive treatment for HLH, including antineoplastics and corticosteroids due to associated T-cell lymphoma, the patient’s condition deteriorated, leading to shock and eventually cardiac arrest.
Effects of Antihypertensive Therapy During Pregnancy on Postpartum Blood Pressure Control.
Obstet Gynecol
October 2024
Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, University of Pennsylvania, Philadelphia, Pennsylvania, University of Texas at Houston, Houston, Texas, Columbia University, New York, New York, Duke University, Durham, North Carolina, St. Luke's University Health Network, Bethlehem, Pennsylvania, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas, Metro Health/Case Western University, Cleveland, Ohio, Indiana University, Indianapolis, Indiana, Drexel University College of Medicine, Philadelphia, Pennsylvania, University of Utah Health, Salt Lake City, Utah, University of Texas Southwestern, Dallas, Texas, Intermountain Healthcare, Salt Lake City, Utah, Ochsner Health, New Orleans, Louisiana, University of Texas Medical Branch, Galveston, Texas, St. Peters University Hospital, New Brunswick, New Jersey, Washington University in St. Louis, St. Louis, Missouri, University of Mississippi Medical Center, Jackson, Mississippi, Magee Women's Hospital and University of Pittsburgh, Pittsburgh, Pennsylvania, The Ohio State University, Columbus, Ohio, Rutgers University-Robert Wood Johnson Medical School, Brunswick, New Jersey, Medical College of Wisconsin, Milwaukee, Wisconsin, University of South Alabama at Mobile, Mobile, Alabama, Weill Cornell University, New York City, New York, Yale University, New Haven, Connecticut, NYU Langone Hospital-Long Island, Mineola, New York, University of Colorado, Aurora, Colorado, Emory University, Atlanta, Georgia, Denver Health, Denver, Colorado, University of California, San Francisco, San Francisco, California, NewYork-Presbyterian Queens Hospital, Flushing, New York, Stanford University, Stanford, California, Arrowhead Regional Medical Center, Colton, California, Tulane University, New Orleans, Louisiana, Wright State University and Miami Valley Hospital, Dayton, Ohio, University of Kansas Medical Center, Kansas City, Kansas, Medical University of South Carolina, Charleston, South Carolina, Vanderbilt University School of Medicine, Nashville, Tennessee, and Tufts University School of Medicine, Boston, Massachusetts; Beaumont Hospital, Grand Rapids, Michigan; the Center for Women's Reproductive Health, the Department of Biostatistics, the Department of Pediatrics, and the Department of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama; the Christiana Care Center for Women's and Children Health Research, Newark, Delaware; Zuckerberg San Francisco General Hospital, San Francisco, California; the Division of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, Bethesda, Maryland; Virtua Health, Marlton, New Jersey; Oregon Health and Science University, Portland, Oregon; the Department of Obstetrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas; the Fetal Care Center of Cincinnati, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Good Samaritan Hospital, Cincinnati, Ohio; the Department of Obstetrics, Gynecology and Women's Health, New Jersey Medical School, Rutgers Biomedical and Health Sciences, Newark, New Jersey; Obstetrics and Gynecology/Maternal-Fetal Medicine, University of Tennessee Health Science Center, Memphis, Tennessee; the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Lehigh Valley Health Network, Allentown, Pennsylvania; and Obstetrics and Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, Ohio.
Objective: To compare differences in postpartum blood pressure (BP) control (BP below 140/90 mm Hg) for participants with hypertension randomized to receive antihypertensive treatment compared with no treatment during pregnancy.
Methods: This study was a planned secondary analysis of a multicenter, open-label, randomized controlled trial (The CHAP [Chronic Hypertension and Pregnancy] trial). Pregnant participants with mild chronic hypertension (BP below 160/105 mm Hg) were randomized into two groups: active (antihypertensive treatment) or control (no treatment unless severe hypertension, BP 160/105 mm Hg or higher).
Minimizing Redislocation Rates and Restoring Function After Patella Dislocation: A Critically Appraised Topic.
J Sport Rehabil
September 2024
Miami Valley Hospital Huber Heights Physical Therapy, Huber Heights, OH, USA.
Article Synopsis
- Patella dislocation is a frequent knee injury that can lead to ongoing pain and a higher chance of future dislocations, with treatment options including surgery and physical therapy for stabilization and function restoration.
- A clinical study compared outcomes for patients treated with medial patellofemoral ligament (MPFL) surgery versus conservative methods, assessing redislocation rates and knee function using the Kujala scale.
- Results showed that surgical intervention led to significantly lower redislocation rates and improved knee function at a two-year follow-up, while differences in knee function between surgery types and conservative treatment were not significant at one year or two years after MPFL repair.
Drug Shortages After 10 Years-Sorry, Nothing Has Changed.
Clin Nurse Spec
August 2024
Author Affiliation: Nurse Scientist, Center of Nursing Excellence, Premier Health-Miami Valley Hospital, Dayton, Ohio.
Chronic Use of Abemaciclib Leading to Breathlessness and Demise: A Case Report.
Cureus
July 2024
Hospital Medicine, Miami Valley Hospital, Dayton, USA.
Checkpoint inhibitor pneumonitis (CIP) is a potentially fatal disease that can occur at any duration of treatment. Patients may present with vague respiratory symptoms such as progressive cough, dyspnea, and decreased activity tolerance. Among checkpoint inhibitors, CIP is higher in programmed death 1 (PD-1) inhibitors.
View Article and Find Full Text PDFOrthopedic injuries due to hoverboard use, reported in the NEISS database, 2015-2022.
Injury
November 2024
Wright State University Boonshoft School of Medicine, Department of Orthopedic Surgery, Dayton, OH, 45409, USA.
Article Synopsis
- Hoverboards are fun but risky, leading to many orthopedic injuries, especially among kids and teens; past studies had limitations, motivating this updated research.
- A study analyzing 4,718 hoverboard injuries (with an estimated total of 154,121) from 2015 to 2022 found most patients were under 18 and injuries predominantly involved fractures.
- The research indicated a high incidence of injuries in 2018 and 2020, with no significant changes in injury rates over the years, highlighting the ongoing safety concerns.
Third-Trimester Ultrasound Diagnosis of Large for Gestational Age and Risk of Cesarean Delivery.
J Ultrasound Med
November 2024
Department of Obstetrics & Gynecology, Boonshoft School of Medicine, Wright State University, Dayton, Ohio, USA.
Objective: Determine if knowledge of a third-trimester ultrasound diagnosis of large for gestational age (LGA) independently increases the risk of cesarean delivery (CD).
Study Design: Historical cohort comparing CD rate among patients diagnosed with an LGA fetus on a clinically indicated ultrasound from January 2017 to July 2021 with those without an LGA diagnosis at 34 weeks or later. LGA was defined as an ultrasound-estimated fetal weight greater than or equal to the 90th percentile for the gestational age.
Morphological human bone features and demography controlling damage accumulation and fracture: a finite element study.
Comput Methods Biomech Biomed Engin
July 2024
Department of Biomedical, Industrial, and Human Factors Engineering, Wright State University, Dayton, OH, USA.
Article Synopsis
- Predicting bone fracture risk is difficult, but computational modeling helps understand bone structure and diseases, focusing on demographic factors like age and gender.
- The study developed 3D bone models to explore the anisotropic nature of bone, revealing significant differences in stress levels among various demographic groups, with young Black males experiencing the highest stress and elderly Caucasian females the lowest.
- A proposed prediction equation for bone density based on demographic variables aims to create a personalized approach in orthopedic treatments, highlighting the importance of individual characteristics in improving therapeutic outcomes.
Short- and intermediate-term outcomes of transcatheter aortic valve replacement in low-risk patients: A meta-analysis and systematic review.
Int J Cardiol Heart Vasc
August 2024
Division of Cardiology, Guthrie Health System/ Robert Packer Hospital, Sayre, PA, USA.
Background: Transcatheter aortic valve replacement (TAVR) being currently employed in low surgical risk patients with severe symptomatic aortic stenosis (AS). The durability and extended outcomes of TAVR as compared to surgical aortic valve replacement (SAVR) in low-risk patients remains uncertain.
Methods: We selected randomized controlled trials (RCT) comparing outcomes of TAVR vs.
Shifting Trends in the Epidemiology of Cervical Spine Injuries: An Analysis of 11,822 Patients from the National Electronic Injury Surveillance System over Two Decades.
J Neurotrauma
September 2024
Department of Orthopedics, Miami Valley Hospital, Centerville, Ohio, USA.
Cervical spine injuries (CSIs) are heterogeneous in nature and often lead to long-term disability and morbidity. However, there are few recent and comprehensive epidemiological studies on CSI. The objective of this study was to characterize recent trends in CSI patient demographics, incidence, etiology, and injury level.
View Article and Find Full Text PDFOptimal Timing of Delivery for Pregnant Individuals With Mild Chronic Hypertension.
Obstet Gynecol
September 2024
Departments of Obstetrics and Gynecology, University of Utah, Salt Lake City, Utah, University of Texas at Houston, Houston, and University of Texas Medical Branch, Galveston, Texas, University of Pennsylvania and Drexel University College of Medicine, Philadelphia, and Magee Women's Hospital and University of Pittsburgh, Pittsburgh, Pennsylvania, University of North Carolina at Chapel Hill, Chapel Hill, and Duke University, Durham, North Carolina, Columbia University and Weill Cornell University, New York, and NYU Langone Hospital-Long Island, Long Island, and NewYork-Presbyterian Queens Hospital, Flushing, New York, University of Oklahoma Health Sciences, Oklahoma City, Oklahoma, Indiana University, Indianapolis, Indiana, University of Alabama at Birmingham, Birmingham, and University of South Alabama at Mobile, Mobile, Alabama, UnityPoint Health-Meriter Hospital/Marshfield Clinic, Madison, and Medical College of Wisconsin, Milwaukee, Wisconsin, Washington University, St. Louis, Missouri, University of Mississippi Medical Center, Jackson, Mississippi, The Ohio State University, Columbus, and Wright State University and Miami Valley Hospital, Dayton, Ohio, Rutgers University-Robert Wood Johnson Medical School, New Brunswick, New Jersey, Yale University, New Haven, Connecticut, University of Colorado, Aurora, and Denver Health, Denver, Colorado, Emory University, Atlanta, Georgia, University of California, San Francisco, San Francisco, Stanford University, Stanford, and Arrowhead Regional Medical Center, Colton, California, Beaumont Hospital, Michigan, Grosse Pointe, Michigan, Oregon Health & Science University, Portland, Oregon, Tulane University, New Orleans, Louisiana, and University of Kansas Medical Center, Kansas City, Kansas; the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children's Hospital, Houston, and the Department of Women's Health, University of Texas at Austin, Austin, Texas; the Department of Biostatistics, the Division of Neonatology, Department of Pediatrics, and the Center for Women's Reproductive Health, University of Alabama at Birmingham, Birmingham, Alabama; Ochsner Baptist Medical Center, New Orleans, Louisiana; St. Luke's University Health Network, Fountain Hill, and the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Lehigh Valley Health Network, Allentown, Pennsylvania; MetroHealth System, Cleveland, and the Fetal Care Center of Cincinnati, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Intermountain Healthcare, Ogden, Utah; Christiana Care Health Services, Newark, Delaware; St. Peters University Hospital, New Brunswick, Virtua Health, Marlton, and the Department of Obstetrics, Gynecology and Women's Health, New Jersey Medical School, Rutgers Biomedical and Health Sciences, Newark, New Jersey; Zuckerberg San Francisco General Hospital, San Francisco, California; the Department of Obstetrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas; Obstetrics and Gynecology/Maternal-Fetal Medicine, University of Tennessee Health Science Center, Memphis, Tennessee; Medical University of South Carolina, Charleston, South Carolina; and the Division of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, Bethesda, Maryland.
Objective: To investigate the optimal gestational age to deliver pregnant people with chronic hypertension to improve perinatal outcomes.
Methods: We conducted a planned secondary analysis of a randomized controlled trial of chronic hypertension treatment to different blood pressure goals. Participants with term, singleton gestations were included.
The Impact of Diagnosed Chronic Sleep Disorders on Outcomes Following Total Knee Arthroplasty.
J Arthroplasty
December 2024
Shelbourne Knee Center, Indianapolis, Indiana.
Background: Up to 20% of patients undergoing total knee arthroplasty (TKA) remain dissatisfied with their outcome, leading to the identification of risk factors for poor outcomes. The purpose of this study was to analyze the effect of chronic sleep disorders on patient-reported outcomes after primary TKA.
Methods: A retrospective review of patients undergoing primary TKA was conducted using a prospectively collected database of patients from a single institution between 2018 and 2022.
Profound Rhabdomyolysis and Viral Myositis Due to SARS-CoV-2: A Case Report.
Cureus
May 2024
Hospital Medicine, Miami Valley Hospital, Dayton, USA.
The novel SARS-CoV-2 introduced several new inflammatory conditions including SARS-CoV-2-associated rhabdomyolysis and viral myositis. We present a 22-year-old man who noted a week of cough followed by myalgias, dark-colored urine, and decreased oral intake. He was found to have acute nontraumatic rhabdomyolysis after an acutely positive SARS-CoV-2 test.
View Article and Find Full Text PDFIn Vivo Durability of Polyurethane Insulated Implantable Cardioverter Defibrillator (ICD) Leads.
Polymers (Basel)
June 2024
Department of Biomedical, Industrial and Human Factors Engineering, Wright State University, Dayton, OH 45435, USA.
The 6935M Sprint Quattro Secure S and 6947M Sprint Quattro Secure are high voltage leads designed to administer a maximum of 40 joules of energy for terminating ventricular tachycardia or ventricular fibrillation. Both leads utilize silicone insulation and a polyurethane outer coating. The inner coil is shielded with polytetrafluoroethylene (PTFE) tubing, while other conductors are enveloped in ethylene tetrafluoroethylene (ETFE), contributing to the structural integrity and functionality of these leads.
View Article and Find Full Text PDFAdvancements in Finite Element Modeling for Cardiac Device Leads and 3D Heart Models.
Bioengineering (Basel)
June 2024
Department of Biomedical, Industrial and Human Factors Engineering, Wright State University, Dayton, OH 45435, USA.
The human heart's remarkable vitality necessitates a deep understanding of its mechanics, particularly concerning cardiac device leads. This paper presents advancements in finite element modeling for cardiac leads and 3D heart models, leveraging computational simulations to assess lead behavior over time. Through detailed modeling and meshing techniques, we accurately captured the complex interactions between leads and heart tissue.
View Article and Find Full Text PDFA Case of Thoracic Aortic Mural Thrombus and Multiple Hypercoagulable Etiologies.
Cureus
May 2024
Department of Internal Medicine, Miami Valley Hospital, Dayton, USA.
Article Synopsis
- Thoracic aortic mural thrombi (TAMT) are rare but serious conditions that can lead to serious complications, including death, and are often linked to hypercoagulability.
- A case study is presented involving an 87-year-old man with TAMT who also had a prothrombin mutation and several health issues that contributed to his hypercoagulable state.
- The authors call for more research on how to treat TAMTs effectively and stress the importance of timely testing for hypercoagulable conditions to prevent future health crises.
Through our eyes: A birth mom and adoptive parent share their perspectives on bias in obstetric care.
Birth
June 2024
Miami Valley Hospital, Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA.
Understanding the impacts of bias, and how to mitigate these impacts, on clinical care is critically important for all healthcare team members. However, the concerns and needs in our current system are likely even more fundamental, as we are continuing to hear about the experiences of patients who are struggling to seek care that contains even the most basic tenants of respect and decency. Creating inclusive and diverse environments requires constant proactive evaluation, commitment, and energy.
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