Submissions from 2024
Differentiating monogenic and syndromic obesities from polygenic obesity: Assessment, diagnosis, and management, Angela K. Fitch, Sonali Malhotra, and Rushika Conroy
Event-free survival in relapsed and refractory rhabdomyosarcoma treated on cooperative group phase II trials: A report from the Children's Oncology Group, Jonathan Metts, Wei Xue, Zhengya Gao, Sapna Oberoi, Aaron R. Weiss, and Rajkumar Venkatramani
In Support of Overdose Prevention Centers: Position Statement of AMERSA, Inc (Association for Multidisciplinary Education and Research in Substance Use and Addiction), Katherine Dunham, Katherine Hill, Hannah Kazal, Jenna L. Butner, Ilana Hull, Kimberly Sue, and Kinna Thakarar
Peril and Promise: Teens, Tech, and America's Mental Health Crisis, Erin Belfort, Carlene MacMillan, and Paul Weigle
Woman With Leg Pain, Matthew Peters, David C. Mackenzie, Christina N. Wilson, Peter E. Croft, Annie Huyler, and Margarita Popova
The Plasma Metabolome and Risk of Incident Kidney Stones, Pietro Manuel Ferraro, Yukun Li, Raji Balasubramanian, Gary C. Curhan, and Eric N. Taylor
A Systematic Review of Retracted Publications in Clinical Orthopaedic Research, Catherine M. Call, Peter C. Michalakes, Andrew D. Lachance, Thomas Zink, and Brian J. McGrory
Enhancing the Therapeutic Activity of an Immune Checkpoint Inhibitor, MaineHealth, Peter C. Brooks, Jennifer M. Caron, and Liangru Contois
Liposomal bupivacaine in transversus abdominis plane blocks for lower abdominal surgery, Obiyo Osuchukwu, James Gagnon, Janelle Richard, Wendy Craig, and Aurora Quaye
Adipocytes and metabolism: Contributions to multiple myeloma, Heather Fairfield, Michelle Karam, Allyson Schimelman, Ya-Wei Qiang, and Michaela R. Reagan
Multi-Institutional Study of Referral Patterns for Gynecologic Oncology Consultation, Joseph A. DeMari, Isheeta Madeka, Joni K. Evans, Courtney Bailey, Kristen Bartucci, and Justin Bottsford-Miller
Violence in the healthcare workplace, Courtney Hargreaves and Joseph R. Wax
The Safety of Outpatient Health Care : Review of Electronic Health Records, David M. Levine, Ania Syrowatka, Hojjat Salmasian, David M. Shahian, Stuart Lipsitz, Jonathan P. Zebrowski, Laura C. Myers, Merranda S. Logan, Christopher G. Roy, and Christine Iannaccone
Postoperative Activity Restrictions After Slings: A Randomized Controlled Trial, Erica Lai, Katherine McDonald, Vini Chopra, Lindsay Robinson, Alejandro Alvarez, Danielle O'Shaughnessy, Nirmala Pillalamarri, Allison Polland, Dara Shalom, and Harvey Winkler
Expert Consensus on Pediatric Urodynamics Reporting Using Modified Delphi Technique, Kristen M. Meier, Claudia Mata, Jill L. Kaar, Adam J. Rensing, Anne G. Dudley, Alonso Carrasco, Beth A. Drzewiecki, Brian A. VanderBrink, Courtney S. Streur, and David J. Chalmers
Disseminated infection successfully treated with a clofazimine-containing regimen and long-term follow-up after discontinuing treatment, Takaaki Kobayashi, Bradley Ford, Daniel J. Diekema, and Poorani Sekar
Emergency Department SpO/FiO Ratios Correlate with Mechanical Ventilation and Intensive Care Unit Requirements in COVID-19 Patients, Gary Zhang, Michael J. Burla, Benjamin B. Caesar, Carolyne R. Falank, Peter Kyros, and Victoria C. Zucco
Interaction between cold ischemia time and Kidney Donor Profile Index on postrenal transplant outcomes, Winn T. Cashion, Xingyu Zhang, Chethan Puttarajappa, Akhil Sharma, Rajil Mehta, Armando Ganoza, Vikraman Gunabushanam, Puneet Sood, Christine Wu, and Aravind Cherukuri
Novel technique for ultrasound-guided needle tracking: An inexpensive reusable phantom model utilising a closed electrical circuit, Hillary J. McKinley, Isaak Jones, Madeline LaRochelle, Erik Christensen, Weeden Bauman, and Peter Croft
Ovarian Cancer Risk-Reduction and Screening in Mutation Carriers, Jessica B. DiSilvestro, Jessica Haddad, Katina Robison, Lindsey Beffa, Jessica Laprise, and Jennifer Scalia-Wilbur
Perinatal outcomes of pregnancies complicated by prenatally resolved fetal growth restriction, Luke N. Roberts, Haley Perkins, Wendy Y. Craig, and Joseph R. Wax
The 90% effective dose of intrathecal hyperbaric bupivacaine for Cesarean delivery under combined spinal-epidural anesthesia in parturients with super obesity: an up-down sequential allocation study, Hon Sen Tan, Matthew E. Fuller, Emily Z. Barney, Olga I. Diomede, Riley A. Landreth, Trung Pham, Samantha M. Rubright, Liliane Ernst, and Ashraf S. Habib
4-factor prothrombin complex concentrate is not inferior to andexanet alfa for the reversal or oral factor Xa inhibitors: An Eastern Association for the Surgery of Trauma multicenter study, Jordan M. Estroff, Joseph Devlin, Lara Hoteit, Adnan Hassoune, Matthew D. Neal, Joshua B. Brown, Liling Lu, Shannon Kotch, Joshua P. Hazelton, Ashton B. Christian, Eric O. Yeates, Jeffry Nahmias, Lewis E. Jacobson, Jamie Williams, Kevin M. Schuster, Rick O'Connor, Gregory R. Semon, Angela D. Straughn, Daniel Cullinane, Tanya Egodage, Michelle Kincaid, Allison Rollins, Richard Amdur, and Babak Sarani
Tools used to measure the impact of comorbidities on surgical outcomes in children with complex chronic conditions: A scoping review, Rachel L. Difazio, Tania D. Strout, Anna Dorste, Jay G. Berry, and Judith A. Vessey
Implementing Change: Sustaining Enhanced Recovery After Surgery Protocols in Pediatric Surgery Using Iterative Assessments, Allison R. Thompson, Jack P. Vernamonti, Paris Rollins, and K Elizabeth Speck
Radiation Therapy With or Without Cisplatin for Local Recurrences of Endometrial Cancer: Results From an NRG Oncology/GOG Prospective Randomized Multicenter Clinical Trial, Ann H. Klopp, Danielle Enserro, Matthew Powell, Marcus Randall, Julian C. Schink, Robert S. Mannel, Laura Holman, David Bender, Christina L. Kushnir, Floor Backes, Susan L. Zweizig, Steven Waggoner, Kristin A. Bradley, Lana DeSouza Lawrence, Parviz Hanjani, Christopher J. Darus, William Small, Higinia R. Cardenes, Jonathan M. Feddock, and David S. Miller
Real-world effectiveness of elexacaftor/tezacaftor/ivacaftor on the burden of illness in adolescents and adults with cystic fibrosis, Thomas Keens, Veena Hoffman, Ia Topuria, Ken Elder, Shannon Cerf, and Anne Marie Cairns
Racial differences in triage assessment at rural vs urban Maine emergency departments, Madeleine M. Puissant, Isha Agarwal, Elizabeth Scharnetzki, Anya Cutler, and Hadley Gunnell
Intestinal FGF15 regulates bile acid and cholesterol metabolism but not glucose and energy balance, Nadejda Bozadjieva-Kramer, Jae Hoon Shin, Ziru Li, Alan C. Rupp, and Nicole Miller
24-Hour Urinary Chemistries and Kidney Stone Risk, Pietro Manuel Ferraro, Eric N. Taylor, and Gary C. Curhan
Retrograde Tibio-Pedal Access for Endovascular Interventions for Treating Peripheral Arterial Disease, Donald McGuirl and Kristina A. Giles
Embryonal sarcoma of the liver in pediatric and young adult patients: A report from Children's Oncology Group study ARST0332, Sheri L. Spunt, Wei Xue, Zhengya Gao, Andrea Hayes Dixon, and Lynn Million
A Systematic Review of Diagnoses with Rosettes Under Dermoscopy, May Alorainy, Kendall Buchanan, Tyler Nussinow, Judy B. Rabinowitz, Peggy Cyr, and Elizabeth V. Seiverling
Bilateral Total Hip Arthroplasty: Outcomes of Staged Versus Simultaneous Procedures Performed Using an Anterior-Based Muscle-Sparing Approach, Bailey E. Shevenell, Johanna A. Mackenzie, Katerina Tanasijevic, Callahan M. Sturgeon, George M. Babikian, Brian J. McGrory, and Adam J. Rana
Delayed CCL23 response is associated with poor outcomes after cardiac arrest, Joanne T. deKay, Elena Chepurko, Vadim Chepurko, Lacey Knudsen, Christine Lord, Meghan Searight, Sergey Tsibulnikov, Michael P. Robich, Douglas Sawyer, and Teresa May
Effectiveness of Community Education for Breast Cancer Screening, Nadia Zafar, Andrea B. Wolf, Julia L. Kepniss, Ashley C. Teal, and Rachel F. Brem
Evaluating the fairness and accuracy of machine learning-based predictions of clinical outcomes after anatomic and reverse total shoulder arthroplasty, Christine Allen, Vikas Kumar, Josie Elwell, Steven Overman, Bradley S. Schoch, William Aibinder, Moby Parsons, Jonathan Watling, Jiawei Kevin Ko, and Bruno Gobbato
Exploring attitudinal barriers to participation in inpatient fall risk assessment using the Theoretical Domains Framework: A survey of providers, Emily L. Carter, Sarah A. Hallen, Gavin W. Welch, Erin N. Gordon, and Mark G. Parker
Investigator attitudes on equipoise and practice patterns in the BEST-CLI trial, Alik Farber and Jeffrey J. Siracuse
Representation of Women and Racially and Ethnically Marginalized Principal Investigators in Vascular Device Trials, M Libby Weaver, Tara Srinivas, Sanuja Bose, Sarah E. Deery, and Michael Fiore Amendola
"Should We Phenobarb-it-All?" A Phenobarbital-Based Protocol for Non-Intensive Care Unit Trauma Patients at High Risk of or Experiencing Alcohol Withdrawal, Michelle Wang, Carolyne Falank, Vincent Simboli, Julianne B. Ontengco, and Brandi Spurling
Mice lacking DIO3 exhibit sex-specific alterations in circadian patterns of corticosterone and gene expression in metabolic tissues, Zhaofei Wu, M Elena Martinez, and Arturo Hernandez
The association of histopathologic features after neoadjuvant chemo-immunotherapy with clinical outcome: Sub-analyses from the randomized double-blinded, placebo-controlled, Phase III IMagyn050/GOG3015/ENGOT-ov39 study, Paulette Mhawech-Fauceglia, Denis McCarthy, Akiko Tonooka, Giovanni Scambia, Yolanda Garcia, and Leslie Bradford MD
To close or not to close? Wound management in emergent colorectal surgery, an EAST Multicenter prospective cohort study, Cristina B. Feather, Scott Rehrig, and Daniel Cullinane
Cemiplimab for Kidney Transplant Recipients With Advanced Cutaneous Squamous Cell Carcinoma, Glenn J. Hanna, Harita Dharanesswaran, Anita Giobbie-Hurder, John J. Harran, Zixi Liao, Lori Pai, Vatche Tchekmedyian, Emily S. Ruiz, Abigail H. Waldman, and Chrysalyne D. Schmults
Partial trailside Japanese barberry (Ranunculales: Berberidaceae) removal did not reduce the abundance of questing blacklegged ticks (Acari: Ixodidae), Susan P. Elias, Peter W. Rand, Charles B. Lubelczyk, Melanie R. McVety, and Robert P. Smith
An Overview of Nursing Regulation, Valerie Fuller
Cytoplasmic retention of the DNA/RNA-binding protein FUS ameliorates organ fibrosis in mice, Manuel Chiusa, Youngmin A. Lee, Ming-Zhi Zhang, Raymond C. Harris, Taylor Sherrill, Volkhard Lindner, Craig R. Brooks, Gang Yu, Agnes B. Fogo, and Charles R. Flynn
Cytoplasmic retention of the DNA/RNA-binding protein FUS ameliorates organ fibrosis in mice, Manuel Chiusa, Youngmin A. Lee, Ming-Zhi Zhang, Raymond C. Harris, Taylor Sherrill, Volkhard Lindner, Craig R. Brooks, Gang Yu, Agnes B. Fogo, and Charles R. Flynn
Endothelial IL17RD promotes Western diet-induced aortic myeloid cell infiltration, Shivangi Pande, Calvin Vary, Xuehui Yang, Lucy Liaw, Lindsey Gower, Robert Friesel, Igor Prudovsky, and Sergey Ryzhov
Extracellular metallothionein as a therapeutic target in the early progression of Type 1 Diabetes, Clare K. Melchiorre, Matthew D. Lynes, Sadikshya Bhandari, Sheng-Chiang Su, Christian M. Potts, Amy V. Thees, Carol E. Norris, Lucy Liaw, Yu-Hua Tseng, and Michael A. Lynes
Outcome of patients with relapsed or refractory nonrhabdomyosarcoma soft tissue sarcomas enrolled in phase 2 cooperative group clinical trials: A report from the Children's Oncology Group, Sapna Oberoi, Amira Qumseya, Wei Xue, Rajkumar Venkatramani, and Aaron R. Weiss
Parallel control of cold-triggered adipocyte thermogenesis by UCP1 and CKB, Janane F. Rahbani, Jakub Bunk, Damien Lagarde, Bozena Samborska, Anna Roesler, Abhirup Shaw, Zafir Kaiser, Jessica L. Braun, Mia S. Geromella, and Robert A. Koza
Characteristics and outcomes of a hospitalized cohort with reduced mortality from COVID-19, White Mountain apache tribal lands, April 1 - July 31, 2020, Ryan M. Close, Chelsea S. Lutz, T Shaifer Jones, Myles Stone, Nicole Bratsch, Trevor Thompson, Christopher Jentoft, and James B. McAuley
Overactive Bladder Medication Access, Yanghee Courbron and Caroline Foust-Wright
Predictors of first pass isolation of the pulmonary veins in real world ablations: An analysis of 2671 patients from the REAL-AF registry, Omar Kreidieh, Tina D. Hunter, Sandeep Goyal, Allyson L. Varley, Christopher Thorne, Jose Osorio, Josh Silverstein, Paul Varosy, Mark Metzl, and Jordan Leyton-Mange
Training Paradigms in Critical Care Cardiology: A Scoping Review of Current Literature, Saraschandra Vallabhajosyula, Aryan Mehta, Mridul Bansal, Jacob C. Jentzer, Willard N. Applefeld, and Bram Geller
Long Covid and Impaired Cognition - More Evidence and More Work to Do, Ziyad Al-Aly and Clifford J. Rosen
PTH and the Regulation of Mesenchymal Cells within the Bone Marrow Niche, Hanghang Liu, Linyi Liu, and Clifford J. Rosen
Pain management in hidradenitis suppurativa: a retrospective analysis of cross-sectional data from Black and White patients demonstrates racial disparity, Matthew Helm, Stephanie Golub, Calista Long, Junjia Zhu, Joslyn S. Kirby, and Lauren C. Hollins
"I don't want to be the squeaky wheel": Addressing bias as a leader in emergency medicine, Ambuj Suri, David Yang, Wendy W. Sun, Mariame Fofana, Emily S. Binstadt, Paul Logan Weygandt, Joel L. Moll, and Tania D. Strout
Shift Scheduling and Overnight Work Among Pregnant Emergency Medicine Residents, Isha Agarwal and Casey Z. MacVane
Human Soluble Prorenin Receptor Expressed in Mouse Renal Collecting Duct Show Sex-Specific Effect on Cardiorenal Function, Gertrude Arthur, Audrey Poupeau, Katherine Biel, Jeffrey L. Osborn, Ming Gong, Terry D. Hinds, Volkhard Lindner, and Analia S. Loria
The ILC Maine statement: Time for the fundamental care [r]evolution, Alison Kitson, Devin Carr, Rebecca Feo, Tiffany Conroy, and Lianne Jeffs
Total Joint Arthroplasty in Patients Who Are Obese or Morbidly Obese: An Ethical Analysis, Andrew D. Lachance, Roman Steika, Jeffrey Lutton, and Frank Chessa
Bezold abscess in a 4-year-old: an exceptionally rare complication of otitis media, Zachary Tillett and Robert Anderson
Effects of arginine vasopressin on human anxiety and associations with sex, dose, and V1a-receptor genotype, R R. Thompson, D Price, D Burris, A Cloutier, and J K. Rilling
Achieving Goals of Care Decisions in Chronic Critical Illness: A Multi-Institutional Qualitative Study, Sarah K. Andersen, Yanran Yang, Erin K. Kross, Barbara Haas, Anna Geagea, Teresa L. May, Joanna Hart, and Sean M. Bagshaw
A Cautionary Tale: Malaligned Incentives In Total Hip and Knee Arthroplasty Payment Model Reforms Threaten Promising Innovation and Access to Care, David E. DeMik, Peter A. Gold, Nicholas B. Frisch, Joshua M. Kerr, P Maxwell Courtney, and Adam Rana
Medical School Curricula and the Role of Third-Party Resources in Medical Student Urology Education, Jonathan Capelin, Adam Cole, Elizabeth Ferry, and Matthew Mason
Tranexamic acid reduces inflammation, edema and burn wound conversion in a rodent model, Igor Prudovsky, Doreen Kacer, Volkhard Lindner, Joseph Rappold, and Damien Wilson Carter
Diagnostic Workup and Therapeutic Intervention of Hiatal Hernias Discovered as Incidental Findings on Computed Tomography, Johanna Lou, Keshav Kooragayala, Jennifer Williams, Ami Kalola, Connor Crudeli, Georgianna Sandilos, Margaret V. Butchy, David D. Shersher, and Jennifer M. Burg
Trends in maternal opioid use disorder and neonatal abstinence syndrome in Maine, 2016-2022., Julia Dudley, Sarah M. Gabrielson, Alane O'Connor, and Katherine A Ahrens
One if By Hand, Two if Orally: PICCing the Best Treatment Option, Monica V. Mahoney and Christina F. Yen
Communication Strategies for Transferring Medically Complex Children Out of Intensive Care, Hadley Bloomhardt, Sarah Schechter, Avital Fischer, Katherine Schlosser Metitiri, Teresa McCann, Colleen McCarthy, Cory Rivera, and Divya Lakhaney
Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics, Harjot K. Singh, Kimberly C. Claeys, Sonali D. Advani, Yolanda J. Ballam, Jessica Penney, Kirsten M. Schutte, Christopher Baliga, Aaron M. Milstone, Mary K. Hayden, Daniel J. Morgan, and Daniel J. Diekema
Patients' Perspectives on Health-Related Social Needs and Recommendations for Interventions: A Qualitative Study, Tessa K. Novick, Michelle Osuna, Caroline Emery, Francisco Barrios, Daniel Ramirez, Deidra C. Crews, and Elizabeth Jacobs
A Registry-based Study of Paclitaxel Drug-coated Balloon Angioplasty for the Treatment of In-stent Restenosis of the Femoral-popliteal Artery, Daniel J. Bertges, Jens Eldrup-Jorgensen, Rabih A. Chaer, Michael C. Stoner, Luke K. Marone, Kristina A. Giles, Brian G. DeRubertis, Glenn R. Jacobowitz, and Jack L. Cronenwett
Effect of six month's treatment with omega-3 acid ethyl esters on long-term outcomes after acute myocardial infarction: The OMEGA-REMODEL randomized clinical trial, Benedikt Bernhard, Bobak Heydari, Shuaib Abdullah, Sanjeev Francis, Heidi Lumish, Wei Wang, Michael Jerosch-Herold, William S. Harris, and Raymond Y. Kwong
Case report: Successful treatment of OXA-23 neurosurgical infection and meningitis with sulbactam-durlobactam combination therapy, Jacob W. Snowdin, Nicholas J. Mercuro, Michael P. Madaio, and Stephen A. Rawlings
Hannaford Center for Safety, Innovation & Simulation 2023 Annual Report, MaineHealth
Impact of metagenomic next-generation sequencing on clinical decision-making at an academic medical center, a retrospective study, Iowa, 2020-2022, Michael Olthoff, Takaaki Kobayashi, Meredith G. Parsons, Bradley Ford, and Kunatum Prasidthrathsint
Laser assisted trans-endograft coil embolization of a type II endoleak, Kunal Mehta, Aravind S. Ponukumati, Benjamin N. Jacobs, and David P. Kuwayama
Navigating the Adipocyte Precursor Niche: Cell-Cell Interactions, Regulatory Mechanisms and Implications for Adipose Tissue Homeostasis, Devesh Kesharwani and Aaron C. Brown
Perceptions of X+Y Scheduling Among Combined Internal Medicine-Pediatrics Residency Trainees: A Qualitative Program Evaluation, Dava Szalda, Nathan R. Stehouwer, Jennifer B. Walsh, Kathryn Diamond-Falk, Bhavesh Patel, Hillary Spangler, Mridula Nadamuni, and Michael Contarino
The Association of Season of Surgery and Patient Reported Outcomes following Total Hip Arthroplasty, Andrew D. Lachance, Catherine Call, Zachary Radford, Henry Stoddard, Callahan Sturgeon, George Babikian, Adam Rana, and Brian J. McGrory
The Northern New England Rapid Deployment Valve Experience: Survival and Procedural Outcomes From 2015 to 2021, John M. Fallon, David J. Malenka, Cathy S. Ross, Niveditta Ramkumar, Shravanthi M. Seshasayee, Benjamin M. Westbrook, Fuyuki Hirashima, and Reed D. Quinn
Use of Fracture Risk Assessment Tool in clinical practice and Fracture Risk Assessment Tool future directions, Rahfa Zerikly and Emily Wood Demetriou
Submissions from 2023
Trends and Disparities in Perinatal Opioid Use Disorder Treatment in Medicaid, 2007-2012, Rachel K. Landis, Bradley D. Stein, Andrew W. Dick, Beth Ann Griffin, Brendan K. Saloner, Mishka Terplan, and Laura J. Faherty
Do the Risks of ECMO Outweigh the Potential Benefits, Bram J. Geller and Sean van Diepen
Treatment of Postoperative Instability Following Total Knee Arthroplasty in Patients With Parkinson's Disease, Catherine M. Call, Brian J. McGrory, Erica A. Thompson, Lydia G. Sommer, and Thomas S. Savadove
Evidence-Based Guidelines for Prehospital Airway Management: Methods and Resources Document, Christopher B. Gage, Jonathan R. Powell, Nicole Bosson, Remle Crowe, Kyle Guild, Matthew Yeung, Davis Maclean, and J Matthew Sholl
Remote Symptom Monitoring to Enhance the Delivery of Palliative Cancer Care in Low-Resource Settings: Emerging Approaches from Africa, Omolola Salako, Adaorah Enyi, Susan Miesfeldt, Johnblack K. Kabukye, Mamsau Ngoma, Eve Namisango, and Virginia LeBaron
Irisin Enhances Mitochondrial Function in Osteoclast Progenitors during Differentiation, Eben Estell, Tsunagu Ichikawa, Paige Giffault, Lynda Bonewald, Bruce Spiegelman, and Clifford Rosen
CT esophagogram in the emergency setting: typical findings and suggested workflow, Brad A. Evans, Wendy Y. Craig, Christina M. Cinelli, and Sharon G. Siegel
Exchange Transfusion with VS-101: A New PEGylated-Hb Designed to Restore Perfusion and Increase O2 Carrying Capacity, William H. Nugent, Forest R. Sheppard, Kim D. Vandegriff, William M. Schindler, Ashok Malavalli, and Bjorn K. Song
Navigating Uncertainty in Public Health Decisionmaking: The Role of a Value of Information Framework in Threat Agnostic Biosurveillance, Jalal Awan, Laura J. Faherty, and Henry H. Willis
Preference of Young Adult Cancer Survivors for In-Person Versus Telemedicine Cancer Survivorship Visits, Lauren Boehm, Tracy Jalbuena, Amy Haskins PhD, Christina T. Holt, and Susan Ashley Speckhart
Satisfaction of Women Faculty in Academic Medicine, Linda H. Chaudron, Valerie Dandar, Diana Lautenberger, Sarah A. Bunton, and Lynn K. Gordon
Sex-related Outcomes after Thoracic Endovascular Repair for intact isolated Descending Thoracic Aortic Aneurysm: A Retrospective Cohort Study, Sara Allievi; Vinamr Rastogi; Sai Divya Yadavalli; Tim J. Mandigers; Jorge L. Gomez-Mayorga; and Sarah Deery MD, MPH