Incorporated in 1868, MMC is the state’s largest medical center, licensed for 700 beds and employing more than 9,600 people. MaineHealth Maine Medical Center’s unique role as both a community hospital and a referral center requires an unparalleled depth and breadth of services, including the state’s only allopathic medical school program, through a partnership with Tufts University School of Medicine, and a world-class biomedical research center, the MaineHealth Institute for Research.

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Submissions from 2025

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The emerging role of metabolomics analysis in genetic and genomic testing: A points to consider statement of the American College of Medical Genetics and Genomics (ACMG), Marcus J. Miller, Maria Laura Duque Lasio, Adam D. Kennedy, Rebecca McClellan, Devin Oglesbee, and Wendy E. Smith

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Guidance in Tracheostomy Care for Speech-Language Pathologists: The Green Light Tool, Sara Penrod, Dory Forgit, and Lindsay Griffin

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Physician Payment Reform in Orthopaedic Surgery: Balancing Cost, Quality, and Access, Zachary C. Lum, R Michael Meneghini, James I. Huddleston, and Adam Rana

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Urgent/emergent carotid revascularization is associated with an increase in stroke and mortality, Elisa Caron, Jeremy D. Darling, Isa F. Van Galen, Camila R. Guetter, Jemin Park, and Kristina A. Giles

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Care of the Operational Canine in the Prehospital Environment - A Joint Position Statement and Resource Document of NAEMSP, NAVEMS, and VetCOT, Kate D. Zimmerman, Lee Palmer, Kelly E. Hall, Rita M. Hanel, and Kevin F. Jura

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Recommendations for Emergency Robotic Thoracic Conversions and Intraoperative Resuscitation: A Modified Delphi Consensus Study, Hayley Reddington, Lana Schumacher, Ammara A. Watkins, Brian Mitzman, Brianna Wachter, and Syed Quadri

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Prioritization of novel agents for further investigation in pediatric non-rhabdomyosarcoma soft tissue sarcomas: A report from the Children's Oncology Group, Jacquelyn N. Crane, David P. Douglass, Sapna Oberoi, Natalie B. Collins, and Ajay Gupta

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Management of human babesiosis - approaches and perspectives, Edouard Vannier, Klaus-Peter Hunfeld, Robert P. Smith, and Peter J. Krause

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Non-insulin therapies in management of type 1 diabetes, Zeb I. Saeed, Jayachidambaram Ambalavanan, Melanie Natasha Rayan, Palak Patadia, and Viral N. Shah

Brivaracetam effectiveness and patient-reported outcomes in clinical practice: Data from a 12-month prospective, observational study in the United States, Hina Dave, Michael R. Sperling, Hamada Hamid Altalib, Heidi Henninger, and Roger J. Porter

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Embracing Compassion for People Facing Lung Cancer-the American Cancer Society National Lung Cancer Roundtable, Jamie L. Studts, Lisa Carter-Bawa, Jill Feldman, Joan H. Schiller, and Elizabeth Scharnetzki

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Dietary effects on cardiac lipid composition, mitochondrial respiration, stress proteins and thermal tolerance in the American lobster (Homarus americanus), Melissa C. Butler, Yulica Santos-Ortega, Calvin P. Vary, Anyonya R. Guntur, and Ilka M. Pinz

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FGF21 promotes longevity in diet-induced obesity through metabolic benefits independent of growth suppression, Christy M. Gliniak, Ruth Gordillo, Yun-Hee Youm, Qian Lin, Clair Crewe, and Clifford J. Rosen

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FGF21 promotes longevity in diet-induced obesity through metabolic benefits independent of growth suppression, Christy M. Gliniak, Ruth Gordillo, Yun-Hee Youm, Qian Lin, Clair Crewe, and Clifford J. Rosen

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Safety of Intermittent Parenteral Midazolam Injection in Hospitalized Patients Admitted to Non-Intensive Care Nursing Units: A Retrospective Matched-Cohort Study, Melanie Mills, Haley Torr, Nicolette Centanni, Richard R. Riker, and David Gagnon

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Who is Completing Patient-Reported Outcome Measures following Total Hip Arthroplasty? An Investigation of Completion Characteristics to Inform the Age of Mandatory Reporting Rates., Catherine M. Call, Zoë A Walsh, Aliyah A Olaniyan, George Babikian, Brian J. McGrory, and Adam Rana

Watching five colours become six, Sam Woodworth and Christopher Smith

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Watching five colours become six, Sam Woodworth and Christopher Smith

Modified Versions of Natural Frozen Embryo Transfers Do Not Impact Live Births, Courtney Hargreaves, Wendy Craig, Denny Sakkas, Thomas L. Toth, and Denis Vaughan

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Modified Versions of Natural Frozen Embryo Transfers Do Not Impact Live Births, Courtney Hargreaves, Wendy Craig, Denny Sakkas, Thomas L. Toth, and Denis Vaughan

Pneumomastia: A Rare but Benign Mammographic Finding, Krucial Styslinger and Christina Cinelli

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Altered metabolomics and inflammatory transcriptomics in human bone marrow adipocytes after acute high calorie diet and acute fasting, Samantha N. Costa, Gisela Pachón-Peña, Julie Dragon, Scott Tighe, and Calvin Vary

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Evaluating community engagement efforts in a clinical and translational research initiative., Kelly Finck Waters, Brenda Joly, Carolyn E Gray, Jan K Carney, and Kathleen M Fairfield

Embracing Compassion for People Facing Lung Cancer-the American Cancer Society National Lung Cancer Roundtable, Jamie L. Studts, Lisa Carter-Bawa, Jill Feldman, Joan H. Schiller, and Elizabeth Scharnetzki

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Embracing Compassion for People Facing Lung Cancer-the American Cancer Society National Lung Cancer Roundtable, Jamie L. Studts, Lisa Carter-Bawa, Jill Feldman, Joan H. Schiller, and Elizabeth Scharnetzki

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Lessons learned: enhancing rural risk communication for future health crises through the PHERCC framework., Abimbola Leslie, Elizabeth K Woods, Eline M van den Broek-Altenburg, Gary S Stein, and Jan K Carney

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A Case of a Portuguese Man-O-War Envenomation in Southern Rhode Island, Sean Bilodeau, Teresa Howard, and Alexis S. Kearney

A Case of a Portuguese Man-O-War Envenomation in Southern Rhode Island, Sean Bilodeau, Teresa Howard, and Alexis S. Kearney

A Case of a Portuguese Man-O-War Envenomation in Southern Rhode Island, Sean Bilodeau, Teresa Howard, and Alexis S. Kearney

The importance of the anterior nasal spine in predicting soft tissue movement in maxillary orthognathic surgery, Kehan Li, Wingyan Chow, Zhaokun Zhu, Liwei Huang, and Yao Liu

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The importance of the anterior nasal spine in predicting soft tissue movement in maxillary orthognathic surgery, Kehan Li, Wingyan Chow, Zhaokun Zhu, Liwei Huang, Yao Liu, and Hanghang Liu

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Cardiac Foreign Body, Joshua Rehberg, Alexander Lange, and David C. Mackenzie

"It's hard to talk to a computer, I get it": An exploratory analysis of clinician connection-building communication practices in rural telepalliative care encounters, Elise C. Tarbi

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Phantom Limb Pain Assessment Tools: A Literature Review Exploring Strengths and Limitations, Alexandra N. Jenson, Benjamin Branch, Janelle M. Richard, and Aurora Quaye

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Pneumomastia: A Rare but Benign Mammographic Finding, Krucial Styslinger and Christina Cinelli

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The Anterior-Based Muscle-Sparing Approach for Conversion Total Hip Arthroplasty is Safe and Effective., Catherine M Call, Johanna Mackenzie, Zoë A Walsh, Bailey Shevenell, George Babikian, Brian J. McGrory, and Adam Rana

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The implementation of an electronic symptom management system to monitor postoperative pain in thoracic surgery patients: A multicenter evaluation, Jorind Beqari, Jacob Hurd, Angela C. Tramontano, Christine Cronin, Alexandra Potter, and Jessica Bian

The implementation of an electronic symptom management system to monitor postoperative pain in thoracic surgery patients: A multicenter evaluation, Jorind Beqari, Jacob Hurd, Angela C. Tramontano, Christine Cronin, Alexandra Potter, and Jessica Bian

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Impact of Physiological Stress and Reserve on the Cost of Care: Operative Stress Score and Frailty, Timothy L. Fitzgerald, Laura Nicolais, Aurora Quaye, Janelle M. Richard, and Peter Hubbs

Impact of Physiological Stress and Reserve on the Cost of Care: Operative Stress Score and Frailty, Timothy L. Fitzgerald, Laura Nicolais, Aurora Quaye, Janelle M. Richard, and Peter Hubbs

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The Bronchoalveolar Proteome Changes in Obesity, William G. Tharp, Carlos A. Gartner, Yulica Santos-Ortega, Calvin P. Vary, and S Patrick Bender

The Bronchoalveolar Proteome Changes in Obesity, William G. Tharp, Carlos A. Gartner, Yulica Santos-Ortega, Calvin P. Vary, and S Patrick Bender

The Bronchoalveolar Proteome Changes in Obesity, William G. Tharp, Carlos A. Gartner, Yulica Santos-Ortega, Calvin P. Vary, and S Patrick Bender

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Efficacy of stochastic vibro-tactile stimulation for newborns at risk of neonatal opioid withdrawal syndrome, Rachana Singh, Ludovic Trinquart, Benjamin Koethe, Mario Cordova, Lawrence Rhein, Shawana Bibi, Jamie Fey, Ariana Anderson, and Jonathan M. Davis

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Ethical Management of Challenging Behaviors in Hospitalized People Who Use Drugs, Christina Yen, Kinna Thakarar, and Tim Lahey

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Perioperative management of patients taking glucagon-like peptide 1 receptor agonists: Society for Perioperative Assessment and Quality Improvement (SPAQI) multidisciplinary consensus statement, Adriana D. Oprea, Laura J. Ostapenko, BobbieJean Sweitzer, Angela Selzer, Joan M. Irizarry-Alvarado, Maria D. Hurtado Andrade, Carlos E. Mendez, Kristen D. Kelley, Erin Stewart, Claudia R. Fernandez Robles, Ryan M. Chadha, Michael Camilleri, Ruchi Mathur, and Guillermo E. Umpierrez

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Safety and efficacy of pegtibatinase enzyme replacement therapy in adults with classical homocystinuria in the COMPOSE® phase 1/2 randomized trial, Can Ficicioglu, Janet A. Thomas, Jaya Ganesh, David Kudrow, Melissa Lah, Wendy E. Smith, Jalé Güner, Sharon McDermott, Sagar A. Vaidya, Liz Wilkening, and Harvey L. Levy

Early-life and concurrent predictors of the healthy adolescent microbiome in a cohort study, Hannah E. Laue, Amy D. Willis, Fang Wang, Melinda C. MacDougall, Yingying Xu, Margaret R. Karagas, Juliette C. Madan, Abby F. Fleisch, and Bruce P. Lanphear

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Early-life and concurrent predictors of the healthy adolescent microbiome in a cohort study, Hannah E. Laue, Amy D. Willis, Fang Wang, Melinda C. MacDougall, Yingying Xu, Margaret R. Karagas, Juliette C. Madan, Abby F. Fleisch, Bruce P. Lanphear, Kim M. Cecil, Kimberly Yolton, Aimin Chen, Jessie P. Buckley, and Joseph M. Braun

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Arsenic exposure is associated with elevated sweat chloride concentration and airflow obstruction among adults in Bangladesh: A cross-sectional study, Mi-Sun S. Lee, Crystal M. North, Irada Choudhuri, Subrata K. Biswas, Abby F. Fleisch, Afifah Farooque, Diane Bao, Sakila Afroz, Sadia Mow, Nazmul Husain, Fuadul Islam, Md Golam Mostofa, Partha Pratim Biswas, and David S. Ludwig

Arsenic exposure is associated with elevated sweat chloride concentration and airflow obstruction among adults in Bangladesh: A cross-sectional study, Mi-Sun S. Lee, Crystal M. North, Irada Choudhuri, Subrata K. Biswas, Abby F. Fleisch, Afifah Farooque, Diane Bao, Sakila Afroz, Sadia Mow, Nazmul Husain, Fuadul Islam, Md Golam Mostofa, Partha Pratim Biswas, and David S. Ludwig

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Periprosthetic Joint Infection Centers of Excellence: Moonshot or Misstep? A Survey of the American Association of Hip and Knee Surgeons Members, Meghan Whitmarsh-Brown, Catherine M. Call, Joshua A. Kerr, Carl L. Herndon, Christopher F. Deans, Ameer Elbuluk, Ramakanth Yakkanti, and Adam Rana

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Addressing Inpatient Hyponatremia Through Targeted Automatic E-consults: A Pilot Randomized Trial, Timothy J. Judson, Lowell Lo, John E. Demko, Michelle Mourad, Kathleen D. Liu, Robert M. Wachter, Isaac Lopez, and Sri Lekha Tummalapalli

Addressing Inpatient Hyponatremia Through Targeted Automatic E-consults: A Pilot Randomized Trial, Timothy J. Judson, Lowell Lo, John E. Demko, Michelle Mourad, Kathleen D. Liu, Robert M. Wachter, Isaac Lopez, and Sri Lekha Tummalapalli

Complementary effects of postoperative delirium and frailty on 30-day outcomes in spine surgery, Nithin K. Gupta, Stefan T. Prvulovic, Sina Zoghi, Hikmat R. Chmait, Michael M. Covell, and Cameron J. Sabet

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DERM-SUCCESS FDA Pivotal Study: A Multi-Reader Multi-Case Evaluation of Primary Care Physicians' Skin Cancer Detection Using AI-Enabled Elastic Scattering Spectroscopy, Laura K. Ferris, Erik Jaklitsch, Elizabeth V. Seiverling, Thomas Agresta, and Peggy Cyr

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Does Cohort Selection Affect Machine Learning from Clinical Data?, Atefehsadat Haghighathoseini, Janusz Wojtusiak, Hua Min, Timothy Leslie, and Cara Frankenfeld

Establishment of an Accurate and Precise Alternative Intraoperative Technique for Determination of Femoral Version, Benjamin Yao, Don Li, Jonathan Cui, Kira L. Smith, Vineet Tyagi, and Joseph B. Kahan

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Ethical considerations in shoulder arthroplasty in patients who are obese, Andrew D. Lachance, Roman Steika, Frank Chessa, Jeffrey Lutton, and Joseph Y. Choi

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Integration of Interprofessional Education Into Routine Resident Practice: 2 Cases of Successful Implementation, Catherine C. Skae, Victoria Gorski, Anna Flattau, Manaslu Gurung, Kalli Varaklis, and Sarah Hallen

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Program Evaluation for Graduate Medical Education: Practical Approaches From the Reimagining Residency Evaluation Community of Practice, Judee Richardson, Lalena M. Yarris, Patricia A. Carney, Erin Goss, Melissa I. Zelaya, Helen K. Morgan, Fei Chen, Julie A. Schumacher, Paul O'Rourke, Colleen Gillespie, Britta M. Thompson, and Mary Ellen Goldhamer

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Seven Tips for Successfully Operationalizing GME Innovations at the System Level: The iPACE Experience, Kalli Varaklis and Sarah Hallen

The Power of Words in Research Reading and Writing, Barbara J. Patterson and Karen H. Morin

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Visuomotor Integration Assessment Using Immersive Virtual Reality for Children With Cerebral Palsy: A Pilot Study, Minxin Cheng, Alexa Craig, and Danielle E. Levac

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Costs of Academic Engagement in Organized Neurosurgery in the United States., Michael M Covell, Stefan T Prvulovic, Immaculate Christie, Joanna M Roy, Javed Iqbal, Aryan Gajjar, Bhavya Pahwa, Charles Bowers, Cameron J Sabet, Marc D Moisi, Johnny Delashaw, Meic Schmidt, and Christian A Bowers

A Staphylococcus aureus Virulence Inhibitor Identified by SaeRS Refactoring and Screening in Bacillus subtilis, Felix Ekness, Eric A. Wold, Catherine S. Leasure, Elena Musteata, Andrew J. Monteith, and Clare Laut

A Staphylococcus aureus Virulence Inhibitor Identified by SaeRS Refactoring and Screening in Bacillus subtilis, Felix Ekness, Eric A. Wold, Catherine S. Leasure, Elena Musteata, Andrew J. Monteith, and Clare Laut

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The Impact of Glucagon-Like Peptide-1 Receptor Agonists on Pharmacokinetics and Toxicokinetics: Is a New Diagnostic and Therapeutic Framework Needed?, James D. Whitledge, Joseph Kennedy, C James Watson, Carin Malley, Karen Simone, and Mark Neavyn

Mitochondrial Responses to Conventional and Ultra-high Dose Rate (FLASH) Radiation, Emily G. Caggiano, Alan Lopez Hernandez, Trey Waldrop, Kevin Liu, and Henry Gatica-Gutierrez

Coaching Learners During Medical School Training: Faculty Reflections on the Coaching Experience, Maria A. Blanco, Lauren Boehm, and Victoria Hayes

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Establishment of an Accurate and Precise Alternative Intraoperative Technique for Determination of Femoral Version, Benjamin Yao, Don Li, Jonathan Cui, Kira L. Smith, Vineet Tyagi, and Joseph B. Kahan

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Online and in Crisis: When Social Media Impacts Mental Health, Erin L. Belfort and Paul E. Weigle

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Phantom Limb Pain Assessment Tools: A Literature Review Exploring Strengths and Limitations, Alexandra N. Jenson, Benjamin Branch, Janelle M. Richard, and Aurora Quaye

Predictive Value of Platelet FcγRIIa in Patients Treated With PCI Compared With Medical Therapy Alone After Myocardial Infarction, David J. Schneider, Sean R. McMahon, Dominick J. Angiolillo, Alexander C. Fanaroff, Homam Ibrahim, and Patrick K. Hohl

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Predictive Value of Platelet FcγRIIa in Patients Treated With PCI Compared With Medical Therapy Alone After Myocardial Infarction, David J. Schneider, Sean R. McMahon, Dominick J. Angiolillo, Alexander C. Fanaroff, Homam Ibrahim, and Patrick K. Hohl

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Real-world data of immune-related adverse events in lung cancer patients receiving immune-checkpoint inhibitors, Xiao Hu, Angie Mae Rodday, Anastasia Gurinovich, Stacey Pan, Yana V. Salei, and Jeffrey H. Lin

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Social Media and Development of Sexual and Gender Identity in Adolescents, Daniel J. Suto, Jack L. Turban, and Erin L. Belfort

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The Impact of Social Media Use on the Development of Eating Disorders, Roslyn L. Gerwin and Sahar Ashraf

Worsening Renal Function Is Common and Associated With Higher Mortality in Cardiogenic Shock: A Cardiogenic Shock Working Group Report, Rachna Kataria, Shashank S. Sinha, Song Li, Qiuyue Kong, Manreet Kanwar, and Jaime Hernandez-Montfort

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Adult Patient Perceptions of Nurse Listening Behaviors in an Ambulatory Surgery Setting, Kelly E. Lancaster, Jacqueline Bourque, and Kristiina Hyrkas

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Total Ankle Arthroplasty in Obese Patients: An Ethical Analysis, Andrew D. Lachance, Roman Steika, Frank Chessa, Mohammad T. Azam, Jeffrey Lutton, and Wonyong Lee

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The role of social relationships in recovery court programs, Emma Katherine Dudley, Barbara Andraka-Christou, Alexandra Boland, Danielle N. Atkins, and Ekaterina Pivovarova

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The feasibility and utility of intraoperative ultrasound in spinal cord injury patients: an international survey of AO spine members, Chris J. Neal, Olesja Hazenbiller, Christoph P. Hofstetter, Bizhan Aarabi, James S. Harrop, and Michael G. Fehlings

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Trends Before and After the Removal of Race and Ethnicity from the Vaginal Birth After Cesarean Calculator, Annika Hikade, Kelly Nichols, and Katherine Ahrens

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Update on Psychiatry Residency Training in Personality Disorders: Becoming a Good Psychiatrist Through Becoming "Good Enough" at Treating Borderline and Narcissistic Personality Disorders, G Price Daniel, M Quayle William, and T Unruh Brandon

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AAPM Medical Physics Practice Guideline MPPG 17.a: Quality management for mammography review workstation displays, Rebecca Milman, Nicholas B. Bevins, Mosa Alhamami, Nathan Busse, and Andreea Dohatcu

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Equity in epidemic response: an action-oriented framework for guiding public health in equitable responses to major infectious disease emergencies, Precious-Junia de-Winton Cummings, Kelly K. Baker, Leah Appell, Marina Del Rios, and Daniel Diekema

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The $1,200 Total Joint Arthroplasty Reimbursement: How Did We Get Here, What is the Impact, and What Comes Next?, Catherine M. Call, David DeMik, Ameer Elbuluk, Brian P. Chalmers, Carl L. Herndon, and Adam Rana

A pilot survey into the landscape of neuro-oncology care in the community, Christine Lu-Emerson, Sajeel Chowdhary, Rupesh Kotecha, Akanksha Sharma, Yazmin Odia, and Brian Vaillant

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Evolution of temporomandibular joint reconstruction: from autologous tissue transplantation to alloplastic joint replacement, Hanghang Liu, Liwei Huang, Shibo Liu, Linyi Liu, and Bolun Li

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A Pilot Randomized Control Trial of Holding During Hypothermia and Effects on Maternal and Infant Salivary Cortisol Levels, Leah Fox, Anya K. Cutler, Tomeko Kaneko-Tarui, Kyle Deerwester, Scott Evans, Jill Maron, and Anya K. Cutler

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Training and Assessment of Nontechnical Skills in Cardiothoracic Surgery: Current Literature Review, Chinedu C. Okoli, Obieze C. Nwanna-Nzewunwa, and Scott Buchanan

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Adapting and implementing a pre-hospital trauma program for community health responders: A pilot study from rural Nepal, Ramu Kharel, Mandeep Pathak, Derek Lubetkin, Timmy Lin, and Roshan Paudel

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Telehealth for the study of palliative care communication: opportunities, methodological challenges, and recommendations, Elise C. Tarbi, Susanna L. Schuler, Natalie Ambrose, Rebecca N. Hutchinson, and Maija Reblin

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A Hot Topic: Standardization of Fire Safety Training in Perioperative Areas, Megan Benner MSN-Ed, RN, CPAN, NPD-BC

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Associations of maternal per- and polyfluoroalkyl substance plasma concentrations during pregnancy with offspring polycystic ovary syndrome and related characteristics in project viva, Zifan Wang, Abby Fleisch, Sheryl L. Rifas-Shiman, Antonia M. Calafat, Tamarra James-Todd, and Brent A. Coull

Implementing an Educational Model for Cardiac Arrest Patients During Interfacility Transfers, Michael J. Burla, Drew R. York, Jeanne S. Wishengrad, Peter C. Michalakes, Holly A. Stevens, and Teresa L. May

Severe Left Ventricular Outflow Obstruction by Native Anterior Mitral Leaflet After Bileaflet Preserving Mechanical Mitral Valve Replacement, Obieze Nwanna-Nzewunwa, Chinedu Okoli, Michael E. Jessen, and Suresh Keshavamurthy

The Bibliometric Evolution of Neurosurgery Publications From 1977 to 2023, Michael M. Covell

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Low-volume Resuscitation with VS-101, a Next-Generation PEGylated HBOC, Improves Survival after Severe Hemorrhagic Shock in Rats, William H. Nugent, Kim D. Vandegriff, Ashok Malavalli, Forest R. Sheppard, and Bjorn K. Song