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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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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A Human Centered Approach: Solving Unmet Care Needs at MaineHealth, Carla Muniz

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Analysis of Novice and Expert Rater Reliability for a Neonatal Resuscitation Program® Adherence Assessment Tool, Sophia Martens, Misty Melendi, Anya Cutler, Sierra Soghikian, Leah Marie Seften, Tara Palnitkar, Allison Zanno, and Leah Mallory

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An Opt Out Tobacco Cessation Referral Process for a Cancer Care Network, Amy Litterini, David Spaulding, Tia Robbins, Brett Cropp, and Lauren Couture

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A Quality Improvement Project to Reduce Variation in Pediatric Asthma Care Using the Hospital Asthma Severity Scoring (HASS) Tool, Sean Patterson, Leah-Marie Seften, Rachel Williams, Noah Diminick, Anne Coates, and Laura Amar-Dolan

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Characterization of Contributors to Pleural Fluid Viscosity, YuJai Lin, Megan Rushmeyer, Christopher G. Roy, Shannon Donovan, Rachel Cutting, Matthew Buttarazzi, Charlotte Crist, Ted Sears, and J B. Zuckerman

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Clinician Comfort, Attitudes, and Practices with Provision of Harm Reduction Supplies to Patients Who Use Drugs, Amanda Cahn, Melissa Calica, Erin Mooz, Malia Haddock, Wendy Craig, Tania Strout, and Kinna Thakarar

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Community Health Workers: Putting "Community" in the MaineHealth Vision, Tim Cowan, Barbara Ginley, LeeAnna Lavoie, Jennifer Maillet, Jemma Penberthy, and Lori Travis

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Electrodermal activity (EDA) confirms that PGY-1s experience more stress and distress during simulation than residents of other PGY levels, Michael Ferguson, Anya K. Cutler, Micheline Chipman, Leah Mallory, Erika Mayer, Leah M. Seften, Michael Zubrow, and Mary Ottolini

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Evaluation of Engagement and Collaboration Among Hospitals in the Maine Rural Maternity & Obstetrics Management Strategies (RMOMS) Network, Molly Volt, Lori Travis, Caroline Zimmerman, Erica Swan, Katherine Crothers, Anna Gilbert, and Kate Allerding

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Experiences with Mental Health Screening in Primary Care, Elizabeth Bernier, Merelise Ametti, Elizabeth Mutina, Saras Yerlig, Elias Peirce, Sameena Flinner, Yaerin Wallenberger, and Kristen Woodberry

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Factors Influencing No Show Rates in Adult Urology Patients, Bruce T. Ndebanje, Ethan Griffin, Evelyn James, and Lily C. Wang

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Impact of Individual Team Members on Team Performance in a Longitudinal Neonatal Resuscitation Telesimulation Program, Allison Zanno, Anya K. Cutler, Micheline Chipman, Leah Mallory, Leah M. Seften, Tara Palnitkar, Mary Ottolini, and Misty Melendi

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Implementation and Evaluation of a Resident Pediatric Complex Care Education Series, Calivin Schaffer, Danielle Doctor, Amy Buczkowski, Bonnie Lynne Boomsma, and Logan Murray

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Implementation of MOMSim 2.0, Beth Gray, Micheline Chipman, Lauren Weller, Emily Watson, Sarah Austin, Tara Palniker, and Leah Mallory

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Improving Clinician Competence to Screen for Suicide Risk: An Organizational Change, Melissa Gattine and Kendall Dapprich

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Improving MaineHealth Behavioral Health Non-clinical Staff Knowledge and Comfort to Ask About Suicide with Question, Persuade, Refer (QPR) Training, Hannah Pelletier and Julie Perron

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Infective Endocarditis in the Overdose Crisis: Addiction Care and Healthcare Utilization, Eva J. Farkas, Victoria Molina, Brittany Mohoney, Wendy Craig, Amy McAuliffe, and Kinna Thakarar

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Iterative Simulation and Healthcare Failure Modes and Effects Analysis Improves Child Abduction Response Systems Over Four Years of Testing in a Children's Hospital, Dani Bruno, Marissa Perry, Madison (Max) Doane, Jamie Fey, Micheline Chipman, Brian Richardson, and Leah Mallory

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Laying the Groundwork: Implementing the 2021 AAP Well Appearing Febrile Infant Clinical Practice Guideline Across a Rural Health System, E Freeman, L Mallory, LM Seften, T Palnitkar, A Cutler, J Gregory, and M Jackson

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Mental Health Conditions Among Patients with a Disorder of the Gut-Brain Interaction, Ambia Ahmed, Nicole Smith, Anya Cutler, MariaElena Terzis, Laura J. Faherty, and Julia Fritz

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MOMSim-A Simulation-Based Outreach Program to Maintain Team Readiness for Obstetrical Emergencies Across a Rural Health System, Lauren Weller, Micheline Chipman, Beth Gray, Becky Hunt, Emily Watson, Sarah Austin, Anya Cutler, Jeff Holmes, and Leah Mallory

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Overcoming Specialty Care Connection Barriers: The eConsult Effect, Genevieve Whiting, Noah Hoffman, Anya K. Cutler, Leah M. Seften, and Laura J. Faherty

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Parent Perspectives on Primary/Specialty Co-management of Pediatric Asthma, James Bohnhoff, Mike Kohut, Dana Schwartz, Darby Glenn, Anya Cutler, and Elizabeth A. Jacobs

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Pediatric Asthma Subspecialty Referral Practices in Rural Maine, Paras Patnaik, John DiPalazzo, and James Bohnhoff

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Pharmacist-Led Statin Initiation in Adults with Diabetes at an Adult Internal Medicine Clinic, Kevin Le, Michael Takach, Linh Gagnon, and Dylan Atchley

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Physical Activity Programming to Improve QoL in Pediatric IBD Patients, Anna Briley, George Russell, Anya K. Cutler, Anna Furr, Julia Fritz, Kevin Sztam, Birgitta Polson, Rebecca Edwards, and Noah Hoffman

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Physical Activity Programming to Improve QoL in Pediatric IBD Patients, George Russell, Anya K. Cutler, Anna Furr, Julia Fritz, Kevin Sztam, Birgitta Polson, Rebecca Edwards, and Noah Hoffman

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Pilot Study of Serial Telemedicine Assessments to Safely Exclude Neonates from Therapeutic Hypothermia Treatment, Alexa Craig and Anya K. Cutler

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Rigid Sternal Fixation Alone Does Not Result in a Reduction in Postoperative Opiod Administration Following Cardiac Surgery, Jane Branch, Chinedu Okoli, Kyla Wigant, Jaime Rabb, Robert S. Kramer, Anne Hicks, and Ansar Hassan

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Shortage as a Catalyst for High-Value Care: Evaluation of a Bloof Culture Stewardship Intervention Driven by Supply Chain Disruption, Lesley B. Gordon, Camille Ezran, Elizabeth Herrle, Christina Yen, Nicholas J. Mercuro, and Daniel J. Diekema

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Testing Paths of Travel for Pediatric Patients Using Healthcare Failure Mode and Effects Analysis (HFMEA), Micheline Chipman, Dani Bruno, Leah Mallory, Marissa Perry, Sophie Martens, and Lauren Weller

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Test-Retest Agreement and Reliability of Psychosis and Mental Health Screens for Maine Adolescents and Young Adults in Primary Care, Erika Mayer, Eb Bernier, Merelise Ametti, Julia Plumb, Adriana Lovric, Yaerin Wallenberger, and Kristen Woodberry

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Work Hard, Play Hard: How Game-Based Learning Impacts Learner's Engagement and Satisfaction in Intern Academic Half-Day, Katelyn Chadwick, Lesley Gordon, Monica Thim, and Nicole Hudak

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

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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

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Atenolol, alone or in combination with PTH, has a modest effect on bone in female C57BL/6J mice., Rebecca L Fontaine, Daniel J Brooks, Deborah Barlow, Ryan J Neilson, Christine W Lary, Karen L Houseknecht, and Katherine J Motyl

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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Lyme Disease, Robert P Smith

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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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Thermoneutral housing has limited effects on social isolation-induced bone loss in male C57BL/6J mice., Rebecca V Mountain, Rebecca L Peters, Audrie L Langlais, Julia Patrizia Stohn, Christine W Lary, and Katherine J Motyl

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Towards a consensus atlas of human and mouse adipose tissue at single-cell resolution., Anne Loft, Margo P Emont, Ada Weinstock, Adeline Divoux, Adhideb Ghosh, Allon Wagner, Matthew D Lynes, Rinki Murphy, Saeed Pirouzpanah, Silvia Corvera, Su'an Tang, Swapan K Das, Søren F Schmidt, Tao Zhang, Theodore M Nelson, Timothy E O'Sullivan, Vissarion Efthymiou, Wenjing Wang, Yihan Tong, Yu-Hua Tseng, Susanne Mandrup, and Evan D Rosen

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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

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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

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

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Vertical sleeve gastrectomy and semaglutide have distinct effects on skeletal health and heart function in obese male mice., Caroline de Carvalho Picoli, Sergey Tsibulnikov, Mavy Ho, Victoria DeMambro, Tiange Feng, May Eltahir, Phuong T Le, Carolyn Chlebek, Clifford J Rosen, Sergey Ryzhov, and Ziru Li

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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Psychodynamic Influences on Contemporary Family Therapy., Matthew Nilsson and Erin Belfort

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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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Exploration of Conserved Human Adipose Subpopulations Using Targeted Single-Nuclei RNA Sequencing Data Sets., Christian M Potts, Xuehui Yang, Matthew D Lynes, Kimberly Malka, and Lucy Liaw

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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

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Nuclear Condensates of WW Domain-Containing Adaptor With Coiled-Coil Regulate Mitophagy via Alternative Splicing., Jiahe Wang, Yi Fan, Guowen Luo, Liang Xiong, Lijie Wang, Zhuoxuan Wu, Jiayi Wang, Zhengying Peng, Clifford J. Rosen, Kefeng Lu, Junjun Jing, Quan Yuan, Zhenwei Zhang, and Chenchen Zhou

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

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Testing ChatGPT's Ability to Provide Patient and Physician Information on Aortic Aneurysm, Daniel J. Bertges, Adam W. Beck, Marc Schermerhorn, Mark K. Eskandari, Jens Eldrup-Jorgensen, Sean Liebscher, Robyn Guinto, and Mead Ferris

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Cardiothoracic Surgical Trials Network Update, J Hunter Mehaffey, Raymond Strobel, Benjamin Kramer, Patrick T. O'Gara, Michael J. Mack, Nirav C. Patel, Brittany A. Zwischenberger, and Robert S. Kramer

Conversion from Minimally Invasive Surgical Approaches to Open Surgery Among Patients with Endometrial Cancer in the SGO Clinical Outcomes Registry, Abdelrahman Yousif

Correction: Spatial and temporal distribution of Ixodes scapularis and tick-borne pathogens across the northeastern United States, Lucas E. Price

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Financial impacts of the COVID-19 pandemic on immigrant communities in Portland Maine: a qualitative study, Eilish W. Carpenter

Noncoding variants and sulcal patterns in congenital heart disease: Machine learning to predict functional impact, Enrique Mondragon-Estrada

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CTHRC1 Expression Results in Secretion-Mediated, SOX9-Dependent Suppression of Adipogenesis: Implications for the Regulatory Role of Newly Identified CTHRC1/PDGFR-Alpha Stromal Cells of Adipose, Matthew E. Siviski, Rachel Bercovitch, Kathleen Pyburn, Christian Potts, and Shivangi R. Pande

Telemedicine consultations in community hospitals improve neonatal encephalopathy assessment, Anya Cutler