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Cardiopulmonary Medicine

Evaluation of the association between history of open chest or abdominal surgery and cardiovascular risks: an NHANES study, January 2007 – March 2020

Alexander Olson, BS; David L. Coffman, DO; and Clipper F. Young, PharmD, MPH
The clinical relationship between cardiovascular disease and deleterious surgical outcomes has been extensively examined; however, the relationship between cardiovascular risk and the association with major surgical interventions has yet to be examined at the population level. This study attempts to quantify the relationships between cardiovascular risk factors and the history of open-chest or abdominal surgery.
Cardiopulmonary Medicine

Investigating biomarkers associated with mortality in patients receiving VA-ECMO for cardiogenic shock: a systematic review

James Ramsarran, BS; Thomas Albertson, BS; Tyler Hoops, BS; Darsh Patel, MD; Andreas N. Christy, BS; and Robert Joyner, PhD
Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is a life-sustaining therapy for severe refractory cardiogenic shock. Although VA-ECMO provides various degrees of cardiopulmonary support, mortality rates remain high. Serum biomarkers have potential to identify the rising risk of mortality in patients receiving ECMO, but evidence supporting their prognostic value is inconsistent. This study aims to systematically investigate existing evidence on the relationship between biomarkers and mortality in adult patients with refractory cardiogenic shock undergoing VA-ECMO support.
Medical Education

Allopathic resident prevalence in orthopedic residency programs formerly accredited by the American Osteopathic Association during single accreditation

Jett B. Murray, DO; George C. Balazs, MD; Mark R. Speicher, PhD, MHA; and Aaron A. Olsen, DO
The purpose of this study was to evaluate formerly American Osteopathic Association (AOA) - accredited orthopaedic surgery programs to identify the prevalence of DO degrees among program directors and residents, and stratify the association of program geography, program director degree, and osteopathic recognition status on resident composition.

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Clinical Image

Erythromelalgia: a cutaneous manifestation of polycythemia vera

A 77-year-old woman presented for diffuse widespread pruritus and palmar erythema with burning pain that onset approximately 4 months prior. She was initially treated with Dupixent, 300 mg subcutaneously every 2 weeks, and antihistamines with a presumed diagnosis of atopic dermatitis. The patient noted her pruritus worsened after a shower and did not fully resolve with prescribed therapies. Read more