Juliane Bingener-Casey

Influence of Social Media on the Dissemination of a Traditional Surgical Research Article

OBJECTIVE Many institutions use social media to share research with the general public. However, the influence of social media on the dissemination of a surgical research article itself is unknown. Our objective was to determine whether a blog post highlighting the findings of a surgical research article would lead to increased dissemination of the article itself. DESIGN We prospectively followed the online page views of an article that was published online in Surgery in May 2015 and published in print in August 2015. The authors subsequently released a blog post in October 2015 to promote the research. The number of article page views from the journals website was obtained before and after the blog post, along with the page views from the blog post itself. Social media influence data were collected, including social activity in the form of mentions on social media sites, scholarly activity in online libraries, and scholarly commentary. RESULTS The articles online activity peaked in the first month after online publication (475 page views). Online activity plateaued by 4 months after publication, with 118 monthly page views, and a blog post was subsequently published. The blog post was viewed by 1566 readers, and readers spent a mean of 2.5 minutes on the page. When compared to the projected trend, the page views increased by 33% in the month after the blog post. The blog post resulted in a 9% increase in the social media influence score and a 5% absolute increase in total article page views. CONCLUSIONS Social media is an important tool for sharing surgical research. Our data suggest that social media can increase distribution of an articles message and also potentially increase dissemination of the article itself. We believe that authors should consider using social media to increase the dissemination of traditionally published articles.

Dual-scope endoscopic deep dissection of proximal gastric tumors (with video)

Subepithelial lesions in the antrum, body, or fundus canbe treated with laparoscopic wedge resection. Gastro-esophageal junction (GEJ) masses often are removed byopen resection, including esophagectomy, because thelocation is technically challenging for laparoscopy andmay lead to esophageal stenosis or reflux.

Aftercare and Recovery in Laparoscopic Inguinal Hernia Surgery

The surgical consultation for inguinal hernia is one of the most frequent encounters and is seen in all types of healthcare systems. The resulting socioeconomic influences are not to be underestimated. They result on one hand from the hospitalization itself and on the other hand they are also significantly influenced by the recovery.

Aftercare and Pain Management

In many areas of the United States, laparoscopic ventral hernia repair is an outpatient surgical procedure. As a matter of fact, the Center for Medicare and Medicaid Services considers laparoscopic ventral hernia repair an outpatient procedure, and the regulatory framework and financial reimbursements are matching that expectation. Within this framework, it is important to work with patients on the shared goal of swift recovery.

Classification of Ventral and Incisional Hernias

Classifications are an expression of the need for structure and organization within complex realities. The manner in which complex phenomena are classified is fundamental to how they are understood and dealt with ► [1]. It is therefore necessary that classification systems are subjected to validation. The first step in this process can be the retrospective evaluation of the data that were collected and the second step prospective confirmation of the validation. A classification system is accepted as useful if it can generate verifiable hypotheses. In the validation process, a classification is tested for its utility in answering specific questions, a test that can have one of three results: the system is verified (its methodology confirmed), it is falsified (its methodology refuted), or the test is inconclusive (neither confirmed nor refuted). Validation of a classification confirms that it has met the requirements for its intended use. Any classification, however, is valid only so long as it can withstand or adapt to continued critical testing based on continuous refinement of the knowledge on which it is based. Unlike truth, provisional validation is based on a large body of basic data ► [2]. Every type of classification thus relies on empirical validation. The goal is to create an evidentiary foundation upon which to build as knowledge increases ► [3].

Improving inpatient warfarin therapy safety using a pharmacist-managed protocol

Introduction Safe management of warfarin in the inpatient setting can be challenging. At the Mayo Clinic hospitals in Rochester, Minnesota, we set out to improve the safety of warfarin management among surgical and non-surgical inpatients. Methods A multidisciplinary team designed a pharmacist-managed warfarin protocol (PMWP) which designated warfarin dosing to inpatient pharmacists with guidance from computerised dosing algorithms. Ordering this protocol was ultimately designed as an ‘opt out’ practice. The primary improvement measure was frequency of international normalised ratio (INR) greater than 5; secondary measures included adoption rate of the protocol, a counterbalance INR metric (INR <1.7 three days after first inpatient warfarin dose), and complication rates, including bleeding and thrombosis events. An interrupted time series analysis was conducted to compare outcomes. Results Among over 50 000 inpatient warfarin recipients, the PMWP was adopted for the majority of both surgical and non-surgical inpatients during the study period (1 January 2005 to 31 December 2011). The primary improvement measure decreased from 5.6% to 3.4% for medical patients and from 5.2% to 2.4% for surgical patients during the preimplementation and postimplementation periods, respectively. The INR counterbalance measure did not change. Postoperative bleeding decreased from 13.5% to 11.1% among surgical patients, but bleeding was unchanged among medical patients. Conclusion Our PMWP led to achievement of improved INR control for inpatient warfarin recipients and to less near-term bleeding among higher risk, surgical patients.

EGD core curriculum

Richard S. Kwon, MD, Raquel E. Davila, MD, Daniel K. Mullady, MD, Mohammad A. Al-Haddad, MD, Ji Young Bang, MD, Juliane Bingener-Casey, MD, PhD, Brian P. Bosworth, MD, FASGE, Jennifer A. Christie, MD, Gregory A. Cote, MD, MS, Sarah Diamond, MD, Jennifer Jorgensen, MD, Thomas E. Kowalski, MD, Nisa Kubiliun, MD, Joanna K. Law, MD, Keith L. Obstein, MD, MPH, Waqar A. Qureshi, MD, FASGE, Francisco C. Ramirez, MD, Robert E. Sedlack, MD, MHPE, Franklin Tsai, MD, Shivakumar Vignesh, MD, Mihir S. Wagh, MD, FASGE, Daniel Zanchetti, MD, Walter J. Coyle, MD, Previous Committee Chair, Jonathan Cohen, MD, FASGE, Committee Chair