Archives of surgery (Chicago, Ill. : 1960)
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Recent investigations of nutrition support in the intensive care unit (ICU) have revived discussion of optimal strategies for tight glucose control and the administration of total parenteral nutrition. Mode, timing, and adequacy of nutritional support affect glycemic control and outcomes in critically ill patients. The delivery of correctly formulated and safely administered nutritional and metabolic support is a matter of life or death in surgical and critical care units. ⋯ Obese patients heighten surgical risk and require extra caution by ICU nutrition support specialists. This commentary will address the direction of nutrition support services by covering the history, progress, and potential of the field. It will review parenteral nutrition from its inception to its current standing in ICU patient care and discuss the future role of parenteral nutrition in a rapidly changing and increasingly diverse population.
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To explore attitudes of physicians from all specialties toward gifts from and interactions with the pharmaceutical and medical device industries. ⋯ Physicians continue to hold positive attitudes toward marketing-oriented activities of the pharmaceutical and device industries. Changes in medical culture and physician education focused on surgeons and trainees may align physician attitudes with current policy trends.
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Comment Letter Randomized Controlled Trial
Effect of stitch length on complications.
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Comment Letter Comparative Study
Bariatric surgery centers of excellence do not improve outcomes.
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Comment Letter Comparative Study
Disparities in emergency trauma care: really so "downwardly"?