Mayo Clinic proceedings
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Mayo Clinic proceedings · Aug 2021
Sex Differences in Outcomes of Patients With Chronic Aortic Regurgitation: Closing the Mortality Gap.
To examine contemporary clinical differences between men and women with hemodynamically significant chronic aortic regurgitation (AR). ⋯ In contemporary practice, women with AR continue to exhibit an overall survival penalty not related to female sex but to late referral markers, including more advanced symptoms, larger LVESDi, and less AVS. Nonetheless, women in our study exhibited outstanding post-AVS left ventricular remodeling and had good post-AVS survival, a step forward toward closing the sex-related mortality gap. The high percentage of LVESDi of 20 mm/m2 or greater in asymptomatic women represents a window of opportunity for advanced-symptom prevention and timely AR surgical correction that may close the mortality gap.
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Mayo Clinic proceedings · Aug 2021
Self-valuation Challenges in the Culture and Practice of Medicine and Physician Well-being.
To compare physicians with workers in other fields on measures of self-valuation (SV) and determine the effect of adjusting for SV on the relationship between being a physician and risk for burnout. ⋯ Self-valuation is lower in physicians compared with workers in other fields and adjusting for SV eliminated the association between being a physician and higher risk for burnout. Experimental design research is needed to determine whether the association of SV with burnout is causal and the degree to which SV is malleable to intervention at individual, organization, and professional culture levels.