Surgery 2023

Comparison of Social Media Use Among Competing Vascular Specialists

Name:
Dr. Scott Robinson

Email
scott.robinson@surgery.ufl.edu

Phone
(352) 548-6470

Faculty Department/Division
Surgery

This project is primarily:
Clinical

Research Project Description:
Many topics relevant to vascular surgery are discussed on social media platforms, but a robust analysis of who is driving these conversations and content analysis of these conversations has yet to be performed. The objective of this project is to analyze the dissemination of information as it pertains to vascular disease over Twitter. We will identify medical professionals through a text search of Twitter Bios to identify self-described physicians who will be stratified based on specialty. we will use followerwonk (a Twitter analytics platform) to identify top influencers in vascular surgery, cardiology, interventional radiology, and other specialties to determine the relative impact of each specialty on individual social media topics.

Using the Symplur platform (a robust healthcare twitter analytics service) and other Twitter analytics platforms, we will analyze publicly available content of the Twitter users and identify hashtags related to vascular pathologies such as peripheral arterial disease, venous disease, and abdominal aortic aneurysm. Specifically, we will analyze influencer status (eg health care provider, patient, journalist, non-profit organization). Additionally, we will perform internet searches of top influencers to identify academic position, rank, and productivity measures (eg H-index, iCite score, publications) as well as industry compensation using open payments data through CMS . We will compare twitter content, academic productivity measures, and industry compensation of influencers across specialties and user status.

Does this project have an international component or travel?
No

Repair of Giant Paraesophageal Hernias in an academic safety net hospital


Dr. Ruchir Puri

Email
Ruchir.Puri@jax.ufl.edu

Phone
(210) 415-5020

Faculty Department/Division
Surgery

This project is primarily:
Clinical

Research Project Description:
Repair of giant paraesophageal hernia (>50% of the stomach in the thorax) has evolved over the years from an open and thoracic, to a minimally invasive laparoscopic approach. As the life expectancy of our population increases, a larger segment of the elderly population is presenting with type III and type IV paraesopahgeal hernias. The purpose of this study is to evaluate the outcomes of these operations in our academic safety net hospital.

Does this project have an international component or travel?
No

Providing Optimal Care for Geriatric Burn Patients


Dr. Amalia Cochran

Email
amalia.cochran@surgery.ufl.edu

Phone
(801) 835-8097

Faculty Department/Division
Surgery

This project is primarily:
CQI

Research Project Description:
This project will start with known best practices in care of geriatric surgical patients to develop a comprehensive care pathway for inpatients with burn injury who are age 65 and over. The goal of this care pathway will be to improve both patient-reported and clinician reported outcomes following burn injury, and to improve objective measures that will include length of stay and discharge destination.
The role of the medical student will be to collaborate with the burn faculty members, burn APCs, and burn nursing leadership to establish the current state of care for our geriatric burn patients, to identify opportunities for improvement in the care of these patients, and to collaborate in the creation and implementation of a geriatric care pathway for burn inpatients.
We anticipate that there will be multiple opportunities for presentations and publications resulting from this project because this is a growing and understudied aspect of burn care.
The student will be expected to work with the burn research coordinators, in addition to the clinical care team, and will be included in all burn research activities during the time span of their project.

Does this project have an international component or travel?
No

Precision Cancer Survivorship Cohort


Dr. Erin Mobley

Email
Erin.Mobley@jax.ufl.edu

Phone
(904) 631-9968

Faculty Department/Division
Surgery

This project is primarily:
Clinical

Research Project Description:
In order to move the field of cancer survivorship forward, we must move away from a “one size fits all” approach. Motivated by this, the Precision Cancer Survivorship Cohort leverages the OneFlorida Clinical Research Consortium to support investigations designed to understand and inform more personalized approaches to cancer survivorship, with a focus on accelerated aging and access to care. We recruit study participants from UF Health in Gainesville and Jacksonville to examine risk and protective factors associated with 1) accelerated aging (frailty, resilience, telomere length) and 2) care engagement (survivorship, primary and specialty care, and emergency department and urgent care use). The medical student will assist the investigative team with recruiting study participants, maintaining the REDCap database, and dissemination activities, including publication opportunities.

Does this project have an international component or travel?
No

Point-of-care intervention to address financial hardship in families facing pediatric cancer


Dr. Erin Mobley

Email
Erin.Mobley@jax.ufl.edu

Phone
(904) 631-9968

Faculty Department/Division
Surgery

This project is primarily:
Clinical

Research Project Description:
The rising costs of cancer care have led to patients and their families bearing more of the economic burden of cancer. This burden is particularly concerning when a child in the family is diagnosed with cancer. No family can plan for the financial shock that a cancer diagnosis can have, and many families are forced to make treatment decisions with little financial knowledge or resources. These decisions can lead to severe short- and long-term economic burdens for families facing pediatric cancer. To alleviate the impact of these economic burdens, we propose testing an intervention to connect families with financial counseling. Our project will investigate a novel point-of-care intervention among families facing pediatric cancer. We will advance scientific knowledge regarding implementation of financial counseling in pediatric cancer care settings by testing the incremental effectiveness of financial counseling compared to usual care navigation using a randomized controlled trial. This will build upon our prior work that provided financial counseling to adults newly diagnosed with cancer, to provide financial counseling to families facing pediatric cancer. The medical student will assist the investigative team with recruiting study participants, maintaining the REDCap database, and dissemination activities, including publication opportunities. This study is funded by the Florida Department of Health, through the Live Like Bella Pediatric Cancer Research Initiative (Co-PIs: Ramzi Salloum, Erin Mobley).

Does this project have an international component or travel?
No

Evaluating the treatment of hypothermic ex-vivo machine perfused kidney allografts with verapamil and mannitol in kidney transplantation


Dr. Sergio Duarte

Email
sergio.duarte@surgery.ufl.edu

Phone
(352) 265-0606

Faculty Department/Division
Surgery

This project is primarily:
Clinical

Research Project Description:
Kidney transplantation is the gold standard treatment for patients suffering from end-stage kidney disease. Over the last decade a lot of effort has been placed on the improvement of kidney preservations strategies with the goal of improving post-transplant outcomes and expanding the pool of available donor kidneys for transplantation. After a clear demonstration of a definite advantage over static cold storage in clinical trials, hypothermic ex-vivo machine perfusion of donor kidneys prior to implantation has been established as a clinical practice in kidney transplantation nationally and in particular at the University of Florida (UF). This strategy also opens the door for research and development of novel methods to assess kidney viability, organ conditioning and organ targeted therapies prior to transplantation. However, currently, there is still need for active investigation into ex-vivo perfusion variables and their impact on post-transplant graft function and recipient outcomes. This outcomes study will test the hypothesis that the administration of mannitol and verapamil additives to perfusates during machine perfusion improves perfusion parameters, donor kidney transplant rates and post-transplant graft and recipient outcomes. The medical student participating in this study will participate in study design and work closely with the research, surgical and kidney procurement teams at UF to extract the ex-vivo kidney machine perfusion procedural and kidney donor datasets to build the respective databases. The student will also perform retrospective kidney transplant recipient chart review and perform data analysis. The project is expected to be completed during the summer. The participating MSRP student will gain valuable experience database management, scientific literature review, clinical data analysis, presentation of research results at regional and national meetings and publication of study in peer reviewed journal.

Does this project have an international component or travel?
No

Evaluating misinformation on YouTube videos discussing hernia surgery and hernia mesh


Dr. Mazen Al-Mansour

Email
mazen.al-mansour@surgery.ufl.edu

Phone
(352) 265-0761

Faculty Department/Division
Surgery

This project is primarily:
Clinical

Research Project Description:
You tube is a one of the most popular social media platforms and patients are likely utilizing it to as a source of health information. Over the past year and due to a number of factors such as hernia mesh recalls, class action law suits involving mesh products, FDA warning against the use of transvaginal mesh there have heightened patient awareness of hernia mesh. The study will aim to quantify of YouTube videos discussing hernia surgery and hernia mesh while evaluating the content for accuracy and helpfulness and assessing the degree of viewer engagement with these videos.

Does this project have an international component or travel?
Potentially

Molecular determinants of ethnic disparities in non-alcoholic fatty liver disease

Dr. Ali Zarrinpar

Email
ali.zarrinpar@surgery.ufl.edu

Phone
(352) 265-0606

Faculty Department/Division
Surgery

This project is primarily:
Translational

Research Project Description:
Non-alcoholic fatty liver disease (NAFLD/NASH) is an alarming public health problem with no FDA approved drug treatment, huge economic burdens and wide ethnic disparities. Hispanics have disproportionately higher rates of NAFLD than non-Hispanic whites and African Americans.
Our group is focused on uncovering the cellular and molecular determinants of this health disparity. We have recent data demonstrating that the expression of CIDEC and CEACAM1, two key proteins in adipose tissue lipolysis and hepatic insulin clearance, is reduced in Hispanic individuals. This NIH-NIMHD funded study hypothesizes that low expression levels of CIDEC and CEACAM in Hispanics leads to a higher efflux of adipose tissue free fatty acids and an increased hepatic de-novo lipogenesis. The medical student participating in this study will work with a multidisciplinary team to retrieve blood, visceral fat and liver biopsies from Hispanic, non-Hispanic White and African American patients undergoing liver or bariatric surgery. They will determine CIDEC and CEACAM expression in biopsies, profile circulating lipids. They will also isolate and culture primary human adipocytes and primary human hepatocytes for gain and loss of function studies that will ultimately elucidate the impact of adipocyte-specific CIDEC in the regulation of hepatic CEACAM1 and steatosis. The participating MSRP student will gain important experience with basic science laboratory techniques, including cell culture, qPCR, immunohistochemistry, histology and scientific literature review. They will develop critical insight into experimental design in translational research.

Does this project have an international component or travel?
No

The identification of genetic variants associated with histological phenotypes of non-alcoholic fatty liver disease

Dr. Sergio Duarte

Email
sergio.duarte@surgery.ufl.edu

Phone
(352) 265-0606

Faculty Department/Division
Surgery

This project is primarily:
Translational

Research Project Description:
Non-alcoholic fatty liver disease (NAFLD/NASH) is an alarming public health problem with no FDA approved drug treatment, huge economic burdens and wide ethnic disparities. It is characterized by a severity continuum that ranges from simple steatosis to lipotoxicity, hepatocyte death, progressive hepatic inflammation and the accumulation of fibrosis, which may progress on to cirrhosis and hepatocellular carcinoma. Both the severity of disease and its rate of progression have substantial interpatient variability, believed to be partly due to the action of environmental exposures on polygenic backgrounds in the population. Indeed, several studies have identified single nucleotide genetic variants in genes such as PNPLA3, TM6SF2, as robustly associated with the progression to severe forms of NAFLD and in HSD17B13 as protective against NAFLD disease. However, to date the majority of these studies have relied on the identification of NAFLD either via radiological assessment of hepatic steatosis, or via clinical biochemistry. Therefore, they have been unable to decipher the role of genetic variants in the more clinically relevant phenotypes of hepatic steatosis grade, inflammation and fibrosis stage. In this study we aim to analyze genetic modifiers of these clinically relevant phenotypes by using a cohort of 250 to 300 patients with diverse genetic ancestry and histologically characterized liver biopsies representative of all stages of NAFLD. The medical student in this study will work with a multidisciplinary team to retrieve blood and liver biopsies from patients enrolled in the study and undergoing surgical procedures at the University of Florida Bariatric, Liver Transplantation and Hepatobiliary surgical specialties. The student will also analyze and curate study subject Single Nucleotide Polymorphism (SNP) genotyping array datasets, hepatic histological assessments of NAFLD/NASH and subject demographic and clinical datasets. They will perform case-only and case-control histology-based genome wide association analysis (GWAS) to identify relevant genetic variants associated with particular NAFLD phenotypes and their contributions to disease severity. The participating MSRP student will gain important experience in understanding how genes and single nucleotide variants contribute to disease as well as valuable insight in to experimental design and statistical analysis in translational research.

Does this project have an international component or travel?
No

Visual AI to identify biliary anatomy


Dr. Ali Zarrinpar

Email
Ali.Zarrinpar@surgery.ufl.edu

Phone
(352) 265-0606

Faculty Department/Division
Surgery

This project is primarily:
Translational

Research Project Description:
We have developed an AI based methodology to identify biliary anatomy during cholecystectomy. We now propose to test this system against a standardized set of videos and compare this AI to other previously published methods. We also propose to collect additional videos to improve the accuracy of the AI.

Does this project have an international component or travel?
No

The impact of frailty on clinical outcomes after endocrine surgery


Dr. Aditya Shirali

Email
aditya.shirali@surgery.ufl.edu

Phone
(352) 265-0169

Faculty Department/Division
Surgery

This project is primarily:
Clinical

Research Project Description:
As the life expectancy in the United States increases, patients older than 65 years of age are increasingly being offered surgery for endocrine diseases, such as thyroid cancer, hyperparathyroidism, and functional adrenal tumors. It has never been more important for surgeons to focus on providing safe and specialized care for this aging population. Multiple studies have shown that frailty is associated with an increased risk of complications in a wide range of elective and emergency operations. In addition, frailty was found to be independently associated with 30-day morbidity in patients undergoing ambulatory thyroid and parathyroid surgery. However, most morbidity associated with endocrine surgical procedures occurs beyond 30 days and can have lasting consequences on patient quality of life. We seek to understand the impact of frailty, measured using the American College of Surgeons National Surgical Quality Improvement Plan (ACS NSQIP) modified frailty index, on both short-term, long-term, and disease-specific clinical outcomes of patients who undergo endocrine surgery to help inform shared decision making. I hypothesize that frailty is associated with an increased risk of perioperative, long-term (>30 day) and disease-specific outcomes following endocrine surgical procedures. This project can be subdivided by disease (benign thyroid, thyroid cancer, primary hyperparathyroidism, or functional adrenal tumors) based on the interests of the medical student.

The medical student would be involved in study design, some component of retrospective chart review for unstructured elements, and help analyze the data, which should be completed during the summer. I expect the student, if interested, to present the data at a regional or national meeting and publish in a peer-reviewed journal under my mentorship.

Relevant Publications
Seib CD, Rochefort H, Chomsky-Higgins K et al. Association of Patient Frailty With Increased Morbidity After Common Ambulatory General Surgery Operations. JAMA Surg. 2018 Feb 1; 153(2):160-168

Does this project have an international component or travel?
No

Healthcare Goals and Preferences in Patients Undergoing Vascular Surgery


Dr. Samir Shah

Email
Samir.Shah@surgery.ufl.edu

Phone
(352) 273-5484

Faculty Department/Division
Surgery

This project is primarily:
Clinical

Research Project Description:
Background

Patients facing elective vascular surgery frequently choose between options with substantially different tradeoffs. For example, patients with lower extremity peripheral arterial disease may be choosing between surgical bypass, minimally invasive endovascular treatment, amputation, or symptom control without procedures. These have different profiles of complications, durability of symptom resolution, and expected recovery. Ideally patients and physicians engage in shared decision-making to arrive at a treatment choice that is aligned with patient healthcare goals. Shared and informed decision-making, however, is hindered by a lack of data on patient-centered outcomes (PCOs), such as mobility, postoperative pain, and the ability to live independently after surgery. Given that there are numerous possible patient-centered outcomes that may be relevant to patients, determining which ones are most important is a necessary first step prior to measurement. As such, we seek to understand healthcare goals among patients undergoing non-emergent vascular surgery generally and lower extremity revascularization specifically.

Our group has ongoing studies measuring patient centered outcomes after aneurysm repair using Apple watches. The data generated in this study will support additional similar work in patients undergoing treatment for peripheral arterial disease.

Hypothesis

We hypothesize that 1) mobility, pain, and independent living will be the highest priority PCOs among all vascular surgery patients and 2) that no single PCO will dominate the health care goals of patients seeking treatment for peripheral arterial disease.

Methods

Patients who have undergone elective procedures for aortic aneurysm, lower extremity peripheral arterial disease, dialysis access, and cerebrovascular disease will be interviewed prospectively to determine health care goals. The exact methods – survey vs discrete choice experiment vs qualitative analysis – are being determined in concert with relevant content experts12. We will extract appropriate patient and procedural characteristics from the chart.

Role

The student would work with patients to determine patient goals. The expectation is to collect data and help analyze the data, which should be completed during the summer. I expect the student, if interested, to present the data at a regional or national meeting and publish in a peer-reviewed journal under my mentorship.

Funding

Any funds needed for data collection/analysis will be provided.

Relevant Publications

  1. Meara A, Crossnohere NL, Bridges JFP. Methods for measuring patient preferences: an update and future directions. Curr Opin Rheumatol. 2019 Mar;31(2):125–31.
  2. Ramer SJ, McCall NN, Robinson-Cohen C, Siew ED, Salat H, Bian A, et al. Health Outcome Priorities of Older Adults with Advanced CKD and Concordance with Their Nephrology Providers’ Perceptions. J Am Soc Nephrol. 2018 Dec;29(12):2870–8.
    Does this project have an international component or travel?
    No

Nuclear Factor-Erythroid-2-Related Factor regulates systemic and pulmonary immune programming after burn and inhalation injury

Dr. Rob Maile

Email
robert.maile@surgery.ufl.edu

Phone
(919) 442-8173

Faculty Department/Division
Surgery

This project is primarily:
Basic

Research Project Description:
There are multiple influences on morbidity and mortality in burn patients, with inhalation injury among the most significant. Combined burn and inhalation (B+I) injury occurs in 5-30% of all burn patients. This leads to increased acute lung injury (ALI), increased susceptibility to opportunistic bacterial infections and the associated increased morbidity and mortality. Thus, there is a trifecta of clinical need associated with this clinical problem: 1) we lack the ability to predict risk of infection, 2) we do not understand the mechanism of infectious risk, and 3) we are unable to restore a patient’s immune system to homeostasis after injury to enable adequate control of infectious agents.

Immune and tissue homeostasis is in part restored by transcriptional activation of protective genes by Antioxidant Responsive Elements (AREs). The transcription factor Nuclear Factor-Erythroid-2-Related Factor (NRF2) regulates and binds to AREs. Cellular stress, including immune activation, induces dissociation of the repressive Keap1 (Kelch-like ECH-Associated Protein 1)-NRF2 complex, allowing NRF2 to translocate to the nucleus and promote transcription of antioxidant, superoxide de-toxifying, and anti-inflammatory immune genes.

To evaluate efficacy of NRF2-driven multi-modal therapy to resolve immune dysfunction following burn or burn and inhalation injury. We will use microparticle (MP) technology to deliver NRF2-agonists such that they can be 1) diluted in saline, 2) stably released for up to 16 days, and 3) induce no significant mortality or morbidity in control mice. As we appreciate that the response to burn and B+I is multifactorial, we will also leverage this technology to combine NRF2 activation with a second approach to inhibit mTOR and provide a novel multimodal therapeutic approach to improve long term outcomes following B+I injury, with a focus on preventing bacterial susceptibility. The efficacy of these approaches will be evaluated using our pre-clinical models of burn and B+I.

This work is funded by the NIH NIGMS. The role of a medical student would be to learn to perform the MP delivery experiments.

Relevant Publications:
Seim RF, Mac M, Sjeklocha LM, Kwiatkowski AJ, Keselowsky BG, Wallet SM, Cairns BA, and Maile R. Nuclear Factor-Erythroid-2-Related Factor regulates systemic and pulmonary barrier function and immune programming after burn and inhalation injury. Shock: 2023

Dunn JLM, Kartchner LB, Stepp WH, Glenn LI, Malfitano MM, Jones SW, Doerschuk CM, Maile R, Cairns BA, “Blocking CXCL1-dependent neutrophil recruitment prevents immune damage and reduces pulmonary bacterial infection after inhalation injury”. Am J Physiol Lung Cell Mol Physiol. 2018 May 1;314(5):L822-L834. doi: 10.1152/ajplung.00272.2017. Epub 2018 Jan 25.PMID: 29368547

Does this project have an international component or travel?
No

Chronic Stress and Anemia Recovery following Major Trauma


Dr. Alicia Mohr

Email
alicia.mohr@surgery.ufl.edu

Phone
(352) 273-5670

Faculty Department/Division
Surgery

This project is primarily:
Basic

Research Project Description:
Injury-associated persistent anemia is a persistent anemia seen in the absence of acute blood loss and is one manifestation of bone marrow end organ dysfunction that occurs following severe trauma and prolonged critical illness. We have recent data showing that norepinephrine is a key regulator of erythroid progenitor cell growth and mobilization following trauma, although the exact mechanisms involved have yet to be elucidated. Based on our published observations, the overarching hypothesis is that that trauma and critical illness create a prolonged adrenergic and inflammatory milieu that alters the interaction between developing erythroblasts and the central macrophage in the final stages of erythropoiesis contributing to impaired iron function and the persistence of anemia. This research is supported by the NIH-NIGMS.

The medical student will determine the role of selenium and selenoproteins in the persistence of injury-associated anemia. As efficient ROS scavengers, the role of selenoproteins in maintaining redox homeostasis in erythrocytes and erythropoiesis is expected to be critical. In fact, selenium appears to play a significant role in pathological erythropoiesis. These studies will be conducted in our rodent polytrauma model followed by either sevens days of restraint stress. In addition to these basic science studies, analysis of human trauma samples can provide the framework for translation to the bedside. The medical student will begin an understanding of reviewing scientific literature and learn basic science laboratory techniques. They will perform cell cultures, ELISAs, as well as assist with qRT-PCR. The medical student will also perform statistics and report the results from the experiments. He/she will develop insight on how basic science research can be applied in the clinical arena.

Relevant publications:

Kelly LS, Munley JA, Pons EE, Kannan KB, Apple CG, Thompson CW, Efron PA, Mohr AM. (2022). Mechanisms of improved erythroid progenitor growth with removal of chronic stress after trauma. . Surgery 172:759-765. PMID:35672167

Loftus TJ, Mira JC, Kannan KB, Plazas JM, Delitto D, Stortz JA, Hagen JE, Parvataneni HK, Sadasivan KK, Brakenridge SC, Moore FA, Moldawer LL, Efron PA, Mohr AM. (2018). The post-injury inflammatory state and the bone marrow response to anemia. Am J Respir Crit Care Med 198, 629-638. PMID: 29768025

Does this project have an international component or travel?
No

Cerebral Revascularization Reduces Stroke in Sickle Cell Disease with Moyamoya Syndrome: Retrospective Study

Dr. Philipp Aldana


Phone
(904) 633-0789

Faculty Department/Division
Surgery

This project is primarily:
Clinical


Research Project Description:
Sickle cell disease (SCD) is the most common co-existing risk factor for stroke in African-Americans. For at-risk children with SCD, chronic transfusion therapy (CTT) decreases stroke 10-fold. Despite CTT, up to 40% with SCD and Moyamoya syndrome(MMS) still experience stroke or TIA. We are examining the effect of cerebral revascularization surgery (CRS) on stroke occurrence in this population.
We are recruiting children with SCD and MMS receiving CTT, with and without CR, in this multicenter retrospective cohort study. Stroke histories and medical treatment for SCD were examined in detail. Cerebrovascular events (CVE – stroke or TIA) and complications of treatment are the main endpoints.
We are presenting in AANS conferences on a regular basis and will also be presenting at Peds section AANS in December 2020.
Medical students will help in Data Collection, Management and Analysis as well as the Quality improvement.

Does this project have an international component or travel?
No

Usability and clinical implementation of automated, perioperative decision-support


Dr. Tyler Loftus

Email
tyler.loftus@surgery.ufl.edu

Phone
(864) 888-7404

Faculty Department/Division
Surgery

This project is primarily:
Translational

Research Project Description:
This project will assess the efficacy of teaming patients and surgeons in shared decision-making for prehabilitation though mobile application. Preoperative risk assessments promote patient engagement in shared decision-making and prehabilitation, but time-consuming manual data entry requirements impair their clinical implementation. Our working hypothesis is that teaming patients and surgeons in shared decision-making for prehabilitation though a mobile application will be associated with increased patient satisfaction regarding the patient-surgeon relationship, greater participation in prehabilitation, and increased value of care. We will deploy mobile device applications embedded with a validated surgical risk assessment platform to provide prognostic information and recommend prehabilitation activities for major elective surgery patients.
The medical student would conduct usability testing of the mobile application and participate in the interpretation and presentation of results as an author on all related manuscripts.
The mobile application is funded by an R01 that is under review for renewal.
Relevant publications:
Bihorac A, Ozrazgat-Baslanti T, Ebadi A, Motaei A, Madkour M, Pardalos PM, Lipori G, Hogan WR, Efron PA, Moore F, MoldawerLL, Wang DZ, Hobson CE, Rashidi P, Li X, Momcilovic P. MySurgeryRisk: Development and Validation of a Machine-learning RiskAlgorithm for Major Complications and Death After Surgery. Ann Surg. 2019 Apr;269(4):652-662. doi:10.1097/SLA.0000000000002706. PMID: 29489489; PMCID: PMC6110979.
Brennan M, Puri S, Ozrazgat-Baslanti T, Feng Z, Ruppert M, Hashemighouchani H, Momcilovic P, Li X, Wang DZ, Bihorac A.Comparing clinical judgment with the MySurgeryRisk algorithm for preoperative risk assessment: A pilot usability study. Surgery.2019 May;165(5):1035-1045. doi: 10.1016/j.surg.2019.01.002. Epub 2019 Feb 18. PMID: 30792011; PMCID: PMC6502657.
Loftus TJ, Ruppert MM, Ozrazgat-Baslanti T, Balch JA, Efron PA, Tighe PJ, Hogan WR, Rashidi P, Upchurch GR Jr, Bihorac A.Association of Postoperative Undertriage to Hospital Wards With Mortality and Morbidity. JAMA Netw Open. 2021 Nov1;4(11):e2131669. doi: 10.1001/jamanetworkopen.2021.31669. PMID: 34757412; PMCID: PMC8581722.

Does this project have an international component or travel?
No