Contemporary approach to st elevation myocardial infarction in very young

Coronary artery disease (CAD) commonly occurs in individuals over the age of 45 years. Several studies categorize “young” individuals with CAD or acute myocardial infarction as those below the ages of 40 and 45. The protection provided by young age has slowly been eroded by risk factors like smoking, obesity, and sedentary lifestyle that are becoming more common among young individuals. We report a case of 21-year-old male with family history of premature coronary artery disease, who presented with acute anterior wall ST elevation myocardial infarction. Coronary angiogram revealed 100% thrombotic occlusion of proximal left anterior descending coronary artery. Further evaluation of the lesion morphology using optical coherence tomography revealed plaque erosion. Thrombolysis in Myocardial Infarction coronary grade III flow was achieved after thrombus aspiration. Stent deployment was deferred to avoid the need for lifelong medication and its associated side effects in a young patient. Due to their anti-thrombotic qualities, we also recommend using novel oral anticoagulants in this situation for short-term therapy

Facilitating Automated Data Analytics Through Structured Head and Neck Oncology Tumor Board Documentation

http://deepblue.lib.umich.edu/bitstream/2027.42/191978/2/2022_JCO_Tumor Board Automated Data Analytics.pdfPublished versionDescription of 2022_JCO_Tumor Board Automated Data Analytics.pdf : Published versio

Impact of applicant and program factors on preference signaling outcomes in otolaryngology

ObjectivesTo assess the impact of applicant and program characteristics on preference signaling outcomes during the 2021 and 2022 application cycles in otolaryngology.MethodsThe Texas Seeking Transparency in Applications to Residency survey was used for otolaryngology applicants during the 2021 and 2022 match years. The primary outcome of interest was signal yield, defined as the number of interviews at signaled programs divided by the total number of signals sent. Associations with applicant-reported characteristics, geographic connections to programs, and program reputation were assessed.ResultsOn average 59.5% of signals resulted in an interview (signal yield). There was a positive correlation between the number of signals sent to a program with a reported geographic connection and signal yield, with each additional signal resulting in a 3.4% increase in signal yield (p = .03). Signal yield was positively associated with number of publications (p < .001); number of abstracts, posters, and presentations (p = .04); and whether the applicant took a research year (p = .003). Applicants with higher USMLE Step 1 (p = .01) and Step 2 (p = .003) scores, publications (p = .03), volunteer (p = .008) and leadership (p = .001) experiences received a lower percentage of their total interviews from signaled programs whereas applicants from the 3rd (p < .001) and 4th (p = .03) cumulative class ranked quartiles received a higher percentage of their total interviews from signaled programs.ConclusionsSignal yield appears to have a significant association with geographic connections to programs and applicant competitiveness. This study may help applicants, advisors, and programs maximize the benefit of the preference signaling system.Levels of evidence: Level 4.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/176284/1/lio21025_am.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/176284/2/lio21025.pd

Anterior spinal hardware erosion of the pharyngoesophagus: A difficult reconstructive challenge—Our experience in nine patients

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/175938/1/coa14025_am.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/175938/2/coa14025.pd