Anamaria J. Robles
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View article: Prevalência de transtornos de ansiedade e depressão em mulheres com síndrome dos ovários policísticos (SOP): Uma revisão de literatura
Prevalência de transtornos de ansiedade e depressão em mulheres com síndrome dos ovários policísticos (SOP): Uma revisão de literatura Open
Introdução: A síndrome dos ovários policísticos (SOP) é uma condição endócrina comum em mulheres em idade reprodutiva, frequentemente associada a repercussões psicológicas significativas, incluindo transtornos de ansiedade e depressão, com…
View article: Alveolar Extracellular Vesicles May Protect Some Patients With Chronic Aspiration From Pneumonia
Alveolar Extracellular Vesicles May Protect Some Patients With Chronic Aspiration From Pneumonia Open
Objectives Aspiration pneumonia (PNA) is a significant cause of morbidity and mortality. Up to 30% of healthy older adults may aspirate; however, many individuals with chronic aspiration do not develop PNA. We hypothesize that some patient…
View article: Trauma care disparities: is equity the key? Output from SAFER-Trauma
Trauma care disparities: is equity the key? Output from SAFER-Trauma Open
Despite remarkable advances in clinical care, injury remains a leading cause of death in the USA. Recent studies in the care of the injured patient have begun to unearth the crucial influence of health disparities and health inequity on ou…
View article: Innovative approaches to equity research in trauma: current work and aspirations from the Summit on the Advancement of Focused Equity Research in Trauma (SAFER-Trauma)
Innovative approaches to equity research in trauma: current work and aspirations from the Summit on the Advancement of Focused Equity Research in Trauma (SAFER-Trauma) Open
On August 2–3, 2023, the Summit on the Advancement of Focused Equity Research in Trauma (SAFER-Trauma) convened to discuss strategies to support research to eliminate disparities in trauma care. An ongoing challenge for performing high-qua…
View article: Unveiling the economic value of equitable care for the traumatically injured: is it cost-effective to decrease trauma disparities?
Unveiling the economic value of equitable care for the traumatically injured: is it cost-effective to decrease trauma disparities? Open
In the USA, traumatic injury results in a significant financial burden, which is unevenly distributed in our society. In this paper, we will highlight some of the data around the costs of injury associated with a focus on socially vulnerab…
View article: Examining our lens: how bias heightens disparities in trauma research
Examining our lens: how bias heightens disparities in trauma research Open
Trauma research is an expansive discipline that informs injury prevention, best practices in care, and novel interventions. However, implicit bias, or the unconscious stereotypical beliefs about groups of people, can have profound implicat…
View article: IMPACT OF GUT MICROBIOTA ON POSTOPERATIVE RECOVERY AND WOUND HEALING
IMPACT OF GUT MICROBIOTA ON POSTOPERATIVE RECOVERY AND WOUND HEALING Open
The gut microbiota, made up of trillions of microorganisms that inhabit the gastrointestinal tract, plays a fundamental role in human health, influencing immunological and metabolic processes and even wound healing. Recently, studies have …
View article: Best Case/Worst Case-ICU: protocol for a multisite, stepped-wedge, randomised clinical trial of scenario planning to improve communication in the ICU in US trauma centres for older adults with serious injury
Best Case/Worst Case-ICU: protocol for a multisite, stepped-wedge, randomised clinical trial of scenario planning to improve communication in the ICU in US trauma centres for older adults with serious injury Open
Introduction Poor communication about serious injury in older adults can lead to treatment that is inconsistent with patient preferences, create conflict and strain healthcare resources. We developed a communication intervention called Bes…
View article: Using microfluidic shear to assess transfusion requirements in trauma patients
Using microfluidic shear to assess transfusion requirements in trauma patients Open
Background Viscoelastic assays have widely been used for evaluating coagulopathies but lack the addition of shear stress important to in vivo clot formation. Stasys technology subjects whole blood to shear forces over factor-coated surface…
View article: Do serial troponins predict the need for cardiac evaluation in trauma patients after ground-level fall?
Do serial troponins predict the need for cardiac evaluation in trauma patients after ground-level fall? Open
Purpose Troponin T levels are routinely checked in trauma patients after experiencing a ground-level fall to identify potential cardiac causes of syncope. An elevated initial troponin prompts serial testing until the level peaks. However, …
View article: Cell-Free Hemoglobin in the Pathophysiology of Trauma: A Scoping Review
Cell-Free Hemoglobin in the Pathophysiology of Trauma: A Scoping Review Open
OBJECTIVES: Cell-free hemoglobin (CFH) is a potent mediator of endothelial dysfunction, organ injury, coagulopathy, and immunomodulation in hemolysis. These mechanisms have been demonstrated in patients with sepsis, hemoglobinopathies, and…
View article: The Structural Violence Trap: Disparities in Homicide, Chronic Disease Death, and Social Factors Across San Francisco Neighborhoods
The Structural Violence Trap: Disparities in Homicide, Chronic Disease Death, and Social Factors Across San Francisco Neighborhoods Open
BACKGROUND: On average, a person living in San Francisco can expect to live 83 years. This number conceals significant variation by sex, race, and place of residence. We examined deaths and area-based social factors by San Francisco neighb…
View article: External validation of a novel signature of illness in continuous cardiorespiratory monitoring to detect early respiratory deterioration of ICU patients
External validation of a novel signature of illness in continuous cardiorespiratory monitoring to detect early respiratory deterioration of ICU patients Open
Objective: The goal of predictive analytics monitoring is the early detection of patients at high risk of subacute potentially catastrophic illnesses. An excellent example of a targeted illness is respiratory failure leading to urgent unpl…
View article: External Validation Of A Novel Signature Of Illness In Continuous Cardiorespiratory Monitoring To Detect Early Respiratory Deterioration Of ICU Patients
External Validation Of A Novel Signature Of Illness In Continuous Cardiorespiratory Monitoring To Detect Early Respiratory Deterioration Of ICU Patients Open
The goal of predictive analytics monitoring is the early detection of patients at high risk of subacute potentially catastrophic illnesses. An excellent example of a targeted illness is respiratory failure leading to urgent unplanned intub…
View article: It's About Time: Transfusion effects on postinjury platelet aggregation over time
It's About Time: Transfusion effects on postinjury platelet aggregation over time Open
BACKGROUND Impaired postinjury platelet aggregation is common, but the effect of transfusion on this remains unclear. Data suggest that following injury platelet transfusion may not correct impaired platelet aggregation, and impaired plate…
View article: Effect of mass shootings on gun sales—A 20-year perspective
Effect of mass shootings on gun sales—A 20-year perspective Open
BACKGROUND Granular data on gun sales has been historically difficult to obtain. In 2016, California (CA) made monthly data from 1996 to 2015 publically available. Control charts are a method to analyze how a process changes over time in r…
View article: Predictors of postinjury acute respiratory distress syndrome: Lung injury persists in the era of hemostatic resuscitation
Predictors of postinjury acute respiratory distress syndrome: Lung injury persists in the era of hemostatic resuscitation Open
BACKGROUND Acute respiratory distress syndrome (ARDS) following trauma is historically associated with crystalloid and blood product exposure. Advances in resuscitation have occurred over the last decade, but their impact on ARDS is unknow…
View article: The why and how our trauma patients die: A prospective Multicenter Western Trauma Association study
The why and how our trauma patients die: A prospective Multicenter Western Trauma Association study Open
BACKGROUND Historically, hemorrhage has been attributed as the leading cause (40%) of early death. However, a rigorous, real-time classification of the cause of death (COD) has not been performed. This study sought to prospectively adjudic…
View article: Is it time to measure complications from the National Trauma Data Bank? A longitudinal analysis of recent reporting trends
Is it time to measure complications from the National Trauma Data Bank? A longitudinal analysis of recent reporting trends Open
BACKGROUND Payers have approached select complications as never events, yet there is rationale that achieving a zero incidence of these events is impractical. Prior 2005 National Trauma Data Bank (NTDB) analysis showed high rates (37%) of …
View article: Banning open carry of unloaded handguns decreases firearm-related fatalities and hospital utilization
Banning open carry of unloaded handguns decreases firearm-related fatalities and hospital utilization Open
Background Since 1967, in California it has been illegal to openly carry a loaded firearm in public except when engaged in hunting or law enforcement. However, beginning January 1, 2012, public open carry of unloaded handguns also became i…
View article: Health care utilization and the cost of posttraumatic acute respiratory distress syndrome care
Health care utilization and the cost of posttraumatic acute respiratory distress syndrome care Open
BACKGROUND Posttraumatic acute respiratory distress syndrome (ARDS) is associated with prolonged mechanical ventilation and longer hospitalizations. The relationship between posttraumatic ARDS severity and financial burden has not been pre…