Daniel Najafali
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View article: The Thoracoepigastric Flap: An Effective Reconstructive Method for Large Upper Extremity Defects in Low- and Middle-income Countries—A Single-center Study
The Thoracoepigastric Flap: An Effective Reconstructive Method for Large Upper Extremity Defects in Low- and Middle-income Countries—A Single-center Study Open
Background: Injury to the upper limbs, among the most injured anatomical regions of the body, often results in the loss of the skin envelope and the exposure of vital structures, including bone and neurovascular bundles. Reconstructive opt…
View article: 393 Cocaine and Outcomes in Emergency Department Patients Presenting With Chest Pain: Real-World Data
393 Cocaine and Outcomes in Emergency Department Patients Presenting With Chest Pain: Real-World Data Open
View article: Psychosocial Impact of Postmastectomy Lymphedema Syndrome: Insights From a National Claims Database Analysis of Antidepressant Prescription Fills
Psychosocial Impact of Postmastectomy Lymphedema Syndrome: Insights From a National Claims Database Analysis of Antidepressant Prescription Fills Open
Background: Postmastectomy lymphedema syndrome (PMLS) has been associated with lower quality of life due to symptoms and financial consequences. This study assessed the impact of PMLS on psychosocial well-being using antidepressant fill pa…
View article: Facial aesthetic training in U.S. plastic surgery residency: A multi-source analysis of resident exposure and market demand
Facial aesthetic training in U.S. plastic surgery residency: A multi-source analysis of resident exposure and market demand Open
View article: Predicting 24-Hour Blood Pressure Variability Post Thrombectomy Using Machine Learning for Patients with Ischemic Stroke from Anterior Circulation Large Vessel Occlusion
Predicting 24-Hour Blood Pressure Variability Post Thrombectomy Using Machine Learning for Patients with Ischemic Stroke from Anterior Circulation Large Vessel Occlusion Open
This study identified the interval from last-known-well time-to-groin puncture, age, and NIHSS as factors significantly associated with increased 24-hour BPV in random forest analysis. These predisposing factors in our machine learning ana…
View article: Artificial Intelligence Augmentation: Performance of GPT-4 and GPT-3.5 on the Plastic Surgery In-service Examination
Artificial Intelligence Augmentation: Performance of GPT-4 and GPT-3.5 on the Plastic Surgery In-service Examination Open
Background: ChatGPT-3.5 scored in the 52nd percentile of the Plastic Surgery In-service Examination, making its knowledge equivalent to a first-year integrated resident. The updated GPT-4 may have improved performance given its more expans…
View article: 14 Ensemble Machine Learning Models for Burn Mortality Prediction Using the WHO Global Burn Registry
14 Ensemble Machine Learning Models for Burn Mortality Prediction Using the WHO Global Burn Registry Open
Introduction Burn injuries represent a significant global health challenge, with mortality prediction being a critical component that can dictate patient care and resource allocation. This study aims to apply ensemble machine learning mode…
View article: 953 Global Disparities in Burns: Analyzing Outcomes from the WHO Global Burn Registry Across Resource Settings
953 Global Disparities in Burns: Analyzing Outcomes from the WHO Global Burn Registry Across Resource Settings Open
Introduction Burn injuries remain a significant global health burden, particularly in lower-resource settings. Understanding disparities in outcomes between low-resource and high-resource regions is needed to inform interventions. We hypot…
View article: 21 Lower Extremity Burns in Low- and Middle-Income Countries: Analysis of the WHO Global Burn Registry
21 Lower Extremity Burns in Low- and Middle-Income Countries: Analysis of the WHO Global Burn Registry Open
Introduction Burns involving the lower extremities can severely impact mobility and significantly reduce quality of life. There is a dearth of information on lower extremity burns in low-resource settings, particularly in low- and middle-i…
View article: Outcomes of 32,019 Deep Inferior Epigastric Perforator Flap Reconstructions: Insights from the Largest National Readmission Data
Outcomes of 32,019 Deep Inferior Epigastric Perforator Flap Reconstructions: Insights from the Largest National Readmission Data Open
Background: We analyzed patient outcomes after deep inferior epigastric perforator (DIEP) flap reconstruction using a national database to assess readmission, mortality, morbidity, and length of stay (LOS). Methods: This retrospective coho…
View article: Cutting Remarks: A Cross-Sectional Survey of Social Media Utilization and Experience of Online Harassment Among Plastic Surgeons
Cutting Remarks: A Cross-Sectional Survey of Social Media Utilization and Experience of Online Harassment Among Plastic Surgeons Open
Background Social media has become essential for plastic surgeons to establish their practice. However, its use is accompanied by increased reports of online harassment, with limited data on its impact on the private lives, safety, and pro…
View article: Shifting Paradigms: A Deep Dive Into Public Perceptions of Gender-affirming Surgery
Shifting Paradigms: A Deep Dive Into Public Perceptions of Gender-affirming Surgery Open
Background: Given the growing demand for gender-affirming surgery (GAS) in recent years, it is essential to explore the public perceptions of GAS. Understanding the public’s opinions and attitudes toward GAS will provide valuable insights …
View article: Exploring Available Plastic Surgery Reward Programs and Proposing a Modeled Approach
Exploring Available Plastic Surgery Reward Programs and Proposing a Modeled Approach Open
Background There is a paucity of literature exploring private practice reward programs within plastic and aesthetic surgery. Herein, we explore private practice websites and identify universal commercial programs and practice specific prog…
View article: Class in Session: Analysis of GPT-4-created Plastic Surgery In-service Examination Questions
Class in Session: Analysis of GPT-4-created Plastic Surgery In-service Examination Questions Open
Background: The Plastic Surgery In-Service Training Examination (PSITE) remains a critical milestone in residency training. Successful preparation requires extensive studying during an individual’s residency. This study focuses on the capa…
View article: The law code of ChatGPT and artificial intelligence—how to shield plastic surgeons and reconstructive surgeons against Justitia's sword
The law code of ChatGPT and artificial intelligence—how to shield plastic surgeons and reconstructive surgeons against Justitia's sword Open
Large Language Models (LLMs) like ChatGPT 4 (OpenAI), Claude 2 (Anthropic), and Llama 2 (Meta AI) have emerged as novel technologies to integrate artificial intelligence (AI) into everyday work. LLMs in particular, and AI in general, carry…
View article: D54. Understanding Frustrations with Post-operative Drain Care and Identifying a Path for Improvement: A Mixed-methods Study
D54. Understanding Frustrations with Post-operative Drain Care and Identifying a Path for Improvement: A Mixed-methods Study Open
PURPOSE: Postoperative drains are used widely in plastic surgery (PS) and prevent several complications. Patients tasked with manual record-keeping of output and drain care at home experience increased anxiety. Providers also encounter fre…
View article: 576 Head and Neck Burn Injuries: A Nationwide Analysis in Pediatric and Adult Populations
576 Head and Neck Burn Injuries: A Nationwide Analysis in Pediatric and Adult Populations Open
Introduction Burns to the head and neck impact a patient’s aesthetics in the most direct way and in severe cases impair function and quality of life. The purpose of this study is to compare outcomes between adult and pediatric patients sus…
View article: 107 Genital Burn Injuries: A Nationwide Analysis of Patient Outcomes
107 Genital Burn Injuries: A Nationwide Analysis of Patient Outcomes Open
Introduction Burn injuries to the genitals can lead to devastating injury with lifelong sequela that can impair function, aesthetics, and hygiene, directly impacting a patient’s quality of life. There is limited research investigating burn…
View article: TMR Using a Free Rectus Flap after Transhumeral Amputation
TMR Using a Free Rectus Flap after Transhumeral Amputation Open
Summary: Targeted muscle reinnervation offers an approach to regain use of the affected extremity through electronic prosthesis while limiting phantom pain and neuroma limb production or pain. In this case report, we present the first repo…
View article: Addressing the Rhino in the Room: ChatGPT Creates "Novel" Patent Ideas for Rhinoplasty.
Addressing the Rhino in the Room: ChatGPT Creates "Novel" Patent Ideas for Rhinoplasty. Open
ChatGPT has reasonable potential to generate ideas for innovations in plastic surgery with the assistance of an experienced surgeon-innovator. With new artificial intelligence generations and updates, chatbots will continue to improve. Det…
View article: Combined TMR and RPNI in a vasculopathy patient: A case report
Combined TMR and RPNI in a vasculopathy patient: A case report Open
View article: Bard Versus the 2022 American Society of Plastic Surgeons In-Service Examination: Performance on the Examination in Its Intern Year
Bard Versus the 2022 American Society of Plastic Surgeons In-Service Examination: Performance on the Examination in Its Intern Year Open
Background Bard is a conversational generative artificial intelligence (AI) platform released by Google (Mountain View, CA) to the public in May 2023. Objectives This study investigates the performance of Bard on the American Society of Pl…
View article: Examining Predictors of Early Admission and Transfer to the Critical Care Resuscitation Unit
Examining Predictors of Early Admission and Transfer to the Critical Care Resuscitation Unit Open
The CCRU expedited the transfer of critically ill patients who needed urgent interventions from outside facilities. Higher SOFA scores and the need for urgent neurological or surgical intervention were associated with near-immediate CCRU b…
View article: Application of GPT-4 in Cosmetic Plastic Surgery: Does Updated Mean Better?
Application of GPT-4 in Cosmetic Plastic Surgery: Does Updated Mean Better? Open
View article: 48. An Analysis of Breast Tissue Expander Response to External Forces
48. An Analysis of Breast Tissue Expander Response to External Forces Open
PURPOSE: The use of breast tissue expanders (TE) in breast reconstruction is accompanied by undesired changes to the chest wall and lateral plane. Breast TEs are designed to create a naturally formed breast pocket by capitalizing on the du…
View article: Ask and You Shall Receive: OpenAI ChatGPT Writes Us an Editorial on Using Chatbots in Gender Affirmation Surgery and Strategies to Increase Widespread Adoption
Ask and You Shall Receive: OpenAI ChatGPT Writes Us an Editorial on Using Chatbots in Gender Affirmation Surgery and Strategies to Increase Widespread Adoption Open
View article: Can Chatbots Assist With Grant Writing in Plastic Surgery? Utilizing ChatGPT to Start an R01 Grant
Can Chatbots Assist With Grant Writing in Plastic Surgery? Utilizing ChatGPT to Start an R01 Grant Open
View article: Truth or Lies? The Pitfalls and Limitations of ChatGPT in Systematic Review Creation
Truth or Lies? The Pitfalls and Limitations of ChatGPT in Systematic Review Creation Open
View article: Long-term assessment of the functional independence measure in sports-related spinal cord injury
Long-term assessment of the functional independence measure in sports-related spinal cord injury Open
Our study demonstrated that SRSCI patients are a unique subset of SCI patients for whom factors repeatedly associated with independence at one year follow-up were dissimilar to those associated with independence at five-year follow-up. Lar…
View article: Let's Chat About Chatbots: Additional Thoughts on ChatGPT and Its Role in Plastic Surgery Along With Its Ability to Perform Systematic Reviews
Let's Chat About Chatbots: Additional Thoughts on ChatGPT and Its Role in Plastic Surgery Along With Its Ability to Perform Systematic Reviews Open