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Perioperative Medicine Summit 2009
4th Annual Program and Abstracts

Summit Director:
Amir K. Jaffer, MD

Contents

Summit Faculty

Summit Program

Abstract 1: Pulmonary hypertension is an important predictor of perioperative outcomes in patients undergoing noncardiac surgery
Roop Kaw, MD; Esteban Walker, PhD; Vinay Pasupuleti, MD, PhD; Abhishek Deshpande, MD, PhD; Tarek Hamieh, MD; and Omar A. Minai, MD

Abstract 2: Analysis of administrative practices and residency training curricula in academic anesthesiology programs
David Hepner, A.R. Bader, D. Correll, L.C. Tsen, B.S. Segal, and A.M. Bader

Abstract 3: Is percent body fat a better predictor of surgical site infection risk than body mass index?
Emily Waisbren, BS; Angela M. Bader, MD, MPH; Heather Rosen, MD, MPH; Selwyn O. Rogers, Jr., MD, MPH; and Elof Eriksson, MD, PhD

Abstract 4: A nomogram for prediction of survival for patients undergoing elective major noncardiac surgery
Y. Olivia Xu-Cai, MD; and Michael W. Kattan, PhD

Abstract 5: Sustainability of an osteoporosis pathway
Catherine Gibb, MBBS, FRACP; Christopher Butcher, FRACS; Lesley Thomas, BNsg; and Jennifer Pink, BPharm

Abstract 6: Length of hospital stay is predicted by comorbidities
Catherine Gibb, MBBS, FRACP; and Professor Villis Marshall, FRACS

Abstract 7: Generalization of the POISE and Mangano studies on beta-blocker use in the perioperative period
Matthieu Touchette, MD; Odile Paquette, MD; Catherine St-Georges, MD; and Luc Lanthier, MD, MSc

Abstract 8: Impact of antihypertensive medication on perioperative period
Matthieu Touchette, MD; Odile Paquette, MD; Catherine St-Georges, MD; Danielle Pilon, MD, MSc; and Luc Lanthier, MD, MSc

Abstract 9: An analysis of preoperative testing protocols in academic anesthesiology programs
David Hepner, A.R. Bader, D. Correll, L.C. Tsen, B.S. Segal, and A.M. Bader

Abstract 10: Preoperative biomarkers of inflammation, ischemia, and heart failure and outcomes of vascular surgery
Matthew Griffee, MD; Ansgar Brambrink, MD, PhD; and Thomas Barrett, MD

Abstract 11: Alcohol-related predictors of postoperative delirium in major head and neck cancer surgery
Harrison Weed, MD; Summit Shah, BS; Xin He, PhD; Amit Agrawal, MD; Enver Ozer, MD; and David E. Schuller, MD

Abstract 12: Intraoperative coagulopathy: A low-volume treatment protocol that completely replaces fresh frozen plasma
Peter Kallas, MD; Mary Lou Green, MHS; and Anjali Desai, MD

Abstract 13: Is the Berlin Questionnaire an effective screening tool for obstructive sleep apnea in the preoperative total joint replacement population?
Peter Kallas, MD; Mark Schumacher; Mona Lazar, DO; and Anjali Desai, MD

Abstract 14: The impact of preoperative medical optimization on head and neck cancer surgery
Christopher Tan, MBBS; Catherine Gibb, MBBS, FRACP; and Suren Krishnan, MBBS, FRACS

Abstract 15: Reconceptualizing the preoperative process
Ross Kerridge, MBBS, FRCA, FANZCA

Abstract 16: Development of an electronic medical record smart set form to increase standardization, consistency, and compliance with ACC/AHA perioperative guidelines
Anitha Rajamanickam, MD; Ali Usmani, MD; Ajay Kumar, MD; and Brian Harte, MD

Abstract 17: Development of a perioperative electronic medical record research and quality improvement database
Anitha Rajamanickam, MD; Ali Usmani, MD; Feza Remzi, MD; Brian Harte, MD; and Ajay Kumar, MD

Abstract 18: An innovative perioperative/consultative curriculum for third-year internal medicine residents
Alex Rico, MD; Joshua Lenchus, DO; and Amir Jaffer, MD

Abstract 19: Preoperative medicine infobutton
Terrence J. Adam, MD, PhD

Abstract 20: Nurse practitioners: Bridging the gap in perioperative care
Sally Morgan, RN, MS, ANP-BC, ACNS-BC; and Angela Wright, RN, MSN, APRN, BC

Abstract 21: Intubation training of deploying far forward combat medical personnel with the video laryngoscope
Ben Boedeker, MD; Mary Barak-Bernhagen, BS; Kirsten Boedeker; and W. Bosseau Murray, MD

Abstract 22: The establishment of a perioperative skin integrity committee
Jeanne Lanchester, RN, MEd; Ann Leary, BSN, RNC; and Susan Vargas, AD, RN

Abstract 23: Development and implementation of a perianesthesia integrative care committee
Jeanne Lanchester, RN, MEd; Jeanette Cote, BWN, RN; Terri Jamros, RN; Charla Delillo, RN; Sherie Lavoie, BSN, RN; Jennifer Therminos, SN; Joan Compagnone, RN; and Nicole Engel, MSN, RN

Abstract 24: Development of a screening system to identify patients preoperatively who may benefit from a postoperative hospitalist consult
Elizabeth Marlow, MD, MA; and Chad Whelan, MD

Abstract 25: An algorithm for preoperative screening and management of sleep apnea: Have we created a monster?
Deborah C. Richman, MBChB, FFA(SA); Jorge M. Mallea, MD; Paul S. Richman, MD; and Pater S.A. Glass, MBChB

Abstract 26: Constructing a collaborative neuroscience hospitalist program
Rachel Thompson, MD; Christy Gilmore, MD; Kamal Ajam, MD; and Jennifer Thompson, MD

Abstract 27: The development of algorithms for preoperative management of antiplatelet and anticoagulation therapy in patients undergoing surgical or invasive procedures
Catherine McGowan, MSN, and Patricia Kidik, MSN

Abstract 28: Surgeon-initiated preoperative screening: A new approach
Christina Johnson, RN, PA-C; and Edward J. denBraven, CRNA

Abstract 29: A new process for ensuring the safety of patients having anesthesia outside of the operating room
Ellen Leary, MSN; Catherine McGowan, MSN; Kathleen McGrath, MSN; Sheila McCabe Hassan, MSN; and Theresa Kennedy, MSN

Abstract 30: Establishing a virtual preoperative evaluation clinic
Corey Zetterman, MD; Bobbie J. Sweitzer, MD; and Ben H. Boedeker, MD

Abstract 31: Perioperative hypoxemia and rhabdomyolysis in a medically complicated patient
Sarah Bodin, MD

Abstract 32: How soon is too soon? General anesthesia after coronary intervention with bare metal stents
Meghan Tadel, MD

Abstract 33: Can patients with critical aortic stenosis undergo noncardiac surgery without intervening aortic valve replacement?
M. Chadi Alraies, MD; Abdul Alraiyes, MD; Anitha Rajamanickam, MD; and Frank Michota, MD

Abstract 34: Is it safe to operate on cocaine-positive patients?
M. Chadi Alraies, MD; Abdul Hamid Alraiyes, MD; and Brian Harte, MD

Abstract 35: To intensive care or not?
Mona Lazar, DO; and Peter Kallas, MD

Abstract 36: Predicting surgical complications from liver disease
Mona Lazar, DO, and Peter Kallas, MD

Abstract 37: Preoperative coronary angiography: Friend or foe?
Ross Kerridge, MBBS, FRCA, FANZCA

Abstract 38: Heparin-induced thrombocytopenia with low molecular weight heparin after total knee replacement
Steven Cohn, MD

Abstract 39: Patient with Parkinson’s disease treated with implanted deep brain stimulators for laparotomy
Deborah C. Richman, MBChB, FFA(SA); Daryn H. Moller, MD; and Khoa N. Nguyen, MD

Abstract 40: Ethical dilemma in the preoperative assessment clinic: Can a patient refuse an indicated cardiac workup? Can we refuse to anesthetize?
Deborah C. Richman, MBChB, FFA(SA)

Abstract 41: Coronary artery bypass grafting as a precipitatin factor in diabetic ketoacidosis in type 2 diabetes
Vishal Sehgral, MD, and Abbas Kitabchi, MD

Index of abstract authors

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Cleveland Clinic Journal of Medicine - 76(2)
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4th Annual Program and Abstracts
4th Annual Program and Abstracts

Summit Director:
Amir K. Jaffer, MD

Contents

Summit Faculty

Summit Program

Abstract 1: Pulmonary hypertension is an important predictor of perioperative outcomes in patients undergoing noncardiac surgery
Roop Kaw, MD; Esteban Walker, PhD; Vinay Pasupuleti, MD, PhD; Abhishek Deshpande, MD, PhD; Tarek Hamieh, MD; and Omar A. Minai, MD

Abstract 2: Analysis of administrative practices and residency training curricula in academic anesthesiology programs
David Hepner, A.R. Bader, D. Correll, L.C. Tsen, B.S. Segal, and A.M. Bader

Abstract 3: Is percent body fat a better predictor of surgical site infection risk than body mass index?
Emily Waisbren, BS; Angela M. Bader, MD, MPH; Heather Rosen, MD, MPH; Selwyn O. Rogers, Jr., MD, MPH; and Elof Eriksson, MD, PhD

Abstract 4: A nomogram for prediction of survival for patients undergoing elective major noncardiac surgery
Y. Olivia Xu-Cai, MD; and Michael W. Kattan, PhD

Abstract 5: Sustainability of an osteoporosis pathway
Catherine Gibb, MBBS, FRACP; Christopher Butcher, FRACS; Lesley Thomas, BNsg; and Jennifer Pink, BPharm

Abstract 6: Length of hospital stay is predicted by comorbidities
Catherine Gibb, MBBS, FRACP; and Professor Villis Marshall, FRACS

Abstract 7: Generalization of the POISE and Mangano studies on beta-blocker use in the perioperative period
Matthieu Touchette, MD; Odile Paquette, MD; Catherine St-Georges, MD; and Luc Lanthier, MD, MSc

Abstract 8: Impact of antihypertensive medication on perioperative period
Matthieu Touchette, MD; Odile Paquette, MD; Catherine St-Georges, MD; Danielle Pilon, MD, MSc; and Luc Lanthier, MD, MSc

Abstract 9: An analysis of preoperative testing protocols in academic anesthesiology programs
David Hepner, A.R. Bader, D. Correll, L.C. Tsen, B.S. Segal, and A.M. Bader

Abstract 10: Preoperative biomarkers of inflammation, ischemia, and heart failure and outcomes of vascular surgery
Matthew Griffee, MD; Ansgar Brambrink, MD, PhD; and Thomas Barrett, MD

Abstract 11: Alcohol-related predictors of postoperative delirium in major head and neck cancer surgery
Harrison Weed, MD; Summit Shah, BS; Xin He, PhD; Amit Agrawal, MD; Enver Ozer, MD; and David E. Schuller, MD

Abstract 12: Intraoperative coagulopathy: A low-volume treatment protocol that completely replaces fresh frozen plasma
Peter Kallas, MD; Mary Lou Green, MHS; and Anjali Desai, MD

Abstract 13: Is the Berlin Questionnaire an effective screening tool for obstructive sleep apnea in the preoperative total joint replacement population?
Peter Kallas, MD; Mark Schumacher; Mona Lazar, DO; and Anjali Desai, MD

Abstract 14: The impact of preoperative medical optimization on head and neck cancer surgery
Christopher Tan, MBBS; Catherine Gibb, MBBS, FRACP; and Suren Krishnan, MBBS, FRACS

Abstract 15: Reconceptualizing the preoperative process
Ross Kerridge, MBBS, FRCA, FANZCA

Abstract 16: Development of an electronic medical record smart set form to increase standardization, consistency, and compliance with ACC/AHA perioperative guidelines
Anitha Rajamanickam, MD; Ali Usmani, MD; Ajay Kumar, MD; and Brian Harte, MD

Abstract 17: Development of a perioperative electronic medical record research and quality improvement database
Anitha Rajamanickam, MD; Ali Usmani, MD; Feza Remzi, MD; Brian Harte, MD; and Ajay Kumar, MD

Abstract 18: An innovative perioperative/consultative curriculum for third-year internal medicine residents
Alex Rico, MD; Joshua Lenchus, DO; and Amir Jaffer, MD

Abstract 19: Preoperative medicine infobutton
Terrence J. Adam, MD, PhD

Abstract 20: Nurse practitioners: Bridging the gap in perioperative care
Sally Morgan, RN, MS, ANP-BC, ACNS-BC; and Angela Wright, RN, MSN, APRN, BC

Abstract 21: Intubation training of deploying far forward combat medical personnel with the video laryngoscope
Ben Boedeker, MD; Mary Barak-Bernhagen, BS; Kirsten Boedeker; and W. Bosseau Murray, MD

Abstract 22: The establishment of a perioperative skin integrity committee
Jeanne Lanchester, RN, MEd; Ann Leary, BSN, RNC; and Susan Vargas, AD, RN

Abstract 23: Development and implementation of a perianesthesia integrative care committee
Jeanne Lanchester, RN, MEd; Jeanette Cote, BWN, RN; Terri Jamros, RN; Charla Delillo, RN; Sherie Lavoie, BSN, RN; Jennifer Therminos, SN; Joan Compagnone, RN; and Nicole Engel, MSN, RN

Abstract 24: Development of a screening system to identify patients preoperatively who may benefit from a postoperative hospitalist consult
Elizabeth Marlow, MD, MA; and Chad Whelan, MD

Abstract 25: An algorithm for preoperative screening and management of sleep apnea: Have we created a monster?
Deborah C. Richman, MBChB, FFA(SA); Jorge M. Mallea, MD; Paul S. Richman, MD; and Pater S.A. Glass, MBChB

Abstract 26: Constructing a collaborative neuroscience hospitalist program
Rachel Thompson, MD; Christy Gilmore, MD; Kamal Ajam, MD; and Jennifer Thompson, MD

Abstract 27: The development of algorithms for preoperative management of antiplatelet and anticoagulation therapy in patients undergoing surgical or invasive procedures
Catherine McGowan, MSN, and Patricia Kidik, MSN

Abstract 28: Surgeon-initiated preoperative screening: A new approach
Christina Johnson, RN, PA-C; and Edward J. denBraven, CRNA

Abstract 29: A new process for ensuring the safety of patients having anesthesia outside of the operating room
Ellen Leary, MSN; Catherine McGowan, MSN; Kathleen McGrath, MSN; Sheila McCabe Hassan, MSN; and Theresa Kennedy, MSN

Abstract 30: Establishing a virtual preoperative evaluation clinic
Corey Zetterman, MD; Bobbie J. Sweitzer, MD; and Ben H. Boedeker, MD

Abstract 31: Perioperative hypoxemia and rhabdomyolysis in a medically complicated patient
Sarah Bodin, MD

Abstract 32: How soon is too soon? General anesthesia after coronary intervention with bare metal stents
Meghan Tadel, MD

Abstract 33: Can patients with critical aortic stenosis undergo noncardiac surgery without intervening aortic valve replacement?
M. Chadi Alraies, MD; Abdul Alraiyes, MD; Anitha Rajamanickam, MD; and Frank Michota, MD

Abstract 34: Is it safe to operate on cocaine-positive patients?
M. Chadi Alraies, MD; Abdul Hamid Alraiyes, MD; and Brian Harte, MD

Abstract 35: To intensive care or not?
Mona Lazar, DO; and Peter Kallas, MD

Abstract 36: Predicting surgical complications from liver disease
Mona Lazar, DO, and Peter Kallas, MD

Abstract 37: Preoperative coronary angiography: Friend or foe?
Ross Kerridge, MBBS, FRCA, FANZCA

Abstract 38: Heparin-induced thrombocytopenia with low molecular weight heparin after total knee replacement
Steven Cohn, MD

Abstract 39: Patient with Parkinson’s disease treated with implanted deep brain stimulators for laparotomy
Deborah C. Richman, MBChB, FFA(SA); Daryn H. Moller, MD; and Khoa N. Nguyen, MD

Abstract 40: Ethical dilemma in the preoperative assessment clinic: Can a patient refuse an indicated cardiac workup? Can we refuse to anesthetize?
Deborah C. Richman, MBChB, FFA(SA)

Abstract 41: Coronary artery bypass grafting as a precipitatin factor in diabetic ketoacidosis in type 2 diabetes
Vishal Sehgral, MD, and Abbas Kitabchi, MD

Index of abstract authors

Summit Director:
Amir K. Jaffer, MD

Contents

Summit Faculty

Summit Program

Abstract 1: Pulmonary hypertension is an important predictor of perioperative outcomes in patients undergoing noncardiac surgery
Roop Kaw, MD; Esteban Walker, PhD; Vinay Pasupuleti, MD, PhD; Abhishek Deshpande, MD, PhD; Tarek Hamieh, MD; and Omar A. Minai, MD

Abstract 2: Analysis of administrative practices and residency training curricula in academic anesthesiology programs
David Hepner, A.R. Bader, D. Correll, L.C. Tsen, B.S. Segal, and A.M. Bader

Abstract 3: Is percent body fat a better predictor of surgical site infection risk than body mass index?
Emily Waisbren, BS; Angela M. Bader, MD, MPH; Heather Rosen, MD, MPH; Selwyn O. Rogers, Jr., MD, MPH; and Elof Eriksson, MD, PhD

Abstract 4: A nomogram for prediction of survival for patients undergoing elective major noncardiac surgery
Y. Olivia Xu-Cai, MD; and Michael W. Kattan, PhD

Abstract 5: Sustainability of an osteoporosis pathway
Catherine Gibb, MBBS, FRACP; Christopher Butcher, FRACS; Lesley Thomas, BNsg; and Jennifer Pink, BPharm

Abstract 6: Length of hospital stay is predicted by comorbidities
Catherine Gibb, MBBS, FRACP; and Professor Villis Marshall, FRACS

Abstract 7: Generalization of the POISE and Mangano studies on beta-blocker use in the perioperative period
Matthieu Touchette, MD; Odile Paquette, MD; Catherine St-Georges, MD; and Luc Lanthier, MD, MSc

Abstract 8: Impact of antihypertensive medication on perioperative period
Matthieu Touchette, MD; Odile Paquette, MD; Catherine St-Georges, MD; Danielle Pilon, MD, MSc; and Luc Lanthier, MD, MSc

Abstract 9: An analysis of preoperative testing protocols in academic anesthesiology programs
David Hepner, A.R. Bader, D. Correll, L.C. Tsen, B.S. Segal, and A.M. Bader

Abstract 10: Preoperative biomarkers of inflammation, ischemia, and heart failure and outcomes of vascular surgery
Matthew Griffee, MD; Ansgar Brambrink, MD, PhD; and Thomas Barrett, MD

Abstract 11: Alcohol-related predictors of postoperative delirium in major head and neck cancer surgery
Harrison Weed, MD; Summit Shah, BS; Xin He, PhD; Amit Agrawal, MD; Enver Ozer, MD; and David E. Schuller, MD

Abstract 12: Intraoperative coagulopathy: A low-volume treatment protocol that completely replaces fresh frozen plasma
Peter Kallas, MD; Mary Lou Green, MHS; and Anjali Desai, MD

Abstract 13: Is the Berlin Questionnaire an effective screening tool for obstructive sleep apnea in the preoperative total joint replacement population?
Peter Kallas, MD; Mark Schumacher; Mona Lazar, DO; and Anjali Desai, MD

Abstract 14: The impact of preoperative medical optimization on head and neck cancer surgery
Christopher Tan, MBBS; Catherine Gibb, MBBS, FRACP; and Suren Krishnan, MBBS, FRACS

Abstract 15: Reconceptualizing the preoperative process
Ross Kerridge, MBBS, FRCA, FANZCA

Abstract 16: Development of an electronic medical record smart set form to increase standardization, consistency, and compliance with ACC/AHA perioperative guidelines
Anitha Rajamanickam, MD; Ali Usmani, MD; Ajay Kumar, MD; and Brian Harte, MD

Abstract 17: Development of a perioperative electronic medical record research and quality improvement database
Anitha Rajamanickam, MD; Ali Usmani, MD; Feza Remzi, MD; Brian Harte, MD; and Ajay Kumar, MD

Abstract 18: An innovative perioperative/consultative curriculum for third-year internal medicine residents
Alex Rico, MD; Joshua Lenchus, DO; and Amir Jaffer, MD

Abstract 19: Preoperative medicine infobutton
Terrence J. Adam, MD, PhD

Abstract 20: Nurse practitioners: Bridging the gap in perioperative care
Sally Morgan, RN, MS, ANP-BC, ACNS-BC; and Angela Wright, RN, MSN, APRN, BC

Abstract 21: Intubation training of deploying far forward combat medical personnel with the video laryngoscope
Ben Boedeker, MD; Mary Barak-Bernhagen, BS; Kirsten Boedeker; and W. Bosseau Murray, MD

Abstract 22: The establishment of a perioperative skin integrity committee
Jeanne Lanchester, RN, MEd; Ann Leary, BSN, RNC; and Susan Vargas, AD, RN

Abstract 23: Development and implementation of a perianesthesia integrative care committee
Jeanne Lanchester, RN, MEd; Jeanette Cote, BWN, RN; Terri Jamros, RN; Charla Delillo, RN; Sherie Lavoie, BSN, RN; Jennifer Therminos, SN; Joan Compagnone, RN; and Nicole Engel, MSN, RN

Abstract 24: Development of a screening system to identify patients preoperatively who may benefit from a postoperative hospitalist consult
Elizabeth Marlow, MD, MA; and Chad Whelan, MD

Abstract 25: An algorithm for preoperative screening and management of sleep apnea: Have we created a monster?
Deborah C. Richman, MBChB, FFA(SA); Jorge M. Mallea, MD; Paul S. Richman, MD; and Pater S.A. Glass, MBChB

Abstract 26: Constructing a collaborative neuroscience hospitalist program
Rachel Thompson, MD; Christy Gilmore, MD; Kamal Ajam, MD; and Jennifer Thompson, MD

Abstract 27: The development of algorithms for preoperative management of antiplatelet and anticoagulation therapy in patients undergoing surgical or invasive procedures
Catherine McGowan, MSN, and Patricia Kidik, MSN

Abstract 28: Surgeon-initiated preoperative screening: A new approach
Christina Johnson, RN, PA-C; and Edward J. denBraven, CRNA

Abstract 29: A new process for ensuring the safety of patients having anesthesia outside of the operating room
Ellen Leary, MSN; Catherine McGowan, MSN; Kathleen McGrath, MSN; Sheila McCabe Hassan, MSN; and Theresa Kennedy, MSN

Abstract 30: Establishing a virtual preoperative evaluation clinic
Corey Zetterman, MD; Bobbie J. Sweitzer, MD; and Ben H. Boedeker, MD

Abstract 31: Perioperative hypoxemia and rhabdomyolysis in a medically complicated patient
Sarah Bodin, MD

Abstract 32: How soon is too soon? General anesthesia after coronary intervention with bare metal stents
Meghan Tadel, MD

Abstract 33: Can patients with critical aortic stenosis undergo noncardiac surgery without intervening aortic valve replacement?
M. Chadi Alraies, MD; Abdul Alraiyes, MD; Anitha Rajamanickam, MD; and Frank Michota, MD

Abstract 34: Is it safe to operate on cocaine-positive patients?
M. Chadi Alraies, MD; Abdul Hamid Alraiyes, MD; and Brian Harte, MD

Abstract 35: To intensive care or not?
Mona Lazar, DO; and Peter Kallas, MD

Abstract 36: Predicting surgical complications from liver disease
Mona Lazar, DO, and Peter Kallas, MD

Abstract 37: Preoperative coronary angiography: Friend or foe?
Ross Kerridge, MBBS, FRCA, FANZCA

Abstract 38: Heparin-induced thrombocytopenia with low molecular weight heparin after total knee replacement
Steven Cohn, MD

Abstract 39: Patient with Parkinson’s disease treated with implanted deep brain stimulators for laparotomy
Deborah C. Richman, MBChB, FFA(SA); Daryn H. Moller, MD; and Khoa N. Nguyen, MD

Abstract 40: Ethical dilemma in the preoperative assessment clinic: Can a patient refuse an indicated cardiac workup? Can we refuse to anesthetize?
Deborah C. Richman, MBChB, FFA(SA)

Abstract 41: Coronary artery bypass grafting as a precipitatin factor in diabetic ketoacidosis in type 2 diabetes
Vishal Sehgral, MD, and Abbas Kitabchi, MD

Index of abstract authors

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Cleveland Clinic Journal of Medicine - 76(2)
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eS1-eS57
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