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Incidence of Venous Thromboembolism after Sternal Reconstruction: A Single-center Retrospective Review., Allen F Yi, Kevin K Zhang, Sean D Arredondo, Andrew L O'Brien, Casey T Kraft, Jeffrey E Janis, and Stephen J Poteet

Differentiating Acute Rejection From Preeclampsia After Kidney Transplantation, Ophelia Yin, Aneesh Kallapur, Lisa Coscia, Serban Constantinescu, Michael Moritz, and Yalda Afshar

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Differentiating Acute Rejection From Preeclampsia After Kidney Transplantation., Ophelia Yin, Aneesh Kallapur, Lisa Coscia, Serban Constantinescu, Michael J. Moritz MD, and Yalda Afshar

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Mode of Obstetric Delivery in Kidney and Liver Transplant Recipients and Associated Maternal, Neonatal, and Graft Morbidity During 5 Decades of Clinical Practice, Ophelia Yin, Aneesh Kallapur, Lisa Coscia, Lorna Kwan, Megha Tandel, Serb An Constantinescu, Michael J. Moritz MD, and Yalda Afshar

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What Are the Tradeoffs in Outcomes after Casting Versus Surgery for Closed Extraarticular Distal Radius Fractures in Older Patients? A Statistical Learning Model., Alfred P Yoon, Yibo Wang, Lu Wang, Kevin C Chung, and Laura N Deschamps DO

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Induction versus no induction chemotherapy before neoadjuvant chemoradiotherapy and surgery in oesophageal adenocarcinoma: a multicentre randomised phase II trial (NCCTG N0849 [Alliance]), Harry H. Yoon, Fang-Shu Ou, Gamini S. Soori, Qian Shi, Dennis A. Wigle, Robert P. Sticca, Robert Clell Miller, James L. Leenstra, Patrick J. Peller, Brenda Ginos, Erica Heying, Tsung-Teh Wu, Timothy F. Drevyanko, Stephen Ko, Bassam Ibrahim Mattar, Daniel A. Nikcevich, Robert J. Behrens, Maged Khalil MD, George P. Kim, and Steven R. Alberts

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Provider Satisfaction from a New Telepsychiatry Inpatient Consultation Service., Michael S. Yoon BS; Katherine B. Martin MD; Rory L. Marraccini MD; and Edward R. Norris MD, FAPA, FAPM

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Consensus recommendations for the use of retinoids in ichthyosis and other disorders of cornification in children and adolescents., Andrea L Zaenglein, Moise L Levy, Nicole S Stefanko, Latanya T Benjamin, Anna L Bruckner, Keith Choate, Brittany G Craiglow, John J DiGiovanna, Lawrence F Eichenfield, Peter Elias, Philip Fleckman, Leslie P Lawley, Richard A Lewis, Anne W Lucky, Erin F Mathes, Leonard M Milstone, Amy S Paller, Sonali S Patel, Dawn H Siegel, Joyce Teng, Sherry A Tanumihardjo, Lauren Thaxton, and Mary L Williams

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Effect of acute kidney injury on hospital-based outcomes in patients with multiple myeloma, Muhammad Usman Zafar, Zahid Tarar, Ghulam Ghous, Umer Farooq, and Bradley Lash MD

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Analyzing the effects of depression among patients with head and neck cancer, Muhammad Usman Zafar MD, Zahid Tara, Ghulam Ghous, Umer Farooq, and Masood Anwar

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Hematochezia: A late complication after pancreas transplantation, Catherine M. Zatorski MD, Patty Liu MD, Michael J. Moritz MD, and Christine W. Du MD

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Dynamical Systems Modeling of Early-Term Immune Reconstitution with Different Anti-Thymocyte Globulin (ATG) Administration Schedules in Allogeneic Stem Cell Transplantation, Viktoriya Zelikson, Gary Simmons, Natasha Raman, Elizabeth Krieger, Anatevka Rebiero, Kelly Hawks, May Aziz, Catherine Roberts, Jason Reed, Ronald Gress, and Amir Toor MD

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Relationship Between Vaccination Status and Biopsychosocial Characteristics in Sheltered Adolescents., Cecilia E. Zemanek BS; Nina Liu BS; Ceyda H. Sablak BS; Brittany Gaudet BS, MSPH; Taylor Jarvill BA; Allison N. Kayne BS; Jeffrey Downen BS, MS; Hope Kincaid MPH, CPH; Amy B. Smith PhD; Robert D. Barraco MD, MPH; Hoonani M. Cuadrado MSPAS, PA-C; and Marna R. Greenberg DO, MPH, FACEP

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Clinical Trends Over the First Year of a Psychiatric Electronic Consult Service, Cecilia E. Zemanek and Katherine B. Martin MD

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Effectiveness of Intrathecal Baclofen for Intractable Stiffperson Syndrome: a Case Report., Bruce Zhang MD, Richard Lau, David van Why, and Michael Saulino

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A 6-Year Experience of Laser Treatments for Burn Scars in a Regional Burn Center-Safety, Efficacy, and Quality Improvement, Christopher Q. Zhang, Christina C. Gogal BS, Trent Gaugler, and Sigrid A. Blome-Eberwein MD

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Hepatorenal bypass resulting in dialysis independence in case of acute renal failure., Jason Zhang, Ann C Gaffey, and Benjamin M Jackson MD

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Alterations in mitochondrial dynamics with age-related Sirtuin1/Sirtuin3 deficiency impair cardiomyocyte contractility., Jingwen Zhang, Zhibin He, Julia Fedorova, Cole Logan, Lauryn Bates, Kayla Davitt, Van Le, Jiayuan Murphy, Melissa Li, Mingyi Wang, Edward G Lakatta, Di Ren, and Ji Li

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The Reflection on the Management of Toxic Epidermal Necrolysis in the Community Setting: An Internist's Perspective., Qian Zhang; Ali Raza Shaikh; Thomas Yoon MD, MS; Shreeja Shah; and James W Mahoney

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Assessing the Attitude of Tampa Bay Youth toward HIV Self-Testing Kits., Sherry Zhang, Isabella Lopez, Bernard Washington, Brittney Gaudet, Carina A Rodriguez, and Lisa J Sanders

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Synchronous Closure of a Large Medial Perforator-Based Scip Free Flap Donor Site Using an Ipsilateral Lateral Perforator-Based Scip Propeller Flap (Reply)., Yixin Zhang and Geoffrey G. Hallock MD

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A vicious cycle of bisretinoid formation and oxidation relevant to recessive Stargardt disease., Jin Zhao, Hye Jin Kim, Keiko Ueda, Kevin Zhang, Diego Montenegro, Joshua L Dunaief, and Janet R Sparrow

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A vicious cycle of bisretinoid formation and oxidation relevant to recessive Stargardt disease., Jin Zhao, Hye Jin Kim, Keiko Ueda, Kevin Zhang, Diego Montenegro, Joshua L Dunaief, and Janet R Sparrow

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Comparison of Plastic Surgeon and Spine Surgeon Closure in Revision Short Segment Thoracolumbar Spinal Fusions., Jack Zhong, Eaman Balouch, Nicholas O'Malley, Constance Maglaras, Carolyn Stickley, Carlos Leon, Brooke O'Connell, Charla R Fischer, Themistocles Protopsaltis, and Aaron J Buckland

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Patient Outcomes After Single-level Coflex Interspinous Implants Versus Single-level Laminectomy., Jack Zhong, Brooke O'Connell, Eaman Balouch, Carolyn Stickley, Carlos Leon, Nicholas O'Malley, Themistocles S Protopsaltis, Yong H Kim, Constance Maglaras, and Aaron J Buckland

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Effect of SGLT2 Inhibitors on Stroke and Atrial Fibrillation in Diabetic Kidney Disease: Results From the CREDENCE Trial and Meta-Analysis., Zien Zhou; Meg J Jardine; Qiang Li; Brendon L Neuen; Christopher P Cannon; Dick de Zeeuw; Robert Edwards; Adeera Levin; Kenneth W Mahaffey; Vlado Perkovic; Bruce Neal; Richard I Lindley; and Nelson Kopyt DO, FASN, FACP

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Video-Based Facial Weakness Analysis., Yan Zhuang, Mark M McDonald, Chad M Aldridge, Mohamed Abul Hassan, Omar Uribe, Daniel Arteaga, Andrew M Southerland, and Gustavo K Rohde

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Exploring telemental health practice before, during, and after the COVID-19 pandemic., Demi Zhu, Samantha R Paige, Henry Slone, Arianna Gutierrez, Caroline Lutzky, Hannah Hedriana, Janelle F Barrera, Triton Ong, and Brian E Bunnell

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Electrocardiographic features of immune checkpoint inhibitor associated myocarditis., Daniel A Zlotoff, Malek Z O Hassan, Amna Zafar, Raza M Alvi, Magid Awadalla, Syed S Mahmood, Lili Zhang, Carol L Chen, Stephane Ederhy, Ana Barac, Dahlia Banerji, Maeve Jones-O'Connor, Sean P Murphy, Merna Armanious, Brian J Forrestal, Michael C Kirchberger, Otavio R Coelho-Filho, Muhammad A. Rizvi MD, Gagan Sahni, Anant Mandawat, Carlo G Tocchetti, Sarah Hartmann, Hannah K Gilman, Eduardo Zatarain-Nicolás, Michael Mahmoudi, Dipti Gupta, Ryan Sullivan, Sarju Ganatra, Eric H Yang, Lucie M Heinzerling, Franck Thuny, Leyre Zubiri, Kerry L Reynolds, Justine V Cohen, Alexander R Lyon, John Groarke, Paaladinesh Thavendiranathan, Anju Nohria, Michael G Fradley, and Tomas G Neilan

Books

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Making Night Shift Work: A Practical Guide for the Night Worker, Steven P. Frei MD

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Student Nurses' Manual, Hazleton State General Hospital

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Reconstructive Plastic Surgery: An Atlas of Essential Procedures, Robert X. Murphy Jr, MD, MS and Charles K K. Herman MD

Book Chapters

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Nitrogen Dioxide Toxicity, Alexandra Amaducci and John W. Downs

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Deep Brain Stimulation Surgical Technique, Gregory Davis MD and Julia G. Pilitsis

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Robotic Surgery and Physician Wellness in Gynecologic Oncology, Martin A. Martino MD, Andrea Johnson, Joseph E. Patruno MD, and Pablo F. Escobar

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Nocturnal Seizures, Sameh Morkous MD, FAAN

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Ackee Fruit Toxicity, Ryan Surmaitis DO and Richard Hamilton

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Flexor Tendon Repair of the Finger, Jin Bo Tang, Shu Guo Xing, Jason Wong, Amanda Higgins, Lisa Flewelling, Egemen Ayhan, Thomas Apard, Geoffrey Cook, Paul A. Sibley MD, Asif Ilyas, Xavier Gueffier, Duncan McGrouther, Ian Maxwell, Amir Adham Ahmad, and Donald H. Lalonde

Letters to the Editor

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Exuberant Lymphomatoid Papulosis of the Head and Upper Trunk, Stephen Hemperly DO, Nektarios I. Lountzis MD, and Stephen M. Purcell DO

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Ponatinib-Associated Cardiac Tamponade, Jacob E. Lee, Ghulam Ghous, Zahid Ijaz Tarar, Muhammad Usman Zafar, and Hafiz Muhammad Hassan Shoukat

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Gender analysis of publishing among medical students in dermatology, Michelle Militello, Mindy D. Szeto, Kayd J. Pulsipher, Abigail L. Meckley, Kristen H. Ward, Taylor Harp, Colby L. Presley, Cara Barber, Hope R. Rietcheck, Taylor M. Runion, Chandler W. Rundle, and Robert P. Dellavalle

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Eating Disorder in Teens During the COVID-19 Pandemic, Michael Schwartz MD and Kelly L. Costello MD

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Safety and efficacy of oral anticoagulants in atrial fibrillation and bioprosthetic heart valves, Srikanth Yandrapalli, Rahul Gupta MD, and Aaqib H. Malik

Podcasts

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ACMT Highlights Episode 22: The Achy Breaky Heart - Chronic Effects on the Heart by Methamphetamine and Other Stimulants, Gillian A. Beauchamp MD

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ACMT Highlights Episode 30: The Role and Promise of Artificial Intelligence in Medical Toxicology, Gillian A. Beauchamp MD and Michael Chary

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ACMT Highlights Episode 26: Harm Reduction Strategies, Gillian A. Beauchamp MD and Shaun Hopkins

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ACMT Highlights Episode 29: Amanita’s of the Northwest, Gillian A. Beauchamp MD and Zane Horowitz

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ACMT Highlights Episode 31: Amanita Muscaria, Gillian A. Beauchamp MD and Zane Horowitz

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ACMT Highlights Episode 32: Northern Exposure - Alaska Health Aid Program, Gillian A. Beauchamp MD and Zane Horowitz

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ACMT Highlights Episode 25: The Expert Witness, Gillian A. Beauchamp MD and Bryan Judge

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ACMT Highlights Episode 27: Neural Network Connectivity and the Role of Opioid Receptor Antagonism in Methamphetamine Dependence, Gillian A. Beauchamp MD and Milky Kohno

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ACMT Highlights Episode 24: Complicated Alcohol Withdrawal, Gillian A. Beauchamp MD and Michael Lynch

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ACMT Highlights Episode 28: Methamphetamine in Children, Gillian A. Beauchamp MD and Ayrn O'Connor

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ACMT Highlights Episode 23: The Hippy Hippy Shake - The Toxicology of Cocktails, Gillian A. Beauchamp MD and Daniel Sessions

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Staying Healthy This Holiday Season, Lehigh Valley Health Network and Terry Burger MBA, BSN, RN, NE-BC, CIC

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Your Summer Toolkit For Bug Bites, Beach Safety and Beyond, Lehigh Valley Health Network and Beth Careyva M.D.

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Your Back-to-School Questions Answered, Lehigh Valley Health Network and Debra Carter MD

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Sticking it to the Stigma: A Chat About Mental Health, Lehigh Valley Health Network and Courtney Chellew DO

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COVID-19: Past, present, and future, Lehigh Valley Health Network and Timothy J. Friel MD

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What You Need to Know About Breast Cancer, Lehigh Valley Health Network and Ranju Gupta MD

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Your Racing Heart. Is it Normal?, Lehigh Valley Health Network and Hari Joshi MD

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Losing Weight to Gain Health, Lehigh Valley Health Network, Cheryl Rutkauskas, and Richard Boorse MD

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Gut Check: Everything You Need to Know About Gut Health, Lehigh Valley Health Network and Usman Shah MD

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Why your yearly gynecology exam is one of your most important appointments, Lehigh Valley Health Network, Andrew Shoemaker MD, and Emily Brophy MD

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Ladies, it's heart month, Lehigh Valley Health Network and Deborah W Sundlof DO

Posters

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Nursing Management of the Bloodless Surgery Patient, Tiffany Achenbach MSN, RN, CMSRN

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The Use of Nonpharmacological De-Escalation Method Education to Promote Trauma-Informed Health Care, Michele Adzema BSN, RN, CMSRN; Chelsy Bechtold ADN, RN; and Abbie McCall BSN, RN

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Ampushield Education, Jessica Agosto BSN, RN; Nicole Dennis BSN, RN; Paige Deprill RN; and Rebecca Jones ADN, RN

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A Case of Antipsychotic-Induced Hypothermia, Joseph Michael Ahearn III

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Outcomes of Communication Board Usage Pre and Post Education, Alexandria Ahner ADN, RN; Vanessa Rodriguez Contreras BSN, RN; Courtney Stansfield BSN, RN; and Casey Benner ADN, RN

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Preventing Falls in the Emergency Department, Deanna Alban BSN, RN; Paola Flauta BSN, RN; and Sarah Manley BSN, RN

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The Impact of On-Shift Evidence-Based Medicine Activity on Patient Care, Jacob Albers; Jeffrey B. Brown; Ajay Varadhan; Estelle Cervantes BA; Kashyap Kaul DO; Shreyas Kudrimoti BA; Phillip Sgobba BS, MBS; William Spinosi DO; Joseph B. Zackary MD; and Bryan G. Kane MD

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An Analysis of Resident Generated On-Shift Evidence-Based Medicine Questions, Jacob Albers; Estelle Cervantes BA; Phillip Sgobba BS, MBS; Shreyas Kudrimoti BA; Jeffrey B. Brown; Kashyap Kaul DO; William Spinosi DO; Ajay Varadhan; Joseph B. Zackary MD; and Bryan G. Kane MD

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Brorphine, Isotonitazene and Metonitazene Emerge as New Age Opioids, Alexandra Amaducci, Kim Aldy, Sharan Campleman, Alison Meyn, Stephanie Abston, Alex Krotulski, Barry Logan, Paul Wax, Jeffrey Brent, and Alex Manini

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Clonazolam and Fentanyl: What’s in Your Local Drug Supply?, Alexandra Amaducci DO; Kim Aldy DO, MS, MBA; Alison Meyn MPH; Sharan L Campleman PhD, MPH, DABT; Shao Li MPH; Alex Krotulski PhD; Barry Logan PhD; Adrienne Hughes MD; Anthony F. Pizon MD; Joshua Shulman MD; Evan Schwartz MD, FACEP, FACMT, FASAM; Paul M Wax MD, FACMT; Jeffery Brent MD, PhD; and Alex F. Manini MD

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Antifreeze Ingestion Causing Methemoglobinemia: A Case Report, Alexandra Amaducci DO, Derek J. Fikse DO, Kenneth D. Katz MD, and Timothy Kolosionek MS-IV

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Antifreeze Ingestion Causing Methemoglobinemia: A Case Report, Alexandra Amaducci, Derek J. Fikse DO, Kenneth D. Katz MD, and Timothy Kolosionek DO

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Exotic Envenomation by an African Bush Viper: A Case Report, Alexandra Amaducci, Derek J. Fikse DO, Andrew L. Koons, Benjamin Abo, and Kenneth D. Katz MD

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Toxicological Exposures in COVID-19 Patients, Alexandra M. Amaducci DO; Kim Aldy DO; Sharan L Campleman Phd, MPH, DABT; Shao Li MPH; Alison Meyn MPH; Stephanie Abston RN, BSN; Meghan B Spyres MD; Paul M Wax MD, FACMT; and Jeffery Brent MD, PhD

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Obsolete or Essential? Gastrointestinal Decontamination in Severe Bupropion Ingestions: A Case Series, Alexandra Amaducci DO, Andrew F. Miller DO, Derek J. Fikse DO, and Gillian A. Beauchamp MD

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Influence of Pennsylvania Liquor Store Closures During the COVID-19 Pandemic on Features of Alcohol Withdrawal Syndrome Consultations, Alexandra Amaducci DO, Ali Yazdanyar DO, Derek J. Fikse DO, Jasdip Kaur BS, Andrew L. Koons DO, Gillian A. Beauchamp MD, Robert D. Cannon DO, Ryan M Surmaitis DO, Matthew D. Cook DO, and Kenneth D. Katz MD

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Is there a difference between burn patients treated with topical mafenide acetate before and during COVID-19?, Morgan Anderson and Sigrid A. Blome-Eberwein MD

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Outcome of Surgical Ultrasonic Aspirator Use for Patients with Severe Mitral Annular Calcification for Mitral Valve Replacement, Zachary Appel and James K. Wu MD

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Take the Lead in 12 Lead, Jasmine Aquino ADN, RN; Bryanyelis Jimenez ADN, RN; and Megan DeHaven ADN, RN

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Effects of Physician-Directed Smoking Cessation Intervention in the Emergency Department, Faiza Arif BA; Marna R. Greenberg DO, MPH, FACEP; Natalie M. Greco MD; Timothy Batchelor MD; Andrew H F Miller DO; Theodore Doherty DO; Ali S. Aziz BS; Stephanie Z. Yee BS; Lauren Crowley BA; Edward Casey; and Robert Kruklitis MD

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Risk Factors of Unplanned Extubations, Annalise Armstrong BSN, RN; Charles Cornmesser RN; Brian Fox BSN, RN; Tessa Hyatt BSN, RN; Sarah Person RN; and Hope Sabin BSN, RN

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A Standardized Orientation for Newly-Licensed Nurses and Preceptors in the Emergency Department, Judith Baker BSN, RN; Michelle Greis BSN, RN, CEN; and Reza Armaghan MSN, RN, CEN, PHRN

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Pain management and breast milk, Laura Baker BSN, RN; Abigail Donnelley BSN, RN; Desiree Kannapel AND, RN; Morgan Mondschein BSN, RN; and Sadie Schlichting BSN, RN

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A Pilot Study Comparing Over and Under Triage Systems at a Center Pursuing Trauma Accreditation, Caitlyn N. Balsay BS, MR; Bree A. Harrison BSN, RN, TCRN; Joseph J. Stirparo MD; Michael T. Crowley MD; Nicholas P. Johnson DO; Bryan G. Kane MD; and Kathleen E. Kane MD

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A Pilot Study Comparing Over and Under Triage Systems at a Center Pursuing Trauma Accreditation, Caitlyn N. Balsay BS, MR; Bree A. Harrison BSN, RN, TCRN; Joseph J. Stirparo MD; Michael T. Crowley MD; Nicholas P. Johnson DO; Bryan G. Kane MD; and Kathleen E. Kane MD

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Assessing Reporting Standards in the Emergency Department, Joel Bartoni BSN, RN; Stacy Lee BSN, RN; Framberly Matos-Lantigua BSN, RN; and Alexandrea Miletto RN

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Central Line Assessment and Care, Gavin Bauer BSN, RN; Stephanie Orta RN; Carissa Rohrbach BSN, RN; Stacey Sakelarides ADN, RN; and Tommy Sao ADN, RN

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Agents of Exposure in Transgender Patient Cases Managed by a Toxicologist: An Analysis of the Toxicology Investigator’s Consortium (ToxIC) Registry, Gillian A. Beauchamp MD; Olivia A. Hardy; Alexandra M. Amaducci; Judith N. Sabino; Beth Careyva; Matthew D. Cook DO; Kenneth D. Katz MD; Marna Greenberg DO, MPH; Ryan M Surmaitis DO; Andrew Koons; and Joseph B. Zackary MD

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Feasibility of Implementing a Street Medicine Program to Deliver Naloxone Kits and Associated Education, Gillian A. Beauchamp MD; Lexis Laubach BS; Hoonani M. Cuadrado MSPAS, PA-C; Seth A. Campbell PA-C; Lauren Grantz PharmD, CSP; Paige Roth LSW; Jennifer E. Macfarlan MPH; Chase Jones DO; Aaron Fedor DO; and Marna R. Greenberg DO, MPH, FACEP

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PPE...Do We Need it?, Camryn Beers BSN, RN; Kathryn Kiskeravage RN; and Tyler Johnson BSN, RN

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Decreasing Adverse Events of Contrast Dye Administration in Patients with Decreased Kidney Function, Alexsey Bennington BSN, RN; Kristina Bertsch BSN, RN; Emelyn Cruz BSN, RN; Jack Kinst BSN, RN; and Michael Manion RN

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IV Tubing Labels, Ashley Benson BSN, RN; Emily Schweitzer RN; and Sharon Yutz BSN, RN

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Incorporating Fetal Pillow for Cesarean Deliveries, Reid Billing BSN, RN; Payton Boler BSN, RN; Sara Fetzer BSN, RN; Emily Ohrwaschel BSN, RN; and Hannah Woytowicz ADN, RN

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EASY Insulin Drip Calculator, Taylor Bires RN; Alicia Fitzgerald ADN, RN; and Samantha Mallozzi BSN, RN

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Establishing an Interprofessional Care Pathway Across the Continuum for Patients Following Implantation of Left Ventricular Assist Device, Katy Blessing DPT, Katelin Gorski, Nicholas Hoster, Joseph Paluck, Julie Patterson, Hannah Simko, Stephen Walker, and Elizabeth A. Wetzler