Decision fatigue undermines the quality and effectiveness of decision-making in the challenging and life-threatening environments of firefighting. This study employed an exploratory sequential design to qualitatively identify the causes and consequences of decision fatigue in firefighting and quantify the severity of the consequences of each cause. Retrospective interviews were conducted with 19 firefighters, followed by a survey with 329 firefighters. Qualitative analysis, employing an emergent...

The diagnosis and management of hypertrophic cardiomyopathy (HCM) requires accurate and comprehensive imaging. Advances in imaging technology and clinical understanding have significantly enhanced the ability to characterize the phenotype, assess risk, monitor disease progression, and guide therapy. This article highlights the complementary roles of echocardiography, cardiac magnetic resonance, computed tomography, and nuclear imaging in the evaluation of HCM and explores emerging research and...

CONCLUSIONS AND RELEVANCE: Implementation of an ERAS protocol was associated with reduced postoperative opioid use without adversely affecting pain scores or LOS. These findings support the use of ERAS pathways in TMJR recovery.

Autophagy is an essential developmental and homeostatic process, defined by the endolysosomal degradation of intracellular components and pathogens. Dysfunctional autophagy is implicated in complex human disease, yet reports of congenital autophagy disorders were considered exceedingly rare until the recent report of several unrelated families with bi-allelic variants in the core autophagy effector ATG7, complementing the report of two individuals harboring ATG5 variants. We now report six...

CONCLUSIONS: Surgery in patients with a history of breast cancer with lymph node sampling appears to be equally safe with or without the use of a tourniquet and carries a low rate of overall complications, including exacerbation of their lymphedema.