ABSTRACT
Introduction: This article highlights the importance of providing accessible scholarly publishing education and support to graduate students by presenting a case study of how the University of Louisville's Publishing Academy was modified to be fully online and intentionally focused on diversity, equity, and inclusion (DEI). Literature Review: The literature review examines existing scholarship related to publishing support for graduate students, focusing on literature discussing the importance of publishing for doctoral students and describ-ing successful publishing and writing support programs. Overview of Publishing Academy: University of Louisville's Publishing Academy is a biennial scholarly publishing program for graduate students founded in 2016. Planning and execution of the spring 2021 iteration of the Academy occurred during the global COVID-19 pandemic and during a time of national civil unrest due to racial inequity and injustice. The context of the times necessitated changes to the Publishing Academy, including moving the Academy to a fully virtual format and intentionally focusing on DEI in developing Academy sessions and faculty panels. Next Steps: Next steps for the Publishing Academy are considered based on participant feedback and organ-izers' observations. © 2023 The Author(s).
ABSTRACT
OBJECTIVE: To determine if reamed intramedullary nailing (IMN) of tibial and femoral shaft fractures exacerbated the hypercoagulable state of COVID infection, resulting in increased thromboembolic and pulmonary complications. DESIGN: Retrospective chart review. SETTING: Eleven Level I trauma centers. PATIENTS: From January 1, 2020, to December 1, 2022, 163 patients with orthopaedic trauma and COVID positivity and 36 patients with tibial and femoral shaft fractures were included. INTERVENTION: Reamed IMN. MAIN OUTCOME MEASURES: Incidence of postoperative thromboembolic and respiratory complications. RESULTS: Thirty-six patients with a median age of 52 years (range, 18-92 years; interquartile range, 29-72 years) met criteria. There were 21 and 15 patients with femoral and tibial shaft fractures. There were 15 patients sustaining polytrauma; of which, 10 had a new injury severity score of >17. All patients underwent reamed IMN in a median of 1 day (range, 0-12 days; interquartile range = 1-2 days) after injury. Two patients developed acute respiratory distress syndrome (ARDS) and 3 pneumonia. No patients had pulmonary embolism, deep vein thrombosis, or died within 30 days. CONCLUSION: In this multi-institutional review of COVID-positive patients undergoing reamed IMN, there were no thromboembolic events. All patients developing pulmonary complications (ARDS or pneumonia) had baseline chronic obstructive pulmonary disease, were immune compromised, or sustained polytraumatic injuries with new injury severity score of >20. Given this, it seems reasonable to continue using reamed IMN for tibial and femoral shaft fractures after evaluation for COVID severity, comorbidities, and other injuries. LEVELS OF EVIDENCE: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.