Claudia Mueller's research while affiliated with Stanford University and other places
What is this page?
This page lists the scientific contributions of an author, who either does not have a ResearchGate profile, or has not yet added these contributions to their profile.
It was automatically created by ResearchGate to create a record of this author's body of work. We create such pages to advance our goal of creating and maintaining the most comprehensive scientific repository possible. In doing so, we process publicly available (personal) data relating to the author as a member of the scientific community.
If you're a ResearchGate member, you can follow this page to keep up with this author's work.
If you are this author, and you don't want us to display this page anymore, please let us know.
It was automatically created by ResearchGate to create a record of this author's body of work. We create such pages to advance our goal of creating and maintaining the most comprehensive scientific repository possible. In doing so, we process publicly available (personal) data relating to the author as a member of the scientific community.
If you're a ResearchGate member, you can follow this page to keep up with this author's work.
If you are this author, and you don't want us to display this page anymore, please let us know.
Publications (55)
Background:
Hair at the gluteal cleft plays a key role in the development and recurrence of pilonidal disease (PD). We hypothesized that more hair reduction achieved using laser could correlate with lower chance of PD recurrence.
Methods:
PD patients who underwent laser epilation (LE) were categorized by Fitzpatrick skin type, hair color, and ha...
Introduction:
Mindsets of health have been linked to different outcomes for patients with both surgical and medical conditions. A "growth" mindset, in which health is defined as malleable and subject to improvement, is associated with improved attitudes and outcomes when compared to a "fixed" mindset, in which health is defined as unchangeable. In...
Purpose
: Surgical site infection (SSI) remains a significant source of patient morbidity and resource utilization in children undergoing colorectal surgery. We examined the utility of a protocolized perioperative care bundle in reducing SSI in pediatric patients undergoing colorectal surgery.
Methods
: We conducted a prospective cohort study of p...
Introduction
Electronic cigarettes (e-cigarettes) are handheld, battery-powered vaporizing devices. It is estimated that more than 25% of youth have used these devices recreationally. While vaping-associated lung injury is an increasingly recognized risk, little is known about the risk of traumatic injuries associated with e-cigarette malfunction....
Purpose
Pilonidal Disease (PD) affects adolescents in different aspects. We hypothesized that patients with different gender, ethnicity, and age have different quality of life (QOL) measurements which could improve with minimally invasive treatment (MIT).
Methods
131 PD patients underwent MIT (laser epilation ± trephination) from 2019 to 2021. Pat...
Background
Pilonidal disease may present as acute abscesses or chronic draining sinuses. There is no standardized treatment and recurrence rates can be as high as 30%. Within our five-hospital network we have established a standardized treatment protocol including minimally invasive surgical trephination and aggressive epilation. We hypothesize tha...
Background:
There is wide variation in opioid prescribing after appendectomy in children and adolescents, with recent increases noted in opioid-related pediatric deaths from prescription and illicit opioids. The goal of this project was to minimize opioid prescribing at the time of discharge for children undergoing appendectomy by using Quality Im...
COVID-19 infection during pregnancy is associated with premature rupture of membranes, preterm delivery, and low birth weight. It has also been associated with hypercoagulability and vasculitis in certain patients. This article reports two premature twins born from a COVID-19 mother who presented with an unusual pattern of ileal ischemia and perfor...
Background
Malrotation with bowel ischemia is classically thought of as a disease of infants. However, the true prevalence of malrotation in both the pediatric and adult population is unknown due to the unclear number of asymptomatic patients.
Case presentation
A previously healthy 84-year-old man with no prior abdominal surgeries presented with a...
While the fusion of gonadal tissue with splenic tissue has been fairly well documented, hepatogonadal fusion is much rarer. In this report, we describe the presentation and treatment of an infant with hepatogonadal fusion.
Background
Health mindsets can be viewed on a continuum of malleability from fixed (health cannot be altered) to growth (health can be affected by behavior). We propose that mindsets may influence the health perceptions of healthy adolescents as well as the health behaviors of adolescents with a chronic illness.Methods
In Study 1, we surveyed healt...
Background/Purpose
: To determine the prevalence of compassion fatigue (CF), burnout (BO), and compassion satisfaction (CS) and identify potential predictors of these phenomena in pediatric surgeons.
Methods
: The Compassion Fatigue and Satisfaction Self-Test and a survey of personal/professional characteristics were distributed electronically to...
Background
Failure to recover after a medical error is a major contributor to burnout. The degree to which pediatric surgeons experience errors and the barriers and facilitators to successful recovery are largely unknown.
Methods
We conducted a survey of American Pediatric Surgical Association (APSA) members to measure frequency of personal experi...
Introduction
Although pediatric surgeons have lower rates of burnout compared to other surgical subspecialists, they still struggle with work-home conflict, depersonalization, and emotional exhaustion. Prior surveys have measured career satisfaction and burnout, but none have identified factors that contribute to physician well-being or provided po...
The Novel-coronavirus disease-2019 (COVID-2019) outbreak was declared a national emergency on March 13, 2020. To reduce the spread of the virus, Americans were asked to physically distance and to increase disinfecting behaviors such as hand washing. Previous research indicates that one’s mindset about health, or the degree to which they view health...
Background
Pediatric surgeons are routinely required to discuss complex diagnoses and treatment plans with the parents of their patients. Yet, how well this information is understood by its target audience is unknown. To explore this issue, we asked parents of postoperative neonatal intensive care unit patients to describe their children's care in...
Purpose:
Mindset theory describes two different belief systems regarding ability: "fixed", in which a particular personal characteristic is seen as unchangeable, and "growth", in which the characteristic is viewed as malleable and subject to improvement. The purpose of this study is to evaluate how that mindset toward one's health correlates with...
The study of physician wellbeing and how best to assess it is still very much a work in progress. In this chapter, we describe several innovative approaches to the promotion of physician wellness which have been implemented at various institutions. Specifically, we identify both organizational and individual interventions and discuss their outcomes...
American Indians are at increased risk for cardiovascular disease in adulthood, and levels of physical activity and body mass index associate with cardiovascular disease risk. Recent research indicates that one’s mindset may play a role in determining health behaviors and outcomes. In a sample of 105 American Indian college students, greater growth...
We describe a case in which retained wires from a continuous glucose monitor were removed from the abdominal wall and peritoneum of a 6‐year‐old boy. We highlight a concern for continuous glucose monitor use in children and discuss surgical techniques used to retrieve tiny, mobile objects from complex body cavities. We describe a case in which reta...
The following is a summary of the fourth Ein Panel Debate Session from the 50th Annual Meeting of the Canadian Association of Pediatric Surgeons (CAPS) held in Toronto, ON, from September 26–29, 2018. The session focused on surgeon well-being at different stages of career: role of mentorship at the start of career, second victim syndrome, litigatio...
Background:
The Joint Commission has repeatedly recognized inadequate communication as a top contributing factor to medical error in the operating room (OR). The goal of this qualitative study was to develop a deeper and more nuanced understanding of OR communication dynamics, specifically across different interdisciplinary roles and to recommend...
Purpose
The pain experience is highly variable among patients. Psychological mindsets, in which individuals view a particular characteristic as either fixed or changeable, have been demonstrated to influence people’s actions and perceptions in a variety of settings including school, sports, and interpersonal. The purpose of this study was to determ...
Background
Medical training occurs during peak childbearing years. However, the intense workload, long work hours, and limited financial compensation are potential barriers to having children during this time. Here, we aimed to identify gender-based differences in beliefs and experiences of having children during graduate medical education. We hypo...
Stress and burnout among surgeons have received increasing attention in recent years.¹ In response, our department created a wellness program, Balance in Life, to address the physical, psychological, social, and professional needs of surgical trainees.² Program initiatives include a 24-hour refrigerator stocked with snacks, a peer mentorship progra...
Objective:
In light of the predicted shortage of surgeons, attrition from surgical residency is a significant problem. Prior data have shown that those who are happier are more productive, and those who are less well have higher rates of absenteeism. This study sought to identify the role of social belonging and its relationship to well-being and...
Objective:
Residency is a challenging time in the lives of physicians. In this study, we examined the relationship between general self-efficacy, defined as the belief in one's own capabilities in a variety of situations, and burnout and psychological well-being in a sample of surgical residents.
Design:
In the context of a larger study, a cross...
Background:
Stereotype threat is a situational threat in which a member of a stereotyped group fears conforming to a negative stereotype. In this study, we examined the impact of stereotype threat on surgical performance and working memory among surgical residents.
Methods:
Residents at one institution were randomized to either the threat condit...
Background: Health mindset theory is a novel approach to the study of health outcomes in pediatric populations. Health mindsets have been found to influence how individuals perceive illness and have been linked to health outcomes in adolescents with T1D. Specifically, individuals with a “fixed” mindset of health view illness more negatively and hav...
Purpose of Review
Physician wellness has become an increasing focus of attention in recent years as burnout among healthcare professionals appears to be on the rise. Within this review, we attempt to define burnout and describe the ways in which resident well-being is being addressed within surgical residency programs.
Recent Findings
Burnout is a...
Background:
Physician well-being is a significant problem. Here we explore whether one factor, a resident's concern for being judged by one's gender, influences well-being.
Methods:
Over two years at one institution, we surveyed surgical residents on validated measures of well-being as well as the extent to which they felt they were judged becau...
Objective:
The demands of surgical residency are intense and threaten not only trainees' physical wellness, but also risk depression, burnout, and suicide. Our residency program implemented a multifaceted Balance in Life program that is designed to improve residents' well-being. The purpose of this study was to evaluate the program utilization and...
We present a case of a four-year-old patient who presents with chronic episodic umbilical pain. CT revealed an abdominal mass considered to be ovarian in origin. The real etiology of the patient's pain was found after laparoscopic surgery and pathological analysis, which confirmed the mass to be a mesenteric lipoma. Retrospective coronal reconstruc...
PurposeThe use of general anesthesia in young children has come under increasing scrutiny due to its potential long-term neurotoxic effects. Meanwhile, regional anesthesia for surgical procedures in neonates has many advantages, including preservation of respiratory status and faster return to feeding. We describe the successful use of 3% 2-chlorop...
Background
Terms such as “glass ceiling” and “sticky floor” are still commonly used to describe women’s role in academic surgery. Despite continued efforts to address disparities between men and women in the field, gender inequalities persist. Methods
In this investigation we highlight gender differences in published surgical literature by both qua...
The following is the conference proceeding of the Second Ein Debate from the 48th Annual Meeting of the Canadian Association of Paediatric Surgeons held in Vancouver, BC, from September 22–24, 2016. The three main topics for debate, as prepared by the members of the CAPS Ethics Committee, are: 1. Regionalization of care- pros and cons, 2. Innovatio...
Background Children with gastroschisis, especially when it is complicated by atresia or perforation, often suffer from severe long-term sequelae such as short-bowel syndrome and chronic dysmotility. These children are also susceptible to adhesive bowel obstruction later in life, which can alter their nutritional intake and may require repeated visi...
Background:
Recent resident suicides have highlighted the need to address depression among medical trainees. This study sought to identify the prevalence and predictors of depression among surgical residents.
Methods:
Surgical residents at a single institution were surveyed. Depression and personal traits were assessed using validated measures;...
Background:
Grit, a measure of perseverance, has been shown to predict resident well-being. In this study we assess the relationship between grit and attrition.
Methods:
We collected survey data from residents in a single institution over two consecutive years. All residents in general surgery were invited to participate (N = 115). Grit and psyc...
Ingestions of multiple magnets can lead to serious damage to the gastrointestinal tract. Moreover, these foreign bodies can take deceptive shapes such as single chains which may mislead clinicians. We report the case of a ten-year-old boy who swallowed 33 magnets, the most yet reported, which took on the appearance of a single loop in the stomach,...
Background:
Female residents in surgical training may face stereotype threat. The awareness of negative stereotypes about surgical ability based on gender may heighten stress and thus reduce performance.
Objective:
The main objective of this study was to assess the effectiveness of a brief stress-reducing writing exercise, known as a values affi...
Background:
Female surgeons have faced significant challenges to promotion over the past decades, with attrition rates supporting a lack of improvement in women's position in academia. We examine gender disparities in research productivity, as measured by the number of citations, publications, and h-indices, across six decades.
Materials and meth...
Background:
Medicine has historically been a male-dominated field, and there remains a stereotype that men are better physicians than women. For female residents, and in particular female surgical residents, chronically contending with this stereotype can exact a toll on their psychological health. The objective of this study was to determine the...
The well-being of residents in general surgery is an important factor in their success within training programs. Consequently, it is important to identify individuals at risk for burnout and low levels of well-being as early as possible. The aim of this study was to test the hypothesis that resident well-being may be related to grit, a psychologica...
Introduction: Congenital tracheoesophageal fistula without esophageal atresia (H-type TEF) is an unusual entity that typically presents in the first months of life with clinical signs of aspiration. Surgical repair is usually facilitated by placement of a catheter or wire through the fistula during rigid bronchoscopy.1,2 This cannulation allows the...
Background:
Femoral hernias in young children are relatively rare and can be difficult to diagnose as they are often mistaken for inguinal hernias. Although a few reports have described laparoscopic techniques, most traditional repair methods still focus on an open approach using either an inguinal or crural incision. Here we describe a laparoscop...
Citations
... The Professional Quality of Life Scale, the Secondary Traumatic Stress Scale, the Impact of Event Scale-Revised and others have all been used as measures of CF in published studies (11)(12)(13)(14). The modified Compassion Fatigue and Satisfaction Self-Test for Helpers has been used in a number of cross sectional pilot studies of other pediatric subspecialties in recent publications (15)(16)(17)(18)(19)(20)(21). It is easily searchable online for self test versions. ...
![[object Object]](https://i1.rgstatic.net/ii/profile.image/1010336803061760-1617894473024_Q64/Alex-Sarosi.jpg)
![[object Object]](https://i1.rgstatic.net/ii/profile.image/1065563631677440-1631061575372_Q64/Brian-Coakley-2.jpg)
... 58,59 They may also be at greater risk of poor emotional recovery after an adverse event, given the young age of their patients and deeper connections to patient families. 60 As a result, many pediatric surgeons have difficulty dealing with adverse outcomes. 61 Surgeons can experience more stress when the expectation gap related to outcomes is high from their patients, peers, or home institutions. ...
... In a recent survey of pediatric surgeons, poor leadership was found to be a driver of distress and well-being among respondents. 6 An interesting study examined the influence of leaders on quality improvement of physicians. 7 They found that medical leaders influenced their colleagues toward quality improvement when they chose to exert this influence. ...
... Recent COVID-19 studies have included AI/AN with a sample size of only three [6], while others lumped AI/ AN with other races [7][8][9]. Still others ignored the population altogether [10][11][12][13][14][15][16][17], while some considered AI/AN without discussing misclassification [18][19][20], and others focused solely on AI/AN populations [21][22][23][24][25]. In addition, American Indians and Alaskan Natives are often lumped into the same group, but have different histories and lifestyles [26]. ...
![[object Object]](https://i1.rgstatic.net/ii/profile.image/272870878216197-1442068895313_Q64/Neha-John-Henderson.jpg)
... Research has shown that growth mindset can reduce adolescents' depression caused by cyberbullying (10). Even for people with illnesses, enhancing growth mindset during treatment can increase their wellbeing (11). Research manifested that people with a growth mindset are committed to pursuing challenges, value effort, and are able to cope with setbacks in a positive way, thereby maintaining their mental health (12), thus moving forward by affirming the possibility of their future development and success. ...
![[object Object]](https://i1.rgstatic.net/ii/profile.image/720073513791488-1548690312424_Q64/Nicole-Pham.jpg)
![[object Object]](https://i1.rgstatic.net/ii/profile.image/529993929158657-1503371807545_Q64/Kali-Luker.jpg)
... More recently, researchers have addressed implicit theories about health in general (Bunda & Busseri, 2019;John-Henderson et al., 2021;Schreiber et al., 2020;Thomas et al., 2019). This research found that an incremental theory of health-believing that health can change-is related to stronger intentions to engage in health-promoting behaviors (Bunda & Busseri, 2019;Thomas et al., 2019), to the frequency of performing health-promoting behaviors (Schreiber et al., 2020), and to higher levels of physical activity and a lower body mass index (John-Henderson et al., 2021). ...
![[object Object]](https://i1.rgstatic.net/ii/profile.image/488164683980804-1493398938076_Q64/Courtney-Sanders-7.jpg)
![[object Object]](https://i1.rgstatic.net/ii/profile.image/1007642642227202-1617252135760_Q64/Cory-Counts.jpg)
... Also, we did not analyze team interaction or communication mechanisms. More specifically, communication has been shown to be a vital component in complex team settings such as ORs (26). Communication analysis tools like real-time observation could be part of a future study (27,28). ...
![[object Object]](https://i1.rgstatic.net/ii/profile.image/272700979544067-1442028388226_Q64/Sylvia-Bereknyei.jpg)
... [7][8][9] Residents who are pregnant may also perceive variable support from program directors, 10,11 and that pregnancy is a negative threat to their career. 3,7,[12][13][14] As a result, a female resident is more likely to feel sad about the prospect of having children 13 and delay childbearing when compared with male colleagues. 8,14,15 When comparing across all specialties, we found that the female surgical resident is more likely to delay childbearing 16 and, when maternal age is controlled for, is more likely to use assisted reproduction to achieve pregnancy 16 and face greater obstetric complications. ...
... This study describes mindset in adult peritoneal dialysis patients using the Health Mindset Scale (HMS), previously the Health Belief Scale, a three-item Likert-based scale derived from the original mindset assessment instrument (13,15,16). The HMS was administered with the Perceived Health Competance Scale (PHCS), an established instrument for measuring health self-efficacy (17), and with the three-item Brief Health Literacy Screen (BHLS), a validated instrument associated with kidney knowledge and mortality (18,19). ...
... The faculty have ensured protected time for residents to be able to attend. The authors note how having contact with a licensed therapist through the program has in turn led to residents seeking their therapists independently [59]. ...
