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Updated: Feb 11, 2026

Measurement of the Hand Transmitted Vibration of the Human Hand Arm System During Operation of a Hand Tractor
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The Black Cloud Phenomenon in Hand Surgery.

Emily Zhao1, Nathan Tiedeken2, William Wang3

  • 1University of Pittsburgh Medical Center, PA, USA.

Hand (New York, N.Y.)
|April 18, 2018
PubMed
Summary
This summary is machine-generated.

The "black cloud" phenomenon in hand surgery may not be real. Surgeon busyness during call appears influenced by scheduling and hospital factors, not just patient emergencies.

Keywords:
black cloudhand callhand surgeryhand traumawhite cloud

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Area of Science:

  • Orthopedics
  • Surgical Specialties
  • Trauma Surgery

Background:

  • The
  • A
  • This

Purpose of the Study:

  • To investigate the existence of the
  • To analyze factors contributing to surgeon workload during hand surgery call.

Main Methods:

  • Examined one academic year of hand surgery call data at a Level I trauma center.
  • Tabulated hand-related patient transfers and add-on cases per surgeon.
  • Assigned

Main Results:

  • Hand surgery fellowship-trained surgeons had higher call volumes and worse
  • Factors such as daily schedules, hospital add-on case facilitation, and surgeon collaboration influenced call workload.

Conclusions:

  • The
  • Surgeon busyness during hand surgery call is multifactorial, influenced by logistical and interpersonal dynamics beyond patient acuity.