Journal of Trauma and Acute Care Surgery

Article	Citations
Letter re: “Resuscitative endovascular balloon occlusion of the aorta and resuscitative thoracotomy are associated with similar outcomes in traumatic cardiac arrest”	106
Meetings/Courses	73
“Intravenous lidocaine for the management of traumatic rib fractures: A double-blind randomized controlled trial (INITIATE program of research)”: Letter to the Editor	71
Intubation of bleeding patients in the emergency department or the operating room: A medical decision to be justified	60
Plasma thrombin generation kinetics vary by injury pattern and resuscitation characteristics in pediatric and young adult trauma patients	45
Meetings/Courses	45
Meetings/Courses	44
Establishing national stakeholder priorities for quality improvement in pediatric trauma care: Consensus results using a modified Delphi process	43
MEETINGS/COURSES	40
Re: Leichtle et al. Blunt cerebrovascular injury: The case for universal screening (J Trauma Acute Care Surg 2020;89(5):880–886)	38
Letter re: “ECMO In trauma care: What you need to know”	36
Exploratory cluster analysis of IL2Ra and associated biomarkers and complications after blunt chest trauma	35
Penalizing underage alcohol use is associated with lower mortality for young drivers: Use/lose laws and their association with motor vehicle collision mortality	35
The injured monocyte: The link to chronic critical illness and mortality following injury	35
Development and validation of a Bayesian network predicting neurosurgical intervention after injury in children and adolescents	34
Predictors of discharge against medical advice in pediatric trauma patients: A nationwide analysis	34
Diagnosis and management of blunt cardiac injury: What you need to know	34
Multicompartmental trauma alters bone marrow erythroblastic islands	34
Evaluation of urological and gynecological surgeons as force multipliers for mass casualty trauma care	34
Early major fracture care in polytrauma—priorities in the context of concomitant injuries: A Delphi consensus process and systematic review	33
Correlation analysis of salivary cytokines and hormones with resiliency	32
Development and validation of a Bayesian belief network predicting the probability of blood transfusion after pediatric injury	32
Transcriptome reveals the dysfunction of pancreatic islets after wound healing in severely burned mice	31
Anatomy of the interchondral joints and the effects on mobility of ribs	31
End-tidal carbon dioxide as a predictor of mortality in trauma patients: A systematic review and meta-analysis	31

The ability of statewide prehospital pediatric blood transfusion protocols to predict early in-hospital blood product administration: A National Trauma Data Bank analysis	30
Cell-free mitochondria are detected in high concentrations in the plasma of orthopedic trauma patients	29
Does pneumocephalus affect the application of the pediatric brain injury guidelines?	29
Evaluation of vascular repair by tissue-engineered human acellular vessels or expanded polytetrafluoroethylene grafts in a porcine model of limb ischemia and reperfusion	28
Access to trauma center care: A statewide system-based approach	27
Proof of concept of an Automated Battlefield Trauma System for large-scale combat operations	27
American Association for the Surgery of Trauma–World Society of Emergency Surgery guidelines on the diagnosis and management of major thoracic vascular injuries	27
Firearm injuries treated at trauma centers in the United States	26
Effect of tranexamic acid on endothelial von Willebrand factor/ADAMTS-13 response to in vitro shock conditions	26
Surgical stabilization of rib fractures versus nonoperative treatment in patients with multiple rib fractures following cardiopulmonary resuscitation: An international, retrospective matched case-cont	26
Treatment with MG53 ameliorates traumatic brain injury–associated acute kidney injury	25
How much is too much crystalloid? Building a foundation for the study of optimal resuscitation practices in pediatric trauma patients with severe traumatic brain injury: Authors' response to Ghasemian	25
Mental health symptoms and engagement in a stepped-care mental health service among patients with a violent versus nonviolent injury	25
AAST pancreatic organ injury grading subcomittee reply to: “Blunt pancreatic injury: Navigating the gray zones of imaging and surgery”	25
When is enough enough? Odds of survival by unit transfused	24
Damage control resuscitation in adult trauma patients: What you need to know	24
Effect of targeting normoxemia on supplemental oxygen-free days for adults with acute thermal burns: A stepped wedge cluster randomized clinical trial	23
Comments on: “Chest Wall Injury Society guidelines for surgical stabilization of rib fractures: Indications, contraindications, and timing” by Bauman et al.	23
Building an Optimal Pediatric Trauma Program	23
Blood Banking Considerations in Pediatric Trauma	23
Association of blood product ratios with early mortality in pediatric trauma resuscitation: A time-dependent analysis from the National Trauma Databank	22
Comments on “Evidence-based, cost-effective management of large bowel obstruction: An algorithm of the Journal of Trauma and Acute Care Surgery Emergency General Surgery Algorithms Work Group”	22
Longitudinal analysis of 15-year health outcomes after combat-related lower limb amputation: A retrospective study	22
Executive summary of the Brain Trauma Foundation Guidelines for the Management of Penetrating Traumatic Brain Injury, Second Edition	22
Mind the gap: A call to integrate equity measures in the Trauma Quality Improvement Program	21
Creatinine clearance predicts the goal enoxaparin dose in traumatic brain injury	21
Management of spinal trauma in pregnant patients: A systematic review of the literature	21
Mechanism matters for major vascular injury in children: A Trauma Quality Improvement Program analysis	21
National blood shortage: A call to action from the trauma community	21
Assessment of ethynylestradiol-3-sulfate on coagulation, metabolism, and survival in pigs with traumatic hemorrhage	21
Does early transfusion of cold-stored whole blood reduce the need for component therapy in civilian trauma patients? A systematic review	20
Meetings/Courses	20
Acute respiratory distress syndrome, acute kidney injury, and mortality after trauma are associated with increased circulation of syndecan-1, soluble thrombomodulin, and receptor for advanced glycatio	20
Do new trauma centers provide needed or redundant access? A nationwide analysis	20
Meetings/Courses	20
Epidemiology and outcomes of traumatic vascular injury repair by trauma surgeons and vascular surgeons in a collaborative model	20
Exploring the characteristics of successful prehospital trauma care teams: Insights from military trauma care simulations	20
TXA does not affect levels of TBI-related biomarkers in blunt TBI with ICH: A secondary analysis of the prehospital TXA for TBI trial	19
Identifying injuries suggestive of child physical abuse: An innovative application of the Trauma Quality Improvement Program	19
Geri-screen: A multicenter trial of a novel screening tool for depression and suicide risk among US trauma patients	19
Characterization of fatal blunt injuries using postmortem computed tomography	19
FEATURED ARTICLES FOR CME CREDIT MARCH 2023	19
Efficacy of a novel smartphone-based ultrasonography curriculum in rapidly training low- and middle-income country trauma care providers	19
Trauma: The most progressive subspecialty of all: Erratum	18
Prospective evaluation of the selective nonoperative management of abdominal stab wounds: When is it safe to discharge?	18
Greater spatial access to care is associated with lower mortality for emergency general surgery	18
A wireless ultrasound patch detects mild-to-moderate central hypovolemia during lower body negative pressure	18
Redefining the costal margin: A pilot study	18
Duration of antimicrobial treatment for complicated intra-abdominal infections after definitive source control: A systematic review, meta-analysis, and practice management guideline from the Eastern A	18
Shock index, pediatric age adjusted: A scoping review of applications in pediatric trauma triage and beyond	17

Integrating pediatric psychology into a trauma follow-up clinic: A feasible model striving for universal behavioral health screening	17
Extremity vascular injury: A Western Trauma Association critical decisions algorithm	17
The effect of prehospital blood products on unexpected survival: A multi-institution study	17
Finding the bleeding edge: 24-hour mortality by unit of blood product transfused in combat casualties from 2002–2020	17
Does delayed operation increase morbidity and mortality? An analysis of emergency general surgery procedures	17
Practices in clearance of the pediatric cervical spine following blunt trauma: A Western Pediatric Cervical Spine Study analysis	17
Letter to the editor: Routine screening bronchoscopy in intubated trauma patients risks unnecessary antibiotic use without clear clinical benefit	17
pREBOA versus ER-REBOA impact on blood utilization and resuscitation requirements: A pilot analysis	17
FasterRib: A deep learning algorithm to automate identification and characterization of rib fractures on chest computed tomography scans	17
How many minutes matter: Association between time saved with air medical transport and survival in trauma patients	17
Exploring patient and system factors impacting undertriage of injured patients meeting national field triage guideline criteria	17
Noninvasive fascial traction improves primary fascial closure and reduces the incidence of incisional hernia in open abdomens	17
FEATURED ARTICLES FOR CME CREDIT FEBRUARY 2023	16
FEATURED ARTICLES FOR CME CREDIT 100.1 JANUARY 2026	16
Prehospital and emergency department pediatric readiness for injured children: A statement from the American College of Surgeons Committee on Trauma Emergency Medical Services Committee	15
The Journal of Trauma and Acute Care Surgery Biostatistical Reviews	15
Scanning the aged to minimize missed injury: An Eastern Association for the Surgery of Trauma multicenter study	15
Blunt splenic injury, Emergency Department to discharge: A Western Trauma Association critical decisions algorithm: Erratum	15
Modified Brain Injury Guidelines for preinjury anticoagulation in traumatic brain injury: An opportunity to reduce health care resource utilization	15
Thromboembolism prophylaxis timing is associated with center mortality in traumatic brain injury: A Trauma Quality Improvement Program retrospective analysis	15
Disparities in advance care planning rates persist among emergency general surgery patients: Current state and recommendations for improvement	15
Early versus delayed laparoscopic cholecystectomy for gallbladder perforation	15
Critical insights into longer time to surgery for pelvic ring injuries is associated with increased systemic complications	15
A multicenter prospective cohort study of endoscopic urethral realignment versus suprapubic cystostomy after complete pelvic fracture urethral injury	15
Pediatric injury trends and relationships with social vulnerability during the COVID-19 pandemic: A multi-institutional analysis	15
Association of race and socioeconomic status with time to pain control among pediatric trauma patients managed nonoperatively	15
A random forest model using flow cytometry data identifies pulmonary infection after thoracic injury	15
Performance of the PECARN cervical spine injury prediction rule based on EMS clinician observations	15
Practical guide for low-cost three-dimensional printing of chest wall anatomy for rib fracture visualization	15
Geriatric trauma coagulation profiles: Impact of sex on clot formation	14
Plasma treatment is associated with decreased brain lesion and resuscitation requirements after traumatic brain injury in a swine model of prolonged damage-control resuscitation	14
Breaking protocol: Should destructive colon injuries be managed differently in a balanced blood product resuscitation era?	14
Pediatric Traumatic Hemorrhagic Shock Consensus Conference Research Priorities	14
Chest Wall Injury Society recommendation for surgical stabilization of nonunited rib fractures to decrease pain, reduce opiate use, and improve patient reported outcomes in patients with rib fracture	14
Management of Pediatric Lower Extremity Vascular Trauma: Adult vs Pediatric Level I Trauma Centers [RETRACTED]	14
Acute traumatic pain treatment with ketamine decreased PTSD and anxiety symptoms 6 months post hospital discharge	14
Anti–PD-L1 therapy to prevent systemic immune suppression after polytraumatic brain injury in rats	14
Detection of pneumothorax on ultrasound using artificial intelligence	14
Nonoperative treatment of multiple rib fractures, the results to beat: International multicenter prospective cohort study among 845 patients	14
Whole blood resuscitation is associated with decreased end-organ dysfunction in pediatric trauma patients	14
Common bile duct stones management: A network meta-analysis	14
Finite element analysis for better evaluation of rib fractures: A pilot study	14
Endure, adapt, survive, and thrive	13
Might less be more: Management of blunt liver and spleen injuries in pediatric patients	13
Value in acute care surgery, part 4: The economic value of an acute care surgery service to a hospital system	13
Clinical characteristics, management, and outcomes of traumatic cerebral venous sinus thrombosis	13
Diagnosis and management of traumatic rectal injury: A Western Trauma Association critical decisions algorithm	13
Recombinant human MG53 protein attenuates brain lesion size in a large animal model of traumatic brain injury	13
The management of penetrating trauma is not just a race	13
Artificial intelligence may help decision-making for withdrawal of life supporting treatment among the injured elderly	13
Aspartate aminotransferase and alanine aminotransferase elevation in suspected physical abuse: Can the threshold to obtain an abdominal computed tomography be raised?	13
When is it safe to start venous thromboembolism prophylaxis after blunt solid organ injury? A prospective American Association for the Surgery of Trauma multi-institutional trial	13
Timing is everything: Early versus late palliative care consults in trauma	13
FEATURED ARTICLES FOR CME CREDIT 100.4 APRIL 2026	13
Pediatric thoracic cage fractures—Mind the sternum: A retrospective analysis of the ACS-TQIP database	13
Letter to the editor: Western Trauma Association critical decision algorithm for the evaluation and management of traumatic pneumothorax	13
Early veno-venous extracorporeal membrane oxygenation is an effective strategy for traumatically injured patients presenting with refractory respiratory failure	13
It is not all black and white: The effect of increasing severity of frailty on outcomes of geriatric trauma patients	13
Current patterns of trauma center proliferation have not led to proportionate improvements in access to care or mortality after injury: An ecologic study	13
A systematic review and meta-analysis of sample size methodology for traumatic hemorrhage trials	13
Uncovering sex-based disparities in trauma surgery research	13
Superiority of compensatory reserve measurement compared with the Shock index for early and accurate detection of reduced central blood volume status	13
Letter to the editor for “Detecting traumatic brain injury-induced coagulopathy: What we are testing and what we are not”	13
Management of Enteroatmospheric Fistulas: What you need to know	12
One size does not fit all: Sex bias in pharmacologic venous thromboembolism prophylaxis	12
Damage control thoracotomy trends, techniques, and outcomes: An EAST multicenter trial	12
Burnout reduction in acute care surgeons: Impact of faculty schedule change at a level 1 trauma and tertiary care center	12
Thoracic cavity irrigation prevents retained hemothorax and decreases surgical intervention in trauma patients	12
Interobserver agreement for the Chest Wall Injury Society taxonomy of rib fractures using computed tomography images	12
Pediatric trauma surgery in Iraq and Afghanistan: Mortality, indicators, and most common operating room interventions from 2007 to 2016	12
Aortic cardiopulmonary resuscitation in trauma: Extracorporeal CPR with controlled reoxygenation outperforms resuscitative thoracotomy in a porcine model of exsanguination arrest	12
Are new pediatric trauma centers located close to the high-risk populations? A geolocation study	12
Reversal of antithrombotic medications in patients with traumatic brain injury: What you need to know	12
Prognosis, risk factors, and scoring model of patients resuscitated from traumatic cardiac arrest: A multicenter observational study in Japan	12
Acute kidney injury development in polytrauma and the safety of early repeated contrast studies: A retrospective cohort study	12
Prolonged partial aortic occlusion worsens neurologic outcomes without affecting brain lesion size in a swine model of traumatic brain injury and hemorrhage	12
Effectiveness of pre-emptive targeted muscle reinnervation on post-amputation pain in patients undergoing above knee amputation: A randomized controlled trial	12
The always evolving diagnosis and management of Clostridioides difficile colitis: What you need to know	12
Is barbed better? Evaluation of triclosan-coated barbed suture on wound complications following emergency laparotomy	12
Trauma transfers discharged from the emergency department: Is there a role for telemedicine?	11

Whole blood use in patients with traumatic brain injury and hemorrhagic shock is not associated with decreased mortality	11
Use of extracorporeal membrane oxygenation in traumatic injuries with acute respiratory distress syndrome: A systematic review and meta-analysis	11
Defining pediatric trauma center resource utilization: Multidisciplinary consensus-based criteria from the Pediatric Trauma Society	11
Blunt pancreatic trauma: A Western Trauma Association critical decisions algorithm	11
Trauma surgeons experience compassion fatigue: A major metropolitan area survey	11
Impact of the Good Samaritan Law on bystander intervention willingness and perceived legal risks in India	11
The Geriatric Nutritional Risk Index as a predictor of complications in geriatric trauma patients: Author Reply in Response to: “The admission serum level of albumin cannot thoroughly represent the nu	11
Book review: Current therapy of trauma and surgical critical care, 3rd edition, editors: Asensio and Meredith	11
Optimization of physiology in organ donors in the intensive care unit: What you need to know	11
The new face of war: Craniofacial injuries from Operation Inherent Resolve	11
Long-term functional recovery after rib fractures: The impact of frailty	11
Association between physician's case volume in prehospital advanced trauma care and 30-day mortality: A registry-based analysis of 4,032 patients	11
Author reply: Letter to the editor on “The use and timing of angioembolization in pediatric blunt liver and spleen injury”	11
Role of Vena Cava Filter in the Prophylaxis and Treatment of Venous Thromboembolism in Injured Adult Patients: A Systematic Review, Meta-Analysis, and Practice Management Guideline from the Eastern As	11
Resuscitative endovascular balloon of the aorta for placenta accreta: An arterial line may be enough	11
Platelet flux in trauma-associated venous thromboembolism: A secondary analysis of the Consortium of Leaders in the Study of Traumatic Thromboembolism (CLOTT) studies	11
Characterization of lipidome alterations in a standardized porcine model with multiple trauma and hemorrhagic shock: Are they driven by hepatic injury?	11
Developing a National Trauma Research Action Plan: Results from the postadmission critical care research gap Delphi survey	11
Prophylaxis of venous thromboembolism in trauma: What you need to know	11
Contemporary diagnosis and management of colorectal injuries: What you need to know	11
Approaches for optimizing venous thromboembolism prevention in injured patients: Findings from the consensus conference to implement optimal venous thromboembolism prophylaxis in trauma	11
Lower incidence of blunt cerebrovascular injury among young, properly restrained children: An ATOMAC multicenter study	11
Research priorities in tranexamic acid after trauma: Secondary analysis of the National Trauma Research Action Plan	11
The potentially futile trauma transfer: “Should I stay or should I go?”	11
A novel, evidence-based, comprehensive clinical decision support system improves outcomes for patients with traumatic rib fractures	11
Consensus-based criteria for actionable hemorrhage in pediatric trauma: A Delphi study	10
One-year survival and quality of life after acute mesenteric ischemia: Follow-up of the AMESI study	10
Case volume and rate are associated with outcomes in geriatric trauma: A case for geriatric trauma centers?	10
Feasibility and safety of intraoperative bile duct clearance by antegrade transcystic balloon sphincteroplasty: A prospective observational pilot study	10
Author reply: “What do we mean by source control and what are we trying to accomplish with an open abdomen in severe complicated intra-abdominal sepsis?”	10
ROBOtic Care Outcomes Project for acute gallbladder pathology	10
Myocardial alterations following traumatic hemorrhagic injury	10
Modern management of abdominal aortic injuries: What you need to know	10
“High and tight to pack and press”: Prioritization of tourniquet conversion in unconventional warfare improves outcomes	10
Extracorporeal membrane oxygenation is associated with decreased mortality in non–acute respiratory distress syndrome patients following severe blunt thoracic trauma	10
The impact of low-dose aspirin in the Brain Injury Guidelines on outcomes in traumatic brain injury: A retrospective cohort study	10
Size of traumatic pneumothorax on initial chest x-ray is independently associated with failed observation in children	10
Meetings/Courses	10
Uncovering gender, racial, ethnic, and socioeconomic disparities among adolescent survivors of suicide attempts in trauma centers: Where can we do better?	10
Targeting peptide homes to spinal cord injury in a rat model	10
Trauma-induced coagulopathy: What you need to know	10
A retrospective observational study on management of penetrating gunshot and migrating projectile injuries to the heart during the war in Ukraine	10
Optimal dose of tranexamic acid in traumatic brain injury: Systematic review and network meta-analysis of randomized controlled trials	10
Clinical practice guideline recommendations for pediatric solid organ injury care: A Systematic Review	10
Investigating the protective effect of direct peritoneal resuscitation on intestinal barrier function in rat models of sepsis	10
FEATURED ARTICLES FOR CME CREDIT JULY 2024	10
Factors associated with trauma recidivism in young children	10
Contemporary management of common bile duct stone: What you need to know	10
Source control in intra-abdominal infections: What you need to know	10
A simplified Sequential Organ Failure Assessment score is associated with 30-day trauma mortality: A novel tool for a low-resource practice setting	10
Growing the next generation of trauma surgeon-scientists: Reflections on 20 years of research investment	10
Risk factors for deep venous thrombosis in pediatric trauma patients: A review of the National Trauma Data Bank from 2017 to 2022	9
Historic redlining, social mobility, and firearm violence	9
Antibiotic prophylaxis in trauma: Global Alliance for Infection in Surgery, Surgical Infection Society Europe, World Surgical Infection Society, American Association for the Surgery of Trauma, and Wor	9
Venovenous extracorporeal membrane oxygenation in patients with traumatic brain injuries and severe respiratory failure: A single-center retrospective analysis	9
Handoffs and transitions of care: A systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma	9
Is severe traumatic brain injury no longer a contraindication for surgical stabilization of rib fractures in patients with multiple rib fractures? A propensity-matched analysis	9
A protocol-driven approach to reduce lengths of stay for pediatric blunt liver and spleen injury patients	9
History repeats itself: Impact of mental illness on violent reinjury and hospital reencounters among female victims of interpersonal violence	9
An initiative to assess and improve the resources and patient care processes used among Chest Wall Injury Society collaborative centers study (CWIS-CC2)	9
Prolonging the therapeutic window for valproic acid treatment in a swine model of traumatic brain injury and hemorrhagic shock	9
Acute colonic pseudo-obstruction in polytrauma patients	9
“Do as I say and not as I do: Surgical critical care program directors shape the future” authors’ response to the Letter to the Editor entitled: “Artificial intelligence literacy and infectious diseas	9
FEATURED ARTICLES FOR CME CREDIT OCTOBER 2024	9
Closer to home: Managing more than three rib fractures at level IV trauma centers	9
An observation-first strategy for liver injuries with “blush” on computed tomography is safe and effective	9
Antibiotic administration within 1 hour for open lower extremity fractures is not associated with decreased risk of infection	9
Brain and body: Early decision making and outcomes for multiply injured patients with penetrating brain injury	9
Morphometric analysis for resuscitative endovascular balloon occlusion of the aorta in women	9
Eastern Association for the Surgery of Trauma system wellness white paper: An evaluation of wellness from a systems perspective	9
A comparative study of extracorporeal shock wave lithotripsy and cholangioscopy-guided lithotripsy in the management of complex biliary stones: A randomized trial	9
Disparities in provision of rehabilitative services in adolescents with traumatic brain injury at level I adult versus pediatric trauma centers	9
Popliteal artery injuries: What you need to know	9
Intraoperative factors associated with unplanned return to the operating room after emergent hemorrhage control surgery	9
Research priorities in chest wall injury: Secondary analysis of the National Trauma Research Action Plan	9
To pack or plug: American Association for the Surgery of Trauma multicenter evaluation of hemorrhage control interventions in pelvic fracture management	9
Older females have increased mortality after trauma as compared with younger females and males, associated with increased fibrinolysis	9
Evaluating potential disparities in geospatial access to American College of Surgeons/American Association for the Surgery of Trauma–verified emergency general surgery centers	9
Incarceration is associated with higher mortality after trauma: An unreported health care disparity	9
Cellular microRNAs correlate with clinical parameters in multiple injury patients	9
Who is informed of trauma informed care? Patients' primary language and comprehensiveness of initial trauma assessment	9
FEATURED ARTICLES FOR CME CREDIT JUNE 2022	9
Four-factor prothrombin complex concentrate is not inferior to andexanet alfa for the reversal or oral factor Xa inhibitors: An Eastern Association for the Surgery of Trauma multicenter study	9
Trauma Quality Improvement Program mortality reporting system case reports: Anticipated mortality with opportunity for improvement related to more timely palliative care services	9
Age matters: A Secondary Analysis of Endothelial Biomarkers in the Prehospital Tranexamic Acid for Traumatic Brain Injury Trial	9
Meetings/Courses	9
Anatomy of the intercostal nerves of ribs in the lower rib cage: A pilot study	9
Socioeconomic disparities and access to care: Fragmentation of care after older adult trauma	8
Emergency department thoracotomy in children: A Pediatric Trauma Society, Western Trauma Association, and Eastern Association for the Surgery of Trauma systematic review and practice management guidel	8
Recovery after moderate to severe TBI and factors influencing functional outcome: What you need to know	8
Developing a National Trauma Research Action Plan: Results from the trauma systems and informatics panel Delphi survey	8
Combined N-acetylcysteine and tranexamic acid attenuate acidosis and fibrinolysis in a swine polytrauma model	8
Goal-directed transfusion algorithm for trauma patients with severe hemorrhage using TEG 6S: Results of a Delphi consensus survey and expert panel recommendations	8
FEATURED ARTICLES FOR CME CREDIT 100.2 FEBRUARY 2026	8
FEATURED ARTICLES FOR CME CREDIT MARCH 2025	8