Medicine and Health Sciences Commons^™

Spare Parts Surgery For Oncologic Reconstruction To Preserve Local Advancement Flap For Decubitus Ulcer Reconstruction: A Case Report, Emily Zurbuchen, Nathan Foje, Sean Figy

Graduate Medical Education Research Journal

A 58-year-old male presented to our institution with synchronous large left thigh sarcoma and sacral decubitus ulcer requiring oncologic resection and reconstruction. Due to extensive tumor involvement, use of local flap for reconstruction was not feasible. Therefore, a spare parts free fillet flap from the disarticulated lower leg was utilized for reconstruction following oncologic resection. The benefits of this spare parts approach include no donor site morbidity, sufficient tissue padding for later use of prosthesis, and preservation of other flaps for future reconstruction of his sacral decubitus ulcer.

Multi-Digit Auto-Amputation In Setting Of Mixed Connective Tissue Disease, Kishan P. Patel, Jennifer L. Medlin, Michelene Hearth-Holmes

Graduate Medical Education Research Journal

Raynaud’s disease is a cutaneous manifestation often present in various connective tissue and vascular diseases. Depending on the age of onset and acuity of symptoms, the phenomenon can provide clinicians with some insight as to the severity of underlying disease, including the distinction between primary and secondary Raynaud’s. However, this diagnostic approach seems to have its limitations regarding efficacy and timing of treatment. Traditionally, treatment of Raynaud’s has focused on reestablishing blood perfusion to affected tissue, which has previously been achieved with vasodilatory medications and site-specific surgical intervention. In lieu of the severe sequelae of Raynaud’s in the setting of …

Nontuberculous Mycobacterium (Ntm) Infection In Aquatic Workers With Purified Protein Derivative (Ppd) And Gold Quantiferon Tests., Lavanya Ravipati, Sarah A. Howard

Graduate Medical Education Research Journal

Background: Nontuberculous mycobacteria (NTM) infections are commonly caused by Mycobacterium marinum and fortuitum with M. marinum more likely to cause skin infections. Aquatic environments are a potential source of contact with M. marinum and fortuitum. Patients with NTM infections may present with positive tuberculin purified protein derivative (PPD) and/or gold QuantiFERON tests. However, PPD cannot differentiate between NTM infection and other tuberculous infections caused by different mycobacterial strains. We present a patient a marine biologist who was asymptomatic and presented for further evaluation as she has a h/o positive PPD and gold QuantiFERON test.

Methods: Patient informed consent was …

Costs Associated With Recurrent Epistaxis In A Patient With A Ventricular Assist Device, Eric T. Rohe, Evan M. Ryan, Jayme R. Dowdall, Dwight T. Jones

Graduate Medical Education Research Journal

Mucosal bleeding is a well-known complication of having a ventricular assist device and commonly presents with epistaxis. Although the frequency of epistaxis as a complication in patients with a ventricular assist device has been documented in the literature, to our knowledge the cost of this complication has not been reported. This case report examines the financial burden of ventricular assist device-associated epistaxis in a single patient from September 2018 to December 2019 using ICD 10 diagnostic codes. The patient was found to have accumulated $138,020 in costs over 38 encounters. This case report not only highlights the recurrent nature and …

A Case Of Carcinoid Heart Disease And Echocardiographic Findings, Brandon Alex, Jeffrey Songster, Helenmari L. Merritt, Rebecca A. Aron

Graduate Medical Education Research Journal

Abstract: Carcinoid heart disease occurs in approximately 50% of patients with carcinoid syndrome. Right heart involvement resulting in tricuspid regurgitation, tricuspid stenosis, pulmonic regurgitation and pulmonic stenosis is most common. We report a case of tricuspid heart disease resulting in tricuspid regurgitation, tricuspid stenosis, pulmonic regurgitation and pulmonic stenosis.

Neurolytic Celiac Plexus Blockade In Patients With Upper Intraabdominal Malignancies: An Evidence-Based Narrative Review, Kevin Wong, Apollo A. Stack, Madhuri Are

Graduate Medical Education Research Journal

Background: Cancer-related abdominal pain is a common symptom associated with upper intra-abdominal carcinoma, especially in patients with advanced disease and it has posed a significant therapeutic challenge to medical practitioners. Typically, cancer pain can be managed by following the World Health Organization 3-step analgesic ladder. However, analgesic use of opioids, the mainstay treatment for moderate-to-severe cancer-related pain, may be ineffective in a subset of cancer patients. Escalation of dosage may be limited by opioid-induced side effects. The aim of this study was to review the literature addressing the effect of neurolytic celiac plexus block (NCPB) on the palliation of pain …

Internet Transparency Of Local Men’S Health Clinics In Nebraska, Jinfeng Jiang, Jordan Stegman, Christopher M. Deibert

Graduate Medical Education Research Journal

An overview of Men’s Health Clinics offering Testosterone Therapy in a Midwest State.

Introduction/ Background – Since 2001, there has been a 300% increase in the use of Testosterone therapy. However, there remains limited published data on the demographics of facilities and providers that advertise this service. This study aims to look at such demographics of advertised Men’s health clinics in Nebraska.

Methods/ Materials – An internet search was conducted with the phrases “Nebraska Male health clinics, Nebraska Low T/testosterone, Nebraska Hormone Replacement Therapy”. All clinics that were found offering Testosterone therapy with Men’s health in their mission statement were …

Personal Finance Skills Among Health Professionals: Piloting A Student-Led Finance Curriculum And A Review Of The Current Landscape, Jeremy Payne, Stephen Haller, Laura E. Flores, Jared Baxter, Walker Payton, Kari Nelson

Graduate Medical Education Research Journal

Introduction

Despite high costs of education, extended lengths of training, and rapidly increasing student debt, personal finance is an often-overlooked topic within professional school curricula. Due to the combination of high debt burden and poor financial literacy, professional students report low confidence and high stress regarding their personal finances. While some medical schools have begun to integrate financial education into their formal training, others provide little to no resources to combat this growing issue.

Methods

To address this gap and provide financial education opportunities, the Financial Development Club (FDC) was founded by students at the University of Nebraska Medical Center. …

Customized Blister Packaging For Patients Living With Hiv: Assessment Of Patient Attitudes And Satisfaction, Holly Groteluschen, Harlan Sayles, Rebecca Osborn, Joshua P. Havens, Sara Bares, Jasmine R. Marcelin

Graduate Medical Education Research Journal

Adherence to antiretroviral medication results in reduced HIV transmission and improved health outcomes, yet challenges with medication adherence remain. A Collaborative Care Program was developed with a community pharmacy integrating a multi-dose adherence packaging service. We surveyed program participants to assess their satisfaction with this program and found an overall positive sentiment toward the program, that the program helped with reducing missed doses, and all patients would recommend the program to others.

The Uncharted Waters Of Graduate Medical Education During A Pandemic, Chandrakanth Are

Graduate Medical Education Research Journal

No abstract provided.

Ham In Nose, Elizabeth Null

Graduate Medical Education Research Journal

No abstract provided.

Screen Media Use In Pediatrics: A Qi Project To Promote Behavioral Change, Michelle Wineinger, Taylor Kratochvil, Danielle Saner, Cristina Fernandez

Graduate Medical Education Research Journal

No abstract provided.

Comparing Outcomes In Out Of Hospital Cardiac Arrest After Implementing Mechanical Compression Devices, Jonathan Weseman, Eric Ernest, Abraham Campos, Aaron Barksdale, Elizabeth Lyden

Graduate Medical Education Research Journal

No abstract provided.

Improving The Efficiency Of Same-Day Iii Calls, Tracy Farrell, Teri L. Schuldt, Mary Wells, R. Gregory Bociek

Graduate Medical Education Research Journal

No abstract provided.

High-Persensitivity Pneumonitis, Daniel Vankalsbeek, Daniel Hershberger

Graduate Medical Education Research Journal

No abstract provided.

Models Of Pediatric Asthma Care, Alamelu Udayappan, Chad Abersch

Graduate Medical Education Research Journal

No abstract provided.

Vitamin Deficiencies Are Extremely Common In Parkinson's Disease: A Case For Routine Screening, Erin Smith, Jenna Paseka, Danish Bhatti, Diego R. Torres-Russotto, John M. Bertoni

Graduate Medical Education Research Journal

No abstract provided.

Are We Missing Vitamin Deficiencies In Parkinson's Disease?, Praveen Hariharan, Erin L. Smith, Nabeel M. Syed, Bobbi J. Roeder, Jenna Paseka, Danish Bhatti, Diego R. Torres-Russotto, John M. Bertoni

Graduate Medical Education Research Journal

No abstract provided.

Right Ventricular Lead Dysfunction Post Lvad Implantation, Ahmed Mohamed Abdelhalim-Selim, Rahul Dhawan, Katherine Germann, Scott Lundgren, Ronald Zolty, Faris Khan

Graduate Medical Education Research Journal

No abstract provided.

Improving Clinical Performance And Quality Measures Following Acute Myocardial Infarction, Sajid Kadir, Vasa Jacob, Evan Ryan, Rahul Dhawan, Cason Christensen, Edward O'Leary

Graduate Medical Education Research Journal

No abstract provided.

The Weights Felt Heavier Today..., Jordan C. Rennicke, Rebecca L. Peebles

Graduate Medical Education Research Journal

No abstract provided.

Effect Of An External Urinary Collection Device On Catheter Associated Urinary Tract Infections In Hospitalized Women, Lindsey Rearigh, Gayle Gillett, Adrienne Sy, Terry Micheels, Luana Evans, Kelly Goetschkes, Trevor Van Schooneveld, Elizabeth Lyden, Mark Rupp

Graduate Medical Education Research Journal

No abstract provided.

Lingual Nerve Anesthesia: A Rare Atypical Presentation Of A Vestibular Schwannoma, Blair Racker, Tyler J. Holley, Lei Yu, Jason Untrauer

Graduate Medical Education Research Journal

No abstract provided.

Neuroinvasive West Nile Virus: A Case Series In Nebraska, Matthew V. Purbaugh, Erin Smith, T. Scott Diesing, Sachin Kedar

Graduate Medical Education Research Journal

No abstract provided.

Acute Onset Parkinson's Disease Secondary To West Nile Virus Encephalitis, Matthew V. Purbaugh, Fuad-Al Ali, T. Scott Diesing, Amy Hellman

Graduate Medical Education Research Journal

No abstract provided.

Shwachman-Diamond Syndrome: First Successful Hematopoietic Stem Cell Transplant In Nebraska, Grace Murray, Sachit Patel

Graduate Medical Education Research Journal

No abstract provided.

Double Umbilical Cord Blood Transplantation In A Pediatric Patient: A First For Nebraska, Grace Murray, Sachit Patel

Graduate Medical Education Research Journal

No abstract provided.

Anesthetic Considerations For Sjogren-Larsson Syndrome, Maireen Miravite, Michelle Leriger, Marcellene Franzen, Kaitlyn Pellegrino

Graduate Medical Education Research Journal

No abstract provided.

Running Miles Without The Smiles; An Exploration Of Alternative Treatment, Peter M. Martin, Rebecca L. Peebles

Graduate Medical Education Research Journal

No abstract provided.

Performance Of The Meso Scale Multiplex Platform In The Assessment Of Serum Cytokines/Chemokines In Rheumatoid Arthritis, Peter Maloley, Bryant R. England, Harlan Sayles, Geoffrey M. Thiele, Michael J. Duryee, Jeffrey Payne, Ted R. Mikuls

Graduate Medical Education Research Journal

No abstract provided.