Digital Commons Network^™

Diagnostic And Molecular Testing Patterns In Patients With Newly Diagnosed Acute Myeloid Leukemia In The Connect Mds/Aml Disease Registry, Daniel A. Pollyea, Tracy I. George, Mehrdad Abedi, Rafael Bejar, Christopher R. Cogle, Kathryn Foucar, Guillermo Garcia-Manero, David L. Grinblatt, Rami S. Komrokji, Jaroslaw P. Maciejewski, Dennis A. Revicki, Gail J. Roboz, Michael R. Savona, Bart L. Scott, Mikkael A. Sekeres, Michael A. Thompson, Sandra E. Kurtin, Chrystal U. Louis, Melissa Nifenecker, E Dawn Flick, Arlene S. Swern, Pavel Kiselev, David P. Steensma, Harry P. Erba

Pathology Research and Scholarship

Diagnostic and molecular genetic testing are key in advancing the treatment of acute myeloid leukemia (AML), yet little is known about testing patterns outside of clinical trials, especially in older patients. We analyzed diagnostic and molecular testing patterns over time in 565 patients aged ≥ 55 years with newly diagnosed AML enrolled in the Connect MDS/AML Disease Registry (NCT01688011) in the United States. Diagnostic data were recorded at enrolment and compared with published guidelines. The percentage of bone marrow blasts was reported for 82.1% of patients, and cellularity was the most commonly reported bone marrow morphological feature. Flow …

20200630_Hslic Expanded Services For Course Reserves, Kaylee Nauer

HSLIC Blog Post

No abstract provided.

2020-06-30 A Message From Chancellor Roth, Paul B. Roth

HSC Messages from the Chancellor

No abstract provided.

Unm Global Health Covid-19 Briefing Participants, Christophe G. Lambert, Shawn Stoicu

HSC Covid 19 Briefings

No abstract provided.

20200629_Celebrating Pride Beyond June, Kelleen Maluski

HSLIC Blog Post

No abstract provided.

Political Use Of Instagram: The Relationships Between Motivations, Frequent Use, Incidental News Exposure And Online Political Participation, Hyerin Kwon

Communication ETDs

As Instagram is widely popular with young people, politicians and news media turn to Instagram and spread an array of political information. Despite the growing popularity, few studies have explored political use of Instagram. The purpose of this thesis is to investigate why and how college students use Instagram for politics. Based on the Uses and Gratifications (U&G) theory, this study examines students’ motivations and political uses of Instagram, such as getting political information, expressing political opinions, and following political accounts. Lastly, this thesis explores how young people unintentionally get political information on Instagram. This thesis found that motivation for …

2020-06-26/27/28 Daily Unm Global Health Covid-19 Briefing, Christophe G. Lambert, Shawn Stoicu, Ingrid Hendrix, Lori D. Sloane, Anastasiya Nestsiarovich, Praveen Kumar, Nicolas Lauve, Mala Htun, Crisitian Bologna, Douglas J. Perkins

HSC Covid 19 Briefings

Executive Summary:

NM Highlights: State fair cancelled. Phase 2 reopening stalls. Fewer New Mexicans staying home. ABQ July 4 celebration plan. NM case update. US Highlights: Family members infected following surprise birthday party. New cases spike in Texas due to early reopening of bars. International Highlights: 50% in Austria ski resort have antibodies. Economics, Workforce, Supply Chain, PPE: Why people do not wear masks. Mask filtration efficiencies compared. Masks worn incorrectly. Ultraviolet-based biophotonic technologies. Improved mask designs. Mask wearing controversy. Epidemiology Highlights: Contamination through air flow paths. Contamination of wastewater circulation. Healthcare Policy Recommendations: Moralizing COVID-19 mitigation practices contributes to …

2020-06-26 A Message From Chancellor Roth, Paul B. Roth

HSC Messages from the Chancellor

No abstract provided.

10.07.2019 Board Of Medical Investigators State Ofnew Mexico Meeting Minutes, Anthony Cervantes

Office of the Medical Investigator Notices and Agendas

No abstract provided.

2020-06-24/25 Daily Unm Global Health Covid-19 Briefing, Christophe G. Lambert, Shawn Stoicu, Ingrid Hendrix, Lori D. Sloane, Mari Anixter, Anastasiya Nestsiarovich, Praveen Kumar, Nicolas Lauve, Jeremy Yang, Randy Ko, Cristian Bologa, Kristine Tollestrup, Douglas J. Perkins

HSC Covid 19 Briefings

Executive Summary:

NM Highlights: Governor update. NM schools reopening. Parents split on allowing kids play sports. Santa Fe streets closure. Paid leave for ABQ businesses. 207 cases and 5 deaths. International Highlights: 9% HCW positive in Italy. Australian lessons. Economics, Workforce, Supply Chain, PPE: Plan for return to normalcy. Mask cleaning. Epidemiology Highlights: US years of life lost high. Fever and cough most prevalent symptoms. Hypertension and diabetes most prevalent comorbidities. Hypertension, diabetes and respiratory disease most prevalent in fatal cases. Practice Guidelines: Brazilian guidelines on thromboembolic complications in COVID-19. Novel design of door handle to touch with a forearm. …

Covid-19: The New Mexico Experience And Background, Matthew Wharton, Marisa Su, Meghan Brett, Jon Femling

Western Journal of Orthopaedics

Introduction: The novel Coronavirus Disease 19 (COVID-19) identified in December 2019 and the associated pandemic has temporarily changed the way that we conduct medicine, allocate resources, and educate resident and fellows. The present investigation is a summary of The University of New Mexico clinical experience managing the sudden surge of critical patients, personal protective equipment management (PPE), and resident education. Methods: We evaluated and analyzed the data related to the COVID-19 pandemic patient load and management in New Mexico, the formation of teams to protect the providers from simultaneous exposure, the resident experience, the PPE management, and the change in …

Identification And Management Of Injuries Associated With Femoral Shaft Fracture, Brian N. Hodges, Thomas A. Decoster

Western Journal of Orthopaedics

Femoral shaft fractures are common injuries typically due to high-energy trauma. Injuries associated with femoral shaft fractures include ipsilateral femoral neck fractures, ipsilateral distal femur fractures, ipsilateral patella fractures, ipsilateral tibial shaft fractures, ipsilateral knee ligament injuries, acetabular and pelvis fractures, and small bone fractures. These injuries can go unnoticed, and it is important to recognize and treat these injuries accordingly.

Side-By-Side Comparison Of 4-Strand Versus 5-Strand Hamstring Graft Diameters In Patients Undergoing Anterior Cruciate Ligament Reconstruction, Dustin L. Richter, Michael Hopson, Tony Pedri, Gehron P. Treme

Western Journal of Orthopaedics

Background: Hamstring (HS) graft size is an independent risk factor in determining outcomes related to anterior cruciate ligament reconstruction (ACLR). Although anthropometric correlations with HS tendon size have been studied, a predictable association with resultant graft size has not been established. This study directly compares the difference in diameter between a 4-strand (4S) and 5-strand (5S) HS autograft in the same patient. Methods: A total of 31 consecutive patients undergoing ACLR with HS autograft were included in the study. The gracilis and semitendinosus tendons were harvested for each patient. The diameters and lengths of a standard 4S HS graft followed …

Front Matter, Unm Department Of Orthopaedic Surgery

Western Journal of Orthopaedics

No abstract provided.

Mesh Plate Fixation For Complex Patella Fractures: A Surgical Technique, Rami Khalifia, Eric Potter, Sherif Dabash, Richard S. Yoon

Western Journal of Orthopaedics

Different types of low-profile plates have been designed for fixation of complex patellar fractures. Plate fixation of patella fractures provides stable fixation and allows earlier mobilization. This report describes three cases of complex patellar fractures. The report includes a detailed description and tips of the surgical technique

Osteomalacia In A Young Adult Male Presenting As Chronic Wrist Pain: A Case Report, Daniel Gonzales-Luna, Dean W. Smith

Western Journal of Orthopaedics

Chronic wrist pain is a common problem encountered by orthopaedic surgeons, yet osteomalacia is rarely considered in the differential diagnosis in the United States. We present a case involving a 37-year-old man who experienced bilateral wrist pain and weakness for more than 2 years. Further investigation revealed a history of chronic leg pain, low serum 25-hydroxy vitamin D levels, and decreased bone density. He was diagnosed with osteomalacia and treated with vitamin D supplementation and increased sun exposure. At 6 months follow-up, the patient had resolution of his pain and normalized vitamin D levels. To our knowledge, the literature has …

Single-Event Multilevel Surgery Of The Upper Extremity: A Case Report, Elizabeth Mcleod, Lacey Floyd, Justin Bartley

Western Journal of Orthopaedics

Single-event multilevel surgery has been used successfully to treat pediatric patients with cerebral palsy for decades; however, it has not been widely used to treat adult patients. Tendinopathies of the arm often coexist, and performing single event surgery to correct one joint pathology may further exacerbate coexisting tendinopathies. Accordingly, performing single-event multilevel surgery in the appropriate patient allows for the correction of multiple conditions of the same limb in a single surgery. Single-event multilevel surgery offers many benefits, including cost savings, convenience for the patient, less potential complications owing to a single anesthetic and hospitalization event, and a shorter overall …

Systematic Review Of Cost-Effective Analyses In Sports Medicine From 2014 To 2020, Casey Slattery, Mia S. Hagen, Amy Cizik, Albert O. Gee

Western Journal of Orthopaedics

The quality of recent cost-effectiveness studies and whether there is sufficient evidence to achieve valuebased health care in sports medicine are unknown. The purpose of this study was to perform a systematic review of recent cost-effective analyses (CEA) in sports medicine to determine the quality of publications from the last 6 years. A literature search was conducted for CEA studies on diagnostic tests, treatment options, and surgical procedures for sports medicine-related conditions between 2014 and 2020 in the United States. Two reviewers scored each study using the Quality of Health Economic Studies (QHES) instrument to assess methodological quality. Eighteen CEA …

Measurement Of Femoral Notch Type Show Low Inter-Rater Reliability, Evan D. Boyd, Michael S. Barnum, James R. Saluterbeck, Pamela M. Vacek

Western Journal of Orthopaedics

Background: Preventing first time anterior cruciate ligament (ACL) injury and the devastating sequela of post-traumatic osteoarthritis in the young athlete has attracted efforts to identify risk factors for development of ACL injury. Femoral notch type has been related to risk of ACL injury in previous studies. However, little data exists to support the reliability of assessing this qualitative measurement amongst independent investigators. Methods: Femoral notch type was measured from magnetic resonance imaging sections of 344 injured ACL and control knees by three investigators with different levels of professional experience. Inter-rater reliability was assessed using Cohen’s kappa statistic. Results: The simple …

Alumni Map 2020, Unm Department Of Orthopaedic Surgery

Western Journal of Orthopaedics

No abstract provided.

Prevalence Of Prolonged Sitting Among Orthoapedic Residents, Benjamin D. Packard, Richard A. Miller

Western Journal of Orthopaedics

Background: There is a plethora of data regarding the negative health consequences of sitting, including increased cardiometabolic risk factors and all-cause mortality. Correctable actions should be identified. Methods: A literature review was performed to examine articles that identified sitting prevalence and health consequences. A survey querying average hours per day spent sitting was distributed to orthopaedic residents at a single institution. Statistical analysis of the data was performed using a 2-tailed t test. Results: A total of 25 orthopaedic residents were surveyed, and 20 responses were received. The average time spent sitting was 5.38 hours per day. There was equal …

3d Printing Of Face Masks And Face Shields To Address The Coronavirus Public Health Crisis In New Mexico, Natalia D. Mclver, Laura Kief Shaffer, Craig Kief, Christina Salas

Western Journal of Orthopaedics

Shortages of personal protective equipment (PPE) in the State of New Mexico (NM), particularly in regions with limited access to healthcare facilities, led to exploration of 3D printing options for PPE production. Open-source Version 2 Wiles COVID Pandemic Masks, a 3-part design (mask, filter box, and filter), are printed with thermoplastic polyurethane (TPU), a pliable filament material. Printing with TPU makes our masks contourable to the face and provides a tight seal during use. Filter boxes for the masks and 3DVerkstan 3D printed face shield headbands are printed using polylactic acid polymer filament. Filters consist of two layers of hospital …

Pronator Quadratus Rotational Muscle Flap Technique For Coverage Of Hardware After Distal Radius Orif, Camille Aubin-Lemay, Henry Ran, Deana Mercer

Western Journal of Orthopaedics

Flexor tenosynovitis and tendon rupture are rare. Yet these occurrences can be serious complications after treatment of a fractured distal radius with a volar plate. The highest incidents of rupture are associated with the plate on or distal to the watershed line of the radius. Although studies have shown that reattachment of the pronator quadratus (PQ) following plating does not lead to improved measures in grip strength or range of motion, it is possible that doing so may reduce the incidence of flexor tendon irritation or rupture. Reattachment of the PQ after a standard approach does not often capture the …

Hallus Rigidus: A Technique For Reliable, Safe, And Reproducible Cheilectomy Excision, Jory Wasserburger, Amber Price, Matthew Wharton, Richard Miller

Western Journal of Orthopaedics

Hallux rigidus is a common cause of foot pain involving the hallux; however, the etiology is yet to be elucidated. There are many different treatments that have been described, including cheilectomy. Taking too much bone can cause joint instability and altered joint mechanics, whereas taking too little bone may not relieve pain. We present a reliable, safe, and reproducible technique for cheilectomy in the hallux rigidus.

Foreign Bodies In The Hand: A Case Report, Review Of Literature, And Guidance For Acute Management, Jessica Avila, Griffin Biedron, Jordan Carter, Gilberto A. Gonzalez

Western Journal of Orthopaedics

No abstract provided.

Isolated Proximal Fibula Fractures In Young Athletes Mimic Lateral Collateral Ligament Injury, Aaron M. Gray, Jason H. Nielson

Western Journal of Orthopaedics

Lateral knee injury is common among adolescent athletes in both contact and non-contact sports. Injuries in this population deserve special consideration regarding diagnosis and treatment due to the presence of open, closing, or recently closed physes. We describe two cases of isolated proximal fibula fractures with knee pain and laxity to varus stress in young athletes. Isolated proximal fibula fractures can mimic lateral collateral ligament injuries in the knee. Treatment for these injuries is conservative with bracing, protected weight bearing, and delayed or protected return to activity.

Femoral Diaphysis Fracture In A Collegiate Male Hockey Player: A Case Report, Matthew Bain, James Slauterbeck

Western Journal of Orthopaedics

Femoral diaphysis fractures represent a small subset of sports-related orthopaedic trauma, accounting for less than 1% of all sports fractures. We describe a 22-year-old male ice hockey player who slid and crashed into the boards during practice. Radiographs revealed fracture of the femoral diaphysis, necessitating surgical intervention to insert an intermedullary nail. Rehabilitation was a hybrid of an anterior cruciate ligament reconstruction and hip labrum repair protocols. There was emphasis on rotator cuff strengthening and lower-extremity rehabilitation owing to a pre-existing shoulder dislocation that occurred during the same season. He returned to skating at 16 weeks, and at 20 weeks …

A Case Of Osteosarcoma And Its Presentation In A Division I Collegiate Athlete, Alec Sundet, Allison Shepherd, James Slauterbeck

Western Journal of Orthopaedics

Primary bone and soft-tissue tumors may present by mimicking common sports injuries. Their diagnosis is contingent on maintaining a broad differential. We report a case of a 20-year-old male athlete who sustained a twisting injury to his planted right knee while playing college lacrosse. He was unable to bear weight or fully extend his knee. The team’s orthopaedic surgeon was concerned for a locked knee secondary to a possible flipped meniscal tear. Radiographs and magnetic resonance imaging were performed that led to the discovery of an expansile, sclerotic lesion arising from the posteromedial aspect of the distal femur. Biopsy of …

Treatment Of Both Column Acetabular Bone Loss In Multiple Myeloma Patient With Custom Triflange Acetabular Component: A Case Report, Scott Plaster, Kyle Stephen, David Chafey

Western Journal of Orthopaedics

Massive acetabular bone loss with pelvic discontinuity remains a challenging obstacle with few arthroplasty solutions. We present a case of a 61-year-old man with multiple myeloma who suffered a pathologic acetabular fracture resulting in acetabular protrusio and eventually extensive acetabular bone loss. His prognosis was initially poor; however, he ultimately responded to his radiation and chemotherapy and was limited in his mobility by his extensive acetabular bone loss. Given his complex presentation, it was decided to go forward with total hip arthroplasty utilizing the Zimmer-Biomet custom triflange acetabular component. His outcome at 9 months is fair

Tibial Lengthening Using A Magnetic Lengthening Intramedullary Nail In An Hiv-Positive Patient: A Case Report And Review Of Literature, Rami Khalifa, Christopher Gerzina, Amr Abdelgawad, Ahmed M. Thabet

Western Journal of Orthopaedics

Limb lengthening can be affected by poor bone healing in patients with human immunodeficiency virus. This is a case report of a 56-year-old man with 6.1 cm leg length discrepancy and end-stage arthritis in the hip. The patient had total hip arthroplasty prior to his lengthening procedure. The patient was human immunodeficiency virus positive. This case report describes the experiences of using a motorized intramedullary magnetic lengthening nail in equalization of limb length discrepancy. Treatment for the patient included tibial lengthening with a motorized nail to correct the limb length discrepancy, with adequate bone healing in a patient with an …