Digital Commons Network^™

An Unusual Culprit: Right Coronary Artery Aneurysm And Coronary Sinus Fistula Presenting As Acute Heart Failure, Emmanuel Olumuyide Md, Alfredo Toll Md

Scientific Day

Background/Significance:

Coronary artery aneurysms associated with coronary fistulae are rare and may cause shunt physiology, ischemia, and heart failure. Multimodality imaging and invasive hemodynamics are essential for diagnosis and management planning.

Description:

A 78-year-old man with hypertension and hyperlipidemia presented with new-onset decompensated heart failure. Transthoracic echocardiography revealed severe biventricular dysfunction (LVEF 10%) with severe aortic and mitral regurgitation. Coronary angiography demonstrated severe multivessel coronary artery disease and a markedly aneurysmal right coronary artery (RCA) with suspected fistulous communication. Right-heart catheterization revealed elevated filling pressures, a reduced cardiac index, and a right atrial oximetry step-up, indicating a left-to-right shunt. Coronary …

Lupus Turmoil - Rare Cardiac Manifestations Of Sle, Abhishek Gowda Do, Mph, Joaquin Solis Md, Anna Trier Md, Phd, Aijaz Noor Md

Scientific Day

Introduction/Background:

Cardiac involvement in systemic lupus erythematosus (SLE) has variable manifestations. Pericarditis is the most common cardiac manifestation (20%), whereas myocarditis is rare, occurring in approximately 1–2% of cases. Cardiac tamponade is also rare, but possible in lupus pericarditis. Heart failure develops in 2-3% of patients. While stress cardiomyopathy can occur, sustained heart failure with reduced ejection fraction (HFrEF) due to inflammatory myocarditis is uncommon.

Description:

A 40-year-old woman with SLE complicated by lupus nephritis induced end-stage renal disease had multiple admissions for renal failure and progressive cardiac decline. Chest x-ray initially showed new, sudden onset cardiomegaly. Transthoracic ECHO (TTE) …

Chiropractic Role In The Interdisciplinary Care Of A Patient With Low Back Pain Following Spinal Cord Infarction, Chloe Nilles Dc, Joseph Mehring Dc, Jessy Johnson Dc, Dacrb, Venkateswara Gogineni Phd, Eric Kirk Dc, Daco

Scientific Day

Introduction/Background:

Spinal cord infarction is a rare type of stroke that occurs within the spinal cord or the arteries that supply it. The etiology of spinal cord infarction is commonly a result of atherosclerosis and related complications. The outcome of this condition often results in severe disabilities and functional impairment. The focus of long-term management is on rehabilitation to optimize function and quality of life. This case report highlights how a chiropractor functioned within an interdisciplinary healthcare team to manage low back pain in a patient with a history of spinal cord infarction.

Description:

A 46-year-old male with a history …

A Multimodal Approach To Restoring Cervical Radiculopathy-Induced Dexterity Loss That Emphasizes The Role Of Chiropractic Care: A Case Report, Mya Reese Dc, Jeffrey Malone Dc, Jessy Johnson Dc, Dacrb, Venkateswara Gogineni Phd, Eric Kirk Dc, Daco

Scientific Day

Introduction/Background:

Cervical radiculopathy occurs when a spinal nerve root becomes mechanically compressed or chemically inflamed. This can cause an array of symptoms along the dermatomal distribution of the affected nerve including neck stiffness, pain in the shoulder, reduced range of motion, impaired deep tendon reflexes, upper extremity weakness, numbness, paresthesia, and loss of fine motor control. This case illustrates a collective approach among healthcare professionals to restore a patient's fine motor skills by treating cervical radiculopathy with chiropractic care.

Description:

A 59-year-old female patient presented with right shoulder pain associated with radiculopathy into her 2nd-4th digits. She endorsed weakness in …

Mystery Stalk: Thrombus Or Myxoma, Steven Jacobsen Do, Giovanni Paolella Md, Christopher Bentsen Md, Carson Discher Md, Rafia Ali Md, Andrii Labchuk Md, Kelsey Danley Md, Marianna Krive Md, Neal Salwani Md

Scientific Day

Introduction/Background:

Left atrial (LA) masses in patients with new onset atrial fibrillation (AF) are uncommon but clinically consequential findings. Differentiating between LA thrombus and myxoma is critical in determining proper management, which may include anticoagulation, cardioversion, and/or surgery. While cardiac magnetic resonance imaging (cMRI) is considered the gold standard for tissue characterization, overlap in imaging features may limit diagnostic certainty in select cases. This case highlights management options when the gold standard fails to provide a definitive diagnosis.

Description:

A 74-year-old woman with HFpEF presented with chest pain and dyspnea and was admitted with new onset atrial fibrillation with RVR. …

A Heart-Stopping Decision: An Ethical Dilemma Involving Pacemaker Deactivation At End Of Life, Hailee Grannan Md, Nora Badi Md, Kavita Sharma Md

Scientific Day

Introduction/Background:

Pacemaker deactivation at the end of life presents complex ethical and logistical challenges. While Heart Rhythm Society affirms a patient’s right to withdraw life-sustaining treatments, clinicians often experience moral distress when patients are pacemaker-dependent. Unlike defibrillators, pacemakers are perceived as integral to the body rather than external interventions, leading to concerns regarding hastening of death with pacemaker deactivation. In this case, we highlight how device manufacturer procedural requirements can also create obstacles to deactivation, resulting in unintended prolonged suffering and increased distress for the patient and family.

Description:

A 74-year-old male with metastatic renal cell carcinoma developed third-degree heart …

Increasing Utilization Of The Tyrer-Cuzick Score To Improve Breast Cancer Risk Assessment In Primary Care, Lindsay Sawyer Do, Megan Matre Md, Katharine Kelly Md, Lisa Sullivan-Vedder Md

Scientific Day

Background/Significance:

The Tyrer-Cuzick (T-C) score is a risk prediction tool used to provide a quantitative estimate of an individual's lifetime risk of developing breast cancer and can be used to guide screening practices. A high score may lead to recommendations for earlier breast imaging, lifestyle modifications, genetic testing, risk reducing medications or surgery. Given updated recommendations by professional organizations such as the American Academy of Breast Surgeons, Advocate Health developed Primary Care and Radiology workflow processes to attempt to standardize breast cancer risk assessment. Since initiating this workflow in July 2023, there has been a disproportionate number of patients screened …

Balancing Safety And Quality With End-Of-Life Realities: A Single Inpatient Hospice Facility Review, Hailee Grannan Md, Sarah Riutta Phd, Kavita Sharma Md

Scientific Day

Background/Significance:

Patient safety in hospice care requires balancing traditional safety metrics with individualized, comfort-focused goals at the end of life. Inpatient hospice units manage complex symptoms, high-risk medications, and dynamic family preferences, yet limited literature characterizing safety events in this setting. Despite routine event reporting, no comprehensive evaluation of safety incidents has been conducted at Zilber Family Hospice (ZFH).

Purpose:

The purpose of this project was to characterize and analyze patient safety incidents at ZFH to identify patterns, clarify event categorization, and inform hospice-specific safety practices and staff education that support comfort and harm reduction.

Methods:

Safety incidents at ZFH …

Age-Specific Patterns Of Chlamydia Screening And Positivity In The Absence Of Electronic Health Record Prompts: Variation By Specialty And Social Vulnerability, Madison Kob, John Brill Md, Mph

Scientific Day

Background/Significance:

Chlamydia trachomatis (CT) remains one of the most reported bacterial sexually transmitted infections in the United States, disproportionately affecting young women. National guidelines recommend annual screening of sexually active women under the age of 25 to reduce risks of pelvic inflammatory disease and comparable conditions. However, operationalizing risk-based screening within the Electronic Health Record (EHR) proves challenging when sexual activity is not comprehensively documented. During a period without active EHR prompts in Aurora St. Luke’s integrated health system, baseline CT screening patterns were evaluated to inform future workflow and quality initiatives.

Purpose:

To characterize age-specific CT screening and positivity …

Missed Opportunities: Sex Disparities In Dexa Screening Among Cancer Patients Receiving Hormonal Therapy, Faiz Hussain Md, Pooja Bhatt Md, Logan Daines Do, Magdalena Flejsierowicz Md, Dawn Wankowski Ms, James O. Adefisoye Phd

Scientific Day

Background/Significance:

Bone health complications are a well-recognized but often under-monitored consequence of androgen deprivation therapy (ADT) and aromatase inhibitor (AI) therapy, which accelerate bone mineral density loss and increase fracture risk. Despite guideline recommendations from NCCN and ASCO for baseline and periodic DEXA screening, adherence remains low across multiple real-world studies. However, institution-specific adherence patterns, particularly potential sex-based disparities remain poorly characterized.

Purpose:

To evaluate adherence to guideline-recommended DEXA screening and assess sex-based differences among patients with non-metastatic breast or prostate cancer receiving hormone therapy within Advocate Health Midwest Wisconsin locations.

Methods:

We conducted a retrospective review of patients diagnosed …

Connecting Unprofessional Behaviors To Trust: Medical Education Perspectives, Deborah Simpson Phd, Kristin Ouweneel Mba, Tricia La Fratta Mba, Jacob Bidwell Md, Wilhelm Lehmann Md, Mph, Nicole Salvo Md, William Macdonald Md, Kathryn Agard Cmp, Pmp, Esmeralda Santana C-Tagme, David Hamel Md, Kirtan Patel Do, Jessica O'Brien Md, Ed.M, Suzette S. Caudle Md, Leah N. Delfinado Md, Facog, Mscp, David M. Irby Mdiv, Phd

Scientific Day

Background/Significance:

Perceived unprofessional behavior (PUB) poses a significant challenge in medical education (ME), as research demonstrates its adverse impact on patient care, teamwork, and learning. But what if professionalism is reframed as trust consistent with ME’s entrusted professional activities (EPA)? Agreement on which behaviors adversely affect trust can provide educators with a different approach to illuminate PUB.

Purpose:

To develop and conduct a needs assessment to assess the degree to which selected professionalism-related behaviors are linked to trust.

Methods:

Key ME stakeholders (i.e., learners, faculty, ME leaders/staff) submitted brief, de-identified unprofessional behaviors that they had experienced/witnessed exhibited in practice. Behaviors …

Assessing Ventilator Education Needs In Ukrainian Intensive Care Units: Informing Future Training Initiatives, Laura Reindl Ms, Rrt-Accs, Rrt-Nps, Bernie Pagels Bsrt, Rrt-Accs, Rrt-Nps, Michael Shallcross Md, Vladyslav Dieiev Md, Msc

Scientific Day

Background/Significance:

Mechanical ventilation (MV) is lifesaving but requires consistent, evidence-based application to prevent patient harm. Despite international guidelines, global practice remains inconsistent, and skill gaps persist in areas such as waveform interpretation, patient–ventilator dyssynchrony, and ventilator liberation. In Ukraine, war-related system strain and variable access to standardized training may amplify gaps in MV practice.

Purpose:

To describe self-reported MV competence, perceived barriers, and preferred training formats among Ukrainian ICU clinicians to inform future MV education initiatives.

Methods:

We conducted a cross-sectional, anonymous web-based survey of clinicians caring for ventilated adults in Ukraine, distributed by the Ukrainian Society of Anesthesiology between …

Using Large Language Models To Evaluate The Inflammatory Bowel Disease Questionnaire (Ibdq), Olivia Foy Md, Yannis Lafazanos Do, Lukus Berber Md, Eli D. Ehrenpreis Md, Agaf, Facg

Scientific Day

Background/Significance:

The Inflammatory Bowel Disease Questionnaire (IBDQ), a 32-item survey published in 1989, evaluates health-related quality of life (QOL) in inflammatory bowel disease (IBD) across bowel, systemic, emotional, and social domains. Higher scores indicate better QOL. It remains widely used in clinical practice and trials. However, as therapies and patient expectations evolve, legacy instruments may not capture contemporary domains such as mental health burden, cultural factors, treatment complexity, extraintestinal manifestations, and cumulative therapy impact. Large language models (LLMs), increasingly used in clinical research, offer a systematic method to critique and refine patientreported outcome (PRO) tools. We aimed to determine whether …

A Quality Improvement Evaluation Of Sickle Cell Pain Crisis Management In Community Hospitals: Assessing Length Of Stay Data Across Inpatient Provider Groups, Stephen Smetana Do, Insia Rizvi Md, Magdalena Flejsierowicz Md, Dawn Wankowski Ms, James O. Adefisoye Phd

Scientific Day

Background/Significance:

Sickle cell disease (SCD) often results in vaso-occlusive pain crises (VOC), leading to recurrent emergency department visits and hospital admissions. American Society of Hematology (ASH) guidelines recommend rapid initiation of intravenous opioid therapy—within one hour of ED arrival— and standardized management pathways. Despite these recommendations, individuals with SCD remain under-recognized and under-treated in community hospitals. Practice variability may contribute to delayed analgesia, inconsistent patient-controlled analgesia (PCA) use, stigmatizing documentation, and prolonged hospital length of stay (LOS). Institutional review found inpatient VOC care processes and documentation as key targets for quality improvement.

Purpose:

To evaluate provider-group variation in LOS, PCA …

Evaluation Of The Adherence To Established Guidelines For Labor Arrest Disorders In Nulliparous, Term, Singleton, Vertex Cesarean Births, Laurel Pietrzak Do, Sarai Trenhs Do, Manuel Lamptey Ms, Jessica Jf Kram Mph, Callie Cox Bauer Do

Scientific Day

Background/Significance:

The Nulliparous, Term, Singleton, Vertex (NTSV) cesarean birth rate was developed as a quality metric to provide a standardized way of evaluating rates between hospitals with the aim of reducing primary cesarean rates. Currently, in the United States NTSV cesareans account for ~25.6% of births (national benchmark 23.6%). Labor arrest disorders, including failed induction of labor, arrest of cervical dilation, and arrest of fetal descent, account for ~18-35% of primary deliveries, making them one of the more common indications for NTSV cesareans. However, there has been limited evaluation of adherence to American College of Obstetricians and Gynecologists (ACOG) Safe …

Understanding Patient Experiences And Diagnostic Challenges In Long Covid Care, Raegan King Mph, Tiffany Ford Phd, Mph, Osondi Osondi-Lohrer Ms, Ccrp, Jana Hirschtick Phd, Mph

Scientific Day

Background/Significance:

Long COVID is characterized by persistent, heterogeneous symptoms that often lack timely recognition, contributing to delayed diagnosis and fragmented care. Understanding patient experiences with diagnosis and care pathways is critical to determining whether and how receiving a Long COVID diagnosis influences access to care, patient well-being, and perceptions of validation within the healthcare system. This study aimed to explore patient experiences with a Long COVID diagnosis and care navigation within the Advocate Health system, with a focus on identifying barriers to diagnostic equity and opportunities to improve clinical pathways.

Purpose:

The purpose of this study was to understand diagnostic …

Oncologic And Surgical Outcomes For A Novel Approach To Esophagectomy: A Retrospective Analysis At A Large Community Health System, Ruby Armstrong Bs, Kristen Kolberg Md, Dawn Wankowski Ms, Geoffrey Bellini Md, Wesley Papenfuss Md

Scientific Day

Background/Significance:

Esophagectomy is a cornerstone of esophageal cancer treatment. Open esophagectomy has potential for complications and difficult recovery. Transhiatal Endoscopic Esophageal Mobilization (TEEM) is a novel minimally invasive method of esophagectomy that decreases morbidity and length of procedure via a dual-team approach from the abdomen and neck.

Purpose:

The objective of this study was to evaluate the oncologic and perioperative outcomes of TEEM esophagectomy over a 10-year period.

Methods:

We retrospectively reviewed patients who underwent TEEM esophagectomy between January 1, 2015- December 31, 2024 at our institution using the STS database. Patients without esophageal cancer were excluded. Demographics, intraoperative data, …

Maternal Fever And Pprom Are Associated With Early Neonatal Illness Severity: A Composite Score Analysis In Nicu Admissions, Zoya Khan Do, Alexandra Wilson Md

Scientific Day

Background/Significance:

Maternal complications during delivery may predispose neonates to early clinical instability. Identifying specific maternal risk factors can help stratify neonatal risk and guide early postnatal care.

Purpose:

To assess the relationship between maternal complications and early neonatal illness severity using a composite clinical illness score.

Methods:

This retrospective cohort study included neonates admitted to a level IV NICU. Maternal factors analyzed included chorioamnionitis, fever, PPROM, preeclampsia, and intrapartum antibiotic exposure. Neonatal illness severity was defined using a 5-point composite score incorporating hypotension, need for hydrocortisone, elevated CRP, presence of multiple central lines, and ≥5 days of central line use. …

Population Health "Pop Spotting", Glenda Sundberg Fnp-Cs, Apnp, Zeeshan Yacoob Md, Mph, Stephenie Quirke Do, Devanshi Patel Do, Tien Vo Bs,Ba

Scientific Day

Background/Significance:

Various gaps persist across communities due to barriers that prevent patients from accessing their healthcare needs. Aurora St. Luke’s Family Practice Clinic, which serves a diverse and underserved population, developed an interdisciplinary outreach model called “Pop Spotting”

Purpose:

We aim to create a model that allows the clinic team to identify patients who have multiple care gaps and have been lost to follow up. By reaching out to these patients and scheduling visits, we hope to meet health care needs efficiently and improve patient outcomes.

Methods:

This project utilizes Population Health Indicator (PHI) scores to identify established clinic patients …

Comparison Of Dosing Strategies Of Levetiracetam For Seizure Prophylaxis In Patients With Traumatic Brain Injury, Aya Alwan Pharmd, Andrew Mcinerney Pharmd, Bcemp, Lina Piech Pharmd, Bcps, Bcccp

Scientific Day

Background/Significance:

Traumatic brain injury (TBI) affects around 1.7 million individuals annually in the United States and is associated with detrimental complications including seizures. Anticonvulsants are used prophylactically, with the 2024 Neurocritical Care Society Clinical Practice Guideline recommending levetiracetam as the preferred agent. However, no standardized dosing strategies currently exist, resulting in variability in both loading and maintenance of dose regimens across institutions and among providers. The aim of this project is to identify the most appropriate dosing strategy of levetiracetam to reduce seizure incidence in patients with TBI.

Purpose:

This project aimed to identify the most appropriate dosing strategy of …

Menarche To Menopause: The Impact Of The Reproductive Lifespan On Gynecological Health, Iridian Guzman Mph, Caroline Cochrane Md, Anne Rivelli Mph, Ma, Veronica Fitzpatrick Drph, Mph, Asma Ahmed Phd, Marybeth Ingle Phd

Scientific Day

Background/Significance:

A woman’s reproductive lifespan (age at menopause-age at menarche) is anchored within two significant physiological shifts. On average, women spend half their life in this phase and are susceptible to gynecological diseases.

Purpose:

The aim of the menopause (M2M) study is to examine the shift in reproductive lifespan.

Methods:

The M2M study included women (10-90 years) with a documented age at menarche and 1> annual encounter between 2014-2024 within a large Midwestern Health System (n=340,220). Demographics, gynecological conditions, and comorbidities were extracted from electronic health records. Descriptive statistics for continuous variables are presented as means and standard deviations and …

Evaluating The Effectiveness Of Magnesium In Addition To Prochlorperazine For The Treatment Of Migraines In The Emergency Department, Michael Cirone Md, Thomas Szwajnos Pharmd, Samar Ashrafi Pharmd, Ryan Mckillip Md, Kara Fifer Pharmd, Cathrine Roels Pharmd, Nadine Lomotan Pharmd, Cindy Ndiaye Mph, Travis Hase Md, Loredana Huma Phd, Acrp-Cp

Scientific Day

Background/Significance:

Clinical practice guidelines for the acute management of migraines recommend antiemetics such as prochlorperazine as first-line therapy. Although intravenous (IV) magnesium sulfate (Mg) has demonstrated benefit as a standalone treatment for acute migraines, whether it can provide additive analgesic benefit when combined with prochlorperazine is unknown.

Purpose:

Determine whether IV Mg combined with prochlorperazine provides greater reduction than prochlorperazine monotherapy in emergency department (ED) patients with acute migraine.

Methods:

This prospective, double-blind, randomized controlled trial compares IV prochlorperazine and Mg with prochlorperazine and placebo in patients presenting the ED with symptoms of acute migraine. All participants received IV diphenhydramine …

Language-Related Differences In Prenatal Depression Screening, 2019-2024, Amanda Luff Phd, Anne Rivelli Mph, Ma, Akaninyene Noah Mph, Emily Malloy Phd, Cnm, Facnm, Ravi Mishra Md, Veronica Fitzpatrick Drph, Mph

Scientific Day

Background/Significance:

The American College of Obstetricians and Gynecologists issued its first recommendation for universal prenatal depression screening (PDS) in 2015 and reinforced this opinion in 2018. In 2019, the National Committee for Quality Assurance added Prenatal Depression Screening and Follow-up as a quality measure. Language can be a barrier to receipt of recommended screenings.

Purpose:

To evaluate how language preference was associated with uptake of PDS following updated recommendations.

Methods:

This retrospective cohort included people who received prenatal care (PNC) for delivery at an Advocate Midwest facility between 2019 and 2024. We identified PDS through the presence of a depression …

Alopecia Associated With Tnf-Α Inhibitors: A Faers Review Of Combination Therapy Effects That Miraculously Spare Ibd Patients, Olivia Foy Md, Lukus Berber Md, Nick Adimi Md, Eli D. Ehrenpreis Md, Agaf, Facg

Scientific Day

Background/Significance:

Tumor necrosis factor-α (TNF-α) inhibitors are widely used in the management of inflammatory bowel disease (IBD), often combined with Methotrexate (MTX) to reduce immunogenicity. Agents such as Infliximab and Adalimumab are effective for moderate to severe ulcerative colitis and Crohn's disease. Although generally well tolerated, both have been linked to dermatologic adverse effects. Alopecia is a visible and distressing side effect that may affect quality of life and adherence. The magnitude of this risk in IBD patients receiving combination therapy remains unclear. Post-marketing databases allow detection of rare adverse drug reactions and potential interactions.

Purpose:

We used OpenVigil, a …

How Soon Is Too Soon? The Association Between Observation Time Off Supplemental Oxygen And Readmission Rates For Infants Hospitalized With Bronchiolitis, Lauren Amendola Do, Faap, Emma Flosi Do, Matthew Silas Do, Loredana Huma Phd, Acrp-Cp, Hasan Mahbubul Ms, Msis, Sheena Mckenzie Md, Mba, Faap

Scientific Day

Background/Significance:

High-flow nasal cannula and low-flow nasal cannula are widely used in bronchiolitis, the leading cause of infant hospitalization. Limited evidence informs optimal duration of monitoring after discontinuing oxygen before discharge, resulting in wide practice variation.

Purpose:

Our primary objective was to determine if the duration of monitoring patients with bronchiolitis off supplemental oxygen before discharge was associated with differences in 7- and 30-day emergency department (ED) visit or hospital readmission rates. Our secondary objective was to assess how the following characteristics are associated with observation time off oxygen: age, prematurity, last oxygen modality used, viral pathogen, time of oxygen …

Atrial Tachycardia Reduction With Intravenous Use Of Magnesium (Atrium), Ryan Mckillip Md, Samar Ashrafi Pharmd, Haneen Hussein Pharmd, Travis Hase Md, Kara Fifer Pharmd, Cathrine Roels Pharmd, Nadine Lomotan Pharmd, Cindy Ndiaye Mph, Loredana Huma Phd, Acrp-Cp, Marc Mcdowell Pharmd

Scientific Day

Background/Significance:

Magnesium sulfate (Mg) is a safe and effective option for the management of atrial fibrillation or atrial flutter with rapid ventricular response (AFF RVR); however, the optimal dose is unknown. Prior research on its effectiveness has primarily used high-dose regimens (4-9g), which are associated with increased adverse effects, such as hypotension and bradycardia. Whether lower doses can provide comparable rate-control benefit while reducing adverse events is unknown.

Purpose:

The objective of this study is to compare the efficacy of lower doses of intravenous (IV) Mg to successfully decrease the ventricular rate to under 120 beats per minute (bpm) in …

The Live For Band Pilot Study: The Utility Of A Wearable Mental Health Tool For Teens, Huma Ali Khan Md, Mph, Gabrielle Roberts Phd, Matt Mussman Md, Maureen Shields Mph, Anjali Patel

Scientific Day

Background/Significance:

Depression and anxiety are serious and alarmingly common challenges adolescents face, with 19.2% of teens screening positive for depression in 2023. Many barriers to mental health care exist, including social stigma, treatment cost, and limited provider availability. Little is known on the utility of other supplemental mental health tools for teens. Mental health wearables are a novel concept, with limited past research. To our knowledge, no studies have evaluated the effects of nonelectronic wearable tools on adolescents’ mental health.

Purpose:

The purpose of the pilot study was to distribute LIVE FOR Bands (LFBs) to Adolescent Medicine Clinic patients and …

Baseline Ntprobnp As A Predictor Of 1-Year Heart Failure Hospitalizations In Cardiac Amyloidosis, Hannah Runnoe Do, Anne Marie Bonaguro Do, Valentina Turbay Caballero Md, Cindy Ndiaye Mph, Mark Dela Cruz Md

Scientific Day

Background/Significance:

Patients with cardiac amyloidosis (CA) are at high risk for morbidity. It remains unclear which biomarkers or echocardiographic parameters can help identify CA patients at the highest risk of short-term hospitalization.

Purpose:

We investigated whether biomarkers or echocardiographic parameters could help identify CA patients at the highest risk of hospitalization within one year.

Methods:

We performed a single-center cohort study of all CA patients from 2019 to 2025 who had a left ventricular ejection fraction (LVEF) and right ventricular- pulmonary arterial pressure coupling (RV-PA coupling ratio) reported at baseline. Patients were divided into groups based on number of heart …

Examining Attitudes Towards Ai Tools In Graduate Medical Education And Healthcare Practice, Mahbubul Hasan Ms, Msis, Sarah Riutta Phd, Ryan Mckillip Md, Jill Patton Do, Alonzo Jalan Md

Scientific Day

Background/Significance:

Artificial intelligence (AI) tools are rapidly being introduced into clinical and research workflows, including documentation support, data analysis, and decision augmentation. Successful integration of these tools will depend on user trust, perceived appropriateness, and ethical comfort. Misalignment between institutional implementation strategies and frontline clinician attitudes may influence adoption, safe use, and long-term impact on patient care and research integrity. However, little is known about how health system–affiliated clinicians, educators, and researchers perceive AI use across professional roles and training levels. To this end, we conducted a survey-based study to gather information on how AI tool use is perceived by …

Identifying Obstetric Care Needs And Experiences Among Rohingya Refugee Women In Milwaukee, Wisconsin, Michelle Lin Bs, Amulya Suresh Bs, Sarah Yapo Bs, Dahlia Tesfamichael Md, Manuel Lamptey Ms, Dawn Wankowski Ms, Jessica Jf Kram Mph, Elizabeth Corey Md, Mph

Scientific Day

Background/Significance:

Rohingya refugee women in the United States face barriers to obstetric care, including language isolation, gender norms, prior trauma, and unfamiliarity with Western healthcare systems. Milwaukee hosts the largest Rohingya community nationwide (~3,000 residents), yet little is known about their perinatal care experiences.

Purpose:

Our quality improvement project aimed to characterize obstetric needs and care experiences among Rohingya women in Milwaukee and inform community-centered interventions.

Methods:

We conducted a quality improvement study of Rohingya women who delivered at Aurora Sinai Medical Center from 2019 to 2023. Eligible participants were foreign-born Milwaukee County residents with at least one prenatal visit. …