Digital Commons Network^™

Genotype And Phenotype Correlation In Patients With Comorbid Epilepsy And Intellectual Disability, Mohamed Taha, Jill Clayton-Smith

Graduate Medical Education Research Journal

No abstract provided.

Delirium Assessment For Acute Ischemic Stroke Patients At Unmc, Haeyoung Baang, T. Scott Diesing, Daniel L. Murman

Graduate Medical Education Research Journal

No abstract provided.

Different Strokes For Different Folks: Trends In Elective Surgery For Diverticular Disease, Rishi Batra, Matt Fuglestad, Brad Hall, Jiangtao Luo, Jennifer Leinick, Sean Lagenfeld

Graduate Medical Education Research Journal

No abstract provided.

Renal Sympathetic Vasomotion Monitoring As A Novel Method For Intraprocedural Feedback For Renal Denervation, Peter Ricci Pellegrino Et Al, Alicia M. Schiller, Han-Jun Wang, Yiannis S. Chatzizisis, Irving H. Zucker

Graduate Medical Education Research Journal

No abstract provided.

Synthetic Resorbable Vs. Cellulose Bandage For Minor Hemorrhage In A Porcine Model, Ujwal R. Yanala, Sandra Noriega, Ruben Spretz, Jorge Ragusa, Luis Nunez, Gustavo Larsen, Mark Carlson

Graduate Medical Education Research Journal

No abstract provided.

A Comparative Analysis Of Survival And Funding Discrepancies In Cancers With High Mortality, Bradley R. Hall, Andrew Cannon, Pranita Atri, Christopher S. Wichman, Lynette M. Smith, Sushil Kumar, Surinder K. Batra, Hongmei Wang, Apart Kishor Ganti, Aaron R. Sasson, Chandrakanth Are

Graduate Medical Education Research Journal

No abstract provided.

The Effects Of Stiff Stent-Grafts On Segmental Aortic Stiffness And Left Ventricular Mass: A Pilot Swine Model Study, Paul Aylward, Alexey Kamenskiy, Jason Mactaggart

Graduate Medical Education Research Journal

No abstract provided.

A Performance Improvement Project In Antibiotic Administration For Open Fractures, Benjamin Ogden, Christopher Deans, Matthew Mormino, Michaela Mccarthy, Elizabeth Lyden, Justin Siebler

Graduate Medical Education Research Journal

No abstract provided.

Virtual Reality (Vr) To Improve The Experience Of The Mohs Patient: A Prospective Interventional Study, Shauna Higgins, Shera Feinstein, Makenzie Hawkins, Myles Cockburn, Ashley Wysong

Graduate Medical Education Research Journal

No abstract provided.

Sarcoidosis Of The Mandibular Condyle: A Rare Disease That Can Mimic Malignancy, Chad Sloan, Ben Lacrosse, Lei Yu, Alexander Braun, Scott Lauer, Timothy Donovan, John Baker, Jason Untrauer

Graduate Medical Education Research Journal

Sarcoidosis can involve any of the organs, however intraosseous involvement is rare and ranges from 5 to 15%, with lesions of the mandible being even rarer – currently with few known cases reported. Intraosseous lesions involving the mandible have been noted to be asymptomatic or associated with chronic jaw pain. Additionally, mandibular involvement can present as a lytic bone lesion mimicking osseous malignancy. Chronic polyarthritis is commonly associated with the progression of sarcoidosis and intraosseous involvement has been considered a late-stage sequelae. We report a case of biopsy-proven sarcoidosis within the mandibular condyle in an asymptomatic 56-year-old Caucasian female who …

A Case Of Parsonage-Turner Syndrome, Steven Embry, T. Jason Meredith

Graduate Medical Education Research Journal

Neuralgic Amyotrophy, also known as Parsonage-Turner Syndrome (PTS), is a clinically diagnosed and largely under-recognized inflammatory disorder which primarily affects the brachial plexus. Correct diagnosis is often delayed and the disease causes significant patient morbidity due to extreme pain, paresis, and often sensory abnormalities of the upper extremity. Although the pathophysiology is not completely understood, it is classically preceded by an identifiable inciting event and complete recovery may take months to years.

An Uncommon Adverse Effect Of A Common Drug-Dress Syndrome-Not Just Skin Deep!, Alamelu Udayappan

Graduate Medical Education Research Journal

Drug Rash with Eosinophilia and Systemic Symptoms (DRESS) Syndrome is a rare, life-threatening hypersensitivity reaction that causes skin exfoliation, hematological abnormalities, lymphadenopathy, and extensive internal organ involvement. Characterized by a long latency period, this unusual side effect of aromatic anti-epileptic drugs, as well as many common drugs cause a mortality rate of up to 10% if left untreated. In the absence of a well-established therapy, primary and secondary prevention have a key role in the management of DRESS Syndrome. Herewith presenting a case of an adolescent girl with rashes and systemic symptoms, the cause of which, on obtaining a detailed …

The Financial Burden Of The Urology Match: Room For Improvement, Jinfeng Jiang, Joshua S. Engelsgjerd, Chad A. Lagrange, Christopher M. Deibert

Graduate Medical Education Research Journal

Abstract

Introduction/ Background – The Urology match remains highly competitive, but there is limited published data on the costs of the application process for contemporary applicants. This study aims to determine the financial burden of the Urological match and the effect it has on applicants.

Methods/ Materials – All applicants to the University of Nebraska Medical Center (UNMC) Urology Residency in the 2019 Urology match were invited to complete an anonymous, IRB approved online survey containing 16 questions on interview travel and costs, financial aid, and debt burden.

Results – Thirty-nine out of 183 (21%) applicants responded to the survey. …

An Overview Of Neurology Residency Training In Epilepsy At The University Of Nebraska Medical Center, Daniel Crespo Artunduaga, Mohamed Taha, Arun Swaminathan

Graduate Medical Education Research Journal

Neurology residency offers a comprehensive training program over 4 years in management of various neurological disorders. Epilepsy represents a common condition managed by neurologists and forms a core curriculum in the training of neurology residents. We conducted an anonymous survey among the trainees at our neurology program to identify knowledge and treatment gaps and help us modify our training regimens to provide high impact and good quality training to our trainees. We conducted a 35-question survey to determine various aspects of our neurology residents’ training to identify and overcome shortfalls. Our program requirements are rigorous and match up with those …

Long Term Outcomes Of Surgical And Clinical Symptoms Following Minimally Invasive Heller Myotomy: A Retrospective Clinical Database Review, Laura E. Flores, Priscila Rodrigues Armijo, Bhavani Pokala, Sarah Samreen, Dmitry Oleynikov

Graduate Medical Education Research Journal

I

Introduction

Minimally invasive Heller myotomy rates have increased, but little evidence is available regarding long term clinical and surgical outcomes. Our aim was to evaluate long term symptom improvement and medication resolution for patients undergoing minimally invasive Heller myotomy.

Methods

A single-institution database was retrospectively reviewed for patients undergoing laparoscopic Heller myotomy (LHM) or robotic Heller myotomy (RHM) during 2007-2018. Patients with primary HM followed by a Dor fundoplication were included. Demographics and surgical data were analyzed. Esophageal symptoms, testing, and medication use were collected preoperatively (pre-op), at 6-month (6-mo), 12-month (12-mo), and long-term (LT; 12-mo+) follow-up. Analysis was …

Necrotizing Enterocolitis Following Gastroschisis Repair: An Update, Rachel K. Schlueter, Shahab F. Abdessalam, Stephen C. Raynor, Robert A. Cusick

Graduate Medical Education Research Journal

Purpose:

Necrotizing enterocolitis (NEC) is a known complication of gastroschisis with an incidence above the expected rate in the neonatal population. While many physicians today are aware of this association, the last publication to explore this association in detail and identify possible risk factors of NEC in gastroschisis patients was published over twenty years ago. From our large database of patients with gastroschisis managed by a single group of pediatric surgeons, we reviewed our experience and the recent literature to update what is known about gastroschisis and NEC.

Methods:

From 2001 to 2017, a gastroschisis registry was maintained. Data from …

Comprehensive Chronic Pain Treatment: Does Smoking Affect Outcomes?, Jamison Hofer, David Cates, Valerie K. Shostrom, Brendan Thelen, Kimberley Haynes-Henson

Graduate Medical Education Research Journal

Abstract

Objective: To determine whether smoking status effects pain and functional outcomes in a chronic pain program.

Methods: A retrospective cohort study of 178 patients treated at the Nebraska Medicine comprehensive Pain Management Program over a five year period was completed. Outcomes measures were the Visual Analog Scale Past Month Average Pain score (VAS-PMA), Multidimensional Pain Inventory pain and interference scales (MPI-P and MPI-I), and the Pain and Impairment Relationship Scale (PAIRS). Patients were categorized by smoking status into non-smoker or current smoker groups. Wilcoxon tests were used to compare the pre scores, post scores, and post-minus-pre scores between smoking …

Perceptions Of Safety And Support Among High School Football Players Utilizing A Helmet Impact Detection System, Chris Snyder, Kailey Snyder, Alyssa Irby, Danae Dinkel, Adam B. Rosen

Graduate Medical Education Research Journal

Background: Concussions are common in high school football athletes and can have short and long-term health impacts. New football helmets furnished with accelerometers to detect rate and location of impact have recently emerged. The use of these helmets offers the ability to rapidly and objectively assess concussions on the sideline. However, minimal research has explored athlete’s perceptions of the use of these helmets. Purpose: The purpose of this study was to determine high school football players’ perceptions of safety and support following a season of use of a Helmet Impact Detection System. Methods: 118 high school football players from a …

A Retrospective Study At Two Level One Trauma Centers On The Association Of Internal Injuries With Femoral Fractures, Ryan E. Miller, Catherine Olinger, Leonid Grossman, Dennis Chakkalakal, Karl Bergmann, Elizabeth Lyden, Justin Siebler

Graduate Medical Education Research Journal

Abstract: Injuries capable of fracturing the femur often involve concurrent internal organ damage. However, up to 25% of injuries are initially missed. Prior studies evaluating the association of femur fractures with internal injury included only automobile trauma, were skewed toward more severe injuries, and were broad database studies. To our knowledge, there are no studies of this kind that include bicycle, motorcycle, and motor vehicle-pedestrian trauma, excluding those deceased at the scene, and which included chart reviews. We hypothesized that in the trauma setting, the presence of a femur fracture would correlate with an increase in concomitant internal organ injuries. …

Orthopaedic In-Training Examination (Oite) Preparation And Study Habits Of Orthopaedic Residents: Revisited, Christopher F. Deans, Emmett J. Gannon, Joseph Morgan, Elizabeth Lyden, Matthew Mormino

Graduate Medical Education Research Journal

Introduction: The Orthopaedic In-Training Examination (OITE) is well-established as the cornerstone for educational evaluation of orthopaedic surgery residents. Great significance has been placed on the OITE, particularly as it has been found to correlate closely with successful completion of the American Board of Orthopaedic Surgery Part I Exam (ABOS I). Our study correlated different aspects of OITE study preparation, including resources and habits, with OITE performance.

Methods: An online survey was created to assess these different aspects and distributed to 163 programs across the United States for distribution to orthopedic residents in each program.

Results: Data analysis showed …

An Inclusive Economic Paradigm Shift, Jonathan Talbot

Capstone Collection

In this paper, the author begins with the question of how we can recognize whether or not we are in an opportune time to re-evaluate our current economic system. Through a literature review the canvas is set for the surveys of 63 people from across the United States about the way they feel about the economic system within which we currently find ourselves. Through the survey, he establishes that people who report having had a harder time during the “economic recovery” of the Great Recession were more likely to act in the hopes of bettering their community than those who …

Identifying The Gaps In Resources For Education In Emergencies, Kate Chung

Capstone Collection

When children are thrust into emergencies, either by natural disasters or man-made conflict, education has until recently always taken a backseat. The field of humanitarian aid which focuses on the delivery of material assistance to people in emergency settings, has become more professionalized over the past two decades as conflicts become more complex. Humanitarian aid has always involved the provision of food, shelter and medical care. In the past few decades, however, education for those affected by emergencies that focuses on the practical provision of livelihood skills while also conveying conflict resolution and peace-building skills has become an increasingly important …

Dr. Ahmed Abdelmoity To Receive Endowed Chair, Children's Mercy Hospital

Our Story Continues

Former Children’s Mercy CEO Rand O’Donnell, PhD, and his wife, Melva, are establishing an endowed chair position that will be awarded to Ahmed Abdelmoity, MD, FAAP, Division Director of Child Neurology, Section Chief of Epilepsy and Neurophysiology. Dr. Abdelmoity will become our 31st endowed chair at Children’s Mercy.

Understanding The Role Of Idh Mutation In Chondrosarcoma, Luyuan Li

Open Access Dissertations

Chondrosarcomas constitute a heterogeneous group of malignant bone tumors that produce hyaline cartilaginous matrix. Chondrosarcomas are generally resistant to conventional chemotherapy and radiotherapy, leaving surgery as the only curative treatment option for most localized tumors. In the absence of effective systemic therapy, metastatic disease is nearly uniformly fatal. Therefore, better therapy for patients with unresectable or metastatic disease is urgently needed. Mutations in isocitrate dehydrogenase 1/2 (IDH1/2) enzymes were recently described in several malignancies including conventional and dedifferentiated chondrosarcomas. These mutations represent a novel genetic abnormality in chondrosarcoma, indicating a potential role for aberrant IDH function in the pathogenesis of …

The Challenges Navy And Marine Corps Veterans Face While Seeking Civilian Employment In San Diego County, California, Absalom Morris

Dissertations

Purpose: The purpose of this phenomenological study was to explore the lived experiences of Navy and Marine Corps veterans who have transitioned to the civilian workforce in San Diego County, California since the 2011 draw-down of Operation Iraqi Freedom and Operation Enduring Freedom with respect to personal, mental health, cultural/societal, and organizational support and barriers.

Methodology: This phenomenological, qualitative study identified and interviewed six U.S. Navy veterans and six U.S. Marine Corps veterans who have transitioned from active duty military service to the civilian workforce. The participants were purposefully and conveniently selected based on specific criteria.

Findings: After the analyzing, …

School Of Education Hooding Ceremony & Reception Program, December 2019, Lindenwood University

College of Education: Hooding Ceremony

School of Education Hooding Ceremony & Reception Program, December 2019.

Employee Mobility And The Low Wage Worker: The Illegitimate Use Of Non-Compete Agreements, Jacqueline A. Carosa

The Docket

No abstract provided.

Eric Stephanson Oral History.

Pediatric Palliative Care Oral History Project

Mr. Eric Stephanson begins the interview by describing his path into ministry and divinity and how that intersected over a lifetime, into a career in pediatric palliative and pediatric hospice care. Mr. Stephanson describes how spiritual guidance grew into the services offered at Canuck Place Children's Hospice, the first free-standing North American children's hospice, and how Mr. Stephanson took a chance opportunity to be on the first cohort of multidisciplinary professionals working to deliver palliative services to children in North America. Mr. Stephanson then goes on to describe how his life experience as a minister helped prepare him to be …

Effects Of Stem Cell Therapy On 6-Minute Walk Test Distance And Left Ventricular Ejection Fraction In Patients With Nonischemic Cardiomyopathy, Kayleigh Hunt, Alexa Maziuk

Physician Assistant Capstones, 2016 to 2019

Objective

To assess the efficacy of stem cells in the improvement of functional capacity and quality of life in the setting of nonischemic dilated cardiomyopathy.

Design

Systematic literature review

Methods

A literature search of PubMed was conducted utilizing the following search terms: “stem,” “cell,” “nonischemic,” and “cardiomyopathy.” The following limits were used: “2015-2018,” nonischemic cardiomyopathy, results of LVEF and 6MWT, randomized controlled trials, pilot studies, and sample size >22.

Results

Butler et al. found that within the itMSC group, 6MWD increased by an average of 27.40 m (95% CI 0.28–54.52; P=0.05), but it decreased by an average of 10.83 m …

Corticosteroid Vs Platelet Rich Plasma Injections In The Treatment Of Chronic Plantar Fasciitis, Elizabeth J. Meaney, Emma W. Adelman

Physician Assistant Capstones, 2016 to 2019

Objective: To assess the effectiveness of platelet rich plasma (PRP) injections in the treatment of chronic plantar fasciitis compared to traditional corticosteroid injections. Design: Systematic literature review. Methods: A literature search was performed in Pubmed using the search terms “plantar fasciitis” and “platelet rich plasma”. Inclusion criteria included publication within 10 years, randomized control trial, human study, and containing the American Orthopedic Foot and Ankle Society (AOFAS) hindfoot scoring system. Results: Our literature search resulted in the review of three randomized- control trials. Mahindra et al. showed that PRP was superior to corticosteroid injections in the treatment of chronic plantar …