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Quality Control And Evaluation Of Anti-Inflammatory And Antioxidant Activities Of Ethanolic Extracts From Ha-Rak Remedy, Piper Betle Linn., Garcinia Mangostana Linn., And Their Combined Remedies, Ubonwan Saesiw, Srisopa Ruangnoo, Arunporn Itharat, Pranporn Kuropakornpong, Saovapak Poomirat, Sunita Makchuchit, Pattama Sriumpai, Jagavet Tontan Aug 2024

Quality Control And Evaluation Of Anti-Inflammatory And Antioxidant Activities Of Ethanolic Extracts From Ha-Rak Remedy, Piper Betle Linn., Garcinia Mangostana Linn., And Their Combined Remedies, Ubonwan Saesiw, Srisopa Ruangnoo, Arunporn Itharat, Pranporn Kuropakornpong, Saovapak Poomirat, Sunita Makchuchit, Pattama Sriumpai, Jagavet Tontan

Asian Medical Journal and Alternative Medicine

Introduction: A Thai herbal remedy, Ha-Rak (HR), Piper betle Linn. (PB) leaves, and Garcinia mangostana Linn. (GM) pericarps tend to relieve inflammatory related atopic dermatitis (AD). Additionally, antioxidants have important role in the AD prevention.

Objectives: To develop combined formulas of HR, PB and GM extracts and investigate them on anti-inflammatory and antioxidant activities, the total flavonoid content (TFC) and the total phenolic content (TPC).

Methods: The quality of each dried plant material was evaluated according to Thai Herbal Pharmacopoeia (THP) criteria. Each was extracted by maceration with 95% ethanol, and then combined with a remedy. The inflammatory properties of …


Challenging Cytological Findings Of A Rare Warthin-Like Papillary Thyroid Carcinoma: A Case Report, Jirayu Visanuruk Aug 2024

Challenging Cytological Findings Of A Rare Warthin-Like Papillary Thyroid Carcinoma: A Case Report, Jirayu Visanuruk

Asian Medical Journal and Alternative Medicine

Warthin-like papillary thyroid carcinoma (WLPTC) stands out as a particularly uncommon subtype within the spectrum of papillary thyroid carcinoma, known for its distinctive histological and cytological features. This presentation illuminates a case of WLPTC, highlighting an unusual microfollicular pattern and a restrained lymphoplasmacytic background, which makes it challenging to make a conclusive diagnosis.


Editor's Note, Thana Khawcharoenporn Aug 2024

Editor's Note, Thana Khawcharoenporn

Asian Medical Journal and Alternative Medicine

No abstract provided.


Thai Medicinal Treating Theory In Hypertension, Pannawat Chaiyawatthanananthn Aug 2024

Thai Medicinal Treating Theory In Hypertension, Pannawat Chaiyawatthanananthn

Asian Medical Journal and Alternative Medicine

No abstract provided.


Antioxidant And Anti-Inflammatory Activities Of Ethanol And Aqueous Extracts In The Amnouy Suksomjit’S Thai Folk Remedy, Wichida Larsomsri, Pannawat Chaiyawatthanananthn, Thanaporn Intarawan, Yupa Ngankogsoong, Katanchalee Houngiam Aug 2024

Antioxidant And Anti-Inflammatory Activities Of Ethanol And Aqueous Extracts In The Amnouy Suksomjit’S Thai Folk Remedy, Wichida Larsomsri, Pannawat Chaiyawatthanananthn, Thanaporn Intarawan, Yupa Ngankogsoong, Katanchalee Houngiam

Asian Medical Journal and Alternative Medicine

Introduction: A Thai folk remedy is traditionally used to manage many diseases, such as diabetes mellitus, hyperlipidemia, and dementia, as they are related via oxidative stress and chronic inflammation pathways.

Objectives: This study investigates the antioxidant contents, and anti-oxidation and anti-inflammation properties of ethanol and aqueous extracts of Dr. Amnouy Suksomjitʼs Thai folk remedy (RM or the Remedy).

Methods: RM and its plant ingredients were extracted with ethanol maceration and water decoction. All extracts had their antioxidant compounds measured i.e. total phenolic contents (TPC) and total flavonoid contents (TFC), activity by DPPH, ABTS+ and FRAP assays, and anti-inflammatory activity …


Correlation Of Size And Redness Of Pterygium On Tear Film And Dry Eye Symptoms, Pakornkit Phrueksaudomchai Aug 2024

Correlation Of Size And Redness Of Pterygium On Tear Film And Dry Eye Symptoms, Pakornkit Phrueksaudomchai

Asian Medical Journal and Alternative Medicine

Purpose: This study aimed to investigate the correlation of size and redness of pterygium to tear film and dry eye symptoms.

Setting/Venue: Thammasat University Hospital, Thailand

Materials and Methods: 976 patients joined a hospital-based, retrospective cross-sectional study in Thammasat University Hospital. Severity of pterygium was measured and collected by size and redness; Tear film was measured and collected by Tear meniscus height (TMH) and Tear break up time (TBUT); Dry eye syndrome was measured and collected by Ocular surface visual analogue scale (VAS), Ocular Surface Disease Index (OSDI), Oxford corneal staining scale and Meibomian gland dysfunction grading. The study was …


Unveiling The Botanical Riches: Enhancing Quality Control And Stability Assessment Of Sa-Tri-Lhung-Klod Remedy Extract Through Hplc Profiling And Anti-Inflammatory Potency Evaluation, Janjira Inprasit, Srisopa Ruangnoo, Arunporn Itharat, Sunita Makchuchit, Weerachai Pipatrattanaseree, Neal M. Davies Aug 2024

Unveiling The Botanical Riches: Enhancing Quality Control And Stability Assessment Of Sa-Tri-Lhung-Klod Remedy Extract Through Hplc Profiling And Anti-Inflammatory Potency Evaluation, Janjira Inprasit, Srisopa Ruangnoo, Arunporn Itharat, Sunita Makchuchit, Weerachai Pipatrattanaseree, Neal M. Davies

Asian Medical Journal and Alternative Medicine

Introduction: Sa-Tri-Lhung-Klod (ST) remedy is a Thai traditional medicine preparation, used for post-partum care including excreting amniotic fluid, reducing inflammation, and improving blood circulation. The standard quality values and the stability of ST have not been reported. Quality control and stability testing are necessary to determine and insure the standard quality of ST remedy.

Objectives: To evaluate the quality control of herbal components according to Thai Herbal Pharmacopoeia (THP). The stability of ST extracts was examined using high performance liquid chromatography (HPLC) and anti-inflammatory activity was measured.

Methods: The quality assessment of the ST and plant components was performed by …


Hypertrophic Pachymeningitis From Neuro-Behçet’S Disease: A Case Report, Suntaree Thitiwichienlert, Dussadee Sakonlaya, Panlop Chakkavittumrong, Punchong Hanvivadhanakul, Supinda Leeamornsiri, Wimolwan Tangpagasit, Thanapat Dechasasawat Aug 2024

Hypertrophic Pachymeningitis From Neuro-Behçet’S Disease: A Case Report, Suntaree Thitiwichienlert, Dussadee Sakonlaya, Panlop Chakkavittumrong, Punchong Hanvivadhanakul, Supinda Leeamornsiri, Wimolwan Tangpagasit, Thanapat Dechasasawat

Asian Medical Journal and Alternative Medicine

A 26-year-old female presented with visual loss for 10 days from optic neuritis, which had recurred in the fellow eye one year apart. Neuroimaging, Pathergy test and skin biopsy results supported the diagnosis of neuro-Behçetʼs disease. The patient was successfully treated with pulse methylprednisolone followed by prednisolone and immunosuppressive agents.


Factors Influencing Problematic Sleep Among Preschool Children With Adhd: Brief Research, Prakasit Wannapaschaiyong, Sureelak Sutchritpongsa Aug 2024

Factors Influencing Problematic Sleep Among Preschool Children With Adhd: Brief Research, Prakasit Wannapaschaiyong, Sureelak Sutchritpongsa

Asian Medical Journal and Alternative Medicine

This study aimed to examine the prevalence of sleep disturbances and related factors among preschool children with ADHD. Our results showed that the prevalence of sleep disturbances was 40%. Factors associated with problematic sleep include combined-type ADHD, higher severity of ADHD symptoms, the use of taking methylphenidate, higher behavioral difficulties,


Loss Of Periostin Function Impairs Ligament Fibroblast Activity And Facilitates Ros-Mediated Cellular Senescence, Muhammad Farooq Rai, Xin Duan, Mingming Yan, Robert H Brophy, Lei Cai Aug 2024

Loss Of Periostin Function Impairs Ligament Fibroblast Activity And Facilitates Ros-Mediated Cellular Senescence, Muhammad Farooq Rai, Xin Duan, Mingming Yan, Robert H Brophy, Lei Cai

2020-Current year OA Pubs

Anterior cruciate ligament (ACL) injuries pose a significant challenge due to their limited healing potential, often resulting in premature arthritis. The factors and mechanisms contributing to this inadequate healing process remain elusive. During the acute phase of injury, ACL tissues express elevated periostin levels that decline over time. The functional significance of periostin in ligament biology remains understudied. In this study, we investigated the functional and mechanistic implications of periostin deficiency in ACL biology, utilizing ligament fibroblasts derived from patients and a murine model of ACL rupture. Our investigations unveiled that periostin knockdown compromised fibroblast growth characteristics, hindered the egress …


Cmtm4 Inhibits Gastric Tumorigenesis And Metastasis, Xiurui Han, Weiwei Fu, Qinghua Sun, Jing Ning, Jing Zhang, Fabrício Freire De Melo, Xinyu Hao, Qiao Meng, Yueqing Gong, Huiling Zheng, Jing Zhang, Shigang Ding Aug 2024

Cmtm4 Inhibits Gastric Tumorigenesis And Metastasis, Xiurui Han, Weiwei Fu, Qinghua Sun, Jing Ning, Jing Zhang, Fabrício Freire De Melo, Xinyu Hao, Qiao Meng, Yueqing Gong, Huiling Zheng, Jing Zhang, Shigang Ding

Faculty, Staff and Student Publications

BACKGROUND: CKLF-like MARVEL transmembrane domain-containing 4 (CMTM4) is involved in immune regulation and tumor progression; however, its role in gastric cancer (GC) remains unclear. This study explored the role and mechanism of CMTM4 in GC.

METHODS: Immunohistochemistry was used to analyze CMTM4 expression in human gastric biopsied cells from patients with GC (N=23) or chronic superficial gastritis (N=23). To investigate the function of CMTM4 in GC cells, the gene

RESULTS: CMTM4 expression was more downregulated in the human GC tissues than the gastritis tissues. CMTM4 overexpression significantly inhibited the proliferation, migration, and invasion of the GC cells, whereas CMTM4 knockdown …


An Exploration Of Adult Children’S Attachment To Their Parents Across Two Cultural Groups: Indians In India And Indians Who Immigrated To The United States, Vilasini Meenakshi Arun Aug 2024

An Exploration Of Adult Children’S Attachment To Their Parents Across Two Cultural Groups: Indians In India And Indians Who Immigrated To The United States, Vilasini Meenakshi Arun

Doctoral Dissertations

Typically, attachment theory has been studied and explored with western populations. Individuals seeking mental health treatment within the United States include western and nonwestern cultural groups and research, theories and interventions that apply to diverse populations are necessary. Attachment relationships are often a part of, or reasons for clients to seek therapy either overtly or covertly, thus allowing research on attachment to better inform treatment plans and practice. An attachment relationship between a parent and child can be influenced by several factors and may change over the course of development, but little is known about this process among Indians …


Mining Safely: Examining The Moderating Role Of Safety Climate On Mineworkers' Mental Health And Safety Behavior Nexus, Emmanuel K. Amoako, Saviour A. Nubuor, Abdul-Razak Suleman, Amin A. Bawa, Bridget Akwetey-Siaw Aug 2024

Mining Safely: Examining The Moderating Role Of Safety Climate On Mineworkers' Mental Health And Safety Behavior Nexus, Emmanuel K. Amoako, Saviour A. Nubuor, Abdul-Razak Suleman, Amin A. Bawa, Bridget Akwetey-Siaw

Research outputs 2022 to 2026

Purpose: The study aims to investigate the impact of anxiety and depression (dimensions of mental health) on mineworkers' safety behaviors (safety compliance and safety participation) while examining the moderating role of safety climate on these relationships. Design/methodology/approach: A quantitative research approach with an explanatory cross-sectional survey research design was adopted. A total of 274 purposively selected mineworkers participated in the study. Responses were obtained from participants through a structured questionnaire which was analyzed using the partial least square structural equation modeling. Findings: Anxiety had a significant negative effect on safety compliance but not participation. However, depression was found to have …


Antioxidant, Photoprotective, And Cytotoxic Activities Of Tristaniopsis Merguensis Leaf Fractions With Molecular Docking Study Of Potential Fraction, Boima Situmeang, Respati Tri Swasono, Tri Joko Raharjo Aug 2024

Antioxidant, Photoprotective, And Cytotoxic Activities Of Tristaniopsis Merguensis Leaf Fractions With Molecular Docking Study Of Potential Fraction, Boima Situmeang, Respati Tri Swasono, Tri Joko Raharjo

Karbala International Journal of Modern Science

Through experimental along with molecular docking techniques of potential fraction, this study intended to evaluate the essential phytochemical elements of Tristaniopsis merguensis leaflets as well as potential antioxidant, photoprotective, along with cytotoxic activities. The DPPH and ABTS tests were used to evaluate the antioxidant efficacy of the n-hexane (HPF), ethyl acetate (EPF), and methanol (MPF) fractions. Using an in-vitro solar protection factor (SPF) assessment, the photoprotective ability of T. merguensis components against UV damage was examined. Subsequently, invitro cytotoxic research were carried out against MCF-7 cell line (breast cancer line) assay. This was followed by molecular docking stimulation testing against …


Black Maternal Health Crisis: Elevating Black Voices And Reframing Patient-Clinician Relationships, Morgan Mckibbin Aug 2024

Black Maternal Health Crisis: Elevating Black Voices And Reframing Patient-Clinician Relationships, Morgan Mckibbin

Alfie Scholars Conferences

From new vaccines to revolutionary drugs for hard-to-treat disorders, the field of medicine continues to rapidly advance, offering a promise of better patient outcomes and quality of life. Minority groups continue to experience outcomes that contradict these breakthroughs—an increase in death rates and a decrease in life expectancy. Compared to White women, Black women in the US are three to four times more likely to die from pregnancy and childbirth-related problems. This disproportionality persists even when controlling for socioeconomic factors, signifying that systemic and structural issues are at play beyond actions of individuals or even healthcare access. Understanding the complex …


Book Review Of The Tryout By Christina Soontornvat And Joanna Cacao, Simon Boonsripaisal Aug 2024

Book Review Of The Tryout By Christina Soontornvat And Joanna Cacao, Simon Boonsripaisal

Journal of Southeast Asian American Education and Advancement

Soontornvat’s graphic memoir, The Tryout diversifies the Thai American experience to an audience intended for K-12 teachers and educators, parents, caretakers, and children. Canadian Filipino Joanna Cacao serves as the illustrator for The Tryout and does superb drawing expressions and emotions aligning with text in bubbles and boxes implying thinking or speaking. The story centers on Christina, who is a 7th grader living in a small town in Texas trying out for the middle school’s cheerleading squad. She tries to fit in, deals with racism, maintains friendships, develops new hobbies, and learns more about herself as a multiracial Asian American. …


Antibiotic-Resistant Gram-Negative Bacteria In A Local Wastewater Treatment Plant In North Georgia, Nou Moua, Lindsay Mccuen, Sarah White, Swapna Bhat, Margi Flood, Jeanelle Morgan Aug 2024

Antibiotic-Resistant Gram-Negative Bacteria In A Local Wastewater Treatment Plant In North Georgia, Nou Moua, Lindsay Mccuen, Sarah White, Swapna Bhat, Margi Flood, Jeanelle Morgan

Georgia Journal of Science

Antibiotics are some of the most essential lifesaving drugs currently available to us against infectious diseases. Several pathogens are developing resistance to these drugs and many have become resistant to multiple antibiotics. Such multi-drug resistance is becoming a global issue and has been found in many environments including wastewater treatment plants (WWTPs). In this study, we sampled a local WWTP for antibiotic-resistant bacteria. This WWTP is in North Georgia and runs directly into Lake Lanier, which is the main source of drinking water for the Atlanta area as well as a popular spot for water recreation. We obtained treated and …


The Negative Media Portrayal Of Black Men In America: The Impact Of Negative Narratives And Stereotyping On Society, Ahmed Abdullah Aug 2024

The Negative Media Portrayal Of Black Men In America: The Impact Of Negative Narratives And Stereotyping On Society, Ahmed Abdullah

Alfie Scholars Conferences

This presentation will explore the persistent issue of negative media portrayal of Black men in America, focusing on how these harmful narratives contribute to widespread societal biases and reinforce systemic inequalities. Looking at historical examples and contemporary research, the discussion will highlight patterns of misrepresentation in television news and their detrimental effects on public perception. I will also propose potential solutions, including diversifying newsrooms and implementing ethical reporting practices, to address and counteract these negative portrayals. The goal is to show why fair and accurate media representation is important for creating a more just society.


Utilization Of Solar And Wind Power-Generation Systems In The Mining Industry: Recent Trends And Future Prospects, Elaheh Mohammadi Valikandi, Yosoon Choi Aug 2024

Utilization Of Solar And Wind Power-Generation Systems In The Mining Industry: Recent Trends And Future Prospects, Elaheh Mohammadi Valikandi, Yosoon Choi

Journal of Sustainable Mining

In recent years, the mining industry has faced many challenges, such as rising demand, fluctuating energy prices, increasing energy consumption due to declining ore grades, and environmental concerns. According to the Paris Agreement, countries worldwide must focus on decarbonizing their economies to mitigate the global average surface temperature growth. This paper reviews how renewable energy, specifically photovoltaic and wind power systems, can be used to tackle some of these challenges. Operating mines globally, like the South Deep gold mine in South Africa and the MA'ADEN Alumina Refinery in Saudi Arabia, and abandoned mines, such as former coal mines in the …


Addressing Inequities: The Struggle For Quality Education And Life For Disabled And Marginalized Youth, Amy Nguyen Aug 2024

Addressing Inequities: The Struggle For Quality Education And Life For Disabled And Marginalized Youth, Amy Nguyen

Alfie Scholars Conferences

Education is one of the most vital aspects to a child’s development. School is not only important for academic learning, but it will also build social and emotional regulation skills, prepare a student for a successful and enriching future, and overall serve to develop a student’s life wholly. However, disabled and marginalized youth are finding themselves in an educational system that fails to provide a quality educational experience, which negatively affects these students as they continue to navigate their futures. In this presentation, I examine the impact of inadequate education, factors that contribute to this issue, and possible solutions to …


Ephemera As A Versatile Primary Resource: A Case Study Of The Nancy Tucker Postcard Collection, Dylan J. Mcdonald, Jennifer Olguin, Monika Glowacka-Musial Aug 2024

Ephemera As A Versatile Primary Resource: A Case Study Of The Nancy Tucker Postcard Collection, Dylan J. Mcdonald, Jennifer Olguin, Monika Glowacka-Musial

Journal of Western Archives

Ephemera are rich primary sources too often overlooked within archival materials and at collecting institutions. This case study argues that archivists and librarians should recognize ephemera, specifically postcards, as powerful historical documents worthy of scholarly investigation. By analyzing a sample set of digitized postcards held at the New Mexico State University Library, we show how scholars can use postcards to develop evidence-based arguments. Through the images, printed texts, and hand-written inscriptions found on these early 20th century postcards, we demonstrate how researchers can examine the pro-development messages found in southern New Mexico postcards.


From Exclusion To Empowerment: Why Inclusive Curriculum Is Necessary In Modern Education, Zoporah Jones Aug 2024

From Exclusion To Empowerment: Why Inclusive Curriculum Is Necessary In Modern Education, Zoporah Jones

Alfie Scholars Conferences

Inclusivity Curriculum is a need-based curriculum in the classroom, as it fosters ideas of equity and sense of belonging. Inclusive curriculum can combat the systemic foundation of hate and discrimination that has played a role in the public-school system for generations. This paper will not only open the door to why there cannot be steps taken back from the multiculturalism we have implemented in our student's core learnings but also enhance the ideas that a just education is the right education. Without an educational system that focuses on the power of inclusive experiences, we will give way to a system …


Balancing Survival And Sustainability: Addressing Environmental Justice In The Democratic Republic Of Congo, Stephanie Nehema Aug 2024

Balancing Survival And Sustainability: Addressing Environmental Justice In The Democratic Republic Of Congo, Stephanie Nehema

Alfie Scholars Conferences

This presentation argues that addressing environmental justice in the Democratic Republic of Congo (DRC) requires dual focus on combating systemic corruption and global economic exploitation while promoting culturally sensitive and community-based solutions that balance immediate humanitarian needs with long-term sustainability. The presentation will explore the intricate relationship between environmental degradation and socio-economic challenges in the DRC,6 a nation rich in resources yet struggling with poverty and political instability. It will provide a historical overview of environmental injustice, tracing its roots to colonial exploitation and its perpetuation by contemporary global economic practices. The presentation will examine the detrimental effects of environmental …


Education Equity And Access In The Democratic Republic Of Congo, Joyce Diakubama Aug 2024

Education Equity And Access In The Democratic Republic Of Congo, Joyce Diakubama

Alfie Scholars Conferences

Educational equity in the Democratic Republic of Congo (DRC) faces critical challenges rooted in limited resources, political instability, and entrenched socioeconomic disparities. This presentation examines the structural barriers that hinder access to quality education and offers targeted, sustainable solutions to bridge these gaps and promote inclusive educational opportunities for all students. By exploring the role of technological advancements, policy reforms, and community engagement, the discussion highlights strategies to transform the educational landscape and foster long-term development in the region.


The Infinite Corridor, Houyar Moghaddas Aug 2024

The Infinite Corridor, Houyar Moghaddas

HCA Healthcare Journal of Medicine

This photograph was chosen as a visual representation of the poem "Theory of a Well Mind" to capture the essence of the poem's exploration of the human psyche and the journey toward mental wellness. The corridor, with its repeating arches and vanishing point, symbolizes the cyclical nature of thoughts, emotions, and actions that the poem delves into. Just as the corridor seems to stretch into infinity, the poem reflects on the seemingly endless and challenging process of personal growth and self-discovery. The contrast between light and shadow within the image mirrors the poem's themes of introspection, uncertainty, and the pursuit …


Theory Of A Well Mind, Joan S. Hyland Aug 2024

Theory Of A Well Mind, Joan S. Hyland

HCA Healthcare Journal of Medicine

In psychiatry residency, we have a didactic within our curriculum that focuses on psychotherapy. This subject culminates in our third year when our program’s psychotherapy supervisor asks each of us to create our own personal theory. It allowed us to explore and apply what we had learned up until this point and formulate our own understanding of why people are the way that they are, how people change, and how to facilitate that growth through our theory. Each of us chose to represent our theory in unique ways, reflective of our personalities. One tech-savvy resident used AI and images. Another …


Rare Right-Sided Posterolateral Diaphragmatic Hernia In An Adult Presenting As An Incarcerated Large Bowel Obstruction: A Case Report, Tanya J. T. Starr, Andrew G. Nicholson, Maximillian J. H. Starr, Jessica A. Traxler, Peter Y. Chu Aug 2024

Rare Right-Sided Posterolateral Diaphragmatic Hernia In An Adult Presenting As An Incarcerated Large Bowel Obstruction: A Case Report, Tanya J. T. Starr, Andrew G. Nicholson, Maximillian J. H. Starr, Jessica A. Traxler, Peter Y. Chu

HCA Healthcare Journal of Medicine

Introduction

A diaphragmatic hernia (DH) is a defect within a part of the diaphragm that allows intra-abdominal contents to enter the thoracic cavity. Diaphragmatic hernias can be congenital or acquired later in life. The most common congenital DH is the Bochdalek hernia (posterolateral hernia), but the most commonly acquired DH is due to traumatic injury. These hernias are rare in adults and are typically diagnosed incidentally. Surgical repair is the standard of care; however, data regarding the surgical approach is scarce. We report a case of a rare right posterolateral DH in an adult female patient who presented with acute …


Thrower’S Fracture With Subsequent Compartment Syndrome Requiring Emergent 2 Compartment Upper Extremity Fasciotomy, Andrew Wise, Darwin Ang Aug 2024

Thrower’S Fracture With Subsequent Compartment Syndrome Requiring Emergent 2 Compartment Upper Extremity Fasciotomy, Andrew Wise, Darwin Ang

HCA Healthcare Journal of Medicine

Introduction

A thrower’s fracture is a mid-to-distal third humerus fracture that commonly presents as an audible pop with severe arm pain sustained during the throwing motion. Although thrower’s fracture has been described previously in the literature, this report is the first to demonstrate compartment syndrome as its potential sequel.

Case Presentation

A 25-year-old semi-professional pitcher presented to the emergency department with severe right arm pain following a pitch. He described hearing an audible pop with subsequent severe pain. He was found to have elevated compartment pressures in his upper arm and was rushed to the operating room for a 2 …


Unveiling The Complexity Of Nocardia Septic Arthritis In An Immunocompromised Patient: A Case Report, Steven A. Kessler, Meghan R. Mansour, Ali Khreisat, Mamon Tahhan Aug 2024

Unveiling The Complexity Of Nocardia Septic Arthritis In An Immunocompromised Patient: A Case Report, Steven A. Kessler, Meghan R. Mansour, Ali Khreisat, Mamon Tahhan

HCA Healthcare Journal of Medicine

Background

Nocardiosis is the systemic manifestation of Nocardia infection, often found in immunocompromised individuals. Nocardia are transmitted via inhalation or skin wounds, disseminating hematogenously to organs and rarely, joints. We present a patient with immunosuppression who developed gout of the knee with superimposed Nocardial septic arthritis and a possible subsequent systemic infection.

Case Presentation

A 74-year-old man presented with left lower extremity swelling and pain. He was taking immunosuppressive medication for antineutrophilic cytoplasmic antibody-positive vasculitis. A week prior, an arthrocentesis test was positive for gout. He received prednisone without improvement. A repeat arthrocentesis was positive for Nocardia farcinica septic arthritis. …


Idiopathic Granulomatous Lobular Mastitis: A Case Report, Wendy M. Timirau, Esra Sari, Maham Shahid, Nilmarie Guzman, Augusto Villegas Aug 2024

Idiopathic Granulomatous Lobular Mastitis: A Case Report, Wendy M. Timirau, Esra Sari, Maham Shahid, Nilmarie Guzman, Augusto Villegas

HCA Healthcare Journal of Medicine

Introduction

Idiopathic granulomatous mastitis (IGM), also known as nonpuerperal mastitis or granulomatous lobular mastitis, is a rare, benign, chronic inflammatory breast disease first characterized in 1972. IGM is characterized by sterile noncaseating lobulocentric granulomatous inflammation, usually affecting parous premenopausal women with a history of lactation.

Case Presentation

We present a 38-year-old African American woman presenting to our continuity clinic complaining of a painful right breast mass discovered during a self-breast examination. An initial right breast ultrasound demonstrated an area of concern with asymmetry, architectural distortion, and a questionable mass correlating to a 5.1 cm hypoechoic mass at the 12:30 position. …