Digital Commons Network^™

A Rare Case Of Right Atrial Thrombus In A Patient With Recurrent Classical Hodgkin Lymphoma., Ayrton , Bangolo, Shraboni Dey, Amulya Upendram, Indris A Yesuf, Candice Small, Chrishanti A. Joseph, Amadu Bangura, Anushka Dekhne, Adarshpreet Singh, Nkechinyere Mary Harry, Hiba Alkeal, Aditya Gajera, Soobee Kim, Deepti Kansal, Simcha Weissman

Journal of Community Hospital Internal Medicine Perspectives

Patients with cancer are at risk for thrombotic complications due to a hypercoagulable state. However, the benefit of prophylactic anticoagulation is unclear in many subsets of these patients. For the first episode of acute thromboembolic disease (VTE) in patients with active cancer, anticoagulant therapy is administered for at least three to six months. Herein, we present a 31-year-old female with active, recurrent stage IIIa classical Hodgkin lymphoma (CHL) (nodular sclerosis), previously treated for proximal upper extremity deep vein thrombosis (DVT), presenting for evaluation of shortness of breath and eventually diagnosed with bilateral pulmonary embolism (PE) secondary to a right atrial …

Uremic Pericarditis And Cardiac Tamponade Resolving With Intensive Hemodialysis, Mayuri Patel, Shiavax J. Rao, Abhinandan R. Chittal, Khalid Al-Talib, Sriram Padmanabhan

Journal of Community Hospital Internal Medicine Perspectives

We present an interesting and complex case of cardiac tamponade due to uremic pericarditis (UP), resolving with intensive hemodialysis (HD). HD should be considered as first line management for patients with UP and pericardial effusion. Intensification of HD should be considered based on clinical presentation and severity of presentation.

Global Perspective On Covid-19 Therapies, Cardiovascular Outcomes, And Implications For Long Covid: A State-Of-The-Art Review, Azza Sarfraz, Zouina Sarfraz, Shehar Bano, Muzna Sarfraz, Ali Jaan, Amna Minhas, Aminah Abdul Razzack, Gaurav Patel, Manish Kc, Sarabjot Singh Makkar, Radhika Garimella, Krunal Pandav, Jose Almonte, Trissa Paul, Tahlianna Almonte, Lissandra Jimenez, Juan C Pantoga, Nada El Mazboudi, George Yatzkan, George Michel, Jack Michel

Journal of Community Hospital Internal Medicine Perspectives

The COVID-19 pandemic has resulted in many therapies, of which many are repurposed and used for other diseases in the last decade such in Influenza and Ebola. We intend to provide a robust foundation for cardiovascular outcomes of the therapies to better understand the rationale for the clinical trials that were conducted during the COVID-19 pandemic, and better understand the steps moving forward should the repurposing provide clinical benefit in pandemic situations. With this state-of-the-art review, we aim to improve the understanding of the cardiovascular involvement of the therapies prior to, during, and after the COVID-19 pandemic to provide meaningful …

Gastric Cancer: Clinical Features, Screening, Diagnosis, Treatment, And Prevention, Rajarajeshwari Ramachandran, Tyler Grantham, Swetha Parvataneni, Deepa Budh, Sindhu Gollapalli, Madhavi Reddy, Vinaya Gaduputi

Journal of Community Hospital Internal Medicine Perspectives

The objective of this article is to highlight the clinical features, screening, diagnosis, treatment, and prevention of gastric cancer (GC). Early GC is often asymptomatic leading to frequent delays in diagnosis. Weight loss and persistent abdominal pain are the most common symptoms at initial diagnosis. The diagnosis of GC typically involves a combination of endoscopy, biopsy, and imaging studies. Endoscopic resection techniques are emerging as successful treatment options for early GC. Treatment options for advanced GC include surgery and chemotherapy. The first line chemotherapy for advanced GC consists of doublet therapy with a combination of platinum and fluoropyrimidines. Trastuzumab, a …

Efficacy And Safety Of Bempedoic Acid In Patients With Hyperlipidemia And Non-Alcoholic Fatty Liver Disease, Sibtain Nisar, Sidra Sohail, Saman Fatima, Muhammad Talha Akhtar, Muhammad Ahmad, Muhammad Waqar Hanif, Masood Khan, Amin Mehmoodi, Jahanzeb Malik

Journal of Community Hospital Internal Medicine Perspectives

Hyperlipidemia and its association with cardiovascular diseases have been significant public health concerns for many decades. Statins have long been the primary therapeutic option for lowering cholesterol levels and reducing cardiovascular mortality. However, a substantial number of patients either do not achieve optimal lipid goals with maximally tolerated statin doses or experience statin intolerance. In recent years, there have been remarkable developments in the field of hyperlipidemia management, leading to the approval of novel hypolipidemic drugs in North America and Europe. This article reviews the clinical development of bempedoic acid, a promising new drug, alone and in combination with ezetimibe, …

Outcomes Of Upper Gastrointestinal Bleeding In Hospitalized Covid-19 Patients In The United States: A Propensity-Score Matched Analysis Of A Large National Database, Moon Ryu, Mohammed Quazi, Niloy Ghosh, Karthik Gangu, Amir H Sohail, Asif Farooq, Babu Sriram , Maringanti, Aman Goyal, Anupa Patel, Muhammad Salman Khan, Abu Baker Sheikh

Journal of Community Hospital Internal Medicine Perspectives

Patients with cirrhosis that are hospitalized with COVID-19 infection have been found to have worse outcomes. No comparative study has been conducted between gastrointestinal (GI) bleeding in patients with cirrhosis who are diagnosed with COVID-19. We utilized the National Inpatient Sample (NIS) database to perform a retrospective analysis of 24, 050 patients diagnosed with cirrhosis and COVID-19. The identified patients were separated into variceal bleeding, nonvariceal bleeding, and no (or neither) GI bleeding groups. After performing propensity sample matching and multivariate analysis of mortality, we found no significant differences in mortality among the three groups. However, the variceal bleed group …

Outcome Comparison In Hospitalized Covid-19 Patients With And Without Aki, Sanjivani Shrestha, Yani Zhang, Wajehe Najafi, Abraham Halik, Jiling Chou, Man Kit Michael Siu, Monika Dhillon, David S. Weisman

Journal of Community Hospital Internal Medicine Perspectives

Aim: Patients hospitalized with COVID-19 have a higher incidence of Acute Kidney Injury (AKI) compared with non-COVID patients. Previous observational studies showed AKI in hospitalized patients with COVID-19 was associated with significant increased mortality rate. We conducted a retrospective cohort study in a large mid- Atlantic health system to investigate whether COVID-19 associated AKI during hospitalization would lead to worse outcomes in a predominant Black patient population, compared to COVID-19 without AKI. Methods: We reviewed health records of patients (aged≥18 years) admitted with symptomatic COVID-19 between March 5, 2020, and Jun 3, 2020, in 9 acute care facilities within MedStar …

The Latest Evidence On Bempedoic Acid: Meta-Analysis Of Safety And Efficacy In High Cardiovascular Risk Patients With Hypercholesterolemia, Muhammad Adil Afzal, Noman Khalid, Muhammad Abdullah, Ata Ul Haiy, Mubariz Ahmed Hassan, Hania Sana, Sherif Elkattawy, Ahmad Azam Malik, Patrick Michael, Rahul Vasudev, Fayez Shamoon

Journal of Community Hospital Internal Medicine Perspectives

Background: Bempedoic Acid (BA) is a novel drug that has a potential to serve as an alternative to statins to decrease lipid levels and improve cardiovascular disease (CVD) outcomes, particularly for statin-intolerant individuals. However, insufficient statistical power has limited our understanding of the efficacy and safety of BA. This meta-analysis utilizes the latest data to improve our knowledge of BA's effects on lipids and CVD with increased statistical power.

Methods: MEDLINE, Embase, Cochrane Central, Clinicaltrials.gov, abstracts of national and international conferences, and reference lists of studies were searched for relevant studies. Rayyan was used to screen the search results, and …

Effect On Diabetes Control In A Resident Clinic Following The Integration Of A Clinic Pharmacist, Febronia Dawoud, Madeline Fitzpatrick, Kajal Jain, Jonathan Hughes, Tracey Doering, Melissa Scalise

Journal of Community Hospital Internal Medicine Perspectives

The impact of a pharmacist has been evaluated within the primary care setting but not within a resident-managed internal medicine clinic. This retrospective study found that the integration of a clinical pharmacist within a resident clinic improved the mean HbA1c of a high-risk patient group by 3% in 3 months and 2.6% in 6 months. None of the residents surveyed reported that the presence of a clinical pharmacist hindered their learning experience. The study also found the residents perceived the clinical pharmacist to be helpful with co-management of diabetes. This data supports the addition of a clinical pharmacist into a …

Impact Of The Covid-19 Pandemic On Hospital Admission Rate, Length Of Stay, And Mortality Rate For Patients With Chronic Obstructive Pulmonary Disease Exacerbation: A Retrospective Study., Omar Abdulfattah, Akshay Kohli, Peter White, Cynthia Michael, Zainab Alnafoosi

Journal of Community Hospital Internal Medicine Perspectives

Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is a common cause of hospital admissions. Coronavirus disease 2019 (COVID-19) has large impact on patients with pulmonary diseases. The purpose of the study is to evaluate the impact of COVID-19 on patients with AECOPD. METHOD: Retrospective study with two cohorts, the first period included patients with AECOPD before COVID-19 pandemic; the second period included patients with AECOPD since the beginning of COVID-19 pandemic. The length of stay (LOS), number of patients requiring mechanical ventilation, and allcause mortality were calculated. RESULTS: There was a total of 55 (44.72%) patients in the pre-COVID …

Empirical Validity Of The Okun’S Law: Evidence From Indonesia, Chrisnina Sutopo-Putri

International Review of Business and Economics

This paper reinvestigates the validity of the Okun’s Law on its inverse relationship between unemployment rate and real GDP growth rate in Indonesia using annual data. The sample period spans from 1984 through 2019 with 36 observations. Data are obtained from the International Monetary Fund (www.imf.org). The time series data distributions of both variables are near-normal in their mean-to-median ratio, accompanied by relatively high standard deviations. To provide linear and unbiased estimates parameters, the Ordinary Least Squares (OLS) is utilized to estimate regressions (1) and (2). The slope-coefficients provide evidence of very weak inverse relationship between the variables …

End Notes, Florida Historical Society

Florida Historical Quarterly

David Colburn Obituary; The Florida Historical Society Archaeological Institutes (FHSAI); Florida Frontiers: The Weekly Radio Magazine of the Florida Historical Society; Florida Frontiers Television; Florida Historical Quartly News; Florida Historical Quarterly Available on JSTOR; Guidelines for Sumissions to the Florida Historical Quarterly

Book Reviews, Florida Historical Society

Florida Historical Quarterly

Thulman and Garrison, eds., New Directions in the Search for the First Floridians. by Shawn Joy; Sledge, The Gulf of Mexico: A Maritime History. by Deanne Stephens; Smith, ed., Submerged History: Underwater Archaeology in Florida. by John J. Bertalan; Clavin, The Battle of Negro Fort: The Rise and Fall of a Fugitive Slave Community. by Uzi Baram; Nelson, How The New Deal Built Florida Tourism: The Civilian Conservation Corps and State Parks. by Tara Mitchell Mielnik; Odom and Waling, eds., NASA and the Long Civil Rights Movement. by Amy E. Foster; Delerme, Latino Orlando: Suburban Transformation and Racial Conflict. by …

Amnesia, Anamnesis, And Myth-Making In Florida: A Case Study Of Chipco, Eric Hannel

Florida Historical Quarterly

History often finds ways of retaining information deemed "valuable," while discarding information no longer of interest or importance to its scrivener. During this process, those who recount history intentionally or unintentionally forget some details while retaining others, perhaps even embellishing them for later generations. At the nexus of this amnesia and purposeful anamnesis (the way history is remembered), rests American mythmaking. Each layer of mythmaking connects with place or geography representing forgotten as well as recollected details, a reclamation of past events and altered memories that aggrandize, justify, and construct out of messy, complex, and often brutal reality, a sanitized …

Florida Bound: Casa Bianca Plantation's Enslaved People, Randy W. Burnett

Florida Historical Quarterly

A hundred yards down a sandy road, erected before a Spanish moss covered live oak tree, is a bronze plaque that recounts a brief story ofJoseph M. White and his political career, and emphasizes his importance in the early history of the Florida Territory as a delegate to Congress. Briefly mentioned is the reason the plaque appears at this location-"[White] became the owner of this site as part of a 3,000 acre plantation," naming his cotton and sugar cane producing estate Casa Bianca. The plantation, about three miles southwest of the town of Monticello in Jefferson County, had a "fine …

Fugitives On The Front: Maroons In The Gulf Coast Borderlands War, 1812-1823, Justin Iverson

Florida Historical Quarterly

In September 1812, a "large body of Negroes and Indians" ambushed the provision lines of two companies of militiamen under the command of Lieutenant Colonel Thomas Adams Smith in northern East Florida. The "merciless negroes" attacked the Georgia soldiers to drive them out of East Florida and prevent further American expansion into the Spanish colony during the Patriot War of 1812 to 1814. Black and Seminole soldiers also attacked Colonel David Newnan, Adjutant General of the Georgia militia, when he came to Smith's aid. Many black warriors living in the area fought for survival since they were runaway plantation slaves …

Title Pages, Florida Historical Society

Florida Historical Quarterly

Florida Bound: Casa Bianca Plantation's Enslaved People by Randy W. Burnett
Fugitives on the Front: Maroons in the Gulf Coast Borderlands War, 1812-1823 by Justin Iverson
Amnesia, Anamnesis, and Myth-Making in Florida: A Case Study of Chipco by Eric Hannel and Karen Hannel
Book Reviews
End Notes

Florida Historical Quarterly, Volume 98, Number 2, Florida Historical Society

Florida Historical Quarterly

No abstract provided.

End Notes, Florida Historical Society

Florida Historical Quarterly

The Florida Historical Society Archaeological Institutes (FHSAI); Florida Frontiers: The Weekly Radio Magazine of the Florida Historical Society; Florida Frontiers Television; Florida Historical Quarterly News; Florida Historical Quarterly Available on JSTOR; Guidelines for Submissions to the Florida Historical Quarterly

The Happiest Place On Earth?: South Africa, Divestment, And Anti-Aparteid Movements In Orlando, Florida In The 1980s, Jacob Ivey

Florida Historical Quarterly

In the mid-1980s, a series of protests erupted across the state of Florida attempting to address the issue of United States support for the apartheid regime in South Africa. In May 1986, Thandi Luthuli-Gcabashe, the daughter of the late African National Congress president Albert Luthuli and coordinator of the South Africa Peace Education Program, was the key speaker for a public hearing in the city of Orlando, Florida. Luthuli-Gcabashe spoke against U.S. support for apartheid and called for the full divestment of Orlando's pension fund as part of the prolonged campaign by anti-apartheid protestors beginning in 1985. It was just …

"The Women Of Florida Are Wide Awake": The National Association Of Colored Women's Clubs In Florida, 1897-1930, Cynthia Patterson

Florida Historical Quarterly

The March-April 1915 issue of the National Association Notes--the publication of the National Association of Colored Women's Clubs (NACWC)--included a five-line update submitted from the Florida Association that proudly proclaimed, "The women of Florida are all wide awake." The note explained that the Daytona and Jacksonville clubs had been blessed recently by a visit from the national President of the NACW: Margaret Murray Washington, wife of Tuskegee Institute President, Booker T. Washington. Clearly, Washington's visit energized the Florida federated clubs. Although the NACW had been in existence since the merger in 1896 of two earlier groups-the Colored Women's League and …

Florida Historical Quarterly, Volume 98, Number 1, Florida Historical Society

Florida Historical Quarterly

Free Blacks, Citizenship, and the Constitution in Florida Courts, 1821-1846 by Craig Buettinger
"The Women of Florida Are Wide Awake": The National Association of Colored Women's Clubs in Florida, 1897-1930 by Cynthia Patterson
The Happiest Place on Earth?: South Africa, Divestment, and Anti-Aparteid Movements in Orlando, Florida in the 1980s by Jacob Ivey
End Notes

End Notes, Florida Historical Society

Florida Historical Quarterly

In Memoriam; The Florida Historical Society Archaeological Institutes (FHSAI); Florida Frontiers: The Weekly Radio Magazine of the Florida Historical Society; Florida Frontiers Television; Florida Historical Society Awards; Florida Historical Quartly News; Florida Historical Quarterly Available on JSTOR; Guidelines for Sumissions to the Florida Historical Quarterly

Covert Cross-Racial Mobilization, Black Activism, And Political Participation Pre-Voting Rights Act, Loren Collingwood

Florida Historical Quarterly

Between 1944 and 1965, the Southern Black vote steadily grew in size and relevance. Yet little research has sought to untangle the ways in which Southern White candidates mobilized these voters, and whether Southern Whites played any role in advancing Black political participation prior to the Voting Rights Act. This paper examines the impact of cross-racial mobilization on African American political participation in the context of 1950s Florida and the covert means by which candidates courted the Black vote in the pre-Voting Rights Act (VRA) period. We define cross-racial mobilization (CRM) as conscious race-targeted mobilization of blocs of voters of …

The Making Of Florida's "Criminal Class": Race, Modernity, And The Convict Leasing Program, 1877-1919, Connon Donegan

Florida Historical Quarterly

"To degrade a white man by physical punishment is to make a bad member of society and a dangerous political element," so declared the report ofthe three person committee appointed by the delegates to Florida's 1865 constitutional convention. Their charge was to facilitate the drafting of a new legal code in conformity with the Thirteenth Amendment to the United States Constitution, abolishing slavery and involuntary servitude except as punishment for a duly convicted crime. The criminal code enacted in the legislative sessions of 1865 and 1866 embodied the conviction of the formerly-Confederate lawmakers that the State of Florida would continue …

Title Pages, Florida Historical Society

Florida Historical Quarterly

No abstract provided.

Florida Historical Quarterly, Vol. 97, Number 4, Florida Historical Society

Florida Historical Quarterly

Volusia and Vibilia: Companion Plantations on the St. Johns River in Spanish and Territorial East Florida, Lani Friend
The Making of Florida's "Criminal Class": Race, Modernity, And the Convict Leasing Program, 1877-1919, Connor Donegan
Covert Cross-Racial Mobilization, Black Activism, and Political Participation Pre-Voting Rights Act, Loren Collingwood and Benjamin Bonzales-O'Brien
Book Reviews
End Notes
Index for Volume 97

End Notes, Florida Historical Society

Florida Historical Quarterly

The Florida Historical Society 2019 Annual Meeting and Symposium; The Florida Historical Society Archaeological Institutes (FHSAI); Florida Frontiers: The Weekly Radio Magazine of the Florida Historical Society; Florida Frontiers Television; Florida Historical Quartly News; Florida Historical Quarterly Available on JSTOR; Guidelines for Sumissions to the Florida Historical Quarterly

All Disquiet On The Home Front: World War I And Florida, 1914-1920, Gary R. Mormino

Florida Historical Quarterly

On the eve of the First World War, the United States viewed events in Europe through a filter of isolationism and neutrality. Two vast oceans had reinforced an inclination toward internal affairs and paranoia, while engendering suspicion of diplomatic alliances and foreign revolutions. But events in faraway places-Sarajevo, St. Petersburg, and the Somme-made isolation impossible and neutrality improbable.

Florida Historical Quarterly, Volume 97, Number 3, Florida Historical Society

Florida Historical Quarterly

All Disquiet on the Home Front: World War I and Florida, 1914-1920, Gary R. Mormino
War, Fear, and Bread in Tampa, 1917-1918, Andy Huse
The Sunshine State in Darkness: A Digital Approach to Florida and World War I, Michael Burke, Tyler Campbell, Kayla Campana
Book Reviews
End Notes