Digital Commons Network^™

Hip Preservation Surgery In Patients With Femoroacetabular Impingement Syndrome And Acetabular Dysplasia Improves Functional Measures And Pain Catastrophizing, John M. Gaddis, Rafael De Souza, Benjamin Montanez, Paul A. Nakonezny, Bretton Laboret, Ryan Bialaszewski, Joel Wells

School of Medicine Publications

Background Chronic hip pain is a debilitating condition that severely reduces one's quality of life. Prior studies uncovered a link between hip pathologies and pain catastrophizing, anxiety, and depression. The purpose of this study was to investigate whether hip preservation surgery in patients with femoroacetabular impingement syndrome (FAIS) and acetabular dysplasia (AD) improves functional outcomes and pain catastrophizing. Methods Patients with FAIS and AD were requested to complete a hip questionnaire both preoperatively and postoperatively at a single academic center (University of Texas Southwestern Medical Center, Dallas, Texas, USA). Pain catastrophizing was evaluated using the pain catastrophizing scale, and pain …

Fourteen Years Of Energetic Neutral Atom Observations From Ibex, D J. Mccomas, M Alimaganbetov, L J. Beesley, M Bzowski, H O. Funsten, P H. Janzen, M A. Kubiak, J S. Rankin, D B. Reisenfeld, Nathan A. Schwadron, J R. Szalay

Faculty Publications

The Interstellar Boundary Explorer (IBEX) has been observing the outer heliosphere and its interactions with the very local interstellar medium (VLISM) via measurements of energetic neutral atoms (ENAs) for over 14 yr. We discovered the IBEX Ribbon—a structure completely unanticipated by any prior theory or model—that almost certainly resides beyond the heliopause in the VLISM. We also characterized the other major source of heliospheric ENAs, the globally distributed flux (GDF), produced largely in the heliosheath between the termination shock and heliopause. In this study, we make three major new contributions. First, we validate, provide, and analyze the most recent 3 …

Study A Relationship Between Age, Body Mass Index, And Sperm Parameters With Sperm Dna Fragmentation Levels In Iraqi Infertile Patients, Talal Z. Al-Darawsha, Nurten Dayioglu, Bushra R. Al-Azzawi, Tulay Irez

Al-Ameed Journal for Medical Research and Health Sciences

Background: Male infertility is complex and accounts for approximately 50% of couples facing conception challenges. Factors such as body mass index, age, and sperm parameters play significant roles. Recognizing their impact is vital for diagnosis and treatment. Aim of the study: The study aimed to evaluate DNA integrity in individuals with unexplained infertility and assess its correlation with age, body mass index, and semen parameters. Materials and Methods: In this study, 111 males who met the inclusion criteria were recruited for our study. Selected participants were grouped according to their age, body mass index, and semen parameters, including (sperm count, …

Genetically Caused Oral Disorders: Pathogenesis And Treatment: A Review, Ali Alsuraifi, Abdullah Ayad, Yousif Husam, Noor Alhuda R. Mohammed, Fatimah H. Mahdi, Jassem Mohammed, Zainab M. Sulaiman, Sarah Kareem

Al-Ameed Journal for Medical Research and Health Sciences

The mouth is a unique and intricate structure composed of various anatomical components that work together effectively to perform various functions. The oral cavity can be affected by various disorders, such as genetic diseases, infections, and metabolic disorders. A wide range of genetic disorders can affect the skeletal system, including craniofacial structures and teeth. These disorders exhibit a significant variety in terms of their causes when they show up, and how severe they are. Genetics is a significant risk factor in the development of oral diseases. It affects the pattern of inheritance, which can be dominant, recessive, or both. The …

Testosterone Hormone ; Clinical Indications, Dysregulation And Therapeutic Methods, Talal Z. Al-Darawsha

Al-Ameed Journal for Medical Research and Health Sciences

Testosterone is a hormone primarily produced by the testicles in adult men and it is the basic male sex hormone and an anabolic steroid. Androgen is important for survival. It is influences a man's appearance and sexual development, stimulating sperm production and regulating sex drive. This hormone is a key growth factor in prostate gland. Prostatic cells stop thriving when testosterone levels fall and Prostate cancer cells shrink both benign and malignant. Testosterone deficiency is a clinical and biochemical syndrome that is linked to ageing and is characterized by typical symptoms and a testosterone deficiency in the blood. The number …

The Etiology Of Nurse Educator Shortages: Replenishing And Flourishing The Profession, Kara R. Delafosse

The Journal of Advancing Education Practice

Nursing shortages nationwide have been exemplified since the global pandemic demanding an examination of contributing factors crippling the profession. The United States Bureau of Labor Statistics estimates that 200,000 annual vacant registered nurse positions for the next decade, are problematic due to the mass exodus of individuals serving in the occupation (Gaines, 2022). A study of approximately 900 nursing schools in the country indicates two vacancies exist per establishment illuminating the critical shortages of educators (Morris, 2023). A growing phenomenon is the challenge to maintain and replenish leaders in nurse education necessary to train and prepare students enrolled in nursing …

E-Ethics, 2003 January, Advocate Aurora Health

Historical Documents - Combined

The Park Ridge Center, Chicago, IL: Issue of "e-Ethics", a publication from The Park Ridge Center for the Study of Health, Faith and Ethics, associated with Lutheran General Hospital. This issue has a discussion of cultural barriers to organ donation and examines awareness, religion, racism, and other concerns.

E-Ethics, 2003 May, Advocate Aurora Health

Historical Documents - Combined

The Park Ridge Center, Chicago, IL: Issue of "e-Ethics", a publication from The Park Ridge Center for the Study of Health, Faith and Ethics, associated with Lutheran General Hospital. This issue has a discussion on confidentiality and filming patients.

E-Ethics, 2003 June, Advocate Aurora Health

Historical Documents - Combined

The Park Ridge Center, Chicago, IL: Issue of "e-Ethics", a publication from The Park Ridge Center for the Study of Health, Faith and Ethics, associated with Lutheran General Hospital. This issue has a discussion of the new mandatory compliance of HIPAA on April 14, 2003.

E-Ethics, 2003 July, Advocate Aurora Health

Historical Documents - Combined

The Park Ridge Center, Chicago, IL: Issue of "e-Ethics", a publication from The Park Ridge Center for the Study of Health, Faith and Ethics, associated with Lutheran General Hospital. This issue has a case study and discussion on ethical and safety concerns when discharging elderly patients.

E-Ethics, 2002 May, Advocate Aurora Health

Historical Documents - Combined

The Park Ridge Center, Chicago, IL: Issue of "e-Ethics", a publication from The Park Ridge Center for the Study of Health, Faith and Ethics, associated with Lutheran General Hospital. This issue has a discussion on sex-selective abortions within differing social, cultural, and religious backgrounds.

E-Ethics, 2002 December, Advocate Aurora Health

Historical Documents - Combined

The Park Ridge Center, Chicago, IL: Issue of "e-Ethics", a publication from The Park Ridge Center for the Study of Health, Faith and Ethics, associated with Lutheran General Hospital. This issue has a case study and discussion around the ethicality of participating in Phase IV research when there are certain incentives offered.

Small Cell Carcinoma Of The Bladder: A Rare Case, Simita Gaglani, James Sander

Research Symposium

In this case report, we explore a case of small cell bladder carcinoma in a 75-year-old man with a history of smoking. This is a unique, aggressive subtype of bladder cancer which, in this patient, presented with gross hematuria. Workup included cystoscopy and transurethral resection of the bladder tumor, and pathological confirmation of the diagnosis elicited a referral to oncology for staging CT and potential chemotherapeutic measures. While the small cell carcinoma was successfully identified, it had already invaded the detrusor muscle on presentation, prompting the question of how to go about diagnosing and treating this subtype of bladder cancer …

Rare Presentation Of Oral Squamous Cell Carcinoma Of The Tongue With Ectopic Β-Hcg Secretion: A Case Report And Literature Review, Taha Al Hassan, Rachel A. Giese

Research Symposium

Background: Oral squamous cell carcinoma is the most common form of cancer in the oral cavity and pharynx, comprising more than 90% of all cases, with approximately half presenting with regional lymph node spread at the time of diagnosis. Pathogenesis includes various stages of progression encompassing multiple genetic and cellular events that ultimately lead to the malignant transformation of the squamous cells and invasion into surrounding tissues. Given the multistep nature of disease progression, recent studies have investigated potential prognostic indicators and screening markers through immunohistochemical staining and few studies suggest that human chorionic gonadotropin may be one marker that …

The Difficulty In The Diagnosis And Management Of Antidepressant Discontinuation Syndrome, Sidney Charm D. Reyes

Research Symposium

Background: Antidepressant discontinuation syndrome (ADS) is a condition that occurs in about 20% of patients following the abrupt reduction/stoppage of any antidepressant medication that has been taken continuously for at least 1 month. The difficulty of diagnosing ADS lies in the fact that the symptoms tend to be mistaken for other illnesses. Symptoms are commonly variable per individual, and the staggered presentation of symptoms can contribute to the difficulty in diagnosing ADS.

Case Presentation: We present a 36-year-old Hispanic woman who comes for evaluation of worsening, generalized body aches for the past 3 days. Associated signs and symptoms included rhinorrhea, …

Case Report: Kidney Transplant Pyelonephritis, Shuchita Jhaveri, Ruayda Bouls, Duc Khiem Ngo, Laura E. Garcia

Research Symposium

Background: Individuals with end-stage kidney disease (ESKD), and especially those who have received kidney transplants, are at an increased risk of developing urinary tract infection (UTI). UTI, especially recurrent UTI, is a common problem occurring in >75% of kidney transplant (KTX) recipients. Progression of infection can have significant consequences on the functioning of the transplanted kidney. It may be challenging to distinguish complicated UTI from acute or chronic rejection when patients present with fever and abdominal pain at the transplanted location. In this case study, we present the clinical scenario of a patient with a history of hypertension and ESKD …

Simultaneous Brachial Artery Injury And Ulnar Nerve Palsy: A Case Study Of An Atv Accident Survivor, Ryan Bialaszewski, Sidney Selva, Shuaibahmed M. Arab, Pamela Campos, Elizabeth Althaus, Chelsea Chang

Research Symposium

Background: All-terrain vehicle (ATV) accidents are a common cause of traumatic elbow injuries due to outstretched arms accepting contact at greater forces. However, their complexity and clinical significance often go unrecognized upon initial evaluation, especially in patients without acute fractures. Sequelae of such injuries can include neurovascular deficits, leading to chronic pain, limb ischemia, and paresthesias. This article aims to present a case study detailing a post-traumatic elbow injury with chronic neurovascular deficits following an ATV accident. Additionally, we address common clinical findings in post-traumatic concomitant brachial artery and ulnar nerve injuries, their evaluation, and respective management plans.

Case Presentation: …

Avoiding A Perfect Storm: Delving Into The Consequences Of A Complex Case Of Superimposed Cellulitis After A Herpes Zoster Infection, Ruayda Bouls, Ed Wong Alvarado, Daniel Ibarias Paz, Yuri Cuellar De La Cruz

Research Symposium

Introduction: Cellulitis is an acute bacterial infection causing inflammation affecting the deep dermis layer as well as the surrounding subcutaneous tissue that does not contain an abscess. In this case study we aim to describe the clinical presentation of a middle aged Hispanic woman who developed a superimposed cellulitis infection following a flare-up of a zoster infection. Herpes Zoster is typically considered a typically benign infection but in immunocompromised individuals severe complications of the infection include bacterial superinfections, coagulopathies including disseminated intravascular coagulation, and central nervous system manifestations including encephalopathy with long term detrimental outcomes [1]. Management of Herpes Zoster …

Comatose Deception, Benzodiazepine Masquerade Of Myxedema Coma, Roy Subash Kondapavuluru, Sabhi Gull, Hemaswini Kakarla, Reshmanth Prathipati, Andres Suarez Parraga

Research Symposium

Introduction: Myxedema coma is a life:-threatening condition due to severe hypothyroidism or long-standing untreated hypothyroidism. This condition can be triggered by factors such as infection, exposure to certain medications, or other stressors on the body. Symptoms of myxedema coma include hypothermia, altered mental status, and fluid accumulation. This condition can be life threatening and requires immediate medical attention.

Benzodiazepines are often prescribed to address various conditions such as anxiety, sedation, and seizures. However, they have significant side effects including drowsiness, sedation, low blood pressure, and slow heart rate. These side effects can mimic symptoms of other conditions such as myxedema …

When Medications Collide: Demystifying Drug-Induced Hyponatremia In A Complex Medical Case, Roy Kondapavuluru, Jian Garcia Cruz, Manaswini Kakarla, Ram Maganti, Akshay Pingilati, Andres Suarez Parraga

Research Symposium

Introduction: Hyponatremia, defined as serum sodium below 135mEq/L( normal range:136-145mEq/l), is a medical emergency associated with various complications. Sodium is an important electrolyte that helps regulate fluid balance and nerve/muscle function. Severe hyponatremia may not show obvious symptoms initially but can eventually manifest as nausea, vomiting, fatigue, impaired movement, and in extreme cases, seizures, coma, respiratory failure, or even death.

Thiazide diuretics have been associated with hyponatremia with a sodium level as low as 99mEq/L. In our case, the patient was on bumetanide, a loop diuretic and she developed hyponatremia which worsened with additional metolazone treatment to a sodium level …

Tick-Borne Illness In A Guatemalan Migrant, Radhika Mehta, Bareera Akhtar

Research Symposium

Abstract: Migration is a complex phenomenon that involves numerous physical and psychological challenges, particularly for individuals undertaking long and arduous journeys. In the case of this 39 year old Guatemalan man, his perilous 25-day journey crossing forests to reach the United States resulted in severe health consequences, including dehydration, acute kidney injury and a possible tick-borne illness. This case report aims to shed light on the healthcare needs of migrants and emphasizing the importance of providing comprehensive care.

A 39 year old male from Guatemala presented to the emergency department with diffuse abdominal pain associated with nausea, vomiting and a …

Clinical Management Of Larsen Syndrome In Inpatient Rehabilitation: A Case Report, Philippe J. Dentino

Research Symposium

Background: Larsen Syndrome is a rare osteochondrodysplasic disorder associated with Filamin 1 (FLN) gene mutations and clinically presents with frequent large joint dislocations, osseous disturbances, and craniofacial abnormalities. To date, no studies have assessed the medical and rehabilitative management of an individual living with Larsen Syndrome in an inpatient rehabilitation care setting.

Case Presentation: A 30 year-old biological female presented to the emergency department after developing worsening right-sided low back pain while bending forward. The patient’s past medical and surgical history was significant for Larsen Syndrome complicated by chronic hip, knee, and back pain, Celiac disease, major depressive disorder, post-traumatic …

Mystery Case: An Effort To Diagnose A Patient With A Decade Of Relapsing And Remitting Neurologic Symptoms With A Comprehensive Medical Approach, Pamela Campos, Sidney Selva, Ryan Bialaszewski, Elizabeth Althaus, Shuaibahmed M. Arab, Chelsea Chang

Research Symposium

Background: Muscle weakness and numbness are prevalent complaints amongst patients and can have a varying range of diagnoses from benign inconsequential to life-threatening causes. The pattern and intensity of weakness, accompanying symptoms, medication use, and family history assist the physician in determining if a patient's presentation is caused by infectious, neurologic, metabolic, inflammatory, psychiatric, or drug-induced condition.

Case Presentation: Our patient is a 37-year-old female who presents to the clinic for a follow-up. The patient has a past medical history of Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD), and an undiagnosed neuromuscular weakness for approximately 10 years. The weakness …

New Onset Bilateral Pleural Effusion: An Uncommon Presentation Of Subclinical Hypothyroidism Or A Premature Closure Diagnosis Error?, Molly Chapman, Andrea Soto Abarca, Duc Khiem Ngo, Carlos T. Ramos

Research Symposium

Background: Subclinical hypothyroidism is biochemically defined with normal serum-free T4 in the presence of an elevated serum TSH. Common symptoms of an underactive thyroid can include fatigue, weakness, cold intolerance, weight gain despite poor appetite, hair loss, constipation, and depression. Pleural effusions have also been recognized as a clinical sequelae in the literature, where up to 25% of patients can develop a pleural fluid collection in the setting of hypothyroidism. Although not well understood, a mechanism includes an increased capillary permeability that leads to the retention of fluid in pleural cavities and other tissues.

Case presenting: A 66-year-old woman …

A Rare Case Of Acute Pancreatitis Associated With Cannabinoids Consumption, Mays Abdulazeez, Michael Perez, Alejandro Hidalgo Parada, Rani Rabah, Greity Dominguez, Rowel Perez Vargas, Jose Cano, Jesus Garza-Tamez, Sunand Kallumadanda

Research Symposium

Introduction: Acute pancreatitis is an inflammatory condition of the pancreas characterized by abdominal pain and elevated levels of pancreatic enzymes in the blood. Acute pancreatitis is a leading gastrointestinal cause of hospitalization in the United States. Several conditions are associated with acute pancreatitis, of which gallstones and chronic alcohol use disorder account for approximately two-thirds of the cases. Others, including smoking, hypertriglyceridemia, infections, trauma, drugs, malignancy, scorpion stings, hypercalcemia, endoscopic retrograde cholangiopancreatography (ERCP), opioids, angiotensin-converting enzyme (ACE) inhibitors, macrolides, diuretics, statins, and cannabis have also been associated with acute pancreatitis. Cannabis is the most widely used recreational drug worldwide, with …

From Carious To Salivarius: A Case Of Streptococcus Salivarius Infective Endocarditis, Maria E. Torres Perez, Ed Wong Alvarado, Cecilia Salinas Domene, Jennifer Rojas Huen, Sara G. Mojica, C. Garza, Usman Sheriff

Research Symposium

Background: Streptococcus salivarius forms part of the Viridans family which accounts for almost 40% of all endocarditis cases. However, S.salivarius is only attributed to 2% of those cases. In the most common setting, S.salivarius is a commensal bacterium of both the oral mucosa and the gut, but it has proven to have infective potential. S.salivarius accounts as an easily missed and commonly misdiagnosed Viridians strep species, but has been implicated as a rare cause of infective endocarditis.

Case presentation: We present the case of a 43-year-old male who presented with worsening fatigue, chest pain, shortness of breath, and subjective fever. …

Asymptomatic Spontaneous Pneumopericardium In A Young Post-Covid-19 Patient: A Case Report, Jose Gomez Casanovas, Andreina Baird Borja, Eric Sanchez, Alcibiades Fleires, Daniela Hernandez

Research Symposium

Background: Pneumopericardium is a rare clinical condition which is defined as the presence of air or gas in the pericardial cavity. Although uncommon to see, it can present after chest trauma, barotrauma, fistula between the pericardium and surrounding structures, gas producing microorganisms and iatrogenic causes. But spontaneous presentations are even more uncommon. Coronavirus Disease 2019 (COVID 19) infection became a large global epidemic and in addition to respiratory symptoms, involvement of other organs such as pericardium was also reported. We here present a young patient post COVID 19 infection with isolated spontaneous pneumopericardium.

Case Presentation: A 19 year old patient …

A Case Of Recently Diagnosed Uncontrolled Hyperthyroidism Associated With Bilateral Pulmonary Embolism, Jose Gomez Casanovas, Mery Bartl, Lina Pedraza Sanchez, Alcibiades Fleires, Andres Suarez Parraga

Research Symposium

Background: Pulmonary embolism (PE) is a relatively common acute cardiovascular disorder with considerable mortality, despite advances in diagnosis and treatment. In 25 to 50% of first-time cases, no readily identifiable risk factor can be found. Several studies have suggested hyperthyroidism to be a potential hypercoagulable and hypofibrinolytic state. In this case, we present a patient with uncontrolled hyperthyroidism with incidental bilateral PE.

Case Presentation: A 47-year-old Hispanic lady with past medical history of recently diagnosed hyperthyroidism who was not compliant with medical therapy, presented to the emergency department with 4-hour history of chest pain. She described it as sudden onset, …

Transient Sinus Node Dysfunction In A Postpartum Female With Sinus Bradycardia: A Case Report, Jose Gomez Casanovas, Andreina Baird Borja, Laura Rincon-Rueda, Mery Bartl, Daniela Hernandez

Research Symposium

Background: Conduction disorders are common cardiac complications during pregnancy in women with and without structural heart disease. Sinus bradycardia has been described in few case reports secondary to increased vagal tone. Prevalence of newly acquired sinus node dysfunction without structural heart disease is unknown. In this case, we present a post-partum female with symptomatic acquired sinus node dysfunction who presented with severe sinus bradycardia.

Case Presentation: A 32-year-old Hispanic lady with a past medical history of obesity and obstetric formula of G4P4, who recently delivered her 4th child via C-section 4 weeks prior, presented to the Women´s Hospital as a …

Spontaneous Iliopsoas Hematoma Secondary To Warfarin Toxicity, Jian Garcia Cruz, Julio Perez Rodriguez, Roy Subash Kondapavuluru, Oliverio Abarca Guzman, Johanne Chaglasian, Jonathan Yaw Gyebi-Agyepong

Research Symposium

Abstract: Warfarin is a commonly prescribed anticoagulant with a narrow therapeutic window. The prevalence of retroperitoneal hematoma in the general population is not well documented, but it is estimated to be less than 1%. However, the incidence is higher in patients taking anticoagulants such as warfarin, with some studies reporting an incidence as high as 3-6%. Iliopsoas hematoma is reported in literature with frequent non-specific symptoms ranging from abdominal, leg and thigh pain. It is important to recognize them due to the high mortality. This paper aims to demonstrate that patients on warfarin with low hemoglobin and purplish bruises of …