Digital Commons Network^™

Soybean Tolerance To Ultra-Low Doses Of Dicamba: Hormesis Or Not, Luka Milosevic, O. Adewale Osipitan, Jon E. Scott, Stevan Z. Knezevic

Department of Agronomy and Horticulture: Faculty Publications

The widespread use of dicamba across the soybean growing regions of the United States resulted in increased off-target movement of this herbicide to susceptible vegetations. There are speculations that a drift of sublethal (ultra-low) doses of dicamba can enhance soybean growth and yield through a phenomenon called hormesis. Field studies were conducted during 2018 and 2019 to determine whether soybean growth and yield can be enhanced with ultra-low doses (0.0112–56 g ae ha^-1) of dicamba, applied at three growth stages (V2, R1 and R2). There was no evidence that the ultra-low doses of dicamba (0.0112–56 g ae ha …

"I'D Like More Options!": Interviews To Explore Young People And Family Decision-Making Needs For Pain Management In Juvenile Idiopathic Arthritis., Karine Toupin-April, Isabelle Gaboury, Laurie Proulx, Adam M. Huber, Ciarán M. Duffy, Esi M. Morgan, Linda C. Li, Elizabeth Stringer, Mark Connelly, Jennifer E. Weiss, Michele Gibbon, Hannah Sachs, Aditi Sivakumar, Alexandra Sirois, Emily Sirotich, Natasha Trehan, Naomi Abrahams, Janice S. Cohen, Sabrina Cavallo, Tania El Hindi, Marco Ragusa, France Légaré, William B. Brinkman, Paul R. Fortin, Simon Décary, Rebecca Lee, Sabrina Gmuca, Gail Paterson, Peter Tugwell, Jennifer N. Stinson

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Juvenile idiopathic arthritis (JIA) is a common pediatric rheumatic condition and is associated with symptoms such as joint pain that can negatively impact health-related quality of life. To effectively manage pain in JIA, young people, their families, and health care providers (HCPs) should be supported to discuss pain management options and make a shared decision. However, pain is often under-recognized, and pain management discussions are not optimal. No studies have explored decision-making needs for pain management in JIA using a shared decision making (SDM) model. We sought to explore families' decision-making needs with respect to pain management among young …

Beginner's Guide To Common Native Bees, Cody Zesiger, Elizabeth Cohen, Hannah Jarvis, Lori R. Spears, Ricardo Ramirez

All Current Publications

Utah is a superb place for beginning bee enthusiasts. Over 1,000 species of native bees exist in Utah (Cane, 2015). Southern Utah alone has approximately the same number of bee species as the entire eastern U.S. coast. There are many reasons for appreciating bees and encouraging their presence in the landscape. Specifically, bees are key to a sustainable environment as they are essential pollinators of food and fiber crops. Bees can also be appreciated for their striking diversity in color and size. This fact sheet highlights the different bee species that you may see in Utah.

Manejo De La Chinche Hedionda Marrón Marmolada Para Frutas Y Hortalizas En Utah, Lori R. Spears, Marion Murray, Diane G. Alston, Celina Wille

All Current Publications

La chinche hedionda marrón marmolada es una plaga molesta y conómicamente importante para la agricultura que invadió Norteamérica desde el este de Asia a fines de la década de 1990.

Decision In Art. 78 Proceeding - Campbell, Jarvis (2023-03-08)

Decisions in Art. 78 Proceedings

No abstract provided.

Decision In Art. 78 Proceeding - Davis, Jerry (2023-05-24)

Decisions in Art. 78 Proceedings

No abstract provided.

Decision In Art. 78 Proceeding - Clancy, Peter (2023-06-26)

Decisions in Art. 78 Proceedings

No abstract provided.

Decision In Art. 78 Proceeding - Cornish, Kevin (2023-04-12)

Decisions in Art. 78 Proceedings

No abstract provided.

Decision In Habeas Proceeding - Fusl000141 (2022-10-20)

Decisions in Habeas Proceedings

No abstract provided.

Reading-Racetracks And Self-Graphing On Literacy Performance Of Struggling Students With Behavioral Problems, Anne Barwasser, Kerstin Nobel, Matthias Grünke

Journal of Educational Research and Practice

Literacy influences all aspects of life. Unfortunately, a rising number of students struggle with reading and spelling, which can result in enormous educational barriers. Difficulties in literacy accompanied by learning-related problem behavior can create additional risk factors. Effective interventions for these students should consider individual needs and focus on multiple components of learning simultaneously. The present single-case study focused on the effects of motivational reading racetracks, with and without self-graphing, on the word-reading and spelling performance of three third graders with severe literacy and behavior problems. Our intervention was carried out three times a week over a 5-week period. The …

A Manual For Ultrasound Guided Intravenous Access: Allay Your Fears, Alleviate With Humor, Approach With Confidence, Michael Dong, Md

The Medicine Forum

“Hey, can you help get IV access on a patient? The nurses have tried many times already.”

If this message fills your heart with trepidation, it may be because you do not have a systematic approach to ultrasound guided intravenous catheter (IV) placement or any prior training in this procedure. At our institution, after failed nursing attempts, the responsibility for obtaining IV access may fall on the physician. Early in the year, this physician may be an intern who has limited experience with IV access, let alone ultrasound guided IV placement. They may have previously undergone a brief training course …

A Guide To Point Of Care Ultrasound Evaluation Of Pneumonia, Michael Dong, Md, Frances Mae West, Md, Rebecca Davis, Md, Jonathan Foster, Md, Jillian Cooper, Md

The Medicine Forum

A patient presenting with fever, hypoxia, productive cough, and leukocytosis can be diagnosed with pneumonia without any imaging findings. However, we often rely on X-ray and computed tomography (CT) imaging to support the clinical diagnosis. Ultrasound is an effective imaging modality for identifying pneumonia without delay and radiation risks.^1,2 A meta-analysis by Ye et al. in 2015 found that ultrasound diagnosis of pneumonia had a pooled sensitivity of 0.95 and a pooled specificity of 0.9, which is superior to X-ray imaging which had a pooled sensitivity of 0.77 and a similar pooled specificity of 0.9.³ This study used …

A Guide To Point Of Care Ultrasound Lung And Ivc Examination Of A Volume Overloaded Patient, Michael Dong, Md, Frances Mae West, Md, Jonathan Foster, Md, Rebecca Davis, Md, Jillian Cooper, Md

The Medicine Forum

A patient presents with dyspnea, hypoxia, and lower extremity edema. Their history is notable for recent high salt intake and non-compliance with diuretics, and their lungs have rales bilaterally. Clinically, we can diagnose a heart failure exacerbation with pulmonary edema. However, we often rely on X-ray and computed tomography (CT) imaging to support the clinical diagnosis and explore the etiology of the hypoxia and dyspnea to narrow the differential. Ultrasound is an effective modality for identifying pulmonary edema and pleural effusions while at the same time ruling out other etiologies such as pneumonia and pneumothorax. With bedside point of care …

A Guide To Point Of Care Ultrasound Examination Of A Pericardial Effusion, Michael Dong, Md, Frances Mae West, Md, Jillian Cooper, Md, Jonathan Foster, Md, Rebecca Davis, Md

The Medicine Forum

A patient presents with pleuritic chest pain, dyspnea, and a recent viral illness. They have no prior cardiac or pulmonary history. Their X-ray on admission demonstrates no pulmonary findings and an enlarged cardiac silhouette, and their EKG is low voltage with electrical alternans. Ultrasound is an effective modality for identifying pericardial effusion and cardiac tamponade while at the same time evaluating for other causes, such as heart failure. Often patients with symptomatic pericardial ef fusion present with non-specific symptoms. While a “formal” transthoracic echocardiogram remains the gold standard for diagnosis, a bedside point of care ultrasound (POCUS) cardiac evaluation can …

A Guide To Point Of Care Ultrasound Examination Of Acute Decompensated Heart Failure, Michael Dong, Md, Rebecca Davis, Md, Jonathan Foster, Md, Jillian Cooper, Md, Frances Mae West, Md

The Medicine Forum

A patient presents with dyspnea on exertion, orthopnea, and lower extremity edema. They have a prior history of coronary artery disease and reported episodes of chest pain three months ago. They did not seek medical evaluation at the time and have had no chest pain recently. In this setting, there is a high clinical suspicion of heart failure with concern for ischemic heart disease. The gold standard for diagnosis of heart failure is a formal transthoracic echocardiogram. Bedside point of care ultrasound (POCUS) is a tool that can provide essential information without delay in diagnosis.

A Case Of Suspected Lisdexamfetamine (Vyvanse) Drug-Induced Liver Injury, Louis Kishfy, Md, Justin Bilello, Md, Monjur Ahmed, Md, Elizaveta Flerova, Md

The Medicine Forum

Amphetamines are a well-established cause of liver injury though the typical presentation is that of illicit drug abuse rather than liver injury occurring in a prescribed setting.¹ Lisdexamfetamine (Vyvanse) is one of the most commonly prescribed stimulant medications used for the treatment of Attention Deficit Hyperactive Disorder (ADHD). The authors were only able to find a single case of lisdexamfetamine-related drug-induced liver injury (DILI) occurring in the pediatric population in their review of the literature. Here we present a case of suspected lisdexamfetamine DILI in an adult patient.

Helpful Or Harmful? A Case Report Of Nutritional Supplements Causing Drug-Induced Liver Injury, Amman Bhasin, Md, Phoebe Chun, Md, Justin Bilello, Md, Manju Ambelil, Md, Dina L. Halegoua-Demarzio, Md

The Medicine Forum

Herbal supplement-induced liver injury represents a growing concern in the body of drug-induced liver injury (DILI) literature, with recent studies in mainland China, Iceland, and the United States reporting estimated rates of herb/dietary supplement-induced liver injury (HILI) between 1.16-6.38 per 100,000 (Björnsson et al., 2013; Shen et al., 2019; Vega et al., 2017). Notably, a recent 2020 study demonstrated an increasing prevalence of hepatotoxicity secondary to herbal and dietary supplements in the US and worldwide (Zheng et al., 2020). Recognizing the hepatotoxicity of various supplements is crucial, given the increasing usage of dietary and herbal supplements and the lack of …

End-Stage Chronic Intestinal Pseudo-Obstruction Resulting In Intestinal Pneumatosis, Justin Bilello, Md, Amman Bhasin, Md, Phoebe Chun, Md, Aaron Martin, Md

The Medicine Forum

Chronic intestinal pseudo-obstruction (CIPO) is a rare gastrointestinal motility disorder that presents with symptoms, physical exam, and imaging findings of mechanical bowel obstruction without an anatomical obstruction. Multiple etiologies, including enteric or extrinsic neuropathic dysfunction, myopathic dysfunction, or dysfunction of the interstitial cells of Cajal, cause CIPO’s pathogenesis. The presentation of CIPO may be idiopathic or caused by underlying diseases. The most common presentation is abdominal pain, bloating, and distension. Here, we present a patient with an end-stage case of CIPO who failed medical therapy. Her distension progressed over a decade, requiring emergency surgery due to intestinal pneumatosis.

A Case Presentation Of Pericarditis Associated With Haemophilus Influenzae Bacteremia, Risa Goldberg, Md, Harrison Bell, Md

The Medicine Forum

Acute pericarditis, or inflammation of the pericardial sac, is a clinical condition which can often be attributed to a variety of underlying etiologies, including infection, autoimmune disease, trauma, and malignancy. While viral infections are commonly implicated in the etiology of pericarditis, bacteria known to be associated with pericarditis include staphylococcus species, streptococcal species, tuberculosis, and in children, Haemophilus influenzae.¹ Here we present a rare case of pericarditis in an adult male patient which occurred in association with Haemophilus influenzae bacteremia.

A Case Of Bartonella Endocarditis And Torrential Aortic Regurgitation Leading To Cardiac Arrest, Brandon Pecchia, Md, Ms, Sawyer Kieffer, Md

The Medicine Forum

Infective endocarditis can be difficult to diagnose, especially when blood culture-negative. We describe a case of a patient who presented with signs and symptoms of new, acute decompensated heart failure who was found to have culture-negative endocarditis, a large, mobile aortic valve mass, and torrential aortic regurgitation. Although the patient remained clinically stable during early admission and was planned for surgical correction of the valvular pathology, he suffered abrupt clinical decompensation which resulted in cardiac arrest. Postmortem serologies were found to be positive for Bartonella henselae and Bartonella quintana.

An Educational Case For Applying The Alveolar- Arterial Gradient In Hypoxemia: An Underutilized And Underappreciated Clinical Tool, Chioma Nwonu, Do, Michael Dong, Md, Daniel Kramer, Md

The Medicine Forum

The Alveolar-arterial gradient, commonly known as the A-a gradient, measures the difference in the oxygen concentration in the alveoli and the arteries across the capillary membrane in the lung. In an ideal system, the A-a gradient would be zero because there would be perfect equilibrium as oxygen diffuses and equalizes across the alveolar and arterial sides of the capillary membrane. However, there is a physiologic A-a gradient because of the differences in perfusion and ventilation in the apical and basilar regions of the lungs. Because this relationship exists, the changes in the A-a gradient have clinical utility in guiding the …

Achenbach Syndrome: A Classic Presentation Of A Not-So-Common Condition, Brandon Pecchia, Md, Ms

The Medicine Forum

Also called “acute idiopathic blue finger” or “paroxysmal finger hematoma,” Achenbach syndrome is a benign collection of findings that is often mistaken for more serious conditions. Characteristically presenting with discrete unexplained bruising or discoloration of the volar aspect of one or two fingers, it is a diagnosis that physicians should include on their differential given its innocuous course and excellent outcomes, without need for invasive testing or intervention. The purpose of this case report therefore is to increase awareness of this rare condition, especially among emergency department physicians and internists, in order to minimize the incidence of unnecessary testing, procedures, …

From The Chief Residents, Tina Boortalary, Md, Justin Robbins, Md, Svenja Schneider, Md

The Medicine Forum

As your Chief Residents, we would like to take a moment to express our heartfelt congratulations to each and every one of you on your incredible scholarly achievements over the past year. We have been impressed by the quality and diversity of your scholarly work. From interdisciplinary clinical research projects that have been submitted to journals across numerous subspecialties, to contributions to the Health Equity and Quality Improvement Summit, you have all demonstrated a passion for excellence and a commitment to advancing the field of medicine. We are grateful for the opportunity to have worked alongside you and to have …

From The Editors, Harrison Bell, Md, Akash Patel, Do, Benjamin Tasevac, Md

The Medicine Forum

We are honored to present the 24th Annual edition of The Medicine Forum to the Jefferson community. Over the years, it has been remarkable to see the quality and diversity of projects submitted to this forum, and this year is no exception. The Medicine Forum aims to celebrate the scholarly activity among physicians in training at our institution. We hope that this year's edition will continue to honor this long standing tradition. Despite the uncertainties and stressors that are inherent to working in a hospital, our authors have found the time to produce scholarly work that will diversify and further …

From The Desk Of The Residency Program Director, Christopher Henry, Md, Facp

The Medicine Forum

It is my pleasure to introduce myself to you for the first time as Program Director, as I also introduce to you our latest edition of The Medicine Forum. Having done my residency training at Jefferson, I am so proud that the tradition of this journal has continued throughout the years despite new residents, new leadership, and new challenges both locally and globally. Our residents’ commitment to not only patient care, but also to scholarship and inquiry remains outstanding and impactful.

Tradition, coming from the Latin word “tradere”, means to transmit, to hand over, or to give for safekeeping; …

Table Of Contents: The Medicine Forum Volume 24, 2022-2023

The Medicine Forum

Table of Contents: The Medicine Forum Volume 24, 2022-2023

The Medicine Forum: Volume 24

The Medicine Forum

The Journal of Thomas Jefferson University Hospital - Department of Internal Medicine, Volume 24, 2022-2023

TABLE OF CONTENTS

• Case Reports
• Ultrasound Education

Predictive Modeling Of Cave Entrance Locations: Relationships Between Surface And Subsurface Morphology, William Blitch, Adia R. Sovie, Benjamin W. Tobin

International Journal of Speleology

Cave entrances directly connect the surface and subsurface geomorphology in karst landscapes. Understanding the spatial distribution of these features can help identify areas on the landscape that are critical to flow in the karst groundwater system. Sinkholes and springs are major locations of inflow and outflow from the groundwater system, respectively, however not all sinkholes and springs are equally connected to the main conduit system. Predicting where on the landscape zones of high connectivity exist is a challenge because cave entrances are difficult to detect and imperfectly documented. Wildlife research has a similar issue of understanding the complexities of where …

Caring Community: A History Of Illinois Masonic Medical Center, Harold Blake Walker

Historical Documents - Combined

A history of Illinois Masonic Medical Center from 1921-1987. Included is the history of its precursor days as Chicago Union Hospital (1905-1920). Includes photos in Chapter 5 (Chicago Union Hospital, 1944 Nurses Home, 1947 new wing, 1952 polio unit, Warren Barr, Clement Stone).

The “Other” Nil And Sportcrit: Narrative Identity And Liminality Of Black Gendered Scholar-Athletes, Joseph L. Herman Ii

Journal of Athlete Development and Experience

The purpose of this conceptual manuscript is to advance a new integrated model: the Narrative Identity (NI), and Liminality Model (NILM). The NILM advances narrative as an intervention tool for Black gendered scholar-athletes (BGSAs) by integrating NI theory (Adler et al., 2017) with the Community Cultural Wealth (CCW) model (Yosso, 2005) for positive outcomes intra-intercollegiate career. The developmental characteristic of sense-making of one’s life via the life story model and life stage phases (McAdams, 1985, 2011) are paramount to BGSAs’ articulation and development during their liminal condition (Sutton, 2017) as athletes in their orientation to sport. More specifically, orienting the …