Medicine and Health Sciences Commons^™

New Onset Murmur Or Hamman’S Sign: Mid-Systolic Click In A Suspected Case Of Connective Tissue Disorder, Amanda Dave, Jodi Cantrell

Graduate Medical Education Research Journal

We present the case of a 15 y/o previously healthy male who presented to CHMC from an OSH with a 3 day history of shortness of breath, audible clicking noise, and chest discomfort after playing at the batting cages 4 days prior. No history of trauma. He was transferred to CHMC for further evaluation after identification of a pneumothorax on chest CT performed at OSH.

With respect to family history, the patient is one of 8 children. Of note, per discussion with family, his older siblings are all tall and have some connective tissue anomalies. Two siblings were noted to …

Laryngeal Histoplasmosis In Patients With Crohn’S Disease Undergoing Treatment With Humira (Adalimumab): A Case Series, Jenna Berg, Jonathan Blecha, Chris Bingcang, Justin Oltman, Jayme Dowdall, Subodh M. Lele

Graduate Medical Education Research Journal

The FDA has advocated for increasing awareness of histoplasmosis for patients undergoing TNF blockers as delay in diagnosis can lead to a poor outcome.¹ Laryngeal histoplasmosis is a rare entity that should be part of the differential diagnosis in patients receiving immune suppression for Crohn’s disease. Patients with laryngeal histoplasmosis often report hoarseness, mucosal ulcerations, dysphagia, and odynophagia. We present a series of two cases of laryngeal histoplasmosis in patients with Crohn’s. These cases illustrate the high index of suspicion required to make the diagnosis of laryngeal histoplasmosis, especially in the Midwestern United States. Diagnosis is made quickly and …

The Clinical Relevance Of Cement Volume In Percutaneous Vertebral Augmentation, Ravi G. Mirpuri, Madhuri Are, Virginia Hardie, Michael J. Warden, Robin High

Graduate Medical Education Research Journal

Introduction: Vertebroplasty and Kyphoplasty are two forms of percutaneous vertebral augmentation (PVA), in which polymethylmethacrylate cement is used to stabilize vertebral compression fractures (VCF). This study sought to evaluate the relationship between cement volume and clinical outcomes, including pain reduction, opioid use, and complication rate.

Methods: Retrospective chart review produced 88 patients who received PVA at a tertiary care outpatient pain clinic. Cement volume, type of PVA, gender, level (thoracic vs lumbar) were collected, as well as clinical outcomes of numeric pain score (NPS) reduction, opioid percent change (OPC), and complications. Both pre-procedure and post-procedure (between 2-4 weeks) data were …

Irrigation For Cerumen Removal Causing Meningitis – Case Report, Steven Tenny, Pashayar Lookian, Andre Wakim, Daniel Surdell

Graduate Medical Education Research Journal

Introduction: Cerumen impaction is a common problem seen in primary care clinics. There are a variety of methods to deal with impacted cerumen including water irrigation but meningitis after water irrigation cerumen removal has not been previously reported.

Methods: We describe the case of a 59-year-old female with otitis media who developed meningitis with empyema after water-jet irrigation for impacted cerumen.

Results: Our patient presented 24-hours after water-jet irrigation for impacted cerumen with worsening headaches. Workup included positive CSF cultures and empyema on MRI consistent with meningitis. She also had ear drainage from the treated ear which was positive for …

Establishing An Institution-Wide Graduate Medical Education Research Collaborative To Promote Scholarly Activities Among House Officers, Kaeli K. Samson, Lynette M. Smith, Valerie Shostrom, Jeffrey P. Gold, Chandrakanth Are

Graduate Medical Education Research Journal

Background: House officers’ ability to participate in research and quality improvement projects can be hindered by barriers, including lack of time, mentoring, and resources.

Objective: Create a collaborative for house officers that provides readily accessible resources in study design as well as data collection, analysis, interpretation, and presentation.

Methods: In 2017, we established a collaborative comprised of biostatisticians and an Associate Dean for Graduate Medical Research, providing a trove of experience in research and quality improvement. We worked closely with the Institutional Review Board and Electronic Health Records Core to simplify the process for house officers to utilize these research …

Screen Media Use In Pediatrics: A Qi Project To Promote Behavioral Change, Taylor Kratochvil, Michelle Wineinger Md, Danielle Saner Do, Cristina Fernandez Md

Graduate Medical Education Research Journal

Background: Children are growing up in an increasingly digital world. As mobile devices and digital screens become more accessible, greater attention is being paid to screen media use and its effect on pediatric development. The American Academy of Pediatrics (AAP) and the World Health Organization (WHO) have released recommended screen time limits for children of various ages and emphasize the importance of high-quality screen media when used. In 2016, the AAP released the Family Media Plan: an online tool developed for families to create personalized strategies to manage screen media use.

Objective: While a useful tool, the AAP’s Family Media …

Evaluation Of Resident Satisfaction In The Current Era: A Local Perspective On A National Issue, Paul Aylward, Kari L. Nelson, Chandrakanth Are

Graduate Medical Education Research Journal

Background: Mitigating resident burnout is a high priority for medical centers. Monitoring residents’ overall perceptions of their training environments could be a reliable indicator of potential future burnout. Furthermore, recent national studies suggest procedural specialties have a higher burnout rate and lower satisfaction than non-procedural specialties. In the current study, we utilized institutional data from the Accreditation Council for Graduate Medical Education (ACGME) resident survey to better understand trends related to our residency program learning environments over time (2012-2018) and by specialty grouping (procedural versus non-procedural).

Methods: Annual ACGME survey results from 2012 to 2018 were retrospectively analyzed to determine …

Tobacco Cessation And Cancer Patients - Perspective Of An Ent Resident, Lauren Klute

Graduate Medical Education Research Journal

No abstract provided.

Authorship - Perspective Of An Ent Resident, Matthew T. Solverson

Graduate Medical Education Research Journal

N/A due to perspective piece

Life's Adventures, Emily Zurbuchen

Graduate Medical Education Research Journal

No abstract provided.

Ua12/2/1 College Heights Herald, Vol. 96, No. 6, Wku Student Affairs

WKU Administration Documents

WKU campus newspaper reporting campus, athletic and Bowling Green, Kentucky news. This issue contains articles:

• Reynolds, Easton. 8 Juveniles Responsible for Recurring Water Throwing Harassment
• Thornton, Maggie. Marching at a Distance – Marching Band
• Reynolds, Easton. Local Small Businesses Work to Recover from Pandemic Losses
• Hendricks, Allie & Preston Romanov. Art for All – SoKY Marketplace
• Cox, Alex. Editorial Cartoon re: Breonna Taylor
• Bunton, Gabrielle. I Choose Black Women Every Time
• Nash, Slim. Commissioner Candidate Slim Nash: Your Right to Vote is Special
• Hargrove, Matthew. Hilltoppers Look to Bounce Back Against Middle Tennessee State University – Football
• Kieser, Nick. Budget …

Impacts Of The Covid-19 Pandemic On Global Education, Santanu De

Biology Faculty Books and Book Chapters

Coronavirus Infectious Disease 2019 (COVID-19) has been one of the most dreaded, recent pandemics impacting multifarious global sectors, including education. To control contagion, affected nations ordered academic campus closures and home-schooling plans. Schools, colleges, and universities underwent a paradigm shift adopting internet-based delivery of lectures, synchronously or asynchronously (recorded), with virtual labs. Medical education suffered significantly; suspending student internships in hospitals decreased practical exposure to clinical specialties, impairing students’ performance, and competency.Teachers of traditional classes, with technical assistance, undertook rigorous trainings to restructure pedagogical and assessment strategies online using web/mobile applications and other digital tools.

Lacrosse Coach Lindsey Kellar Is Helping To Lead A New Mental Health Initiative, Eric Stock

Interviews for WGLT

Coach Lindsey Kellar said IWU has adopted the NCAA’s initiative to bring more mental health programs and counseling to its student-athletes. She tells WGLT’s Eric Stock that given her background as a psychology teacher, she knew she wanted to help.

A Visit To The World Health Organization: Student Perceptions Of Interprofessional Learning After A Short-Term Public Health Study Abroad Course In Switzerland, Emma Apatu, Deborah M. Owen, Sericea Stallings-Smith, Aaron Spaulding, Hanadi Hamadi

Florida Public Health Review

There is a need for interprofessional learning in public health, and healthcare education and study abroad opportunities provide a unique context in which interprofessional programming can be integrated into the learning experience. Public health training programs have an important role in furthering interprofessional learning. Therefore, the purpose of this study is to describe a short-term study abroad course to examine students’ perceptions of interprofessional learning readiness after ten-day travel to Geneva. Mixed-methods design with pre- and post-assessments was used. The Readiness for Interprofessional Learning Survey was used to assess interprofessional learning of eleven participants. Quantitative analyses revealed that respondents had …

Utilization Of A Double Robot To Promote Critical Thinking By Novice Student Physical Therapists, Bonnie L. Rogulj, Mechelle Roy, Megan Dickerson

Physical Therapy Collection

This presentation discusses the clinical significance of the utilization of a double robot during a simulated telehealth session by novice student physical therapists to develop critical thinking skills. We demonstrate how to create a simulated telehealth session utilizing a double robot to promote critical thinking by novice student physical therapists. Finally, the limitations for virtual healthcare simulation are addressed as well as strategies for successful outcomes in the development of critical thinking skills.

My Covid-19 Experience And Social-Distance Graduation, Hailey Gabettie

Community Reflections

This global pandemic was quickly changing the way we live our lives. One of my most memorable moments through this pandemic was my high school graduation.

The World Pressed A Pause On Life, Cassandra Anonymous

Community Reflections

Class assignment HI 102 Western Civilization: Since 1500.

For many weeks I looked at the disadvantages that COVID-19 brought, and then I started seeing personal positives.

My Baseball Season That Was Canceled, Ryan Wicker

Community Reflections

My experience posted describes my experience from my baseball season that was canceled because of COVID-19.

Living Our Lives With Uncertainty, Jenna Seggio

Community Reflections

This is a look into how my life was during the Covid-19 pandemic. I think it is crazy how I am living through history and I want future generations to know how my life was during this pandemic. I hope that when people read my contribution to remember Covid-19 that they get a feel for how everyone had to live through 2020. I am grateful for all of the health care workers and for everyone doing their part and wearing their masks and social distancing.

The World Came To A Screeching Halt, Anonymous

Community Reflections

March 12th, that is the first day I realized Covid’s severity. NBA player Rudy Gobert tests positive for Covid and the entire NBA season was paused. At this point I’m thinking, if someone as big and famous as Gobert contracted the virus then anyone can get it.

A Break From The Outside World, Anonymous

Community Reflections

I took quarantine as a break from the outside world and used it as a time to work on my mental health. I looked at it as a time to self-reflect and learned to take things day by day.

Expect The Unexpected, Anonymous

Community Reflections

The content shows how Covid affected me and my family and what I want future generations to know.

A Monster No One Had Conquered Before, Anonymous

Community Reflections

My experience of the Covid-19 pandemic starting in March 2020 and going through September 2020. It has been a struggle living through this pandemic, but my hope and faith in God has kept me going and will continue to sustain me until we reach the end.

A Rollercoaster Of Emotions, Anonymous

Community Reflections

COVID-19 has been a surreal experience but one that has made me stronger. I am proud of myself and the people in our country who quarantined so that we could save lives.

A Whole New Lifestyle, Anonymous

Community Reflections

I never thought I would ever have to be told to “social distance” from people I call my best friends.

When Is This Going To Be Over?, Anonymous

Community Reflections

Assignment for the class Western Civilization.

For future generations, living life during this pandemic was having a perpetual thought of “when is this going to be over?” To look at life beforehand and not take anything for granted and live in the moment because one may never know when something drastic like a virus can change life in a blink of an eye.

Time To Reflect On What Really Matters, Brandon Sweeney

Community Reflections

While the world took a loss from this virus it gave me time to reflect on what really matters. I am grateful for all the blessings in my life. Every day I will not take for granted because you never know what can happen in the next.

Class assignment, Professor Marino, HI-102, Western Civilization.

Long Months Of Loneliness And Mental Instability, Anonymous

Community Reflections

I went from hanging out with my friends every day to being completely isolated. Watching my family struggle more and more with finances because my father was out of work was devastating. I ended up meeting with a therapist over zoom to find some positivity and hope in my life. After a few sessions I started becoming more hopeful.

Primary Source Reflection 1: Covid-19 Pandemic Personal Experience, James Sullivan

Community Reflections

Class assignment for HI-102C, Western Civilization Since 1500, Professor Kelly Marino.

My paper reflects on my time during the COVID-19 pandemic. I told my personal experiences and moments that I have been through. From March to September. I also related how the COVID-19 pandemic relates to The Bubonic Plague.

My Heart Sank A Little More, Anonymous

Community Reflections

I'm glad I get to share the hardships I went through during quarantine and I can talk about the impact COVID19 had on me and my family.