Medicine and Health Sciences Commons^™

Incidence And Outcomes Of Acute Appendicitis During The Covid-19 Pandemic, Ellen Horstmann Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Analyzing Predictive Factors For Pathologic Complete Response For Locally Advanced Rectal Cancer, Adam Cloos Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Predictors Of Trauma Patients Leaving Against Medical Advice, Krysta M. Sutyak Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Clinically Significant Hypotension In Patients Undergoing Thoracoscopic Lobectomy: A Single-Center, Retrospective Analysis Of Thoracic Epidural Analgesia Versus Liposomal Bupivacaine Intercostal Nerve Blockade, Jason Lizalek Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Outcomes In Intravenous To Oral Antimicrobial Therapy In Beta-Hemolytic Streptococcus Species, Mackenzie R. Keintz Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Comparison Of Outcomes For Patients Admitted From The Emergency Department With Focal Vs Multifocal Pneumonia, Glen Clinton Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Up-Regulation Of Tumor Suppressor Microrna Let-7 In Inflammatory Bowel Disease Is A Novel Molecular Marker For Induction Of Disease Remission, Donghyun Kim Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

From Canvases To Catheters: The Artistic Journey Of A Procedure-Loving Resident Physician, Raquel Lamarche

Graduate Medical Education Research Journal

No abstract provided.

Early Onset Bullous Emphysema Associated With Polysubstance Use, Kelsey Noble, Julia Griffin

Graduate Medical Education Research Journal

The burden of COPD in the United States is tremendous. This disease is not only among the leading causes of mortality annually, but also takes a heavy financial toll.¹ Bullous emphysema is a severe variant of COPD. The primary identified risk factor for bullous emphysema is tobacco use; however, the impact of other substances is not clearly delineated.² This case presents a patient diagnosed with severe bullous emphysema at age 33 with substantial disease progression over the course of 12 years associated with much scarcer tobacco use than would be expected but a prominent history of methamphetamine and …

Successful Latissimus Dorsi Free Flap Salvage Using Intraoperative Vasopressors: A Case Report, Aubree Ford, Hugo Palacios Vazquez, Sean Figy

Graduate Medical Education Research Journal

Arterial thrombosis is a rare, but dreadful complication in microvascular surgery. Here we report on a case of recurrent arterial thrombosis in a latissimus dorsi (LD) free flap used for scalp reconstruction in an 18-year-old woman who sustained a gunshot wound (GSW) to the head. In the immediate postoperative period, internal and external doppler signals to the flap were lost. Emergent surgical exploration revealed arterial thrombosis, which was emergently explored and successfully repaired. Doppler signals were again lost and the flap was emergently explored for a second time. Following revision of the arterial anastomosis, flap perfusion decreased and appeared to …

Preparing For The Unexpected: Recognizing A Tortuous Thoracic Aorta During Ultrasound-Guided Thoracentesis, Michael Choi, Jessica Roettger, Christopher J. Smith

Graduate Medical Education Research Journal

Ultrasound-guidance has become the standard of care for bedside thoracentesis. This manuscript describes the importance of utilizing point-of-care-ultrasound (POCUS) and color Doppler in avoiding an unusual, but potentially catastrophic aortic puncture during thoracentesis. The case describes a 70 year-old man who presented with one week of shortness of breath. He was found to have a large left-sided pleural effusion on imaging studies. During a bedside POCUS examination, he was found to have a hyperechoic linear structure in his posterior left hemithorax. Ultrasound application of color Doppler revealed a pulsatile flow, confirming visualization of the aorta. The site of needle insertion …

Pelvic Actinomycosis: A Case Report, Jacklyn Locklear, Rachel Gilbert, Neelima Sukhavasi, Elizabeth Sutton

Graduate Medical Education Research Journal

Introduction: Actinomycosis is a bacterial infection caused by the gram positive anaerobic bacteria that most commonly infects the cervicofacial region of the body. Rarely, it can infect the pelvis and typically presents in a nonspecific manner.

Case Report: We present a case of a 43 year old female G6P6006 with Paragard® intrauterine device (IUD) who presented with purulent umbilical discharge and pelvic pain. Initial imaging was concerned for gastrointestinal or ovarian malignancy. Patient underwent diagnostic laparoscopy with pelvic washings and hysteroscopy D&C. Operative pathology returned with results for actinomyces (IUD likely source).

Conclusion: While it is established IUDs can be …

Expedited Recovery Pain Management Pathway For Minimally Invasive Repair Of Pectus Excavatum (Mirpe), Maria E. Tecos, Jessica Goeller, Robert Cusick, Stephen Raynor

Graduate Medical Education Research Journal

Introduction: Pectus Excavatum (PEX) is the most common anterior chest wall deformity. While minimally invasive repair of pectus excavatum (MIRPE) has improved perioperative outcomes, there continue to be opportunities to optimize postoperative pain management and reduce length of stay (LOS). We compared the impact of a multimodal expedited protocol utilizing a combination of systemic and regional analgesia (with single shot paravertebral truncal blocks), along with coping techniques (such as meditation), and physical therapy, with systemic analgesia on LOS and opioid requirements.

Methods: 51 patients underwent MIRPE with an expedited recovery protocol in comparison with 112 historical control patients at a …

Systemic Inflammation Is Associated With Disease Extent And Survival In Oral Cavity Squamous Cell Carcinoma, Brendan Coutu, Dallin N. Christensen, Evan Ryan, Elizabeth Bradford Bell, Weining Zhen, Zafar Sayed

Graduate Medical Education Research Journal

Background: Although systemic immune-inflammation index (SII) correlates with patient survival in various solid malignancies limited information is available in the setting of oral cavity squamous cell carcinoma (OCSCC).

Methods: We retrospectively reviewed 222 patients who underwent a resection of curative intent for patients with OCSCC. SII was determined prior to surgical resection as platelet count × neutrophil count/lymphocyte count.

Results: At a median follow-up of 30.6 months, 2-year disease-free survival (DFS) and overall survival (OS) rates were 63.9% and 76.4%, respectively. A high SII (>1047) was associated with poor performance status and disease extent. A low SII was independently …

Beyond Employment: Lower Income Participants' Experiences In A Healthcare Training Program For Medical Assistants, Pharmacy Technicians, And Certified Nursing Assistants, Skye N. Leedahl, Emma Pascuzzi, Karen Mccurdy, Nilton Porto

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to gain a deeper understanding of participant experiences in a healthcare training program for medical assistants, pharmacy technicians, and certified nursing assistants in areas beyond employment procurement or retention. During the year 2020, employment rates decreased and the cost of living increased. Those changes ultimately put lower-income populations at risk for not meeting the basic needs of life, as it became increasingly more difficult to obtain an adequately paying job. Healthcare training programs for lower income individuals allow for participants to gain the appropriate knowledge and experience required for working in the healthcare …

Physical Therapy Students Experience Reductions In Physical Activity And Social Interaction During Coronavirus-Related Curricular Changes: A Cohort Study, Daniel W. Flowers, Amanda Bernard, Erin Mccallister, Lauren Rachal Sant

Internet Journal of Allied Health Sciences and Practice

Purpose: The Coronavirus disease 2019 (COVID-19) pandemic challenged physical therapy students and faculty. The faculty at this institution implemented a modular curriculum progressing from in-person to remote learning to parallel a predicted autumn COVID-19 surge. This study compares the effect of varying educational models on physical therapy students’ physical activity and social isolation outcomes during their program’s response to the COVID-19 pandemic. We hypothesized that changes in students’ physical activity and social interaction would be observed throughout the semester as the curriculum became more distance based. Methods: This prospective cohort investigation of 42 students from a single physical therapy program …

Utilization Of Summative Assessment In Physical Therapy Education To Establish Foundations Of Clinical Science Knowledge, Katherine Grevelding, Ken Kosior

Internet Journal of Allied Health Sciences and Practice

Abstract

Purpose: Doctor of Physical Therapy [DPT] students’ ability to apply, integrate, and synthesize foundations of clinical science knowledge is vital to success in clinical practice. The aim of this case study was to explore summative examination quantification of foundational clinical science knowledge as a benchmark toward competence-based education in the first year of a DPT program. Methods: First year DPT students from a private New England University took the Physical Therapy Foundations of Clinical Science [PT-FCS] exam at the end of the second semester following completion of foundational clinical sciences coursework. The PT-FCS exam is a multiple-choice exam comprised …

Evaluation Of Undergraduate Internship Interprofessional Experiences Using The Jefferson Teamwork Observation Guide (Jtog ), Erin Choice, Shelene Thomas

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to evaluate and describe the healthy behaviors of teamwork at internship sites of undergraduate health and exercise science students. Data from the Jefferson Teamwork Observation Guide (JTOG) tool, in conjunction with five open-ended debrief questions were used as an innovative means of assessment to evaluate the quality of interprofessional experiences at various internship sites, as reviewed by the internship coordinator. Methods: Students observed an interprofessional team at their internship site and completed the JTOG, for the observed team. The JTOG is a two-part assessment (Likert Scale questions; qualitative questions) of identifiable characteristics of …

Hiv/Aids-Related Knowledge, Attitude And Sexual Behaviours Among Undergraduate Students At The Dar Es Salaam University College Of Education, Tanzania, Stephen O. Maluka

Journal of Humanities and Social Sciences

Human Immunodeficiency Virus (HIV) is among the major public health problems facing the world today. While studies have assessed HIV-related knowledge, attitudes and behaviours among college students, evidence shows that HIV prevalence among the youth has been growing at an alarming rate in the past five years. Thus, there is need for more studies to assess young people’s knowledge, attitudes and behaviours on HIV/AIDS in higher learning institutions. This study aimed to assess HIV-related knowledge, sexual attitudes and behaviours, as well as the use of HIV prevention services among students at the Dar es Salaam College of Education (DUCE), in …

Interprofessional Teamwork Through Remote Collaboration: A Mixed-Methods Approach, Sabina Kupershmidt, Tracy Cleveland, Mandy J. Williams, Whitney Lucas Molitor

Aesculapius Journal (Health Sciences & Medicine)

Introduction: Quality health care relies on effective, patient-centered teamwork. Interprofessional education and learning is one of the foundations of health education. These principles were challenged during the COVID-19 pandemic. We sought to determine whether a collaborative, online learning activity would be experienced as interprofessional by learners from eight health professions.

Methods: A mixed-methods, cross-sectional cohort study with retrospective analysis of survey data was utilized. Two custom-designed exit surveys to assess team behaviors: one from the learners’, the second from the faculty observers’ perspective. A thematic analysis of two open-ended questions was completed.

Results: Nursing was the largest discipline (45 %) …

2023 June 20 - Medical Student Education Committee Retreat Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

2023 June 20 - Medical Student Education Committee Annual Meeting Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

Sodium Density Associates With Nighttime Systolic Blood Pressure In Young Healthy Adults, M R. Axler, A J. Lobene, K E. Kaseman, Y Awayes, S L. Lennon

International Journal of Exercise Science: Conference Proceedings

poster

Blood Flow Restricted Electrical Stimulations To Prevent Symptoms Of Muscle Damage, T D. Baer, K A. Rice, S J. Dankel

International Journal of Exercise Science: Conference Proceedings

poster

Effects Of High Functional Resistance Training On Parameters Of Arterial Stiffness- Pilot Study, C B. Barnett, M X. Moghaddam, B F. Fedorko, J M. Walter, L M. Marquette, T J. Werner

International Journal of Exercise Science: Conference Proceedings

poster

Impact Of Caloric Restriction And Exercise On Trimethylamine N-Oxide Metabolites In Women With Obesity, D J. Battillo Facsm, S K. Malin Facsm

International Journal of Exercise Science: Conference Proceedings

poster

The Acute Effects Of A Caffeine-Based Multi-Ingredient Energy Drink Compared To Caffeine On Muscular Endurance, M E. Blanchflower, J D. Eger, M M. Francis, J L. Kolb, H M. Smith, J D. Buxton, P J. Prins

International Journal of Exercise Science: Conference Proceedings

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The Reliability And Validity Of An Accelerometer To Measure The Pop-Up Phase Of Surfing, R J. Boergers, J Monaco, T Cappaert, M Miller

International Journal of Exercise Science: Conference Proceedings

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Relationship Between Exercise Motivation, Exercise Enjoyment, And Daily Cognition Of Collegiate Student-Athletes, D Bui, B Bear, K Gerber, J Lytle, S Nealon, S T. Forlenza

International Journal of Exercise Science: Conference Proceedings

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Evaluation Of Cytokine Pattern In Perivascular And Intramuscular Fat During Heart Failure, M Canellas Da Silva, D J. Song, Y Liu, W S. Evans, S Kuzmiak-Glancy, S J. Prior

International Journal of Exercise Science: Conference Proceedings

poster