Medicine and Health Sciences Commons^™

Chronic Illness Education 2022: Diabetes Management In Adults In The Detroit Area, David Asebiode, Chase Morrison, Erin Bybee, Isaiah Hough, Madison Graifman, Mehrnoosh Ghafouri Abbasabadi, Saranya Madan

Patient Education Projects

No abstract provided.

Chronic Illness Education 2022: The Management Of Diabetes And Chronic Kidney Disease (Ckd) In Adults Aged 65+, Varag Abed, Bhargav Ayloo, Jessica Declercq, Mohamad Bazzi, Nicholas Righi, Rebecca Bilich, Sydney Jansen

Patient Education Projects

No abstract provided.

Chronic Illness Education 2022: Encouraging Adherence To Antihypertensive Medications Among An Adult Population, Tyler Mumm, Alexis Malecki, Benjamin Sliwinski, Ehsan Noori, Logan Nguyen, Neil Patel, Rana Elhamzawy

Patient Education Projects

No abstract provided.

Chronic Illness Education 2022: Navigating Copd As An Older Adult In Detroit, Alix Charles, Amelia Klamen, Camera Dockery, Isaac Goldberg, Jacob Baraz, Rida Farook, Shehroz Malik

Patient Education Projects

No abstract provided.

Chronic Illness Education 2022: Healthy Lifestyle Habits For Adolescents, Heba Osman, George Kidess, James Mo, John Knapp, Nili Modi, Rebecca Adams, Shahrin Khan

Patient Education Projects

No abstract provided.

Chronic Illness Education 2022: Raising Awareness Of Pediatric Depression & Anxiety In Detroit, Awad Maria, Aaron Wilke, Arwa Saleem, Imran Rashid, Olivia Heppell, Sakshi Das, Sean Garcia

Patient Education Projects

No abstract provided.

Chronic Illness Education 2022: Prevention And Prevalence Of Depression Among Medical Students And Residents, Brandon Batarse, Aarti Patel, Husain ​Al Saffar, Kathleen Young, Matthew Brennan, Sabrina Montemayor, Shobi Mathew

Patient Education Projects

No abstract provided.

The Development And Growth Of Cardio-Oncology Or Onco-Cardiology, Bernard Man Yung Cheung, Chu Pak Lau

Journal of the Hong Kong College of Cardiology

No abstract provided.

The Value Of 3d Vena Contracta Area In A Patient With Degenerative Mitral Regurgitation And Multiple Jets, Shing Ching, Chiu Sun Yue

Journal of the Hong Kong College of Cardiology

Quantification of degenerative mitral regurgitation with multiple jets in atrial fibrillation is challenging with two dimensional techniques and may underestimate the severity. We report the feasibility and advantages of vena contracta area in three dimensional transesophageal echocardiography in evaluation of such a patient.

From Bad To Worse: The Clinical Spectrum Of Immune Checkpoint Inhibitor Myocarditis And Associated 3m Syndrome With Concomitant Myositis And Myasthenia, Tsun-Ho Lam, Jeffrey Sum-Lung Wong, Chun-Ka Wong, Gerry Gin Wai Kwok, Miaochang Zhou, Benjamin Yu-Fai So, Ian Yu-Hin Leung, Hung-Fat Tse

Journal of the Hong Kong College of Cardiology

Immune checkpoint inhibitors (ICIs), though revolutionizing cancer care, are well known to cause a diverse array of autoimmune side effects termed immune-related adverse events (IRAEs). ICI Myocarditis is a rare manifestation of IRAE associated with high mortality. We report two cases of fulminant ICI myocarditis refractory to potent immunosuppressants. Our first patient received pembrolizumab for lymphoma, small cell lung cancer and renal cell carcinoma. After 13 doses of ICIs, he developed fulminant myocarditis with concomitant lower-motor neuron type facial nerve palsy. Despite receiving triple immunosuppressive therapies with pulse steroid, mycophenolate mofetil and basiliximab, his cardiac condition progressively worsened and eventually …

Epidemiology And Characteristics Of Surgical Intervention For Infective Endocarditis: A Population-Based Study In The Past Two Decades (2000 – 2019) In Hong Kong, Hang-Long Li, Yi-Kei Tse, Cong Chen, Si-Dong Cai, Meng-Qi Su, Mei-Zhen Wu, Qing-Wen Ren, Jia-Yi Huang, Si-Yeung Yu, Yap-Hang Chan, Hung-Fat Tse, Kai-Hang Yiu

Journal of the Hong Kong College of Cardiology

Background

The ‘inflamm-ageing’ phenomenon may worsen the prognosis of heart diseases including infective endocarditis (IE), while surgery may reduce inflammatory burden by direct removal of bacterial vegetation. This study aims to characterize the epidemiological and clinical features of surgical intervention for IE in Hong Kong in the past two decades.

Methods

All patients with incident IE from 2000-2019 in a territory-wide database were identified. We studied the trends in age-specific incidence of IE and identified the most significant contributors to 1-year all-cause death using the population attributable fraction (PAF). A propensity score approach was used to evaluate the benefits of …

Indicators Of Cardiac Autonomic Dysfunction Associated With Chronic Hyperglycemia: Implications On Vascular Surrogates And Heart Failure, Yap-Hang Chan, Bernard Man-Yung Cheung, Hung-Fat Tse

Journal of the Hong Kong College of Cardiology

Background: Limited data exist on the role of chronic hyperglycemia-related cardiac autonomic dysfunction in incident heart failure (HF). We investigated the relations of resting heart rate (HR) and PR interval with chronic hyperglycemia, and effects on new-onset HF.

Methods: We prospectively studied 550 patients with prior coronary disease, ischemic stroke and/ or type 2 diabetes. Incident HF was ascertained. Heart rate-PR interval dissociation was defined as counter-physiological co-occurrence of increased PR interval (>mean; 173.3ms) and increased resting HR (>mean; 64.4 beats/min).

Results: Over 63 ±11 months, 6.7% patients developed new-onset HF. Resting HR³75bpm was independently predictive of new-onset …

Clinical Features And Prognosis Of Chinese Childhood Pulmonary Arterial Hypertension-Related Gene Mutation Carriers, Zhuoyuan Xu, Hongsheng Zhang, Chen Zhang, Qiangqiang Li, Hong Gu

Journal of the Hong Kong College of Cardiology

Background: The impact of PAH-related gene mutations on the clinical phenotype are not yet fully understood, especially in childhood.

Methods: Retrospective study of 114 pediatric Chinese Han population whose onset of PAH was between 3 months and 18 years of age with IPAH were performed. Whole exome sequencing results, clinical characteristics, treatments and outcomes were recorded in all patients.

Results: Thirty-one BMPR2, nine ACVRL1 and 33 other PAH-related gene mutation carriers were detected in this cohort. The median age at diagnosis of PAH was 5.9 (3.4,10.3) years. 54 (47.4%) patients were female. 80 patients including 59 mutation carriers underwent right …

Understanding The Genotypes And Phenotypes Relationship: Progress Toward A Precision Medicine Approach In Pediatric Pulmonary Hypertension, Kin Shing Lun

Journal of the Hong Kong College of Cardiology

No abstract provided.

The Age-Dependent Immune Response To Ischemic Stroke, Marissa M Shams-White, Ashley H Tjaden, Sharon L Edelstein, Sarah Bassiouni, Lisa L Kahle, Catherine Kim, Xavier Pi-Sunyer, Karla A Temple, Elizabeth M Venditti, Jill Reedy, Brandy M Heckman-Stoddard

Faculty, Staff and Student Publications

BACKGROUND: The 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) 3rd expert report highlights up-to-date Cancer Prevention Recommendations that may reduce burdens of many chronic diseases, including diabetes. This study examined if following a lifestyle that aligns with the recommendations - assessed via the 2018 WCRF/AICR Score - was associated with lower risk of type 2 diabetes in high-risk adults participating in the Diabetes Prevention Program Outcomes Study (DPPOS).

METHODS: The Diabetes Prevention Program (DPP) randomized adults at high risk for diabetes to receive a lifestyle intervention (ILS), metformin (MET) or a placebo (PLB) (mean: 3.2 years), with …

2022 September 20 - Medical Student Education Committee Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

Intouch September 19, 2022, New York Medical College

InTouch

• NYMC and TU Host Successful Innovation and Entrepreneurship Conference
• School of Medicine Launches New Medical Education Curriculum
• The Inaugural Dr. Melvin H. Amler Prize for Innovation to be Announced
• Annual Club Fair Boasts Record Number of Student Organizations
• NYMC Goes Gold for Childhood Cancer
• Rajkumar Pammal, SOM Class of 2023, Hopes to Be an Agent of Change in Emergency Medicine

Impact Evaluation Of A Central Australian Aboriginal Cultural Awareness Training Program For Health Professionals And Students, Chris Rissel, Lynette Liddle, Courtney Ryder, Annabelle Wilson, Madeleine Bower, Barbara Richards

Journal of the Australian Indigenous HealthInfoNet

The aim of this study was to prospectively evaluate the impact of a Central Australian cultural awareness training program for health care staff. A mixed methods approach was used. Program participants completed a baseline and post-program questionnaire, which included an attitude scale assessing cultural safety, critical thinking and transformative unlearning, and open-ended questions. An online follow-up survey two months later repeated these questions. Mean scale scores were compared using paired and unpaired t-tests. Qualitative data were analysed thematically. Baseline scale mean was 45.7. At post-program it had statistically significantly increased to 47.3, using both the paired (p=< 0.01) and unpaired t-test (p=< 0.03). At the two-month follow-up it had decreased to 42.2. This was not statistically different from the baseline score with a paired (n=11) t-test (p=< 0.37), however the difference was statistically significant with an unpaired t-test (p=< 0.01) which included an additional eight respondents. Qualitative feedback was consistently positive. Many respondents learnt new information about the negative effects of colonisation on Aboriginal and/or Torres Strait Islander people, and how this continues to affect current health. Learning about Aboriginal and/or Torres Strait Islander cultures, kinship relationships and systems, and communication styles was identified as directly relevant to work practices. A cultural education program produced positive short-term changes in attitudes and was highly valued by participants. However, it is unclear if these changes are maintained in the medium term.

Medical Cannabis Treatments, Ariana Esfahani

McNair Research Journal SJSU

This research report examines past research studies on marijuana therapy interventions involving individuals who have Autism Spectrum Disorder, Epilepsy, and Tourette’s Syndrome. These results do not ensure marijuana as a permanent method to cure adverse symptoms for these vulnerable populations. However, these large-scale studies have shown a trend of marijuana being effective for some participants involved in decreasing and/or improving their symptom frequency. This report will contribute to the knowledge pool on the safety and effectiveness of marijuana therapy.

Social Media Impact Of Articles Published By Dermatology Residents During Medical School: Cross-Sectional Study, Austin Huang, Harrison Zhu, Kelvin Zhou, R Parker Kirby, Nina Dasari, Gianmarco A Calderara, Kathryn Cordova, Ryan Sorensen, Anshul Bhatnagar, Soo Jung Kim

Faculty, Staff and Students Publications

BACKGROUND: The Altmetric score (AS) is a novel measure of publication impact that is calculated by the number of mentions across various social media websites. This method may have advantages over traditional bibliometrics in the context of research by medical students.

OBJECTIVE: This study aimed to determine whether dermatology matriculants who graduated from higher-ranked medical schools published more articles with greater impact (ie, a higher AS) than those from lower-ranked institutions.

METHODS: A PubMed search for articles published by dermatology residents who started medical school in 2020 was conducted. Demographic information and Altmetric data were collected, and medical schools were …

Intouch September 12, 2022, New York Medical College

InTouch

• The Inaugural Dr. Melvin H. Amler Prize for Innovation to be Announced
• Maridalia Lillis Helped Provide Critical Health Care While on a Medical Mission to Honduras
• 29th Annual Faculty Author Celebration and Awards Set for September 21
• Monica McHenry, Ph.D., CCC-SLP, Fights Stigma Surrounding Speech Disorders Through Her Work and Teaching

A Case Of Malpositioned Endotracheal Tube With Resultant Left Lung Collapse., Anushri Naga, Anushri Naga

Digital Journal of Clinical Medicine

BACKGROUND

ENDOTRACHEAL INTUBATION IS USUALLY DONE AS A PART OF EMERGENCY MANAGEMENT OF PATIENTS WITH A THREATENED AIRWAY AND GENERAL ANAESTHSIA, IN ORDER TO ENSURE PATENCY OF THE AIRWAY AS WELL AS PROPER VENTILATION. POSITIONING AN ET TUBE CORRECTLY IS OF PARAMOUNT IMPORTANCE IN ORDER TO PREVENT HYPOVENTILATION, INAPPROPRIATE VENTILATION AND ALSO COLLAPSE OF LUNG DUE TO MALPOSITIONING OF ET TUBE.

ETT POSITION IS USUALLY ASSESSED USING FRONTAL CHEST RADIOGRAPH. THE POSITION OF THE ETT IS DEPENDENT ON THE POSITION OF THE HEAD & NECK. THE MANDIBLE CAN BE USED FOR ASSESSMENT OF WHETHER THE NECK IS IN A NEUTRAL …

Post Covid-19 Cognitive Impairment In A Patient With Bipolar Disorder, Nilanjana Dutta, Raghav Gupta, Dr. M Kishor Mbbs, Md

Digital Journal of Clinical Medicine

COVID-19 has caused widespread health conditions, psychological and social distress among people and there is evidence that shows profound neuropsychiatric complications during acute and post-recovery phases of the infection. Cognitive impairment occurring after COVID-19 infection can be explained by various mechanisms, including persistent systemic inflammation, direct viral invasion, alteration in the blood-brain barrier, and cerebrovascular endothelial injury.There are few studies that have explored the impact of COVID-19 on pre-existing psychiatric conditions. This case report highlights the temporal association of cognitive impairment with COVID-19 and the need for cognitive assessment and management in post-COVID-19 patients with pre-existing psychiatric conditions.

Obsessive Compulsive Disorder With Porn Addiction During The Covid-19 Pandemic, Varuni Pragya, M Kishor Dr.

Digital Journal of Clinical Medicine

BACKGROUND:

COVID-19 Pandemic is an unprecedented humanitarian crisis that has affected the mental health of individuals immensely. OCD was among the mental health conditions that emerged with the new norm that is associated with repeated hand wash, social distancing and testing to confirm COVID-19. Nissen et al. (2020) found that there was a significant positive correlation between total OCD severity scores and the occurrence of OCD aggressive and sexual symptoms. [6] The COVID-19 lockdown translated into physical isolation, driving individuals to waste time online with no definite purpose, spending longer, abnormal durations of time online when bored, leading to increased …

Review: Management Of Midshaft Clavicle Fractures In Adolescents , Matthew B. Holloway

Longitudinal Scholar's Project

Clavicle fractures are common injuries that occur across all age ranges, but are largely seen in young, active males. The majority of these fractures (70-80%) occur in the midshaft of the clavicle. The purpose of this review was to compare non-operative treatment to operative treatment of midclavicular fractures and determine whether treatment for adolescent clavicle fractures more closely aligns with pediatric or adult management. Adolescent clavicle fractures are increasingly treated with open reduction and internal fixation, especially in the 15 to 19 age group. Nevertheless, there remains a lack of high-level studies comparing outcomes of operative and conservative treatment specifically …

“Flipped” Clinical Rotations: A Novel Approach, Wei Xiong, Simran Singh, Amy Wilson-Delfosse, Robert Jones, Craig Nielsen, Carol Chalkley, Lia Logio

Faculty Scholarship

Background: Near the beginning of the COVID-19 pandemic in the United States, medical students were pulled out of all in-person patient care activities. This resulted in massive disruption to the required clinical rotations (clerkships), necessitating creative curricular solutions to ensure continued education for medical students. Approach: In response to the lockout, our school adopted a “flipped” clinical rotations model that assigned students to remote learning activities prior to in-person patient care activities. This approach allowed students to continue their clinical education virtually with a focus on knowledge for practice while awaiting return to the shortened in-person portions of their rotation. …

Intouch September 6, 2022, New York Medical College

InTouch

• Industry Leaders to Present at Innovation and Entrepreneurship Conference Set for September 15
• Esther L. Sabban, Ph.D., is Named the Sidney E. Frank Distinguished Professor of Psychiatry and Behavioral Sciences
• Purchasing Office Helps Close Links in Supply Chain
• Race for Rehab Set for October 2
• NYMC and TU Host 21st COVID-19 Symposium
• The Center for Disaster Medicine is an Essential Resource for Emergency Response Education
• Donate Life Club Has Near Record Turnout in First Blood Drive of 2022-2023 Academic Year

Clinical Status, Nutritional Behavior, And Lifestyle, And Determinants Of Community Well-Being Of Patients From The Perspective Of Physicians: A Cross-Sectional Study Of Young Older Adults, Nonagenarians, And Centenarians In Salerno And Province, Italy, Silvana Mirella Aliberti, Richard H W Funk, Luigi Schiavo, Aldo Giudice, Elena Ciaglia, Annibale Alessandro Puca, Joseph S. Gonnella, Mario Capunzo

Department of Medicine Faculty Papers

Longevity is rightly considered one of the greatest achievements of modern society. Biomedical research has shown that aging is the major risk factor for many diseases, so to find the right answers to aging it is necessary to identify factors that can positively influence longevity. This study investigated the clinical status, nutritional behavior, lifestyle, and social and community determinants of the well-being of young older adults and nonagenarians/centenarians in Salerno and province through the judgment of their physicians. Data were collected through an online survey. Multivariate Poisson and logistic regression models were used to calculate significant predictors of the outcomes …

Dean's Update, September 2022, Jerry L. Nadler

SOM Dean's Research Newsletter

No abstract provided.

The Promise Of The White Coat, Christopher J. Smiley Dds

The Journal of the Michigan Dental Association

This month’s editorial discusses the significance of the White Coat Ceremony in dental education, symbolizing a promise to uphold the profession with compassion and ethical standards. Dr. Smiley reflects on the challenges of teaching lasting ethical behavior and emphasizes the importance of personal values. He shares a real-life case of a classmate's unethical behavior leading to legal consequences, highlighting the role of peers in upholding ethical standards. The editorial encourages clinicians, whether they had a formal White Coat ceremony or not, to embrace the symbolic white coat as a daily reminder of their commitment to ethical patient care.