Medicine and Health Sciences Commons^™

Pa Dent J Jan 2022

Pennsylvania Dental Journal

The Pennsylvania Dental Journal is produced by the Pennsylvania Dental Association six times a year, in January, March, May, July, September and November. Issues include regular columns with regional news impacting the Pennsylvania membership including editorial and government relations news, association activities, member updates, continuing education opportunities, and classifieds.

Pa Dent J Nov 2024

Pennsylvania Dental Journal

The Pennsylvania Dental Journal is produced by the Pennsylvania Dental Association six times a year, in January, March, May, July, September and November. Issues include regular columns with regional news impacting the Pennsylvania membership including editorial and government relations news, association activities, member updates, continuing education opportunities, and classifieds.

Pa Dent J Sept 2024

Pennsylvania Dental Journal

The Pennsylvania Dental Journal is produced by the Pennsylvania Dental Association six times a year, in January, March, May, July, September and November. Issues include regular columns with regional news impacting the Pennsylvania membership including editorial and government relations news, association activities, member updates, continuing education opportunities, and classifieds.

Pa Dent J Jul 2024

Pennsylvania Dental Journal

The Pennsylvania Dental Journal is produced by the Pennsylvania Dental Association six times a year, in January, March, May, July, September and November. Issues include regular columns with regional news impacting the Pennsylvania membership including editorial and government relations news, association activities, member updates, continuing education opportunities, and classifieds.

Beyond The Expected Window: A Rare Presentation Of Acei-Associated Angioedema Two Decades Into Therapy, Taiwo Ajani, Jose J. Loayza Pintado, Renzo Aller Rojas, Jorge Aboytes Trevino, Michelle Lopez

Research Colloquium

Introduction: Angiotensin-converting enzyme inhibitor–induced angioedema (ACEI-AE) is a rare but potentially serious adverse effect of a widely used class of antihypertensives. It typically presents as non-pitting, non-pruritic swelling of the face, lips, tongue, or upper airway, often without associated urticaria. Although most cases occur within the first weeks of treatment, delayed presentations, sometimes after years of stable therapy, have been increasingly recognized. The condition is bradykinin-mediated and often does not respond to standard allergy medications such as antihistamines or corticosteroids.

Case Presentation: A 56-year-old woman with a medical history of hypertension, type 2 diabetes, GERD, and seasonal allergies presented to …

Comparing The Effect Of Oral And Transdermal Estrogen Therapy On Lipid Profile In Postmenopausal Women: A Systematic Review And Meta-Analysis Of Randomized Clinical Trials, Mohamed Doma, Jose J. Loayza Pintado, Aria Atwal, Angelica Lopez Jesus, Farhaan Zahrawi, Ibrahim Saleh, Ahmed El Gammal, Zeyad Maharm, Adham Galal Ramadan, Benito Vlassis, Mustafa Shafeeq Ali, Mohammad Khodr Aljamali, Ralph Pandey, Mounira Mefti, Merhan Badran, Muaaz Aslam, Anuj Subedi, Jaffer Shah, Hani Aiash

Research Colloquium

Introduction: Menopause is associated with significant physiological changes, including alterations in lipid profiles. Estrogen therapy plays a crucial role in managing symptoms and preventing long-term complications. This study aims to compare oral and transdermal routes of estrogen therapy among postmenopausal women and assess changes in lipid parameters from baseline.

Methods: Randomized clinical trials comparing oral and transdermal estrogen therapy in postmenopausal women were identified through searches in PubMed, Scopus, Web of Science, and ClinicalTrials.gov. Pooled mean differences (MDs) with 95% confidence intervals (CIs) were calculated using a random-effects model. Statistical analysis was conducted using R version 4.3.2.

Results: Eight randomized …

Cardiovascular Response Patterns To Oral Versus Transdermal Estrogen Therapy In Postmenopausal Women, Mohamed Doma, Jose J. Loayza Pintado, Aria Atwal, Angelica Lopez Jesus, Farhaan Zahrawi, Ibrahim Saleh, Ahmed El Gammal, Zeyad Maharm, Adham Galal Ramadan, Benito Vlassis, Mustafa Shafeeq Ali, Mohammad Khodr Aljamali, Ralph Pandey, Mounira Mefti, Merhan Badran, Muaaz Aslam, Anuj Subedi, Jaffer Shah, Hani Aiash

Research Colloquium

Introduction: The comparative effects of oral versus transdermal estrogen therapy on cardiovascular parameters in postmenopausal women remain incompletely understood. This analysis aimed to evaluate blood pressure and heart rate responses between administration routes.

Methods: A systematic review of randomized trials comparing oral and transdermal estrogen therapy in postmenopausal women was conducted. Primary outcomes included changes in systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate. Random-effects meta-analysis was performed to calculate pooled mean differences (MD) with 95% confidence intervals (CI).

Results: Analysis of 8 randomized trials (N=885) showed no significant differences between oral and transdermal routes in mean …

A Flare Beyond The Gut: Culture-Negative Skin Abscesses In Ulcerative Colitis, Jose J. Loayza Pintado, Mohammad Aqeel, Jorge Aboytes Trevino, Taiwo Ajani, Andres Suarez

Research Symposium

Background: Ulcerative colitis (UC) is a chronic inflammatory bowel disease often complicated by extraintestinal manifestations, with skin involvement seen in up to 15% of patients. Typical lesions include erythema nodosum and pyoderma gangrenosum, but abscess-like cutaneous lesions are almost always assumed to be infectious. Rare case reports describe sterile, culture-negative abscesses arising during UC flares, yet their true prevalence is unknown. We present the case of a young man with UC who developed multiple aseptic skin abscesses in parallel with active proctitis.

Case Presentation: A 19-year-old man with prior Clostridioides difficile infection and subtotal colectomy (rectal preservation) presented with malaise, …

Breaking The Cycle Of Telemetry Overuse: A Resident-Led Quality Improvement Initiative, Jose Donis, Jose J. Loayza Pintado, Luis Salcedo, Renzo Aller, Andres Suarez

Research Symposium

Background: Telemetry monitoring is a critical tool in detecting arrhythmias but is frequently overutilized outside of guideline-based indications, contributing to alarm fatigue, unnecessary costs, and resource strain. National guidelines (AHA 2017; BHRS 2020) recommend targeted use, yet adherence remains inconsistent. This quality improvement (QI) project was designed to assess baseline adherence and implement a resident-led intervention to optimize telemetry utilization in a general medicine unit.

Methods: The project was conducted in the 2-West Internal Medicine Unit at Rio Grande Regional Hospital. Residents were integrated into daily telemetry decision-making beginning in November 2024, following structured education with workshops, simulation training, and …

From Skin To Spleen To Brain: Full-Spectrum Embolic Complications In Staphylococcus Aureus Endocarditis, Jose J. Loayza Pintado, Jorge Aboytes Trevino, Julian Galindo, Mohammad Aqeel, John Cauba, Joshua Nwose, Andres Suarez Parraga

Research Symposium

Background: Infective endocarditis (IE) results from bacterial adhesion to endocardial tissue and valvular apparatus. While viridans group streptococci and Enterococcus species are associated with subacute disease, Staphylococcus aureus, including methicillin-resistant strains (MRSA), is a leading cause of more acutely destructive presentations. The entry of these pathogens can occur through surgical and dental procedures, intravenous drug use, or less apparent etiology. Classic peripheral stigmata (Osler nodes, Janeway lesions, splinter hemorrhages, Roth spots) are now uncommon but clinically meaningful. Current guidelines emphasize rapid multimodality imaging to detect cerebral and systemic emboli in symptomatic IE. We present a 50-year-old man with S. aureus …

The Bubble, The Blockage, And The Barrier: Weighing Pfo Against Moyamoya In An Stroke Mechanism Diagnostic Challenge In Down Syndrome With Achalasia, Jose J. Loayza Pintado, Adolfo Nava, Jose Donis Castaneda, Taiwo Ajani, Cesar Uribe

Research Symposium

Background: Paradoxical embolism through a PFO or small ASD is a common mechanism of stroke in young adults, and randomized trials plus contemporary guidelines support closure in carefully selected 18–60-year-olds to reduce recurrence. Individuals with Down syndrome frequently have congenital heart lesions, raising the pretest probability of shunt-mediated stroke. Yet Down syndrome is also linked to moyamoya arteriopathy, creating diagnostic ambiguity when intracranial narrowing is seen on first-pass imaging. We present a 34-year-old woman with Down syndrome, an acute MCA infarct, and a mildly positive bubble study in whom TEE was deferred for achalasia, illustrating a cardiology-led diagnostic challenge that …

The Pain Of Women And Femmes: A Multi-Session Class Activity On Generative Ai-Technology And Gender Norms, Bethany L. Johnson, Margaret M. Quinlan

Feminist Pedagogy

This unit helps students examine the societal implications of reproductive pain, focusing on healthcare settings and in post–Roe America. Through active listening, media analysis, and interactive research with ChatGPT, students examine how generative AI responds in a neutral tone; however, with additional data and correction, large language models (LLMs) produce more expansive and inclusive responses. Class activities include group discussions, research, and simulations. By using transcripts from the podcast “The Retrievals” and analyzing recent media, students evaluate how LLMs adjust their answers to identical questions, thereby calling into question their design, functionality, and benefits. The unit employs feminist pedagogy to …

Transfer Of Learning From Simulation To Clinical Practice: Slp Graduate Student Experiences In Medical Externships, Karen D. Villanueva, Kerry C. Mandulak, Amanda Stead, Patrick Walden

Teaching and Learning in Communication Sciences & Disorders

The purpose of this project was to explore the impact of participation in simulation-based learning (SBL) with standardized patients on graduate speech-language pathology students’ clinical experiences in healthcare externships. This study aims to understand how students perceive the impact of prior SBL participation during clinical practice and how this perceived impact changes over time. Students chose to participate in SBL experiences centered on conducting a clinical swallow evaluation (CSE) with adult standardized patients prior to completing full-time medical externship placements. During their externships, students participated in two structured interviews and completed three anonymous critical incident technique (CIT) questionnaires over eleven …

Using The Grand Challenges For Sotl To Guide, Connect, And Extend Scholarship In Communication Sciences And Disorders, Jennifer C. Friberg-Fort

Teaching and Learning in Communication Sciences & Disorders

The International Society for the Scholarship of Teaching and Learning (ISSOTL) recently identified five Grand Challenges for SoTL, offering a shared framework for understanding and advancing inquiry into teaching and learning across higher education. This paper argues that these Grand Challenges provide a productive cross-disciplinary framework for communication sciences and disorders (CSD), where SoTL work is often locally grounded and dispersed across programs, institutions, and professional contexts. Drawing on existing CSD SoTL literature, the paper illustrates how each Grand Challenge can be used to frame, interpret, and extend disciplinary inquiry. These examples are intended to be illustrative rather than exhaustive, …

Simulation Using Aspiration Screening Tool And Bolus Testing For Graduate Nutrition And Dietetics Students, Kendrea Garand, Tracy Maluchnik, Trisha A. Cousins, Jonathan Beall, James Coyle

Teaching and Learning in Communication Sciences & Disorders

Utilization of simulation is increasing during pre-professional training of allied health disciplines, including speech-language pathology and nutrition/dietetics programs. The impact on student learning using simulation in the areas of dysphagia assessment and management has begun to emerge. The purpose of this study was to explore learning outcomes of 21 students enrolled in a Nutrition and Dietetics graduate program prior to and after didactic and hands-on application learning experiences, including employment of an aspiration screening tool and modification of food/liquid textures. The didactic and practical portions were led by speech-language pathology faculty. A pre- and post-test was analyzed to determine change …

The Effect Of Weight Training With Blood Flow Restriction On Muscle Strength Development In Mma, Tomáš Kozák, Marek Kokinda, Pavel Ružbarský

Baltic Journal of Health and Physical Activity

Background: This study aimed to elucidate the effect of weight training with blood flow restriction (BFR) on explosive power and isokinetic strength in combat athletes. Materials and methods: The sample included 12 male MMA fighters divided into a control (19.50±0.50 years) and an experimental (18.00±1.00 years) group. Participants trained twice weekly for 8 weeks, with BFR in the experimental group. Explosive power was assessed using following tests by Optogait: countermovement push-up, kneeling countermovement push-up and kneeling squat push-up for upper limbs and countermovement jump, countermovement jump with free arms and squat jump for lower limbs. Isokinetic strength was measured by …

Community - Volume 11

be Still

No abstract provided.

Asclepius, Lia M. Smerina

be Still

No abstract provided.

Namaste, Kem Chho, Jason Nguyen

be Still

No abstract provided.

In That Space, We Were Communis, Eliana Namen

be Still

In reflecting on my understanding of community, there were many moments I could have chosen to write about. Yet the memory of my grandmother’s death remains the one most deeply etched in me. When I began considering what community truly meant in my own life, I found myself returning to that room. In her illness and eventual passing, she drew together an extraordinary constellation of people: family, friends, neighbors, whose lives she had quietly shaped. Her life created ripples far beyond what any one person could see. In witnessing that gathering, I came to understand community not merely as shared …

The Geography Of Faces, Faith Abraham

be Still

The Geography of Faces takes its title from the idea that a face, seen across decades, becomes a kind of landscape—something you learn to read not at a glance but through accumulated return visits. For Dr. Vasquez, an older physician who has seen so much, her patients' faces are the territory she has spent a lifetime learning to navigate.

The patients are chosen to represent different dimensions of that longevity. They show affection built on years of small battles, continuity across a family, autonomy that is respected. Together, these patients make the case that primary care is less about problems …

Stronger Together: Healing Through Joy, Archana Banda, Nupur S. Kumar

be Still

Volunteering as Family Pals at Boggy Creek throughout medical school has reinforced the profound impact of communities united under a shared vision of uplifting one another. This organization cultivates a supportive camp environment for children with chronic medical conditions. One of the most meaningful aspects of these weekend adventures has been meeting children with conditions such as Type 1 Diabetes and VACTERL courageously navigating the challenges of their diagnoses while discovering new passions through activities including woodcraft, air hockey, boating, fishing, and archery.

Many times these children are excluded from normal camp experiences due to their special needs such as …

Community As Occupation: Finding Belonging Through Participation, Nardia Aldridge

be Still

Community has been one of the most meaningful occupations shaping my journey in occupational therapy. Throughout my experiences as a student, practitioner, and educator, I have come to understand that belonging is cultivated through participation in communities that nurture mentorship, leadership, and shared purpose. Organizations such as the National Black Occupational Therapy Caucus, the American Occupational Therapy Association, the World Federation of Occupational Therapists, Toastmasters, and Tahti’s Social Club represent spaces where individuals gather to support one another and contribute to something greater than themselves. This reflection explores the idea that community itself can be understood as an occupation. Through …

Circle Of Community, Nardia Aldridge

be Still

This photograph captures a moment of collective connection as members of a community gather in a circle holding hands. The circle represents unity, reflection, and mutual support. Through shared cultural expression and participation, community becomes more than a place. It becomes a lived experience of belonging, identity, and care for one another.

It’S Time. Maintaining Personal Relationships In Medical School, Rudayna S. Tabbara

be Still

No abstract provided.

Colorblocks, Marianne Koleng

be Still

The use of several colors to highlight the facial features in the portrait represents the various communities to which an individual belongs, including, but not limited to, their family, their school, religion, career, ethnicity, and more. Each color is used in many shapes within the face to evoke the shared importance of each community in creating identity, one is not superior to the other, and without each of them, we would not have the entire face.

The Making Of Man, Marianne Koleng

be Still

The Making of Man is an abstract ink drawing depicting an individual's face, but at closer look, it is the intricacies that compose it. This goes to show that behind every individual, there is a community holding them together, even if it is not immediately apparent.

A Place Where I Was Finally Seen, Pierina S. Barletti Benel

be Still

This piece reflects on my experience navigating depression during medical training and the unexpected ways community can foster healing. Healing does not always occur within clinical settings. Through this narrative, I explore how returning to faith and the support of a church community helped restore hope during a difficult season of my life. Writing this essay allowed me to reflect on how vulnerability and lived experience can shape a more compassionate and present physician.

Side By Side, Elena L. Richardson

be Still

This photograph captures what I came to understand as the true wealth of Mota Fofalia. In a place with few material resources, community was not just present - it was everything. These boys, arms slung around each other, smiling without hesitation, reflect a kind of belonging that doesn’t depend on circumstance. During my eight weeks there, I realized that while so much was limited, connection was abundant - and it was enough.

What She Carries, Elena L. Richardson

be Still

This image captures the quieter side of community—the unseen labor that sustains it. Though she walks alone, everything she carries reflects a life woven into others: provision, responsibility, continuity. In rural Gujarat, I came to understand that community is not only found in togetherness, but in the everyday acts that hold it up.