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Articles 1 - 30 of 2436

Full-Text Articles in Medicine and Health Sciences

Ugrc 2021 Recommendations On Gme Transition: Pros And Cons, Opportunities And Limitations., John R Gimpel, Jennifer L Swails, Jessica L Bienstock, Grant L Lin, Michelle A Roett, Juhee Patel Do, Daniel W Giang May 2022

Ugrc 2021 Recommendations On Gme Transition: Pros And Cons, Opportunities And Limitations., John R Gimpel, Jennifer L Swails, Jessica L Bienstock, Grant L Lin, Michelle A Roett, Juhee Patel Do, Daniel W Giang

Department of Pediatrics

The Coalition for Physician Accountability's Undergraduate Medical Education-Graduate Medical Education (UME-GME) Review Committee (UGRC): Recommendations for Comprehensive Improvement of the UME-GME Transition final report includes a total of 34 recommendations and outlines opportunities to transform the current processes of learner transition from a US-based MD- or DO-granting medical school or international medical education pathway into residency training in the United States. This review provides a reflection on the recommendations from the authors, all members of the UGRC, describing the pros and cons and the opportunities and limitations, in the hopes that they might inspire readers to dig deeper into ...


Point-Of-Care Ultrasound Utilized For Foreign Body In A Toe: A Case Report Of Botfly Larvae., Megumi T Mori, Claire L. Paulson Do, Marna R. Greenberg Do, Mph, Facep, Kevin R. Roth Do, Facoep May 2022

Point-Of-Care Ultrasound Utilized For Foreign Body In A Toe: A Case Report Of Botfly Larvae., Megumi T Mori, Claire L. Paulson Do, Marna R. Greenberg Do, Mph, Facep, Kevin R. Roth Do, Facoep

Department of Emergency Medicine

BACKGROUND: Myiasis, as defined by the Centers for Disease Control and Prevention, is infection with fly larvae commonly occurring in tropical and subtropical areas. Whereas the presentation of skin infection with organisms such as Dermatobia hominis (human botfly) is more easily recognized in these regions, identification of myiasis in the United States is difficult due to its rarity. Due to unspecific signs and symptoms, myiasis may initially be mistaken for other conditions, like cellulitis.

CASE REPORT: This case details a patient with pain, swelling, drainage, and erythema of the right second toe. The patient recently returned from Belize and reported ...


The Transformation Of Residency Recruitment In The Era Of Covid-19: Optimizing Residency Recruitment For Lehigh Valley Health Network, David Bosch, Margaret A. Hadinger Edd, Ms, Drew Keister Md May 2022

The Transformation Of Residency Recruitment In The Era Of Covid-19: Optimizing Residency Recruitment For Lehigh Valley Health Network, David Bosch, Margaret A. Hadinger Edd, Ms, Drew Keister Md

USF-LVHN SELECT

No abstract provided.


A Ruptured Mycotic Aortic Aneurysm In A Patient With Urinary Retention: A Case Report., Samantha L. Gaetani Md, Jerome C. Deutsch Do, Mila H. Ju Md May 2022

A Ruptured Mycotic Aortic Aneurysm In A Patient With Urinary Retention: A Case Report., Samantha L. Gaetani Md, Jerome C. Deutsch Do, Mila H. Ju Md

Department of Emergency Medicine

Symptomatic abdominal aortic aneurysm (AAA) is a diagnosis that is a true emergency. Since AAAs are typically asymptomatic prior to rupturing, they can easily be missed. When an abdominal aortic aneurysm becomes symptomatic and ruptures, the ramifications can be catastrophic for the patient. We present a case of a 55-year-old male who presented with urinary retention and suprapubic pain. Computerized tomography demonstrated a rapidly expanding AAA and signs of impending rupture. Emergent vascular surgical repair was performed successfully. There was concern for mycotic nature of the AAA with recent COVID-19 infection and possible bacteremia. This case demonstrates the need for ...


Authors' Response To Ashton Gatewood And Michael Harding: Tribal Partnerships As An Avenue Forward., Larry A Green, William L. Miller Md, Ma, John J Frey, Hilliard Jason, Jane Westberg, Deborah J Cohen, Robin S Gotler, Frank V Degruy May 2022

Authors' Response To Ashton Gatewood And Michael Harding: Tribal Partnerships As An Avenue Forward., Larry A Green, William L. Miller Md, Ma, John J Frey, Hilliard Jason, Jane Westberg, Deborah J Cohen, Robin S Gotler, Frank V Degruy

Department of Family Medicine

No abstract provided.


Social Media As A Medium For Dermatologic Education., Benjamin R Cooper, Anthony Concilla, J Mark Albrecht, Aashni Bhukhan, Melissa R Laughter, Jaclyn B Anderson, Chandler W Rundle, Emily Mceldrew Do, Colby L. Presley Do Apr 2022

Social Media As A Medium For Dermatologic Education., Benjamin R Cooper, Anthony Concilla, J Mark Albrecht, Aashni Bhukhan, Melissa R Laughter, Jaclyn B Anderson, Chandler W Rundle, Emily Mceldrew Do, Colby L. Presley Do

Department of Medicine

Purpose of Review: We explore the utility of social media platforms as educational tools in dermatology, providing a summary of how these sites are used by the public and dermatologists alike, and demonstrating ways these findings may be applied for educational purposes.

Recent Findings: Over half of the world's population utilizes social media platforms. More recently, these platforms have increasingly been used for educational purposes. In the field of dermatology, a large portion of the educational content is coming from users with no formal medical or dermatologic training.

Summary: Each of the top five social media platforms in the ...


Proton Beam Therapy Causing Pericarditis - A Rare Case Of Radiation Induced Cardiotoxicity., Rahul Gupta Md, Muling Lin, Gary M Freedman, Deborah W Sundlof Do, Cheri Silverstein Fadlon Apr 2022

Proton Beam Therapy Causing Pericarditis - A Rare Case Of Radiation Induced Cardiotoxicity., Rahul Gupta Md, Muling Lin, Gary M Freedman, Deborah W Sundlof Do, Cheri Silverstein Fadlon

Cardiology Division

Acute pericarditis is caused by the inflammation of the pericardium which can result in an effusion around the heart. Proton beam therapy causing radiation-induced pericarditis is not a well-known cause of pericarditis. We present a case of a patient with Li-Fraumeni Syndrome who developed acute onset pericarditis, presumed to be secondary to proton beam therapy.


Emergency Extra-Intracranial Bypass Surgery In A Patient With Neurologic Deficit After An Accident In Carotid Occlusive Test: A Case Report., Hung M Ngo, Hien T Trinh, Rocky Felbaum, Walter C. Jean Md Apr 2022

Emergency Extra-Intracranial Bypass Surgery In A Patient With Neurologic Deficit After An Accident In Carotid Occlusive Test: A Case Report., Hung M Ngo, Hien T Trinh, Rocky Felbaum, Walter C. Jean Md

Department of Surgery

OBJECTIVE: BTO is the procedure performed to assess the collateral circulation within the Willis circle in a giant ICA aneurysm. An ICA occlusion after BTO is very rare. We present a case of an internal carotid artery occlusion as a complication of BTO that required urgent revascularization surgery.

CASE PRESENTATION: A 56-year-old female with a history of transient ischemic attacks for one year was diagnosed with multiple aneurysms: a giant aneurysm of the left supra-clinoid ICA, two small ones on left MCA and right ophthalmic. A BTO was performed to assess collateral supply and determine whether bypass surgery should be ...


Icoplast-From Infancy To The First World Congress., Gregory R D Evans, Robert X. Murphy Jr, Md, Ms, Hinne A Rakhorst, Lucie Lessard, Ahmed Khashaba, Julio D Kirschbaum, Horacio F Mayer Apr 2022

Icoplast-From Infancy To The First World Congress., Gregory R D Evans, Robert X. Murphy Jr, Md, Ms, Hinne A Rakhorst, Lucie Lessard, Ahmed Khashaba, Julio D Kirschbaum, Horacio F Mayer

Department of Surgery

No abstract provided.


Bee First: A Standardized Point-Of-Care Ultrasound Approach To A Patient With Dyspnea., Meghana Ganapathiraju, Claire L. Paulson Do, Marna R. Greenberg Do, Mph, Facep, Kevin R. Roth Do, Facoep Apr 2022

Bee First: A Standardized Point-Of-Care Ultrasound Approach To A Patient With Dyspnea., Meghana Ganapathiraju, Claire L. Paulson Do, Marna R. Greenberg Do, Mph, Facep, Kevin R. Roth Do, Facoep

Department of Emergency Medicine

Dyspnea is a common complaint in patients who present to the emergency department and can be due to numerous etiologies. This case report details a 90-year-old female with a history significant for hypertension, hyperlipidemia, and new diagnosis of ovarian malignancy whose symptoms increased over the past three days. Point-of-care Ultrasonography showed multiple B-lines, a plethoric IVC without respiratory variation, a markedly low EF and a lack of RV dilation. There was also no evidence of effusion which led the emergency medicine team to the diagnosis of acute decompensated heart failure. This quick diagnosis was possible due to using the standardized ...


Development Of An Evidence-Based Compendium Of Institutional Graduate Medical Education Leadership Competencies (Gmelcs), Margaret Hadinger, Edd Ms, Brigham C. Willis, Jacqueline E. Levesque, Kathryn M. Andolsek, Sharon Hall, Karen Broquet Mar 2022

Development Of An Evidence-Based Compendium Of Institutional Graduate Medical Education Leadership Competencies (Gmelcs), Margaret Hadinger, Edd Ms, Brigham C. Willis, Jacqueline E. Levesque, Kathryn M. Andolsek, Sharon Hall, Karen Broquet

Department of Education

No abstract provided.


Covid-19 Cardiovascular Connection: A Review Of Cardiac Manifestations In Covid-19 Infection And Treatment Modalities., Theresa Maitz Do, Dominic Parfianowicz Do, Ashley Vojtek Do, Yasotha Rajeswaran Md, Apurva Vyas Md, Rahul Gupta Md Mar 2022

Covid-19 Cardiovascular Connection: A Review Of Cardiac Manifestations In Covid-19 Infection And Treatment Modalities., Theresa Maitz Do, Dominic Parfianowicz Do, Ashley Vojtek Do, Yasotha Rajeswaran Md, Apurva Vyas Md, Rahul Gupta Md

Department of Medicine

The coronavirus pandemic has crippled healthcare system since its outbreak in 2020, and has led to over 2.6 million deaths worldwide. Clinical manifestations of COVID-19 range from asymptomatic carrier to severe pneumonia, to life-threatening acute respiratory distress syndrome (ARDS). The early efforts of the pandemic surrounded treating the pulmonary component of COVID-19, however, there has been robust data surrounding the cardiac complications associated with the virus. This is suspected to be from a marked inflammatory response as well as direct viral injury. Arrhythmias, acute myocardial injury, myocarditis, cardiomyopathy, thrombosis, and myocardial fibrosis are some of the observed cardiac complications ...


Predictors Of Severe Outcome Following Opioid Intoxication In Children., Neta Cohen, Mathew Mathew, Adrienne Davis, Jeffrey Brent, Paul Wax, Suzanne Schuh, Stephen B Freedman, Blake Froberg, Evan Schwarz, Joshua Canning, Laura Tortora, Christopher Hoyte, Andrew L. Koons Do, Michele M Burns, Joshua Mcfalls, Timothy J Wiegand, Robert G Hendrickson, Bryan Judge, Lawrence S Quang, Michael Hodgman, James A Chenoweth, Douglas A Algren, Jennifer Carey, E Martin Caravati, Peter Akpunonu, Ann-Jeannette Geib, Steven A Seifert, Ziad Kazzi, Rittirak Othong, Spencer C Greene, Christopher Holstege, Marit S Tweet, David Vearrier, Anthony F Pizon, Sharan L Campleman, Shao Li, Kim Aldy, Yaron Finkelstein Mar 2022

Predictors Of Severe Outcome Following Opioid Intoxication In Children., Neta Cohen, Mathew Mathew, Adrienne Davis, Jeffrey Brent, Paul Wax, Suzanne Schuh, Stephen B Freedman, Blake Froberg, Evan Schwarz, Joshua Canning, Laura Tortora, Christopher Hoyte, Andrew L. Koons Do, Michele M Burns, Joshua Mcfalls, Timothy J Wiegand, Robert G Hendrickson, Bryan Judge, Lawrence S Quang, Michael Hodgman, James A Chenoweth, Douglas A Algren, Jennifer Carey, E Martin Caravati, Peter Akpunonu, Ann-Jeannette Geib, Steven A Seifert, Ziad Kazzi, Rittirak Othong, Spencer C Greene, Christopher Holstege, Marit S Tweet, David Vearrier, Anthony F Pizon, Sharan L Campleman, Shao Li, Kim Aldy, Yaron Finkelstein

Department of Emergency Medicine

INTRODUCTION: While the opioid crisis has claimed the lives of nearly 500,000 in the U.S. over the past two decades, and pediatric cases of opioid intoxications are increasing, only sparse data exist regarding risk factors for severe outcome in children following an opioid intoxication. We explore predictors of severe outcome (i.e., intensive care unit [ICU] admission or in-hospital death) in children who presented to the Emergency Department with an opioid intoxication.

METHODS: In this prospective cohort study we collected data on all children (0-18 years) who presented with an opioid intoxication to the 50 medical centers in ...


A 74-Year-Old Woman Presenting With Multiple Skin Masses, Chun Siu Do, Shabnam Assar Md Mar 2022

A 74-Year-Old Woman Presenting With Multiple Skin Masses, Chun Siu Do, Shabnam Assar Md

Department of Medicine

No abstract provided.


Persistent Covid And A Return To Sport., Elisa Giusto Do, Chad A Asplund Mar 2022

Persistent Covid And A Return To Sport., Elisa Giusto Do, Chad A Asplund

Department of Pediatrics

ABSTRACT: Coronavirus disease (COVID) has become a global pandemic that has widely impacted athletes at all levels of competition. For many athletes infected with COVID, the course is mild or asymptomatic, and most athletes are able to return to play in a matter of weeks. However, 10% to 15% of people infected with COVID will go on to have prolonged COVID symptoms that last for weeks to months and impact their ability to function and exercise. Not much is known about why certain people become "COVID long-haulers," nor are there any predictive tools to predetermine who may have prolonged symptoms ...


Predictors Of Primary Care Practice Among Medical Students At The Michigan State University College Of Human Medicine., Jennifer Edwards-Johnson, Youngjun Lee, Andrea Wendling, Baijiu Patel Md, Julie Phillips Mar 2022

Predictors Of Primary Care Practice Among Medical Students At The Michigan State University College Of Human Medicine., Jennifer Edwards-Johnson, Youngjun Lee, Andrea Wendling, Baijiu Patel Md, Julie Phillips

Department of Medicine

INTRODUCTION: This study examines the evolution of student and physician interest in primary care from medical school matriculation to practice, focusing on student factors that potentiate primary care (PC) practice.

METHODS: We compiled a dataset of 2,047 Michigan State University College of Human Medicine graduates from 1991 to 2010. PC interest was assessed using the Association of American Medical Colleges (AAMC) matriculating student (MSQ) and graduation (GQ) questionnaires. PC practice was determined using AMA physician Masterfile data. C

RESULTS: PC interest at matriculation and at graduation were the factors most likely to predict PC practice. After controlling for URM ...


Ewing Sarcoma Of The 9th Rib Subsequent To Pediatric Leukemia: A Case Series., Julia Vandenheuvel Md, Leighton Elliott, Daniel Zinn Md, Michal Miller, Jacob Troutman Do Mar 2022

Ewing Sarcoma Of The 9th Rib Subsequent To Pediatric Leukemia: A Case Series., Julia Vandenheuvel Md, Leighton Elliott, Daniel Zinn Md, Michal Miller, Jacob Troutman Do

Department of Pediatrics

Ewing sarcoma is an aggressive malignancy of bone and soft tissue that accounts for ∼2% of cases of childhood cancer. It has been rarely reported as a secondary neoplasm. Data from the Childhood Cancer Survivor Study has evaluated secondary sarcomas in 5-year survivors of childhood cancer. We report 2 pediatric patients in northeast Pennsylvania, who developed secondary Ewing sarcoma of the 9th rib within 5 years of primary childhood leukemia diagnoses.


A Severe Case Of Siliconoma-Induced Hypercalcemia Due To Illicit Gluteal Silicone Injections., Mallorie L Huff, Nitisha Mehta, Aaron Jacobs Md, Marshall G. Miles Do Mar 2022

A Severe Case Of Siliconoma-Induced Hypercalcemia Due To Illicit Gluteal Silicone Injections., Mallorie L Huff, Nitisha Mehta, Aaron Jacobs Md, Marshall G. Miles Do

Department of Surgery

Siliconoma-induced hypercalcemia is a rare complication of siliconoma, occurring secondary to a foreign body granulomatous process induced by the introduction of silicone into soft tissue. This is a case report of a woman presenting with sequelae of illicit silicone injections performed in an unknown woman's basement in Florida 20 years before presentation. A 39-year-old woman presented with a 2-month history of 20-pound weight loss, malaise, and intractable vomiting with a remote history of unregulated cosmetic injections to the bilateral gluteal and thigh regions. Her laboratory studies were consistent with severe hypercalcemia secondary to a foreign body granulomatous process. Initially ...


Deep Neck Abscess After Intubation Trauma: A Case Report., Kashyap Kaul, Chetan S Nayak, Jessica Jacoby, Kenneth D Katz Mar 2022

Deep Neck Abscess After Intubation Trauma: A Case Report., Kashyap Kaul, Chetan S Nayak, Jessica Jacoby, Kenneth D Katz

Department of Emergency Medicine

Significant injuries from endotracheal intubation are exceedingly rare but can lead to life-threatening complications, such as pharyngeal perforation. This type of perforation can result in abscess formation and airway compromise. Risks for this complication include operator skill and intubation in emergent situations. This case report details a 59-year-old male who underwent elective septoplasty with bilateral nasal turbinate reduction. The procedure required general anesthesia induction and endotracheal intubation. He developed a gradually enlarging right-sided neck mass with associated fevers, neck pain, odynophagia, and dysphonia. He presented to the emergency department on postoperative day 5 and was diagnosed with a right-sided, prevertebral ...


Trends In The Epidemiology And Outcomes Of Pneumocystis Pneumonia Among Human Immunodeficiency Virus (Hiv) Hospitalizations., Kalaimani Elango, Mayuri Mudgal, Swetha Murthi, Prashanth Reddy Yella, Savan Nagrecha, Vedhapriya Srinivasan, Vijaykumar Sekar Md, Maria Koshy, Sathishkumar Ramalingam, Kulothungan Gunasekaran Feb 2022

Trends In The Epidemiology And Outcomes Of Pneumocystis Pneumonia Among Human Immunodeficiency Virus (Hiv) Hospitalizations., Kalaimani Elango, Mayuri Mudgal, Swetha Murthi, Prashanth Reddy Yella, Savan Nagrecha, Vedhapriya Srinivasan, Vijaykumar Sekar Md, Maria Koshy, Sathishkumar Ramalingam, Kulothungan Gunasekaran

Department of Medicine

INTRODUCTION:

METHODS: The national inpatient sample (NIS) data were analyzed from 2002-2014. The discharge coding identified hospitalized patients with HIV or AIDS and with or without PCP.

RESULTS: We identified 3,011,725 hospitalizations with HIV/AIDS during the study period; PCP was present in 5% of the patients with a diagnosis of HIV. The rates of PCP progressively declined from 6.7% in 2002 to 3.5 % in 2014 (

CONCLUSION: From 2002 to 2014, the rate of PCP in HIV patients has decreased significantly in the United States but is associated with substantially higher mortality.


A Case Report: Brugada Syndrome In The Setting Of Hypothermia., Cameron M Juybari, Samantha L. Gaetani Md, Andrew H F Miller Do, Gavin C. Barr Jr. Md Feb 2022

A Case Report: Brugada Syndrome In The Setting Of Hypothermia., Cameron M Juybari, Samantha L. Gaetani Md, Andrew H F Miller Do, Gavin C. Barr Jr. Md

Department of Emergency Medicine

Hypothermia is a common diagnosis in the Emergency Department. It can cause a multitude of symptoms and complications if not treated promptly. The following case report discusses Brugada pattern on an electrocardiogram in a patient with hypothermia and diabetic ketoacidosis. There was resolution of the Brugada pattern on the electrocardiogram after the patient was warmed to 35.3 °C.


Point-Of-Care Ultrasound Findings In The Diagnosis And Management Of Superior Mesenteric Artery (Sma) Syndrome., Dao Le, Joseph J. Stirparo Md, Travis Magdaleno Md, Claire L. Paulson Do, Kevin R. Roth Do, Facoep Feb 2022

Point-Of-Care Ultrasound Findings In The Diagnosis And Management Of Superior Mesenteric Artery (Sma) Syndrome., Dao Le, Joseph J. Stirparo Md, Travis Magdaleno Md, Claire L. Paulson Do, Kevin R. Roth Do, Facoep

Department of Emergency Medicine

Superior mesenteric artery (SMA) syndrome is a potentially fatal condition that can be difficult to diagnose for emergency medicine physicians due to its rarity and vague gastrointestinal symptom presentation. Patients arriving at the emergency department (ED) with this condition may encounter delays in proper supportive care and treatment. We present the case of a 21-year-old female who was seen in the ED for nausea, non-bloody vomiting, and rapid weight loss. Through point-of-care ultrasound (POCUS) findings, she was diagnosed with SMA syndrome and received appropriate, supportive care for her condition before catastrophic complications could occur. This case demonstrates the utility of ...


A Novel Treatment Of Postpartum Depression And Review Of Literature., Jennifer Yoon, Jason Gu Md, Katherine B. Martin Md Feb 2022

A Novel Treatment Of Postpartum Depression And Review Of Literature., Jennifer Yoon, Jason Gu Md, Katherine B. Martin Md

Department of Psychiatry

Early-onset postpartum depression has been shown to have a unique neurobiological basis compared to major depressive disorder, implying a need for targeted treatments such as the recent Food and Drug Administration (FDA)-approved brexanolone. In this case report, a woman with a past medical history of major depressive disorder was diagnosed with postpartum depression due to worsening mood with suicidal and homicidal ideations. She was treated with vilazodone and aripiprazole with good effect after consideration of her past medication trials. Her regimen is unique in clinical practice and not reported in current literature for the treatment of postpartum depression. It ...


Culturally Sensitive Interventions In Pediatric Primary Care Settings: A Systematic Review., William Okoniewski Md, Mangai Sundaram, Diego Chaves-Gnecco, Katie Mcanany, John D Cowden, Maya Ragavan Feb 2022

Culturally Sensitive Interventions In Pediatric Primary Care Settings: A Systematic Review., William Okoniewski Md, Mangai Sundaram, Diego Chaves-Gnecco, Katie Mcanany, John D Cowden, Maya Ragavan

Department of Pediatrics

CONTEXT: Culturally sensitive interventions in the pediatric primary care setting may help reduce health disparities. Less is known on the development of these interventions, their target groups, and their feasibility, acceptability, and impact on health outcomes.

OBJECTIVE: We conducted a systematic review to describe culturally sensitive interventions developed for the pediatric primary care setting.

DATA SOURCES: PubMed, Web of Science, Cumulative Index to Nursing and Allied Health Literature, and PsycInfo (January 2000 to July 2020).

STUDY SELECTION: Studies were eligible for inclusion if they were (1) original research on an intervention with an evaluation, (2) within a pediatric primary care ...


A Severe Case Of Odontogenic Infection And Necrotizing Fasciitis Of The Anterior Chest Wall And Neck., Mallorie L Huff, Kyle S Wilson Md, Kathleen E. Kane Md, Kathryn L Wheel Md, Joseph J. Stirparo Md Feb 2022

A Severe Case Of Odontogenic Infection And Necrotizing Fasciitis Of The Anterior Chest Wall And Neck., Mallorie L Huff, Kyle S Wilson Md, Kathleen E. Kane Md, Kathryn L Wheel Md, Joseph J. Stirparo Md

Department of Surgery

Necrotizing fasciitis is a life-threatening infection that can be rapidly fatal. Early identification and emergent surgical management are essential to minimize morbidity and mortality. This case report describes a 25-year-old male who presented to the emergency department with a three-day history of worsening left lower dental infection and new-onset neck pain and swelling. He received broad-spectrum antibiotics and intravenous fluid resuscitation and underwent computed tomography of the neck and chest. Following intensive care unit admission, he underwent tooth extraction where intraoperative evaluation revealed subcutaneous crepitus. Immediate debridement was performed, revealing copious foul-smelling purulent discharge and necrotic tissue extending over the ...


Impact Of Cervical Disc Arthroplasty Vs Anterior Cervical Discectomy And Fusion On Driving Disability: Post Hoc Analysis Of A Randomized Controlled Trial With 10-Year Follow-Up., Deeptee Jain, Michael P Kelly, Matthew F Gornet, J Kenneth Burkus, Scott D Hodges, Randall F Dryer, Jeffrey Mcconnell Md, Todd H Lanman, K Daniel Riew Feb 2022

Impact Of Cervical Disc Arthroplasty Vs Anterior Cervical Discectomy And Fusion On Driving Disability: Post Hoc Analysis Of A Randomized Controlled Trial With 10-Year Follow-Up., Deeptee Jain, Michael P Kelly, Matthew F Gornet, J Kenneth Burkus, Scott D Hodges, Randall F Dryer, Jeffrey Mcconnell Md, Todd H Lanman, K Daniel Riew

Department of Surgery

BACKGROUND: Driving an automobile requires the ability to turn the neck laterally. Anecdotally, patients with multilevel fusions often complain about restricted turning motion. The purpose of this study was to compare the effectiveness of cervical disc arthroplasty (CDA) with anterior cervical discectomy and fusion (ACDF) on driving disability improvement at 10-year follow-up after a 2-level procedure.

METHODS: In the original randomized controlled trial, patients with cervical radiculopathy or myelopathy at 2 levels underwent CDA or ACDF. The driving disability question from the Neck Disability Index was rated from 0 to 5 years preoperatively and up to 10 years postoperatively. Severity ...


Perioperative Management Of Patients On Maintenance Medication For Addiction Treatment: The Development Of An Institutional Guideline., Gillian A. Beauchamp Md, Jill Hanisak Crna, Alexandra Amaducci, Andrew L. Koons, Jason Laskosky Pharmd, Bcps, Bernadette M Maron, Thomas A. Mcloughlin Feb 2022

Perioperative Management Of Patients On Maintenance Medication For Addiction Treatment: The Development Of An Institutional Guideline., Gillian A. Beauchamp Md, Jill Hanisak Crna, Alexandra Amaducci, Andrew L. Koons, Jason Laskosky Pharmd, Bcps, Bernadette M Maron, Thomas A. Mcloughlin

Department of Emergency Medicine

With a brief summary of selected literature identified by a multidisciplinary panel of subject matter experts, the authors share their experience with the development of an institutional perioperative pain management guideline for patients on maintenance medication for addiction treatment (MAT), stressing the importance of perioperative continuation of opioid agonists such as methadone and partial agonists such as buprenorphine; and the discontinuation of opioid antagonists, such as naltrexone. The authors' protocol is appended as an example of a standardized approach to perioperative management of patients on MAT.


Consensus Development Of A Core Content For A Standardized Medical Toxicology Curriculum For Medical Students., Charlotte Goldfine, Derrick Lung, Gillian A. Beauchamp Md, Ayrn O'Connor, Andrew Stolbach, Louise Kao, Bryan Judge, Paul Wax, Rahul Patwari, Ziad Kazzi Jan 2022

Consensus Development Of A Core Content For A Standardized Medical Toxicology Curriculum For Medical Students., Charlotte Goldfine, Derrick Lung, Gillian A. Beauchamp Md, Ayrn O'Connor, Andrew Stolbach, Louise Kao, Bryan Judge, Paul Wax, Rahul Patwari, Ziad Kazzi

Department of Emergency Medicine

BACKGROUND: Currently, no standardized core content in medical toxicology exists for medical students. The goals of this study were to (1) assess the current state and needs of medical toxicology clerkships and (2) develop a consensus-derived list of core topics that should be covered during a medical toxicology clerkship.

METHODS: We assembled a task force established by the American College of Medical Toxicology (ACMT) of nine experts in medical toxicology or emergency medicine. We developed a needs assessment survey that was sent to all medical student clerkship directors in medical toxicology. Based on their responses, we used a modified Delphi ...


An Analysis Of Public Sunscreen Distribution In The United States During The Covid-19 Pandemic., Mindy D Szeto, Ryan E Kokoska, Jalal Maghfour, Chandler W Rundle, Colby L. Presley, Taylor Harp, Austin Hamp, Victoria Wegener, Jeremy Hugh, Robert P Dellavalle Jan 2022

An Analysis Of Public Sunscreen Distribution In The United States During The Covid-19 Pandemic., Mindy D Szeto, Ryan E Kokoska, Jalal Maghfour, Chandler W Rundle, Colby L. Presley, Taylor Harp, Austin Hamp, Victoria Wegener, Jeremy Hugh, Robert P Dellavalle

Department of Medicine

No abstract provided.


An Unusual Etiology Of Obstructive Shock In The Emergency Department., Matthew P. Murphy, Hanna R. Warren Do, Ryan M Surmaitis Do, Kathleen E. Kane Md Jan 2022

An Unusual Etiology Of Obstructive Shock In The Emergency Department., Matthew P. Murphy, Hanna R. Warren Do, Ryan M Surmaitis Do, Kathleen E. Kane Md

Department of Emergency Medicine

Obstructive shock describes any disease process that causes physical obstruction to blood flow into or out of the heart which results in impaired systemic oxygen or nutrient delivery. Common etiologies include cardiac tamponade, tension pneumothorax, and pulmonary embolus. However, several other causes exist and should prompt consideration in the correct clinical circumstances. In this report, we describe a 72-year-old female patient with history of hepatic cysts presenting with respiratory distress, mottled extremities, and abnormal vital signs. Contrast enhanced computed tomography scans showed a massive hepatic cyst which was compressing her vena cava and heart, causing hemodynamic instability. The patient was ...