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Full-Text Articles in Medicine and Health Sciences

Can Remote Monitoring Improve Quality Of Care In Heart Failure Patients With Implantable Cardioverter Defibrillators?, Jeanne Gargiulo Apr 2014

Can Remote Monitoring Improve Quality Of Care In Heart Failure Patients With Implantable Cardioverter Defibrillators?, Jeanne Gargiulo

GW Research Days 2014

Abstract

Background:

Remote monitoring (RM) of Implantable Cardiac Defibrillators (ICDs) for the management of patients with heart failure (HF) is a reliable and feasible concept to prevent impending acute HF de-compensation.

Aim:

The design of this study was to determine the value of monthly cardiac devices interrogations for patients with ICDs as compared to quarterly in-office interrogations and to assess the anxiety level of both groups of patients at baseline and upon completions of the study.

Method:

This was a prospective single centered pilot clinical trial where patients were randomly allocated to the conventional quarterly face-to-face encounter (control group) or …


Leveraging User Data To Drive A Website Redesign, Michael Blake Apr 2014

Leveraging User Data To Drive A Website Redesign, Michael Blake

GW Research Days 2014

Background: One of the most challenging aspects of redesigning an organization's website is balancing the needs of existing users while optimizing the experience for future users. This balance is especially crucial in academia where new users arrive every semester and may remain for anywhere from a year to a decade or more. When faced with the task of redesigning its website, GW's Himmelfarb Health Sciences Library conducted extensive user research in an attempt to design a site that preserved the positive aspects of the experience of existing users while improving their experience and reducing the learning curve for new users. …


Neuroimaging Of Unusual Glioblastoma Using Diffusion Tensor Imaging, Akshita Mehta, Lucien M. Levy, M. Isabel Almira-Suarez, Raymond Tu Apr 2014

Neuroimaging Of Unusual Glioblastoma Using Diffusion Tensor Imaging, Akshita Mehta, Lucien M. Levy, M. Isabel Almira-Suarez, Raymond Tu

GW Research Days 2014

Background: Gliosarcoma refers to an uncommon astrocytic tumor of the central nervous system. These tumors include both glial and mesenchymal components by definition, and are extremely malignant. Gliosarcomas are particular to tumors with distinct gliomatous and sarcomatous constituents, and are distinguished from gliobastomas which have undergone mesenchymal metaplasia. Gliosarcomas encompass 2-8% of all glioblastoma cases and tend to occupy the supratentorial regions of the brain, especially the temporal lobe. Rare infratentorial lesions including the cerebellar hemisphere, intraventricular, and multi-focal tumors have also been reported. Accurate neuroimaging diagnosis is critical and diffusion tensor imaging (DTI) and spectroscopy can be useful to …


Assessing The Impact Of Family Status, Family Cohesion, And Acculturation On Youth Violence Among Immigrant Latinos, Susan Lin, Sean D. Cleary, Mark Edberg Apr 2014

Assessing The Impact Of Family Status, Family Cohesion, And Acculturation On Youth Violence Among Immigrant Latinos, Susan Lin, Sean D. Cleary, Mark Edberg

GW Research Days 2014

Background/Objectives: Latino youth violence is an emerging public health concern. The objective is to assess the impact of family status, family cohesion, and acculturation on youth violence among Latino immigrants in Langley Park, MD compared with a control community in Culmore, VA.

Methods: Constructs were generated from survey questions to represent family support and cohesion, acculturation, and youth violence. Bivariate and multivariate regression analyses were modeled to evaluate the relationships between family support and cohesion, acculturation, and violence, after adjusting for confounders.

Results: After controlling for covariates, family support consistently reduced victimization (PE = ‐0.02, SE = 0.01, t = …


Improving Anatomical Knowledge Retention In Medical Students Entering The Surgery And Obstetrics And Gynecology Clinical Rotations By Nesting Interactive Modules, Samantha Ahle, Jill Krapf, Kirsten Marie Brown, Juliet Lee, Gisela Butera, Ellen Goldman, Myriam Ferzli, Rosalyn A. Jurjus Apr 2014

Improving Anatomical Knowledge Retention In Medical Students Entering The Surgery And Obstetrics And Gynecology Clinical Rotations By Nesting Interactive Modules, Samantha Ahle, Jill Krapf, Kirsten Marie Brown, Juliet Lee, Gisela Butera, Ellen Goldman, Myriam Ferzli, Rosalyn A. Jurjus

GW Research Days 2014

Background: It is well documented in the medical education literature that students retain minimal anatomy knowledge when transitioning from pre-clinical didactics to clinical application on the wards. In a previous study at our own institution we were able to quantify this knowledge deficit in students on surgical clerkships, specifically surgery and obstetrics and gynecology (OB/GYN). Using our previous data, we designed an integrated, nested clinical teaching model utilizing e-modules to review clinically relevant surgical anatomy during their clinical rotations.

Objective: The goal of this study is to evaluate the impact of a newly designed method of teaching clinically relevant anatomy …


Intermediate-Term Results Of Extracorporeal Membrane Oxygenation Support Following Congenital Heart Surgery, Syed Murfad Peer, Dominic A. Emerson, John P. Costello, Michael K. Shu, David Zurakowski, Richard A. Jonas, John T. Berger, Dilip S. Nath Apr 2014

Intermediate-Term Results Of Extracorporeal Membrane Oxygenation Support Following Congenital Heart Surgery, Syed Murfad Peer, Dominic A. Emerson, John P. Costello, Michael K. Shu, David Zurakowski, Richard A. Jonas, John T. Berger, Dilip S. Nath

GW Research Days 2014

Background: Although there are considerable data regarding in-hospital results of congenital heart surgery patients requiring post-operative extracorporeal membrane oxygenation support, there is limited information on intermediate-term outcomes.

Methods: A single institution retrospective review of 25 consecutive post-operative congenital heart surgery patients who required extracorporeal membrane oxygenation and survived to hospital discharge between January 2003 and June 2008. Survival was estimated by the Kaplan-Meier method.

Results: At a median follow-up of 3.3 years (interquartile range: 1.2-5.9 years), there was 1 death which occurred at 6 months post-surgery. Kaplan-Meier estimated survival at 3 years was 95% (95% confidence interval: 90-100%). Indications for …


Use Of Excimer Laser For Morphea, Samah Hassan Hajjar, Sarah Beggs, Alison Ehrlich Apr 2014

Use Of Excimer Laser For Morphea, Samah Hassan Hajjar, Sarah Beggs, Alison Ehrlich

GW Research Days 2014

Background and Objectives:

Morphea, also known as localized scleroderma, is a sclerotic inflammatory disorder that primarily affects the skin but has the potential to involve fascia, muscle and bones. With no cure for this disfiguring disease, therapeutic modalities including topical regiments, immunosuppressive agents, antimalarial medications, and phototherapy are used to manage the symptoms and progression. While many treatments options are available, they vary in efficacy.

Methods:

We present a case of a 28-year-old woman with active sclerotic plaques distributed along her neck, left flank. She had previously failed therapy with topical steroids and methotrexate, and was started on hydroxychloroquine 400 …


Smokefree Moms: A Qualitative Study For The Development Of A Text-Based Intervention For Smoking Cessation In Pregnant Women, Monika Lin, Lorien C. Abroms Jan 2014

Smokefree Moms: A Qualitative Study For The Development Of A Text-Based Intervention For Smoking Cessation In Pregnant Women, Monika Lin, Lorien C. Abroms

GW Research Days 2014

No abstract provided.


The Dual Burden Of Malnutrition: Quetzaltenango, Guatemala, Nisha Punatar, Robert C. Morrow Jan 2014

The Dual Burden Of Malnutrition: Quetzaltenango, Guatemala, Nisha Punatar, Robert C. Morrow

GW Research Days 2014

No abstract provided.


A Pilot Academic-Community Partnership To Advance The D.C. Healthy Schools Act, Nisha Narayanan, Jonathan Tatum, Margarita Ramos, Jessica Kim, Nisha Punatar, Michele L. Mietus-Snyder Jan 2014

A Pilot Academic-Community Partnership To Advance The D.C. Healthy Schools Act, Nisha Narayanan, Jonathan Tatum, Margarita Ramos, Jessica Kim, Nisha Punatar, Michele L. Mietus-Snyder

GW Research Days 2014

No abstract provided.