Medicine and Health Sciences Commons^™

Professional Quality Of Life Among Emergency Department Clinicians And Impact Of Trauma Informed Care Training: A Before-And-After Cohort Study, Savannah F. Steinhauser, Rachel Haroz, Iris Jones, Christopher W. Jones, William Skelton, Stephen Trzeciak, Brian Roberts

Cooper Rowan Medical Journal

Objectives: Trauma exposures and high rates of burnout are widespread among emergency department (ED) clinicians and patients. Trauma-informed care (TIC) education promotes resilience for patients and clinicians. However, there remains a scarcity of data on the impact of TIC on ED clinician outcomes. The objectives of this study were to evaluate post-COVID-19 pandemic professional quality of life among ED clinicians and to test if participation in a TIC education initiative among ED clinicians (1) improves professional quality of life and (2) decreases bias toward patients who misuse opioids.

Methods: This was a single center, prospective, parallel before-and-after pilot study conducted …

Meet The Mda’S New President, Cheri Newman, Dds, David Foe

The Journal of the Michigan Dental Association

This cover story introduces the new president of the MDA, Dr. Cheri Newman, highlighting her unique journey from dental hygienist to dentist. Dr. Newman discusses her motivations for becoming involved with the MDA, emphasizing the importance of giving back to the profession and the influence of mentors. She outlines her goals for the upcoming year, which include increasing membership, addressing workforce shortages, and tackling student debt. Dr. Newman also stresses the significance of member involvement in organized dentistry and acknowledges the challenges related to workforce issues like the need for more dental hygienists and assistants. She underscores the value of …

J Mich Dent Assoc May 2025

The Journal of the Michigan Dental Association

The Journal of the Michigan Dental Association is published digitally each month through ADA Commons, reaching 166 countries and accumulating over 35,800 downloads. This extensive reach provides news, information, and features about Michigan dentistry, our state's oral health community, and the MDA's 6,200+ members. It serves as the main publication for connecting with Michigan dentists.

The May issue features:

• An informative interview with Dr. Cheri Newman, the MDA’s new president.
• A feature article from Delta Dental on the utilization of dental services pre- and post-COVID-19 and how the continuing decline in the utilization of restorative services may impact plan design. …

It's Time For Some Important Conversations About Fluoride, Jessica R. Bentoski D.D.S., M.S., F.A.A.P.D., Sam Blanchard Dds, Ms

The Journal of the Michigan Dental Association

The guest editorial by the Michigan Academy of Pediatric Dentistry's Drs. Jessica Bentoski and Sam Blanchard, addresses growing public debate surrounding community water fluoridation and emphasizes the vital role of dental professionals in providing evidence-based guidance to parents. As pediatric dentists, the authors highlight that fluoride remains a cornerstone in preventing childhood caries—still the most common chronic disease in children. They stress the need to understand and address parental beliefs, misinformation, and concerns through respectful, informed dialogue. Removing fluoridation could exacerbate oral health disparities and misperceptions about fluoride safety. The authors call on colleagues to initiate important conversations, advocate for …

Mda Foundation: Lead Leads To A Key Role On The Mda Foundation, Anne Berquist

The Journal of the Michigan Dental Association

This article highlights the role of the MDA Foundation in providing opportunities for professional development and expanding the impact of dentists' careers. It focuses on Dr. Beth Rosenberg's experience, who became a Foundation Board Member after participating in the MDA's Leadership Exploration and Development Program (LEAD).

The LEAD program builds leadership skills through immersion in organized dentistry. The Foundation raises funds through various events to provide scholarships to dental students and grants to community organizations that improve access to care. The article encourages MDA members to participate in Foundation fundraisers and to consider volunteering or donating.

Dental Utilization Pre- And Post-Covid-19 Pandemic Shutdown Across Different Birth Cohorts, Anirudh Agaram, Jeff Johnston Dds, Ms, Stephen A. Eklund Drph, Dds, Mhsa

The Journal of the Michigan Dental Association

Given the disruptions to dental practice because of COVID-19 in 2020, the question arose as to how dental patients would return to dental care in the following years, and if treatment patterns would be different, or would return to the previous patterns. Further, it was desired to understand whether patients of different ages would return to dental practices and use dental services differently. In order to assess these questions, utilization patterns among commercial enrollees within Delta Dental of Michigan, Ohio, and Indiana were explored. The analysis, spanning from 2018 to 2023, focused on diagnostic, preventative, and restorative procedures across diverse …

The New Professional: Exploring Careers Other Than Clinical Dentistry, Amrita Patel Dds

The Journal of the Michigan Dental Association

This "New Professional" column explores alternative career paths for dentists who find clinical practice unfulfilling. It encourages reflection on personal interests and highlights various options within the dental field and beyond, such as dental education, research, practice management, dental sales, product development, and public health dentistry. The article emphasizes that a dental degree provides a strong foundation for diverse roles that still contribute to the well-being of others. It suggests that transitioning to a new career path requires an open mind and a focus on one's passions and values. Entrepreneurship is also mentioned as a potential avenue.

Congratulations To The 2025 Ud Mercy And U-M Graduates!, David Foe

The Journal of the Michigan Dental Association

This brief congratulatory message from the MDA Journal welcomes the graduating dental classes of 2025 from the University of Detroit Mercy and the University of Michigan. It acknowledges the hard work and dedication required to complete dental school and expresses the MDA's enthusiasm in welcoming these new dentists to the profession in Michigan. The article mentions that class composite photos are funded by MDA Insurance & Financial Group and provided to each graduate. It includes a link to the composite photos in the digital issue and notes that the names of all graduates will be listed in the following pages.

Providing Care For The Geriatric Population, Asma Nayyar Md

Marshall Journal of Medicine

No abstract provided.

A Rare Case Of Adenoid Cystic Carcinoma Of The Breast, Emiliya Apinova, Grace Markley, Jonathan Sedeyn, Jordon March, Alex Somerville

Marshall Journal of Medicine

Adenoid cystic carcinoma (ACC) of the breast is an extremely rare subtype of triple-negative breast cancer, comprising less than 0.1% of all invasive breast cancers, yet it exhibits a favorable prognosis. This case details a 53-year-old female with a significant family history of breast cancer who presented with a left breast mass. The patient reported that the mass had been present for over 30 years but had only recently become tender. She also began to have brown-green discharge from the left nipple. Imaging revealed a breast imaging-reporting and data system (BI-RADS) category 4 lesion, leading to a mastectomy and sentinel …

Successful Flexible Bronchoscopic Extraction Of A Dental Foreign Body Aspirated Into The Left Mainstem Bronchus, Alexys Bolden, Hayden Cooper, Lynnetta Payne, Mark Coomes, Mark Cooper

Marshall Journal of Medicine

Foreign body aspiration (FBA) is a potentially life-threatening emergency that commonly occurs in children but varies widely in clinical presentation. Rapid diagnosis and intervention are of the utmost importance to prevent complications such as airway obstruction, infection, and lung injury. While uncommon in adults, most encountered causes occur in the setting of intoxication, neuromuscular weakness, or iatrogenic dental work. Those with dental prostheses are especially susceptible due to the partially attached nature, rendering the risk of accidental dislodgement. This report discusses an uncommon case wherein an 82-year-old male aspirated a dental bridge into his left mainstem bronchus during routine dental …

A Rare Case Of Parasomnia Associated With Micronized Progesterone Therapy, Mouhannad Azzouz, Anam Sabzwari, Lee Madruga, Robert Young, Matthew O'Neal

Marshall Journal of Medicine

Micronized progesterone is commonly prescribed to manage hormonal imbalances and gynecological conditions, such as endometriosis. While its sedative effects are well-documented, the occurrence of parasomnias as an adverse effect is rare. This case documents a 48-year-old woman who developed complex parasomnia behaviors shortly after initiating micronized progesterone therapy. The symptoms resolved upon discontinuing the medication, suggesting a probable causal relationship. This case highlights the need for clinicians to be aware of potential sleep-related side effects associated with progesterone therapy.

Two 55-Word Stories: Reasonable Suspicion And There’S An Art To This, Angel Ogbeide

HCA Healthcare Journal of Medicine

Narrative medicine, specifically the 55-word story, provides clinicians an opportunity to reflect on experiences they encounter and garner significant meaning from them. These 2 stories discuss difficult situations I have experienced in my practice of medicine.

“Reasonable Suspicion” is an internal reflection on the weight of the complex decisions providers are often faced with (mandatory reporting, etc) and are not emphasized enough in health care. Doing the right thing in a clinical situation is taught. How doing the right thing can make a provider feel is not.

“There’s an Art to This” discusses grief. How do you grieve a patient? …

From Molars To Bronchus; The Tale Of An Aspirated Dental Instrument, Yisroel Grabie, Sudeep Acharya, Fasih Sami Siddiqui, Gabriel A. Chavez Reyna, Michel Chalhoub

HCA Healthcare Journal of Medicine

Background

Aspiration of dental instruments is a rare event that carries potentially serious complications when it occurs, especially in older patients, where protective reflexes are diminished. Clinical management may be difficult because of the risk of granulation tissue and different retrieval strategies according to the object’s characteristics. In this report, we describe the case of an 84-year-old man who aspirated a dental bur during a routine dental procedure, necessitating immediate intervention. Timely and precise management was essential to avert severe complications.

Case Presentation

During a routine dental procedure, an 84-year-old man aspirated a bud-shaped cross-cut carbide dental bur. Despite initial …

Using Point-Of-Care Ultrasound For The Medical Management Of Marathoners And Spectators: A Case Series, Jacob D. Pope, Casey Wilson, Kelsey Daller, Jonathan Hardin, Steven Rickett

HCA Healthcare Journal of Medicine

Background

Temporary field hospitals play a crucial role in providing medical care to individuals who experience illnesses and injuries during mass gathering events. Handheld point-of-care ultrasound (POCUS) devices offer an affordable and portable adjunct for emergency care. We present multiple patients from a field hospital during a marathon event in which handheld POCUS devices changed clinical management.

Case Presentation

A 75-year-old man who had fallen was able to be discharged after a lung exam confirmed no rib fractures or pneumothorax. A hypotensive and hypoglycemic 21-year-old man had an echocardiogram confirming volume depletion. He received treatment, and a repeat exam demonstrated …

A Case Of A Massive Right Atrial Thrombus Removal Under Transesophageal Echocardiographic Guidance, Justin Phillips, Max Kabolowsky, Alex M. Hendon, Samantha Arzillo

HCA Healthcare Journal of Medicine

Background

With the advent of catheter guided interventions, practitioners have added another tool alongside chemical lysis and surgical removal to reduce the clot burden of patients with large emboli and thrombi. Due to comorbid conditions, many patients are poor candidates for surgical or chemical clot treatment but may present optimally for catheter-based thromboembolectomy. In this case, we highlight the benefits of mechanical thrombectomy with transesophageal echocardiographic guidance to reduce the clot burden of a patient who would otherwise be considered a poor candidate for surgical or chemical treatment.

Case Presentation

This case follows a 78-year-old man with a past medical …

Pembrolizumab-Associated Acute Esophageal Necrosis: A Case Report And Literature Review, Mark Tawfik, Elie Bou Sanayeh, Stephanie Chain, Ahmed Elfiky, Stephen Mulrooney

HCA Healthcare Journal of Medicine

Background

Immune checkpoint inhibitors (ICIs) have revolutionized cancer treatment. They pose challenges, particularly in the form of immune-related adverse events (irAEs). Although cases of gastrointestinal irAEs have been well-documented, acute esophageal necrosis (AEN) characterized by a circumferential blackening and fragility of the esophagus, weeks after immunotherapy discontinuation, has not been reported.

Case Presentation

A 75-year-old diabetic male who was recently diagnosed with high-grade papillary urothelial cancer with liver and retroperitoneal metastases and had undergone radical cystectomy with ileal conduit urinary diversion, presented to the hospital for sepsis secondary to a urinary tract infection. While in the hospital, he experienced hematemesis, …

Resolution Of Patient’S Anaphylaxis To The Moderna Covid-19 Vaccine By Desensitization, Stefan M. Pienkowski, Marek M. Pienkowski

HCA Healthcare Journal of Medicine

Introduction

Management of patients with rare anaphylaxis to COVID-19 vaccines creates a challenge. Desensitization to medications and vaccines has proven to be effective in managing anaphylactic reactions in selected individuals with a high benefit-to-risk ratio. A previous report described the successful administration of the Moderna modified messenger RNA (MmRNA) COVID-19 vaccine via a graded dose protocol to a patient with previous anaphylaxis to the MmRNA vaccine. Our report describes successful desensitization to the MmRNA vaccine followed by administration of the full dose MmRNA vaccine.

Case Presentation

A patient with a history of chronic allergies and anaphylaxis due to insect sting …

Guillain-Barré Syndrome Following Moderna Spikevax Messenger Rna Covid-19 Vaccine: A Case Analysis, Jamie Lee Aldakkour, Alvin Boyd Newman-Caro, Hector Gonzalez-Montalvo, Usama Bardan, Guruswamy Ramamurthy

HCA Healthcare Journal of Medicine

Background

Guillain-Barré Syndrome (GBS) is an acute autoimmune polyneuropathy. Cases of GBS have been reported following administration of the vaccines for swine influenza, seasonal influenza, hemagglutinin type 1 and neuraminidase type 1, and meningococcal disease. Despite these links, a causal relationship has not been confirmed.

Case Presentation

We present a case of a 70-year-old woman who presented with progressive bilateral ascending weakness and numbness and reported receiving the first dose of the Moderna COVID-19 vaccine 2 weeks prior to presentation.

Conclusion

At the time of writing, this is the first reported case of GBS following the Moderna Spikevax COVID-19 vaccine. …

Intracolonic Migration Of A Dislocated Acetabular Cup Prosthesis, Jack R. Lubka, Cyrus Tamboli, Philip Brunetti, Sarosh Tamboli, Alex Davis, Hamish Patel, Olugbenga Oyesanmi, Michael Strobbe, Shaival Thakore, Subhasis Misra, Jeffrey Mino

HCA Healthcare Journal of Medicine

Background

Acetabular cup migration is a rare complication of hip replacement surgery. If the acetabular socket of the ilium is weak, the prosthesis can erode or pass through it. There have been multiple reports of acetabular cup prosthesis migration to the colon, creating a coloarticular fistula between the hip joint and the cecum, sigmoid colon, or rectum. We report a rare presentation of a complete intracolonic migration of a prosthetic acetabular cup without creating a fistula.

Case Presentation

A 53-year-old female patient with a remote history of a total right hip replacement presented with abdominal pain and rectal bleeding. Computed …

A Rare Instance Of Streptococcus Agalactiae Pyomyoma In A Postmenopausal Patient: A Case Report, Mariah Piazza, Sai V. Nagula, Madeleine Salzberg, Darren Preuninger

HCA Healthcare Journal of Medicine

Background

Pyomyoma is a rare, but potentially fatal, complication of uterine leiomyoma. Most cases occur in postpartum or postmenopausal patients with vascular disease and arise due to infarction and infection of existing fibroids. The proposed diagnostic triad for pyomyoma includes 1) sepsis or bacteremia; 2) uterine leiomyomata; and 3) no other apparent source of infection. We present a case of a postmenopausal patient who presented with the aforementioned triad and was found to have a pyomyoma, positive for Streptococcus agalactiae.

Case Presentation

A 67-year-old woman with no known past medical history presented to the emergency department for altered mental …

An Examination Of Health Coaching As A Developing Profession, Katie Suleta, Jonathan M. Davis

HCA Healthcare Journal of Medicine

Background

Health coaching is a field that is growing in popularity. Health coaching is not regulated and there is no standard for background, education, or training for those acting as health coaches. The purpose of this study was to investigate the burgeoning field of health coaching: who is performing it and common practices.

Methods

A total of 560 health coaching websites were reviewed to record educational backgrounds, recommendations for supplements, and the sale of supplements and/or other wellness products. Multivariable logistic regression was used to test associations between characteristics of health coaches and whether they recommend supplements, sell supplements, or …

Utility Of Incorporating Radiological Findings Of Right Heart Strain In Patients With Acute Pulmonary Embolism For Risk Stratification Of Adverse Outcomes: A Retrospective Analysis, Joshua Amaya, Sameer Allahabadi, Daniel L. Habenicht, John Hunton, Amal M. Khan, Subhash Venigalla, Curran Reddy, Jeremy V. Doan, Grace Wang, Daniel R. Eickenhorst, Shovendra Gautam

HCA Healthcare Journal of Medicine

Background

Right heart (RH) strain in the setting of pulmonary embolisms can significantly increase the risk of mortality. Thus, screening for risk of complications in these patients is crucial. The goal of our study was to assess the strength of specific diagnostic findings of RH strain for predicting adverse outcomes including mortality, hospital length of stay, and the requirement of advanced interventions.

Methods

A single-center, retrospective cohort study of 81 patients diagnosed with acute pulmonary embolism with RH strain on computed tomography pulmonary angiogram (CTPA) from September 12, 2019, to August 30, 2023. Data were collected on patient computed tomography …

Combating Physician Burnout And Fostering Wellness In Graduate Medical Education For Resident Physicians, Abdulaziz Mheir, Zohare Khan, Franklin Hernandez, Alaa Mohamed, Chandan Mitra

HCA Healthcare Journal of Medicine

Background

Over the last 2 decades, there has been a cultural shift in the graduate medical education (GME) space, focusing on an important facet: physician burnout. Burnout is defined as a combination of emotional exhaustion, depersonalization, and a lack of personal accomplishment. With increasing awareness of physician burnout, various wellness initiatives have begun to be implemented throughout training programs, and their results have been measured for effectiveness in reducing burnout rates. Due to the increasing rates of burnout emerging throughout GME programs, an initiative to evaluate our internal medicine (IM) residency on this matter was discussed with all residents at …

Severity Of Sars-Cov-2 Illness In Patients With Type 1 And Type 2 Diabetes Mellitus, Anthony Shadiack, Alexis White, Prasad Munusamy, Jessica Oleske, Parisa Biazar, Serena Mitchell, Michael G. Flynn, Nayda Parisio Poldiak

HCA Healthcare Journal of Medicine

Background

Diabetes is a well-known risk factor for the severity of illness in patients with SARS-CoV-2 infection (COVID-19). However, there is less published data on illness severity differences between patients with type 1 (T1D) and type 2 (T2D) diabetes mellitus.

Methods

We performed a retrospective review of records of patients with COVID-19 (March 2020 - November 2020) extracted from a large, private hospital system database. Of the 76 467 patients with COVID-19, 54 007 (70.6%) did not have a diabetes diagnosis (NON), 22 084 (28.9%) had T2D, and 376 (0.49%) had T1D. We further subgrouped diabetic patients into groups with …

Portable Head Computed Tomography Protocol For Trauma, Christian Quinones, Alexander Bolufer, Cory Hewitt, Sagun Tuli

HCA Healthcare Journal of Medicine

The use of portable computed tomography (CT) scanners has been shown to reduce risks associated with intrahospital transport and to expedite imaging in critically ill patients. While their use is established in intensive care units, their utility on intraoperative trauma patients remains underexplored. This paper reviews existing literature on portable CT use, defines appropriate clinical indications, outlines contraindications, and identifies quality metrics and implementation challenges. It also presents a proposed protocol for integrating portable head CT imaging into trauma workflows, focusing on early identification of intracranial or spinal injuries in the operating room. The development and analysis of standardized protocols …

Rapid Facial Enhancement Through Surgery-First Approach Correction For Class Iii Bimaxillary Protrusion And Asymmetry, Ting-Ying Wu, Liang-Chia Huang, Yu-Jen Chang

Taiwanese Journal of Orthodontics

The Surgery-First Approach (SFA) prioritizes surgical intervention before orthodontic treatment, offering a transformative strategy for managing dentofacial discrepancies. This innovative approach provides numerous advantages, including immediate enhancements in facial aesthetics, occlusion, and phonetic function while significantly reducing overall treatment duration. SFA is especially beneficial for patients exhibiting specific characteristics, such as well-aligned teeth and minimal occlusal discrepancies. In this case study, a patient presented with persistent facial asymmetry and lip protrusion despite previous orthodontic treatment. After a thorough evaluation, the patient was deemed suitable for SFA, leading to surgical intervention. Postoperative assessments demonstrated marked improvements in facial symmetry, although minor …

Modified Mma Technique For A Patient With Bimaxillary Protrusion And Osa, Chia-Shin Gan, Chia-Tze Kao, Chih-Chen Chou, Ching-Yi Tsai, Yi-Chieh Chen, Han-Hsin Ko, Wen-Ken Tai

Taiwanese Journal of Orthodontics

Bimaxillary protrusion is a common facial profile among Asians, typically managed through non-surgical orthodontic approaches. However, when an unfavorable facial profile is combined with obstructive sleep apnea (OSA), surgical intervention may become the primary treatment choice. This case report presents a modified maxillomandibular advancement (MMA) technique in a 31-year-old male patient who presented with lip protrusion and snoring. Polysomnography revealed severe OSA with an apnea-hypopnea index (AHI) of 39.7. Clinical examination showed increased lower facial height, skeletal Class II jaw relationship, and Angle Class I malocclusion with complete overbite. Through a combination of modified MMA technique and genioplasty, we successfully …

Correction Of Class Ii Malocclusion With Deep Bite And Functional Asymmetry Using Straight-Pull Headgear, Deo Develas, Chia-Tze Kao, Chun-Te Ho, Nia Ayu Ismaniati Noerhadi

Taiwanese Journal of Orthodontics

Treatment of Class II skeletal malocclusion in growing patient has the advantage of utilizing growth modification to correct skeletal and dental disharmony by altering the growth direction. Headgear is one of the orthopedic appliances which can modify the growth of maxilla while letting the mandible grow normally to correct Class II malocclusion. When used properly, Headgear can be a very useful method to correct disharmony in anteroposterior, vertical, and transversal plane as well as asymmetrical problem. This case report demonstrates the use of straight-pull headgear and orthodontic fixed appliance for treatment of Class II division 1 malocclusion with deep bite …

Evaluation Of The Accuracy And Reliability Of 3d Cameras For Craniofacial Anthropometry Compared To Conventional Methods: A Systematic Review, Akanksha Chandiwala, Kanhoba Keluskar

Taiwanese Journal of Orthodontics

Objectives: To assess the reliability and accuracy of three-dimensional (3D) camera for Craniofacial Anthropometry in comparison with direct measuring methods. Materials and methods: A comprehensive search of the specialized databases Pubmed/ MEDLINE, Science Direct, Google Scholar, OpenGrey, and other institutional repositories was performed for including the studies which assess the reliability and accuracy of various 3D Cameras for Craniofacial Anthropometry in comparison with direct Anthropometric measurements. Quality assessment was carried out with JBI critical appraisal checklist for analytical cross sectional studies. Results: Seven studies evaluating the accuracy and reliability of 3D cameras were included in this study. Studies comparing 3D …