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Articles 1531 - 1560 of 12713
Full-Text Articles in Medicine and Health Sciences
Contextual Factors And The Syndemic Of Alcohol Use And Risky Sexual Behaviors Among Men Who Have Sex With Men, Humberto López Castillo
Contextual Factors And The Syndemic Of Alcohol Use And Risky Sexual Behaviors Among Men Who Have Sex With Men, Humberto López Castillo
USF Tampa Graduate Theses and Dissertations
Since the early 1990s with the AIDS pandemic, there has been an increasing interest on the importance of risky sexual behaviors, especially among men who have sex with men (MSM). An important antecedent for these behaviors is alcohol use. Studies consistently show an increased frequency of both alcohol use and risky sexual behaviors in MSM populations. However, to date, there has not been a precise estimate of the effect size in these diverse populations and a consistent way to measure it. More so, the importance of context is often cited as a source of variability, but is rarely measured in …
October 26, 2016, Communication Disorders & Sciences
October 26, 2016, Communication Disorders & Sciences
Faculty Meeting Minutes & Agendas
No abstract provided.
Grave’S Anatomy: Abolitionists, Body Snatchers, And The Demise Of Winchester Medical College, Kaylyn L. Sawyer
Grave’S Anatomy: Abolitionists, Body Snatchers, And The Demise Of Winchester Medical College, Kaylyn L. Sawyer
The Gettysburg Compiler: On the Front Lines of History
A census in 1890 listed Chris Baker’s occupation as “Anatomical Man.” While the title sounds like that one of today’s superheroes, the nineteenth century existence of this vocation kept people from lingering around medical colleges after dark. By day, Chris Baker worked as a janitor for the Medical College of Virginia in Richmond. By night, he had the darker task of obtaining corpses for the school. He was a “resurrectionist,” and he was not alone in his eerie nocturnal task of preying on the powerless and recently interred with a shovel, bag, and cart close at hand. Until legislation governing …
Bischof And Byrd-Jacobs To Present In Quest For Honors College Deanship, College Of Education And Human Development
Bischof And Byrd-Jacobs To Present In Quest For Honors College Deanship, College Of Education And Human Development
Family and Consumer Sciences News
Dr. Christine Byrd-Jacobs, associate dean of the Graduate College, will present at 1 p.m. Wednesday, Nov. 2, in the honors college lounge.
Dr. Gary Bischof, professor and chair of the Department of Family and Consumer Sciences, will present at 1 p.m. Thursday, Nov. 3, also in the honors college lounge.
2016 Program, Office Of Academic Affairs
2016 Program, Office Of Academic Affairs
Programs
Eastern Illinois University is a community enthusiastically engaged in intellectual exploration. This includes faculty testing the boundaries of knowledge within their disciplines and the boundaries of how to convey that knowledge to their students. It also includes students, both graduate students joining with their faculty mentors in pressing the disciplinary boundaries, and undergraduate students discovering the front edges of the disciplines under the guidance of their instructors. Today we celebrate the full range of such faculty contributions: journal articles, book chapters, monographs, art works, music compositions, performances in all forms, and a host of others. Funded research contributions also are …
Addressing The Intersection Between Alcohol Consumption And Antiretroviral Treatment: Needs Assessment And Design Of Interventions For Primary Healthcare Workers, The Western Cape, South Africa, M. Schneider, M. Chersich, Marleen Temmerman, C. D. Parry
Addressing The Intersection Between Alcohol Consumption And Antiretroviral Treatment: Needs Assessment And Design Of Interventions For Primary Healthcare Workers, The Western Cape, South Africa, M. Schneider, M. Chersich, Marleen Temmerman, C. D. Parry
Obstetrics and Gynaecology, East Africa
Background: At the points where an infectious disease and risk factors for poor health intersect, while health problems may be compounded, there is also an opportunity to provide health services. Where human immunodeficiency virus (HIV) infection and alcohol consumption intersect include infection with HIV, onward transmission of HIV, impact on HIV and acquired immunodeficiency syndrome (AIDS) disease progression, and premature death. The levels of knowledge and attitudes relating to the health and treatment outcomes of HIV and AIDS and the concurrent consumption of alcohol need to be determined. This study aimed to ascertain the knowledge, attitudes and practices of primary …
Attitudes And Perceptions Towards Men In Nursing: A Replicated Study, Emily Schaffer
Attitudes And Perceptions Towards Men In Nursing: A Replicated Study, Emily Schaffer
Honors Theses
No abstract provided.
Exploring The Critical Thinking Skills Of Respiratory Care Students And Faculty, Bshayer Ramadan Alhamad
Exploring The Critical Thinking Skills Of Respiratory Care Students And Faculty, Bshayer Ramadan Alhamad
Seton Hall University Dissertations and Theses (ETDs)
Introduction: Today, with the increased demands in health care, working as a competentrespiratory therapist requires being a highly skilled, critically thinking professional. Although students are expected to learn how to think critically mostly in the academic environment from their faculty, only a paucity of studies has assessed the critical thinking of respiratory care students, with none, to our knowledge, assessing that of faculty. Therefore, the purpose of this mixed method study was to (1) assess the overall critical thinking skill levels of both respiratory care students and faculty, (2) investigate whether respiratory care faculty have stronger overall critical thinking skills …
Examining Content Validity Of The Nurse Competence Scale In The United States, Jessica B. Shearer
Examining Content Validity Of The Nurse Competence Scale In The United States, Jessica B. Shearer
USF Tampa Graduate Theses and Dissertations
Nursing competence is a necessity as it affects public health, safety and welfare; however there are very few reliable and valid tools that measure nursing competence. The Nurse Competence Scale has been used in many different countries outside of the United States and is based on Benner’s Novice to Expert theory. The purpose of this study was to examine the content validity of the Nurse Competence Scale using a mixed methods approach. Descriptive statistics were used to report results of the frequency of use scale and the critical to practice scale. Nursing faculty indicate Prioritizing My Activities Flexibility According to …
Dr. William Randolph Sims Papers - Accession 1582, William Randolph Sims
Dr. William Randolph Sims Papers - Accession 1582, William Randolph Sims
Manuscript Collection
The William Randolph Sims Papers consists of records primarily relating to the York County Hospital. Dr. William Randolph Sims, Sr. (1886-1972) was a longtime Chairman of the York County Hospital as well as the former Vice-President and Manager of J.P. Phillips Drugs Inc. The York County Hospital (also known as York General Hospital) opened on May 15, 1940 in the corporate limits of the Town of Ebenezer (now part of Rock Hill, SC) and included a nursing school and a home for nursing students. It was approved by the American College of Surgeons on February 2, 1944. It was later …
Ictal Kissing: Occurrence And Etiology., Ali Akbar Asadi-Pooya, Elizabeth W. Fletman
Ictal Kissing: Occurrence And Etiology., Ali Akbar Asadi-Pooya, Elizabeth W. Fletman
Department of Neurology Faculty Papers
Ictal kissing is a rare semiological manifestation in patients with epilepsy. We tried to estimate its occurrence and characterize the underlying etiology. We retrospectively reviewed all video-EEG reports from Jefferson Comprehensive Epilepsy Center over a 12-year period (2004-2015) for the occurrence of the term "kiss". We then searched the electronic database PubMed on September 21, 2016 using the following search terms in the English language: "ictal" OR "seizure" OR "epilepsy" AND "kiss" OR "kissing". Relevant original studies were included. During the study period, 5133 patients were investigated in our epilepsy monitoring unit. One patient (0.02%) had one episode of documented …
Developing Healthcare Practitioners’ Professional Expertise Through Effective Continuing Education: Commentary, Caroline Faucher
Developing Healthcare Practitioners’ Professional Expertise Through Effective Continuing Education: Commentary, Caroline Faucher
Internet Journal of Allied Health Sciences and Practice
Development of professional expertise is the transition from novice to expert within a profession through deliberate practice with feedback. While this development is actively stimulated during undergraduate studies, encouraging practicing healthcare professionals to pursue their development towards expertise doesn’t seem as obvious. This commentary briefly describes the development of professional expertise and the possible decline in performance that can occur with time. It then gives insight into the roles of continuing professional education in healthcare practitioners’ acquisition and maintenance of professional expertise.
The Benefits Of Alternative And Augmentative Communication: A Quality Of Life Issue, Richard Dressler, Lauren Bland, Meghan Baumgartner
The Benefits Of Alternative And Augmentative Communication: A Quality Of Life Issue, Richard Dressler, Lauren Bland, Meghan Baumgartner
Internet Journal of Allied Health Sciences and Practice
This article summarizes the need for alternate forms of communication for those who are unable to use verbal speech. The importance of allied health professionals in understanding alternative communication is critical in patient care. The authors describe the various forms of augmentative and alternate communication devices that can be used to help a non-verbal individual communicate their wants, needs, and thoughts. Financial and social consequences for using these devices is discussed.
Impossibility To Eliminate Observer Effect In The Assessment Of Adherence In Clinical Trials., Jonathan S. Myers, Scott J. Fudemberg, Robert E. Fintelmann, Lisa A. Hark, Nitasha Khanna, Benjamin E. Leiby, Michael Waisbourd
Impossibility To Eliminate Observer Effect In The Assessment Of Adherence In Clinical Trials., Jonathan S. Myers, Scott J. Fudemberg, Robert E. Fintelmann, Lisa A. Hark, Nitasha Khanna, Benjamin E. Leiby, Michael Waisbourd
Department of Pharmacology and Experimental Therapeutics Faculty Papers
PURPOSE: To utilize the Travoprost Dosing Aid (DA) in the assessment of patient medication adherence, while also determining whether or not altering the functionality of the DA in three randomized subject groups can reduce observer effect.
METHODS: Forty-five subjects were randomized into three groups: two with monitored DAs and one without monitoring. One group of subjects was given a DA that both monitored drop usage and had visual and audible alarms, while the other monitored group included subjects given a DA that had no alarms but continued to monitor drop usage. The third group was given a DA that had …
Impacts On Breastfeeding Practices Of At Scale Strategies That Combine Intensive Interpersonal Counseling, Mass Media, And Community Mobilization: Results Of Cluster Randomized Program Evaluations In Bangladesh And Viet Nam, Purnima Menon, Phuong Hong Nguyen, Kuntal Kumar Saha, Adiba Khaled, Andrew Kennedy, Lan Mai Tran, Tina Sanghvi, Nemat Hajeebhoy, Jean Baker, Silvia Alayon, Kaosar Afsana, Raisul Haque, Edward A. Frongillo Jr., Marie T. Ruel, Rahul Rawat
Impacts On Breastfeeding Practices Of At Scale Strategies That Combine Intensive Interpersonal Counseling, Mass Media, And Community Mobilization: Results Of Cluster Randomized Program Evaluations In Bangladesh And Viet Nam, Purnima Menon, Phuong Hong Nguyen, Kuntal Kumar Saha, Adiba Khaled, Andrew Kennedy, Lan Mai Tran, Tina Sanghvi, Nemat Hajeebhoy, Jean Baker, Silvia Alayon, Kaosar Afsana, Raisul Haque, Edward A. Frongillo Jr., Marie T. Ruel, Rahul Rawat
Faculty Publications
Background
Despite recommendations supporting optimal breastfeeding, the number of women practicing exclusive breastfeeding (EBF) remains low, and few interventions have demonstrated implementation and impact at scale. Alive & Thrive was implemented over a period of 6 y (2009–2014) and aimed to improve breastfeeding practices through intensified interpersonal counseling (IPC), mass media (MM), and community mobilization (CM) intervention components delivered at scale in the context of policy advocacy (PA) in Bangladesh and Viet Nam. In Bangladesh, IPC was delivered through a large non-governmental health program; in Viet Nam, it was integrated into government health facilities. This study evaluated the population-level impact …
Traversing The Triangulum: The Intersection Of Tobacco, Legalised Marijuana And Electronic Vaporisers In Denver, Colorado, Emily Anne Mcdonald, Lucy Popova, Pamela M. Ling
Traversing The Triangulum: The Intersection Of Tobacco, Legalised Marijuana And Electronic Vaporisers In Denver, Colorado, Emily Anne Mcdonald, Lucy Popova, Pamela M. Ling
Publications and Research
Objective: To explore the intersection of tobacco, legalised marijuana and electronic vaporiser use among young adults in the ‘natural laboratory’ of Colorado, the first state with legalised retail marijuana.
Methods: We conducted semistructured interviews with 32 young adults (18–26 years old) in Denver, Colorado, in 2015 to understand the beliefs and practices related to the use of tobacco, marijuana and vaporisers.
Results: We found ambiguity about whether the phrase ‘to smoke’ refers to the use of tobacco or marijuana products. Smoking marijuana blunts (emptied cigarillo or tobacco wrap filled with marijuana) was common, but few interpreted this as tobacco use. …
Déterminants Cliniques Et Neuromécaniques Du Développement De L'Incapacité Lombaire Chez Les Travailleurs, Martin Descarreaux, Vincent Cantin, Mathieu Piché, Jean-Daniel Dubois, Arnaud Lardon, Isabelle Pagé
Déterminants Cliniques Et Neuromécaniques Du Développement De L'Incapacité Lombaire Chez Les Travailleurs, Martin Descarreaux, Vincent Cantin, Mathieu Piché, Jean-Daniel Dubois, Arnaud Lardon, Isabelle Pagé
Rapports de recherche scientifique
Les blessures musculosquelettiques, et plus particulièrement les affections vertébrales, constituent le premier facteur responsable des incapacités fonctionnelles au Québec. Ce type de blessures ou de condition musculosquelettique réduit de façon importante l’espérance de vie en bonne santé des travailleurs, dont ceux qui sont plus âgés. Avec le vieillissement attendu de la main-d’œuvre québécoise, il est primordial d’améliorer les interventions cliniques dans ce secteur de la santé et de s’attarder aux travailleurs qui seront éventuellement appelés à prolonger la durée de leur participation active sur le marché du travail dans les prochaines décennies.
Au-delà de la simple lésion, …
Développement Et Application D’Une Approche Pour L’Évaluation De L’Exposition Des Travailleurs Agricoles Aux Pyréthrinoïdes, Michèle Bouchard, Mylène Ratelle, Jonathan Côté
Développement Et Application D’Une Approche Pour L’Évaluation De L’Exposition Des Travailleurs Agricoles Aux Pyréthrinoïdes, Michèle Bouchard, Mylène Ratelle, Jonathan Côté
Rapports de recherche scientifique
L’exposition aux pyréthrinoïdes est une préoccupation croissante en milieu de travail. Cette classe de pesticides est maintenant abondamment utilisée en agriculture dans toute une variété de cultures et tend à remplacer les insecticides organophosphorés. Bien qu’utilisés comme insecticides en raison de leur action neurotoxique, ils peuvent causer ces mêmes effets chez les humains. L’exposition à ces insecticides a aussi été reliée à des changements immunitaires et endocriniens. Les travailleurs peuvent être largement exposés aux pyréthrinoïdes lors d’épandage ou de travaux dans des zones traitées. Par contre, il n’est pas toujours évident de déterminer les …
Méthode D'Analyse Des Protéases De Type Subtilisine Et Évaluation Des Concentrations De L'Air Ambiant De Cinq Centres Hospitaliers, Geneviève Marchand, Yves Cloutier, Annie Castonguay, Carole Pépin, Rym Barafane, Jacques Lavoie, Nicolas Doucet, François Lépine
Méthode D'Analyse Des Protéases De Type Subtilisine Et Évaluation Des Concentrations De L'Air Ambiant De Cinq Centres Hospitaliers, Geneviève Marchand, Yves Cloutier, Annie Castonguay, Carole Pépin, Rym Barafane, Jacques Lavoie, Nicolas Doucet, François Lépine
Rapports de recherche scientifique
La subtilisine est une enzyme protéolytique présente dans une multitude d’utilisations industrielles; elle agit notamment comme dégraisseur dans les biofontaines et comme agent de préstérilisation en centres hospitaliers. Des réactions allergiques pulmonaires reliées à l’exposition aux enzymes protéolytiques que l’on retrouve dans les produits nettoyants ont été rapportées. Il est reconnu que l’exposition aux enzymes en milieu de travail cause des sensibilisations chez les travailleurs et peut induire de l’asthme. Le potentiel allergique de la subtilisine serait identique à celui des autres enzymes telles les amylases, les cellulases et les lipases. Sa valeur d’exposition …
Detrending Changes The Temporal Dynamics Of A Semantic Fluency Task, Steven Lenio, Frances M. Lissemore, Martha Sajatovic, Kathleen A. Smyth, Curtis Tatsuoka, Wojbor A. Woyczynski, Alan J. Lerner
Detrending Changes The Temporal Dynamics Of A Semantic Fluency Task, Steven Lenio, Frances M. Lissemore, Martha Sajatovic, Kathleen A. Smyth, Curtis Tatsuoka, Wojbor A. Woyczynski, Alan J. Lerner
Faculty Scholarship
Objective: To study the dynamics of clustering semantic fluency responses and switching between clusters. Methods: We conducted a cross-sectional study of participants (N = 60) in a study of patient reported outcomes who were given the Saint Louis University Mental Status test. Sixty-second animal naming tests were scored for the timing of responses as well as the clustering of responses into semantic categories. Time scores were detrended to correct for exponential exhaustion and normalize the time scale across individuals. Results: Grouped by number of responses given, low performers (LP; Carter et al., 2012) switched between clusters fewer times than medium …
P70s6k1 (S6k1)-Mediated Phosphorylation Regulates Phosphatidylinositol 4-Phosphate 5-Kinase Type I Γ Degradation And Cell Invasion, Naser Jafari, Qiaodan Zheng, Liqing Li, Wei Li, Lei Qi, Jianyong Xiao, Tianyan Gao, Cai Huang
P70s6k1 (S6k1)-Mediated Phosphorylation Regulates Phosphatidylinositol 4-Phosphate 5-Kinase Type I Γ Degradation And Cell Invasion, Naser Jafari, Qiaodan Zheng, Liqing Li, Wei Li, Lei Qi, Jianyong Xiao, Tianyan Gao, Cai Huang
Markey Cancer Center Faculty Publications
Phosphatidylinositol 4-phosphate 5-kinase type I γ (PIPKIγ90) ubiquitination and subsequent degradation regulate focal adhesion assembly, cell migration, and invasion. However, it is unknown how upstream signals control PIPKIγ90 ubiquitination or degradation. Here we show that p70S6K1 (S6K1), a downstream target of mechanistic target of rapamycin (mTOR), phosphorylates PIPKIγ90 at Thr-553 and Ser-555 and that S6K1-mediated PIPKIγ90 phosphorylation is essential for cell migration and invasion. Moreover, PIPKIγ90 phosphorylation is required for the development of focal adhesions and invadopodia, key machineries for cell migration and invasion. Surprisingly, substitution of Thr-553 and Ser-555 …
Chromatin Proteins And Rna Are Associated With Dna During All Phases Of Mitosis., Kathryn L Black, Svetlana Petruk, Tyler K Fenstermaker, Jacob W Hodgson, Jeffrey L Caplan, Hugh W Brock, Alexander Mazo
Chromatin Proteins And Rna Are Associated With Dna During All Phases Of Mitosis., Kathryn L Black, Svetlana Petruk, Tyler K Fenstermaker, Jacob W Hodgson, Jeffrey L Caplan, Hugh W Brock, Alexander Mazo
Department of Biochemistry and Molecular Biology Faculty Papers
Mitosis brings about major changes to chromosome and nuclear structure. We used recently developed proximity ligation assay-based techniques to investigate the association with DNA of chromatin-associated proteins and RNAs in Drosophila embryos during mitosis. All groups of tested proteins, histone-modifying and chromatin-remodeling proteins and methylated histones remained in close proximity to DNA during all phases of mitosis. We also found that RNA transcripts are associated with DNA during all stages of mitosis. Reduction of H3K27me3 levels or elimination of RNAs had no effect on the association of the components of PcG and TrxG complexes to DNA. Using a combination of …
Single-Cell Transcriptional Analysis Reveals Novel Neuronal Phenotypes And Interaction Networks Involved In The Central Circadian Clock., James Park, Haisun Zhu, Sean O'Sullivan, Babatunde A Ogunnaike, David R Weaver, James S. Schwaber, Rajanikanth Vadigepalli
Single-Cell Transcriptional Analysis Reveals Novel Neuronal Phenotypes And Interaction Networks Involved In The Central Circadian Clock., James Park, Haisun Zhu, Sean O'Sullivan, Babatunde A Ogunnaike, David R Weaver, James S. Schwaber, Rajanikanth Vadigepalli
Department of Pathology, Anatomy, and Cell Biology Faculty Papers
Single-cell heterogeneity confounds efforts to understand how a population of cells organizes into cellular networks that underlie tissue-level function. This complexity is prominent in the mammalian suprachiasmatic nucleus (SCN). Here, individual neurons exhibit a remarkable amount of asynchronous behavior and transcriptional heterogeneity. However, SCN neurons are able to generate precisely coordinated synaptic and molecular outputs that synchronize the body to a common circadian cycle by organizing into cellular networks. To understand this emergent cellular network property, it is important to reconcile single-neuron heterogeneity with network organization. In light of recent studies suggesting that transcriptionally heterogeneous cells organize into distinct cellular …
Why Medical Students Choose Rural Clinical Campuses For Training: A Report From Two Campuses At Opposite Ends Of The Commonwealth, William Crump, Anthony D. Weaver, R. Steve Fricker, Alllison M. Crump
Why Medical Students Choose Rural Clinical Campuses For Training: A Report From Two Campuses At Opposite Ends Of The Commonwealth, William Crump, Anthony D. Weaver, R. Steve Fricker, Alllison M. Crump
Marshall Journal of Medicine
Introduction
Although US medical schools have increased their enrollment by about 30%, most of the increase has occurred in urban areas. The affinity model proposes that rural training of a rural student will more likely result in a rural physician, but the exact role of these rural campuses is unclear. Do they solidify and reinforce a pre-existing career plan, do they create social and marital ties that make the transition to rural medicine easier, or could they be replaced with a briefer and more efficient rural rotation? We administered a questionnaire to students attending two different two year rural clinical …
Lamina Spreader Technique Improves Debridement Of Loose Bone And Cement In Total Knee Arthroplasty, Sinan E. Ozgur, Ali Oliashirazi, Grant S. Buchanan, Franklin D. Shuler
Lamina Spreader Technique Improves Debridement Of Loose Bone And Cement In Total Knee Arthroplasty, Sinan E. Ozgur, Ali Oliashirazi, Grant S. Buchanan, Franklin D. Shuler
Marshall Journal of Medicine
Abstract
Loose bone and cement can promote polyethylene wear that may lead to failure in total knee arthroplasty. The authors propose a technique to enhance the debridement of loose bodies by distracting the cemented components with a lamina spreader following standard debridement with pulsatile lavage. Cement and bone/soft tissue debris was recovered from 51 consecutive primary total knee arthroplasty patients. This technique facilitated the removal of hidden debris in 80% of patients (41/51). On average, 2.6 fragments measuring 158 mm3 were removed per patient. The authors advocate that distraction with a lamina spreader be used to reduce potential sources …
Medicine Outside The Clinic: The Growing Need For Physicians In Sexual Education Policy, Zachary Sanford
Medicine Outside The Clinic: The Growing Need For Physicians In Sexual Education Policy, Zachary Sanford
Marshall Journal of Medicine
Sex and sexuality are both topics of immense social and personal importance, owing their openness or constraint in large part to the society in which they are discussed. In homogenous groups it may be possible to reach firm consensus on what is, or is not, appropriate to consider a sexual norm and use an overarching set of religious or spiritual morals to reaffirm this decision. However, in western society and specifically in the United States, a theme of integration and amalgamation of wildly different cultures has presented an interesting case study in searching for common ground on basic social issues. …
Acute Limb Ischemia Due To A Fractured Superficial Femoral Artery Stent, Alaa Gabi, Ahmed Amro, Haytham Aljoudi, Faisal Hayat, Rameez Sayyed
Acute Limb Ischemia Due To A Fractured Superficial Femoral Artery Stent, Alaa Gabi, Ahmed Amro, Haytham Aljoudi, Faisal Hayat, Rameez Sayyed
Marshall Journal of Medicine
Peripheral Vascular Disease (PVD) is a rapidly growing and recognized disease of the peripheral circulation. Its presentation can vary between asymptomatic state, exercise limiting limb pain, limb loss and even death. Advances have been achieved in the treatment of PVD specially in the field of interventional cardiovascular medicine. Different devices and techniques are used in the treatment of peripheral atherosclerotic disease, which has lowered the need for bypass surgery. Although invasive peripheral intervention has a low rate of complications, there are still well recognized acute and chronic complications that an operator should be aware of. We present an interesting case …
Technique To Improve Cement Penetration In Total Knee Arthroplasty, Richard Boe Jr, Ali Oliashirazi
Technique To Improve Cement Penetration In Total Knee Arthroplasty, Richard Boe Jr, Ali Oliashirazi
Marshall Journal of Medicine
In total knee arthroplasty, infection has always been cited as being the number one cause of failure. However, more recent studies have shown aseptic loosening as the top reason for failure now. Proper cement technique is an important factor in reducing the occurrence of aseptic loosening. Clean and dried bone are important in achieving rigid cement fixation. Subchondral cysts may be hidden below the cut bone surface and may interfere with cement interdigitation. During a recent total knee arthroplasty case, a simple technique was developed for identifying and clearing out these cysts. By only using the suction tip, the gentle …
An Unusual Case Of Escherichia Coli Meningitis And Bacteremia In An Elderly Woman Presenting With Intractable Low Back Pain, Andrea M. Lauffer, Mahmoud Shorman, Carl Mccomas
An Unusual Case Of Escherichia Coli Meningitis And Bacteremia In An Elderly Woman Presenting With Intractable Low Back Pain, Andrea M. Lauffer, Mahmoud Shorman, Carl Mccomas
Marshall Journal of Medicine
Abstract
Introduction:
We report an unusual case of E. coli meningitis in an elderly woman who presented to the emergency room with a chief complaint of intractable low back pain.
Case Description:
A 67 year old woman presented to the emergency room for a chief complaint of intractable low back pain. After admission, the patient developed delirium. Blood cultures were drawn. Patient underwent a lumbar puncture which revealed purulent cerebrospinal fluid. Results of the cerebrospinal fluid and blood cultures revealed pan-sensitive E. coli.
Conclusion:
In the geriatric population, delayed presentation of meningitis can occur for various reasons. With the older …
When It Isn’T Always Lyme: Expanding The Differential Diagnosis For Acute-Onset Polyarthralgia In The West Virginia Eastern Panhandle, Natalie A. Moffett, Rosemarie Lorenzetti
When It Isn’T Always Lyme: Expanding The Differential Diagnosis For Acute-Onset Polyarthralgia In The West Virginia Eastern Panhandle, Natalie A. Moffett, Rosemarie Lorenzetti
Marshall Journal of Medicine
This case presentation discusses a 36 year-old female animal care worker presenting with an acute-onset polyarthropathy during the summer months in a Lyme endemic region. Though she appeared to be a good candidate for the diagnosis of Lyme borreliosis, her screening serology reported negative results and alternative diagnoses were considered. Her subsequent diagnosis with parvovirus B19 acts to remind the general practitioner to have confidence in the accuracy of a negative Lyme screen and, upon negative result, to expand the differential to include less common infections including parvovirus B19. It also highlights the need to remember parvovirus B19 in a …