Medicine and Health Sciences Commons^™

A Holistic Systems Approach To Characterize The Impact Of Chronic Midazolam Exposure On Neurodevelopment And Behavior, Mackenzie S. Laurila, Nghi M. Nguyen, Kunal Sualy, Gurudutt Pendyala

Graduate Medical Education Research Journal

No abstract provided.

Neuropsychological Predictors Of Surgical Outcomes In Medically Refractory Epilepsy, Erin Dennis, William Garvey, Kaeli K. Samson, Matthew Garlinghouse, Proleta Datta

Graduate Medical Education Research Journal

No abstract provided.

Notification Of High-Risk Opiate Prescriptions Reduces Dangerous Practices, A. Beck, W. Zeger, C. Johnson, K. Baack, H. Nichols

Graduate Medical Education Research Journal

No abstract provided.

A Unique Mode Of Failure In The Non-Contact Bridging Periprosthetic Plating System, Erin L. Stockwell, Matthew Mormino, Justin C. Siebler

Graduate Medical Education Research Journal

No abstract provided.

Just When You Thought You Broke Your Foot, Ben Noble, T. Jason Meredith

Graduate Medical Education Research Journal

No abstract provided.

Retro Pharyngeal Abscess And Pott's Disease Due To Tuberculosis: A Case Report, Bailey N. Hassman, Steven Curry, Jonathan H. Ryder, Angela L. Hewlett, Jayme Dowdall

Graduate Medical Education Research Journal

No abstract provided.

Intravascular B-Cell Lymphoma Presenting As Cortical Venous Thrombosis, Praveen Hariharan, Mridula Krishnan, Timothy Greiner, Catalina Amador, Marco Gonzalez-Castellon

Graduate Medical Education Research Journal

No abstract provided.

Cellular Dermatofibromas: Getting It Right The First Time, Tyler Evans, Erica B. Lee, Adam V. Sutton

Graduate Medical Education Research Journal

No abstract provided.

Guillain Barre Syndrome As A Complication Of Covid-19: A Systematic Review, Mohammad Aladawi, Mohamed Elfil, Baha Abu-Esheh, Deaa Abu Jazar, Ahmad Armouti, Ahmed Bayoumi, Ezequiel Piccione

Graduate Medical Education Research Journal

No abstract provided.

The Isolated Fibular Fracture: Successful Outcomes With Non-Operative, Immediate Weight Bearing Despite Stress Positive Radiographs, Phillip Thomas, Leonid Grossman, Sara Putnam, Justin C. Siebler, Elizabeth Lyden, Matthew Mormino

Graduate Medical Education Research Journal

No abstract provided.

Pediatric Orthopaedic Trauma: What Defines "Pediatric?", Erin L. Stockwell, Susan A. Scherl, Maegen Wallace, Matthew A. Halanski, Brian P. Hasley

Graduate Medical Education Research Journal

No abstract provided.

Newsworthiness Of Neurological Research, Isha Snehal, Appaji Rayi, Vineet Punia

Graduate Medical Education Research Journal

No abstract provided.

Patterns Of Opiate Prescription Practices In Isolated Operative Ankle Fractures: Creating Guidelines, David J. Kusin, Ryan E. Miller, Zachary Bailey, Erin L. Stockwell, Emily A. Boes, Colton Roessner, Kaeli K. Samson, Sara Putnam, Alexander Sawatzke, Justin C. Siebler, Matthew Mormino

Graduate Medical Education Research Journal

No abstract provided.

The Effect And Utility Of Emergency Medicine Residency Orientation, Nicholas Jobeun, Chad Branecki, Elizabeth Lyden, Aaron Barksdale

Graduate Medical Education Research Journal

No abstract provided.

The Prognostic Significance Of Androgen Receptor Expression In Malignant Gliomas, Ming-Yang Hung, Nan Zhou, Chi Zhang

Graduate Medical Education Research Journal

No abstract provided.

Risk Factors For Mortality Among Patients With Gout In The Veteran's Health Administration, Lindsay Helget, Bryant England, Punyasha Roul, Harlan Sayles, Alison D. Petro, Ted R. Mikuls

Graduate Medical Education Research Journal

No abstract provided.

Seropositive Pediatric Autoimmune Encephalitis: A Single Center Experience, Praveen Hariharan, Daniel A. Crespo Artunduaga, Geetanjali Rathore

Graduate Medical Education Research Journal

No abstract provided.

Anti-Neurofascin Antibody Associated Disease: A Case Series, Navnika Gupta, Afsaneh Shirani, Elizabeth Hartman, Lakshman Arcot, Rana Zabad

Graduate Medical Education Research Journal

No abstract provided.

Mycobacterium Avium Pulmonary Infection Disguised As A Urinary Tract Infection, Megan Rolfzen, Allison Ashford

Graduate Medical Education Research Journal

In the United States, Mycobacterium avium complex (MAC) has been found to be the most common isolate in non-tuberculous disease, and pulmonary infection is the most frequent presentation. It is ubiquitous in the environment, particularly in soil and manufactured water supply sources. Worldwide, M. avium infections, both pulmonary and disseminated, are steadily increasing. Due to MAC’s ability to cause non-specific symptoms and its pervasiveness within the environment, it is paramount to incorporate this diagnosis in the differential, especially in those most susceptible. We report a case of a Mycobacterium avium complex pulmonary infection in 72-year-old Caucasian male with history of …

Coronary Artery Bypass Grafting In A Patient With Hemophilia A, Haiying Liu, Alyssa Green, Nicholas Markin

Graduate Medical Education Research Journal

With advances in care, the median age for the mild-moderate hemophilic patients have almost reached parity with the general population. However, they have a much higher rate of cardiovascular disease than their peers. The authors here present a successful case of a patient with mild hemophilia undergoing coronary artery bypass grafting (CABG) and summarize the recommendations surrounding the management of hemophilia in the perioperative setting.

Vv Ecmo For Treatment Of Severe Ards In Covid-19 Patients At Unmc, Cale J. Ewald, Levi Zehr, Shaun L. Thompson

Graduate Medical Education Research Journal

Abstract

Introduction: Veno-venous extracorporeal membrane oxygenation (VV ECMO) is an indicated treatment for severe acute respiratory distress syndrome (ARDS) refractory to conventional medical treatment. Severe ARDS is a common complication of CoVID-19 infection. Subsequently, the efficacy of VV ECMO in CoVID-19 severe ARDS patients must be investigated. ECMO is a resource-intensive treatment modality, meaning that its use must be reserved for patients with robust indications and paucity of contraindications.

Methods: We performed retrospective chart review of three patients at the University of Nebraska Medical Center that were placed on VV ECMO secondary to severe ARDS from CoVID-19 infection.

Results: All …

Chronic Invasive Fungal Sinusitis Due To Scedosporium Apiospermum Causing Orbital Apex Syndrome, Dallin N. Christensen, Christie Barnes, Matthew Miller

Graduate Medical Education Research Journal

Abstract

Introduction:

Chronic invasive fungal sinusitis (CIFS) is defined as fungal invasion of the sinonasal submucosa for greater than 12 weeks. Common causes are dematiaceous molds followed by Aspergillus species, but can rarely be caused by other pathogens

Case:

A 71-year-old immunocompetent male presented with orbital apex syndrome found to be due to chronic invasive fungal sinusitis caused by Scedosporium apiospermum. After surgical debridement and appropriate systemic antifungal therapy, he made a near full recovery.

Discussion:

Scedosporium apiospermum is an emerging pathogen and a rare cause of chronic invasive fungal sinusitis. The diagnostic and treatment dilemmas involved with …

Thoracoscopic Left Atrial Appendage Ligation Complicated By Persistent Left Superior Vena Cava, Rebecca A. Aron, Maria Decastro, Kristina L. Koch, Kenneth Neff, Tyler Gouvea

Graduate Medical Education Research Journal

We herein report a 64 year-old male who had an incidental finding of a persistent left superior vena cava (SVC) revealed by intraoperative transesophageal echocardiography (TEE) during a Maze procedure with left atrial appendage ligation. During the intraoperative TEE, an incidental dilated coronary sinus > 1.1 cm was noted which prompted further evaluation and aided in our ultimate diagnosis. Consequently, significant additional surgical dissection and manipulation were required to isolate the left upper pulmonary vein. This case report reviews the anatomy and embryology of a persistent left SVC, discusses its clinical implications, and identifies surgical considerations for treatment.

Does Full Transfixion Incision Decrease Tip Projection In Endonasal Septoplasty With Spreader Grafts?, William Wesley Heckman Md, Tyler Bliss Md, Sarah Schmoker Md, Katie Geelan-Hansen Md

Graduate Medical Education Research Journal

The classic teaching is that full transfixion incision decreases nasal tip projection by disrupting the attachment of the medial crura to the caudal septum. A significant decrease in tip projection after endonasal septoplasty with spreader grafts through a full transfixion incision has not been identified at our institution. A retrospective cohort study was performed at our institution. Inclusion criteria consisted of patients undergoing endonasal septoplasty with spreader graft placement and available preoperative and one-year postoperative photos. Patients who had undergone an open approach, cosmetic rhinoplasty, had intercartilaginous incisions, or other procedures to affect tip projection were excluded. A query identified …

The Role Of Photography In Increasing Efficiency Of Dermatologic Inpatient Consulting Service, Ritu Swali, Tyler D. Evans, Dillon Clarey, Corey Georgesen, Ashley Wysong

Graduate Medical Education Research Journal

Abstract

Introduction:

Inpatient dermatology consultations can bring a mixed bag of pathologies. Due to the highly specialized nature of dermatology and the lack of dermatologic training in medical school, the dermatologic team is consulted for matters that range from non-urgent to pressing. Pictures are a critical component of dermatology and greatly aid in the diagnosis of cutaneous diseases. In the inpatient setting, pictures can help streamline diagnosis and prevent unnecessary tests or procedures. The purpose of this study was to evaluate for the presence of pictures in patients’ chart after a dermatology consult had been placed through EPIC at the …

Experience Treating Electrical Storm Using An Ultrasound Guided Stellate Ganglion Blockade, Thomas A. Nicholas Iv, Levi Zehr, Han-Jun Wang, Daniel R. Anderson, Steven J. Lisco

Graduate Medical Education Research Journal

Introduction: Electrical storm is a life-threatening condition in an often medically complex patient population. Pharmacologic ultrasound-guided stellate ganglion blockade is a treatment option in combination with maximized systemic antiarrhythmic medications. There is an emerging body of case reports supporting stellate ganglion block efficacy and safety for this condition.

Methods: Retrospective study on ultrasound-guided stellate ganglion blocks for electrical storm investigating patient clinical characteristics, immediate and long-term outcomes, and procedure related complications.

Results: Four (75% men) critically ill patients maximized on standard antiarrhythmic therapy underwent six bedside ultrasound-guided stellate ganglion block procedures. All blocks were unilateral left-sided, two patients underwent repeat …

The Advantages Of A Rural Resident Rotation In Otolaryngology Training: Comparing Surgical Case Volumes Of A Rural Rotation With A University Rotation, Mark Miller, Paul J. Brosnihan, Christie Barnes, Jayme Dowdall

Graduate Medical Education Research Journal

Objective: Rural residency rotations have played a significant role in encouraging surgical residents to pursue a career in a rural community. This study reviews the resident caseload of an otolaryngology residency rural rotation in comparison with a traditional primary university-based urban location.

Methods: The Accreditation Council for Graduate Medical Education (ACGME) case log system was used to review cases logged by residents during their rural rotations from July 2017 to December 2018. Case log data were compared with a matched resident of similar training experience on the university service during the same time period.

Results: Rural residents reported more cases …

Postoperative Outcomes Of Hip Fracture Surgery In Geriatric Patients On Clopidogrel Or Warfarin At The Time Of Surgery, Josh Locker, Elizabeth Lyden, Justin Siebler

Graduate Medical Education Research Journal

BACKGROUND: The purpose of our study is to evaluate if surgical intervention in the setting of an elevated INR or continued use of clopidogrel lead to elevated post-operative mortality and/or morbidity compared to INR reversal or surgical delay.

METHODS: We retrospectively reviewed 1,007 patients age > 55 undergoing hip fracture fixation at our institution over a 10 year span. We placed patients into four groups based upon their anticoagulation status at the time of surgery. Descriptive statistics were utilized to evaluate for differences in mortality rates, blood loss, time to surgery, and wound complications.

RESULTS: Comorbid conditions occurred at a higher …

Alcohol Consumption Is Associated With Increased Cea Levels In Male Patients With Stage Iv Colorectal Cancer- A Single-Institution Retrospective Analysis, Lauren M. Keim, Alexander W. Praus, Walter S. Campbell, Kaeli K. Samson, Ashley M. Mohr, Martin Tobi, Benita L. Mcvicker

Graduate Medical Education Research Journal

Introduction: Alcohol use is an independent risk factor for liver metastasis, a major cause of morbidity and mortality in colorectal cancer (CRC) patients. Serum CEA level is an established prognostic indicator in CRC, yet the correlation with behavioral factors such as alcohol use remains to be defined. In a single-center review, we evaluated alcohol use, gender, and CEA levels in predicting advanced disease in CRC patients.

Methods: Retrospective analysis of UNMC patients diagnosed with CRC as the primary cancer between 2012-2019, stages I-IV, and age >19 with documentation of alcohol use. Univariable statistics were performed using Chi-Square and non-parametric tests. …

2021-10-04_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

Contains the tables Statewide Hospital Capacity Report for COVID-19, COVID-19 Metrics, Statewide Hospital Available PPE Tracking for COVID-19, as well as the tables PPE Days On Hand and Patient Census.