Medicine and Health Sciences Commons^™

A Rare Case Of Fetal Digynic Triploidy Additionally Complicated By Mid Trimester Superimposed Preeclampsia, Claire Mccarthy, Bailey Brown, Amanda Royek, Cameron Soriano

South Atlantic Division GME Research Day 2024

No abstract provided.

Increased Confidence And Knowledge Of Long-Acting Injectable Antipsychotics In Nursing, Improving The Timeliness To Intervention, Barbara Gracious, Marc Macaluso, Haryashpal Bhullar

South Atlantic Division GME Research Day 2024

No abstract provided.

Non-Commercial Ultrasound Transmission Gels: A Scoping Review, Edward Hu, Justin Le, Janae Fry, Taryn Hoffman, Martin Wegman

South Atlantic Division GME Research Day 2024

No abstract provided.

A Rare Case Of Epithelioid Hemangioendothelioma In A Teenager, Layal Antoury, Sarah Ferrer Bruker, Karthik Krishnamurthy

South Atlantic Division GME Research Day 2024

No abstract provided.

Post-Mastectomy Resconstruction And Disparities Amongst Race During The Covid Pandemic (Pradar): A Retrospective Analysis, Jamie L. Bolden, Robyn Meadows, D Scott Lind, Noaman Ali

South Atlantic Division GME Research Day 2024

No abstract provided.

Improving Depression Screening In Primary Care By Implementing A Systematic Annual Screening Protocol: A Quality Improvement Initiative, Trang Nguyen, Ian Whitaker, Danny Tran, Aidan Lum Kong, Nan Crossley

South Atlantic Division GME Research Day 2024

No abstract provided.

2-Methyl-2-Butanol (2m2b) Ingestion Related Toxicity, Elizabeth Diaz, Darshan B. Bhatty, Ngoc Vu, Sathish Karmegam

North Texas GME Research Forum 2024

2-methyl-2-butanol known as Tert-amyl alcohol (TAA) was previously used in the past for its hypnotic, anticonvulsant, and sedative properties.1 Both ethanol and 2M2B stimulate GABA-A receptors causing similar CNS effects.1 Animal studies have shown that toxicity is greater than 2-pentanol, 3-methyl-1-butanol, and ethanol1. 2M2B is replacing ethanol due to its low cost per dose, high potency, and does not produce a hangover as it is not metabolized to aldehydes.1 This case report describes the clinical course of a patient after intoxication with 2M2B and bringing awareness as it is difficult to confirm diagnosis since there are no specific clinical features …

Multidisciplinary Simulation-Based Trauma Education For General Surgery Interns, Jennifer Austin, April Miller, Jeremiah Avarana, Alicia Lay

North Texas GME Research Forum 2024

Introduction: According to the American Society of Gastroenterology Endoscopy (ASGE), choledocholithiasis is defined as the presence of gallstones in biliary tree. Choledocholithiasis is concomitantly present in approximately 1 to 10 percent of patients with cholelithiasis. Choledocholithiasis can be described as small <15 >mm, large >15 mm, and difficult due to anatomic location, impaction, or unusual hardness/ shape. Choledocholithiasis is managed endoscopically with large balloon papillary dilation, cholangioscopy-guided intraductal laser and electrohydraulic lithotripsy (EHL), and escalation to laparoscopic common bile duct exploration, if endoscopic procedures fail. Thus far, there are sparse studies that show the requirement of choledochotomy in large and …

Case Report: Unilateral Internuclear Ophthalmoplegia As First Manifestation In Multiple Sclerosis, Imaad Zaman, Tyler Adame, Steven Do, Kien Nham, Azeem Muhammad

North Texas GME Research Forum 2024

Multiple Sclerosis is an inflammatory disorder of the central nervous system secondary to myelin degeneration. The disease is mediated by reactive lymphocytes where the spinal cord, brain and optic nerves are attacked. Diagnosis of MS is made clinically and confirmed via MRI with T2 hyperintensities. On presentation, a 26-year-old female with no significant past medical history presented with frequent headaches and blurry vision. There was right eye nystagmus on L lateral gaze with CN III deficits with absent medial rotation. MRI Head presented with a classic presentation of T2 hyperintensities in the subcortical and deep white matter. Further confirmed with …

Early Implementation Of Chf Orders And Physician Education​, Qazi Haider, Tapannita Padhi, Hunter Thornberg, Barry Brown, Alexandra Villacres, Justin Roy P. Sanchez, Ashley Henderson

North Texas GME Research Forum 2024

Each year, 700,000 patients are hospitalized with acute decompensated congestive heart failure. In order to effectively treat these patients, they require delicate management of volume status. Measuring volume status incorporates the following components: recording strict inputs and outputs of urine/fluids, recording daily standing weights and fluid restriction. This project focused on recording daily weights as a measure of accurate volume status and how that affected length of hospital stay. Data will be gathered by patient chart review including patient's admitted from Jan 2023 -Jan 2024 at Medical City Weatherford admitted with a primary/admitting diagnosis of congestive heart failure. Using PDSA …

Increasing Online Reviews And New Patients In Clinic With Qr Codes, Tristan Fun, Danielle Ford

North Texas GME Research Forum 2024

Introduction: Patient census at the Medical City Internal Medicine Grand Prairie clinic has been lower comparatively to other HCA Healthcare clinics. Although the cause can be multifaceted, the clinic’s online presence (e.g. Google Maps) is minimal. One initial issue with the clinic’s online presence was the lack of reviews on the Google page for the clinic. One way to increase online reviews is to provide Quick Response (QR) codes in the clinic for patients to scan on their smartphone. The goal of this project is to increase the number of Google reviews for the clinic through QR codes to at …

Osteopathic Manipulative Treatment (Omt) Utilization In The Primary Care Setting, Ceferino Cruz, Afsha Rais

North Texas GME Research Forum 2024

INTRODUCTION: Osteopathic Manipulative Treatment (OMT) is a skillset used to help diagnose and treat patients with a wide range of musculoskeletal complaints and can also be used as adjunctive treatment modalities for other organ systems. The project is designed to increase OMT usage across 3 clinical sites in our residency program to improve the quality of care provided to our patients. OBJECTIVES: Integrate OMT review into longitudinal clinical education. Address the shortage of faculty members that can precept OMT across all three sites. METHODS: The metrics being tracked are various OMT CPT codes ranging from 98925 to 98929 …

A Case Report And Evaluation Of Intrauterine Gas Of Unknown Origin, Chrystal Stallworth, Diane Gilbertson, Timothy Kremer

North Texas GME Research Forum 2024

Introduction: Most reports of intrauterine or endometrial gas have been reported in the setting of underlying gynecologic malignancy or infection. The significance of this case report is to give a presentation of a patient presenting with intrauterine gas who subsequently was found to have neither infectious nor malignant cause for such finding. Case Presentation: Patient is a 56 year old postmenopausal female who presenting with “hip pain” and was found to have incidental intrauterine gas on pelvic CT. She underwent in office and outpatient hysteroscopies with resection of a submucosal fibroid. Her final pathology was returned as benign and …

Type Ii Diabetes And Keto Diet In Family Medicine Clinic: A Case Report, Dante Paredes, Karos Torres, Joshua Moton

North Texas GME Research Forum 2024

The management of patients with high cardiac risk profiles who require insulin therapy for diabetes can be challenging due to the potential adverse effects of insulin on cardiovascular health. In order to achieve remission of type 2 diabetes mellitus (T2DM) and discontinue the need for insulin, weight loss has long been recognized as a valuable approach. The goal for this case was to implement dietary and lifestyle changes in a safe and efficient manner to induce remission of T2DM, without increasing the sympathetic load often associated with fully dosed ketogenic and other fasting strategies. This case report highlights the successful …

Heart Of Medicine: Simulation To Educate Pre-Clinical Med Students In Basic Life Support (Bls) And Advanced Cardiac Life Support (Acls), Taylor Cesarz, Rachel Shi, Adrien Thokalath, Madison Morris, Shayne Gue, Noe Navarro, Rebecca Beiler, Stephanie Cohen

North Florida Division GME Research Day 2024

No abstract provided.

An Open Source Guide To Off Service Rotations May Enhance Intern Learning And Wellbeing, Thomas Alterman, Michael Cho, Emily Macauley, Rohan Wanchu, Brian Tan, Morgan Killian, Farah Khan

North Florida Division GME Research Day 2024

No abstract provided.

Comparing The Ppv Of At-Home Screening Tests With Chronic Anticoagulant And/Or Antiplatelet Therapies, Bradley Gustafson, Nasima Mehraban, Amjad Awan, Michele Mccarroll

North Texas GME Research Forum 2024

BACKGROUND: With the rising incidence and mortality of colorectal cancer (CRC), early diagnosis and treatment is imperative. At-home CRC screening kits are a non-invasive Federal Drug Association (FDA) approved designed to detects either hemoglobin or DNA markers associated for CRC and high-grade polyps. Therefore, therapies that have a propensity to increase rates of gastrointestinal bleeding could theoretically lead to higher false positive rates. The goal of this study was to determine the positive predictive value of at-home screening tests when applied to patients on therapies such as antiplatelet, anticoagulant, non-steroidal anti-inflammatory (NSAID), or a combination of the three. METHODS: The …

Ascending Paralysis: A Case Of West Nile Virus, Samantha Rudy, Claire Levinson, Lauren Gilbert, Michaela Snow, Robyn Kramer

Continental, MidAmerica, & Mountain Divisions GME Research Day 2024

No abstract provided.

Wernicke Encephalopathy: Not Always Alcohol’S Fault, Joseph Hendrickson, Ryan Spilman

Continental, MidAmerica, & Mountain Divisions GME Research Day 2024

No abstract provided.

Mcardle Disease Rhabdomyolysis Precipitated By Acetazolamide For Idiopathic Intracranial Hypertension, Shahin Cyrus Owji, Vivian Paraskevi Douglas, Mohammad Pakravan, Chaow Charoenkijkajorn, Andrew G. Lee

Gulf Coast Division GME Research Symposium 2024

No abstract provided.

Clinical Outcomes Following Interventions By Different Modalities Of Percutaneous Coronary Intervention (Pci): An Updated Systematic Review And Network Meta-Analysis, Hamza Naveed, Mary Adnan, Mohammad Hamza, Mahboob Alam

Gulf Coast Division GME Research Symposium 2024

No abstract provided.

Donut Hole Summer 2024, Medicare Donations & Design Committee

Donut Hole Newsletter

No abstract provided.

The Use Of Virtual Reality For Parkinson’S Disease Rehabilitation: A Scoping Review, Rachel E. Surridge, Curt C. Stilp, Christen Johnson, J. Brumitt

Doctor of Medical Science (DMSc)

Parkinson’s disease is a progressive neurodegenerative disorder that impairs patient’s motor function. With limited treatments available, physical therapy-based exercise has become the rehabilitation measure of choice. There has been growing interest in using virtual reality gaming for motor rehabilitation in patients with various acute brain injuries and neurological disorders, but little has been explored in implementing these techniques in patients with Parkinson’s disease. The aim of this scoping review was to examine existing randomized controlled trials comparing virtual reality and traditional physical therapy in gait and balance outcomes, and to see if there are additional benefits that virtual reality may …

Mentoring The Mentors: Investigating The Effect Of A Training Workshop On Faculty Competency, Carlos Jacob Bonnafoux, Aleezay Haider, Renee Pepin, Ming Li Wang, Baila Maqbool

Surgical Education

Structured training initiatives can increase faculty self-confidence in their mentoring skills. An interactive single-session mentoring workshop can be a cost-effective and feasible method to develop fundamental mentoring skills.

The Periodontal Puzzle: Piecing Together The Lupus Connection With Oral Health, Paige Carpenter, Carrie Grace, Tasia Halliday

Dental Hygiene Student Research Posters

The connection of periodontal disease and systemic erythematous lupus connects a multitude of inflammation symptoms. The body is plagued with consistent states of inflammation due to the autoimmune defense against the body's healthy tissues. This coincides with the inflammatory response produced by periodontal diseases. Studies indicate a strong correlation between the presence of periodontal disease in individuals suffering from SLE. Those with lupus are more likely to also have a greater incidence of oral characteristics that contribute to periodontal disease. Individuals with SLE have an increased risk of developing periodontal diseases and associated characteristics; however, those suffering from said oral …

The Shortage Of Primary Care Physicians In The United States, Its Impact On Health Outcomes, And Rationale For Potential Solutions, Jacob Mardovin, Graham Kessler

Scholarship in Medicine - All Papers

Purpose: In the United States there is a growing shortage of primary care physicians that has the potential to negatively impact health outcomes of the general population. In this study, we aim to explore this potential impact by investigating the relationship between the primary care physician to patient ratio, a representation of the shortage, and various health outcomes. Methods: The data for this study was collected from County Health Rankings and the variables included were the primary care physician to patient ratio, several health outcome variables looking at both length and quality of life, and the other primary care provider …

Small Airway-On-A-Chip Enables Analysis Of Human Lung Inflammation And Drug Responses In Vitro, Christina A. Fernandez

VCU's Medical Journal Club: The Work of Future Health Professionals

This presentation focuses on the development of the Small Airway-on-a-Chip, a microfluidic device meant to serve as a more accurate, human-relevant research model for lung inflammation-focused pharmaceutical testing, as described in Small Airway-on-a-Chip Enables Analysis of Human Lung Inflammation and Drug Responses in Vitro by Benam et al. Currently, there is no way to study organ-level complexities of human lung inflammation outside of the clinical setting. However, the human lung Small Airway-on-a-Chip demonstrated the ability to reconstitute a functional unit of the lung as well as model asthma, lung inflammation, and Chronic Obstructive Pulmonary Disease (COPD), suggesting that the device …

Doxazosin Immediate Release As A Novel Treatment For Nightmares In Posttraumatic Stress Disorder., Danyaal Khan, Christie Richardson, Martin Forsberg

Rowan-Virtua School of Osteopathic Medicine Departmental Research

Nightmares and flashbacks are common debilitating symptoms of posttraumatic stress disorder (PTSD) that can disrupt daily functioning. Prazosin, an alpha-1 adrenergic antagonist, has been commonly used off-label for the treatment of these intrusion symptoms, although its short half-life makes it so that often multiple doses are needed. Doxazosin, another alpha-1 antagonist, is starting to be investigated in the treatment of PTSD-related nightmares due to its lesser side effect profile and longer half-life. In our case series, we present three cases of patients with PTSD-related nightmares who were successfully treated with doxazosin following a relapse of symptoms after discontinuation of prazosin …

Adolescent Mental Health In The Twenty-First Century, Arthur Maerlander, Patricia Gail Bray

Center for Brain, Biology, and Behavior: Faculty Publications

Conclusion

Parents do not suddenly relinquish medical decision-making to their children and are a vital part of a process construed within the framework of consent and confidentiality laws. In the transition period from childhood to adulthood, adolescents develop unique healthcare needs and concerns at the very time they are gaining autonomy from their parents. Adolescents progress from being recipients of decisions about their care to gradually becoming active participants in their healthcare and emerge as a primary partner in medical decision-making. Building a strong therapeutic alliance with young people can help them become responsible healthcare decision-makers.

Yet while “healthcare,” including …

Wildfire And Asylum: A Terrapsychological Approach To Backyard Pilgrimage, Jacob Kaminker

International Journal of Transpersonal Studies

This paper offers a conceptual framework and embodied practice of finding ones’ psychological roots through mythological re-emplacement. The author utilizes the lenses of depth psychology, terrapsychology, ritual and pilgrimage. The method also focuses on experiences of awe in nature as a catalyst for transpersonal experience. This deeply personal account offers a model for the reader’s own symbolic engagement with the physical, natural and historically rich world around them.