Medicine and Health Sciences Commons^™

The Future Of Nurse-Led Research: The Road Ahead, Sammie Mosier

HCA Healthcare Journal of Medicine

Nursing as a profession is full of innovation. From nurse-led research and new technology to emerging models of care, nurses continue to blaze trails and take steps to improve patient care. As one of the largest employers of nurses in the United States, HCA Healthcare has an obligation to produce research and evidence-based practices to pave the way for the future of nursing practice and potentially change how care is delivered. In this editorial, HCA Healthcare’s chief nurse officer describes her vision for the future of nurse-led research and examines how education, partnerships, and technology facilitate the road ahead for …

Inspiring And Supporting Nurses’ Scholarly Works Through A Special Issue Highlighting Nursing-Sensitive Indicators, Sammie Mosier, Elizabeth Card, Caryn Alper

HCA Healthcare Journal of Medicine

Nursing represents the largest discipline in health care, with just over 5 million nurses in the United States, and the discipline is under increasing pressure to make evidence-based decisions in the delivery of patient care. This special issue of the HCA Healthcare Journal of Medicine can inspire and support nurses’ scholarly work with an eye to dissemination in peer-reviewed medical journals. This issue highlights nursing’s contributions to improving patient outcomes through nurse-sensitive indicators, with the hope of elevating the quality of tomorrow’s health care.

A Clinical Case Of A Right Eyelid Multilobulated Lesion: Invasive Sebaceous Carcinoma Masquerading As Chalazion, Tyler Van Auken, Erin Reese, Martin Nguyen, Reece Fletcher, Peyton Collias, David Webb

Marshall Journal of Medicine

Sebaceous carcinoma (SC) is a rare and aggressive malignancy of the sebaceous glands, most commonly arising from the eyelid. The general presentation of SC varies, resulting in delayed identification and frequent misdiagnosis. Clinicians should include SC in a differential diagnosis when a patient presents with an eyelid lesion. Undiagnosed and untreated SC can have detrimental outcomes; therefore, early diagnosis and treatment are imperative to decrease mortality and morbidity.

This is the case of a 71-year-old male referred by his primary care physician to the ophthalmologist for an inflamed, multilobulated lesion on his right upper eyelid. The patient was initially diagnosed …

Industrial Explosion Survival After Presenting To A Rural Hospital: A Case Report, Carol L. Wright Becker, Roger Tillotson, William Krantz, Brad End, Stephanie Rellick, Emily Nutter

Marshall Journal of Medicine

Explosions can lead to numerous injuries.¹ Studies show that trauma mortality increases by 14% when patients are treated at rural hospitals compared to non-rural facilities.² A 43-year-old male arrived at a rural hospital with injuries from an explosion, where only a single board-certified emergency physician was on duty. The patient's polytrauma was severe, resulting in bilateral orbital compartment syndrome and Cushing's triad. Remarkably, he survived these extensive injuries. Despite the limitations of rural healthcare, such as restricted equipment, medications, and longer transfer times, rural emergency physicians should remain optimistic and help guide future management. This high-acuity, low-frequency trauma …

Long-Term Survival After Metastatic Pancreatic Cancer, Joshua Keefer, Mark Cooper, Toni Pacioles, Amanda Arrington

Marshall Journal of Medicine

Pancreatic adenocarcinoma is an aggressive cancer with poor outcomes regardless of resection and treatment. The 5-year survival rate is less than 10%. Even with proper resection of the primary tumor, there remains a high likelihood of recurrence within 20 months. This is the case of a patient who was diagnosed with pancreatic adenocarcinoma 7 years ago. This patient underwent resection of the primary tumor along with chemotherapy and radiation. Two recurrences, located in the lung, have both been resected. This case highlights the importance of prompt resection and regular surveillance to monitor for additional metastases.

A Rare Case Of Visual Symptoms Due To Isotretinoin Therapy, Mouhannad Azzouz, Patrick Duffy, Safiyyah Nomani, Conner Funke

Marshall Journal of Medicine

Isotretinoin has been a long-standing medication used to treat acne, with a gradual increase in the dose during therapy. A typical treatment course lasts 4-6 months.¹ It has been shown to inhibit sebaceous gland functioning and keratinization.­² The most common adverse effects include xerostomia, cheilitis, dry nose, and sun sensitivity. Less common adverse effects include itching, irritation, hair thinning, dry eyes, rash, muscle aches, and joint pain.² There has also been reported increased depression and suicidality as a result of Isotretinoin treatment.² Notably, the black box warning on Isotretinoin is in its potential to cause severe …

Standing Systolic Blood Pressure: Insights From Heartful Living, Anand Chockalingam

Marshall Journal of Medicine

No abstract provided.

A Geriatric Interprofessional Education Workshop: A Mixed Method Study, Patricia Watford, Meghan Hall, Colleen Hergott, Wanda Jirau-Rosaly, Shilpa Brown, Elena Wood, Nicole Rockich-Winston

Journal of Applied Disciplines

Interprofessional healthcare teams are essential for meeting the needs of our older population. To prepare for interprofessional collaboration, educational programs should offer opportunities for interprofessional education. We created a four-hour geriatric interprofessional workshop addressing cognition, macular degeneration, dysphagia, home safety, fall risk, and pharmacotherapy to examine student perceptions of working in interprofessional teams and their attitudes toward geriatric patients. Participants included 189 second-year medical (MD) students, 41 first-year occupational therapy (OT) students, and 36 second-year physical therapy (PT) students. We utilized a sequential explanatory mixed-method approach. Data analysis comprised descriptive statistics, paired t-tests for the pre/post surveys, and inductive content …

The Santa Clara, 2024-10-31, Santa Clara University

The Santa Clara

No abstract provided.

Hospital Readiness To Implement Electronic Medical Records: A Systematic Literature Review, Afni Fatmasari, Mardiati Nadjib

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Implementing electronic medical records (EMR) in hospitals can increase the efficiency and effectiveness of health services. However, hospitals' readiness to adopt this technology is influenced by various complex factors. This study aims to identify factors that affect hospital readiness in implementing EMR through a systematic literature review (SLR). The SLR process followed the PRISMA method and included a literature search from Scopus, PubMed, and Cochrane databases with keywords related to RME readiness, which yielded 412 articles. After the screening and eligibility stages, 19 articles were selected for further analysis. The findings of this research identify readiness factors based on the …

Medical School Watercooler Newsletter - October 31, 2024, Lindsay Hughes

Watercooler Newsletter

This is the Thursday, October 31, 2024 edition of the Frederick P. Whiddon College of Medicine's newsletter -- Watercooler.

Contents include:

• Neonatology division expands with addition of Kasniya
• Boatright named assistance dean for medical education
• Art of Medicine set for Nov. 19
• BMS students earns poster award at CCTS symposium in Birmingham 
• Dean's Tailgate welcomes students and alumni for Homecoming

A Rare Case Of Pulmonary Nocardiosis With Pseudomonas Aeruginosa Superinfection In An Immunocompromised Patient, Kevin Liu, Md, Samuel Shulimson, Do, Herbert Patrick, Md

Jefferson Health - Northeast Posters (formerly Aria Health Posters)

Introduction

Nocardiosis is an uncommon opportunistic infection with over two thirds occurring in those who are immunocompromised [1] or who have undergone solid organ transplants [2]. Here, we present a unique case of pulmonary Nocardiosis complicated by superimposed Pseudomonas infection.

Kajian Risiko Kesehatan Terkait Pajanan Benzene, Toluene Dan Xylene Pada Pekerja Kilang Minyak Pt. X, Putri Noer Halizah, Mila Tejamaya

National Journal of Occupational Health and Safety

Workers in oil and gas production units are at risk of exposure to chemical hazards. One of the ingredients in petroleum is volatile organic compounds (VOC), with examples of ingredients known for their toxicity being benzene, toluene and xylene. This study aims to assess health risks related to exposure to benzene, toluene and xylene of oil refinery workers at PT. X. This study will analyze personal exposure to inhalation routes from benzene, toluene and xylene chemicals using the Chemical Health Risk Assessment (CHRA) method from the Department of Safety and Health, Malaysia. The study results showed that the risk level …

Big Data Analysis On Indonesia’S Primary Care Pay-For Performance, Aditya Darmasurya, Ari Dwi Aryani, Rahmad Asri Ritonga, Rahma Anindita, Pranatawati Nur Tsani, Bayu Yudanto, Tedo Arya Trisnanto, Trisnasari Trisnasari

Jurnal Ilmu Informasi, Perpustakaan, dan Kearsipan

In Indonesia’s social security program (JKN), there are more than 1,6 million visits in primary care providers each day. Indonesia's Social Security Administrative Body for Health (BPJS Kesehatan) manages the healthcare data recorded by the providers. In late 2019, the new Performance-Based Capitation (KBK) was introduced to primary care providers. They are assessed every month before the due for capitation payment. There are three indicators in the KBK scheme which are contact rate, non-specialty referral ratio, and proportion of PROLANIS disease management program members with controlled clinical outcome (PROLANIS indicator. This study analyzes data insights of KBK through big data …

How Do Scholars Conceptualize And Conduct Health And Digital Health Literacy Research? Survey Of Federally Funded Scholars, Mayank Sakhuja, Brooks Yelton Ma, Lmsw, Simone Kabarana, Lauren Schaurer, Jancham Rachel Rumthao, Samuel Noblet, Michelle Angelique Arent, Mark M. Macauda Phd, Mph, Lorie Donelle Phd, Rn, Fcan, Daniela B. Friedman Ph.D.

Faculty Publications

Background: The concept of health literacy (HL) is constantly evolving, and social determinants of health (SDoH) have been receiving considerable attention in public health scholarship. Since a 1-size-fits-all approach for HL fails to account for multiple contextual factors and as a result poses challenges in improving literacy levels, there is a need to develop a deeper understanding of the current state of HL and digital health literacy (DHL) research. Objective: This study examined scholars’ conceptualization and scope of work focused on HL and DHL. Methods: Using a search string, investigators (N=2042) focusing on HL, DHL, or both were identified from …

How Do Scholars Conceptualize And Conduct Health And Digital Health Literacy Research? A Survey Of Federally Funded Scholars, Mayank Sakhuja, Brooks Yelton, Simon Kavarana, Lauren Schaurer, Jancham Rachel Rumthao, Samuel Noblet, Michelle Angelique Arent Rd, Mph, Cscs, Cissn, Mark M. Macauda Phd, Mph, Lorie Donelle Phd, Rn, Fcan, Daniela B. Friedman Ph.D.

Publications

Background: The concept of health literacy (HL) is constantly evolving, and social determinants of health (SDoH) have been receiving considerable attention in public health scholarship. Since a 1-size-fits-all approach for HL fails to account for multiple contextual factors and as a result poses challenges in improving literacy levels, there is a need to develop a deeper understanding of the current state of HL and digital health literacy (DHL) research.

Objective: This study examined scholars’ conceptualization and scope of work focused on HL and DHL.

Methods: Using a search string, investigators (N=2042) focusing on HL, DHL, or both were identified from …

The African Initiative For Bioinformatics Online Training In Neurodegenerative Diseases (Ai‐Bond): Investing In The Next Generation Of African Neuroscientists, Bernard Fongang, Biniyam A. Ayele, Yannick Joel Wadop Ngouongo, Emmanuel Epenge, Cyrille D. Nkouonlack, Wepnyu Y. Njamnshi, Xueqiu Jian, Muralidharan Sargurupremraj, Alice B. S. Nono Djotsa, Gladys Maestre

School of Medicine Publications

Neurodegenerative disorders, including Alzheimer's disease and AD‐related dementias (AD/ADRD), pose significant challenges to health care systems globally, particularly in Africa. With the advances in medical technology and research capabilities, especially in next‐generation sequencing and imaging, vast amounts of data have been generated from AD/ADRD research. Given that the greatest increase in AD/ADRD prevalence is expected to occur in Africa, it is critical to establish comprehensive bioinformatics training programs to help African scientists leverage existing data and collect additional information to untangle AD/ADRD heterogeneity in African populations. The South Texas Alzheimer's Disease Research Center, with efforts from the National Institutes of …

Effects Of Supervised Exercise Therapy On Muscle Function During Walking In Patients With Peripheral Artery Disease, Cody P. Anderson, Iraklis Pipinos, Jason M. Johanning, Sara A. Myers, Hafizur Rahman

School of Podiatric Medicine Publications

Background: Although supervised exercise therapy (SET) is a primary treatment for peripheral artery disease (PAD), the current literature is limited regarding the mechanisms contributing to increased walking distances, including how lower extremity muscle function is altered after SET. This study aimed to investigate the effects of SET on lower extremity muscle function during walking in patients with PAD. Methods: Twelve patients with PAD participated in a 6-month SET program consisting of three weekly exercise sessions (a total of 72 sessions) and adhered to the American College of Sports Medicine’s (ACSM) recommendations. Each session started with a 5 min warm-up of …

Evaluating Viability, Developmental Competence, And Chromatin Configurations Of Cryopreserved Equine Oocytes, Tricia Adams

LSU Doctoral Dissertations

Assisted reproduction technology and the use of specialized laboratories have increased in the horse breeding industry over the last decade. This expansion has highlighted the inability to routinely cryopreserve oocytes and preserve female genetics. Oocyte vitrification, a cryopreservation process, continues to be characterized as an experimental procedure in horses. The goal of this dissertation was to evaluate the viability, developmental competence, and nuclear structures of cryopreserved equine oocytes to illuminate potential areas of improvement in the vitrification process. Oocytes were collected from abattoir derived ovaries and exposed to either varying lengths of in vitro maturation (IVM) or pretreated with a …

Examining The Impact Of The Quartet Usa Trial Using The Translational Science Benefits Model, Guhan Iyer, Danielle Lazar, Abigail S. Baldridge, Jairo Mejia, Clara K. Chow, Namratha R. Kandula, Olutobi A. Sanuade, Linda Rosul, Jody D. Ciolino, Mark D. Huffman

2020-Current year OA Pubs

No abstract provided.

Safety Evaluations Of Rapamycin Perfluorocarbon Nanoparticles In Ovarian Tumor-Bearing Mice, Qingyu Zhou, John C Harding, Ping Fan, Ivan Spasojevic, Attila Kovacs, Antonina Akk, Adam Mitchell, Luke E Springer, Joseph P Gaut, Daniel A Rauch, Samuel A Wickline, Christine T N Pham, Katherine Fuh, Hua Pan

2020-Current year OA Pubs

Nanomedicine holds great potential for revolutionizing medical treatment. Ongoing research and advancements in nanotechnology are continuously expanding the possibilities, promising significant advancements in healthcare. To fully harness the potential of nanotechnology in medical applications, it is crucial to conduct safety evaluations for the nanomedicines that offer effective benefits in the preclinical stage. Our recent efficacy studies indicated that rapamycin perfluorocarbon (PFC) nanoparticles showed promise in mitigating cisplatin-induced acute kidney injury (AKI). As cisplatin is routinely administered to ovarian cancer patients as their first-line chemotherapy, in this study, we focused on evaluating the safety of rapamycin PFC nanoparticles in mice bearing …

Association Between Patient Medications And Postoperative Outcomes In Early-Stage Non-Small Cell Lung Cancer, Steven Tohmasi, Daniel B Eaton, Nikki E. Rossetti, Carley Pickett, Brendan T. Heiden, Yan Yan, Theodore S. Thomas, Deepika Gopukumar, Mayank R. Patel, Ana A. Baumann, Daniel Kreisel, Ruben G. Nava, Whitney S. Brandt, Bryan F. Meyers, Benjamin D. Kozower, Su-Hsin Chang, Varun Puri, Martin W. Schoen

2020-Current year OA Pubs

BACKGROUND: Currently, there is no consensus on how to comprehensively assess comorbidities in lung cancer patients in the clinical setting. Prescription medications may be a preferred comorbidity assessment tool and provide a simple mechanism for predicting postoperative outcomes for lung cancer. We examined the relationship between prescription medications and postoperative outcomes for early-stage non-small cell lung cancer (NSCLC).

METHODS: We conducted a retrospective cohort study of patients with clinical stage I NSCLC who underwent surgical resection in the Veterans Health Administration (VHA) between 10/01/2006 and 09/30/2016. Details of all outpatient prescriptions filled by patients within the VHA system from 1-year …

Analysis Of Continuous Ambulatory Peritoneal Dialysis Service Readiness At Rsud Kota Bogor In 2023, Ni Nyoman Diah Redyardani, Dumilah Ayuningtyas

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The availability of health service facilities certainly contributes to one of the success factors in the distribution of health services in Indonesia, including renal replacement therapy (RRT) services. Through Minister of Health Regulation (PMK) No. 8 of 2022, the government ensures that patients with end-stage renal disease (ESRD) receive equal access to RRT. One of the efforts to equalize dialysis services is implementing Continuous Ambulatory Peritoneal Dialysis (CAPD) services. Therefore, RSUD Kota Bogor must prepare for CAPD services in its dialysis installations. This research analyzes the readiness and efforts to provide CAPD services at RSUD Kota Bogor. This study employs …

Length Of Stay Di Instalasi Gawat Darurat Sebagai Indikator Mutu Pelayanan Kesehatan Di Rumah Sakit X Tahun 2024, Gustiane Adriani Dwisari, Kurnia Sari

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The Emergency Department (ED) is crucial for ensuring patient care and safety in hospitals. A key performance indicator is Length of Stay (LOS), where prolonged LOS can lead to overcrowding, increase the risk of adverse events, and lower patient satisfaction. This study examines the service flow, barriers, and root causes of LOS in Hospital X's ED and provides improvement recommendations. Data were gathered through observation of 30 patients, interviews, and document reviews. Lean Thinking principles and the BAS method from BASICS (Baseline, Assess, Suggest Solution, Implement, Check Result, Sustain) were used in the analysis, employing flowcharts to map the process, …

Rencana Strategis Peningkatan Kinerja Poliklinik Eksekutif Rumah Sakit X Tahun 2024 -2027: Pendekatan Balanced Scorecard, Irfan Rohot Uli Manik, Adang Bachtiar

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Hospital X is a private hospital that has executive polyclinic services. Medical record data shows that in the last four years, the number of visits from the executive polyclinic unit has never reached the target set. This research is to prepare the strategic plan for improving the executive polyclinic of Hospital X's performance for 2024-2027. The types of data in this research are primary data and secondary data. Primary data is qualitative data from in-depth interviews, Consensus Decision Making Group (CDMG) with informants, and direct observation. Secondary data consists of quantitative data and qualitative data. Strategy implementation will be described …

Faktor Yang Berhubungan Pada Motivasi Pengguna Dan Implementasi Rekam Medis Elektronik Dengan Efisiensi Pelayanan Di Instalasi Rawat Jalan Rsud Kebayoran Lama, Jean Francis Melanny Kassiuw, Budi Hidayat

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Electronic Medical Records (EMR) have emerged as an innovative solution in healthcare because EMR offers several advantages and provides a comprehensive solution to improve health information management in today’s digital era. This study applies the Technology Acceptance Model (TAM) as its theoretical foundation, aiming to evaluate the relationship between user perceptions of key factors influencing EMR implementation and service efficiency in the Kebayoran Lama Regional Hospital outpatient unit. The research design is non-experimental with a quantitative approach, utilizing numerical data analyzed through Structural Equation Modeling (SEM). The study collected data on user perceptions regarding EMR implementation and service efficiency through …

Avoiding Common Pitfalls In Medical Writing: An Editor’S Advice, Deanna Erin Conners

Milne Open Textbooks

Avoiding Common Pitfalls in Medical Writing is a useful companion text to comprehensive style guides for the biomedical sciences. This book walks authors through best practices for writing scientific papers and grant proposals in a concise and accessible format. Authors and teachers worldwide will benefit from these shared insights of an experienced scientific editor.

Read this book online at: https://milnepublishing.geneseo.edu/medical-writing/

Nutritional Indicators Of Bone Nonunion: A Systematic Review, Eleanor Christianson, Margaret Thomas, Sheila Sprague, Jessica Rivera, Andrew Chapple, Robert Zura

School of Medicine Faculty Publications

Background/Objectives: Bone nonunion remains a clinical challenge in orthopedic surgery with significant impacts on mental and physical wellbeing for patients. There are several previously established risk factors of nonunion that are connected to nutrition, but this has yet to be substantially explored. This review seeks to assess all studies that present associations between nutrition and nonunion to understand the potential for clinical relevance in nonunion prevention. Methods: Case–control and cohort studies comparing nonunion risk based on nutritional factors were gathered through PubMed in July 2024. Data were extracted with dual verification through Covidence and assessed for bias using the Newcastle–Ottawa …

Analysis Of The Correlation Between In-Hospital Adverse Events And Transcatheter Aortic Valve Replacement Outcomes, Stanislava Matejin, Pavel Poredos, Anja Boc, Vinko Boc, Wahaj Aman, Igor D. Gregoric, Biswajit Kar

Journal of Shock and Hemodynamics

Transcatheter aortic valve replacement (TAVR) has been recommended as the standard treatment for elderly patients with severe aortic stenosis (AS) and those at increased risk for conventional surgical procedures. Recently, TAVR has been recognized as the treatment of choice for intermediate-risk patients or even low-risk populations with AS. Our study aimed to identify factors influencing adverse events after TAVR procedures. This single-center, retrospective cohort study involved patients with severe AS treated with TAVR from 2016 to 2019. The patient’s electronic medical record was reviewed, and those with valve-in-valve replacements and missing demographical data were excluded. We analyzed risk factors related …

Optimal Infused Cd34+ Cell Dose In Multiple Myeloma Patients Undergoing Upfront Autologous Hematopoietic Stem Cell Transplantation, Oren Pasvolsky, Curtis Marcoux, Denái R Milton, Babar Pal, Mark R Tanner, Qaiser Bashir, Samer Srour, Jaehyun Lee, Neeraj Saini, Paul Lin, Jeremy Ramdial, Yago Nieto, Guilin Tang, Yosra Aljawai, Partow Kebriaei, Melody R Becnel, Hans C Lee, Krina K Patel, Sheeba K Thomas, Robert Z Orlowski, Elizabeth J Shpall, Richard E Champlin, Muzaffar H Qazilbash

Faculty, Staff and Student Publications

Autologous transplantation remains the standard of care for eligible multiple myeloma (MM) patients, yet optimal CD34+ cell dose remains unclear. We conducted a retrospective study on MM patients undergoing upfront transplant between 2005 and 2021 and divided them into low (≤2.5 × 106 cells/kg) and high (>2.5 × 106 cells/kg) CD34+ dose groups. We included 2479 patients, 95 in the low CD34+ group and 2384 in the high CD34+ group. Patients in the low CD34+ group were older (63.2 vs 61.1 years, p = 0.013), more often had R-ISS III (19% vs 9%, p = 0.014), received plerixafor (60% …