Medicine and Health Sciences Commons^™

Levetiracetam-Induced Acute Kidney Injury In A Pediatric Patient, Makaila A. Geese Pharmd Candidate, Norm Fenn Bcps, Bcpps

Parkview Pharmacy Department

Presented at PPA Meeting.

Objective: To describe a case of acute kidney injury following levetiracetam administration in an adolescent patient.

Key takeaways:

Acute kidney injury (AKI) following levetiracetam is rare, especially in pediatric patients

Kidney injury was not correlated with supratherapeutic levetiracetam concentrations

Morganella Morganii Meningitis In A Neonate: A Case Report, Madelin Vessels Pharmd Candiadate, Cassie Rough Pharmd Candidate, Robyn Schmucker Md, Mph, Norm Fenn Bcps, Bcpps

Parkview Pharmacy Department

Presented at Midyear Clinical Meeting

Objective: To summarize the interventions that took place to add to the limited data that exists in the world surrounding the treatment and outcomes of M. morganii infections.

Key takeaways: 

• M. morganii meningitis is highly rare in neonates
• There are no defined treatment guidelines or outcomes available to date
• Cefepime sufficiently treated M. morganii meningitis, bacteremia, and concurrent E. coli urinary tract infection

Comparison Of Isoflurane To Sevoflurane In A Pediatric Patient With Refractory Status Asthmaticus: A Case Report, Janella Rianna N. Benitez Mba, Pharmd, Norm Fenn Bcps, Bcpps, Fashp

Parkview Pharmacy Department

Presented at Midyear Clinical Meeting.

Objective: To describe the use of inhaled anesthetics in a pediatric patient with severe, refractory status asthmaticus unresponsive to conventional therapies.

Reusable Generic Clinical Decision Support System Module For Immunization Recommendations In Resource-Constraint Settings, Samuil Orlioglu, Akash Shanmugan Boobalan, Kojo Abanyie, Richard D Boyce, Hua Min, Yang Gong, Dean F Sittig, Paul Biondich, Adam Wright, Christian Nøhr, Timothy Law, David Robinson, Arild Faxvaag, Nina Hubig, Ronald Gimbel, Lior Rennert, Xia Jing

Faculty, Staff and Student Publications

Clinical decision support systems (CDSS) are routinely employed in clinical settings to improve quality of care, ensure patient safety, and deliver consistent medical care. However, rule-based CDSS, currently available, do not feature reusable rules. In this study, we present CDSS with reusable rules. Our solution includes a common CDSS module, electronic medical record (EMR) specific adapters, CDSS rules written in the clinical quality language (CQL) (derived from CDC immunization recommendations), and patient records in fast healthcare interoperability resources (FHIR) format. The proposed CDSS is entirely browser-based and reachable within the user's EMR interface at the client-side. This helps to avoid …

Exploring The Inequitable Impact Of Data Missingness On Fairness In Machine Learning, Sitao Min, Hafiz Asif, Jaideep Vaidya

Faculty, Staff and Student Publications

Today, data-driven models and artificial intelligence / machine learning underlie decision making in almost all aspects of society. However, significant concerns have been raised over the fairness of such models. While various aspects of algorithmic fairness have been studied, the effect of missing data on fairness remains understudied. This is a significant problem since data in real-world settings is almost never complete, and may often suffer from systemic missingness. This article systematically evaluates how missing data, particularly when correlated with protected classes and outcome variables, affects the fairness of classifiers. Utilizing a comprehensive framework covering various missing data patterns, rates, …

The Mental Health Of Cardiology Fellows In Training, Juan Simon Rico-Mesa, Suman M Atluri, Maria Antonia Rico-Mesa

The Texas Heart Institute Journal

No abstract provided.

Effective Thrombectomy For Biventricular Thrombosis With An Endoscope Via The Aortic And Tricuspid Heart Valves, Yuki Endo, Yoshiei Shimamura, Chizuo Kikuchi, Hiroshi Niinami

The Texas Heart Institute Journal

The simultaneous formation of thrombi in the left and right ventricles is extremely rare, and this condition's clinical characteristics and prognosis remain unknown. Therefore, treatment methods are still controversial. This case highlights the potential for endoscopic thrombectomy as a viable option for the treatment of giant floating biventricular thrombi in a patient with restricted cardiac function. This approach via the aortic and tricuspid heart valves allowed for effective and complete removal of the thrombi, thereby preventing further embolic complications.

Lyme Carditis And Inflammation-Driven Plaque Erosion Presenting As Sudden Cardiac Arrest, Marco Kaldas, Moneal Shah, Diana Pashaieva, Georgios Lygouris, Anita Radhakrishnan

The Texas Heart Institute Journal

Lyme carditis represents a rare cardiac complication of Borrelia burgdorferi infection, often causing conduction disturbances but rarely causing malignant arrhythmias. Inflammatory acute coronary syndrome, driven by immune-mediated plaque erosion rather than rupture, represents a nontraditional ischemic mechanism. This case highlights their overlap. The case of a previously healthy man with Lyme disease who experienced cardiac arrest because of ventricular tachycardia is reported. Imaging showed myocardial inflammation together with coronary plaque erosion instead of plaque rupture. The patient underwent advanced diagnostic testing and received multidisciplinary medical care, which led to complete cardiac recovery and implantable cardioverter-defibrillator placement.

Early Structural Valve Deterioration And Cusp Tear Leading To Acute Heart Failure In A Second-Generation Trifecta Glide Technology Heart Valve, Akiyoshi Yamamoto, Kenji Kuwaki, Hidekazu Furuya, Yasunori Cho

The Texas Heart Institute Journal

This report highlights a case of early structural valve deterioration with a cusp tear in a second-generation Abbott Trifecta Glide Technology bioprosthetic heart valve. A 70-year-old man had undergone aortic valve replacement with a Trifecta Glide Technology valve 30 months earlier for severe bicuspid aortic valve stenosis. He suddenly developed acute heart failure with dyspnea resulting from severe aortic valve regurgitation, with a cusp tear in the Trifecta Glide Technology valve, as demonstrated by transthoracic echocardiography. The patient was successfully treated with urgent repeat aortic valve replacement.

Midterm Outcomes Of Pediatric Mitral Valvuloplasty For Moderate To Severe Mitral Valve Regurgitation And Associated Risk Factors For Postoperative Deterioration, Hongyuan Fu, Aijun Liu, Ming Yang, Zeyu Liu, Junwu Su

The Texas Heart Institute Journal

BACKGROUND: Mitral valvuloplasty is considered the best treatment for pediatric mitral valve regurgitation. The objective of this analysis was to identify risk factors for postoperative mitral valve regurgitation progression and evaluate valvuloplasty effectiveness.

METHODS: This retrospective, single-center study investigated the clinical efficacy of mitral valvuloplasty and identified factors that affect prognosis. Pediatric patients with moderate or severe mitral valve regurgitation who had undergone mitral valvuloplasty between September 2016 and August 2023 were included. Kaplan-Meier survival analysis was used to assess freedom from both mitral valve deterioration and cardiovascular death. Univariate and multivariate Cox regression analyses were performed to identify potential …

Accidental Left Ventricular Placement Of A Leadless Micra Pacemaker Through A Patent Foramen Ovale, Hamza Alkowatli, Mahmoud Kutmah, Adnan Shaik, Osama Hallak

The Texas Heart Institute Journal

The Micra device is a leadless pacemaker implanted in the right ventricle via a femoral vein transcatheter approach. There are several indications for and advantages to using a leadless pacemaker, and the device's role in the field of cardiology will probably continue to increase. This article presents the case of a rare complication probably due to inadvertent placement of the device in the left ventricle across an undiagnosed patent foramen ovale.

Shaping The Future Of "Cardio-Kidney-Metabolic" Health: Insights From The Texas Heart Institute's 2024 Cardiometabolic Syndrome Conference, Arjun Raghuram, Keri Sprung, Stephanie Coulter, Joseph G Rogers

The Texas Heart Institute Journal

At the Texas Heart Institute's 2024 Cardiometabolic Syndrome Conference, held on August 23, 2024, experts from diverse academic fields spoke about novel initiatives for addressing the worsening projections for cardiometabolic syndrome. Four major areas in which innovation is ongoing were highlighted: technology, policy, population health, and lifestyle and behavioral modification. This article presents a brief contextualization, summary, and analysis of the novel initiatives being implemented in each of these 4 areas to address cardiometabolic syndrome. Despite alarming projections, cardiometabolic syndrome presents a unique opportunity for innovators to drive change through collaborative, multidisciplinary efforts.

Sequelae And Surgical Management Of Giant Cardiac Myxoma, Norvin Hernandez, Michael Dileo, Christopher K Wong, Mahboob Alam

The Texas Heart Institute Journal

Cardiac myxomas are a rare phenomenon within the general population, and although there are reports of them, giant myxomas are not common in the medical literature. This report presents a case of a giant left atrial cardiac myxoma in a 57-year-old female patient who was largely asymptomatic until she presented with a diffuse thromboembolic stroke. This case report highlights the importance of surgical management of cardiac myxomas and discusses the difference in open vs minimally invasive surgical resection of giant cardiac myxomas.

Robot-Assisted Surgical Treatment Of Caseoma, Nancy Wang, Abdussalam Elsenousi, Kenneth K Liao

The Texas Heart Institute Journal

This report reviews 5 cases of mitral annular caseoma. Four patients presented with fatigue, stroke, or mitral stenosis. Robot-assisted resection of caseoma with or without mitral valve replacement was successfully performed in all patients with good outcomes. These cases demonstrate the safety and efficacy of robotic surgery in treating caseoma.

Navigating The Complexities Of Mitral Valve Clipping: Early Severe Mitral Valve Stenosis After Mitral Valve Clipping, Wassim Abouzeid, Ahmad Haddad, Chrystina Kiwan, Ahsan Khan, Addi Suleiman

The Texas Heart Institute Journal

This case study explores the journey of an 80-year-old male patient with a history of hypertension, diabetes, coronary artery disease after coronary artery bypass grafting, atrial fibrillation, and heart failure. Nine months before he presented to the emergency department, he had undergone mitral valve clipping for severe mitral valve regurgitation. Despite initial improvement, the patient experienced return of symptoms, including dyspnea at rest and lower limb edema. The results of this case-discovery of the need for mitral valve replacement-provides insights into the management of complications from mitral valve clipping and emphasizes that management requires a nuanced, meticulous approach.

Effect Of Trauma Type And Trauma Burden On Self-Efficacy For Physical Exercise In Military Veterans, Kaley E. Davis, Meghan M. Bennett, Cecilia J. Hillard, Jeffrey Whittle, Zeno Franco, Rachel E. Bollaert, Jacklynn M. Fitzgerald

Exercise Science Faculty Research and Publications

Introduction

United States (U.S.) military veterans experience significant physical health problems. Lifestyle modifications, such as increasing daily physical activity, are often considered the first course of action in treatment for the general public. However, veterans report low levels of physical activity, often due to perceived barriers to engaging in exercise. Trauma exposure type and cumulative trauma burden may be differentially associated with exercise attitudes and behaviors.

Methods

We surveyed U.S. military veterans on perceived self-efficacy to overcome barriers to engaging in exercise and physical activity levels. Additionally, we explored the relationship between the type of traumatic event exposure and cumulative …

Accessing Facility Electronic Health Record For Payer Utilization Review Review, Betsey Denton

Doctor of Nursing Practice Final Project Abstract

PURPOSE The purpose of this project was to improve the prior authorization process for payer, provider, and patients by reducing the number of medical necessity denials, peer-to-peer calls, appeals, and increasing payer and provider satisfaction.

BACKGROUND A literature review indicated opportunities for improvement in prior authorization processes. Medical necessity denials are issued by payer if clinical documentation is not available for review. Implementation setting was a large academic medical center. Studied populations included patients who are members of a large Medicaid HMO health plan, payer utilization review registered nurses (RN), and hospital utilization review staff. METHODOLOGY Payer RNs began utilizing …

Aadej Comm 11 1 2025

AADEJ - The Communicator

The Communicator is the Journal of the American Association of Dental Editors. It is published quarterly and distributed digitally via email to members and posted on the Association’s website aadej.org.

This inaugural issue of 2025 for The Communicator, the official publication of the American Association of Dental Editors & Journalists (AADEJ), sets a forward-looking tone for dental journalism. It prominently features crucial topics such as expanding circulation and archiving publications through ADA Commons, a comprehensive guide to copyright law for protecting journalistic work, and an in-depth analysis of Generative AI's impact and ethical considerations in dentistry. The issue also serves …

And The Word Of The Year Is…, Daniel L. Orr Ii, Dds, Ms, Ph.D., Jd, Md

AADEJ - The Communicator

This issue’s editorial explores three popular word-related websites for writers and editors: WordDaily, Word Smarts, and Dictionary.com. WordDaily offers quick definitions and origins without distractions. Word Smarts is described as a site for writers to delve into grammar and obscure punctuation, aiming to make learning fun, and it has previously published articles on topics like the Oxford comma. Dictionary.com, the site the author has used the longest, provides comprehensive content including definitions, pronunciations, etymologies, and Latin derivations, and also publishes a "Word of the Year". For 2024, Dictionary.com's Word of the Year is "demure," chosen due to a 1,200% increase …

Safeguarding Our Literature, Christopher J. Smiley

AADEJ - The Communicator

AADEJ President Chris Smiley draws a parallel between his personal experience of a well-intentioned but chaotic "stealth cleaning campaign" of his study by his wife, which left him unable to locate important documents, and the systematic scrubbing of freely available resources by federal agencies. He highlights concerns that politically driven directives are restricting information dissemination, citing examples from the CDC and USDA related to terms like "evidence-based," "science-based," and climate change, as well as vital health topics. The article quotes the British Medical Journal's strong condemnation of such actions, calling it "absurd" and "egregious" to erase medically relevant terminology. Smiley …

Copyright Law And The Importance Of Protecting Your Publication, Cameron A. Cameron A. Parks Esq.

AADEJ - The Communicator

This piece provides an overview of copyright law as a crucial form of intellectual property protection in journalism and publishing. It explains that copyright automatically arises when an original work is fixed in a tangible form. While registration with the U.S. Copyright Office is not required, it offers stronger protection, the ability to sue for infringement, and statutory damages. The article outlines copyright terms (life of author plus 70 years, or 95/120 years for works made for hire) and notes that facts alone are not copyrightable, but the unique text style, sequence, and original photographs can be protected. It emphasizes …

2024 Aadej-Adea Gies Foundation Editorial Award - Third Place: Gen Ai, Marisa Watanabe Dds, Ms, Ficd

AADEJ - The Communicator

This article is featured as a recipient of a 2024 AADEJ-ADEAGies Foundation Editorial Award. It explores the growing presence of Generative Artificial Intelligence (AI) in everyday life and its specific implications for dentistry. While AI shows great promise in improving diagnostic accuracy in dentistry, the author cautions that it is not without limitations and potential mistakes, such as overfitting, lack of contextual information, limited data diversity, false positives/negatives, inadequate training data, and sensitivity to image quality. The piece stresses that AI should augment, not replace, dental professionals, serving as a supportive aid rather than a definitive diagnostic tool. Key benefits …

Aadej Comm 11 2 2025

AADEJ - The Communicator

The Communicatoris the journal of the American Association of Dental Editors. It is published quarterly and distributed digitally via email to members and posted on the Association’s website aadej.org.

This issue of The Communicator continues its focus on the evolving landscape of dental journalism, offering insightful perspectives for editors and communicators. A major highlight is the celebration of the over 50-year partnership between AADEJ and the International College of Dentists (ICD), emphasizing their joint efforts and the forthcoming shared Annual Meeting and awards reception in San Diego. The publication delves into the critical concept of professional and publication standards, …

Shakespeare’S Skull, Daniel L. Orr Ii, Dds, Ms, Ph.D., Jd, Md

AADEJ - The Communicator

This editorial discusses the long-standing rumor that William Shakespeare's skull was stolen from his grave. An anonymous story from 1879, initially dismissed as fiction, gained new attention in 2016 during the 400th anniversary of Shakespeare's death. A 2016 British Broadcasting Company (BBC) production documented findings from Staffordshire University's study using ground-penetrating radar (GPR) on Shakespeare's grave at Holy Trinity Church in Stratford-upon-Avon. The archaeologist Kevin Colls from Staffordshire University concluded that Shakespeare's remains are indeed in the grave, "not counting the cranio-maxillofacial components," suggesting the skull may be missing. Despite these findings, the Vicar of Holy Trinity has stated that …

Aadej — Keeping Pace With New Challenges And Evolving Technologies, Mali Schantz-Feld Ma, Cde

AADEJ - The Communicator

Associate Editor Mali Schantz-Feld discusses the evolving responsibilities of dental journal editors, who must navigate not only dental topics but also broader non-dental trends and technological advancements. She highlights how new communication methods, such as teledentistry, social media, and online reviews, have become imperative for dental practices and, by extension, for dental publishing. Referencing Dr. J. Tim Wright's editorial on "Critical Challenges Facing Dentistry," Schantz-Feld notes that emerging technologies like AI, while challenging to adopt, also present opportunities to improve patient data analysis, diagnostics, and workflow efficiency. She asserts that AADEJ is dedicated to providing relevant information, continuing education (CE), …

Some Thoughts On Standards, Edward M. Feinberg Dmd

AADEJ - The Communicator

This article defines "standards" as benchmarks for quality and achievement, explaining their importance in assuring quality, enhancing safety, ensuring consistency, fostering innovation, and adapting to new needs. It emphasizes that dental professionals are expected to maintain high ethical conduct, skillful performance, and continuous education. The concept of the "Standard of Care" in dentistry is explored as a nuanced area, generally defined as the care and skill expected of a reasonably competent dentist in similar circumstances, which evolves with advancements. The article also addresses standards for dental publications, requiring originality, fair use of images, and honest data. The author shares observations …

2024 Aadej-Adea Gies Foundation Editorial Award- Second Place: The Human Role In Artificial Intelligence, Christopher J. Smiley

AADEJ - The Communicator

This article is featured as a recipient of a 2024 AADEJ-ADEA Gies Foundation Editorial Award. It addresses concerns about Artificial Intelligence (AI) in dentistry, particularly the warning from technology researchers regarding "profound risks to society and humanity" due to advanced AI systems. The author argues that the conversation should focus on AI's potential and, more critically, the essential role humans play in its successful adoption, rather than fears of machines taking over. A main risk identified is blind reliance on AI recommendations, which can lead to a loss of critical thinking, misdiagnosis, or inappropriate treatment decisions. Therefore, focused human oversight …

Aadej And Icd Usa Section — Together For Over 50 Years!, Elaine C. Wagner Dds

AADEJ - The Communicator

With a new-found collaboration of our annual meetings in 2025, we celebrate more than 50-year partnership between the International College of Dentists (ICD) USA Section and the American Association of Dental Editors & Journalists (AADEJ). It highlights that both organizations are composed of individuals passionate about their respective missions: ICD Fellows focus on serving the underserved and improving global oral health, while AADEJ is dedicated to enhancing communication and elevating standards in dental journalism. The collaboration has stood the test of time, and for the first time, their Annual Meetings in 2025 will be held together at the Manchester Grand …

Michigan Dental Association Provides Leadership In Dental Journalism, David Foe

AADEJ - The Communicator

This article details the Michigan Dental Association (MDA)'s new funding program to support component editors in attending the American Association of Dental Editors and Journalists (AADEJ) annual conference. Recognizing the importance of quality dental journalism, the MDA offers up to $1,500 per attendee, covering significant costs for professional development. This initiative, a $15,000 investment for up to 10 attendees, aims to enhance member communications through skilled editors who create informative and engaging content. Benefits include practical training in copy editing, layout, e-communications, legal aspects, and writing, particularly for dentist-editors lacking formal journalism training. The program also fosters valuable networking opportunities, …

Reflections On The Detlef Moore Scholarship, Arjun Patel

AADEJ - The Communicator

The inaugural recipient of the Detlef Moore Scholarship provides a student perspective on the impact of the AADEJ annual conference. The Arjun Patel, a student at the University of Louisville School of Dentistry, describes how the experience shifted his view of dental journalism from mere research reporting to a tool for fostering community and patient care. Key takeaways for the 2025 scholarship winner included the practical application of plain language in scientific writing and the ethical integration of AI tools for academic writing.  The inaugural recipient of the Detlef Moore Scholarship provides a student perspective on the impact of the …