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Full-Text Articles in Medicine and Health Sciences

The Use Of Dental Pulp Stem Cells For Pulp Regeneration And Tissue Repair, Blair Weiss, Kristi Soileau Dds, Med, Mshce, Facd, Ficd May 2025

The Use Of Dental Pulp Stem Cells For Pulp Regeneration And Tissue Repair, Blair Weiss, Kristi Soileau Dds, Med, Mshce, Facd, Ficd

New Orleans Dental Association News

Dental pulp stem cell therapy offers a promising alternative to traditional root canals by enabling pulp regeneration, preserving tooth vitality, and promoting healing, though further research and ethical considerations are needed before widespread clinical adoption.


Noda News May 2025 May 2025

Noda News May 2025

New Orleans Dental Association News

New Orleans Dental Association (NODA) News includes regular columns with regional news impacting the New Orleans membership including: columns from the President and Executive Director, feature articles relating to the field of dentistry, association events and upcoming activities, component news, continuing education opportunities, and classifieds.


The Power In Patient Education: A Collaborative Approach To Cancer Care, Eric Singhi, Aurora Lucas May 2025

The Power In Patient Education: A Collaborative Approach To Cancer Care, Eric Singhi, Aurora Lucas

Advances in Cancer Education and Quality Improvement

A viewpoint on patient education


The Impact Of Fellowship Training On Peer-Reviewed Publication Productivity In Academic Anesthesiologists As Evaluated By The H-Index, Acsa M. Zavala, Jagtar Singh Heir, Juan P. Cata, Lei Feng, Jose M. Soliz May 2025

The Impact Of Fellowship Training On Peer-Reviewed Publication Productivity In Academic Anesthesiologists As Evaluated By The H-Index, Acsa M. Zavala, Jagtar Singh Heir, Juan P. Cata, Lei Feng, Jose M. Soliz

Advances in Cancer Education and Quality Improvement

Background: The effect of anesthesiology fellowships on scholarly contributions has been minimally studied. In this study we analyzed differences in h-index between fellowship-trained and non–fellowship-trained anesthesiologists, as well as by type of fellowship, academic rank, and years in practice.

Methods: All anesthesiologists on staff between September 1, 2021, and August 31, 2022, were included in this study. The variables collected were fellowship training status, h-index, total number of publications, years in practice, academic rank, and years at the institution. For analysis, the anesthesiologists were divided into 2 groups: those with fellowship training and those without.

Results: Among 78 anesthesiologists, 40 …


Professional Alliance For Learning And Support (Pals): A Pilot Career Development Educational Program For Administrative Support Personnel In Healthcare Research, Ebonie R. Hatfield, Humberto Shaw, David P. Farris, Ronald Abraham, Dzifa Duose, Chad M. Middleton, Veronica Garza, Celia Garcia-Prieto, Ignacio I. Wistuba, Rama Soundararajan May 2025

Professional Alliance For Learning And Support (Pals): A Pilot Career Development Educational Program For Administrative Support Personnel In Healthcare Research, Ebonie R. Hatfield, Humberto Shaw, David P. Farris, Ronald Abraham, Dzifa Duose, Chad M. Middleton, Veronica Garza, Celia Garcia-Prieto, Ignacio I. Wistuba, Rama Soundararajan

Advances in Cancer Education and Quality Improvement

The COVID-19 pandemic has profoundly transformed the healthcare research landscape, staging unprecedented challenges for administrative research-support personnel. While career programs and retention benefits have emerged to support frontline healthcare workers facing health concerns, burnout and employee-turnover, many “classified”/administrative support staff in research departments who experience similar challenges remain without adequate structured support. This lack of structure has impacted job satisfaction, career-progression and talent retention within this crucial sector.

Recognizing the critical importance of addressing this training gap for the benefit of the broader research enterprise, the Interdisciplinary Translational Education and Research Training (ITERT) Core at UT MD Anderson Cancer Center …


Effect Of Rehabilitation Exercises And Antioxidants On Patients With Stable Heart Failure, Shimaa Mohamed Abu Zeid, Walid A. Ali May 2025

Effect Of Rehabilitation Exercises And Antioxidants On Patients With Stable Heart Failure, Shimaa Mohamed Abu Zeid, Walid A. Ali

Al-Mustaqbal Journal of Pharmaceutical and Medical Sciences

The research aims to find out the effect of rehabilitation exercises and antioxidants in some physical and physiological abilities, free radicals and the degree of pain for patients with stable heart failure, and the research sample was selected randomly and whose ages ranged between 40–45 years and their number is 30 female patients with this disease, and the researcher used the experimental approach as the most appropriate approach to solve the research problem, as the sample was divided into two groups equal in number, each of which (15) patients (experimental and control), and the tribal tests were carried out after …


Classification Of Brain Tumor Using Hybrid Pre-Trained Networks And Mrmr Algorithm, Mustafa Ridha Al-Yasari, Mohammed Qasim Alazzawi, Sarmad Jawad, Mohammed Alshujairi, Zamzam Ali Abood Noory Al-Shafiee, Jaber Parchami, Heba. G. Abdelzaher, M. A. Abdelzaher May 2025

Classification Of Brain Tumor Using Hybrid Pre-Trained Networks And Mrmr Algorithm, Mustafa Ridha Al-Yasari, Mohammed Qasim Alazzawi, Sarmad Jawad, Mohammed Alshujairi, Zamzam Ali Abood Noory Al-Shafiee, Jaber Parchami, Heba. G. Abdelzaher, M. A. Abdelzaher

Al-Mustaqbal Journal of Pharmaceutical and Medical Sciences

Brain tumor classification is one of the crucial uses of medical image processing. A longer life is possible if the tumor is correctly and promptly diagnosed. Because manually segmenting brain tumors for cancer diagnosis is difficult and time-consuming, automatic classification of brain tumor images is necessary for this task. Pre-processing, feature extraction, feature selection, and classification are the four stages of the general framework for automatic tumor detection from MRI images. The method for automatic brain tumor classification described in this research combines machine learning and deep learning algorithms. We used three pre-trained deep networks to extract the most detailed …


Synthesis And Characterization Of Novel Derivatives Of Imides 1,2,4-Triazole Polymers Via Microwave And Study Biological Activities, Bahaa Fadhil Hamzah May 2025

Synthesis And Characterization Of Novel Derivatives Of Imides 1,2,4-Triazole Polymers Via Microwave And Study Biological Activities, Bahaa Fadhil Hamzah

Al-Mustaqbal Journal of Pharmaceutical and Medical Sciences

New derivatives of imides 1,2,4-triazole polymers as pharmaceutical compounds were prepared from the synthesis of amic acid compounds (1A-E) by reacted of benzocaine with different cyclic anhydrides. Then cyclic imide compounds (2A-E), which prepared from converted amic acid compounds by using acetic anhydrate (CH3CO)2O and anhydrous sodium acetate CH3COONa as a water drawer agent. Compounds (2A-E) were react with nucleophilic addition of hydrazine hydrate to ester cyclic imide compound to produce acid hydrazide cyclic imide compounds. Thereafter, cyclization of compounds (4A-E) and (5A-E) were prepared from react of acid hydrazide cyclic imide compounds with …


Assessing The Effectiveness Of A Nurse-Led Family-Focused Program On The Physical Health Domain Of Children With Congenital Heart Defects, Maha Abdul Hussein Mutasher Al-Barki, Wameedh Hamid Shaker Alzubeidi May 2025

Assessing The Effectiveness Of A Nurse-Led Family-Focused Program On The Physical Health Domain Of Children With Congenital Heart Defects, Maha Abdul Hussein Mutasher Al-Barki, Wameedh Hamid Shaker Alzubeidi

Al-Mustaqbal Journal of Pharmaceutical and Medical Sciences

Background: Assessing the effectiveness of a nurse-led family-focused program on the physical health domain of children with congenital heart defects (CHDs) is a critical area of research. CHDs are among the most common congenital anomalies, affecting nearly 1 in 100 live births. physical activity plays an important role in overall health and recovery congenital heart disease. Quality of life educational include specific directions to increase level of physical activity, such as walking daily or exercising regularly. Objectives: This study aims to assess the effectiveness of a nurse-led family-focused program in improving the physical health outcomes of children with CHDs. Methods …


Evaluation Of Rbc Indices And Significance Of Mentzer Index For Differentiation Between Iron Deficiency Anemia And Beta Thalassemia Trait, Raghda Hameed Jasim, Rasha Hussain Aouda May 2025

Evaluation Of Rbc Indices And Significance Of Mentzer Index For Differentiation Between Iron Deficiency Anemia And Beta Thalassemia Trait, Raghda Hameed Jasim, Rasha Hussain Aouda

Al-Mustaqbal Journal of Pharmaceutical and Medical Sciences

Background: Anemia is a global public health problem affecting developed and adversely affecting developing countries. About 1.62 billion peoples are affected worldwide, currently pregnant women are the most vulnerable population corresponding to 24.8%. Objective: To evaluate RBC indices and significance of Mentzer index for differentiation between Iron deficiency anemia and Beta thalassemia trait. Patients and methods: Cross sectional study was conducted in Babylon Maternity and Pediatrics Teaching Hospital for a period of 4 months. Data was collected prospectively after approval of the research proposal was gained, the study involved 114 patients that were referred to the Babylon Maternity and Pediatrics …


Response To The Letter Titled: “Platelet-To-White Blood Cell Ratio As A Prognostic Biomarker For Spontaneous Reperfusion After Primary Percutaneous Coronary Intervention” By Hinpetch Daungsupawong, Gökhan Alıcı, Tayfur Erdoğdu, Arafat Yıldırım, Özge Ö. Abacıoğlu, Ömer Genç, Ceyhun Yücel, Örsan D. Urgun, Abdullah Yıldırım, Şerafettin Demir May 2025

Response To The Letter Titled: “Platelet-To-White Blood Cell Ratio As A Prognostic Biomarker For Spontaneous Reperfusion After Primary Percutaneous Coronary Intervention” By Hinpetch Daungsupawong, Gökhan Alıcı, Tayfur Erdoğdu, Arafat Yıldırım, Özge Ö. Abacıoğlu, Ömer Genç, Ceyhun Yücel, Örsan D. Urgun, Abdullah Yıldırım, Şerafettin Demir

Journal of the Saudi Heart Association

No abstract for this article type.


Platelet-To-White Blood Cell Ratio And Prognostic Biomarker For Spontaneous Reperfusion After Primary Percutaneous Coronary Intervention, Hinpetch Daungsupawong, Viroj Wiwanitkit May 2025

Platelet-To-White Blood Cell Ratio And Prognostic Biomarker For Spontaneous Reperfusion After Primary Percutaneous Coronary Intervention, Hinpetch Daungsupawong, Viroj Wiwanitkit

Journal of the Saudi Heart Association

No abstract for this article type.


Radiologic And Histologic Findings Of Undifferentiated Sarcoma Treated With Radical Resection, Justina Kasteri, Stefan Johnson, Joseph Hatem, Joel Thompson May 2025

Radiologic And Histologic Findings Of Undifferentiated Sarcoma Treated With Radical Resection, Justina Kasteri, Stefan Johnson, Joseph Hatem, Joel Thompson

Advances in Clinical Medical Research and Healthcare Delivery

Case report of an 89-year-old patient presenting with a nontraumatic painless growing mass on the right thigh. This article presents the diagnostic imaging and histologic microscopic views of the mass following a radical resection. Further discussing the key findings to diagnose undifferentiated sarcomas as well as the clinical management.


A Case Report On Missed Case Of Lynch Syndrome With Pms2 Loss Of Expression At Extreme Age., Prajjwol Bhatta, Fatima Warraich, Tausif Syed, Venkat Arutla, Himal Kharel, Chengu Niu May 2025

A Case Report On Missed Case Of Lynch Syndrome With Pms2 Loss Of Expression At Extreme Age., Prajjwol Bhatta, Fatima Warraich, Tausif Syed, Venkat Arutla, Himal Kharel, Chengu Niu

Advances in Clinical Medical Research and Healthcare Delivery

Lynch syndrome is an autosomal dominant disorder affecting one of the mismatch repair (MMR) genes. Amsterdam and revised Bethesda criteria are used to identify individuals at risk for Lynch syndrome, but they have limited sensitivity. The CRC Risk assessment tool is effective in identifying high-risk individuals and mutation carriers of Lynch syndrome. Here, in this case report, we present an 84-year-old female with a positive family history of colon cancer in her mother and grandmother, presented in the clinic for a 3-year colonoscopy follow-up, who was found to have a 3 cm sigmoid lesion with central ulceration at 28 …


Drug-Induced Hypersensitivity Syndrome Resulting In Hepatotoxicity And Epstein-Barr Virus Reactivation Following Initiation Of Levetiracetam, Zechariah Jung, Xavier Zonna, Samuel J. Wlasowicz, Conor Banta, Lawrence Canale, Joseph Bielecki May 2025

Drug-Induced Hypersensitivity Syndrome Resulting In Hepatotoxicity And Epstein-Barr Virus Reactivation Following Initiation Of Levetiracetam, Zechariah Jung, Xavier Zonna, Samuel J. Wlasowicz, Conor Banta, Lawrence Canale, Joseph Bielecki

Advances in Clinical Medical Research and Healthcare Delivery

A 28-year-old male with a past medical history of alcohol abuse had new-onset seizures suspected to be caused by alcohol use. Twelve days after starting levetiracetam for seizure prophylaxis, he began to develop a pruritic rash, darkening of his urine, periods of jaundice, and hot flashes that correlated with the timing of his levetiracetam dosing. He was subsequently found to have lymphocyte-predominant leukocytosis, elevated aminotransferases, and alkaline phosphatase. Following discontinuation of his levetiracetam, he was found to have positive Epstein-Barr virus (EBV) serology suggestive of reactivation. This case demonstrates levetiracetam as a rare cause of drug-induced hypersensitivity syndrome (DIHS) along …


Non-Classical Mullerian Uterine Anomaly: A Case Report, Sandres Aodish, Michelle Chin, Tyler Dobratz, Patrick Swaney, James Zillman May 2025

Non-Classical Mullerian Uterine Anomaly: A Case Report, Sandres Aodish, Michelle Chin, Tyler Dobratz, Patrick Swaney, James Zillman

Advances in Clinical Medical Research and Healthcare Delivery

Congenital uterine anomalies are malformations that occur during female fetal development. The maturation of the paramesonephric ducts (mullerian ducts) is responsible for the formation of the uterus and other reproductive organs. It is within this developmental process that mullerian anomalies occur. Abnormalities of the uterus can be classified as arcuate, septate, bicornuate, unicornuate, and uterine didelphys. Commonly, patients with mullerian anomalies are asymptomatic, however those that are symptomatic often present with fertility difficulties. Asymptomatic anomalies are often discovered incidentally, as was the case with the patient presented in this report. The patient is a 28-year-old G2P1001 39w0d who elected to …


Neighborhood Change As A Social Determinant Of Health: Assessing Associations With Mental Health And Psychosocial Attitudes Among Resident Clusters, Christopher Williams, Nathaniel Woodard, Charlene Kuo May 2025

Neighborhood Change As A Social Determinant Of Health: Assessing Associations With Mental Health And Psychosocial Attitudes Among Resident Clusters, Christopher Williams, Nathaniel Woodard, Charlene Kuo

Advances in Clinical Medical Research and Healthcare Delivery

Neighborhood change (NC) can be understood as a social determinant of health with direct psychosocial and economic impacts. Our objective was to define resident groups’ perceptions of NC and self-rated mental health in a community experiencing an intense form of NC known as gentrification. We conducted a cross-sectional study using random and convenience sampling. Our measures included a combination of scales and indexes that were used for conducting bivariate and cluster analyses. Our study included 143 responses from Phase II. Two of the three groups or clusters were statistically different in mental health and perceptions of NC impacts on community …


Can Anemia Be A Prognostic Indicator To Scope For Gastroesophageal Junction Adenocarcinoma?, Ryan Tam, Neha Narayanan, Evan Basha, Joel Thompson May 2025

Can Anemia Be A Prognostic Indicator To Scope For Gastroesophageal Junction Adenocarcinoma?, Ryan Tam, Neha Narayanan, Evan Basha, Joel Thompson

Advances in Clinical Medical Research and Healthcare Delivery

Gastroesophageal junction adenocarcinoma is a rapidly progressive disease that has a poor prognosis with a 5-year survival rate of 20%. It commonly presents with major symptoms of dysphagia and weight loss in addition to a long-standing history of reflux. As of now, screening for esophageal adenocarcinoma (EAC) is dependent on identifying risk factors which include a family history of Barrett’s esophagus and esophageal adenocarcinoma or patients with gastroesophageal reflux disease and at least one other risk factory for EAC such as age greater than 50 years, obesity or central adiposity, history of smoking, or male gender. Here, we present a …


Mystery Of Maha: Hypertension’S Twist Over Cancer’S Shadow, Andrew Takla, Gabriel Vachon, John Hix, Nagesh Jadhav May 2025

Mystery Of Maha: Hypertension’S Twist Over Cancer’S Shadow, Andrew Takla, Gabriel Vachon, John Hix, Nagesh Jadhav

Advances in Clinical Medical Research and Healthcare Delivery

Microangiopathic hemolytic anemia (MAHA) refers to nonimmune hemolysis resulting from the intravascular fragmentation of red blood cells. The etiology of such disorders can range from primary thrombotic microangiopathic syndromes (TMA) to various systemic conditions, posing a diagnostic challenge. Prompt identification requires a sharp clinical assessment to improve outcomes.


Intractable Hiccups As The Presenting Symptom Of Relapsed Salmonella Bacteremia Complicated By Salmonella Endocarditis, Sahej Arora, Tripti Jain, Hafsa Jawaid, Nada Hafez, Binita Neupane May 2025

Intractable Hiccups As The Presenting Symptom Of Relapsed Salmonella Bacteremia Complicated By Salmonella Endocarditis, Sahej Arora, Tripti Jain, Hafsa Jawaid, Nada Hafez, Binita Neupane

Advances in Clinical Medical Research and Healthcare Delivery

Salmonella infections are generally acute diarrheal illnesses that uncommonly spread to deeper or endovascular tissues, with key symptoms being nausea, vomiting, diarrhea, abdominal pain and fever. We present a case of a 76-year male who presented chiefly with recurrent intractable hiccups after finishing two weeks of oral ciprofloxacin for a previous episode of Salmonella bacteremia. He was ultimately found to have an aortic root vegetation on transesophageal echocardiogram and focal adenomyomatosis on gallbladder ultrasound. He underwent cholecystectomy, aortic valve replacement and six weeks of antibiotic therapy with resolution of his hiccups. Our case demonstrates an atypical symptom of intractable hiccups …


Mirizzi Syndrome: A Case Report, Elizabeth Barr, Keng Moua, Kavitha Vemuri May 2025

Mirizzi Syndrome: A Case Report, Elizabeth Barr, Keng Moua, Kavitha Vemuri

Advances in Clinical Medical Research and Healthcare Delivery

Mirizzi syndrome is a rare complication of chronic gallstone disease that occurs when an impacted gallstone at the gallbladder infundibulum or cystic duct causes common extrinsic hepatic or common bile duct obstruction. Contrary to other gallstone pathologies where gallstones affect the respective location in which they are lodged, Mirizzi syndrome is unique in that it is characterized by extrinsic gallstone compression. Chronic gallstone disease most commonly leads to acute cholecystitis, acute cholangitis, or acute pancreatitis. The extrinsic compression of the common hepatic or common bile duct may lead to eventual erosion which increases the risk for a cholecystocholedochal or cholecystohepatic …


Combatting The Mpox Outbreak In Pakistan: An Urgent Public Health Imperative, Abdul Basit Sangah, Shazia Saleem Shaikh, Abdul Karim, Rohait Kumar, Mubashir Hussain May 2025

Combatting The Mpox Outbreak In Pakistan: An Urgent Public Health Imperative, Abdul Basit Sangah, Shazia Saleem Shaikh, Abdul Karim, Rohait Kumar, Mubashir Hussain

Journal of Community Hospital Internal Medicine Perspectives

No abstract for this article type.


Rapidly Developing Bilateral Loculated Streptococcus Pyogenes Empyema In An Immunocompetent Adult: A Case Report, Anish K Shrestha, Matthew Dwumah-Agyen, Boniface Mensah, Yvette Yeboah-Kordieh, Marcos A Wolff, Jennifer A Evans May 2025

Rapidly Developing Bilateral Loculated Streptococcus Pyogenes Empyema In An Immunocompetent Adult: A Case Report, Anish K Shrestha, Matthew Dwumah-Agyen, Boniface Mensah, Yvette Yeboah-Kordieh, Marcos A Wolff, Jennifer A Evans

Journal of Community Hospital Internal Medicine Perspectives

Streptococcus pyogenes is a rare cause of empyema, especially in immunocompetent individuals. The organism expresses various virulence factors leading to rapid progression of the disease. We report a case of rapidly progressing bilateral loculated empyema caused by streptococcus pyogenes in an immunocompetent host without additional risk factors.


A Budding Pancreatic Mass: A Review Of Disseminated Blastomycosis, Tina C. L. Phan, Chloe N. Hundman, Neena Thomas-Gosain, Christopher D. Jackson May 2025

A Budding Pancreatic Mass: A Review Of Disseminated Blastomycosis, Tina C. L. Phan, Chloe N. Hundman, Neena Thomas-Gosain, Christopher D. Jackson

Journal of Community Hospital Internal Medicine Perspectives

A 67-year-old male patient presented with anorexia, weight loss, skin masses, and flank pain over the past three months. Imaging revealed a lung mass and a cystic lesion in the pancreatic head. After initial diagnostic work-up and clinical deterioration, broad based budding, seen on pathology, led to a diagnosis of disseminated blastomycosis. After receiving a 14-day course of liposomal amphotericin B followed by itraconazole, the patient showed significant clinical improvement. We reviewed all disseminated blastomycosis cases in the medical literature involving gastrointestinal organs. Although pancreatic involvement is rare, we suggest that it should be suspected in those with a rapidly …


Chorea Hyperglycemia Basal Ganglia (Chbg) Syndrome: A Case Report, Ammad Naeem, Mohamad Omar Beck, Ahsan R. Khan, Ribal Sajjad May 2025

Chorea Hyperglycemia Basal Ganglia (Chbg) Syndrome: A Case Report, Ammad Naeem, Mohamad Omar Beck, Ahsan R. Khan, Ribal Sajjad

Journal of Community Hospital Internal Medicine Perspectives

Chorea, characterized by sudden, involuntary movements of the face and limbs, arises from various causes, including neurodegenerative diseases, metabolic disorders, and structural brain changes, notably in the basal ganglia. Acute lesions in the basal ganglia due to ischemia or vascular pathology can also precipitate chorea. Hyperglycemia-induced basal ganglia changes, termed chorea hyperglycemia basal ganglia, predominantly affect elderly females with type 2 diabetes. We report a 62- year-old female with poorly managed diabetes presenting with involuntary jerking movements, initially in the right leg, progressing to the right arm, face, and lips over three days. Her history included hyperlipidemia and hypertension, and …


A ‘Fluke’ Diagnosis: Suspecting Fascioliasis As A Rare Cause Of Hepatic Abscess, Tharun Shyam, Rosa Lora, Sharanya Kaushik, Jessica Chung, Monica Ghitan, Christina Coyle May 2025

A ‘Fluke’ Diagnosis: Suspecting Fascioliasis As A Rare Cause Of Hepatic Abscess, Tharun Shyam, Rosa Lora, Sharanya Kaushik, Jessica Chung, Monica Ghitan, Christina Coyle

Journal of Community Hospital Internal Medicine Perspectives

Hepatic abscess is a rare complication of fascioliasis, with fewer than 50 reported cases worldwide. The diagnosis requires a high degree of suspicion and is often identified after extensive investigation leading to delays in treatment. With this case report, we aim to highlight the need for a higher index of suspicion in non endemic regions like the USA, especially in cities with large immigrant populations. Given the ease and success rates of treatment with oral triclabendazole, the morbidity from unnecessary invasive testing and disease burden is preventable with a thorough evaluation and targeted clinical assessment.


Case With Refractory Myasthenia Gravis Caused By Pembrolizumab, Khaled M. Darwesh, Bushra Amer, Lateefah D. Hawshab, Fatima D Hawshab May 2025

Case With Refractory Myasthenia Gravis Caused By Pembrolizumab, Khaled M. Darwesh, Bushra Amer, Lateefah D. Hawshab, Fatima D Hawshab

Journal of Community Hospital Internal Medicine Perspectives

Nowadays, checkpoint inhibitors play a major role in the management of different types of cancers. However, we have seen variants of immune therapy-related adverse events, which usually are variables from fatigue, to neuropathy to severe devastating complications such as respiratory failure due to myasthenia gravis (MG), as we saw in our case. Our patient was started on pembrolizumab, and they developed severe respiratory failure attributed to MG after three weeks from treatment initiation. Also, the patient presented with myositis, mild myocarditis and hepatitis, which were all related to pembrolizumab.


Wild-Type Cardiac Amyloidosis Due To Transthyretin Protein — A Review, Mustafa Shehzad, Muhammad Hasan, Dawood Shehzad, Muhammad Shariq Akram, Muhammad Faiq Akram, Dawlat Khan, Maham Maqsood, Mamoon Ahmed, Humna Younis May 2025

Wild-Type Cardiac Amyloidosis Due To Transthyretin Protein — A Review, Mustafa Shehzad, Muhammad Hasan, Dawood Shehzad, Muhammad Shariq Akram, Muhammad Faiq Akram, Dawlat Khan, Maham Maqsood, Mamoon Ahmed, Humna Younis

Journal of Community Hospital Internal Medicine Perspectives

Transthyretin amyloid cardiomyopathy (ATTR-CM) arises from the accumulation of transthyretin amyloid fibrils in the myocardium, a consequence of instability and misfolding in wild-type or variant transthyretin protein. ATTR-CM should be suspected in older heart failure patients with raised myocardial wall thickness and diastolic dysfunction on echocardiography in the absence of hypertension or other known causes. This diagnosis can be further supported with late gadolinium enhancement on Cardiac MRI which indicates raised myocardial extracellular volume (ECV) hinting at the expansion of interstitial space by amyloid deposits. Diagnostic work up starts with blood and urine tests to rule out AL amyloidosis and …


Iron Deficiency—More Than Just Anemia: A Literature Review, Arianna S Moss, Zahra Pakbaz May 2025

Iron Deficiency—More Than Just Anemia: A Literature Review, Arianna S Moss, Zahra Pakbaz

Journal of Community Hospital Internal Medicine Perspectives

Iron deficiency (ID) is a global public health concern, as it can be a prodrome of gastrointestinal (GI) malignancies, exacerbate chronic conditions, and lead to an overall decreased quality of life. Despite being the most prevalent nutritional deficiency, it remains underdiagnosed by many healthcare professionals. Misconceptions regarding the clinical and laboratory manifestations of ID lead to delayed or missed diagnoses, contributing to poor patient outcomes. Though anemia is a commonly known consequence of ID, there are additional consequences that remain underrecognized by the medical community, including vague signs and symptoms, such as fatigue, depression, and abnormalities in white blood cell …


Endocrinology Expert Witness: Bridging Healthcare And Law To Uphold Standards, Mihail Zilbermint, Stacey B. Lee May 2025

Endocrinology Expert Witness: Bridging Healthcare And Law To Uphold Standards, Mihail Zilbermint, Stacey B. Lee

Journal of Community Hospital Internal Medicine Perspectives

The role of a medical expert witness is vital in bridging the gap between the healthcare and legal systems, ensuring that justice is served while maintaining high standards of medical care. This perspective highlights the importance of medical professionals engaging in expert witness work, examining both the challenges and rewards of this role. Initially, community physicians may hesitate to participate due to misconceptions about legal risks or potential professional backlash. However, expert witness work provides a unique opportunity to supplement income, contribute to the integrity of the medical profession, and deepen medical knowledge.

The development of legal knowledge, such as …