Medicine and Health Sciences Commons^™

Cerebellopontine Angle Meningioma Mimicking Acute Stroke, Milan Terzic, Yash B. Patel

Graduate Medical Education Research Journal

Cerebellopontine angle meningiomas are slow-growing benign tumors of the brain with a largely indolent course until compressive and mass effects occur with adjacent neural structures. Clinical presentations are variable and dependent on the rate of growth and location and tend to progress over a longer period. Acute presentations are less common and require consideration of ubiquitous etiologies. A 62-year-old male with a history of hypertension, benign prostatic hyperplasia, dyslipidemia, and gout presented to the emergency department with a sudden onset of dizziness, loss of balance, and persistently elevated blood pressure. The examination was positive for left dysmetria, dysdiadochokinesia, and tandem …

Breathless Laughter: Tackling Tussive Syncope In The Shadows Of Obstructive Sleep Apnea, Milan Terzic, Yash B. Patel

Graduate Medical Education Research Journal

Cough is a common complaint in the inpatient and outpatient setting. Most cases are caused by upper airway syndrome, gastroesophageal reflux disease, asthma, bronchitis, or infections. Complications that can be life-threatening include syncope and arrhythmias. Our case is of a 67-year-old obese male who had a chronic cough that led to syncope. The chronic cough was present for months, non-responsive to symptomatic treatment, and negative on outpatient work up with no clear common causes leading to hospitalization. After extensive imaging and cardiopulmonary work up yielding normal results, his underlying obstructive sleep apnea and therapy noncompliance was a likely cause. After …

Impact Of Frailty On Patient Morbidity And Outcomes Following Surgery For Urolithiasis: A Nsqip Analysis, David Fu, Kaeli Samson, Bryant Van Leeuwen, Andrew J. Blazek, Andrew Christiansen

Graduate Medical Education Research Journal

Background: Kidney stones are prevalent, and surgical treatment is based on multiple factors. Frailty is the collective decline of organ systems that can lead to adverse events and is considered prior to surgery for risk-benefit analysis. The National Surgical Quality Improvement Program (NSQIP) utilizes risk-adjusted data to monitor outcomes, provide quality benchmarks, and decrease complications. The impact of frailty with the modified 5-item frailty index has not previously been evaluated for patients undergoing urolithiasis procedures.

Methods: Data was collected from 1329 patients who underwent surgery for urolithiasis. The primary outcome was 30-day all-cause morbidity. Associations between variables, including those …

Trends, Predictors, And Outcomes Of Hepatic Encephalopathy Treatment At A Quaternary Transplant Center From 2012-2022, Patrick Twohig, Thoetchai Peeraphatdit, Kaeli Samson, Makayla Schissel, Lynette M. Smith, Kyaw Min Tun, Ellen Tan, Kyle Scholten, Jason Barbaretta, Kevin Brittan, Timothy Mccashland

Graduate Medical Education Research Journal

Background: Hepatic encephalopathy (HE) is a devastating complication of cirrhosis that increases mortality. Many patients do not receive guideline recommended HE treatment.

Our aim is to evaluate trends in HE treatment over time, variables associated with receiving treatment, and outcomes based on the type of treatment received.

Methods: Retrospective single-center cohort study of hospitalized patients with HE from July 2012 – June 2022. HE treatment was defined as receiving lactulose, rifaximin, or combination therapy.

Results: A total of 1,683 unique patients were included, 72% of patients received HE treatment. Fewer HE patients received any treatment in 2022 (65.9%) compared to …

Barriers To Education: Limited Accessibility Of Study Material Used During Facial Plastic & Reconstructive Surgery Fellowship Training, Kieran Boochoon, Andrew Yousef, Deborah Watson

Graduate Medical Education Research Journal

Purpose: The American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) Fellowship Compendium is an extensive bibliography that serves to prepare fellows for their end-of-year board exams. Access to a current version is variable among fellowship programs. If Compendium articles—current and updated—are made directly available to fellows on the Fellows-In-Training AAFPRS website, then easier access to the preparatory exam material could improve their review of the material and their overall education. This study surveyed past AAFPRS fellows to determine the usefulness of hyperlinks to the Compendium bibliography.

Methods: AAFPRS fellows from 2021-2022 and 2022-2023 received a 9-question survey by email …

Nextstat: A Low-Cost Lot Based Paging Solution To Request Urgent Help In The Or Using Amazon Aws Cloud, Nathan Goergen

Graduate Medical Education Research Journal

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The Effectiveness Of Individual And Group Canine-Assisted Interventions In Improving Mental Health In Higher Education Students, Karen Manville, Mark Coulson, Gemma Reynolds

People and Animals: The International Journal of Research and Practice

The main aim of this study was to identify whether the social environment of canine-assisted intervention (CAI) influenced the beneficial effects on higher education (HE) students’ mental health. A second aim explored whether attachment style predicted the effect of being part of a CAI group. Sixty-seven participants interacted with a canine for two minutes, either individually, as part of a pair, or as a trio. Anxiety, stress, depression, and well-being were measured pre and post intervention, alongside attachment style. The results found no difference in the effectiveness of CAI when taking part individually, in pairs, or in a trio, meaning …

A Comprehensive Analysis Of How Pet Ownership Impacts The Experiences And Well-Being Of Homeless Individuals, Alexandra G. Watson, Nancy A. Dreschel

People and Animals: The International Journal of Research and Practice

This paper conducts a thorough examination of the relationship between pet ownership and homelessness. In a context where homelessness in the United States is a growing concern, we delve into an aspect that has received little attention: how homeless individuals and their pets interact. Through an extensive review of existing research, this paper aims to uncover the demographic characteristics of homeless pet owners and understand the significant effects of this bond. Our findings reveal that homeless individuals with pets come from diverse backgrounds, including various ages, genders, and racial backgrounds. Their pets provide not only companionship but also emotional support, …

Assessment Of Postural Stability Of 14-Year-Old Girls Training Volleyball, Robert Walaszek, Wiesław Chwała, Katarzyna Burdacka, Marcin Burdacki, Paweł Kurowski

Baltic Journal of Health and Physical Activity

Introduction: Measurements of postural stability are carried out for the prevention of injuries and for rehabilitation of athletes who have sustained traumatic injuries. The aim of the study was to assess postural stability measured in static and dynamic conditions in 14-year-old girls, of whom some were training volleyball, and some were not. Materials and Methods: The study involved a group of 30 girls aged 14, attending volleyball classes. This group was compared with the control group (n = 30) of girls of the same age who regularly participated only in regular physical education (PE) classes. The tests were conducted twice. …

Quality Improvement In Healthcare: A Practical Guide For Providers (Part 4), Jeremy Ellis

Transformative Medicine

No abstract provided.

Direct Oral Anticoagulants: A Review For Health Care Providers, Mary Hoang, Maley Zents, Christina Swiger, Emily Wagner

Transformative Medicine

Direct oral anticoagulants (DOACs) are a novel class of anticoagulants. They include rivaroxaban, apixaban, edoxaban, and dabigatran. Benefits of DOACs over many older anticoagulants include oral administration, quicker onset of action, less monitoring requirements, and fewer drug interactions. Since the DOACs were first introduced, their use has increased tremendously. This article aims to help providers become more familiar with DOACs and the specific factors that may impact prescribing practices. Several drugs used for the reversal of DOACs will also be discussed. Lastly, the article will describe certain situations in which warfarin is preferred over DOACs.

Understanding And Managing Right Bundle Branch Block, Muhammad Mohsin Zafar, Muhammad Asad Hanif, Tayyab Ali Waheed, Aniruddha Singh

Transformative Medicine

No abstract provided.

Small Intestinal Bacterial Overgrowth, Sandesh R. Parajuli, Anish C. Paudel, Anthony Donato

Transformative Medicine

No abstract provided.

Examining The Mental Health Impact: Investigating The Association Between Suicide And Long Covid Syndrome, Nicole Ann E. Villa, Gina Maria P. Fiore, Eduardo Espiridion

Transformative Medicine

Since its emergence in late 2019, Covid-19 has had many devastating economic, social, mental, and physical health consequences and caused millions of deaths worldwide over the course of the pandemic. While most cases are mild and symptoms resolve within a couple of weeks, some Covid patients' symptoms can last for multiple weeks, months, or even years after contracting the virus, and these long-lasting symptoms have been identified as Long-Covid. Psychiatric symptoms have been associated with Long-Covid in addition to physical symptoms, and impaired cognitive functioning, sleep abnormalities, depression, anxiety, PTSD, and psychosis have been observed in Long-Covid patients. Given the …

Mortality And Comorbidities Associated With Covid-19 Infection In Psychiatric Patients From A State Hospital, Nicole Ann E. Villa, Matthew Driben, Regina Reed, Maria Yee, Eduardo Espiridion

Transformative Medicine

Introduction: Coronavirus (COVID-19) infection has spread globally and resulted in more than one million deaths in the US as of July 2023, where it has been more severe in psychiatric wards. State hospitals are a particularly transmissible location for COVID-19, and the medications that psychiatric patients typically utilize may contribute to the incidence of comorbidities including obesity, hypertension, and diabetes. Studies have found that patients with preexisting mental health disorders and comorbidities tend to have worse COVID-19 outcomes. Thus, we examine the mortality and comorbidity rate of patients, and discuss how psychiatric medications may contribute to the risk of …

The Transgenerational Transmission Of Physical Attractiveness Perceptions: Role Of Parents' Physical Activity And Nutrition Habits In Modelling Body-Focused Health Attitudes And Body Shape Perception In Five-Year-Old Offspring, Agata Kamionka, Mariusz Lipowski, Sebastian Lizińczyk, Urszula Sajewicz-Radtke, Bartosz Radtke, Ariadna Łada-Maśko, Dariusz Olszewski-Strzyżowski, Małgorzata Lipowska

Baltic Journal of Health and Physical Activity

Introduction: Observing parents’ body-focused behaviours during middle childhood is one of the initial ways in which children model their perceptions of pro-health attitudes and their connection to physical attractiveness. This study aimed to investigate the relationship between parents' health behaviours, their appearance, and the perceptions of adult body types (skinny, medium, obese) by their five-year-old children. Moreover, the role of gender in the above relationship for both children and parents was also examined. Materials and methods: This study participants were 680 families with five-year-old children (330 girls). Participation was limited to the moth-er-father-child triad. The Beauty and Health Scale, Healthy …

The Role Of Procedural Justice In Alleviating The Stress Of Role Conflict An Applied Study On The Members Of The Nursing Staff At Tripoli Medical Hospital In Libya, Almokhtar Almajdoubi

Al Jinan الجنان

This study aims to study the fairness of the procedures and the stress of the role of the nursing staff in Tripoli Medical Hospital in Libya, and determine the relative importance of the fairness of the procedures and their relevance to the pressures of the role struggle. In the Tripoli Medical Hospital. The researcher concluded that there is no significant effect between the fairness of the procedures and the role conflict. The results also showed significant differences between the perceptions of the nursing staff for the justice of procedures due to the following demographic variables (gender, age, Level of education, …

المقصد الأسمى في شرح حديث لا عدوى, Fathi Bikai

Al Jinan الجنان

This research is a study of the articulation «no infection» contained in the Hadith, as it deals with the following: the verbal context, and especially the character of negation (no) which can hold the meaning of exclusion or prohibition, and exclusion is likely to banish existence and potentially deny the effect of the disease itself without God’s will. In addition, what may appear in the Hadith as a conflict or allocation. Did our Prophet- peace be upon him- want to correct pre-Islamic concepts that prevailed at the time of his mission, or is it an order to not infect others? …

عدوى المستشفيات, Afaf Taha

Al Jinan الجنان

Despite the progress in the medical fields and technologies used, and the use of a number of antibiotics to eliminate microorganisms that attack the human body, bacterial infections still a major cause of patient deaths. The irony is that hospitals patients turn to for hospitalization are the source of infection caused by microorganisms resistant to a number of antibiotics. The researcher discusses this problem and tells us that the hospital is an ideal place for transmitting pathogens because patients with similar diseases placed in closed groups and are in contact with health workers so that both become a hotbed for …

Medical School Watercooler Newsletter - June 27, 2024, Lindsey Lyle

Watercooler Newsletter

This is the June 27, 2024 edition of the Frederick P. Whiddon College of Medicine’s newsletter - Watercooler.

Contents Include

• Turbeville retires from Whiddon College of Medicine
• USA Medical Alumni Association hosts reunion weekend
• Internal medicine graduates and residents honored
• Pathology faculty present amyloidosis research at international meetings

Working With Bilingual Populations: Clinical Practices Of Speech-Language Pathologists In New Mexico, Wylie L. Skillman

Speech and Hearing Sciences ETDs

New Mexico is uniquely positioned as a state that has more bilingual speakers than the United States on average, meaning that Speech Language Pathologists (SLPs) here are more likely to work with bilingual speakers than elsewhere. Best practices for bilingual evaluation and treatment are taught in graduate education for SLPs but the extent to which they are known and utilized by school-based SLPs differs based on many factors.

As the body of research supporting culturally responsive bilingual assessment and intervention continue to grow, it is unknown how or if clinicians are using this knowledge to assess and treat students who …

Antimicrobial Peptide Screening For Designing Custom Bactericidal Hydrogels, Matthias Recktenwald, Muskanjot Kaur, Mohammed M. Benmassaoud, Aryanna Copling, Tulika Khanna, Michael Curry, Dennise Cortes, Gilbert Fleischer, Valerie J. Carabetta, Sebastian Vega

Rowan-Virtua School of Translational Biomedical Engineering & Sciences Departmental Research

Staphylococcus aureus (S. aureus) is an opportunistic pathogen that lives on surfaces and skin and can cause serious infections inside the body. Antimicrobial peptides (AMPs) are part of the innate immune system and can eliminate pathogens, including bacteria and viruses, and are a promising alternative to antibiotics. Although studies have reported that AMP-functionalized hydrogels can prevent bacterial adhesion and biofilm formation, AMP dosing and the combined effects of multiple AMPs are not well understood. Here, three AMPs with different antibacterial properties were synthesized and the soluble minimum inhibitory concentrations (MICs) of each AMP against methicillin-susceptible S. aureus (MSSA) and methicillin-resistant …

Inter-Institutional Analysis Of Skin Of Color Representation In Dermatological Lecture Content At Md And Do Medical Schools, Oluwafunke Ogunremi

Sanford School of Medicine Posters and Presentations

The purpose of this study was to analyze the lecture materials provided in medical schools through a diversity lens. Skin pathologies manifest distinctively on various shades of skin and physicians must be equipped with the proper knowledge to identify and diagnose these conditions accurately and promptly. For most medical students, images in prominent textbooks and lecture slides are their first encounter with disease presentations. Therefore, it is important to analyze the diversity of skin tones in the content that is being delivered. Specifically, the use of images featuring darker skin tones compared to those depicting lighter skin tones. This study …

Integrity, Flexibility, And Balance: How Change Works In Psychotherapy, David Pincus

Psychology Faculty Books and Book Chapters

Psychotherapy may be the most tested form of health intervention and also one of the most mysterious. Clinical trials, and meta-analyses of these trials, have repeatedly demonstrated the effectiveness of psychotherapy, while also failing to uncover any clear-cut and consistent understanding of how psychotherapy works. This lack of understanding has driven the field to develop 500 supposedly distinct, yet equivalently effective “theories.” The field suffers from barriers to scientific discovery, barriers to therapist training, and barriers to people seeking help for their psychosocial problems. This chapter tackles the mystery of how therapy works by examining the shortcomings of modern medical …

Nonlinear Biopsychosocial Resilience: Self-Organization As The Basis For A Common Framework, Adam W. Kiefer, David Pincus

Psychology Faculty Books and Book Chapters

Recently, calls have been made for a common framework to understand human resilience through the lens of dynamical systems theory. This chapter provides a comprehensive introduction to the concepts and tools necessary for such an approach. It builds on an existing theoretical framework of biopsychosocial resilience grounded in self-organization theory. This theoretical framework is applied to the formalization of four types of resilience – robustness, resilience, antifragility and grit. Next, important features of stability, structural integrity, and flexibility are discussed as empirically measurable characteristics of a systems-based approach to resilience, which provide a foundation for further applications, including metastability and, …

Evaluating Behavioral Skills Training For The Acquisition And Generalization Of Run Blocking Skills Of High School Football Players, Jason Caleb Wiley

USF Tampa Graduate Theses and Dissertations

Behavioral skills training has been used to increase football player’s performance in one prior study, but limited data were collected on how the skill generalized from the training environment to the natural environment. The purpose of this study is to further evaluate the effects of BST in enhancing football player’s performance while also evaluating the generalization of a skill taught in a training environment (i.e., practice) to the natural environment (i.e., game simulated scrimmage). This study included five high school offensive line football players and recorded their run blocking skills in the training context and a game context in baseline …

Remote Monitoring App For Endocrine Therapy Adherence Among Patients With Early-Stage Breast Cancer: A Randomized Clinical Trial, Ilana Graetz, Xin Hu, Mehmet Kocak, Rebecca A. Krukowski, Janeane N. Anderson, Teresa M. Waters, Andrea N. Curry, Andrew Robles, Andrew Paladino, Edward Stepanski, Gregory A. Vidal, Lee S. Schwartzberg

Kimmel Cancer Center Papers, Presentations, and Grand Rounds

IMPORTANCE: Adjuvant endocrine therapy (AET) use among women with early-stage, hormone receptor-positive breast cancer reduces the risk of cancer recurrence, but its adverse symptoms contribute to lower adherence.

OBJECTIVE: To test whether remote monitoring of symptoms and treatment adherence with or without tailored text messages improves outcomes among women with breast cancer who are prescribed AET.

DESIGN, SETTING, AND PARTICIPANTS: This nonblinded, randomized clinical trial (RCT) following intention-to-treat principles included English-speaking women with early-stage breast cancer prescribed AET at a large cancer center with 14 clinics across 3 states from November 15, 2018, to June 11, 2021. All participants had …

Real-World And Clinical Trial Outcomes In Large B-Cell Lymphoma With Axicabtagene Ciloleucel Across Race And Ethnicity, Frederick L Locke, Armin Ghobadi, Et Al.

2020-Current year OA Pubs

Axicabtagene ciloleucel (axi-cel) is an autologous anti-CD19 chimeric antigen receptor (CAR) T-cell therapy approved for relapsed/refractory (R/R) large B-cell lymphoma (LBCL). Despite extensive data supporting its use, outcomes stratified by race and ethnicity groups are limited. Here, we report clinical outcomes with axi-cel in patients with R/R LBCL by race and ethnicity in both real-world and clinical trial settings. In the real-world setting, 1290 patients who received axi-cel between 2017 and 2020 were identified from the Center for International Blood and Marrow Transplant Research database; 106 and 169 patients were included from the ZUMA-1 and ZUMA-7 trials, respectively. Overall survival …

Detection Of Early-Stage Nash Using Non-Invasive Hyperpolarized 13c Metabolic Imaging, Cornelius Von Morze, Tyler Blazey, Ashley Shaw, William M Spees, Kooresh I Shoghi, Michael A Ohliger

2020-Current year OA Pubs

Non-alcoholic steatohepatitis (NASH) is characterized from its early stages by a profound remodeling of the liver microenvironment, encompassing changes in the composition and activities of multiple cell types and associated gene expression patterns. Hyperpolarized (HP)

Frontline Nursing Staff’S Perceptions Of Intravenous Medication Administration: The First Step Toward Safer Infusion Processes-A Qualitative Study, Masashi Uramatsu, Naoko Kimura, Takako Kojima, Yoshikazu Fujisawa, Tomoko Oto, Paul Barach

College of Population Health Faculty Papers

OBJECTIVES: Intravenous medication errors continue to significantly impact patient safety and outcomes. This study sought to clarify the complexity and risks of the intravenous administration process.

DESIGN: A qualitative focus group interview study.

SETTING: Focused interviews were conducted using process mapping with frontline nurses responsible for medication administration in September 2020.

PARTICIPANTS: Front line experiened nurses from a Japanese tertiary teaching hospital.

PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome measure was to identify the mental models frontline nurses used during intravenous medication administration, which influence their interactions with patients, and secondarily, to examine the medication process gaps between the …