Medicine and Health Sciences Commons^™

Provider Knowledge And Utilization Of Naloxone Prescriptions From The Emergency Department, Julia Carter Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Implementation Of Standardized Ictal And Post-Ictal Examinations In Epilepsy Monitoring Unit, Salman Assad Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Medical School Elective On Breastfeeding Medicine Successful, Possible Model For Addressing Curriculum Gap, Diana Bosworth Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Improving Safety Through Accurate And Patient-Centered Insulin Discharge Instructions, Claire Schmitz Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Comparing Outcomes Of Acute Pancreatitis In United States Military Veterans With And Without Post- Traumatic Stress Disorder, Kyle J. Scholten Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

A Longitudinal Study Of K Values Changes After Penetrating Keratoplasty (Pkp), Bryant Menke Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Too Much Time On Their Hands? - Evolving Characteristics Of Adult Trauma Patients During The Covid-19 Pandemic, Mark Ringle Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Potential Prognostic Determinants For Fet::Creb Fusion Positive Intracranial Mesenchymal Tumors, Frank M. Mezzacappa Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Liposuction For Superficialization Of Deep Hemodialysis Vascular Access: A Novel Application, Currey M. Zalman Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

The Roles Of Mucins Muc5ac And Muc16 In Lung Cancer, Elizabeth Blowers Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Interactive Learning And Uv Dosimetry As A Means To Improving Sun Safety Knowledge And Behaviors, Elliot Blue Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Comparison Of Peripheral Biomarker Profiles Across Unique Multimorbidity Patterns In Rheumatoid Arthritis, Chloe Peyton Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Resident Satisfaction With Didactic Curriculum And Absite Scores After A Major Curriculum Change, Kelsey R. Tieken Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Standardized Approach To Managing Adhesive Small Bowel Obstructions Reduces Hospital Length Of Stay On The Emergency General Surgery Service, Rachael N. Newton Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

What Do Our Patients Really Know About Dialysis And End Stage Kidney Disease, Debra Wekesa Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Incidence And Outcomes Of Acute Appendicitis During The Covid-19 Pandemic, Ellen Horstmann Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Analyzing Predictive Factors For Pathologic Complete Response For Locally Advanced Rectal Cancer, Adam Cloos Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Predictors Of Trauma Patients Leaving Against Medical Advice, Krysta M. Sutyak Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Clinically Significant Hypotension In Patients Undergoing Thoracoscopic Lobectomy: A Single-Center, Retrospective Analysis Of Thoracic Epidural Analgesia Versus Liposomal Bupivacaine Intercostal Nerve Blockade, Jason Lizalek Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Outcomes In Intravenous To Oral Antimicrobial Therapy In Beta-Hemolytic Streptococcus Species, Mackenzie R. Keintz Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Comparison Of Outcomes For Patients Admitted From The Emergency Department With Focal Vs Multifocal Pneumonia, Glen Clinton Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Up-Regulation Of Tumor Suppressor Microrna Let-7 In Inflammatory Bowel Disease Is A Novel Molecular Marker For Induction Of Disease Remission, Donghyun Kim Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

From Canvases To Catheters: The Artistic Journey Of A Procedure-Loving Resident Physician, Raquel Lamarche

Graduate Medical Education Research Journal

No abstract provided.

Stellate Ganglion Block For Refractory Raynaud’S Phenomenon- A Case Report, William J. Naber Ii, Derik J. Scribner, Gabriel Howard

Graduate Medical Education Research Journal

Introduction: Raynaud’s phenomenon (RP) is predominately a sympathetically mediated ischemic vasospastic disease involving the distal limbs and is associated with sharp pains, numbness, and dermatological color changes. The symptoms are commonly induced by cold weather, stress, and trauma and it is known to affect 4.85% of the population. There are few well-defined treatments for patients with RP that are refractory to 1st-line therapies. We present a case of intractable RP with corresponding response to stellate ganglion block (SGB) which demonstrates the efficacy profile and safety of SNS blocks in treatment of resistant RP.

Methods: Per Bon Secours Mercy Health …

Early Onset Bullous Emphysema Associated With Polysubstance Use, Kelsey Noble, Julia Griffin

Graduate Medical Education Research Journal

The burden of COPD in the United States is tremendous. This disease is not only among the leading causes of mortality annually, but also takes a heavy financial toll.¹ Bullous emphysema is a severe variant of COPD. The primary identified risk factor for bullous emphysema is tobacco use; however, the impact of other substances is not clearly delineated.² This case presents a patient diagnosed with severe bullous emphysema at age 33 with substantial disease progression over the course of 12 years associated with much scarcer tobacco use than would be expected but a prominent history of methamphetamine and …

Successful Latissimus Dorsi Free Flap Salvage Using Intraoperative Vasopressors: A Case Report, Aubree Ford, Hugo Palacios Vazquez, Sean Figy

Graduate Medical Education Research Journal

Arterial thrombosis is a rare, but dreadful complication in microvascular surgery. Here we report on a case of recurrent arterial thrombosis in a latissimus dorsi (LD) free flap used for scalp reconstruction in an 18-year-old woman who sustained a gunshot wound (GSW) to the head. In the immediate postoperative period, internal and external doppler signals to the flap were lost. Emergent surgical exploration revealed arterial thrombosis, which was emergently explored and successfully repaired. Doppler signals were again lost and the flap was emergently explored for a second time. Following revision of the arterial anastomosis, flap perfusion decreased and appeared to …

Preparing For The Unexpected: Recognizing A Tortuous Thoracic Aorta During Ultrasound-Guided Thoracentesis, Michael Choi, Jessica Roettger, Christopher J. Smith

Graduate Medical Education Research Journal

Ultrasound-guidance has become the standard of care for bedside thoracentesis. This manuscript describes the importance of utilizing point-of-care-ultrasound (POCUS) and color Doppler in avoiding an unusual, but potentially catastrophic aortic puncture during thoracentesis. The case describes a 70 year-old man who presented with one week of shortness of breath. He was found to have a large left-sided pleural effusion on imaging studies. During a bedside POCUS examination, he was found to have a hyperechoic linear structure in his posterior left hemithorax. Ultrasound application of color Doppler revealed a pulsatile flow, confirming visualization of the aorta. The site of needle insertion …

Pelvic Actinomycosis: A Case Report, Jacklyn Locklear, Rachel Gilbert, Neelima Sukhavasi, Elizabeth Sutton

Graduate Medical Education Research Journal

Introduction: Actinomycosis is a bacterial infection caused by the gram positive anaerobic bacteria that most commonly infects the cervicofacial region of the body. Rarely, it can infect the pelvis and typically presents in a nonspecific manner.

Case Report: We present a case of a 43 year old female G6P6006 with Paragard® intrauterine device (IUD) who presented with purulent umbilical discharge and pelvic pain. Initial imaging was concerned for gastrointestinal or ovarian malignancy. Patient underwent diagnostic laparoscopy with pelvic washings and hysteroscopy D&C. Operative pathology returned with results for actinomyces (IUD likely source).

Conclusion: While it is established IUDs can be …

Expedited Recovery Pain Management Pathway For Minimally Invasive Repair Of Pectus Excavatum (Mirpe), Maria E. Tecos, Jessica Goeller, Robert Cusick, Stephen Raynor

Graduate Medical Education Research Journal

Introduction: Pectus Excavatum (PEX) is the most common anterior chest wall deformity. While minimally invasive repair of pectus excavatum (MIRPE) has improved perioperative outcomes, there continue to be opportunities to optimize postoperative pain management and reduce length of stay (LOS). We compared the impact of a multimodal expedited protocol utilizing a combination of systemic and regional analgesia (with single shot paravertebral truncal blocks), along with coping techniques (such as meditation), and physical therapy, with systemic analgesia on LOS and opioid requirements.

Methods: 51 patients underwent MIRPE with an expedited recovery protocol in comparison with 112 historical control patients at a …

Systemic Inflammation Is Associated With Disease Extent And Survival In Oral Cavity Squamous Cell Carcinoma, Brendan Coutu, Dallin N. Christensen, Evan Ryan, Elizabeth Bradford Bell, Weining Zhen, Zafar Sayed

Graduate Medical Education Research Journal

Background: Although systemic immune-inflammation index (SII) correlates with patient survival in various solid malignancies limited information is available in the setting of oral cavity squamous cell carcinoma (OCSCC).

Methods: We retrospectively reviewed 222 patients who underwent a resection of curative intent for patients with OCSCC. SII was determined prior to surgical resection as platelet count × neutrophil count/lymphocyte count.

Results: At a median follow-up of 30.6 months, 2-year disease-free survival (DFS) and overall survival (OS) rates were 63.9% and 76.4%, respectively. A high SII (>1047) was associated with poor performance status and disease extent. A low SII was independently …