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Full-Text Articles in Medical Specialties

Diagnosing Total Joint Arthroplasty-Associated Periprosthetic Joint Infections In Immunocompromised Patient Populations, Philip Zakko, Erin A. Baker, Christian M. Huber, Corinn Gehrke, Brett J. Friedman, Michael A. Flierl Aug 2021

Diagnosing Total Joint Arthroplasty-Associated Periprosthetic Joint Infections In Immunocompromised Patient Populations, Philip Zakko, Erin A. Baker, Christian M. Huber, Corinn Gehrke, Brett J. Friedman, Michael A. Flierl

Conference Presentation Abstracts

The 2018 ICM/MSIS classification system was used to assess PJI diagnosis in immunocompromised vs. non-immunocompromised patient populations to determine applicability of the scoring criteria.


Institutional Factors In General Surgery Resident Wellness And Burnout: Identification Via A Modified Delphi Technique, Darci C. Foote, Gurjit Sandhu, Kathryn Ziegler, James Lau Aug 2021

Institutional Factors In General Surgery Resident Wellness And Burnout: Identification Via A Modified Delphi Technique, Darci C. Foote, Gurjit Sandhu, Kathryn Ziegler, James Lau

Conference Presentation Abstracts

Background: While there has been significant focus on individual and programmatic factors impacting general surgical residents wellbeing and burnout, the effect of the greater institutional macrocosm has not been well studied. Our work seeks to identify organizational factors that may be implicated in resident wellness. Summary of Work: Using a modified Delphi technique, a survey structured around six domains of the Maslach Burnout Theory (workload, control, reward, community, fairness, values) was distributed to wellness stakeholders at two institutions. Participants identified factors that may be implicated in resident wellness and burnout. Two subsequent multiple-choice survey iterations were distributed to stakeholders who …


Examining Enhanced Recovery After Surgery (Eras) Protocol Compliance, Joseph Vecore, Jonathon Baich, Linda Mcdonald Aug 2021

Examining Enhanced Recovery After Surgery (Eras) Protocol Compliance, Joseph Vecore, Jonathon Baich, Linda Mcdonald

Conference Presentation Abstracts

Background: The development of enhanced recovery after surgery (ERAS) protocols have allowed for improved patient outcomes by utilizing a multimodal approach. The use of ERAS for surgical procedures reduces perioperative complications that could lead to increased morbidity, mortality, and length of stay. Additionally, by utilizing a multimodal approach, ERAS protocols help limit opioid use during the perioperative period. The purpose of this quality improvement project was to examine the rate of compliance to the ERAS protocol during colorectal surgery at Beaumont Hospital- Royal Oak. The different levels of compliance were evaluated for their effects on the following patient outcomes: opioid …


Creation And Implementation Of An Intraoperative Lidocaine Infusion Protocol For Gastric Surgery, Kayla Donnay, Eric Howard, Lindsey Krueger, Linda Mcdonald, Kyle Nelson Aug 2021

Creation And Implementation Of An Intraoperative Lidocaine Infusion Protocol For Gastric Surgery, Kayla Donnay, Eric Howard, Lindsey Krueger, Linda Mcdonald, Kyle Nelson

Conference Presentation Abstracts

Background: The recent opioid epidemic in the United States has damaged the country’s public health system and led to devastating patient outcomes. Healthcare providers are responsible to do their part in reducing these negative consequences. The purpose of this quality improvement project was to develop and implement an evidence-based protocol for an intraoperative lidocaine infusion during gastric surgery. The project consisted of five parts: (1) development of an evidenced-based Intraoperative Lidocaine Infusion Protocol, (2) education of the anesthesia team, (3) collection of baseline data, (4) implementation of the Intraoperative Lidocaine Infusion Protocol and (5) evaluation of the results. Method: Baseline …


Dysphagia Should Be Reported As A Separate Legacy Outcome Measure After Anterior Cervical Discectomy And Fusion, Philip Zakko, Rafid Kasir, Nai-Wei Chen, Daniel K. Park Aug 2021

Dysphagia Should Be Reported As A Separate Legacy Outcome Measure After Anterior Cervical Discectomy And Fusion, Philip Zakko, Rafid Kasir, Nai-Wei Chen, Daniel K. Park

Conference Presentation Abstracts

INTRODUCTION: Dysphagia is a common complication after anterior cervical discectomy and fusion (ACDF) but is not a routinely asked question in legacy patient-reported outcome measures. This study looks to see whether there are associations between dysphagia and legacy outcome measures. METHODS: We retrospectively reviewed 168 patients who underwent ACDF surgery from 2017 to 2019 at a single institution. Demographics, anthropometric data, Neck disability index (NDI), visual analog scale (VAS) pain scores, PROMIS-Health and -Mental scores, Charlson Comorbidities Index (CCI), and Eating Assessment Tool (EAT-10) were obtained for each patient preop and 1, 3, 6, and 12 months postop. Repeated measure …


Monte Carlo (Gate/Geant4) Estimation Of Clinician Hand Dose From Radionuclide Injection, H Edelman, Brian Loughery Jul 2021

Monte Carlo (Gate/Geant4) Estimation Of Clinician Hand Dose From Radionuclide Injection, H Edelman, Brian Loughery

Conference Presentation Abstracts

No abstract provided.


Modified Clinical Risk Score To Predict Hospital Admission And In-Hospital Mortality In Covid-19 Patients, Olga R. Gomez Rojas, Inayat Gill, Zaid Imam, Patrick Karabon, Alexandra Halalau Jul 2021

Modified Clinical Risk Score To Predict Hospital Admission And In-Hospital Mortality In Covid-19 Patients, Olga R. Gomez Rojas, Inayat Gill, Zaid Imam, Patrick Karabon, Alexandra Halalau

Conference Presentation Abstracts

BACKGROUND: The COVID-19 pandemic has resulted in over 1 million deaths globally. Prognostic tools to identify high risk patients are crucial to guide resource allocation efforts. We aimed at developing a risk assessment tool for patients with COVID-19 based on the risk factors with most significant effect on hospital admission and in-hospital mortality METHODS: We performed a retrospective analysis of patients with positive COVID-19 presenting in between 3/31/2020 – 5/15/2020 at Beaumont Health’s 8 emergency departments (ED). Data was abstracted using automated reports. The electronic health record (HER) embedded risk score previously externally validated was modified based on risk factors, …


Efficacy Of A Pharmacist-Managed Diabetes Clinic In High-Risk Diabetes Patients, A Randomized Controlled Trial-"Pharm-Md", Alexandra Halalau, Melda Sonmez, Ahsan Uddin, Patrick Karabon, Zachary Scherzer, Scott Keeney Jul 2021

Efficacy Of A Pharmacist-Managed Diabetes Clinic In High-Risk Diabetes Patients, A Randomized Controlled Trial-"Pharm-Md", Alexandra Halalau, Melda Sonmez, Ahsan Uddin, Patrick Karabon, Zachary Scherzer, Scott Keeney

Conference Presentation Abstracts

BACKGROUND: Diabetes mellitus affects 13% of American adults. To address the complex care requirements necessary to avoid diabetes-related morbidity, the American Diabetes Association recommends utilization of multidisciplinary teams. Research shows pharmacists have a positive impact on multiple clinical diabetic outcomes. We aimed to determine impact of an education-focused pharmacist managed diabetes clinic model (PMDC) on hemoglobin A1c (HbA1c) and other diabetes core measures at 6 and 12 months follow-up. METHODS: Open-label randomized controlled trial with 1:1 allocation. Patients 18-75 years old with type 2 diabetes mellitus and most recent HbA1c ≥9% were enrolled from a single institution resident- run outpatient …


Safety, Efficacy And Quality Of Life Improvement In Women With Prior Stress Incontinence Surgery Treated With Autologous Muscle Derived Cells: Experience From Two Double-Blind, Randomized, Placebo-Controlled Trials, R Dmochowski, H Goldman, U Lee, L Carr, Kenneth Peters, K Benson, S Thomas, L Tu, J Bennett, Michael Chancellor Jul 2021

Safety, Efficacy And Quality Of Life Improvement In Women With Prior Stress Incontinence Surgery Treated With Autologous Muscle Derived Cells: Experience From Two Double-Blind, Randomized, Placebo-Controlled Trials, R Dmochowski, H Goldman, U Lee, L Carr, Kenneth Peters, K Benson, S Thomas, L Tu, J Bennett, Michael Chancellor

Conference Presentation Abstracts

No abstract provided.


When We Know Better, We Do Better: Maintaining And Retrieving Advance Directive Documents In The Electronic Health Record, Linda Caurdy-Bess, Sara Damiano, Amy Fresch, Marilyn Begle, Srikala Yedavally-Yellayi, Hany A. Eraqi, Ali H. Mahmood Jul 2021

When We Know Better, We Do Better: Maintaining And Retrieving Advance Directive Documents In The Electronic Health Record, Linda Caurdy-Bess, Sara Damiano, Amy Fresch, Marilyn Begle, Srikala Yedavally-Yellayi, Hany A. Eraqi, Ali H. Mahmood

Articles

LEARNING OBJECTIVES: 1. Define and understand the value of an advance care planning system approach at a large health system. 2. Learn how to evaluate the rate and quality of advance directive documents uploaded in the EHR. 3. Gain practical skills to leverage stakeholder engagement and resource development to enhance an advanced care planning system approach.


Infective Endocarditis Due To Streptococcus Salivarius Presenting As Septic Arthritis, Mishita Goel, Zachary Johnson, Manishkumar Patel, Raashi Chawla, Tanaz Salimnia Jul 2021

Infective Endocarditis Due To Streptococcus Salivarius Presenting As Septic Arthritis, Mishita Goel, Zachary Johnson, Manishkumar Patel, Raashi Chawla, Tanaz Salimnia

Conference Presentation Abstracts

No abstract provided.


Remdesivir For The Treatment Of Covid-19: A Meta-Analysis Of Randomized Controlled Trials, Arif Musa, Elizabeth Warbasse, Jenna Yousif, David Baron, Susan Stevens, Emily Blodget, Kasim Pendi, Areio Hashemi, Besma Aly, Alisha Khambati, Jahan Tajran, Danielle Rangal Paradela, Daniel H. Chen, Khalid Kamal, Sarkis Kouyoumjian Jul 2021

Remdesivir For The Treatment Of Covid-19: A Meta-Analysis Of Randomized Controlled Trials, Arif Musa, Elizabeth Warbasse, Jenna Yousif, David Baron, Susan Stevens, Emily Blodget, Kasim Pendi, Areio Hashemi, Besma Aly, Alisha Khambati, Jahan Tajran, Danielle Rangal Paradela, Daniel H. Chen, Khalid Kamal, Sarkis Kouyoumjian

Conference Presentation Abstracts

No abstract provided.


A Rare Case Of Jejunal Perforation Due To Post-Transplant Lymphoproliferative Disease 27 Years After Liver Transplant, Marcos Rosado, Thomas Serena, Zophia Martinez, Erich Schwartz, Harris Mainster Jun 2021

A Rare Case Of Jejunal Perforation Due To Post-Transplant Lymphoproliferative Disease 27 Years After Liver Transplant, Marcos Rosado, Thomas Serena, Zophia Martinez, Erich Schwartz, Harris Mainster

Articles

Post-transplant lymphoproliferative disease (PTLD) is a well-known post-transplant malignancy common in both solid organ and stem cell transplants. The incidence of PTLD in adult liver transplant recipients is approximately 2.8%. While most often presenting in the first year after transplant, PTLD can occur at any time. This case report narrates a 61-year-old female with a history of liver transplant in 1992 for autoimmune hepatitis that was found to have a jejunal perforation due to PTLD 27 years later. The patient presented to the hospital with a fifteen hour history of left sided abdominal pain that was progressively worsening. The patient …


Hematologic Autoimmune And Oncology In Pregnancy, Frederick U Eruo Jun 2021

Hematologic Autoimmune And Oncology In Pregnancy, Frederick U Eruo

Conference Presentation Abstracts

No abstract provided.


Obstetric Emergencies, Frederick U Eruo Jun 2021

Obstetric Emergencies, Frederick U Eruo

Conference Presentation Abstracts

No abstract provided.


Prenatal Diagnosis, Frederick U Eruo Jun 2021

Prenatal Diagnosis, Frederick U Eruo

Conference Presentation Abstracts

No abstract provided.


Robotic Gastrotomy And Bezoar Removal In A Six-Year-Old., Lior Kopel, Joshua Volin, Anthony Iacco, Begum Akay, Pavan Brahmamdam Jun 2021

Robotic Gastrotomy And Bezoar Removal In A Six-Year-Old., Lior Kopel, Joshua Volin, Anthony Iacco, Begum Akay, Pavan Brahmamdam

Conference Presentation Abstracts

No abstract provided.


Intraoperative Uses Of Near-Infrared Fluorescence Spectroscopy In Pediatric Surgery: A Systematic Review, Heba Alghoul, Farah Al Farajat, Osaid Alser, Andrea Rogers-Snyr, Carroll Harmon, Nathan Novotny Jun 2021

Intraoperative Uses Of Near-Infrared Fluorescence Spectroscopy In Pediatric Surgery: A Systematic Review, Heba Alghoul, Farah Al Farajat, Osaid Alser, Andrea Rogers-Snyr, Carroll Harmon, Nathan Novotny

Conference Presentation Abstracts

No abstract provided.


Esophageal Magnamosis For The Treatment Of Type-B Esophageal Atresia In A Child With Prohibitive Operative Risk: A Novel Device And Indication., Irving J. Zamora, Muhammad Oa Ghani, Lauren L. Evans, Nathan M. Novotny, Lyndy J. Wilcox, Harold N. Lovvorn, Kristina A. Betters, Mohammad Sahlabadi, Matthew R. Lucas, Jeffrey S. Upperman, Oliver J. Muensterer, Michael R. Harrison Jun 2021

Esophageal Magnamosis For The Treatment Of Type-B Esophageal Atresia In A Child With Prohibitive Operative Risk: A Novel Device And Indication., Irving J. Zamora, Muhammad Oa Ghani, Lauren L. Evans, Nathan M. Novotny, Lyndy J. Wilcox, Harold N. Lovvorn, Kristina A. Betters, Mohammad Sahlabadi, Matthew R. Lucas, Jeffrey S. Upperman, Oliver J. Muensterer, Michael R. Harrison

Conference Presentation Abstracts

No abstract provided.


Impact Of Flattening Filter-Free Field On Online Adaptive Radiotherapy Using Virtual Couch Shift (Vcs) Technique, Q Liu, J Liang, D Yan Jun 2021

Impact Of Flattening Filter-Free Field On Online Adaptive Radiotherapy Using Virtual Couch Shift (Vcs) Technique, Q Liu, J Liang, D Yan

Conference Presentation Abstracts

No abstract provided.


Assess The Interplay Effect Based On The Cyclotron Accelerator Proton Therapy System Machine-Specific Delivery Sequence Model, Lewei Zhao, Gang Liu, J Shen, A Lee, Di Yan, Rohan Deraniyagala, Craig Stevens, Weili Zheng, Xiaoqiang Li, S Tang, Xuanfeng Ding Jun 2021

Assess The Interplay Effect Based On The Cyclotron Accelerator Proton Therapy System Machine-Specific Delivery Sequence Model, Lewei Zhao, Gang Liu, J Shen, A Lee, Di Yan, Rohan Deraniyagala, Craig Stevens, Weili Zheng, Xiaoqiang Li, S Tang, Xuanfeng Ding

Conference Presentation Abstracts

No abstract provided.


Current State Of Lgbtqia+ Healthcare, Jessica Vadas Jun 2021

Current State Of Lgbtqia+ Healthcare, Jessica Vadas

Conference Presentation Abstracts

No abstract provided.


Develop A Rotational Robust Optimized Spot-Scanning Proton Arc (Sparc) Algorithm, Shupeng Chang, Gang Liu, Lewei Zhao, Weili Zheng, An Qin, Di Yan, Xiaoqiang Li, Xuanfeng Ding Jun 2021

Develop A Rotational Robust Optimized Spot-Scanning Proton Arc (Sparc) Algorithm, Shupeng Chang, Gang Liu, Lewei Zhao, Weili Zheng, An Qin, Di Yan, Xiaoqiang Li, Xuanfeng Ding

Conference Presentation Abstracts

No abstract provided.


Changes In Post-Treatment Cardiac Pet Avidity Predict Overall Survival In Lung Cancer Patients Treated With Chemoradiation, T Santangelo, F Forghani, C Rusthoven, R Castillo, E Castillo, B Jones, T Guerrero, Y Vinogradskiy Jun 2021

Changes In Post-Treatment Cardiac Pet Avidity Predict Overall Survival In Lung Cancer Patients Treated With Chemoradiation, T Santangelo, F Forghani, C Rusthoven, R Castillo, E Castillo, B Jones, T Guerrero, Y Vinogradskiy

Conference Presentation Abstracts

No abstract provided.


The First Modeling Of The Spot-Scanning Proton Arc (Sparc) Delivery Sequence And Investigating Its Efficiency Improvement In The Clinical Proton Treatment Workflow, Gang Liu, Lewei Zhao, Di Yan, Rohan Deraniyagala, Craig Stevens, Xiaoqiang Li, Xuanfeng Ding Jun 2021

The First Modeling Of The Spot-Scanning Proton Arc (Sparc) Delivery Sequence And Investigating Its Efficiency Improvement In The Clinical Proton Treatment Workflow, Gang Liu, Lewei Zhao, Di Yan, Rohan Deraniyagala, Craig Stevens, Xiaoqiang Li, Xuanfeng Ding

Conference Presentation Abstracts

No abstract provided.


A Direct Machine-Specific Parameters Incorporated Spot-Scanning Proton Arc (Sparc) Algorithm, Gang Liu, Lewei Zhao, Di Yan, Xiaoqiang Li, Xuanfeng Ding Jun 2021

A Direct Machine-Specific Parameters Incorporated Spot-Scanning Proton Arc (Sparc) Algorithm, Gang Liu, Lewei Zhao, Di Yan, Xiaoqiang Li, Xuanfeng Ding

Conference Presentation Abstracts

No abstract provided.


Toward Online Adaptive Proton Therapy Of Sinonasal Cancer: The Dosimetric Accuracy Of Utilizing Deep-Learning Synthetic Ct From Cbct For Daily Treatment Dose Verification, An Qin, Lewei Zhao, Shupeng Chen, Xiaoqiang Li, Weili Zheng, Di Yan, Rohan Deraniyagala, Xuanfeng Ding Jun 2021

Toward Online Adaptive Proton Therapy Of Sinonasal Cancer: The Dosimetric Accuracy Of Utilizing Deep-Learning Synthetic Ct From Cbct For Daily Treatment Dose Verification, An Qin, Lewei Zhao, Shupeng Chen, Xiaoqiang Li, Weili Zheng, Di Yan, Rohan Deraniyagala, Xuanfeng Ding

Conference Presentation Abstracts

No abstract provided.


Investigate The Delivery Efficiency And Accuracy Of Spot-Scanning Proton Arc (Sparc) In Comparison With Conventional Impt, Automatic Step-And-Shoot Multifield Impt, Lewei Zhao, Gang Liu, Di Yan, Xiaoqiang Li, Xuanfeng Ding Jun 2021

Investigate The Delivery Efficiency And Accuracy Of Spot-Scanning Proton Arc (Sparc) In Comparison With Conventional Impt, Automatic Step-And-Shoot Multifield Impt, Lewei Zhao, Gang Liu, Di Yan, Xiaoqiang Li, Xuanfeng Ding

Conference Presentation Abstracts

No abstract provided.


Optimization Of School Reintegration For Pediatric Oncology Patients And Their Peers, Savannah Fotheringham, Patrick Karabon, Tracy Wunderlich-Barillas, Janis Traynor, L. Kate Gowans Jun 2021

Optimization Of School Reintegration For Pediatric Oncology Patients And Their Peers, Savannah Fotheringham, Patrick Karabon, Tracy Wunderlich-Barillas, Janis Traynor, L. Kate Gowans

Conference Presentation Abstracts

Improved survival rates of pediatric oncology patients give them the opportunity to return to school. This can present a significant challenge, as returning students often become vulnerable to peer rejection. The objective of this double-arm descriptive study was to establish a framework from which to optimize a school reintegration intervention for the peers of pediatric oncology patients. Ultimately, the study aimed to promote increased knowledge, acceptance by peers, and a smooth transition back to school for childhood cancer survivors. We utilized age-appropriate surveys to evaluate the knowledge and concerns of 3rd to 8th-grade students in Michigan regarding friends with cancer …


“Nut” An Anatomical Malignancy! A Solid Tumor Characterized By A Genetic Translocation, Bana Antonios, Ruby Gupta, Nwabundo Anusim, Markie Zimmer, Emma Herrman, Ishmael Jaiyesimi May 2021

“Nut” An Anatomical Malignancy! A Solid Tumor Characterized By A Genetic Translocation, Bana Antonios, Ruby Gupta, Nwabundo Anusim, Markie Zimmer, Emma Herrman, Ishmael Jaiyesimi

Conference Presentation Abstracts

NUT midline carcinomas are rare poorly differentiated tumors driven by t(15,19) rearrangements and clinically characterized by rapid progression and high mortality. A 49 year-old-male with no comorbidities, presented with acute worsening of chronic cough, new onset hemoptysis and left sided chest pain for 2 weeks. Workup revealed NUT midline carcinoma of the lung as confirmed by next-generation sequencing that revealed the presence of a NUTM1-BRD4 fusion. He was diagnosed with NUT midline lung cancer clinical stage IIIB. The tumor was not amenable to surgical resection, therefore, he was started on concurrent chemoradiation with weekly carboplatin and paclitaxel for 5 weeks. …