A Case Of Dress Syndrome Following Recurrent Hardware-Related Knee Infection: Diagnosis, Management, And Recovery,
2025
HCA Healthcare
A Case Of Dress Syndrome Following Recurrent Hardware-Related Knee Infection: Diagnosis, Management, And Recovery, Cooper Alden Josephs, Himani Patel, James Everhart
South Atlantic Division GME Research Day 2025
No abstract provided.
A Rare Case Of Vulvar Endometriosis,
2025
HCA Healthcare
A Rare Case Of Vulvar Endometriosis, Taylor Penny, Shelby Freeberg, Brittany Stofko
South Atlantic Division GME Research Day 2025
No abstract provided.
Ballistics Gel Model To Teach Ultrasound Guided Pericapsular Nerve Group (Peng) Block,
2025
HCA Healthcare
Ballistics Gel Model To Teach Ultrasound Guided Pericapsular Nerve Group (Peng) Block, Nicholas Murphy, Matthew Carr, Taryn Hoffman, Leily Naraghi
South Atlantic Division GME Research Day 2025
No abstract provided.
A Retrospective Cross-Sectional Study Of Glp-1 Agonist Effects On Outcomes After Total Knee Arthroplasty,
2025
HCA Healthcare
A Retrospective Cross-Sectional Study Of Glp-1 Agonist Effects On Outcomes After Total Knee Arthroplasty, Mckenna Box, Troy B. Puga, Neil J. Werthmann, Andrew M. Jen, Yingxian Liu, John T. Riehl
North Texas Research Forum 2025
Objective: Total knee arthroplasty (TKA) is one of the most common elective orthopaedic surgeries. In addition, there are rising rates of obesity and diabetes and, with it, medications to treat them. This retrospective cross-sectional analysis aims to examine the outcomes of patients who underwent TKA and were on a Glucagon-like peptide-1 agonist (GLP-1a) at the time of surgery Methods: This study analyzes a database using CPT and ICD-10 codes to identify patients having primary TKA for knee osteoarthritis. Patients were divided into two groups based on GLP-1a use at TKA. Control variables included sex, age, BMI, smoking status, ECI, and …
Lymphoma Chronicles: Insights From A Distinct Hodgkin's Lymphoma Case Report,
2025
JSS MEDICAL COLLEGE, JSS ACADEMY OF HIGHER EDUCATION AND RESEARCH
Lymphoma Chronicles: Insights From A Distinct Hodgkin's Lymphoma Case Report, Srirangam Shankaralingam, Vibha Nagaragatta
Digital Journal of Clinical Medicine
Hodgkin lymphoma (HL) is a kind of lymphatic malignancy distinguished by the presence of Reed-Sternberg cells. It often manifests as painless lymphadenopathy and systemic symptoms (B symptoms and can affect a variety of lymphoid tissues. The causes of HL are complicated and include genetic predisposition, environmental conditions and viral infections, particularly the Epstein-Barr virus (EBV). The diagnosis is primarily based on histological evaluation of lymph node samples, with immunophenotyping assisting classification. Herein, we report a case of classical Hodgkin’s lymphoma (HL) in an otherwise healthy 31-year-old male who had a mass per abdomen for a year and recently noticed a …
Identifying Doxorubicin-Induced Cardiotoxicity Using 4d Echocardiography,
2025
Purdue University
Identifying Doxorubicin-Induced Cardiotoxicity Using 4d Echocardiography, Bea O. Cabot, Cortland Johns, Benjamin Zeidler, Anna Webb, Wilhelm Smith, Aasish Karuturi, Craig J. Goergen
Discovery Undergraduate Interdisciplinary Research Internship
Doxorubicin is an effective, commonly used chemotherapeutic drug. However, this drug is accompanied with disadvantages. Specifically, doxorubicin is associated with cardiotoxicity, characterized by left ventricle dysfunction. We hypothesize that 4D ultrasound imaging can reveal cardiac changes associated with doxorubicin-induced cardiotoxicity earlier in disease progression than 2D ultrasound imaging. To test this hypothesis, C57BL/6J mice were separated into treatment or control groups. Intraperitoneal injections were administered weekly for 4 weeks, each dosage equivalent to 4 mg/kg of either doxorubicin (treated) or saline (control). A Vevo3100 high frequency ultrasound system (FUJIFILM VisualSonics) was used to collect 2D and 4D ultrasound images of …
Analysis Of Errors In The Management Of Cutaneous Disorders,
2025
Macon & Joan Brock Virginia Health Sciences at Old Dominion University
Analysis Of Errors In The Management Of Cutaneous Disorders, Robert J. Pariser, Sarah Alnaif
Department Dermatology Faculty Publications
In this study, we prospectively and retrospectively evaluated the occurrence of errors in the management of cutaneous disorders from patient visits and medical records in a single dermatology practice in southeast Virginia over a 3-year period (June 2020-July 2023). Providers should be able to improve diagnostic accuracy by utilizing established rapid bedside diagnostic techniques.
Igf-1 As A Biomarker For Symptom Severity In Adult Traumatic Brain Injury: Evidence From An Observational Study,
2025
Virginia Tech Carilion School of Medicine
Igf-1 As A Biomarker For Symptom Severity In Adult Traumatic Brain Injury: Evidence From An Observational Study, Justin Weppner, Kimberly Rosenthal, Jennifer Bath, Tonja Locklear, Melissa Martinez
Department of Physical Medicine & Rehabilitation Faculty Publications
Traumatic brain injury (TBI)-related growth hormone deficiency is often undertreated, despite documented physical, metabolic, and neuropsychiatric effects. Insulin-like growth factor (IGF-1), with neuroreceptors located in brain regions responsible for learning, memory, and mood, regulates cerebral blood flow, neurogenesis, and neuroplasticity. The aim of this study was to determine associations between IGF-1 levels and post-TBI symptom severity, anxiety, and depression. This retrospective observational study at an Academic Brain Injury Center included participants evaluated 3-12 months post-TBI with available IGF-1 values and complete Rivermead Post-Concussion Symptoms Questionnaire (RPQ-13), Generalized Anxiety Disorder-7 (GAD-7), and Patient Health Questionnaire-9 (PHQ-9) responses. Patients under 18 or …
Reducing Colonoscopy Cancellations Saves Lives, A Quality Improvement Project,
2025
West Chester University
Reducing Colonoscopy Cancellations Saves Lives, A Quality Improvement Project, Jennifer L. Brosnan
West Chester University Doctoral Projects
One of Healthy People 2030’s objectives is to increase the proportion of adults screened for colorectal cancer. To address this objective, a quality improvement project was completed within an Ambulatory Surgical Center (ASC). An evidenced-based committee was formed with the primary goal to decrease the number of cancelled colonoscopies. The committee aimed to answer the PICOT question: For patients who cancel their colonoscopy, how does the development and implementation of an evidence-based practice (EBP) committee’s nursing interventions reduce cancelled colonoscopy rates and increase reschedule rates, compared to no implementation of an EBP committee’s nursing interventions, over three months?
Nursing interventions …
Malignant Adenomyoepithelioma Of The Breast,
2025
HCA Healthcare
Malignant Adenomyoepithelioma Of The Breast, Cole Daisley, Susana Ferra
East Florida Division GME Research Day 2025
No abstract provided.
Mesonephric-Like Carcinoma Of The Endometrium In A 73-Year-Old Female,
2025
HCA Healthcare
Mesonephric-Like Carcinoma Of The Endometrium In A 73-Year-Old Female, Cameron Summers-Powell, Carina Ferraris, Zoyla Almeida, Susana Ferra, Mirza Baig
East Florida Division GME Research Day 2025
Introduction: Mesonephric-like carcinoma (MLC) is a newly described malignant tumor that represents 1% of endometrial cancers. The etiology of this disease is currently unknown but immunohistochemical expression with GATA-3, PAX-8 and TTF-1 and lack of ER/PR positivity can aid in correct diagnosis.
Case Summary: A 73-year-old female presented to the hospital with post-menopausal bleeding, an initial hysteroscopy identified a lesion suggestive of endometrial cancer. Ultimately, the patient underwent a hysterectomy and a bilateral salpingectomy/oophorectomy. Chemotherapy ensued due to metastatic disease. At 7 months post-op, the patient appeared to be doing well.
Results: Grossly, the lesion was 5.5 cm and appeared …
Carcinoma With Osteoclast-Like Giant Cells: A Rare Histologic Variant Of Breast Cancer,
2025
HCA Healthcare
Carcinoma With Osteoclast-Like Giant Cells: A Rare Histologic Variant Of Breast Cancer, Robert Bender, Makenna Bowman, Matthew Lee, Susana Ferra
East Florida Division GME Research Day 2025
Introduction: Osteoclast like giant cells (OGCs) can be found in various tissues such as the gallbladder, liver, pancreas, and thyroid. In breast cancer, the presence of OGCs is a rare finding. Currently knowledge of such cases is limited, with approximately 200 reported cases of osteoclast like giant cells (OGCs) among all breast carcinomas. Among the breast cancers that are classified as rare, those with OGCs make up only 0.5-1.2% of cases.
Case Description: An 80+ year-old female presented with a palpable left breast lesion initially suspected by mammography as a benign lesion. She eventually underwent breast core biopsy revealing hormone …
Advantages Of Humeral Stem Retention In Revision Shoulder Arthroplasty: A Retrospective Study,
2025
HCA Healthcare
Advantages Of Humeral Stem Retention In Revision Shoulder Arthroplasty: A Retrospective Study, Matthew Mccrosson, Leon Liu, Daniel Deshetler, John Grossi, Devin John, Diego Lima, Howard Routman
East Florida Division GME Research Day 2025
No abstract provided.
Cd10 Positive Mantle Cell Lymphoma Masquerading As Follicular Lymphoma,
2025
HCA Healthcare
Cd10 Positive Mantle Cell Lymphoma Masquerading As Follicular Lymphoma, Matthew Lee, Jennifer Barker, Fatemeh Mousavi
East Florida Division GME Research Day 2025
No abstract provided.
Lipoleiomyoma Of The Uterus, A Benign Metastasizing Tumor,
2025
HCA Healthcare
Lipoleiomyoma Of The Uterus, A Benign Metastasizing Tumor, Munira Malik, Mohtashim Naeem, Susana Ferra
East Florida Division GME Research Day 2025
No abstract provided.
Procedural Skills Gaps And Ultrasound Training In Saudi Medical Interns: A Cross-Sectional Survey,
2025
Medical Protocol Department, King Abdulaziz Medical City, Ministry of National Guard - Health Affairs, Riyadh, Saudi Arabia
Procedural Skills Gaps And Ultrasound Training In Saudi Medical Interns: A Cross-Sectional Survey, Rajkumar Rajendram, Abdullah Abdulrahman Alshamrani, Waleed Khalid Jarwan, Afnan Ali Alghamdi, Arif Hussain
Health Professions Education
Purpose: Medical internships lay the foundation for physicians' careers. While the scope of medical practice has broadened, the emphasis on procedural skills remains crucial. However, concerns persist regarding the adequacy of current internship training programs, particularly in the context of the increasing importance of ultrasound-guided procedures (UGPs). This study aims to assess the perceived relevance of procedural skills training and identify skill gaps among medical interns at our institution.
Aim: To assess medical interns' perceptions of the relevance of procedural skills training, with a specific focus on ultrasound guidance and to identify skill gaps within the internship program at our …
Artificial Intelligence In Cancer-Related Malnutrition And Cachexia: A Transformative Tool In Clinical Nutrition,
2025
Macon & Joan Brock Virginia Health Sciences at Old Dominion University
Artificial Intelligence In Cancer-Related Malnutrition And Cachexia: A Transformative Tool In Clinical Nutrition, Salvatore Carbone
EVMS School of Health Professions Faculty Publications
[Introduction] Malnutrition and cachexia are common complications in cancer patients, and they negatively influence prognosis, treatment efficacy, and tolerability as well as quality of life [[1], [2], [3]]. Accurately identifying and effectively managing malnutrition and cachexia in this population remains a clinical challenge. Conventional validated screening tools may lack the sensitivity and specificity required for early detection and personalized intervention in diverse cancer types and treatment settings [4,5]. Over the last decade, the use of artificial intelligence (AI), including machine learning (ML) and deep learning (DL) strategies, has shown promising results in clinical nutrition, with the potential to revolutionize nutritional …
Enablers And Barriers To The Use Of Portable Ultrasound Devices For Antenatal Care In Rural Health Centers In The Philippines,
2025
Ateneo de Manila University
Enablers And Barriers To The Use Of Portable Ultrasound Devices For Antenatal Care In Rural Health Centers In The Philippines, Jacob Anthony Batuhan, Reynan Hernandez, Florentina Villanueva, Airen Sigue, Kevyn Yu, Kate Wad-Asen, Beatriz Carandang, Jeremie Bartelheimer
Ateneo School of Medicine and Public Health Publications
Objectives
This qualitative study aims to examine the enablers and barriers to portable ultrasound device utilization for antenatal care in rural Philippine health centers, with the goal of improving maternal outcomes and reducing maternal mortality.
Methods
We conducted focus group discussions with 18 healthcare workers (midwives, a nurse, and a radiologic technician) and 20 pregnant women across 5 rural health centers. We used inductive thematic analysis to identify system-related, provider-related, and client-related enablers and barriers.
Results
Enablers included free ultrasound services, hospital policies requiring prenatal scans, provider training, awareness creation, patient interest and acceptance, and confidence in HCWs’ capabilities. Barriers …
Wrongful Migration: A Hidden Culprit Behind Flank Pain,
2025
Macon & Joan Brock Virginia Health Sciences at Old Dominion University
Wrongful Migration: A Hidden Culprit Behind Flank Pain, Ryan Miller, Anjeza Cipi, Emma Pierce
Department of Emergency Medicine Faculty Publications
[Introduction] A 32-year-old woman with no significant past medical history presented to the emergency department with 11 days of fever, fatigue, chills, and new-onset fullness in her left flank. She denied dysuria, abdominal pain, or vaginal bleeding. Vital signs showed fever and mild hypotension, and the physical examination revealed left-sided abdominal distension. Laboratory results demonstrated leukocytosis and a lactate of 3.2 mmol/L. She appeared nontoxic but was persistently febrile despite initial fluids and antibiotics. Computed tomography—shown in Figure 1, and ultrasound—shown in Figure 2, were obtained and revealed the diagnosis.
Diffuse Unilateral Leg Swelling,
2025
Macon & Joan Brock Virginia Health Sciences at Old Dominion University
Diffuse Unilateral Leg Swelling, Bruce M. Lo, Kylie Butler, Navjot Kaur, Kirsten Pennell
Department of Emergency Medicine Faculty Publications
[Patient Presentation] A 46-year-old woman with a history of hypertension presented with 14 days of right leg pain. The pain began after straining her leg while lifting heavy boxes at work, with diffuse leg swelling noted 3 days later. She reported subjective fever but no other complaints. Patient denies any illicit drug use. Initial vital signs included a temperature of 100.1 °F, heart rate of 122 beats per minute, and blood pressure of 158/91 mm Hg. Physical examination revealed a diffusely swollen and tender right leg (Fig 1). Computed tomography (CT) of the right leg identified a 19 X 7 …
