Health Information Technology Commons^™

When Fever And Thrombocytopenia Are Not Infectious: A Case Of Vitamin B12 Deficiency Mimicking Tropical Fever, Ram Arvind Viswanathan Dr

Digital Journal of Clinical Medicine

Vitamin B12 deficiency is classically associated with megaloblastic anaemia and neurological manifestations; however, atypical presentations continue to pose diagnostic challenges. Fever in association with thrombocytopenia often prompts evaluation for infectious aetiologies such as dengue, malaria, or sepsis, particularly in tropical settings. We report a case of vitamin B12 deficiency presenting with pyrexia and isolated thrombocytopenia, initially suspected to be an infectious illness. Extensive evaluation failed to reveal an infective cause, and subsequent haematological workup demonstrated megaloblastic changes with low serum vitamin B12 levels. Remarkably, the patient showed rapid defervescence and normalisation of platelet counts following parenteral vitamin B12 therapy. This …

The Role Of Physicians In Society: Perspectives From First-Year Mbbs Aspirants, Jesymol Joy, Dr Rashmi S, Amogha Shree, Dr Sunil Kumar D

Digital Journal of Clinical Medicine

Background: Physicians occupy a pivotal role in society as healers and communicators, with ethical leadership embedded in professional practice. In India, this role is evolving in response to changes in healthcare systems, increasing commercialization, and shifting societal expectations. Understanding how medical students perceive the physician’s role at the onset of medical education is vital for early professional identity development.

Objectives: To assess the motivations, perceptions, and values of first-year MBBS students regarding the societal roles, qualities, and responsibilities of physicians.

Methods: A cross-sectional study was conducted among 430 first-year MBBS students at a tertiary medical college in Mysuru, Karnataka, using …

Stones, Bones, And Hormones: A Multisystem Presentation Of Primary Hyperparathyroidism Due To Parathyroid Adenoma, Gadgesh B, Varsha Tandure, Nandini K, Chandana Srinath

Digital Journal of Clinical Medicine

Primary hyperparathyroidism is an endocrine disorder characterized by excessive secretion of parathyroid hormone, most commonly due to a solitary parathyroid adenoma, resulting in hypercalcemia and multisystem involvement [1]. Although many patients are diagnosed incidentally, delayed recognition may lead to severe renal, skeletal, gastrointestinal, and cardiovascular complications.

We report the case of a 44-year-old male who presented with sepsis and acute kidney injury, later found to have hypercalcemia with nephrocalcinosis, chronic calcific pancreatitis, skeletal deformities, and markedly elevated parathyroid hormone levels. Imaging localized a parathyroid adenoma, and the patient underwent successful parathyroidectomy with significant biochemical and clinical improvement.

This case emphasizes …

From Controversy To Comeback: The Renewed Role Of Pralidoxime In Op Poisoning, Dr Sanaa Jain, Dr Savitha V, Dr . Shashidhara K C

Digital Journal of Clinical Medicine

Organophosphorus compounds are commonly used as pesticides in agriculture, but they are responsible for approximately one-third of suicide deaths in Asian countries.The symptoms of organophosphate (OP) poisoning vary over time and are categorized into three phases: Acute Cholinergic Crisis (minutes to 24 hours), Delayed Phase (24 hours to 2 weeks), which may include intermediate syndrome, coma, and extrapyramidal symptoms, and Late Phase (OPIDP). Treatment typically involves Atropine, Pralidoxime, and symptomatic management, including airway support and mechanical ventilation.

Ropinirole-Induced Sleep-Related Behavioral Disturbances And Psychotic Symptoms In Parkinson's Disease: A Case Report, Kareena Arora, Akshatha C. J, Rajesh Raman, Vikrant Arora, Bindu Annigeri, Megha Sadashiv

Digital Journal of Clinical Medicine

Parkinson’s disease (PD) is a progressive neurodegenerative disorder characterized primarily by motor symptoms such as bradykinesia, rigidity, and tremor. Though commonly associated with motor symptoms but can also present with significant non-motor symptoms such as sleep disturbances, psychosis, and cognitive decline. These symptoms may arise spontaneously or be medication-induced. We present the case of a 53-year-old male with Parkinson’s disease who developed nocturnal behavioural disturbances and psychotic features, likely secondary to dopaminergic agonist medication. Symptom resolution followed adjustment of antiparkinsonian medications and the introduction of antipsychotic medication

Unusual Case Of Pelvic Fracture Urethral Distraction Defect, Varuni Pragya, Madhukesh Rudramurthy, Siddalinga Murthy G

Digital Journal of Clinical Medicine

INTRODUCTION

Urinary bladder ruptures are an uncommon injury, occurring in less than 1% of all blunt abdominal trauma. Extraperitoneal bladder ruptures are generally associated with pelvic fractures and usually managed nonoperatively but open surgery is required when these injuries are associated with additional trauma to structures like prostate and urethra.

CASE PRESENTATION

We report our experience with a 32-year-old male who suffered a head on collision with a four-wheeler while driving a two-wheeler in a road traffic accident. He presented to the hospital with abdominal and pelvic pain, difficulty in passing urine and swelling of the scrotum. His X Ray …

Pulmonary Hemosiderosis In A Young Child Presenting With Recurrent Respiratory Illness And Refractory Anemia: A Case Report, Praveen Das, Ratnapriya Chowdhry, Neha Bhongale, Poonam Wade

Digital Journal of Clinical Medicine

Pulmonary hemosiderosis (PH) is a rare cause of diffuse alveolar hemorrhage in children and often presents with nonspecific respiratory symptoms and refractory iron‑deficiency anemia. We report a 2.5‑year‑old girl with recurrent lower respiratory tract infections, severe transfusion‑dependent anemia, failure to thrive, and persistent bilateral pulmonary infiltrates since infancy. Bronchoalveolar lavage demonstrated hemosiderin‑laden macrophages, confirming pulmonary hemosiderosis. Further evaluation revealed C‑ANCA positivity and PR3‑ANCA negativity, raising suspicion for an ANCA‑associated vasculitis; however, there was no renal, ear‑nose‑throat, or other systemic involvement, and a lung biopsy could not be performed. The child was managed with systemic corticosteroids with clinical improvement. This case …

State Social Benefit Schemes For Women In Continuity Of Psychiatric Care: A Case Report, Mathumitha A, Kishor M. Manohar Rao Professor

Digital Journal of Clinical Medicine

Mental health disorders are a major global public health challenge. The disorders affect over a billion people worldwide, while depressive and bipolar spectrum disorders also contribute substantially to disability and reduced quality of life. According to the World Health Organization, major depression alone affects more than 300 million people globally and is considered a leading cause of years lived with disability. Beyond clinical morbidity, mental illnesses exert a profound economic impact, with depression and anxiety accounting for an estimated USD 1 trillion annually in lost productivity worldwide, while the overall global economic burden of mental disorders is projected to reach …

Robust And Interpretable Medical Image Segmentation Via Retrieval And Mechanistic Analysis, Salma Ahmed

Theses and Dissertations (Comprehensive)

Medical image segmentation is a critical component of clinical decision-making, yet deep learning based segmentation models face persistent challenges. These models typically require large volumes of densely annotated data, exhibit strong sensitivity to domain shifts across scanners and patient populations, and lack explicit anatomical priors. Furthermore, despite continual architectural advances beyond fully convolutional networks, most segmentation models remain opaque, where they lack the granularity required for component-level analysis. As a result, when segmentation models fail, it is difficult to identify which internal representations are responsible, limiting developers’ ability to diagnose errors, improve robustness, or establish trust in clinical settings. Existing …

Hubungan Persepsi Manfaat Terhadap Kesadaran Kesehatan Pengguna Wearable Device Di Kota Banda Aceh, Raihanil Fitri, Tahara Dilla Santi, Hafnidar A. Rani

Perilaku dan Promosi Kesehatan : Indonesian Journal of Health Promotion and Behavior

Background. Wearable devices are portable technologies designed to be worn directly on the body and capable of collecting and analyzing data related to various aspects of a user's health. Aim. This study aims to analyze the influence of perceived benefits on users' health awareness among wearable device users in Banda Aceh City.

Aim. This study aims to analyze association of perceived benefits on users' health awareness among wearable device users in Banda Aceh City.

Method. This research applied a descriptive quantitative design with a cross-sectional approach. Data were collected using a questionnaire from 106 active wearable device …

Using Machine Learning To Predict Women At Risk Having A Child With Congenital Heart Defects, Amany M. Abdo Prof., Asmaa M. Mosallam Ms., Laila M. Abdelhamid Assoc.Prof.

Information Systems

Congenital heart defects (CHD) are heart malformations present at birth, affecting heart function and circulation, and are a leading cause of infant mortality. CHD can result from genetic, environmental, and maternal health factors, making early detection essential. Early diagnosis allows for timely intervention, reducing risks like heart failure or stroke. In countries like Egypt, CHD often remains undiagnosed due to limited healthcare resources. Artificial intelligence (AI) can improve early detection by analyzing risk factors. This study presents a predictive model for CHD using maternal and paternal health factors. Data was collected from 571 families: 260 with a CHD-affected child and …

Mediapipe-Based Extraction Of Joint Rom And Position From Patient Videos For The Functional Movement Screen: An Exploratory Study, Joshua Paul Verdillo, Lily Ann Bautista

Philippine Journal of Physical Therapy

Introduction. The Functional Movement Screen (FMS) is widely used to identify movement deficiencies and potential injury risk. However, its reliance on visual inspection introduces subjectivity, requires specialized training, and necessitates face-to-face assessment. Advances in computer vision, offer opportunities to automate and better objectify functional movement assessment. This exploratory study aimed to evaluate the feasibility of using a MediaPipe-based system, Software-Optimized Movement Assessment (SOMA), to extract joint range of motion (ROM), joint position, and compensatory movement patterns from patient videos during FMS performance.

Methods. SOMA was developed using MediaPipe Pose and MediaPipe Hands libraries integrated with Python-based tools to analyze videos …

Personal Health Advice In The World Of Artificial Intelligence: An Assessment Of Responses From Chatgpt For Three Common Health Conditions In The Southern United States, Marion W. Evans Jr, Julie Harrison Swartz, Harrison Ndetan, Damian Francis, John Moore, Mary Kozub, Ernie Kaninjing, Jennifer Jones-Locklear, Debbie Greene, Josie Doss

Journal of Public Health in the Deep South

Background: Artificial intelligence (AI) applications within the health sciences including education and healthcare practice are now common. Patients are likely to apply AI to better understand their health status or to learn what they can do to improve their health.

Purpose: The purpose of this study was to evaluate outputs from ChatGPT for three common health conditions seen in the southern United States as to whether it would include medically biased care or lifestyle related advice, legitimate sources of information and to assess reading levels generated.

Methods: Health care professionals rated outputs in 4 areas and interrater …

Validating Pharmacogenomics Generative Artificial Intelligence Query Prompts Using Retrieval-Augmented Generation (Rag), Ashley Rector, Beth Breeden, Jay Dorris

Student Scholar Symposium

This study evaluated the performance of Sherpa Rx, an artificial intelligence platform leveraging large language models and retrieval-augmented generation (RAG) for pharmacogenomics, by validating its performance across key response metrics. Sherpa Rx integrated Clinical Pharmacogenetics Implementation Consortium (CPIC) guidelines with Pharmacogenomics Knowledgebase (PharmGKB) data to generate contextually relevant responses. A dataset (N=260 queries) spanning 26 CPIC guidelines was used to evaluate drug-gene interactions, dosing recommendations, and therapeutic implications. In Phase 1, only CPIC data was embedded; Phase 2 additionally incorporated PharmGKB. Responses were scored on accuracy, relevance, clarity, completeness (5-point Likert scale), and recall. Wilcoxon signed-rank tests compared accuracy between …

Developing Nlp-Based Open-Source Tools To Improve Medication Order Interpretation In Ehr Systems, Preslie Breton

Student Scholar Symposium

Interpreting free-text medication orders in Electronic Health Record (EHR) systems is challenging due to variability, increasing the risk of errors and non-compliance with Joint Commission (TJC) standards. This research develops Natural Language Processing (NLP) tools to enhance medication order accuracy, particularly for Duplicate PRN orders. Our open-source, vendor-neutral approach ensures broad applicability across healthcare institutions while maintaining data security.

Using Python and the Natural Language Toolkit (NLTK), we implemented a four-phase methodology. First, the NLP framework was developed on Google Colab for collaborative accessibility. Next, models were trained on 10,000 anonymized synthetic free-text medication orders to detect non-compliant entries. Model …

Implementation And Outcomes Of A Digital Onboarding Taskforce In The Acute Care Setting, Julianna Lenoir, Alexzandra Gentsch, Akshay Krishnan, Jeffrey Ndubisi, Marissa Witmer, Kristin L. Rising, Brooke Worster, Angela M. Gerolamo

Jefferson Center for Connected Care Faculty Papers

INTRODUCTION: Use of digital health technology can improve patient health outcomes; however, not all patients have the knowledge and skills to download a health app and access a patient portal. Providing digital onboarding support to hospitalized patients has potential to overcome some barriers to accessing needed education in the community, including both having the time and a location to receive education. To address this, our team developed the Jefferson Digital Onboarding Taskforce (JeffDOT), a group of staff and students who approach hospitalized patients and provide one-on-one teaching on how to sign up for and use a patient portal.

METHODS AND …

Objective Vs. Perceived Maternal Smartphone Use And Observed Mother-Infant Interaction Quality, Alison K. Ventura, Lara N. Wolfers, Sarah M. Coyne, Rachel Pfafman, Sabrina Uva, Karla I. Ceja Almontes, Aniruddha S. Shinde, Adam M. Galovan, Brandon Mcdaniel

Health Services and Informatics Research

Introduction:

Prior research links maternal smartphone use to reduced sensitivity and responsiveness to infant cues, but emerging evidence suggests that mothers' perceptions of their smartphone use - such as feelings of empowerment or distress - may also shape the quality of mother-infant interactions. This study examined how both objective and perceived smartphone use related to mother-infant interaction quality in naturalistic settings.

Method:

Participants were 147 mother-infant dyads from a longitudinal study of smartphone use and infant development. When infants were 2 months old, mothers completed 5 days of ecological momentary assessment (EMA), reporting time spent with their infant, perceived smartphone-related …

Evaluating The Impact Of System, Information, And Service Quality On User Outcomes In Malaysian Public Hospitals: A Structural Equation Modeling Approach, Muhd Siv Azhar Merican Abdullah, Azimatun Noor Aizuddin, Mohd Rizal Abdul Manaf

Makara Journal of Health Research

Background: Increasing use of hospital information systems (HIS) underscores the need to evaluate their impact on User Satisfaction and Perceived Net Benefits. This study investigated the connections among outsourced System Quality, Information Quality, Service Quality, Perceived Usefulness, User Satisfaction, and Perceived Net Benefits in the context of Malaysian public hospitals.

Methods: Data were collected from 1,376 healthcare personnel across six public hospitals and analyzed using structural equation modeling through analysis of moment structures grounded in the DeLone and McLean Information Systems Success Model.

Results: System and Service Qualities significantly influenced User Satisfaction and Perceived Usefulness, while Information Quality impacted …

Dental Care Utilization And Expenditures Among Individuals With Asthma, Shillpa Naaval, Vaibhavi Mone

Health Services and Informatics Research

Objectives To examine dental care utilization and health and dental care expenditures among individuals with asthma.

Methods Data from the 2022 Medical Expenditure Panel Survey (MEPS) (n = 21,405) were used to examine dental care utilization (any dental, preventive dental, and treatment dental visit) among individuals ≥ 1 year with and without asthma, and mean expenditures were summarized.

Results Overall, the asthma diagnosis was 13.2%, 14.7% in working-age adults compared to 9.5% in children. The percentage of treatment dental visits was higher overall (17.0% vs. 14.5%, p <  0.05) among the asthma group compared to the non-asthma group. Among individuals with asthma, those who had preventive dental visits had lower dental expenditures compared to those who had treatment dental visits for all age groups.

Conclusion Individuals with asthma had a higher prevalence of using dental treatment services. …

Referral Strategies For Recruitment And Engagement Of Community Adults Into Online Extension Health Programs, Cheryl L. Eschbach, Dawn A. Contreras, Holly B. Tiret

Journal of Human Sciences and Extension

This article shares details behind building organizational capacity to establish program referrals for statewide recruitment of community adults into Cooperative Extension’s online health programs. This study explores the role of intentional recruitment strategies (active and passive) to increase participant program enrollment into health education and shares examples from one state that has created a trained workforce that offers ongoing research- and evidence-based programs. After many years of trying paper, phone, and electronic medical record methods to increase program reach, Michigan State University Extension tried an electronic referral process via a QR code and web link, accompanied by program marketing, to …