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Final Scholarly Project: Enhanced Recovery After Surgery (Eras) Guidelines For Pancreaticoduodenectomies, Rebecca Wheeler 2025 Otterbein University

Final Scholarly Project: Enhanced Recovery After Surgery (Eras) Guidelines For Pancreaticoduodenectomies, Rebecca Wheeler

Doctor of Nursing Practice Scholarly Projects

A pancreaticoduodenectomy, or Whipple procedure, is the only curative option for pancreatic cancer. For those eligible for tumor resection, the Whipple procedure is a difficult surgery for both the patient and provider. Complications following pancreaticoduodenectomy are numerous and include infection, delayed gastric emptying, high hospital costs, and pancreatic fistulas. Enhanced Recovery After Surgery (ERAS) protocols exist to provide evidence supporting standardization of practices that lead to the improvement of these patient outcomes. An ERAS protocol for the pancreaticoduodenectomy, first established in 2012, is inconsistently implemented in healthcare facilities. Researchers collected data involving the use of the Whipple procedure ERAS guidelines …


Metaverse-Powered Basic Sciences Medical Education: Bridging The Gaps For Lower Middle-Income Countries., Syeda Samnita Batool Zaidi, Umer Adnan, Kadriye O. Lewis, Syeda Sadia Fatima 2024 Children's Mercy Hospital

Metaverse-Powered Basic Sciences Medical Education: Bridging The Gaps For Lower Middle-Income Countries., Syeda Samnita Batool Zaidi, Umer Adnan, Kadriye O. Lewis, Syeda Sadia Fatima

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Traditional medical education often lacks contextual experience, hindering students' ability to effectively apply theoretical knowledge in real-world scenarios. The integration of the metaverse into medical education holds great enormous promise for addressing educational disparities, particularly in lower-middle-income countries (LMICs) accompanied by rapid technological advancements. This commentary paper aimed to address the potential of the metaverse in enhancing basic sciences education within the constraints faced by universities in LMICs. We also addressed learning design challenges by proposing fundamental design elements and a suggested conceptual framework for developing metaverse-based teaching methods.The goal is to assist educators and medical practitioners in comprehensivley …


Predictors Of Ophthalmology Resident Research Engagement, Shreya Luthra, Natalie Anne Homer 2024 Department of Medicine, University of British Columbia, Vancouver, C.A.

Predictors Of Ophthalmology Resident Research Engagement, Shreya Luthra, Natalie Anne Homer

Journal of Academic Ophthalmology

Purpose

United States Ophthalmology Residency programs employ many strategies to foster resident academic productivity. The present study assesses the efficacy of these initiatives in promoting research engagement.

Methods 

A 19-question electronic survey was administered to current PGY2 - PGY4 U.S. ophthalmology residents. Primary outcome measures included peer-reviewed publications and national conference presentations while in residency.

Results 

Eighty-one ophthalmology residents completed the survey, including trainees across all ages, genders, and regions. Of respondents, 34.5% reported allocated research time, 96.3% a required research project, 32.1% a research mentor, and 27.1% a formal research curriculum. Only 7% of respondents had not yet published …


Representation Of Women At Select Academic Ophthalmology Institutions In The United States, Hazem M Mousa, Camryn Thompson, Sri Meghana Konda, Keke Liu, Jay Rathinavelu, Terry Lee, Katherine Peters, Kevin J. Jackson, Laura Enyedi, Pratap Challa, Sharon Fekrat 2024 Department of Ophthalmology, Duke University School of Medicine, Durham, NC

Representation Of Women At Select Academic Ophthalmology Institutions In The United States, Hazem M Mousa, Camryn Thompson, Sri Meghana Konda, Keke Liu, Jay Rathinavelu, Terry Lee, Katherine Peters, Kevin J. Jackson, Laura Enyedi, Pratap Challa, Sharon Fekrat

Journal of Academic Ophthalmology

Purpose: To investigate the representation of women among ophthalmology faculty members at select academic institutions in the United States (US).

Design: Cross-sectional study

Subjects: Clinical faculty members at the top 20 academic ophthalmology institutions in the U.S. according to US News and World Report ranking

Methods: Gender as reported on institutional websites either directly or via pronouns, academic rank, medical school graduation year, and subspecialty were collected about clinical faculty members with MD, MD/PhD, MBBS or DO from their respective institutional websites. The number of publications for each faculty member was collected using Scopus ® (Elsevier, …


Cataract Simulator Training And Medical Student Attitudes Towards Ophthalmology, Victor Sanchez, Christian Diaz, Zachary Elkin, Laura Palazzolo, Andrea Blitzer, Manjool Shah, Christina R. Prescott 2024 New York University Grossman School of Medicine, New York, New York, USA

Cataract Simulator Training And Medical Student Attitudes Towards Ophthalmology, Victor Sanchez, Christian Diaz, Zachary Elkin, Laura Palazzolo, Andrea Blitzer, Manjool Shah, Christina R. Prescott

Journal of Academic Ophthalmology

Introduction: Simulation-based learning offers novel opportunities to teach ophthalmology to medical students and inspire interest in the field. Eyesi surgical simulators have become widely adopted by ophthalmology departments and may serve a purpose in medical student education. The purpose of this study was to evaluate the effect of cataract simulators on medical student attitudes towards ophthalmology and to assess their performance/improvement on a series of simulator tasks.

Methods: This was a prospective, cross-sectional study of 31 medical students. Participants were recruited through an email sent via the school’s listserv. Enrolled students completed a series of tasks on the …


Real-World Assessment (Rwa): Validity Evidence For Cataract Surgery With A Tool Your Faculty Will Actually Use, Grace L. Paley, Hui Zhao, Victoria M. Addis, Casey J. Beal, Geetha K. Davis, Gabriela M. Espinoza, Michael S. Lee, Stacy L. Pineles, Jamie B. Rosenberg, Robert T. Swan, Misha F. Syed, Evan L. Waxman, Susan M. Culican 2024 Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, MO.

Real-World Assessment (Rwa): Validity Evidence For Cataract Surgery With A Tool Your Faculty Will Actually Use, Grace L. Paley, Hui Zhao, Victoria M. Addis, Casey J. Beal, Geetha K. Davis, Gabriela M. Espinoza, Michael S. Lee, Stacy L. Pineles, Jamie B. Rosenberg, Robert T. Swan, Misha F. Syed, Evan L. Waxman, Susan M. Culican

Journal of Academic Ophthalmology

Background: We developed and implemented a real-world assessment tool (RWA) for resident surgery. It was designed to improve utility by reducing faculty and trainee cost (completion and training time, cognitive burden). RWA uses an entrustability scale where higher scores indicate a resident’s readiness for independent surgical practice. We describe a two-phase implementation of RWA and report validity evidence for cataract surgery assessment.

Methods: RWA was developed iteratively with resident and faculty input and piloted at a single residency program in phase 1. Phase 2 implemented RWA at 11 ophthalmology residency programs. The main outcome measures were 1) number …


Student Perceptions Of A Novel No-Cost Mobile Application For Ophthalmic History And Physical Examination, Soryan Kumar, Anagha Lokhande, Spandana Jarmale, Arnav Kumar, Samantha Rosenthal, Grayson W. Armstrong, Michael Migliori, Jamie Schaefer 2024 Warren Alpert Medical School of Brown University, Providence, RI, 02903

Student Perceptions Of A Novel No-Cost Mobile Application For Ophthalmic History And Physical Examination, Soryan Kumar, Anagha Lokhande, Spandana Jarmale, Arnav Kumar, Samantha Rosenthal, Grayson W. Armstrong, Michael Migliori, Jamie Schaefer

Journal of Academic Ophthalmology

Background: Mobile applications have shown promise in enhancing medical trainee performance. In ophthalmology, a comprehensive mobile app can streamline the trainee education process by providing guidance for patient intake. Language barriers pose additional challenges impacting the quality of care for Spanish-speaking patients; literature has documented the adverse impacts of inadequate translation on quality of medical care for both trainees and patients. We aim to develop a free mobile application to guide medical trainees through the ophthalmic patient intake process and assist with Spanish-language translation.

Methods: We developed EyeCheck as a free mobile application for ophthalmology trainee education with …


Community Outreach Vision Screenings With Student-Led Eye Health Education Improves Student Eye Health Knowledge And Ophthalmic Health Disparities Awareness, Tannia M. Rodriguez, Karim Dirani, Samantha M. Arsenault, Ryan Lee Freedman, John-Michael Guest, Kathleen George, Collin Richards, Leo Hall, Mark S. Juzych, Anju Goyal 2024 Department of Ophthalmology, Visual and Anatomical Sciences, Kresge Eye Institute, Wayne State University School of Medicine, Detroit, MI, USA

Community Outreach Vision Screenings With Student-Led Eye Health Education Improves Student Eye Health Knowledge And Ophthalmic Health Disparities Awareness, Tannia M. Rodriguez, Karim Dirani, Samantha M. Arsenault, Ryan Lee Freedman, John-Michael Guest, Kathleen George, Collin Richards, Leo Hall, Mark S. Juzych, Anju Goyal

Journal of Academic Ophthalmology

BACKGROUND: The high prevalence of vision impairment and discordant lack of eye care utilization makes it essential to develop effective avenues to educate the future physician work force regarding basic eye health knowledge and ophthalmic health disparities. The public is often not aware that blinding eye diseases can begin asymptomatically. It is important for medical students to understand basic eye health knowledge, such as blinding eye diseases can begin asymptomatically. The purpose of this study was to assess the impact of an eye health knowledge 5-Point Teaching Intervention (5PTI) and structured patient intake form on student eye health knowledge and …


Is Semaglutide The Key To The Fight Against "Globesity"?, Melissa Travelsted, Maire M. Blankenship 2024 Western Kentucky University

Is Semaglutide The Key To The Fight Against "Globesity"?, Melissa Travelsted, Maire M. Blankenship

International Journal of Faith Community Nursing

The obesity epidemic, referred to as "globesity" by the World Health Organization (WHO) in 2001, remains a critical global health issue with escalating prevalence rates. In 2022, approximately 2.5 billion adults worldwide were overweight, with 890 million classified as obese, highlighting a significant health burden and economic impact. By 2030, projections suggest over one billion individuals globally will be affected by obesity. In the United States, where more than 40% of adults are obese, healthcare costs attributed to obesity-related illnesses exceed $173 billion annually.

Obesity is defined by a body mass index (BMI) of 30 or above and significantly increases …


Google Glass™ In Healthcare Education: A Scoping Review, David B. Gillette, Bhavana Raja 2024 University of the Pacific

Google Glass™ In Healthcare Education: A Scoping Review, David B. Gillette, Bhavana Raja

Pacific Journal of Health

Background: Google Glass™ (Glass), a wearable augmented reality device is gaining popularity in healthcare education due to its portability, affordability, and usefulness, including offering a different vantage point and potential for remote training. We conducted this scoping review to determine its applications, effectiveness, and limitations in healthcare education.

Methods: Seven electronic databases were searched for relevant studies and reports using specified search terms. Two reviewers independently screened studies for eligibility, retrieved data, and compared results.

Results: The search yielded 2,019 articles. After removing duplicates, 1,576 titles, 877 abstracts, and 408 articles were screened; 78 articles were included in this review. …


Exploration Of The Patient Experiences Of A University Lgbtq+ Community: A Preliminary Analysis, Joelle M. Kidder, Eric G. Waldon, Tracey DelNero, Michelle Brady, Kristine Himmerick, Deepti Vyas, Vienna Sa, Malinda Thao, Lindsay Gietzen 2024 University of the Pacific

Exploration Of The Patient Experiences Of A University Lgbtq+ Community: A Preliminary Analysis, Joelle M. Kidder, Eric G. Waldon, Tracey Delnero, Michelle Brady, Kristine Himmerick, Deepti Vyas, Vienna Sa, Malinda Thao, Lindsay Gietzen

Pacific Journal of Health

PURPOSE: This qualitative study aimed to explore the lived experiences of people from a university LGBTQ+ community to inform health professional training in the interprofessional education setting.

METHODS:

Focus groups and semi-structured interviews from the University of the Pacific LGBTQ+ community were conducted by the researchers. Participants were recruited through campus-wide notification and fliers. Focus groups were held virtually on Zoom. Participants were asked to de-identify any identifying information. Informed consent and basic demographic information were obtained electronically. Participants were asked to reflect on personal experiences of their interactions within the healthcare system. The focus groups consisted of open-ended questions …


The Importance Of A Second Look: A Rare Combination Of A Galeazzi Fracture And Lunate Dislocation, Josef Maselli, Leon Liu, Ashley McGill, Garrett Wagner, Gary B. Schwartz 2024 Nova Southeastern University

The Importance Of A Second Look: A Rare Combination Of A Galeazzi Fracture And Lunate Dislocation, Josef Maselli, Leon Liu, Ashley Mcgill, Garrett Wagner, Gary B. Schwartz

HCA-NSU MD Research Day

The Importance of a Second Look: A Rare Combination of a Galeazzi Fracture and Lunate Dislocation Introduction. A Galeazzi fracture involves a fracture of the middle to distal one-third of the radius with dislocation of the distal radioulnar joint (DRUJ), commonly caused by forceful impact to an outstretched hand with a hyperpronated forearm. This case describes a Galeazzi fracture with a concomitant lunate dislocation, a diagnosis that is frequently missed in the presence of an obvious distal radial fracture. We are seeking to underscore the importance of close radiographic analysis, especially when an obvious fracture is present. Case Presentation. A …


Nosebleed No More: Recognizing And Diagnosing Factor Viii Inhibitor, Salam Harb, Leidy Huie Martinez MD, Jose Alvarado MD, Ajit Koli DO, Hazem Nasef MS4 2024 Nova Southeastern University

Nosebleed No More: Recognizing And Diagnosing Factor Viii Inhibitor, Salam Harb, Leidy Huie Martinez Md, Jose Alvarado Md, Ajit Koli Do, Hazem Nasef Ms4

HCA-NSU MD Research Day

Acquired hemophilia is a condition characterized by the unexpected onset of severe bleeding due to an issue with coagulation factors. Typically, this disorder results from the production of autoantibodies against the Factor VIII coagulation factor. Although acquired hemophilia is an extremely rare condition, with an annual incidence of just 1.5 cases per million, it is crucial to recognize and understand it. This is because diagnosing this disorder is intricate, and if left undiagnosed and untreated, it can lead to high levels of morbidity and mortality. This case stands out as the condition typically targets older adults, with around 80% of …


Invasive Squamous Cell Carcinoma Arising After Digit Amputation: A Case Study, Thy Nguyen, Leon Liu, Yin Kan Hwee, Mohammadali Shoja, Gary Schwartz 2024 Nova Southeastern University

Invasive Squamous Cell Carcinoma Arising After Digit Amputation: A Case Study, Thy Nguyen, Leon Liu, Yin Kan Hwee, Mohammadali Shoja, Gary Schwartz

HCA-NSU MD Research Day

INTRODUCTION Squamous cell carcinoma (SCC), a malignant skin tumor, is commonly associated with osteomyelitis. Although an unusual occurrence, it is speculated that the tumor can spread along the tendon sheaths of the hand. The risk of malignant transformation is considerably increased in patients with a history of amputation. This may necessitate additional screening, amputation, or surgical repair of the defect. CASE PRESENTATION We present a patient with a progressively enlarging mass in his left hand following a prior finger amputation, which was later diagnosed as invasive SCC with concurrent osteomyelitis. Initial surgery involved mass excision and ray amputation of the …


Perceived Stress Modulates Blood Pressure Reactivity To Stress In College Students, Manuel Sune, Natalie Younan, Caio Sousa 2024 Loyola Marymount University

Perceived Stress Modulates Blood Pressure Reactivity To Stress In College Students, Manuel Sune, Natalie Younan, Caio Sousa

International Journal of Exercise Science: Conference Proceedings

Stress is an unavoidable part of everyday life that can have numerous effects on our bodies. In addition, the individual psychological perception of stress could represent a higher stress or stress reactivity in the physiological level, becoming the onset of many stress-related diseases. Persistently high levels of stress are common in college students and it's important to manage these levels to prevent the risk of health problems in the future. PURPOSE: The purpose of this study is to investigate the effect of perceived stress on cardiovascular reactivity to stress in college students. METHODS: Fourteen college students (f=5) participated in the …


The Effects Of Physical Activity On Cardiovascular Reactivity To Stress In College Students, Natalie Younan, Manuel Sune, Caio V. Sousa 2024 Loyola Marymount University

The Effects Of Physical Activity On Cardiovascular Reactivity To Stress In College Students, Natalie Younan, Manuel Sune, Caio V. Sousa

International Journal of Exercise Science: Conference Proceedings

Stress is part of everyday life. Chronic stress can be a contributor to many physiological and psychological health problems. Chronic stress is also related to hyperreactivity to acute stress. PURPOSE: In this study, we aimed to investigate whether students with low, moderate, and high levels of physical activity (PA) have distinct cardiovascular responses to the cold pressor test (CPT). METHODS: College students (n=14; f=5) were given the short version of the International Physical Activity Questionnaire (IPAQ) to assess their physical activity levels. After the assessment, participants were set up to the FINAPRES with an arm cuff and finger …


Sled-Pull Training Decreases Rate Of Force Development In Men And Women Soccer Players, James Ma, John A. Brasher, Robert Musci, Jenevieve L. Roper 2024 Loyola Marymount University

Sled-Pull Training Decreases Rate Of Force Development In Men And Women Soccer Players, James Ma, John A. Brasher, Robert Musci, Jenevieve L. Roper

International Journal of Exercise Science: Conference Proceedings

Sled-pull training is a popular training method thought to increase lower extremity strength and power in athletes. Lower extremity strength and power are factors for success in sport, particularly soccer. Asymmetry is thought to negatively impact athletes, by increasing their risk of injury, and should be the focus of any training program. PURPOSE: To determine the impact of a 12-week sled pull training intervention on isometric leg rate of force development (RFD) and RFD asymmetry. METHODS: Thirty men (n = 15; 20 ± 1.5yrs, 168.28 ± 5.17cm, 73.44 ± 3.46kg) and women (n = 15; 19.58 ± 1yr, …


Heart Rate And Energy Expenditure Validity Of Garmin Instinct Devices During Hiking Outdoors With And Without Trekking Poles: A Pilot Study, Kavon McArthur, Bethany Hoag, Josie Gines, Myranda Peck, James Navalta, FACSM, Kelly Goonan, Julie E. Taylor, Marcus M. Lawrence 2024 Southern Utah University

Heart Rate And Energy Expenditure Validity Of Garmin Instinct Devices During Hiking Outdoors With And Without Trekking Poles: A Pilot Study, Kavon Mcarthur, Bethany Hoag, Josie Gines, Myranda Peck, James Navalta, Facsm, Kelly Goonan, Julie E. Taylor, Marcus M. Lawrence

International Journal of Exercise Science: Conference Proceedings

ACSM has again named wearable technology the top fitness trend for 2024. Yet, the validity of wrist-worn devices for measuring average/maximal heart rate (HR) and estimating energy expenditure (EE) during outdoor hiking with and without trekking poles is unknown. PURPOSE: To determine the concurrent validity of identical Garmin Instinct devices to record valid measures of average and maximal HR as well as estimated EE during outdoor hiking with no poles, 1 or 2 trekking poles. METHODS: 11 (n=6 males, n=5 females, aged 20-39 yrs) adults randomly completed 3 pole conditions (no poles, 1 or 2 poles) during an ~10 min. …


Impact Of Running A 162-Km Mountain Race On Hydration And Gastrointestinal Response, Ryan Ott, Kamiry Robison, Kiara Fradin, Melani Kelly, Andrew Creer 2024 Utah Valley University

Impact Of Running A 162-Km Mountain Race On Hydration And Gastrointestinal Response, Ryan Ott, Kamiry Robison, Kiara Fradin, Melani Kelly, Andrew Creer

International Journal of Exercise Science: Conference Proceedings

Gastrointestinal (GI) distress is a common complaint among runners, often worsening when less hydrated. PURPOSE: The purpose of this study is to evaluate hydration status and GI responses of 162-km ultramarathon runners. METHODS: 14 runners (11 males, 3 females; 36.9 ± 6.1 yrs, 72.5 ± 11.9 kg) completed the Bear 100 (7200m of vertical gain). Pre-, post-, and 24-h post-race completion, a survey to assess GI symptom presence was completed and weight and a urine sample was collected. Scored on a 10-point scale (0 = no problems; 10 = worst it has ever been), GI symptoms were divided into 1) …


The Effect Of Low Water Intake On Blood Glucose Measured With A Continuous Glucose Monitor, Doris Cheung, Safiya Rufino, Adam Seal 2024 California Polytechnic State University, San Luis Obispo

The Effect Of Low Water Intake On Blood Glucose Measured With A Continuous Glucose Monitor, Doris Cheung, Safiya Rufino, Adam Seal

International Journal of Exercise Science: Conference Proceedings

The number of people with Type II diabetes is rapidly increasing worldwide. Previous studies have shown several factors contribute to the development of Type II diabetes, such as genetics, diet, and physical activity. Previous laboratory studies have demonstrated adequate water intake may slightly reduce post-prandial blood glucose. However, none have focused on the relationship between water intake and blood glucose excursions in a free-living situation. PURPOSE: This study aimed to examine the effect of low water intake on glucose regulation in a free-living situation using continuous glucose monitoring. METHODS: In a counterbalanced cross-over fashion, three participants were randomly …


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