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914 full-text articles. Page 1 of 41.

Get America Talking: Implementing Advanced Care Planning In Primary Care, Sasha Recht 2021 University of San Diego

Get America Talking: Implementing Advanced Care Planning In Primary Care, Sasha Recht

Doctor of Nursing Practice Final Manuscripts

Advanced Care Planning (ACP) is an essential part of providing adequate care in the primary care setting. Discussing end of life with patients can be a tedious and uncomfortable conversation for many providers, however, its continued avoidance contributes to the stigma of end of life care and may also result in significant healthcare cost expenditure with the use of unwanted invasive treatments. All providers should engage in consistent advanced care planning in order to improve patient and provider communication, improve patient satisfaction, increase advanced directives on file, reduce the stigma of the topic, and improve quality of life.


Mindset, Medicine And You, Gregory A. Jaffe, MD, MSEd 2021 Thomas Jefferson University

Mindset, Medicine And You, Gregory A. Jaffe, Md, Msed

Department of Family & Community Medicine Presentations and Grand Rounds

Objectives

  • Describe the differences between a fixed and growth mindset
  • State phrases that encourage growth mindset
  • Apply growth mindset techniques to medical education


Mr. Watson, Come Here-I Want To See You: One Rural Residency Program’S Rapid Pivot To Telemedicine During The Pandemic, William J. Crump, Diana M. Nims, Douglas J. Hatler 2021 Associate Dean, University of Louisville School of Medicine Trover Campus at Baptist Health Madisonville

Mr. Watson, Come Here-I Want To See You: One Rural Residency Program’S Rapid Pivot To Telemedicine During The Pandemic, William J. Crump, Diana M. Nims, Douglas J. Hatler

Marshall Journal of Medicine

Telemedicine has been used for over a generation, but application has been limited in rural areas by lack of payment, licensure issues, cumbersome video equipment, and challenges with digital communications. Early in the COVID-19 pandemic, our rural family medicine residency made a rapid shift to all telemedicine services for our patients.

We collected data on a 4-week period in April 2020 as we transitioned to 100% telemedicine consultations. We compare that to a 4-week period prior to mid-March when activities were normal for us. We collected detailed visit summaries, patient feedback, and physician feedback and compared these two periods.

Early ...


Hydrogen Peroxide Colitis: The Accidental Enema, Ramin Karimi, Ashish Sharma, Kevin Tran, Sebastian Montgomery 2021 Coliseum Medical Center

Hydrogen Peroxide Colitis: The Accidental Enema, Ramin Karimi, Ashish Sharma, Kevin Tran, Sebastian Montgomery

HCA Healthcare Journal of Medicine

Chemical colitis is defined as inflammation of the large intestine or colon as a result of exposure from a harsh chemical through an enema or other procedure. In this case, the chemical is hydrogen peroxide, which is commonly used as an antiseptic for minor abrasions. Hydrogen peroxide enemas were once popular for difficult to treat constipation. However, resultant colitis and proctitis limited its use. When administered rectally in a high enough concentration, intense abdominal pain and transient bloody diarrhea can occur, with the majority of affected patients making a full recovery with supportive management. Here we discuss a case of ...


Erythema Ab Igne: Toasted Skin Syndrome, Vincent Ly, James E. Vandruff, Julia Fashner 2021 University of Central Florida

Erythema Ab Igne: Toasted Skin Syndrome, Vincent Ly, James E. Vandruff, Julia Fashner

HCA Healthcare Journal of Medicine

Introduction

Erythema ab igne is a benign skin condition caused by long-term exposure to infrared radiation and/or heat. Erythema ab igne begins as a mild erythema over the previously exposed areas and develops into an erythematous reticulated hyperpigmentation with scaling and telangiectasias.

Clinical Findings

A 55-year-old female presented to the primary care clinic with concerns due to the development of a rash on her lower back in the previous 1 to 2 weeks. She had a history of chronic back pain and was using conservative treatment for pain management, including daily use of a heating pad for 15 minutes ...


Prevalence And Risk Factors Of Drug-Induced Gingival Overgrowth In Hypertensive Patients, Haslina Taib, Muhammad Haziq Mohd Radzwan, Muhammad Annurdin Sabaruddin, Wan Majdiah Wan Mohamad, Noraini Mohamad 2021 Unit of Periodontics, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia

Prevalence And Risk Factors Of Drug-Induced Gingival Overgrowth In Hypertensive Patients, Haslina Taib, Muhammad Haziq Mohd Radzwan, Muhammad Annurdin Sabaruddin, Wan Majdiah Wan Mohamad, Noraini Mohamad

Journal of Dentistry Indonesia

Gingival overgrowth (GO) or enlargement is an unwanted effect occurring on the gingiva that commonly associated with medications. Hypertension is a global burden systemic conditions and showed high prevalent and more patients are taking antihypertensive drugs. Objective: This study aimed to assess the prevalence of drug-induced gingival overgrowth (DIGO) and its associated risk factors among hypertensive patients attending Hospital Universiti Sains Malaysia, Kelantan, Malaysia. Methods: A total of 42 patients with the mean age of 57.1 (SD=9.3) years had participated in this cross-sectional study. They were recruited if they had consumed anti-hypertensive agents for at least 6 ...


Predictive Factors For Early Breastmilk Discontinuation In Premature Infants: A Retrospective Study, Smiti Gupta, Darah Yuhas, Janet Wasylyshen-Valesco, Adrienne Stolfi 2021 Wright State University - Main Campus

Predictive Factors For Early Breastmilk Discontinuation In Premature Infants: A Retrospective Study, Smiti Gupta, Darah Yuhas, Janet Wasylyshen-Valesco, Adrienne Stolfi

Medical Student Research Symposium Abstracts and Posters

The AAP recommends exclusive breastfeeding for 6 months, followed by continuation of breastfeeding with introduction of complimentary foods for at least 1 year (1). There has been considerable success initiating breastfeeding in birth hospitals. This can largely be attributed to many beneficial programs, including the WHO/UNICEF Baby-Friendly Hospital Initiative and “10 Steps to Successful Breastfeeding” (2, 3). Despite the success with increasing breastfeeding rates in birth hospitals, only 58.3% of US infants received breast milk at 6 months of age and only 25.6% of US infants were exclusively breastfed at 6 months in 2019 (4).This discrepancy ...


Global And Local Service Connection: Global Health Experiences And Local Community Engagement In Wright State University Boonshoft School Of Medicine Alumni, Katie Lomeo, Katharine A. Conway, Kelly Muterspaw, Kaitlyn Danner, Virginia Keim 2021 Wright State University - Main Campus

Global And Local Service Connection: Global Health Experiences And Local Community Engagement In Wright State University Boonshoft School Of Medicine Alumni, Katie Lomeo, Katharine A. Conway, Kelly Muterspaw, Kaitlyn Danner, Virginia Keim

Medical Student Research Symposium Abstracts and Posters

The Global Health Scholars Program (GHSP) at Wright State University Boonshoft School of Medicine (BSOM) has been in place for 18 years. The GHSP gives medical students an opportunity to serve in various medical settings around the world. There are many reasons why healthcare professionals seek global health experiences. One main reason for global health participation is altruism and the desire to improve community health abroad. However, global health participants are widely criticized for neglecting their home countries’ problems to solve those around the world. The goal of this study is to assess the relationship between global health experiences and ...


Acupuncture For Pain, Julita Mitchell, MD 2021 Thomas Jefferson University

Acupuncture For Pain, Julita Mitchell, Md

Department of Family & Community Medicine Presentations and Grand Rounds

Objectives

➢ To introduce basic acupuncture theory and proposed mechanisms.

➢ To describe a typical acupuncture encounter.

➢ To outline the indications for acupuncture.

➢ To explore clinical evidence behind acupuncture for pain
○ Knee osteoarthritis, low back pain, headache

➢ Review AAFP Clinical Recommendations for acupuncture.

➢ To discuss logistical aspects of acupuncture referral.


Contingency Management Implementation: Strengthening Mat In Primary Care, Angela Colistra LPC, PhD, MS, Sophia Harbove MS, CTP, Yamelisa Taveras MA, CAADC, CCS, Abby S. Letcher MD, Nyann Biery MS 2021 Lehigh Valley Health Network

Contingency Management Implementation: Strengthening Mat In Primary Care, Angela Colistra Lpc, Phd, Ms, Sophia Harbove Ms, Ctp, Yamelisa Taveras Ma, Caadc, Ccs, Abby S. Letcher Md, Nyann Biery Ms

Department of Family Medicine

No abstract provided.


Sarcopenia: A Functional Chronic Disease, Mike Haines, MD 2021 Thomas Jefferson University

Sarcopenia: A Functional Chronic Disease, Mike Haines, Md

Department of Family & Community Medicine Presentations and Grand Rounds

Objectives

  • Define sarcopenia as a clinical diagnosis as described by the European Working Group on Sarcopenia in Older Persons (EWGSOP2)
  • Recognize, identify, and describe sarcopenia as a distinct disease process
  • Review impact on health outcomes and healthcare costs
  • Explain tools used to aid in diagnosis in clinical practice
  • Explore the nuances of therapeutic interventions
  • Discuss role of the primary care physician


Outline

● What is sarcopenia?

  • Definition provided by EWGSOP2
  • Brief overview of pathophysiology

● Why is it important?

  • Epidemiology
  • Impact on health outcomes
  • Healthcare costs

● Diagnosis

  • Review EWGSOP2 framework for clinical practice
  • Questionnaires
  • Office based testing
  • Imaging

● Treatment and Prevention

  • Dietary ...


Innovations In U.S. Health Care Delivery To Reduce Disparities In Maternal Mortality Among African American And American Indian/Alaskan Native Women, Swapna Reddy, Nina Patel, Mary Saxon, Nina Amin, Rizwana Biviji 2021 Arizona State University

Innovations In U.S. Health Care Delivery To Reduce Disparities In Maternal Mortality Among African American And American Indian/Alaskan Native Women, Swapna Reddy, Nina Patel, Mary Saxon, Nina Amin, Rizwana Biviji

Journal of Patient-Centered Research and Reviews

Despite spending more on health care than any other country, the United States has the worst maternal mortality rate among all developed nations. African American and American Indian/Alaskan Native women have the worst outcomes by race, representing a stark health disparity within the country. Contributing factors disproportionately experienced by these minority populations include challenges of access to consistent and high-quality prenatal care, prevalence of underlying conditions, toxic stress due to systemic racism, and unconscious bias in health care. While many of these factors lie upstream in the lives of women, and seemingly beyond the scope of the clinical walls ...


Prevalence Of Common Disease Conditions In A Large Cohort Of Individuals With Down Syndrome In The United States, Brian Chicoine, Anne Rivelli, Veronica Fitzpatrick, Laura Chicoine, Gengjie Jia, Andrey Rzhetsky 2021 Advocate Aurora Health

Prevalence Of Common Disease Conditions In A Large Cohort Of Individuals With Down Syndrome In The United States, Brian Chicoine, Anne Rivelli, Veronica Fitzpatrick, Laura Chicoine, Gengjie Jia, Andrey Rzhetsky

Journal of Patient-Centered Research and Reviews

Purpose: Given the current life expectancy and number of individuals living with Down syndrome (DS), it is important to learn common occurrences of disease conditions across the developmental lifespan. This study analyzed data from a large cohort of individuals with DS in an effort to better understand these disease conditions, inform future screening practices, tailor medical care guidelines, and improve utilization of health care resources.

Methods: This retrospective, descriptive study incorporated up to 28 years of data, compiled from 6078 individuals with DS and 30,326 controls matched on age and sex. Data were abstracted from electronic medical records within ...


Double Trouble, Elisa Giusto DO 2021 Lehigh Valley Health Network

Double Trouble, Elisa Giusto Do

Department of Family Medicine

No abstract provided.


Support For Family Members Who Are Caregivers To Relatives With Acquired Brain Injury, Janet Walker, Lourens Schlebusch, Bernhard Gaede 2021 UNIVERSITY OF KWAZULU-NATAL, DEPARTMENT OF FAMILY MEDICINE, DURBAN, SOUTH AFRICA

Support For Family Members Who Are Caregivers To Relatives With Acquired Brain Injury, Janet Walker, Lourens Schlebusch, Bernhard Gaede

Journal of Mind and Medical Sciences

Objectives. Family members caring for a patient with acquired brain injury (ABI) are coping with inordinate levels of stress partially due to their lack of understanding of the neuropsychological effects of acquired brain injury in the patient. The objective of this research is to show that as the caregivers’ stress levels increase, there is an increase in suicidal ideation. This highlights the causal relationship between unhealthy stress and reduced psychological well-being in these caregivers. In addition, qualitative research evidence regarding the caregivers’ views of their main sources of stress are presented. Methods. The participants were a random sample of 80 ...


Suicide Assessment, Angelo Rannazzisi, PsyD 2021 Thomas Jefferson University

Suicide Assessment, Angelo Rannazzisi, Psyd

Department of Family & Community Medicine Presentations and Grand Rounds

Agenda

● Risk & Protective Factors of Suicide

  • Demographic, Diagnostic, Psychological Variables

● Suicide Risk Assessment

  • C-SSRS (Columbia-Suicide Severity Rating Scale)
  • BDI-II (Beck Depression Inventory 2nd Edition)
  • Reasons for Living Inventory (RFL)

● Creating a Safety Plan


Patellofemoral Disfunction, Chris Mulholland, MD 2021 Thomas Jefferson University

Patellofemoral Disfunction, Chris Mulholland, Md

Department of Family & Community Medicine Presentations and Grand Rounds

No abstract provided.


Social Isolation: Impact On Physical And Mental Health, Alexa Waters, MD 2021 Thomas Jefferson University

Social Isolation: Impact On Physical And Mental Health, Alexa Waters, Md

Department of Family & Community Medicine Presentations and Grand Rounds

Learning Objectives

  • Review the impact of social isolation and loneliness on important aspects of health and well-being, with a focus on older adults
  • Review risk and protective factors for social isolation and loneliness
  • Discuss how the health care system and primary care physicians can better identify and address social isolation
  • Briefly highlight interventions to enhance social connectedness and reduce loneliness

Outline

  • Background
  • Impacts of social isolation and loneliness on health and well-being
  • Risk and protective factors for social isolation and loneliness
  • Role of the health system and primary care in addressing social isolation and loneliness
  • Cases throughout


Need For Clinical Guidelines For Management Of Osteoporosis And Way Forward For Pakistan, Aysha Habib Khan, Manju Chandran 2021 Aga Khan University

Need For Clinical Guidelines For Management Of Osteoporosis And Way Forward For Pakistan, Aysha Habib Khan, Manju Chandran

Department of Pathology and Laboratory Medicine

No abstract provided.


Preparticipation Evaluation Of The Special Olympics Athlete, Mary M. Stephens, MD, MPH 2021 Thomas Jefferson University

Preparticipation Evaluation Of The Special Olympics Athlete, Mary M. Stephens, Md, Mph

Department of Family & Community Medicine Presentations and Grand Rounds

Objectives

  • By the end of this module the student will be able to describe the components of a pre-participation sports evaluation.
  • By the end of this module the student will be able to articulate an assessment for atlantoaxial instability.
  • By the end of this module the student will be able to apply the learned knowledge from the module to a case study.
  • By the end of this module the student will be able to recommend appropriate anticipatory guidance to the athlete.


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