{"title":"Comparison of Multiple IOL Power Calculation Formulas Using Keratometric Data From a Scheimpflug Camera vs. Swept-Source OCT","authors":"Brent J. Timperley, R. Krueger, Matthew Hays, Nathanael Urban, M. Mormino, Justin Siebler, Sara M. Putnam","doi":"10.32873/unmc.dc.gmerj.4.1.017","DOIUrl":"https://doi.org/10.32873/unmc.dc.gmerj.4.1.017","url":null,"abstract":"","PeriodicalId":383725,"journal":{"name":"Graduate Medical Education Research Journal","volume":"134 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130454916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Seasonal variation of benign paroxysmal positional vertigo (BPPV) presentation has been reported, with higher rates of presentation in months associated with times of lower serum vitamin D levels. The purpose of this study was to examine the association between the timing of hip fracture in patients with BPPV. Methods: A retrospective review (2013 to 2019) of adult patients was performed at a tertiary care academic center to identify patients with hip fracture due to ground level fall (ICD-10 code S72) and a previously established diagnosis of vestibular disorder (ICD-10 codes H81-83, A88.1, and R42). Included patients were matched by age and sex to control for patients who had hip fracture without a vestibular diagnosis. Patient charts were reviewed, and demographic and clinical data were extracted related to hip fracture and prior vestibular diagnosis. Groups were subdivided based on whether patients had a hip fracture from January to June versus July to December. Fisher’s exact test was used to evaluate for a difference in seasonal variation between groups. Results: There were 201 patients with vestibular disorders of whom 27 patients carried the diagnosis of BPPV, with a mean age of 80.4 years. The rates of hip fracture among patients with BPPV was higher in the period extending from January to June (63.0%) versus July to December (37.0%), [odds ratio 1.59, 95% CI 0.66-4.00]. The rate of hip fracture was not significantly different between these time periods for the control group (51.7% versus 48.3%) or the vestibular group (53.2% versus 46.8%). Conclusion: These results offer preliminary evidence that, in addition to an increased presentation for BPPV during months associated with decreased serum vitamin D, injuries due to BPPV may be increased as well. The present study is limited by the statistical power afforded by the small number of patients with BPPV and hip fracture that were identified.
导论:良性阵发性体位性眩晕(BPPV)表现的季节性变化已被报道，在血清维生素D水平较低的月份出现的发病率较高。本研究的目的是研究BPPV患者髋部骨折发生时间之间的关系。方法:对一家三级医疗学术中心的成年患者进行回顾性研究(2013年至2019年)，以确定因地面坠落(ICD-10代码S72)和先前确定的前庭疾病诊断(ICD-10代码H81-83、A88.1和R42)而髋部骨折的患者。纳入的患者按年龄和性别匹配，以控制没有前庭诊断的髋部骨折患者。我们回顾了患者图表，并提取了与髋部骨折和前庭诊断相关的人口统计学和临床数据。根据患者是否在1月至6月与7月至12月发生髋部骨折进行分组。Fisher精确检验用于评估组间季节变化的差异。结果:201例前庭功能障碍患者中有27例被诊断为BPPV，平均年龄80.4岁。BPPV患者髋部骨折的发生率在1 - 6月(63.0%)高于7 - 12月(37.0%)，[优势比1.59,95% CI 0.66-4.00]。对照组(51.7%对48.3%)和前庭组(53.2%对46.8%)髋部骨折的发生率在这两个时间段之间没有显著差异。结论:这些结果提供了初步证据，除了在血清维生素D降低的月份BPPV的表现增加外，BPPV引起的损伤也可能增加。目前的研究受到少数确定的BPPV和髋部骨折患者的统计能力的限制。
{"title":"Seasonal variation of hip fractures in patients with Benign Paroxysmal Positional Vertigo","authors":"Steven D Curry, Pooja M Varman, A. Carotenuto, Justin Siebler, J. Hatch","doi":"10.32873/unmc.dc.gmerj.4.1.002","DOIUrl":"https://doi.org/10.32873/unmc.dc.gmerj.4.1.002","url":null,"abstract":"Introduction: Seasonal variation of benign paroxysmal positional vertigo (BPPV) presentation has been reported, with higher rates of presentation in months associated with times of lower serum vitamin D levels. The purpose of this study was to examine the association between the timing of hip fracture in patients with BPPV. Methods: A retrospective review (2013 to 2019) of adult patients was performed at a tertiary care academic center to identify patients with hip fracture due to ground level fall (ICD-10 code S72) and a previously established diagnosis of vestibular disorder (ICD-10 codes H81-83, A88.1, and R42). Included patients were matched by age and sex to control for patients who had hip fracture without a vestibular diagnosis. Patient charts were reviewed, and demographic and clinical data were extracted related to hip fracture and prior vestibular diagnosis. Groups were subdivided based on whether patients had a hip fracture from January to June versus July to December. Fisher’s exact test was used to evaluate for a difference in seasonal variation between groups. Results: There were 201 patients with vestibular disorders of whom 27 patients carried the diagnosis of BPPV, with a mean age of 80.4 years. The rates of hip fracture among patients with BPPV was higher in the period extending from January to June (63.0%) versus July to December (37.0%), [odds ratio 1.59, 95% CI 0.66-4.00]. The rate of hip fracture was not significantly different between these time periods for the control group (51.7% versus 48.3%) or the vestibular group (53.2% versus 46.8%). Conclusion: These results offer preliminary evidence that, in addition to an increased presentation for BPPV during months associated with decreased serum vitamin D, injuries due to BPPV may be increased as well. The present study is limited by the statistical power afforded by the small number of patients with BPPV and hip fracture that were identified.","PeriodicalId":383725,"journal":{"name":"Graduate Medical Education Research Journal","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134111797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
the significance of histopathological examination of skin lesions with an unusual history or presentation prior to biopsy. Dermatologist should consider BPP when presented with erosion, ulcerations, or blisters of the head and neck in older male patients.
{"title":"A Case of Sloughing Brunsting-Perry Cicatricial Pemphigoid","authors":"Sophie Gart, C. Georgesen, Jason Meredith","doi":"10.32873/unmc.dc.gmerj.4.1.027","DOIUrl":"https://doi.org/10.32873/unmc.dc.gmerj.4.1.027","url":null,"abstract":"the significance of histopathological examination of skin lesions with an unusual history or presentation prior to biopsy. Dermatologist should consider BPP when presented with erosion, ulcerations, or blisters of the head and neck in older male patients. ","PeriodicalId":383725,"journal":{"name":"Graduate Medical Education Research Journal","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122662272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.32873/unmc.dc.gmerj.4.1.042
{"title":"Inhaled Anesthetics and Their Environmental Impact: Analyzing and Reducing Desflurane Use to Decrease Our Environmental Footprint","authors":"","doi":"10.32873/unmc.dc.gmerj.4.1.042","DOIUrl":"https://doi.org/10.32873/unmc.dc.gmerj.4.1.042","url":null,"abstract":"","PeriodicalId":383725,"journal":{"name":"Graduate Medical Education Research Journal","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129258166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.32873/unmc.dc.gmerj.4.1.043
{"title":"Provider Awareness of Blood Draws in the Cardiac Intensive Care Unit","authors":"","doi":"10.32873/unmc.dc.gmerj.4.1.043","DOIUrl":"https://doi.org/10.32873/unmc.dc.gmerj.4.1.043","url":null,"abstract":"","PeriodicalId":383725,"journal":{"name":"Graduate Medical Education Research Journal","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115889278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Utilization of Telehealth in the Developmental Behavioral Clinics at The University of Nebraska Medical Center","authors":"Ivy N. Haskins, Tiffany Tanner, V. Kothari","doi":"10.32873/unmc.dc.gmerj.4.1.015","DOIUrl":"https://doi.org/10.32873/unmc.dc.gmerj.4.1.015","url":null,"abstract":"","PeriodicalId":383725,"journal":{"name":"Graduate Medical Education Research Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127799939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Non-inflammatory Bullae of the Dorsal Hand","authors":"E. Mata, M. Arthur","doi":"10.32873/unmc.dc.gmerj.4.1.025","DOIUrl":"https://doi.org/10.32873/unmc.dc.gmerj.4.1.025","url":null,"abstract":"","PeriodicalId":383725,"journal":{"name":"Graduate Medical Education Research Journal","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130710789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
interstitial between collagen bundles. for scleromyxedema, and protein electrophoresis demonstrated IgG kappa monoclonal gammopathy. Subsequent bone marrow biopsy a kappa plasma change for Raynaud’s a with a speckled pattern, anti-Scl-70, and anti-centromere antibodies. for of IgG kappa, rather than monoclonal
{"title":"Rapid Improvement of Scleromyxedema Associated With IgG Kappa Monoclonal Gammopathy After Intravenous Immunoglobulin (IVIG)","authors":"Dillon D. Clarey, M. Arthur, E. Blue, E. Mata, C. Georgesen","doi":"10.32873/unmc.dc.gmerj.4.1.009","DOIUrl":"https://doi.org/10.32873/unmc.dc.gmerj.4.1.009","url":null,"abstract":"interstitial between collagen bundles. for scleromyxedema, and protein electrophoresis demonstrated IgG kappa monoclonal gammopathy. Subsequent bone marrow biopsy a kappa plasma change for Raynaud’s a with a speckled pattern, anti-Scl-70, and anti-centromere antibodies. for of IgG kappa, rather than monoclonal","PeriodicalId":383725,"journal":{"name":"Graduate Medical Education Research Journal","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131921298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.32873/unmc.dc.gmerj.4.1.045
{"title":"Blues and Yellows","authors":"","doi":"10.32873/unmc.dc.gmerj.4.1.045","DOIUrl":"https://doi.org/10.32873/unmc.dc.gmerj.4.1.045","url":null,"abstract":"","PeriodicalId":383725,"journal":{"name":"Graduate Medical Education Research Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129058004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Negative Is Not Always Negative: Improving Outcomes in Scalp Negative Seizures Using Intracranial EEG","authors":"Arun Swaminathan, Ali N. Ibrahimiye, J. Delaney","doi":"10.32873/unmc.dc.gmerj.4.1.013","DOIUrl":"https://doi.org/10.32873/unmc.dc.gmerj.4.1.013","url":null,"abstract":"","PeriodicalId":383725,"journal":{"name":"Graduate Medical Education Research Journal","volume":"127 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115168987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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