Pub Date : 2023-06-01DOI: 10.32873/unmc.dc.gmerj.5.1.029
{"title":"Provider Knowledge and Utilization of Naloxone Prescriptions from the Emergency Department","authors":"","doi":"10.32873/unmc.dc.gmerj.5.1.029","DOIUrl":"https://doi.org/10.32873/unmc.dc.gmerj.5.1.029","url":null,"abstract":"","PeriodicalId":383725,"journal":{"name":"Graduate Medical Education Research Journal","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124304857","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 : 2023-06-01DOI: 10.32873/unmc.dc.gmerj.5.1.089
{"title":"Coil and Gel Foam Embolization of a Replaced Common Hepatic Artery Pseudoaneurysm: A Rare Anatomic Variant","authors":"","doi":"10.32873/unmc.dc.gmerj.5.1.089","DOIUrl":"https://doi.org/10.32873/unmc.dc.gmerj.5.1.089","url":null,"abstract":"","PeriodicalId":383725,"journal":{"name":"Graduate Medical Education Research Journal","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127323028","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 : 2023-06-01DOI: 10.32873/unmc.dc.gmerj.5.1.012
{"title":"Predictors of Trauma Patients Leaving Against Medical Advice","authors":"","doi":"10.32873/unmc.dc.gmerj.5.1.012","DOIUrl":"https://doi.org/10.32873/unmc.dc.gmerj.5.1.012","url":null,"abstract":"","PeriodicalId":383725,"journal":{"name":"Graduate Medical Education Research Journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125952089","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":"Use of Carotid Embolic Protection Devices for Left Atrial Myxoma Resection in a Pediatric Patient","authors":"Arun Swaminathan, Ali N. Ibrahimiye, J. Delaney","doi":"10.32873/unmc.dc.gmerj.4.1.014","DOIUrl":"https://doi.org/10.32873/unmc.dc.gmerj.4.1.014","url":null,"abstract":"","PeriodicalId":383725,"journal":{"name":"Graduate Medical Education Research Journal","volume":"11 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":"125339309","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}
Abstract Introduction Previously irradiated tissue is characterized by changes including decreased vascularity, impaired cellular proliferation, and local hypoxia consistent with fibroblastic atrophy which can persist long after radiation therapy. Hyperbaric oxygen therapy has been shown to be beneficial in the treatment of complications arising from these late effects of radiation on normal tissue through enhancing fibroblast proliferation, collagen maturation, stem cell recruitment, and angiogenesis. Methods We report on three patients with debilitating radiation enterocolitis causing issues including recurrent bowel obstruction, anorexia requiring total parenteral nutrition, pain, diarrhea, fecal incontinence, dehydration, and malnutrition. Results In all three cases marked improvement was the outcome with hyperbaric treatment. Conclusion Hyperbaric oxygen therapy should be routinely considered in the treatment of radiation-induced enteritis or colitis. Abstract Introduction: Previously irradiated tissue is characterized by changes including decreased vascularity, impaired cellular proliferation, and local hypoxia consistent with fibroblastic atrophy, which can persist long after radiation therapy. Hyperbaric oxygen therapy has been shown to be beneficial in the treatment of complications arising from these late effects of radiation on normal tissue through enhancing fibroblast proliferation, collagen maturation, stem cell recruitment, and angiogenesis. Methods: We report on three patients with debilitating radiation enterocolitis causing issues including recurrent bowel obstruction, anorexia requiring total parenteral nutrition, pain, diarrhea, fecal incontinence, dehydration, and malnutrition. Results: All three cases demonstrated marked improvement in outcomes with hyperbaric treatment. Conclusion: Hyperbaric oxygen therapy should be routinely considered in the treatment of radiation-induced enteritis or colitis.
{"title":"Successful Treatment of Radiation-Induced Colitis and Enteritis with Hyperbaric Oxygen Therapy","authors":"Mark D. Ringle, Jeffrey S. Cooper","doi":"10.32873/unmc.dc.gmerj.4.1.008","DOIUrl":"https://doi.org/10.32873/unmc.dc.gmerj.4.1.008","url":null,"abstract":"Abstract Introduction Previously irradiated tissue is characterized by changes including decreased vascularity, impaired cellular proliferation, and local hypoxia consistent with fibroblastic atrophy which can persist long after radiation therapy. Hyperbaric oxygen therapy has been shown to be beneficial in the treatment of complications arising from these late effects of radiation on normal tissue through enhancing fibroblast proliferation, collagen maturation, stem cell recruitment, and angiogenesis. Methods We report on three patients with debilitating radiation enterocolitis causing issues including recurrent bowel obstruction, anorexia requiring total parenteral nutrition, pain, diarrhea, fecal incontinence, dehydration, and malnutrition. Results In all three cases marked improvement was the outcome with hyperbaric treatment. Conclusion Hyperbaric oxygen therapy should be routinely considered in the treatment of radiation-induced enteritis or colitis. Abstract Introduction: Previously irradiated tissue is characterized by changes including decreased vascularity, impaired cellular proliferation, and local hypoxia consistent with fibroblastic atrophy, which can persist long after radiation therapy. Hyperbaric oxygen therapy has been shown to be beneficial in the treatment of complications arising from these late effects of radiation on normal tissue through enhancing fibroblast proliferation, collagen maturation, stem cell recruitment, and angiogenesis. Methods: We report on three patients with debilitating radiation enterocolitis causing issues including recurrent bowel obstruction, anorexia requiring total parenteral nutrition, pain, diarrhea, fecal incontinence, dehydration, and malnutrition. Results: All three cases demonstrated marked improvement in outcomes with hyperbaric treatment. Conclusion: Hyperbaric oxygen therapy should be routinely considered in the treatment of radiation-induced enteritis or colitis.","PeriodicalId":383725,"journal":{"name":"Graduate Medical Education Research Journal","volume":"75 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":"128378870","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: Stereotactic radiosurgery (SRS) is an excellent option for the treatment of numerous central nervous system diseases. There exist several forms of SRS, including gamma-knife surgery (GKS) and cyber-knife surgery. The most significant complication of SRS is the delayed effects of therapeutic radiation, also known as radionecrosis. The current treatment options for radionecrosis have a significant side effect profile and posit challenges for medical management. More recently, hyperbaric oxygen therapy (HBO2) has emerged as an option for treatment with minimal side effects. Methods: We present a retrospective case series examining ten patients treated with HBO2 after receiving radiotherapy. Of these cases, six were treated with GKS, two were treated with cyber-knife surgery, and two with Intensity-modulated radiation therapy (IMRT). Results: In all ten cases, the patients reported significant improvement in clinical symptoms. Conclusions: These cases demonstrate the efficacy of HBO2 as a treatment for cerebral radionecrosis.
{"title":"Hyperbaric Oxygen Therapy for Cerebral Radiation Necrosis Secondary to Stereotactic Radiation: A Case Series","authors":"Sruti Prathivadhi-Bhayankaram, J. Cooper","doi":"10.32873/unmc.dc.gmerj.4.1.004","DOIUrl":"https://doi.org/10.32873/unmc.dc.gmerj.4.1.004","url":null,"abstract":"Introduction: Stereotactic radiosurgery (SRS) is an excellent option for the treatment of numerous central nervous system diseases. There exist several forms of SRS, including gamma-knife surgery (GKS) and cyber-knife surgery. The most significant complication of SRS is the delayed effects of therapeutic radiation, also known as radionecrosis. The current treatment options for radionecrosis have a significant side effect profile and posit challenges for medical management. More recently, hyperbaric oxygen therapy (HBO2) has emerged as an option for treatment with minimal side effects. Methods: We present a retrospective case series examining ten patients treated with HBO2 after receiving radiotherapy. Of these cases, six were treated with GKS, two were treated with cyber-knife surgery, and two with Intensity-modulated radiation therapy (IMRT). Results: In all ten cases, the patients reported significant improvement in clinical symptoms. Conclusions: These cases demonstrate the efficacy of HBO2 as a treatment for cerebral radionecrosis.","PeriodicalId":383725,"journal":{"name":"Graduate Medical Education Research Journal","volume":"99 2 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":"124181644","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.4.1.024
{"title":"Presurgical Evaluation of the Dominant Hemisphere Function in an Adolescent Patient with Rasmussen’s Encephalitis using Magnetoencephalography","authors":"","doi":"10.32873/unmc.dc.gmerj.4.1.024","DOIUrl":"https://doi.org/10.32873/unmc.dc.gmerj.4.1.024","url":null,"abstract":"","PeriodicalId":383725,"journal":{"name":"Graduate Medical Education Research Journal","volume":"530 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":"116173634","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":"Cytokines and Chemokines Are Associated With the Risk of Cardiovascular Disease in Rheumatoid Arthritis Independent of Conventional Disease Activity Measures","authors":"M. Duryee, Carlos D. Hunter, P. Roul, Yangyuna Yang, J. Baker, Geoffrey E. Thiele, T. Mikuls","doi":"10.32873/unmc.dc.gmerj.4.1.021","DOIUrl":"https://doi.org/10.32873/unmc.dc.gmerj.4.1.021","url":null,"abstract":"","PeriodicalId":383725,"journal":{"name":"Graduate Medical Education Research Journal","volume":"12 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":"133971947","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}
Graduate Medical Education Research Journal. 2022 Jul 14; 4(1). https://digitalcommons.unmc.edu/gmerj/vol4/iss1/42 This Conference Proceeding is brought to you for free and open access by DigitalCommons@UNMC. It has been accepted for inclusion in Graduate Medical Education Research Journal by an authorized editor of DigitalCommons@UNMC. For more information, please contact digitalcommons@unmc.edu. Spontaneous Coronary Artery Dissection (SCAD) in a Turner Syndrome Patient: The Abstract Creative Commons License This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License. This conference proceeding is available in Graduate Medical Education Research Journal: https://digitalcommons.unmc.edu/gmerj/vol4/iss1/42
{"title":"Spontaneous Coronary Artery Dissection (SCAD) in a Turner Syndrome Patient: The Abstract","authors":"Luke W Desilet, T. Mikuls, Kirk Foster, K. Tendulkar","doi":"10.32873/unmc.dc.gmerj.4.1.034","DOIUrl":"https://doi.org/10.32873/unmc.dc.gmerj.4.1.034","url":null,"abstract":"Graduate Medical Education Research Journal. 2022 Jul 14; 4(1). https://digitalcommons.unmc.edu/gmerj/vol4/iss1/42 This Conference Proceeding is brought to you for free and open access by DigitalCommons@UNMC. It has been accepted for inclusion in Graduate Medical Education Research Journal by an authorized editor of DigitalCommons@UNMC. For more information, please contact digitalcommons@unmc.edu. Spontaneous Coronary Artery Dissection (SCAD) in a Turner Syndrome Patient: The Abstract Creative Commons License This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License. This conference proceeding is available in Graduate Medical Education Research Journal: https://digitalcommons.unmc.edu/gmerj/vol4/iss1/42","PeriodicalId":383725,"journal":{"name":"Graduate Medical Education Research Journal","volume":"58 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":"115426965","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":"A Case Report of Non-surgical Esophagocutaneous Fistula Closure: Even a Blind Squirrel Finds a Nut","authors":"Emily A. Zurbuchen","doi":"10.32873/unmc.dc.gmerj.4.1.032","DOIUrl":"https://doi.org/10.32873/unmc.dc.gmerj.4.1.032","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":"125782793","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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