Faisal Alshuwair, Abdulaziz Alalwan, Ibrahim Alshayea, Nasser AbuDujain, Eman Alhammad, Ibtisam Alkhlassi, Yousef Alluhaymid
Objectives: There are not many studies evaluating the knowledge, attitudes, and practices of insulin self-administration in Saudi Arabia; therefore, we conducted this study aiming to determine the level of knowledge diabetic patients have on insulin use. amd also to establish the most common mistakes, most patients do.
{"title":"Knowledge, Attitude, and Practice of Diabetic Patients Following Up In King Khalid University Hospital about Insulin Use; a Cross-Sectional Study","authors":"Faisal Alshuwair, Abdulaziz Alalwan, Ibrahim Alshayea, Nasser AbuDujain, Eman Alhammad, Ibtisam Alkhlassi, Yousef Alluhaymid","doi":"10.26502/aimr.0153","DOIUrl":"https://doi.org/10.26502/aimr.0153","url":null,"abstract":"Objectives: There are not many studies evaluating the knowledge, attitudes, and practices of insulin self-administration in Saudi Arabia; therefore, we conducted this study aiming to determine the level of knowledge diabetic patients have on insulin use. amd also to establish the most common mistakes, most patients do.","PeriodicalId":8282,"journal":{"name":"Archives of Internal Medicine Research","volume":"143 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135506851","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 : 2022-08-04DOI: 10.1101/2022.08.03.22278392
Y. Abul, F. Devone, Thomas A Bayer, C. Halladay, K. McConeghy, Nadia Mujahid, Mriganka Singh, C. Leeder, S. Gravenstein, James L. Rudolph
Background/Objectives: Coronavirus disease 2019 (COVID-19) is associated with a hypercoagulable state and increased thrombotic risk in infected individuals. Several complex and varied coagulation abnormalities were proposed for this association1 .Acetylsalicylic acid(ASA, aspirin) is known to have inflammatory, antithrombotic properties and its use was reported as having potency to reduce RNA synthesis and replication of some types of coronaviruses including human coronavirus-299E (CoV-229E) and Middle East Respiratory Syndrome (MERS)-CoV 2,3. We hypothesized that chronic low dose aspirin use may decrease COVID-19 mortality relative to ASA non-users. Methods: This is a retrospective, observational cohort analysis of residents residing at Veterans Affairs Community Living Centers from December 13, 2020, to September 18, 2021, with a positive SARS-CoV-2 PCR test. Low dose aspirin users had low dose (81mg) therapy (10 of 14 days) prior to the positive COVID date and were compared to aspirin non-users (no ASA in prior 14 days). The primary outcome was mortality at 30 and 56 days post positive test and hospitalization within 14 days of positive test result. Results: We identified 1.823 residents who had SARS-CoV-2 infection and 1,687 residents were eligible as a final analytic sample after excluding high dose and intermittent/partial dose aspirin users. Overall mean age was 72.28+/-11.66 years and 3.3% (n=67) female in the final analytic sample. Among the 511 (30.3%) residents taking chronic low dose aspirin, 30-day mortality after an initial SARS-CoV-2 test establishing infection was 6.46% (n=33) compared to 10.29% (n=121) of non-users (SMD >0.1). 56-day mortality after initial SARS-CoV-2 test establishing infection was 9.0% (n=46) compared to 13.18% (n=155) not taking low dose aspirin (SMD >0.1). Cox proportional hazards model showed that aspirin use was independently associated with a reduced risk of 30 days of mortality (adjusted HR, 0.60, 95% CI, 0.40-0.90) and 56 days of mortality (adjusted HR, 0.67, 95% CI, 0.47-0.95) Conclusion: In this retrospective observational study of VA Community Living Center residents infected with SARS-CoV-2, low dose aspirin use for primary or secondary prevention of cardiovascular events is associated with lower COVID-19 mortality and fewer breakthrough cases. Although additional randomized controlled trials are required to understand these associations and the potential implications more fully for improving care, aspirin remains a medication with known side effects and clinical practice should not change based on these findings.
{"title":"Association of mortality and aspirin use for COVID-19 residents at VA Community Living Center Nursing Homes","authors":"Y. Abul, F. Devone, Thomas A Bayer, C. Halladay, K. McConeghy, Nadia Mujahid, Mriganka Singh, C. Leeder, S. Gravenstein, James L. Rudolph","doi":"10.1101/2022.08.03.22278392","DOIUrl":"https://doi.org/10.1101/2022.08.03.22278392","url":null,"abstract":"Background/Objectives: Coronavirus disease 2019 (COVID-19) is associated with a hypercoagulable state and increased thrombotic risk in infected individuals. Several complex and varied coagulation abnormalities were proposed for this association1 .Acetylsalicylic acid(ASA, aspirin) is known to have inflammatory, antithrombotic properties and its use was reported as having potency to reduce RNA synthesis and replication of some types of coronaviruses including human coronavirus-299E (CoV-229E) and Middle East Respiratory Syndrome (MERS)-CoV 2,3. We hypothesized that chronic low dose aspirin use may decrease COVID-19 mortality relative to ASA non-users. Methods: This is a retrospective, observational cohort analysis of residents residing at Veterans Affairs Community Living Centers from December 13, 2020, to September 18, 2021, with a positive SARS-CoV-2 PCR test. Low dose aspirin users had low dose (81mg) therapy (10 of 14 days) prior to the positive COVID date and were compared to aspirin non-users (no ASA in prior 14 days). The primary outcome was mortality at 30 and 56 days post positive test and hospitalization within 14 days of positive test result. Results: We identified 1.823 residents who had SARS-CoV-2 infection and 1,687 residents were eligible as a final analytic sample after excluding high dose and intermittent/partial dose aspirin users. Overall mean age was 72.28+/-11.66 years and 3.3% (n=67) female in the final analytic sample. Among the 511 (30.3%) residents taking chronic low dose aspirin, 30-day mortality after an initial SARS-CoV-2 test establishing infection was 6.46% (n=33) compared to 10.29% (n=121) of non-users (SMD >0.1). 56-day mortality after initial SARS-CoV-2 test establishing infection was 9.0% (n=46) compared to 13.18% (n=155) not taking low dose aspirin (SMD >0.1). Cox proportional hazards model showed that aspirin use was independently associated with a reduced risk of 30 days of mortality (adjusted HR, 0.60, 95% CI, 0.40-0.90) and 56 days of mortality (adjusted HR, 0.67, 95% CI, 0.47-0.95) Conclusion: In this retrospective observational study of VA Community Living Center residents infected with SARS-CoV-2, low dose aspirin use for primary or secondary prevention of cardiovascular events is associated with lower COVID-19 mortality and fewer breakthrough cases. Although additional randomized controlled trials are required to understand these associations and the potential implications more fully for improving care, aspirin remains a medication with known side effects and clinical practice should not change based on these findings.","PeriodicalId":8282,"journal":{"name":"Archives of Internal Medicine Research","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84494923","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}
Umna Safdar Khan, Babivigasan Gunasegaran, Ann Mary Behanan, Suganya Giri Ravindran, Obianuju Efobi, N. Sultana, Iffat Iqbal, Srija Chowdary Vanka, Deepkumar Patel, Abiodun O. Aboaba, Olubukola Oloniyo, Esosa Daniel Omoregie, Stephen Dada, Mayowa Stephen Apata, Osahon David Omoregie
Dow International Medical College (DIMC), Dow University of Health Sciences (DUHS), Pakistan Caribbean Medical University, Willemstad Curacao Kanyakumari Government Medical College, India Danylo Halytsky Lviv National Medical University, Ukraine Shaheed Suhrawardy Medical College, Bangladesh Dow University of Health Sciences (DUHS), Pakistan Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, India Smt. B. K. Shah Medical Institute & Research Centre (SBKS), India Avalon University School of Medicine, Willemstad Curacao Windsor University School of Medicine, St. Kitts University of Benin, School of Medicine, Nigeria
陶氏国际医学院(DIMC)、陶氏健康科学大学(DUHS)、巴基斯坦加勒比医科大学、威廉斯塔德库拉索坎亚库马里政府医学院、印度达尼洛哈利茨基利沃夫国立医科大学、乌克兰沙希德苏赫瓦迪医学院、孟加拉国陶氏健康科学大学(DUHS)、巴基斯坦Pinnamaneni Siddhartha医学科学研究所和研究基金会、印度Smt。印度阿瓦隆大学医学院、威廉斯塔德库拉索温莎大学医学院、贝宁圣基茨大学医学院、尼日利亚B. K. Shah医学研究所和研究中心(SBKS)
{"title":"Telemedicine and Use of Remote Monitoring in Cardiovascular Disease: A Systematic Review","authors":"Umna Safdar Khan, Babivigasan Gunasegaran, Ann Mary Behanan, Suganya Giri Ravindran, Obianuju Efobi, N. Sultana, Iffat Iqbal, Srija Chowdary Vanka, Deepkumar Patel, Abiodun O. Aboaba, Olubukola Oloniyo, Esosa Daniel Omoregie, Stephen Dada, Mayowa Stephen Apata, Osahon David Omoregie","doi":"10.26502/aimr.0085","DOIUrl":"https://doi.org/10.26502/aimr.0085","url":null,"abstract":"Dow International Medical College (DIMC), Dow University of Health Sciences (DUHS), Pakistan Caribbean Medical University, Willemstad Curacao Kanyakumari Government Medical College, India Danylo Halytsky Lviv National Medical University, Ukraine Shaheed Suhrawardy Medical College, Bangladesh Dow University of Health Sciences (DUHS), Pakistan Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, India Smt. B. K. Shah Medical Institute & Research Centre (SBKS), India Avalon University School of Medicine, Willemstad Curacao Windsor University School of Medicine, St. Kitts University of Benin, School of Medicine, Nigeria","PeriodicalId":8282,"journal":{"name":"Archives of Internal Medicine Research","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84936968","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}
Rida Mansoor, Mohammad Waseem Lodhi, Hania Zafar, Shahbaz Haider, Rukhsana Abdul Sattar
anemia results in decreased iron causing microcytic hypochromic erythropoiesis with decreased serum iron and Abstract Background: An increase or
贫血导致铁减少,引起小细胞性低色素红细胞生成伴血清铁减少
{"title":"Iron Deficiency Anemia Predisposing to Acute Ischemic Stroke – Is there a Need for more Aggressive Approach?","authors":"Rida Mansoor, Mohammad Waseem Lodhi, Hania Zafar, Shahbaz Haider, Rukhsana Abdul Sattar","doi":"10.26502/aimr.0135","DOIUrl":"https://doi.org/10.26502/aimr.0135","url":null,"abstract":"anemia results in decreased iron causing microcytic hypochromic erythropoiesis with decreased serum iron and Abstract Background: An increase or","PeriodicalId":8282,"journal":{"name":"Archives of Internal Medicine Research","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87886574","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}
Objectives: The primary outcome of this study is to assess the perspectives of Hospitalists on their workload and their perceived effects on patient care. The secondary outcomes are to evaluate the satisfaction of the Hospitalists with their compensation, quality of life, scholarship activity and promotion in their department and the support received to achieve this.
Methodology: We developed a 49-question questionnaire. The questionnaire was based on (a) Oldenburg Burnout Inventory and (b) topics specific to census, compensation, academic support with desire for promotion, and the effects of workload on patient care and teaching. All questions were formatted with a 4-point Likert-type response scale. The questionnaires were distributed electronically using an online survey platform to all 32 of the Hospitalists at our institution.
Conclusion: Each institution needs to do a self-assessment based on clinician feedback: Hospitalists workload, burn-out and satisfaction to reduce the high turnover rates and brevity of this role. From this study in this academic institution, the perspectives of Hospitalists revealed a high level of burn out (exhaustion and disengagement) and high assigned patient censuses that negatively impact their ability to deliver optimal patient care. Most Hospitalists reported lack of mentorship and inadequate time allocated for scholarly activity. The majority reported not having their input on decisions made by the administration that directly affect them. Most were unsatisfied with their compensation and the lack of PTO (paid time off). The majority would like to be promoted in this academic institution but feel unsupported to achieve this goal.
{"title":"Perspectives of Hospitalists in an Academic Health System.","authors":"T R Clarke, Josh Laban, Ahmed Luqman","doi":"10.26502/aimr.0139","DOIUrl":"https://doi.org/10.26502/aimr.0139","url":null,"abstract":"<p><strong>Objectives: </strong>The primary outcome of this study is to assess the perspectives of Hospitalists on their workload and their perceived effects on patient care. The secondary outcomes are to evaluate the satisfaction of the Hospitalists with their compensation, quality of life, scholarship activity and promotion in their department and the support received to achieve this.</p><p><strong>Methodology: </strong>We developed a 49-question questionnaire. The questionnaire was based on (a) Oldenburg Burnout Inventory and (b) topics specific to census, compensation, academic support with desire for promotion, and the effects of workload on patient care and teaching. All questions were formatted with a 4-point Likert-type response scale. The questionnaires were distributed electronically using an online survey platform to all 32 of the Hospitalists at our institution.</p><p><strong>Conclusion: </strong>Each institution needs to do a self-assessment based on clinician feedback: Hospitalists workload, burn-out and satisfaction to reduce the high turnover rates and brevity of this role. From this study in this academic institution, the perspectives of Hospitalists revealed a high level of burn out (exhaustion and disengagement) and high assigned patient censuses that negatively impact their ability to deliver optimal patient care. Most Hospitalists reported lack of mentorship and inadequate time allocated for scholarly activity. The majority reported not having their input on decisions made by the administration that directly affect them. Most were unsatisfied with their compensation and the lack of PTO (paid time off). The majority would like to be promoted in this academic institution but feel unsupported to achieve this goal.</p>","PeriodicalId":8282,"journal":{"name":"Archives of Internal Medicine Research","volume":"5 4","pages":"494-503"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9731354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10366312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Learning Objectives, What’s to Gain in Bedside Teaching?","authors":"Verkleij S P C, de Graaf I M","doi":"10.26502/aimr.0118","DOIUrl":"https://doi.org/10.26502/aimr.0118","url":null,"abstract":"","PeriodicalId":8282,"journal":{"name":"Archives of Internal Medicine Research","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78375720","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}
record-Abstract Introduction: The global pandemic of coronavirus disease 2019 (COVID-19) has continued to demonstrate considerable impacts on all aspects of life, as well as mental health across populations. Medical students may be considered a particularly vulnerable population during the COVID-19 pandemic due to the compounding mental stress of a demanding medical education. Methods: A cross-sectional online
{"title":"Impact of the COVID-19 Pandemic on Florida Medical Students’ Wellbeing and Academic Experience During “Lockdown”","authors":"Shadi A. Baajour, W. Wahood, Kate J F Carnevale","doi":"10.26502/aimr.0136","DOIUrl":"https://doi.org/10.26502/aimr.0136","url":null,"abstract":"record-Abstract Introduction: The global pandemic of coronavirus disease 2019 (COVID-19) has continued to demonstrate considerable impacts on all aspects of life, as well as mental health across populations. Medical students may be considered a particularly vulnerable population during the COVID-19 pandemic due to the compounding mental stress of a demanding medical education. Methods: A cross-sectional online","PeriodicalId":8282,"journal":{"name":"Archives of Internal Medicine Research","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83307835","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}
Hema Bindu L, Shehnaz Sultana, P. Pardhanandana Reddy
Mitochondrial Genome Screening Identified 26 Novel Variants in Children with Nonsyndromic Congenital Hearing Impairment. Abstract Background: Mitochondrial DNA (mtDNA) mutations may be responsible for the pathogenesis of maternally inherited hearing loss in both nonsyndromic and syndromic condition. Several mitochondrial genes, including genes coding for rRNA, tRNA, and respiratory chain complex subunits and protein coding genes play significant role in nonsyndromic deafness. Materials and Methods: 175 children with congenital hearing impairment and 92 normal subjects were screened for 13 mitochondrial genes comprising of two small ribosomal genes (12S rRNA and 16S rRNA), 7 tRNA genes (tRNA Val, tRNA Leu (UUR), tRNA Ile, tRNA Gln, tRNA Met, tRNA Ser (UCN) and tRNA Asp) and 4 protein coding genes (NADH dehydrogenase 1, NADH dehydrogenase 2, Cytochrome Oxidase I and Cytochrome Oxidase II) genes using specific sets of overlapping oligonucleotide primers for amplification. Results: A total of 26 novel variations were observed in the present study. 8 of COI genes. Three variants, each belonging to ND1 (3456T/G), COI (6140C/A) and COII (8115G/A) genes were found to be heteroplasmic. Out of 26, 8 variants were observed to be transversions and 11 as transitions. Out of 19 novel variants of protein coding genes, 3 missense (A3652G, G7830A, 8115G/A) mutations and 16 silent mutations were observed. Conclusion: This study demonstrated that various mitochondrial genes including protein-coding genes might be responsible for nonsyndromic deafness, providing new insights on the molecular bases of this pathology.
线粒体基因组筛选鉴定出26种非综合征性先天性听力障碍儿童的新变异。背景:线粒体DNA (mtDNA)突变可能是导致非综合征和综合征两种情况下母系遗传性听力损失的发病机制。一些线粒体基因,包括编码rRNA、tRNA和呼吸链复合体亚基的基因和蛋白质编码基因在非综合征性耳聋中发挥重要作用。材料与方法:对175例先天性听力障碍患儿和92例正常人进行线粒体基因筛选,筛选出13个线粒体基因,包括2个小核糖体基因(12S rRNA和16S rRNA)、7个tRNA基因(tRNA Val、tRNA Leu (UUR)、tRNA Ile、tRNA Gln、tRNA Met、tRNA Ser (UCN)和tRNA Asp)和4个蛋白质编码基因(NADH脱氢酶1、NADH脱氢酶2、细胞色素氧化酶I和细胞色素氧化酶II)。结果:本研究共观察到26个新的变异。8个COI基因。发现ND1 (3456T/G)、COI (6140C/A)和COII (8115G/A)基因的3个异质变异。在26个变异中,8个被观察到是颠倒的,11个是过渡的。在19个蛋白编码基因新变异中,发现3个错义突变(A3652G、G7830A、8115G/A)和16个沉默突变。结论:本研究表明,包括蛋白质编码基因在内的多种线粒体基因可能与非综合征性耳聋有关,为该病理的分子基础提供了新的认识。
{"title":"Mitochondrial Genome Screening Identified 26 Novel Variants in Children with Nonsyndromic Congenital Hearing Impairment","authors":"Hema Bindu L, Shehnaz Sultana, P. Pardhanandana Reddy","doi":"10.26502/aimr.0095","DOIUrl":"https://doi.org/10.26502/aimr.0095","url":null,"abstract":"Mitochondrial Genome Screening Identified 26 Novel Variants in Children with Nonsyndromic Congenital Hearing Impairment. Abstract Background: Mitochondrial DNA (mtDNA) mutations may be responsible for the pathogenesis of maternally inherited hearing loss in both nonsyndromic and syndromic condition. Several mitochondrial genes, including genes coding for rRNA, tRNA, and respiratory chain complex subunits and protein coding genes play significant role in nonsyndromic deafness. Materials and Methods: 175 children with congenital hearing impairment and 92 normal subjects were screened for 13 mitochondrial genes comprising of two small ribosomal genes (12S rRNA and 16S rRNA), 7 tRNA genes (tRNA Val, tRNA Leu (UUR), tRNA Ile, tRNA Gln, tRNA Met, tRNA Ser (UCN) and tRNA Asp) and 4 protein coding genes (NADH dehydrogenase 1, NADH dehydrogenase 2, Cytochrome Oxidase I and Cytochrome Oxidase II) genes using specific sets of overlapping oligonucleotide primers for amplification. Results: A total of 26 novel variations were observed in the present study. 8 of COI genes. Three variants, each belonging to ND1 (3456T/G), COI (6140C/A) and COII (8115G/A) genes were found to be heteroplasmic. Out of 26, 8 variants were observed to be transversions and 11 as transitions. Out of 19 novel variants of protein coding genes, 3 missense (A3652G, G7830A, 8115G/A) mutations and 16 silent mutations were observed. Conclusion: This study demonstrated that various mitochondrial genes including protein-coding genes might be responsible for nonsyndromic deafness, providing new insights on the molecular bases of this pathology.","PeriodicalId":8282,"journal":{"name":"Archives of Internal Medicine Research","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88458639","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}
Over the past few decades, the prevalence of HPVassociated oral cancers has steadily risen. Such a trend can be attributed to changing sexual behaviors, specifically oral sexual activity among adolescents. The HPV vaccine has been a key component in the battle against cervical cancer. It is therefore imperative we similarly emphasize adherence to the HPV vaccine among adolescents for greater prevention of HPV-associated oral cancers.
{"title":"Why the HPV Vaccine is Essential to Preventing a Rising Threat","authors":"Krishna Vedala MD MPH, Gopika Gopakumar, Raghuveer Vedala MD","doi":"10.26502/aimr.0086","DOIUrl":"https://doi.org/10.26502/aimr.0086","url":null,"abstract":"Over the past few decades, the prevalence of HPVassociated oral cancers has steadily risen. Such a trend can be attributed to changing sexual behaviors, specifically oral sexual activity among adolescents. The HPV vaccine has been a key component in the battle against cervical cancer. It is therefore imperative we similarly emphasize adherence to the HPV vaccine among adolescents for greater prevention of HPV-associated oral cancers.","PeriodicalId":8282,"journal":{"name":"Archives of Internal Medicine Research","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73466400","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}
Goonja Patel, S. Singhal, P. Khandwala, Oladimeji Lanade, Robert Kleyman
{"title":"Digital Gangrene Accelerated by Diabetic Ketoacidosis in the Setting of Polycythemia Vera","authors":"Goonja Patel, S. Singhal, P. Khandwala, Oladimeji Lanade, Robert Kleyman","doi":"10.26502/aimr.0094","DOIUrl":"https://doi.org/10.26502/aimr.0094","url":null,"abstract":"","PeriodicalId":8282,"journal":{"name":"Archives of Internal Medicine Research","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89792481","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}