Natavoot N Chongswatdi, Callie Seaman, Diane Harman, William D. Rollyson, Adam M. Franks
{"title":"Analysis of Blood Borne Pathogen Exposure Monitoring Protocol Adherence in an Academic Medical Center: a seven year analysis and literature review","authors":"Natavoot N Chongswatdi, Callie Seaman, Diane Harman, William D. Rollyson, Adam M. Franks","doi":"10.33470/2379-9536.1358","DOIUrl":"https://doi.org/10.33470/2379-9536.1358","url":null,"abstract":"","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42101562","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}
Niccia Ditrapano, K. Redmond, Jamila Ranavaya, J. Yoost
{"title":"Appalachian Parent and Provider Views on the Use of Pharmacies for Human Papillomavirus Vaccination in Adolescents","authors":"Niccia Ditrapano, K. Redmond, Jamila Ranavaya, J. Yoost","doi":"10.33470/2379-9536.1370","DOIUrl":"https://doi.org/10.33470/2379-9536.1370","url":null,"abstract":"","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49145836","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":"Embryonal Rhabdomyosarcoma in the Pelvis of a 22-Year-Old Female: A Case Report","authors":"Amber Wright, Nadim Bou Zgheib, N. Nahar","doi":"10.33470/2379-9536.1365","DOIUrl":"https://doi.org/10.33470/2379-9536.1365","url":null,"abstract":"","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47426002","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":"Psychiatric Disorder Induced By Twiddler's Syndrome May Pose Treatment Challenges In Clinical Practice","authors":"M. Tashani, L. Given, J. Mader","doi":"10.33470/2379-9536.1306","DOIUrl":"https://doi.org/10.33470/2379-9536.1306","url":null,"abstract":"","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43788413","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 Mandibular Distraction Osteogenesis to Correct Micrognathia and Airway Obstruction in Newborn Female with Pierre Robin Sequence and Neonatal Abstinence Syndrome in Rural Appalachia","authors":"Seneca Williams, A. van Horn","doi":"10.33470/2379-9536.1368","DOIUrl":"https://doi.org/10.33470/2379-9536.1368","url":null,"abstract":"","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46840938","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":"In Appreciation: A Thank-You to Our Industrious Reviewers","authors":"D. Shah","doi":"10.33470/2379-9536.1363","DOIUrl":"https://doi.org/10.33470/2379-9536.1363","url":null,"abstract":"","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46098732","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}
S.A. Smith, A. Franks, William D. Rollyson, D. Griswold, Tammy Bannister
Langerhans cells are dendritic cells that form the antigenic barrier of the human body. They occur in nearly any tissue but are most prevalent in the skin, submucosa of the bronchial tree, and other mucosae. Langerhans Cell Histiocytosis (LCH) develops when these cells damage the tissues in which they reside through a combination of inflammatory and monoclonal stimulation. The pulmonary variant of LCH involves the lung parenchyma and creates many disturbances, including pulmonary hypertension and obstructive and restrictive lung disease. Osseous involvement, in addition to the pulmonary variant, presents with pulmonary masses and lytic bone lesions, which sparks suspicion for malignancy. Early recognition of this rare pathology is important as early treatment is clinically beneficial. The following explores a case of adult Pulmonary Langerhans Cell Histiocytosis with osseous involvement.
{"title":"Adult Pulmonary Langerhans Cell Histiocytosis with Osseous Involvement: understanding this rare mimic of malignancy","authors":"S.A. Smith, A. Franks, William D. Rollyson, D. Griswold, Tammy Bannister","doi":"10.33470/2379-9536.1276","DOIUrl":"https://doi.org/10.33470/2379-9536.1276","url":null,"abstract":"Langerhans cells are dendritic cells that form the antigenic barrier of the human body. They occur in nearly any tissue but are most prevalent in the skin, submucosa of the bronchial tree, and other mucosae. Langerhans Cell Histiocytosis (LCH) develops when these cells damage the tissues in which they reside through a combination of inflammatory and monoclonal stimulation. The pulmonary variant of LCH involves the lung parenchyma and creates many disturbances, including pulmonary hypertension and obstructive and restrictive lung disease. Osseous involvement, in addition to the pulmonary variant, presents with pulmonary masses and lytic bone lesions, which sparks suspicion for malignancy. Early recognition of this rare pathology is important as early treatment is clinically beneficial. The following explores a case of adult Pulmonary Langerhans Cell Histiocytosis with osseous involvement.","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41758874","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}
PurPose: Our focus in this study was to determine if demographic variables, including rural upbringing, showed any association with a measure of empathy among family medicine residents at a rural site. Methods: We surveyed 40 residents annually using the Jefferson Scale of Empathy (JSE) from 2016 to 2020 and compared scores between residents with rural vs. urban hometowns. The response rate was 98/99 (99%) of completed survey opportunities. Findings: There was no significant difference in JSE scores of rural vs. urban residents at baseline, and both groups showed a decline after the PG-1 year. However, the ruralraised residents showed a significantly different rebound after the PG-2 and PG-3 years, with the urban-raised residents showing a slight continuing decline (p=.023 and p=.033). ConClusion: These preliminary findings among family medicine residents at a rural site suggest that residents with rural backgrounds might regain empathy better than residents with urban backgrounds during their training. Further study should validate our findings and address possible explanations, including the importance of cultural concordance with the patient population served. This and other hypotheses will be explored in further studies with focus groups and other contemporaneous measures.
目的:我们在本研究中的重点是确定人口变量，包括农村教育，是否与农村地区家庭医学居民的共情测量有任何关联。方法:2016 - 2020年，采用杰弗逊共情量表(Jefferson Scale of Empathy, JSE)对40名常住居民进行年度问卷调查，比较农村常住居民与城市常住居民的共情得分。回复率为98/99(99%)完成的调查机会。研究结果:农村和城市居民的JSE评分在基线时无显著差异，两组在PG-1年后均出现下降。然而，在PG-2和PG-3年之后，农村居民表现出明显不同的反弹，城市居民表现出轻微的持续下降(p=。p= 0.033)。结论:这些初步研究结果表明，农村家庭医学住院医师在培训期间比城市家庭医学住院医师更容易恢复共情能力。进一步的研究应该验证我们的发现，并解决可能的解释，包括与所服务的患者群体文化一致性的重要性。这一假设和其他假设将在焦点小组和其他同期措施的进一步研究中加以探讨。
{"title":"Do medical residents with rural upbringing show less decline in empathy during training? A report from a rural family medicine residency","authors":"W. Crump, C. Ziegler, R. Fricker","doi":"10.33470/2379-9536.1350","DOIUrl":"https://doi.org/10.33470/2379-9536.1350","url":null,"abstract":"PurPose: Our focus in this study was to determine if demographic variables, including rural upbringing, showed any association with a measure of empathy among family medicine residents at a rural site. Methods: We surveyed 40 residents annually using the Jefferson Scale of Empathy (JSE) from 2016 to 2020 and compared scores between residents with rural vs. urban hometowns. The response rate was 98/99 (99%) of completed survey opportunities. Findings: There was no significant difference in JSE scores of rural vs. urban residents at baseline, and both groups showed a decline after the PG-1 year. However, the ruralraised residents showed a significantly different rebound after the PG-2 and PG-3 years, with the urban-raised residents showing a slight continuing decline (p=.023 and p=.033). ConClusion: These preliminary findings among family medicine residents at a rural site suggest that residents with rural backgrounds might regain empathy better than residents with urban backgrounds during their training. Further study should validate our findings and address possible explanations, including the importance of cultural concordance with the patient population served. This and other hypotheses will be explored in further studies with focus groups and other contemporaneous measures.","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46059319","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}
Schizophrenia occurs in 1% of the population and severely impairs those afflicted. Thereby, it is of the utmost importance to recognize and treat the disorder as early as possible. For the last several decades, research has attempted to elucidate various predictive factors to aid in identifying patients at high risk of developing a schizophrenia spectrum disorder. These factors include premorbid or prodromal movement symptoms. The literature has identified motor aberrations beginning early in life, in some cases even in infancy, ranging from neonatal hypotonicity to facial and upper body dyskinesia. These motor symptoms have been demonstrated to aid in predicting conversion to schizophrenia and carry prognostic importance for other outcomes. We present the case of a 34-year-old male who developed abnormal motor symptoms several years prior to the onset of psychosis. Our case builds upon the current body of literature by demonstrating the importance of spontaneous dyskinesia in evaluating populations at high risk for developing a schizophrenia spectrum illness, such as individuals with a family history of psychotic illness, schizotypal personality disorder, or other prodromal signs.
{"title":"Motor Symptoms as a Prodrome to Schizophrenia","authors":"A. Schindzielorz, Hunter Edwards, K. Melvin","doi":"10.33470/2379-9536.1354","DOIUrl":"https://doi.org/10.33470/2379-9536.1354","url":null,"abstract":"Schizophrenia occurs in 1% of the population and severely impairs those afflicted. Thereby, it is of the utmost importance to recognize and treat the disorder as early as possible. For the last several decades, research has attempted to elucidate various predictive factors to aid in identifying patients at high risk of developing a schizophrenia spectrum disorder. These factors include premorbid or prodromal movement symptoms. The literature has identified motor aberrations beginning early in life, in some cases even in infancy, ranging from neonatal hypotonicity to facial and upper body dyskinesia. These motor symptoms have been demonstrated to aid in predicting conversion to schizophrenia and carry prognostic importance for other outcomes. We present the case of a 34-year-old male who developed abnormal motor symptoms several years prior to the onset of psychosis. Our case builds upon the current body of literature by demonstrating the importance of spontaneous dyskinesia in evaluating populations at high risk for developing a schizophrenia spectrum illness, such as individuals with a family history of psychotic illness, schizotypal personality disorder, or other prodromal signs.","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46197795","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}
Courtney D Wellman, Jordan Ratcliffe, William D. Rollyson, A. Franks, Michael Grome, R. Walker
IntroductIon: Elderly patients commonly use over-the-counter (OTC) medications to self-manage pain symptoms. Medications such as non-steroidal anti-inflammatory drugs (NSAIDs), acetaminophen, and topical analgesics are readily available and may seem harmless to patients. In the growing population of those 65 years and older, providers need to inquire about OTC medication use due to the increased risk for adverse reactions in this population. Complications related to these medications can be worsened by chronic disease, variable metabolism, and polypharmacy, which become more common in older adults. Methods: A survey was created to determine the prevalence and habits of OTC use in the central Appalachian population, and the potential harms related to provider awareness, chronic disease, and polypharmacy. results: Of surveyed Appalachian seniors (n = 307), 86.3% take OTC medications. Of these, 57.4% report that they do not tell their provider, and 51.3% do not take the medication as directed. Within this population, 19.2% of those on blood thinners, 22.4% of those with hypertension, 34.8% of those with chronic kidney disease, and 30.6% of those with gastrointestinal issues not only use NSAIDs but do not inform their physician nor follow the packaging instructions. dIscussIon: Potential complications of NSAID use related to these medical comorbidities are well known. Providers need to regularly ask their older adult patients about the use of OTC medication to prevent adverse events in this vulnerable population.
{"title":"Over-the-Counter Analgesic Use Patterns in Appalachian Older Adults, Focusing on Non-Steroidal Anti-Inflammatory Drugs","authors":"Courtney D Wellman, Jordan Ratcliffe, William D. Rollyson, A. Franks, Michael Grome, R. Walker","doi":"10.33470/2379-9536.1336","DOIUrl":"https://doi.org/10.33470/2379-9536.1336","url":null,"abstract":"IntroductIon: Elderly patients commonly use over-the-counter (OTC) medications to self-manage pain symptoms. Medications such as non-steroidal anti-inflammatory drugs (NSAIDs), acetaminophen, and topical analgesics are readily available and may seem harmless to patients. In the growing population of those 65 years and older, providers need to inquire about OTC medication use due to the increased risk for adverse reactions in this population. Complications related to these medications can be worsened by chronic disease, variable metabolism, and polypharmacy, which become more common in older adults. Methods: A survey was created to determine the prevalence and habits of OTC use in the central Appalachian population, and the potential harms related to provider awareness, chronic disease, and polypharmacy. results: Of surveyed Appalachian seniors (n = 307), 86.3% take OTC medications. Of these, 57.4% report that they do not tell their provider, and 51.3% do not take the medication as directed. Within this population, 19.2% of those on blood thinners, 22.4% of those with hypertension, 34.8% of those with chronic kidney disease, and 30.6% of those with gastrointestinal issues not only use NSAIDs but do not inform their physician nor follow the packaging instructions. dIscussIon: Potential complications of NSAID use related to these medical comorbidities are well known. Providers need to regularly ask their older adult patients about the use of OTC medication to prevent adverse events in this vulnerable population.","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49025683","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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