{"title":"Acute Diagnosis of Wilson’s Disease in a Teenage Patient","authors":"Sarah Irvin, R. McCarthy","doi":"10.33470/2379-9536.1242","DOIUrl":"https://doi.org/10.33470/2379-9536.1242","url":null,"abstract":"","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47205183","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":"Extending Our Reach: Looking to the Future for the Marshall Journal of Medicine","authors":"D. Shah","doi":"10.33470/2379-9536.1237","DOIUrl":"https://doi.org/10.33470/2379-9536.1237","url":null,"abstract":"","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43453976","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 study objective was to evaluate long acting reversible contraceptive (LARC) method availability and access for adolescents in rural and urban counties in West Virginia (WV). A cross-sectional survey of Title X family planning providers throughout WV was conducted from January 2016 to July 2017. This survey was sent to 226 family planning providers in WV to assess patterns of LARC availability. The survey assessed provider training level, LARC services provided and frequency, clinical practice, referral patterns, and comfort level providing adolescent LARC services. Survey results were analyzed by providers’ rural vs urban status, based on US census county codes. Survey responses yielded 127 total responders, 65 (51.2%) were urban, and the remaining 62 (48.8%), were rural. Urban providers had a larger representation of medical doctors, while rural providers were primarily nurse practitioners (p<0.001). Intrauterine devices (IUD) had lower availability with rural providers (p<0.006). Years of experience doing IUD placement (p<0.010), frequency of placing implants (p<0.010), and frequency placing implants in teenagers (p<0.012) were significantly less in rural providers. This survey showed significant differences in practice between urban and rural settings including training, experience, contraceptive options, barriers to care, and practice guidelines.
{"title":"Availability of Long Acting Reversible Contraceptives for Adolescents in Urban vs Rural West Virginia Counties","authors":"B. Andrews, C. Ross, J. Yoost","doi":"10.33470/2379-9536.1228","DOIUrl":"https://doi.org/10.33470/2379-9536.1228","url":null,"abstract":"The study objective was to evaluate long acting reversible contraceptive (LARC) method availability and access for adolescents in rural and urban counties in West Virginia (WV). A cross-sectional survey of Title X family planning providers throughout WV was conducted from January 2016 to July 2017. This survey was sent to 226 family planning providers in WV to assess patterns of LARC availability. The survey assessed provider training level, LARC services provided and frequency, clinical practice, referral patterns, and comfort level providing adolescent LARC services. Survey results were analyzed by providers’ rural vs urban status, based on US census county codes. Survey responses yielded 127 total responders, 65 (51.2%) were urban, and the remaining 62 (48.8%), were rural. Urban providers had a larger representation of medical doctors, while rural providers were primarily nurse practitioners (p<0.001). Intrauterine devices (IUD) had lower availability with rural providers (p<0.006). Years of experience doing IUD placement (p<0.010), frequency of placing implants (p<0.010), and frequency placing implants in teenagers (p<0.012) were significantly less in rural providers. This survey showed significant differences in practice between urban and rural settings including training, experience, contraceptive options, barriers to care, and practice guidelines.","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45816088","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}
HIV testing remains the gateway to HIV/AIDS prevention, treatment, care and support interventions. In Nigeria, a significant proportion of the populations do not know their HIV status. HIV self-testing done without the help of a healthcare provider could remove identified barriers to HIV testing and close gaps in HIV treatment and prevention cascades. This study set out to assess the knowledge and acceptability of HIV self-testing (HIVST) among women of child bearing age attending immunization clinics in Effurun, Nigeria. A descriptive, crosssectional study was conducted among 357 women of child-bearing age selected using multistage sampling technique. Research instrument used was a semi-structured, interviewer-administered pre-tested questionnaire. Data was analyzed using the SPSS software version 23.0. Mean age of respondents was 33.6 (±7.3) years. Of the respondents, 286 (80.1%) were aware of HIV self testing; electronic media followed by health care workers were the common sources of information. About 83 (23.0%) had good while 274 (76.8%) had poor mean knowledge score of HIVST. Two hundred and seventy eight (77.9%) ever thought one could do the HIV test at home by oneself, 306 (86.0%) accepted to conduct the test on themselves if they had the opportunity while 51 (14.0%) said they would not. On binary logistic regression, identified predictors of accepting HIVST among the respondents included being older, educated, and married. It was concluded that a high knowledge level and acceptability of HIVST among the study respondents lends support to the fact that that the procedure should be promoted in the stakeholders’ efforts to improve HIV testing among the general population.
{"title":"How acceptable is the HIV/AIDS self-testing among women attending immunization clinics in Effurun, Southern Nigeria","authors":"W. Adebimpe, D. Ebikeme, O. Omobuwa, E. Oladejo","doi":"10.33470/2379-9536.1225","DOIUrl":"https://doi.org/10.33470/2379-9536.1225","url":null,"abstract":"HIV testing remains the gateway to HIV/AIDS prevention, treatment, care and support interventions. In Nigeria, a significant proportion of the populations do not know their HIV status. HIV self-testing done without the help of a healthcare provider could remove identified barriers to HIV testing and close gaps in HIV treatment and prevention cascades. This study set out to assess the knowledge and acceptability of HIV self-testing (HIVST) among women of child bearing age attending immunization clinics in Effurun, Nigeria. A descriptive, crosssectional study was conducted among 357 women of child-bearing age selected using multistage sampling technique. Research instrument used was a semi-structured, interviewer-administered pre-tested questionnaire. Data was analyzed using the SPSS software version 23.0. Mean age of respondents was 33.6 (±7.3) years. Of the respondents, 286 (80.1%) were aware of HIV self testing; electronic media followed by health care workers were the common sources of information. About 83 (23.0%) had good while 274 (76.8%) had poor mean knowledge score of HIVST. Two hundred and seventy eight (77.9%) ever thought one could do the HIV test at home by oneself, 306 (86.0%) accepted to conduct the test on themselves if they had the opportunity while 51 (14.0%) said they would not. On binary logistic regression, identified predictors of accepting HIVST among the respondents included being older, educated, and married. It was concluded that a high knowledge level and acceptability of HIVST among the study respondents lends support to the fact that that the procedure should be promoted in the stakeholders’ efforts to improve HIV testing among the general population.","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45344607","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":"Giving hope: best healing power in medicine","authors":"N. Zgheib","doi":"10.33470/2379-9536.1239","DOIUrl":"https://doi.org/10.33470/2379-9536.1239","url":null,"abstract":"","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48312269","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}
R. Carroll, A. Abu-Hashyeh, J. Gainer, Kara S. Willenburg, Charles Meadows
Brain abscesses represent a group of dangerous infections typically caused by a number of classic organisms. Group A streptococcus is a rare cause of brain abscesses and those patients that do have this particular condition will typically have a distal source of infection. We present a case of patient with a biopsy confirmed group A streptococcal without a distal source of infection. His only identifiable risk factor was his adalimumab therapy for ankylosing spondylitis. While adalimumab has not been linked to streptococcal infection in the past, it has been associated with multiple atypical infections and some of the consequences of its mechanism as a tissue necrosis factor alpha inhibitor can theoretically predispose patients to streptococcal infection when considered in conjunction with known streptococcal virulence factors. This case raises the question of whether the patient’s adalimumab therapy may have contributed to his unusual presentation of streptococcal infection and prompts further consideration and study of the risks of adalimumab and other similar immunosuppressant monoclonal antibodies.
{"title":"Group A Streptococcus Brain Abscess in a Patient on Adalimumab Therapy","authors":"R. Carroll, A. Abu-Hashyeh, J. Gainer, Kara S. Willenburg, Charles Meadows","doi":"10.33470/2379-9536.1230","DOIUrl":"https://doi.org/10.33470/2379-9536.1230","url":null,"abstract":"Brain abscesses represent a group of dangerous infections typically caused by a number of classic organisms. Group A streptococcus is a rare cause of brain abscesses and those patients that do have this particular condition will typically have a distal source of infection. We present a case of patient with a biopsy confirmed group A streptococcal without a distal source of infection. His only identifiable risk factor was his adalimumab therapy for ankylosing spondylitis. While adalimumab has not been linked to streptococcal infection in the past, it has been associated with multiple atypical infections and some of the consequences of its mechanism as a tissue necrosis factor alpha inhibitor can theoretically predispose patients to streptococcal infection when considered in conjunction with known streptococcal virulence factors. This case raises the question of whether the patient’s adalimumab therapy may have contributed to his unusual presentation of streptococcal infection and prompts further consideration and study of the risks of adalimumab and other similar immunosuppressant monoclonal antibodies.","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42096618","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}
Samantha Richardson, James Jensen, Niru Nahar, and Nadim Bou Zgheib Author Affiliations Samantha Richardson (Marshall University Joan C. Edwards School of Medicine, Huntington, West Virginia) James Jensen (Marshall University Joan C. Edwards School of Medicine, Huntington, West Virginia) Niru Nahar (Marshall University Joan C. Edwards School of Medicine, Huntington, West Virginia) Nadim Bou Zgheib (Marshall University Joan C. Edwards School of Medicine, Huntington, West Virginia)
{"title":"Incidental Retroperitoneal Castleman’s Disease Found in Patient with Renal Cell Carcinoma: a case report","authors":"S. Richardson, J. Jensen, N. Nahar, N. Zgheib","doi":"10.33470/2379-9536.1226","DOIUrl":"https://doi.org/10.33470/2379-9536.1226","url":null,"abstract":"Samantha Richardson, James Jensen, Niru Nahar, and Nadim Bou Zgheib Author Affiliations Samantha Richardson (Marshall University Joan C. Edwards School of Medicine, Huntington, West Virginia) James Jensen (Marshall University Joan C. Edwards School of Medicine, Huntington, West Virginia) Niru Nahar (Marshall University Joan C. Edwards School of Medicine, Huntington, West Virginia) Nadim Bou Zgheib (Marshall University Joan C. Edwards School of Medicine, Huntington, West Virginia)","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46324110","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}
A. Amro, Kanaan Mansoor, M. Amro, A. Sobeih, Obadah Aqtash, H. Hirzallah, Alaa Gabi, M. Urella, W. Ahmed, Sandra Shenouda, R. Sayyed
Prasugrel is a thienopyridine that was approved by the US Food and Drug Administration in combination with aspirin for the reduction of thrombotic events as well as stent thrombosis in patients with acute coronary syndrome who undergo percutaneous coronary intervention. This retrospective study aims to assess the frequency of inappropriate use of prasugrel and to emphasize that prasugrel still needs more attention as inappropriate use may result in significant morbidity.
{"title":"Prasugrel Inappropriate Use in Patients Post-percutaneous coronary intervention (PCI). A Single Center Study","authors":"A. Amro, Kanaan Mansoor, M. Amro, A. Sobeih, Obadah Aqtash, H. Hirzallah, Alaa Gabi, M. Urella, W. Ahmed, Sandra Shenouda, R. Sayyed","doi":"10.33470/2379-9536.1220","DOIUrl":"https://doi.org/10.33470/2379-9536.1220","url":null,"abstract":"Prasugrel is a thienopyridine that was approved by the US Food and Drug Administration in combination with aspirin for the reduction of thrombotic events as well as stent thrombosis in patients with acute coronary syndrome who undergo percutaneous coronary intervention. This retrospective study aims to assess the frequency of inappropriate use of prasugrel and to emphasize that prasugrel still needs more attention as inappropriate use may result in significant morbidity.","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69500667","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}
P. Tiwari, John C. Hall, Anand Rajpara, Carol W Stanford, D. Aires
Primary cutaneous marginal zone lymphoma (PCMZL) is a B cell lymphoma with a very low metastatic rate. Radiographic monitoring for internal involvement may be indicated initially. Favored treatments include radiation and excision. Radiation has high risk of local recurrence. Excision carries risk of infection and scarring. We report successful long-term treatment of recurrent PCMZL via intralesional steroid injections into new lesions as they arose. This was preferred by the patient over her prior radiation and surgical treatments. Intralesional steroids have the advantages of being simple and well tolerated, without exposure to ionizing radiation or to the infection and scarring associated with surgery.
{"title":"Intralesional Corticosteroids for Long-term Control of Primary Cutaneous Marginal Zone Lymphoma without systemic involvement","authors":"P. Tiwari, John C. Hall, Anand Rajpara, Carol W Stanford, D. Aires","doi":"10.33470/2379-9536.1216","DOIUrl":"https://doi.org/10.33470/2379-9536.1216","url":null,"abstract":"Primary cutaneous marginal zone lymphoma (PCMZL) is a B cell lymphoma with a very low metastatic rate. Radiographic monitoring for internal involvement may be indicated initially. Favored treatments include radiation and excision. Radiation has high risk of local recurrence. Excision carries risk of infection and scarring. We report successful long-term treatment of recurrent PCMZL via intralesional steroid injections into new lesions as they arose. This was preferred by the patient over her prior radiation and surgical treatments. Intralesional steroids have the advantages of being simple and well tolerated, without exposure to ionizing radiation or to the infection and scarring associated with surgery.","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45101273","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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