{"title":"A Case of Nivolumab-induced Hypophysitis in a 72-year-old Female with Metastatic Melanoma","authors":"Vikhyathi Pallerla, MS, Avish Persaud, MS, Divya Vijendra","doi":"10.46570/utjms.vol11-2023-898","DOIUrl":"https://doi.org/10.46570/utjms.vol11-2023-898","url":null,"abstract":"","PeriodicalId":220681,"journal":{"name":"Translation: The University of Toledo Journal of Medical Sciences","volume":"83 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138996244","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}
Zachary Holtzapple, Mohammad Al Azzawi, Harith Al-Ataby, Rayna Patel, Ayman Salih, A. Abrahamian, Fadi Safi
{"title":"Prolonged Diabetic Ketoacidosis with Hyperammoniemia in the setting of Normal Liver Function","authors":"Zachary Holtzapple, Mohammad Al Azzawi, Harith Al-Ataby, Rayna Patel, Ayman Salih, A. Abrahamian, Fadi Safi","doi":"10.46570/utjms.vol11-2023-851","DOIUrl":"https://doi.org/10.46570/utjms.vol11-2023-851","url":null,"abstract":"","PeriodicalId":220681,"journal":{"name":"Translation: The University of Toledo Journal of Medical Sciences","volume":"340 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138996557","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":"Subcutaneous Immunoglobulin (SCig) for Maintenance Therapy in Severe POTS: A Case Report.","authors":"Tahrima Ferdous","doi":"10.46570/utjms.vol11-2023-938","DOIUrl":"https://doi.org/10.46570/utjms.vol11-2023-938","url":null,"abstract":"","PeriodicalId":220681,"journal":{"name":"Translation: The University of Toledo Journal of Medical Sciences","volume":"6 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138996701","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}
Omar Abdul-Aziz, Safia Habib, Ambika Sood, Michael W. Ellis, MD
{"title":"Persistent Skin Eruption in a Renal Transplant Patient","authors":"Omar Abdul-Aziz, Safia Habib, Ambika Sood, Michael W. Ellis, MD","doi":"10.46570/utjms.vol11-2023-899","DOIUrl":"https://doi.org/10.46570/utjms.vol11-2023-899","url":null,"abstract":". His laboratory studies showed slight lymphopenia and normal renal function with serum creatinine of 1.2 mg/DL. Skin biopsy culture yielded Nocardia abscessus complex. Antibiotic susceptibilities performed at an academic reference lab demonstrated susceptibility to amikacin, doxycycline, tobramycin, imipenem, ceftriaxone","PeriodicalId":220681,"journal":{"name":"Translation: The University of Toledo Journal of Medical Sciences","volume":"38 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138999075","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 of a 25-year-old Male with Pituitary and Hypothalamic Extension of Recurrent Anaplastic Astrocytoma","authors":"Avish Persaud, Vikhyathi Pallerla, Divya Vijendra","doi":"10.46570/utjms.vol11-2023-901","DOIUrl":"https://doi.org/10.46570/utjms.vol11-2023-901","url":null,"abstract":"of a","PeriodicalId":220681,"journal":{"name":"Translation: The University of Toledo Journal of Medical Sciences","volume":"52 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138999216","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}
Vinicius Guzzoni, Samantha Joanne McKee, Emma Jane Verkley, Nicholas James Kesler, Prabhatchandra R. Dube, Apurva Lad, B. Timalsina, Tatiana Sousa Cunha, D. Casarini, S. Haller, David Kennedy, Lauren G. Koch
{"title":"Response to aerobic training reveals key differences in cardiovascular adaptation in an adenine diet induced model of chronic kidney disease","authors":"Vinicius Guzzoni, Samantha Joanne McKee, Emma Jane Verkley, Nicholas James Kesler, Prabhatchandra R. Dube, Apurva Lad, B. Timalsina, Tatiana Sousa Cunha, D. Casarini, S. Haller, David Kennedy, Lauren G. Koch","doi":"10.46570/utjms.vol11-2023-950","DOIUrl":"https://doi.org/10.46570/utjms.vol11-2023-950","url":null,"abstract":"Background: Rat models generated by selective breeding for low (LRT) or high (HRT) response to aerobic training closely embody human phenotypes and can be used to understand the exercise-disease linkages. Aerobic endurance training has been proposed as a model of exercise intervention capable of improving or minimizing the negative consequences of chronic diseases including chronic kidney disease (CKD). Objectives: We hypothesized that resistance to aerobic training induces kidney damage in CKD settings. Methods: Male and Female LRT and HRT rats (~ 17 months of age; n = 30) were freely fed with rodent chow supplemented with","PeriodicalId":220681,"journal":{"name":"Translation: The University of Toledo Journal of Medical Sciences","volume":"85 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139000524","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}
Katherine Esser, Joan Duggan, Kaylee Scarnati, Eric G. Sahloff
{"title":"Current Legislative Status of Pharmacy-driven PEP in the US","authors":"Katherine Esser, Joan Duggan, Kaylee Scarnati, Eric G. Sahloff","doi":"10.46570/utjms.vol11-2023-859","DOIUrl":"https://doi.org/10.46570/utjms.vol11-2023-859","url":null,"abstract":"","PeriodicalId":220681,"journal":{"name":"Translation: The University of Toledo Journal of Medical Sciences","volume":"3 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139001127","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}
Mani Khorsand Askari, Hoda Shabpiray, Sadik Khuder, Anand Mutgi, Ken Vellequette, Cheryl Growden, Lisa Heyman, Dawn Lennard, Sarah Aldrich, Marilee Clemons, Jenni Gilmore, Brenda Joyce, Basil Akpunonu
{"title":"Improvement of in-office Blood Pressure targets in an Academic primary care setting","authors":"Mani Khorsand Askari, Hoda Shabpiray, Sadik Khuder, Anand Mutgi, Ken Vellequette, Cheryl Growden, Lisa Heyman, Dawn Lennard, Sarah Aldrich, Marilee Clemons, Jenni Gilmore, Brenda Joyce, Basil Akpunonu","doi":"10.46570/utjms.vol11-2023-856","DOIUrl":"https://doi.org/10.46570/utjms.vol11-2023-856","url":null,"abstract":"Background \u0000Accurate blood pressure (BP) measurement in an office-based setting is essential for diagnosis and management of hypertension. Staff education on proper blood pressure measurement technique and recording is a focus of recent hypertension guidelines. (1) Compared with other methods, unattended Automated Office Blood Pressure (AOBP) devices reduce measurement errors and improve BP Management. (2,3,4) The addition of AOBP to staff education needs to be assessed objectively. \u0000 \u0000Objectives \u0000To determine the effect of staff education on proper BP measurement and addition of AOBP devices on BP targets in an academic general internal medicine clinic. \u0000 \u0000Methods \u0000Education was provided to the medical staff on how to appropriately check BP in general and on the proper use of the AOBP devices. Education was repeated in several intervals to ensure consistency in practice. Six AOBP Hillrom (Welch Allyn spot 4400) devices were deployed for the clinic. Devices allowed for three automated readings 1 minute apart eliminating the first reading and keeping the other 2 readings. Staff were instructed to document two blood pressure readings into the electronic medical record. The number of patients who completed two BP measurements documented in the EMR over time. \u0000 \u0000Results \u0000Our results showed timely education with refreshers, increased BP measurement protocol and improvement in BP recordings. Adherence to 2 BP checks increased from 40% in Dec-21 to 99% Jun-23. The percentage of patients with improved BP increased from 40% to 76% after staff education and addition of AOBP. \u0000 \u0000Conclusion \u0000Timely education of medical staff and the addition of AOBP could increase the accuracy of in-office BP measurement. \u0000 \u0000Key word: Internal medicine \u0000Type of submission: Abstract ","PeriodicalId":220681,"journal":{"name":"Translation: The University of Toledo Journal of Medical Sciences","volume":"2 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139001198","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}
Taryn Hibshman, S. Doddi, Oscar Salichs, Rabbia Siddiqi
{"title":"Dynamics of Peripheral Artery Disease and Influencing Factors in the United States and the World (1999-2020)","authors":"Taryn Hibshman, S. Doddi, Oscar Salichs, Rabbia Siddiqi","doi":"10.46570/utjms.vol11-2023-920","DOIUrl":"https://doi.org/10.46570/utjms.vol11-2023-920","url":null,"abstract":"","PeriodicalId":220681,"journal":{"name":"Translation: The University of Toledo Journal of Medical Sciences","volume":"342 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138996545","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}
Sadik Khuder, PhD, Nahshon A. Puente, Mahasin Osman
{"title":"Association between autoimmune diseases and glioblastoma: results from national inpatient database","authors":"Sadik Khuder, PhD, Nahshon A. Puente, Mahasin Osman","doi":"10.46570/utjms.vol11-2023-867","DOIUrl":"https://doi.org/10.46570/utjms.vol11-2023-867","url":null,"abstract":"Background: Glioblastoma multiform (GBM) is the most frequent malignancy among primary brain tumors in adults and has one of the worst 5-year survival rates among all human cancers. Certain autoimmune diseases (AID) and their treatments may increase the risk of cancer. Studies report conflicting data about the effects of AID on the risk of GBM. Objectives: To evaluate the effect of AID on the risk of GBM. Methods: Discharge data for 2020 Nationwide Inpatient Sample, Healthcare Cost and Utilization Project (HCUP), which approximates a 20% stratified sample of all US hospitalizations, were analyzed. Cases of AID and GBM were identified using the ICD10 codes. Autoimmune comorbidity index was used for the combined autoimmune diseases. Weighted Multivariable logistic regression was used to examine the association between GBM and AID and adjusting for sociodemographic characteristics. Adjusted odds ratios (AOR) and 95% confidence intervals (CI) were calculated using SAS survey logistic regression procedure. Results: Among 6,471,165 admissions, 178,254 patients were identified with AID. The prevalence of GBM in patients with AD was 0.07% compared to 0.12% in patients without AID (","PeriodicalId":220681,"journal":{"name":"Translation: The University of Toledo Journal of Medical Sciences","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138998482","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}