The West Virginia medical journal最新文献_第4页

May-Thurner Syndrome in a Ten-Year-Old 一个10岁儿童的梅-瑟纳综合症

The West Virginia medical journal Pub Date : 2021-09-01 DOI: 10.21885/wvmj.2021.17

Janani Narumanchi, MD, TaraChandra Narumanchi, MD, Naveena Yanamala, PhD

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Penile Variant of Mondor's Disease: A Challenging Diagnosis Requiring Primary Care and Urologic Collaboration 蒙多氏病的阴茎变异:需要初级保健和泌尿科合作的具有挑战性的诊断

The West Virginia medical journal Pub Date : 2021-09-01 DOI: 10.21885/wvmj.2021.15

Benjamin J. Wendt, MD, Adam Franks, MD, Kenton L. Hess, MD, Sara L. O Dusing, MD, Kathleen M. O'Hanlon, MD, Stephen M. Petrany, MD

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Avoidant-Restrictive Food Intake Disorder in a 68-Year-Old 68岁患者的回避-限制性食物摄入障碍

The West Virginia medical journal Pub Date : 2021-09-01 DOI: 10.21885/wvmj.2021.18

Blair Burnette, PhD, Adina Bowe, MD, Jessica Luzier, PhD, ABPP, CEDS-S

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Editor's Letter: Accessing the Early Years for Strong Peer Review 编者信:进入强有力的同行评议的早期阶段

The West Virginia medical journal Pub Date : 2021-09-01 DOI: 10.21885/wvmj.2021.11

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Editor's Letter: Following the Guidelines in Public Health and Publication 编者信:遵循公共卫生和出版指南

The West Virginia medical journal Pub Date : 2021-09-01 DOI: 10.21885/wvmj.2021.16

L. Nield

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Neuroendocrine Tumor of the Gynecological Tract: A Case Report of High-Grade Neuroendocrine Carcinoma of the Endometrium 妇科神经内分泌肿瘤:高级别子宫内膜神经内分泌癌1例报告

The West Virginia medical journal Pub Date : 2021-09-01 DOI: 10.21885/wvmj.2021.19

Sydney Graham, MPH, Lindsay Bias, APRN, Niru Nahar, MD, Nadim Bou Zgheib, MD

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Speech Language Pathology Perceptions in the Time of COVID-19: Telehealth and Dysphagia Services in West Virginia COVID-19时期的语言病理学感知:西弗吉尼亚州的远程医疗和吞咽困难服务

The West Virginia medical journal Pub Date : 2021-09-01 DOI: 10.21885/wvmj.2021.14

Catherine M. Ray, MS, CCC/SLP, Cassaundra Corbett Miller, EdD, CCC/SLP, Lesley Cottrell, PhD

{"title":"Speech Language Pathology Perceptions in the Time of COVID-19: Telehealth and Dysphagia Services in West Virginia","authors":"Catherine M. Ray, MS, CCC/SLP, Cassaundra Corbett Miller, EdD, CCC/SLP, Lesley Cottrell, PhD","doi":"10.21885/wvmj.2021.14","DOIUrl":"https://doi.org/10.21885/wvmj.2021.14","url":null,"abstract":"INTRODUCTION Little is known about the nature and frequency of telehealth services in rural settings, particularly those within West Virginia (WV) with historically limited access to speech and language services. The purpose of this work is to define these services in WV and to discuss how the 2019 coronavirus pandemic (COVID) precautions affected the need to use tele- health from the speech and language pathologist (SLP) perspective. METHODS An online survey was administered to WV SLPs exploring their feeding and swallowing expertise, service coordination, patient service utilization, and approaches, particularly post- COVID. Our approach yielded responses from 124 SLPs from 37 of the 55 WV counties. RESULTS The majority of the sample provided a variety of services across large regions of WV. SLP experiences were varied. Half of survey respondents cited a shortage of experienced clinicians as a primary reason for feeding and swallowing service denial. The majority of SLPs had incorporated telehealth into their approach since COVID; however, a subsample reported restrictions in access to technology, policies, and training. Many respondents were not sure of security risks and requested training in security and methods for active participation. CONCLUSIONS Our findings reveal the need for increased systematic and educational support for SLPs providing feeding services via telehealth. Provider access, training, and use of telehealth approaches are pivotal for reaching people with disabilities and are crucial for removing the isolation for this population.","PeriodicalId":23032,"journal":{"name":"The West Virginia medical journal","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82378073","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}

引用次数: 0

Editor's Letter: Type 3c Diabetes, Moses, and Practice-Based Learning and Improvement 编者信:3c型糖尿病，摩西和基于实践的学习和改进

The West Virginia medical journal Pub Date : 2021-06-01 DOI: 10.21885/wvmj.2021.6

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Appalachian Constellation: Type 3C Diabetes as the Link Between Diabetes and Chronic Pancreatitis 阿巴拉契亚星座:3C型糖尿病是糖尿病和慢性胰腺炎之间的联系

The West Virginia medical journal Pub Date : 2021-06-01 DOI: 10.21885/wvmj.2021.10

Justin Fletcher, MD, Kendra Unger, MD, FAAMA

引用次数: 0

Gender Bias in Chest Pain Evaluation in the Emergency Department: A 25-Year Update 急诊科胸痛评估中的性别偏见:25年来的最新进展

The West Virginia medical journal Pub Date : 2021-06-01 DOI: 10.21885/wvmj.2021.7

Abigail Tolbert, Dipali Nemade, MD, MPH, Jo Ann Raines, MA, C-TAGME, Mitch Charles, MD, Paulette Wehner, MD, Franklin Shuler, MD, PhD

{"title":"Gender Bias in Chest Pain Evaluation in the Emergency Department: A 25-Year Update","authors":"Abigail Tolbert, Dipali Nemade, MD, MPH, Jo Ann Raines, MA, C-TAGME, Mitch Charles, MD, Paulette Wehner, MD, Franklin Shuler, MD, PhD","doi":"10.21885/wvmj.2021.7","DOIUrl":"https://doi.org/10.21885/wvmj.2021.7","url":null,"abstract":"INTRODUCTION Due to having atypical presentations, women with potential cardiac disease may be approached and treated less aggressively than male patients. Differences in care along gender lines have been described at a university affiliated hospital in West Virginia (WV) in the past three decades. The purpose of this study is to determine if differences along gender lines in the care of patients with chest pain persists. METHODS From July-December of 2015, a retrospective chart review was performed at Cabell Huntington Hospital in WV. Data from 375 patients with a diagnosis of chest pain presenting to the emergency department (ED) was compared to data from 25 years prior. Symptoms, risk factors, medical history, medications, physical examination, laboratory, and electrocardiogram results, treatment in the emergency department, and ultimate diagnoses were studied. RESULTS Women had less reproducible musculoskeletal pain and more use of over-the-counter medicines, hormones, and pulmonary medications before presenting to the ED. Treatment with nitroglycerin and gastrointestinal medications occurred more commonly in women. Regarding evaluations of symptoms, women received more electrocardiograms, cardiac monitoring, and laboratory testing in comparison to 25 years prior. Cardiology consultations and emergency catheterization as well as the use of aspirin, heparin, antibiotics, anxiolytics, and thrombolytic agents were more commonly used in the treatment of women in comparison to 25 years prior. CONCLUSIONS In comparison to 25 years prior, there were documented improvements in the management of women presenting to the ED and experiencing new-onset, non-traumatic chest pain.","PeriodicalId":23032,"journal":{"name":"The West Virginia medical journal","volume":"2017 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86774586","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}

引用次数: 0