Spartan medical research journal最新文献

{"title":"Abstracts From the Third Annual Research Day Hosted by the Michigan State University College of Osteopathic Medicine, Novi, Michigan, May 13, 2025.","authors":"Francis O Akenami, Rana Ismail, C Patricia Obando S, Andrea Amalfitano","doi":"10.51894/001c.144847","DOIUrl":"https://doi.org/10.51894/001c.144847","url":null,"abstract":"","PeriodicalId":74853,"journal":{"name":"Spartan medical research journal","volume":"10 2","pages":"133"},"PeriodicalIF":0.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234500","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":"Advancing Research, Education, and Clinical Practice: Insights from Evidence-Based Care and Interdisciplinary Scholarship.","authors":"Francis O Akenami, Rana Ismail, Andrea Amalfitano","doi":"10.51894/001c.144376","DOIUrl":"10.51894/001c.144376","url":null,"abstract":"","PeriodicalId":74853,"journal":{"name":"Spartan medical research journal","volume":"10 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12444865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115432","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":"Improving compliance to serum calcium and urate testing guidelines for patients with renal stones: a Two-Cycle audit.","authors":"Obinna Enemoh, Mayowa Adefehinti, Uchizi Mvalo, Obichukwu Iwunna","doi":"10.51894/001c.143427","DOIUrl":"10.51894/001c.143427","url":null,"abstract":"<p><strong>Introduction: </strong>Renal stones develop when urinary solutes crystallize into solid deposits within the urinary tract. The 2019 National Institute for Health and Care Excellence (NICE) and British Association of Urological Surgeons (BAUS) guidelines recommend serum calcium and urate testing for all patients with renal or ureteric stones. This single-center audit aimed to assess compliance with these guidelines in a local urology department and implement quality improvement interventions to enhance adherence.</p><p><strong>Methods: </strong>We conducted a retrospective two-cycle audit on patients admitted with renal stones by the urology team at Chesterfield Royal Hospital, United Kingdom. Patient information and admission investigations were reviewed using the hospital's electronic medical records. Data were obtained from electronic medical records and assessed for compliance with calcium and urate testing guidelines. Interventions included educational sessions for clinicians, reminder posters, and updates to admission documentation. Pre- and post-intervention results were compared using statistical analysis.</p><p><strong>Results: </strong>A total of 70 patients were included (36 in the first cycle; 34 in the second). In the first cycle, urate testing was performed in 2 patients (5.6%), while calcium testing was performed in 31 (86.1%). Following the intervention, urate testing increased to 13 patients (38.2%; p = 0.00087) and calcium testing reached 100% compliance (p=0.0241).</p><p><strong>Conclusion: </strong>This audit identified poor adherence to urate and calcium testing guidelines for patients with renal stones. Educational and process interventions significantly improved compliance, achieving 100% for calcium testing and a more than sixfold increase in urate testing. Sustained improvement will require continued quality improvement measures.</p>","PeriodicalId":74853,"journal":{"name":"Spartan medical research journal","volume":"10 1","pages":"37-43"},"PeriodicalIF":0.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144981882","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":"Suture Button with Tension Band Fixation for Patella fractures: A Retrospective Case Series.","authors":"Jacob Archutowski, Saif Juma, William C Searls, Tyson Roderique, Vinay Pampati","doi":"10.51894/001c.141751","DOIUrl":"10.51894/001c.141751","url":null,"abstract":"<p><strong>Introduction: </strong>There is a high rate of surgical complications and removal of symptomatic hardware for patients who have undergone open reduction internal fixation (ORIF) for transverse patella fractures. In recent years there has been increased interest in more low profile ORIF techniques to combat these issues. The aim of this study was to evaluate if a reduced hardware burden would correlate with fewer complications and equal rates of fracture union when compared to traditional techniques for treating transverse patella fractures.</p><p><strong>Methods: </strong>Nine patient charts were retrospectively reviewed dating between June 2015 and March 2023. All patients sustained a transverse patella fracture and underwent ORIF with a suture button and suture tension band construct by a single surgeon. The primary outcome measure was rate of radiographic fracture union at final follow up. Secondary outcome measures included any need for removal of hardware or other revision procedure, surgical and medical complications, postoperative pain score and the ability to perform a straight leg raise.</p><p><strong>Results: </strong>Eight of nine patients demonstrated radiographic evidence of fracture consolidation with an average follow-up time of 17.9 months (range 12-26 months). One patient required an additional operation for revision ORIF before going on to successful union. No patients underwent a procedure for removal of hardware before final follow up. All patients were able to hold a straight leg raise at final follow up.</p><p><strong>Conclusions: </strong>Suture button with suture tension band construct is a reasonable treatment option for treating transverse patella fractures. Surgeons may employ this technique for older patients or those with some fracture comminution, although there should be some caution and close follow up for displacement.</p>","PeriodicalId":74853,"journal":{"name":"Spartan medical research journal","volume":"10 1","pages":"30-36"},"PeriodicalIF":0.0,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818606","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":"Association between Timing of COVID-19 Diagnosis in Pregnancy and Maternal-Fetal Outcomes: A Retrospective Study.","authors":"Sathiyakala Rajendiran, Caitlin Brazda, Morgan A Dalm","doi":"10.51894/001c.140342","DOIUrl":"10.51894/001c.140342","url":null,"abstract":"<p><strong>Objective: </strong>To examine the relationship between COVID-19 diagnosis timing during pregnancy and adverse maternal and fetal outcomes.</p><p><strong>Methods: </strong>Pregnant women diagnosed with COVID-19 by a nasopharyngeal swab SARS-CoV-2 PCR between January 1, 2021, and December 31, 2021, irrespective of the pregnancy outcome, were included in the study. Patients not diagnosed with COVID-19 were included as a comparison group. The timing of COVID diagnosis was categorized by trimester (first trimester, <13 weeks; second trimester, 13 to <27 weeks; third trimester, >27 weeks). Maternal outcomes included placental abnormalities, HELLP syndrome, deep vein thrombosis, pulmonary embolism, and maternal death. Fetal outcomes included pregnancy loss, intrauterine growth restriction, preterm birth, stillbirth, and admission to the NICU. Quantitative data were analyzed using a one-way ANOVA and are presented as mean ± standard deviation (SD). Nominal data were compared using chi-square or Fisher's exact tests and are reported as frequency (percent). Statistical significance was set at p < 0.05.</p><p><strong>Results: </strong>A total of 289 COVID-affected pregnancies and 1706 non-COVID-19 pregnancies were included. Most patients, 189 (65.4%), were diagnosed with COVID-19 in the third trimester, 66 (22.8%) in the second trimester, and 34 (11.8%) in the first trimester. There was a statistically significant higher proportion of patients experiencing placental abnormalities in patients diagnosed with COVID-19 in the 3rd trimester with lowest occurrence in non-COVID-19 pregnancies, followed by patients diagnosed in the 1st and 2nd trimesters (p<0.001). Further, preterm delivery followed a similar frequency pattern, occurring most often in patients diagnosed with COVID-19 in the 3rd trimester (p<0.001).</p><p><strong>Conclusion: </strong>Patients with COVID-19 infection in the third trimester of pregnancy face a heightened risk of adverse maternal-fetal outcomes. Further investigation into this relationship is warranted.</p>","PeriodicalId":74853,"journal":{"name":"Spartan medical research journal","volume":"10 1","pages":"23-29"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692739","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":"Evaluating The Glasgow Blatchford Score for Upper Gastrointestinal Bleeding Risk Stratification in A Community Hospital: A Retrospective Study.","authors":"Hind H Neamah, Alexandra Davies, Anthony Teta, Grace D Brannan, Sami Abdelaziz, Bruce Kovan","doi":"10.51894/001c.137546","DOIUrl":"https://doi.org/10.51894/001c.137546","url":null,"abstract":"<p><strong>Introduction: </strong>Upper gastrointestinal bleeding (UGIB) is the most common emergency in gastroenterology. The Glasgow Blatchford Score (GBS) is a validated tool used for risk stratification. The cutoff values for GBS to predict the need for clinical intervention, endoscopic treatment, and mortality, are not consistent. To determine the relationship between mean GBS score and the need for hemostatic intervention, and blood transfusion, and to evaluate quality of care and proper allocation of resources at our midwestern community hospital.</p><p><strong>Methods: </strong>In this cross-sectional study, we retrospectively extracted records for patients ≥18 years who were admitted for UGIB and underwent esophagogastroduodenoscopy between July 2018 and July 2020. GBS was calculated for each observation. Multivariate analysis and a logistic regression model were performed to predict the GBS score, and the odds ratio, associated with the need for hemostatic intervention and blood transfusion while controlling for confounding factors.</p><p><strong>Results: </strong>The GBS sample mean score was 11.17. Those who required hemostatic intervention and blood transfusion scored significantly higher GBS (13.18 versus 10.79) and (13.57 versus 9.21), respectively. A GBS of >10 was associated with higher odds at 21.84 (CI: 10.324,46.185, P<0.001) and 5.085 (CI: 1.864, 13.872, P=0.001) for receiving blood transfusion and hemostatic intervention, respectively. A cutoff of 10 was 22.41% sensitive and 95.41% specific for requiring hemostatic interventions and 66.67% sensitive and 89.91% specific for receiving blood transfusion.</p><p><strong>Conclusion: </strong>There is a clinical role to using the GBS even at a score higher than 2 to further stratify the severity of UGIB and determine the need for intervention. The sensitivity of a score of 10 on the GBS in this dataset was low. A cutoff with higher sensitivity is needed to stratify a life-threatening condition such as UGIB.</p>","PeriodicalId":74853,"journal":{"name":"Spartan medical research journal","volume":"10 1","pages":"15-22"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060691","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":"Utility of Combining a Simulation-Based Method with Lecture for Retinopathy Training in Emergency Medicine Residency.","authors":"Kevin Durell, Arlen Hooley","doi":"10.51894/001c.137284","DOIUrl":"https://doi.org/10.51894/001c.137284","url":null,"abstract":"<p><strong>Introduction: </strong>Funduscopic examination is a critical skill for diagnosing eye-related pathologies but has witnessed a decline in proficiency over recent decades. Simulation-based training is proposed as a solution to enhance emergency medicine residents' funduscopic examination skills. We hypothesized that a combination of lecture and simulation would improve residents' diagnostic abilities, with senior residents potentially outperforming junior counterparts.</p><p><strong>Methods: </strong>This study aimed to assess the effectiveness of simulation-based training in improving the funduscopic examination skills of emergency medicine residents and whether factors such as seniority or prior ophthalmology rotation influenced the results. Residents participated in a 10-question image-based exam, with alternating pairs viewing images and answering questions. Simulation equipment, including digital eye examination retinopathy trainers, was utilized for the study. A lecture covering possible answers was provided, followed by a second round of testing.</p><p><strong>Results: </strong>A total of 20 participants in this pilot study took both the pre- and post-lecture tests. Test scores significantly improved after supplemental education, indicating the effectiveness of simulation-based training in enhancing funduscopic diagnostic skills. Interestingly, resident year and prior completion of an ophthalmology rotation did not significantly impact test scores, underscoring the importance of supplemental education. Notably, participants demonstrated high accuracy in identifying Normal Fundus and several specific pathologies post-training.</p><p><strong>Conclusion: </strong>Simulation-based training, supplemented by lectures, offers a promising avenue for improving funduscopic examination proficiency among emergency medicine residents. This study's findings highlight the potential for standardized training methods to benefit residents across different levels of experience. Future research could explore the long-term retention of these skills and their translation into clinical practice. In an era where technological advancements are reshaping medical education, simulation-based training offers a promising avenue for ensuring that essential clinical skills are not lost but rather strengthened among medical professionals.</p>","PeriodicalId":74853,"journal":{"name":"Spartan medical research journal","volume":"10 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058010","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":"Influence of Porosities of 3D Printed Titanium Implants on the Tensile Properties: Correspondence.","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.51894/001c.127958","DOIUrl":"10.51894/001c.127958","url":null,"abstract":"","PeriodicalId":74853,"journal":{"name":"Spartan medical research journal","volume":"10 1","pages":"127958"},"PeriodicalIF":0.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11717371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973708","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":"Clinical predictors of hospital-acquired bloodstream infections: A healthcare system analysis.","authors":"Harjinder Singh, Radhika Sheth, Mehakmeet Bhatia, Abdullah Muhammad, Candi Bachour, David Metcalf, Vivek Kak","doi":"10.51894/001c.123414","DOIUrl":"https://doi.org/10.51894/001c.123414","url":null,"abstract":"<p><strong>Introduction: </strong>This study was performed to identify patient factors associated with hospital-acquired bloodstream infections (HABSI) to guide blood culture collection and empiric antibiotic therapy.</p><p><strong>Methods: </strong>A retrospective case-control study reviewed the medical records of 350 patients admitted to our health system from September 2017 to April 2020. The patients were 18 years and older and had at least one set of new positive non-contaminant blood cultures collected after 48 hours of admission, defined as HABSI. We developed clinical variables through a literature review associated with it. Univariate relationships between each variable and bacteremia were evaluated by chi-square test. A predictive model was developed through stepwise multivariate logistic regression.</p><p><strong>Results: </strong>The univariate analysis and stepwise regression analysis showed that temperature >100.4° F (OR: 1.9, CI 1.1 to 3.4), male sex (OR: 1.8, CI 1.0 to 3.0), and platelet count <150,000/µL (OR: 1.8, CI 1.0 to 3.2) were statistically associated with a positive blood culture.</p><p><strong>Conclusions: </strong>This model helps identify patients with clinical characteristics associated with the likelihood of HABSI. This model can help guide the appropriate initiation of empiric antibiotics in clinical situations and assist with antibiotic stewardship.</p>","PeriodicalId":74853,"journal":{"name":"Spartan medical research journal","volume":"9 3","pages":"123414"},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11402462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302972","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":"Bridging Innovation and Clinical Insights: Reflections on Healthcare Research and Emergency Medicine.","authors":"Francis O Akenami, Rana Ismail, Andrea Amalfitano","doi":"10.51894/001c.124544","DOIUrl":"10.51894/001c.124544","url":null,"abstract":"","PeriodicalId":74853,"journal":{"name":"Spartan medical research journal","volume":"9 3","pages":"124544"},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482612","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}