{"title":"Acute Hemiplegia and Ataxia from Lyme Disease","authors":"Shaili Babbar, J. Galati, J. Corona, Sohail Zahid","doi":"10.31986/issn.2578.3343_vol4iss1.11","DOIUrl":"https://doi.org/10.31986/issn.2578.3343_vol4iss1.11","url":null,"abstract":"Lyme disease is a zoonotic illness caused by Borrelia burgdorferi, which present with skin, joint, heart, and central nervous system complications. Central nervous system manifestations of this disease are common, and typically include meningitis, facial nerve palsies, and radiculoneuritis. In this case report, we present a patient who presented with acute right sided hemiplegia and ataxia with negative neuroimaging findings of stroke, inflammation, or mass. Further investigation with cerebrospinal fluid studies and infectious panels revealed the patient had active Lyme disease. The patient improved his motor function, coordination and sensation with ceftriaxone treatment over a few weeks. Acute hemiplegia and ataxia are rare manifestations of Lyme Disease.","PeriodicalId":92771,"journal":{"name":"Cooper Rowan medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44469469","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 Prospective Analysis of Sources of Referral to a Student Run Free Clinic in Camden, NJ","authors":"Samir Shah, Anjali Desai, Behjath Jafry","doi":"10.31986/issn.2578.3343_vol4iss1.8","DOIUrl":"https://doi.org/10.31986/issn.2578.3343_vol4iss1.8","url":null,"abstract":"ackground: A center for learning and a haven for minority, marginalized, and medically indigent patients, the student run free clinic (SRFC) has emerged as a cornerstone of care at many academic medical centers (AMC). However, little is known regarding the demographics of patients who utilize SRFC and the manner in which they come to know of the free and quality care available at SRFC .\u0000\u0000Methods: Participants were administered a survey wherein they were asked their ethnicity, how they came to know of the clinic, and how long they have remained a patient at the Cooper Rowan Clinic (CRC) – the SRFC of Cooper Medical School in Camden, NJ.\u0000\u0000Results: One hundred and seventy-five patients participated in this survey of which 77% identified as Hispanic, 16% identified as African American, 6% identified as white, and 1% identified as Asian. Participants came to know of the clinic predominantly by word of mouth (64%). Other sources of referral included discharges from the AMC’s university hospital (10%), AMC outpatient specialists (9%), the AMC emergency department (8%), the local cancer screening initiative (6%), and an AMC under-insured program (3%). A majority of patients (57%) reported being patients of the clinic for >1 year, while 43% reported being patients foryear.\u0000\u0000Conclusions: This data suggests that the predominantly Hispanic population of the CRC came to know of it via word of mouth and remained patients upon initiating care.","PeriodicalId":92771,"journal":{"name":"Cooper Rowan medical journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43024167","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}
Michael Booth, Michael J. Niemann, Andréa B. Lese, John P Taras
{"title":"The Impact of Video Conference on Orthopaedic Resident Education: A Survey","authors":"Michael Booth, Michael J. Niemann, Andréa B. Lese, John P Taras","doi":"10.31986/issn.2578.3343_vol4iss1.6","DOIUrl":"https://doi.org/10.31986/issn.2578.3343_vol4iss1.6","url":null,"abstract":"Background: Covid and required social distancing has accelerated the use of video conferencing. We hypothesized that residents and faculty would be less receptive to the video lecture format and prefer traditional didactic methods.\u0000\u0000Methods: A 16-question anonymous survey was distributed nationally to orthopaedic residents and faculty. The survey collected basic demographic information such as, level in training, gender, and age. We then asked the respondent to rate their agreement or disagreement with 8 statements on a Likert scale (1-5) about video conferencing regarding orthopedic education. Likert scale responses were evaluated using basic descriptive statistics. Respondents were divided into groups of faculty and residents. Residents were subdivided into junior residents (PGY-1s and PGY-2s) and senior residents (PGY-3s, PGY-4s, and PGY-5s). A Wilcoxon rank sum test was used for the Likert scale type questions and a Fisher’s exact test was used for the pros/cons questions to evaluate for a difference in responses between groups.\u0000\u0000Results: A total of 123 residents or faculty responded to the survey. One was excluded because only the demographics section was completed, leaving 122 respondents. Respondents were found to prefer the traditional didactics compared to the new virtual format (p\u0000\u0000Conclusions: Orthopaedic residents and faculty do not prefer the new virtual didactic format compared to the traditional approach.\u0000\u0000Level of Evidence: Level IV Cross-Sectional Study","PeriodicalId":92771,"journal":{"name":"Cooper Rowan medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48142964","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}
D. Muhammad, S. Abdullahi, Yusuuf Tunde Gbonjubola, Mustafa Isyaku, Saadatu Abubakar Maiwada
{"title":"Pregnancy Back Pain: Its Prevalence, Pattern, and The Practice of Ergonomic Behaviors Among Pregnant Women in Rural Sule Tankarkar Local Government Area of Jigawa State Nigeria","authors":"D. Muhammad, S. Abdullahi, Yusuuf Tunde Gbonjubola, Mustafa Isyaku, Saadatu Abubakar Maiwada","doi":"10.31986/issn.2578-3343_vol4iss1.4","DOIUrl":"https://doi.org/10.31986/issn.2578-3343_vol4iss1.4","url":null,"abstract":"Background: Studies on Back pain in pregnancy have reported rates ranging from 25% and 90%, with most studies estimating that 50% of pregnant women will suffer from back pain during the course of their pregnancy. Low back is the most common region affected followed by posterior pelvic region and upper back region being the region least affected. In Nigeria, relative to the minimum wage, back pain consumes a significantly high amount of money in accessing health care thereby incurring both direct and indirect cost. Therefore, this study explored pregnancy back pain and the practice of ergonomic behaviors among pregnant women. Methodology: Three hundreds and eighty one pregnant women were recruited using Multi-stage sampling technique from eight Primary Health Care Centers of Sule Tankarkar local government. A questionnaire was used to obtain the required information. The data was analyzed using frequency and percentage to summarize the data and inferential statistic of chi square test to check association between categorical variables. Results: Majority of the participants are within the age range of 15-19 (34.9%), multiparous (70.3%) and in their third trimester (54.6%). The prevalence of back pain was 57.2% and it is mostly in the low back region (36%). Majority of the participants (44.9%) do not practice any ergonomic behavior. Conclusion: Low back pain is highly prevalent among pregnant women attending ante natal clinic in rural Jigawa State of Nigeria. Exercise during pregnancy, proper lifting techniques and ergonomics by experts could help pregnant women.","PeriodicalId":92771,"journal":{"name":"Cooper Rowan medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43228825","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":"Thyrotoxic Periodic Paralysis: A Case Report and Discussion of Clinical and Imaging Features","authors":"K. Quevada, Kishan Patel, P. Germaine","doi":"10.31986/issn.2578-3343_vol4iss1.1","DOIUrl":"https://doi.org/10.31986/issn.2578-3343_vol4iss1.1","url":null,"abstract":"Thyrotoxic Periodic Paralysis (TPP) is a rare manifestation of thyrotoxicosis, resulting in periodic episodes of acute onset muscle weakness in the setting of hypokalemia. The thyrotoxic form of Hypokalemic Periodic Paralysis (HPP) is less studied than the more well-known familial form due to fewer reported cases and smaller prevalence. This case study presents a 30-year-old African American male with multiple episodes of acute lower extremity muscle weakness, tachycardia, and a history of heat intolerance. Abnormal findings on thyroid ultrasound coupled with increased thyroid related immunoglobulins led to a diagnosis of TPP related to exacerbation of newly-found Graves’ disease. The case study will further discuss the importance of imaging in assessing the etiology of TPP with review of relevant literature.","PeriodicalId":92771,"journal":{"name":"Cooper Rowan medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44817238","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}
Patrick J. Tempera, Christian DiLiberto, Ruchi Shah, D. Hurst
{"title":"Medical Musing: Rowan Community Health Center’s Ask First Model: Building Authentic & Impactful Community Relationships by Asking a Simple Question","authors":"Patrick J. Tempera, Christian DiLiberto, Ruchi Shah, D. Hurst","doi":"10.31986/issn.2578-3343_vol4iss1.2","DOIUrl":"https://doi.org/10.31986/issn.2578-3343_vol4iss1.2","url":null,"abstract":"Spring of 2017, Rowan University School of Osteopathic Medicine’s student-run free clinic, the Rowan Community Health Center, launched an outreach initiative named the Unity Project. This is an ongoing initiative aimed at fostering relationships with Camden, New Jersey organizations to both educate community members about our clinic services and collaborate on improving Camden’s health. The objective of the Unity Project is to work towards affecting long-term change by forming authentic and impactful relationships with organizations that are already participating in meaningful community work. In order to achieve such a goal, we needed to overcome the traditional model of medical school outreach, which we feel is often short-term and limited. When reaching out to potential community partners, we realized an absence in the crucial first steps of establishing a relationship. We filled this void by simply asking what the organization’s need is. Thus, moving forward, when the Unity Project contacted organizations, we asked how we could help rather than offer suggestions. We termed this method the ‘Ask First’ approach and to this date, we have been observing a successful outcome. We are currently partnered with 38 organizations and are continually growing. The Unity Project has provided a variety of services that ultimately benefit the target populations these organizations are serving. Collaborating with our membered organizations in this way enables us to establish a trusting relationship and work towards bridging the gap between a community in need and a medical organization willing to help by asking a simple, albeit, powerful question.","PeriodicalId":92771,"journal":{"name":"Cooper Rowan medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46003746","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}
Keerthy Joseph, DO, A. Greidinger, Marjan Koch, E. Behling, T. Budak-Alpdogan
{"title":"IgM Multiple Myeloma: A Rare Clinical Entity and Diagnostic Dilemma","authors":"Keerthy Joseph, DO, A. Greidinger, Marjan Koch, E. Behling, T. Budak-Alpdogan","doi":"10.31986/issn.2578-3343_vol3iss1.5","DOIUrl":"https://doi.org/10.31986/issn.2578-3343_vol3iss1.5","url":null,"abstract":"IgM multiple myeloma is a rare disease that shares many common features with Waldenström macroglobulinemia and lymphoplasmacytic lymphoma. It has been described in the literature as having unique diagnostic findings that separate it from the more common IgG and IgA myelomas. It is important for physicians to be able to differentiate between IgM multiple myeloma, Waldenström macroglobulinemia and lymphoplasmacytic lymphoma as their treatments vastly differ. This case report describes the clinical presentation of a patient with IgM lambda multiple myeloma and highlights the pathologic and clinical findings that are specific to this rare entity. We aim to provide further evidence for the previously reported diagnostic criteria for IgM multiple myeloma.","PeriodicalId":92771,"journal":{"name":"Cooper Rowan medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43508129","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}
Kendra L. Roloff, Patricia Parker, Rhonda Schafer-McLean, R. West
{"title":"Effect of Provider Education on Urinary Incontinence Knowledge and Assessment","authors":"Kendra L. Roloff, Patricia Parker, Rhonda Schafer-McLean, R. West","doi":"10.31986/issn.2578-3343_vol3iss1.6","DOIUrl":"https://doi.org/10.31986/issn.2578-3343_vol3iss1.6","url":null,"abstract":"Nearly 50% of women in the United States will experience urinary incontinence at some point during their lives. Urinary incontinence impacts multiple aspects of a woman’s life, yet remains underdiagnosed by primary care providers. The Women’s Preventative Service Initiative released a recommendation in 2018 to screen all women annually for urinary incontinence. The recommendation was in response to the lack of women who seek care for urinary incontinence.\u0000\u0000The purpose of this project was to implement education and reminders for primary care providers, in order to improve urinary incontinence knowledge and assessment of women 18 years of age or older. The project was carried out in a primary care clinic with primary care providers serving as the participants.\u0000\u0000A quasi-experimental one-group pretest-posttest design was utilized. Data from a five question pre- and posttest were compared. An independent samples t-test, using a 95% confidence interval, was used to compare the pre- and posttest. Statistical significance (p-value\u0000\u0000Results indicate primary care providers who are educated about urinary incontinence in women demonstrate improved knowledge and assessment of the prevalent problem. Early intervention can soften the economic burden, improve quality of life, and improve treatment outcomes. Implementation of a urinary incontinence education program coupled with reminders can improve primary care knowledge and clinical decisions regarding urinary incontinence in women.","PeriodicalId":92771,"journal":{"name":"Cooper Rowan medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47381830","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 Sailor’s Disease Presenting in Urban America with Red Spots on the Legs","authors":"J. Buchan, B. Gray","doi":"10.31986/issn.2578-3343_vol3iss1.7","DOIUrl":"https://doi.org/10.31986/issn.2578-3343_vol3iss1.7","url":null,"abstract":"Sailors were often affected by nutritional deficiencies due to the absence of fresh foods on long voyages. One example is the development of scurvy from a lack of vitamin C ingestion. In modern society in which fresh food are available this disease is infrequently recognized. The following case describes a 62-year-old male who presented with “red spots” on his legs and a large area of ecchymosis on his thigh. After initial testing failed to elicit a cause, a dietary history revealed that the patient had a peculiar diet of only ice cream with a total avoidance of fruits and vegetables. This case highlights the importance of a good history and physical examination as the basis for medical diagnosis.","PeriodicalId":92771,"journal":{"name":"Cooper Rowan medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46936901","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 E Snow, Adam Ruff, Lora Glass, Jacob Glass
{"title":"Hygiene in the United States Brow Shaping Industry: A Benchmarking Report","authors":"Zachary E Snow, Adam Ruff, Lora Glass, Jacob Glass","doi":"10.31986/issn.2578-3343_vol3iss1.3","DOIUrl":"https://doi.org/10.31986/issn.2578-3343_vol3iss1.3","url":null,"abstract":"Purpose: To provide a current benchmark of hand hygiene and brow cleansing in the brow shaping industry across the United States of America.\u0000Background: Brow abscesses have been linked to the microtrauma associated with brow shaping. This paper provides an understanding of normative standards of hand hygiene and brow cleansing in the brow shaping industry at both the regional and national levels.\u0000Methods: This project involved a phone survey of 255 brow salons across the United States – 5 from the most populous city in every state and Washington, D.C. Uni- and multivariate associations between regional and national brow hygiene practices were explored using chi-square testing and multinomial logistic regression modeling.\u0000Results: Of 255 brow salons included in this study, 137 performed waxing (54%), 72 performed threading (28%) and 46 performed both (18%). Hand hygiene was required at 97% of brow salons, most commonly using alcohol-based sanitizer (59%), hand washing (22%), or some combination of the two (16%). Brow cleansing was required at 80% of salons, with the vast majority using an alcohol-based cleanser (75%).\u0000Multinomial logistic regression analysis of hand and brow hygiene methods, including hand hygiene frequency and service type, failed to show regionally predictive differences. Hand hygiene was performed more routinely than brow hygiene nationwide (p<0.01).\u0000Conclusions: The brow shaping industry is performing hand hygiene nearly across the board, but would benefit from increased rates of brow cleansing.\u0000Keywords: Waxing, hand hygiene, salon, eyebrow","PeriodicalId":92771,"journal":{"name":"Cooper Rowan medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46163350","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}