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Display of Connell O\u27Donovans LGBTQ empheria and LGBTQ books Available through Signature books
No full textColor Photograph Connell O\u27Donovan talking about the LGBTQ Empheria he brought to a presentation on Mildred J. Berryma
Promoting Mental Health Screenings in a Specialty Practice Clinic: A Process Improvement Initiative
No full textAnxiety and depression occur commonly among individuals with Phenylketonuria (PKU), affecting their quality of life and treatment adherence. Despite this, routine mental health screening is not widely implemented in specialty metabolic clinics. Aim: The purpose of this quality improvement initiative was to promote patient well-being within a local academic medicine clinic by implementing systematic screening for anxiety and depression among patients 13 years and older with phenylketonuria. Methods: Following the Johns Hopkins Evidence-Based Practice model, pre-surveys assessed the clinic team\u27s knowledge and confidence in using mental health screening tools. A clinician toolkit was developed, the screening program was implemented, and post-surveys were conducted 11 weeks later to evaluate changes. Education sessions and mid-implementation check-ins provided feedback. EMR data tracked screening and referrals. Analyses included descriptive and inferential statistics. Results: Nineteen participants completed pre-and-post surveys, showing significant improvements, with medium to high effect sizes, in accessing, administering, and interpreting screening tools. EMR data indicated 86.8% of eligible patients were screened, with 36.5% screening positive for depression and/or anxiety. Conclusion: Implementing systematic mental health screening in a specialty metabolic clinic is feasible and beneficial, improving clinician confidence and patient care. Future efforts should expand diagnoses and integrate tools within the EMR
Dorsal Midbrain Syndrome
No full textIn this module we discuss a patient presentation demonstrating dorsal midbraine syndrome (AKA Parinaud syndrome). Its purpose is to aid in teaching fellow providers how to recognize the clinical findings of dorsal midbrain syndrome by reviewing the relevant anatomy, exploring the etiologies of its presentation, and discussing the next steps for management.Shields, Melissa et al. "Parinaud syndrome: a 25-year (1991-2016) review of 40 consecutive adult cases." Acta ophthalmologica vol. 95,8 (2017): e792-e793. doi:10.1111/aos.13283. "Dorsal midbrain syndrome, Parinaud syndrome." YouTube, uploaded by Neuro-Ophthalmology with Dr. Andrew G. Lee, 18 December 2017, https://www.youtube.com/watch?v=c32F374ZiG
Oculomotor Twist: Aberrant Regeneration of the Oculomotor Nerve Following Coil Embolization of a Carotid Cavernous Fistula
No full textWe describe a case of a patient with an acquired third nerve palsy and discuss potential etiologies contributing to aberrant regeneration.1. Bou Ghannam A, Subramanian PS. Delayed onset cranial nerve palsies after endovascular coil embolization of direct carotid-cavernous fistulas. J Neuroophthalmol 2018;38:156-159. 2. Lee SH, Cho WS, Kang HS, Kim JE, Cho YD, Yoo DH, et al. Newly occurring cranial nerve palsy after endovascular treatment of cavernous sinus dural arteriovenous fistulas. J Neurointerv Surg 2019;11:1168- 1172. 3. Nishino K, Ito Y, Hasegawa H, Kikuchi B, Shimbo J, Kitazawa K, et al. Cranial nerve palsy following transvenous embolization for a cavernous sinus dural arteriovenous fistula: association with the volume and location of detachable coils. J Neurosurg 2008;109:208-214. 4. Park YJ, Lee SM, No JW, Choi KD. Delayed Oculomotor Nerve Palsy After Coil Embolization of Carotid- Cavernous Fistula: Case Report and Literature Review. J Clin Neurol. 2023 Mar;19(2):207-209. 5. Kuwayama N, and Akioka N. (2021). Complications of Endovascular Treatment of Intracranial Dural Arteriovenous Fistulas. In: Esposito, G., Regli, L., Cenzato, M., Kaku, Y., Tanaka, M., Tsukahara, T. (eds) Trends in Cerebrovascular Surgery and Interventions. Acta Neurochirurgica Supplement, vol 132. Springer, Cham. 6.Oke I, Lorenz B, Basiakos S, Gokyigit B, et al. Aberrant regeneration in an international registry of patients with 3rd nerve palsy. Eur J Ophthalmol. 2023 Mar 9: 1-8
Diagnosis and Treatment with Botox of Patients with Benign Essential Blepharospasm and Related Disorders
No full textVideo describing use of Botox
Vernal Junior High Football Team
No full textMembers of the Vernal Junior High School ninth grade football team are from left, front row, Kent Cobbs, Ron Gardner, Ron McAdams, Tom Lawson, Jeff Bigelow, Ted Maxfield, William Bedell, Kennethy Goodrich and Rafe Johnston. Second row, Rod Powell, Larry Alford, Brent Labrum, David Lind, Kim Reid, Robert Shaw, Foston Chivers, Willie grishal and Dennis Johnson. Third row, Leon Smuin, head coach; John Merkley, Terance Thedell, Marty McCarrel, Kay Smuin, Chad Huffaker, Lonnie Juarez, Ron Ellis and Doug Mangrum, assistant coach. Back row, Clark McClellan, Greg Hatch, Wayne Jenkins, Lane Searle, David Stone, David McLean, John Coyle and Tim Simpson
