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Eosinophilia, Biomarkers, and Atopic Dermatitis: A Retrospective Review
No full text2025 AAAAI/WAO Joint Congress, February 28 - March 3, 2025, San Diego, C
Enhancing HIV PrEP Uptake Among Black Women: Perspectives from PrEP and OB-GYN Providers in New Orleans, Louisiana (NOLA)
No full textSTI and HIV 2025 World Congress Conference, July 26 - 30, 2025, Montreal, Canad
Tattoo-Induced Cutaneous Pseudolymphoma: A Rare Case of Reactive Lymphoid Hyperplasia
No full text28th Joint Meeting of the International Society of Dermatopathology, March 5–6, 2025, Orlando, F
Machine Learning Prediction of Disease Severity in Patients With Interstitial Lung Disease Based on Lung Ultrasound and CT Imaging
No full textAmerican Thoracic Society International Conference, ATS 2025, May 16 - 21, 2025, San Francisco, C
RESEARCH - Association Between Food Insecurity and Nervous System Disorders in Caddo Parish, LA: A Call to Action for Health
No full textBackground: Food insecurity (FI)–the lack of access to affordable, nutritious food–affects millions of Americans. Caddo Parish, Louisiana, is of interest due to high FI prevalence and socioeconomic risk factors. While FI is known to exacerbate chronic health issues, its association with neurological health remains understudied, especially in high-risk communities. Methods: A cross-sectional study was conducted among adult patients in Caddo Parish in 2022 using Epic Electronic Medical Record data to identify diagnoses of migraine, dementia, and stroke—the top neurological causes of disability-adjusted life years (DALYs) in the United States. FI status was determined using the Hunger Vital Sign screening questionnaire. Statistical analysis was performed in Statistical Product and Service Solutions (SPSS) using chi-square (X2) tests and Prevalence Odds Ratios (POR) to assess associations between FI and diagnoses. Results: FI was significantly associated with migraine overall (POR =1 .42, P \u3c 0.001). When stratified by legal sex, gender, ethnicity, race, and age, additional significance was noted in FI females (POR = 1.36, P \u3c 0.001), those of non-Hispanic ethnicity (POR=1.44, P \u3c 0.001), Black (POR=1.32, P=0.005) and Caucasian (POR=1.62, P \u3c 0.001) races, and those between the ages of 30 and 69 (30-49: POR=2.53, P \u3c 0.001 , 50-69: POR=1.69, P \u3c 0.001). There was no significant association between FI and stroke overall (P=0.262); however, significance was noted in FI patients of Black race (POR=0.819, P=0.048) and in patients above the age of 30 (30-49: POR=1.74, P \u3c 0.001, 50 - 69: POR=1.46, P \u3c 0.001, 70+: POR=0.116, P \u3c 0.001). Though, in Black patients and persons above the age of 70 with FI, the association with stroke was negative. Overall, a negative association was observed in FI patients with dementia (POR = 0.565, P \u3c 0.001). In addition, significance regarding dementia in FI patients were observed in females (POR=0.570, P=0.011), males (POR = 0.562, P = 0.037), non-Hispanic ethnicities (POR=0.567, P \u3c 0.001), and black persons (POR=0.332, P \u3c 0.001). Discussion: Our findings highlight FI as a potential modifiable risk factor for migraine and stroke in specific populations, emphasizing the need for screening and patient-centered support. The inverse relationships with dementia and stroke in select patient groups warrant further research. Conclusion: Enhanced screening and targeted interventions addressing FI may reduce the prevalence of neurological conditions and promote health equity in high-risk populations
A multimethod assessment of the vascular surgery program director experience in creating effective training environments
No full textOBJECTIVE: Surgical training has received significant attention in recent years with efforts to improve trainee wellness. Vascular surgery training is subject to unique challenges, and vascular program directors (PDs) are tasked with providing learning environments that produce effective and competent surgeons. The aim of this study was to examine the experience of vascular surgery PDs in promoting effective learning environments for vascular trainees. METHODS: Data were collected from confidential, voluntary surveys of vascular surgery residency PDs with multiple choice and free response questions as part of the Surgical Education Culture Optimization Through Targeted Interventions based on National Comparative Data (SECOND) trial. PDs were asked about their use of wellness interventions, resources available through their institution, and resources still required. PDs indicated the most rewarding and challenging aspects of their role. Program-level wellness data were aggregated from trainee responses to an annual survey of trainee wellness. Associations between program wellness metrics and the number of interventions used by PDs were assessed with Wilcoxon rank-sum tests. Qualitative data were analyzed with inductive reasoning to identify themes. RESULTS: Of 33 PDs who participated in the survey (76.7% of programs enrolled in the Vascular SECOND trial), most PDs had opportunities to engage with other faculty (n = 27 [81.8%]), support from Graduate Medical Education (n = 27 [81.8%]), and administrative support from program coordinators (n = 26 [78.8%]). Many PDs reported a need for additional salary/stipend support to incentivize program leadership (n = 23 [69.7%]), funded protected effort to decrease clinical responsibilities (n = 18 [54.6%]), and discretionary educational funds (n = 13 [39.4%]). The trainee-related issues most frequently encountered by PDs were performance challenges (n = 15 [45.5%]) and interpersonal issues between trainees and ancillary staff (n = 9 [27.3%]). The most common institutional-level issues were incongruence between hospital administration goals and clinical priorities (n = 9 [27.3%]) and protected time for administrative responsibilities (n = 8 [24.2%]). There were no significant associations between trainee wellness and perception of program responsiveness or resources needed or available to PDs. Themes of the most rewarding aspects of the PD job were participating in trainee growth, training the next generation, and interpersonal relationships. Themes of most challenging aspects were generational differences, interpersonal challenges, lack of resources, and administrative tasks. CONCLUSIONS: Vascular surgery PDs assume a challenging role with unique responsibilities. Certain barriers and facilitators of wellness may be experienced by a majority of PDs, which allows for identification of potentially widely effective interventions. Ultimately, supporting PD efforts should focus on improving resources like funded protected efforts and reducing administrative burden
Editorial Comment on Stent or Treat: Predictors of Definitive Stone Management for Patients Presenting to the Emergency Department With Urolithiasis
No full textPeritoneal Metastases in Gastrointestinal Malignancies: A Review of the Pathophysiology of Metastasis and the Tumour Microenvironment
No full textPeritoneal metastasis is a significant source of morbidity and mortality for patients with cancer from gastrointestinal origin such as gastric, colorectal, and appendiceal cancers, and treatment options are limited. Cross-sectional imaging is limited in sensitivity and specificity, and treating peritoneal metastases is limited by the bioavailability of systemic cytotoxic chemotherapy and metastatic burden. Within this review, we specifically explore the pathophysiology underlying peritoneal metastasis while emphasising the contributions of the tumour microenvironment and immune system
Stress Urinary Incontinence Procedure Outcomes in the \u3c 40-Year-Old Population: A Multicenter Study
No full textObjectives: Stress urinary incontinence (SUI) is a common problem affecting the quality of life of many women, but treatment outcomes in younger women are sparsely reported. We sought to evaluate SUI procedure outcomes in women \u3c 40 years old. Methods: We conducted a multicenter retrospective cohort study of women \u3c 40 years old who underwent a primary SUI procedure between January 1, 2020 and July 1, 2023. We compared outcomes and complication rates of midurethral slings to periurethral bulking with polyacrylamide hydrogel (PAHG). Data was extracted by manual chart review and analyzed using descriptive statistics, comparative statistics with chi-square or Fisher exact tests, or the Wilcoxon two sample test for continuous measurements. The primary outcome was report of cure or improvement in SUI symptoms. Results: Fifteen study sites were included, with individual IRB approvals obtained at each site. A total of 377 women \u3c 40 years old were identified who underwent a primary SUI procedure during the study period; 40 underwent periurethral bulking with PAHG and 337 underwent sling (307 (91%) retropubic, 13 (4%) transobturator, 17 (5%) single incision). Baseline demographics were similar between groups. Reported rates for cure or improved symptoms were 88.6% (n = 31/35) for PAHG and 97.8% (n = 315/324) for slings (p = 0.0156) at 4 weeks and 81.8% (n = 9/11) for PAGH and 92.9% (n = 66/71) for slings at approximately 1 year postoperative (p = 0.131). Complication rates were low in both groups. Conclusions: Women \u3c 40 years old who received periurethral bulking with PAHG for treatment of SUI had lower rates of cure/improvement at short-term follow-up in their SUI compared to those who received a sling
