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Navigating Early Career as an Oncologist: Thriving in Diverse Paths.
No full textEarly-career oncologists navigate a complex landscape of professional development, clinical responsibilities, and research endeavors. This manuscript explores key challenges and strategies for success in the early years of an oncology career, focusing on the first job after fellowship, career transitions, and practical tips for intentionality. Effective mentorship is pivotal, providing guidance in clinical decision making, research pursuits, and professional networking. Career development strategies include securing funding, building collaborative networks, and identifying opportunities for leadership. Additionally, balancing clinical duties with research and personal well-being requires time management and institutional support. This article emphasizes the importance of fostering inclusive mentorship, advocating for work-life integration, and leveraging institutional and professional resources to support career sustainability. By addressing these key aspects, early-career oncologists can build a fulfilling and impactful career while contributing meaningfully to the field of oncology
Bridging the Gap: An Educational Intervention for the Early Introduction of Peanut Protein in Pediatric Care
No full textPresented at the 6th Annual Parkview Nursing Research and Evidence-Based Practice Symposium. Theme: “From Paper to Practice: The Art of Implementation Science,” at the Parkview Mirro Center for Research and Innovation.
The primary aim of this Doctor of Nursing Practice (DNP) project was to improve provider adherence to the NIAID guidelines for the early introduction of peanut protein in infants under one year of age. The project intended to address identified knowledge and practice gaps through a targeted educational intervention at Fort Wayne Pediatrics (FWP)
Outcomes and Limitations of Duodenal Endoscopic Submucosal Dissection in the United States.
No full textBACKGROUND AND AIMS: Endoscopic submucosal dissection (ESD) of duodenal tumors is challenging due to its unique anatomy and high risk of adverse events. Its use is limited in the United States due to procedural complexity. Our study highlights the feasibility of ESD for managing duodenal tumors in the US.
METHODS: This retrospective cohort included duodenal ESD lesions at two tertiary US medical centers from 2017 to 2024. The primary outcomes included technical success, en bloc, R0, and curative resection rates. Secondary outcomes were adverse events and recurrence rates.
RESULTS: Seventy-four duodenal lesions in 70 patients were resected by three endoscopists with variable levels of experience in ESD. Most lesions (56%) were located in the duodenal bulb. Technical success was 100%, with en bloc and R0 resection rates of 78.3% and 51.4%, respectively. Mean procedure time was 85.9 ± 50.4 min. Neuroendocrine tumors had higher en bloc (90% vs. 62.5%) but lower R0 resection rates (43.8% vs. 53.1%) than adenomas. Adenomas had more positive lateral margins (50% vs. 18.3%). Larger lesions (\u3e 30 mm) had lower en bloc resection rates than smaller ones (≤ 30 mm). The overall adverse event rate was 25.7%. Intraprocedural deep muscle injury and bleeding were more common in lesions \u3e 3 cm (18.2% and 6%) than in smaller lesions (7.3% and 2.4%).
CONCLUSIONS: Duodenal ESD has lower en-bloc and R0 resection rates, but higher risk of adverse events compared to other sites. An individualized approach and careful discussion of endoscopic versus non-endoscopic options with every patient is warranted
Issue 16: Pulmonary & Critical Care Insider
No full textPulmonary & Critical Care Insider Issue 16
Compiled by Bharat Bajantri, MD, and librarian Sarah Ellsworth, MLS for the clinicians of the Pulmonary and Critical Care team of Parkview.
The Pulmonary & Critical Care Insider newsletter was created by Dr. Bharat Bajantri, MD and Sarah Ellsworth, MLS in 2023 as a form of current awareness for current practice at our hospital, Parkview Health.
Topics:
EVERDAC Trial: Do All Shock Patients Need Arterial Lines?
Beyond MAP: Redefining Perfusion Pressure in Septic Shock
ECG Findings You Cannot Miss in Acute Pulmonary Embolism
Food for Thought: When Private Equity Buys Hospitals, Who Pays the Price?
Hemoglobin Targets in Acute MI: Is “Liberal” the New Normal?
Choosing Wisely: Who Really Benefits from cEEG Monitoring?
Lung Cancer Risks: What You Eat and Where You Live Really Matter!
Penicillin Allergy: Worth Reassessing in the ICU
Airway Registration Strategy and Efficiency in Shape-Sensing Robotic Bronchoscopy
Battle of the Bronchoscopes:
Ion vs Monarch vs Illumisite
Maximum Lidocaine Dose in Pleural Procedures — Time to Rethink the Limits
Beyond Tidal Volume: Rethinking Lung Protection in ARDS
Alteplase for Acute Ischemic Stroke (4.5–24 Hour Window)
PDE5 Inhibitors in ILD-Associated Pulmonary Hypertension — Only for the Severe
Best Practice in Geriatric Fracture Care: Impact of Early Urinary Catheter Removal on CAUTI Incidence
No full textPoster presented at the 2025 Parkview Nursing Research Symposium.
Objective: Evaluate the effectiveness of urinary catheter removal by POD1 on CAUTI incidence in GFPs
Three Wishes Project: Individualizing End of Life Care
No full textThis poster was presented at the 2025 Nursing Research Symposium. •We used the journal article to create tangible ways to individualize the dying process •A binder ways created with the different “wishes” nurses can provide
2025 Parkview Research Repository Library Report - Infographic
No full textA infographic compilation of data regarding readership and metrics of content in the Parkview Research Repository for the year of 2025. The platform, Digital Commons, is provided by Elsevier and the institutional repository is managed by the Parkview Research Library. This institutional repository (IR) was started in 2017 and is accessible worldwide
A Brief Commentary on Human-AI Attachment and Possible Impacts on Family Dynamics
Get PDFObjective: In this brief commentary article, we outline an emerging idea that it may be possible that as Conversational Artificial Intelligence (CAI) becomes a part of an individual’s environment and interacts with them their attachment system may become activated, potentially leading to behaviors—such as seeking out the CAI to feel safe in times of stress—that have typically been reserved for human-to-human attachment relationships. We term this attachmentlike behavior, but future work must determine if these behaviors are driven by a Human-AI attachment or something else entirely. Background: CAI is an emerging technical advancement that is the cornerstone of many everyday tools (e.g., smartphone apps, online chatbots, smart speakers). With the advancement in generative and conversational AI, device affordances and technical systems are increasingly complex. For example, generative AI has allowed for more personalization, human-like dialogue and interaction, and the interpretation and generation of human emotions. Indeed, AI tools increasingly have the ability to mimic human caring—learning from past interactions with the individual and appearing to be emotionally available and comforting in times of need. Humans instinctually have attachment-related needs for comfort and emotional security, and therefore as individuals begin to feel their attachment-related needs are met by CAI they may begin to seek out the CAI as a source of safety or to comfort their distress. This leads to questions of whether Human-AI attachment is truly possible and, if possible, what this attachment might mean for family dynamics
Issue 14: Pulmonary & Critical Care Insider
Get PDFPulmonary & Critical Care Insider Issue 14
Compiled by Bharat Bajantri, MD, and librarian Sarah Ellsworth, MLS for the clinicians of the Pulmonary and Critical Care team of Parkview.
The Pulmonary & Critical Care Insider newsletter was created by Dr. Bharat Bajantri, MD and Sarah Ellsworth, MLS in 2023 as a form of current awareness for current practice at our hospital, Parkview Health.
Topics: Original Study Summaries: stereotactic body radiotherapy, surveillance over surgery for small pulmonary subsolid nodules, EBUS-TBNA sample acquisition and handling, Systolic arterial pressure targets in shock, stroke risk after AF, methotrexate versus prednisone, corticosteroid use in community-acquired pneumonia, dual-sequential defibrillation, biologic therapies for eosinophilic asthma, ASPEN trial, and Tirzepatide for obesity and sleep apne
Delivering Change: A Hospital’s Journey to Midwifery Care
No full textThis poster was presented at the 2025 Parkview Nursing Research Symposium.
The addition of the Certified Nurse Midwife Program at Parkview Randallia’s Family Birthing Center will:
•Increase regional access to the midwifery model of care • Provide additional labor and birth options
• Water immersion during labor & waterbirth
• Nitrous oxide
• Enhanced labor comfort measures (light/sound machines, birthing stools, birthing balls, etc.)
• Help meet increased patient demand for the above services and alleviate bed capacity issues at the regional medical cente