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Respiratory, Ocular, and Urogenital Chlamydia Infection
No full textAs the most common sexually transmitted infection (STI), Chlamydia is relevant in many specialties as strains can greatly impact multiple systems of the body including urogenital, respiratory, and ocular. Clinicians should be aware of the signs and symptoms presenting in different strains of chlamydia infection and what considerations should be made when determining the best treatment regimen. This article discusses these considerations and treatment options while emphasizing testing and screening recommendations to decrease overall prevalence and long-term consequences of untreated ocular, respiratory, and urogenital infection
Oocyte cryopreservation for prevention against aging-related fertility decline
No full textEgg freezing (medically known as oocyte cryopreservation) has become an increasingly popular assisted reproductive technology (ART) option for those seeking to delay motherhood for various personal, educational, professional purposes. Oocyte cryopreservation is a process where a woman\u27s eggs (oocytes) are extracted while they are still of reproductive age, frozen, and stored to preserve reproductive potential. Then, at a later desired date, the eggs are thawed, combined with sperm to create an embryo & implanted into the uterus during an embryo transfer cycle. The concept of “elective” or “social egg freezing” has introduced oocyte cryopreservation as a preventative option that allows women to preserve their fertility in anticipation of age-related fertility decline. However, it is critical for healthcare providers and fertility clinics to stress the importance of educating patients to make informed decision on delaying motherhood via egg freezing. The aim of this Special Interest Article is to help explore the risks vs benefits of oocyte cryopreservation as a preventative option for patients planning to delay childbearing until advanced maternal age (≥35 years)
Improving the Transition from Pediatric to Adult Care for Adolescents with a Chronic Illness Through Effective Patient-Provider Communication
No full textAs a result of technological advances in medicine, more chronically ill youth are transitioning into adulthood and subsequently transitioning out of pediatric care. During this critical shift, adolescents gain autonomy in managing their care that was once the responsibility of their parents/guardians, in addition to undergoing psychological and somatic disruptions.3 Despite recognition of the importance of this transition period from multiple medical organizations, few interventions exist to address gaps in transition care. Patient-provider relationships are a key component in helping this population understand their illness and how to properly manage their disease in order to avoid poor health outcomes. The role of caregivers during this period could either have a protective or harmful effect on transition outcomes, and as such, effective communication and shared-decision making is necessary for a successful transition to adult care. Mobile apps and transition tools, such as The STARx and TRAQ questionnaire, may be utilized by providers to employ effective patient-provider communication in assessing transition readiness and common barriers to care
Pharmacological vs Non-Pharmacological Approaches to Treating Acute Migraines
No full textMigraines, a prevalent neurological disorder, are a common complaint in both the
primary care setting and also the emergency setting. It is critical to diagnose a migraine correctly
by obtaining a detailed history and performing a thorough physical examination, including a neurologic examination, and ruling out other critical and acute differential diagnoses. Over the past decades, management options for migraines have ranged from conservative non-pharmacological treatments to medicinal-based treatments. In this review, we will discuss the prevalence, etiology, and different styles of management of migraines, as well as the pharmacological options and their mechanisms of action
The Evaluation and Medical Management of Head Injury in Patients Taking Anticoagulant Medications
No full textOver the last century, the average life expectancy has increased remarkably. In medicine, new populations emerge constantly, accompanied by their individual needs. One of these populations on the rise is patients who take anticoagulant medications. In addition to the accumulating number of patients taking anticoagulant medication, the types of medications being prescribed have changed drastically throughout the years. While anticoagulant medications have produced countless invaluable positive changes in health outcomes, they come with specific risks. One of the risks most commonly associated with anticoagulant use is an increased bleeding risk after sustaining injury. In the circumstances that a patient who takes anticoagulant medication sustains a head injury, a strategic and specific plan for medical management is necessitated by their healthcare team. This project examines the current information for managing these patients. Areas of focus will include the management of patients on novel direct oral anticoagulants (DOACs), as these medications are newest to the market and are gaining popularity, as well as the optimization of resource utilization to better match the individualized goals of care for these patients
Abolishment of Pelvic Exams under Anesthesia Performed without Consent
No full textAmidst the recent legal restrictions on abortion, ethical discussions about women’s rights have intensified. Another concealed ethical concern involves pelvic exams under anesthesia (EUA) without prior consent obtained, a practice most prevalent in teaching hospitals. Despite ongoing advocacy, over half of the United States lacks legislation addressing this issue. This presentation explores the detrimental effects of non-consensual pelvic exams, highlighting the ethical implications for patients, medical students, and patient-provider relationships. Additionally, it proposes ethical alternatives to balance medical education and patient autonomy
Untitled, Versailles Rubbing
No full texthttps://scholarworks.arcadia.edu/pati_hill_image_gallery/1000/thumbnail.jp
50 Common Objects
No full texthttps://scholarworks.arcadia.edu/pati_hill_image_gallery/1009/thumbnail.jp
Pati Hill Collection - Artist Books
Get PDFFinding aid for the Pati Hill - Artist Books Collection at the Arcadia University Archives
Alcohol Flush Education and Management in the Asian Population in a Primary Care Setting
No full textEducation on drinking habits have been and should be a routine discussion between patients and their medical providers. In college, most students are introduced to alcohol and binge drinking for the first time, usually without guidance or education on how to handle intoxication. In the Asian population, a common phenomena occurs after drinking known popularly as “Asian glow”, where symptoms of facial flushing, body warmth, tachycardia, headaches, nausea, vomiting, and diaphoresis are exacerbated compared to non-Asian drinkers.
Caused by a variant allele in mitochondrial DNA, about 40-50% of East Asians are affected by this exacerbation of symptoms of alcohol flush.2 This reaction can cause unsafe binge drinking practices for those affected, specifically college students who are drinking for the first time in their lives. Online forums and blogs publish their own thoughts on this issue and how to combat it, usually recommending cessation of drinking or over the counter medications that mask symptoms. Utilizing medical journals and current research surrounding the phenomena known as “Asian glow”, providers can open safe discussions with their patients who are affected and can advise them on safe drinking practices to prevent alcohol overdose, or misuse of remedies that may not solve the problem at all. This article aims to educate medical providers on alcohol flush, the populations it mainly affects, and how to manage and educate college aged patients in a primary care setting. Having knowledge of this issue that affects a large population of patients can allow providers to be prepared to have difficult conversations with patients and inform them that these reactions can be controlled and managed if a patient does choose to drink alcohol