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Four Beating Quadrants
No full texthttps://touroscholar.touro.edu/quill_and_scope_images/1219/thumbnail.jp
InTouch Week of June 30, 2025
No full textAnnual Golf Tournament Brings Friends and Supporters to the Green The Academy of Medical Educators Wraps Up Successful First Year SOM Preceptors Recognized for Their Invaluable Role for Medical Students NYMC Alpha Omega Alpha Chapter Receives Grant to Combat Food Insecurity New Telehealth Partner for Student Mental Health Services Stay Safe and Connected with the NYMC 4U App Cellular Receptor GPR75 Linked to the Progression of Liver Disease BSB Gets a Bold New Look Alumni Spotlight: The Path to Connectionhttps://touroscholar.touro.edu/in_touch/1368/thumbnail.jp
InTouch Week of July 14, 2025
No full textThe 2025 Issue of Chironian is Available Medical Student Patricia Curtin Awarded Prestigious Neurology Research Scholarship Dr. Walter L. Jenkins Appointed Division Chief and Program Director of Physical Therapy TCDM Launches in Albuquerque Faculty Spotlight: From Pupil to Professor: Alumni Lighting the Way at NYMChttps://touroscholar.touro.edu/in_touch/1369/thumbnail.jp
Full Issue: Volume 18, Number 2, Spring 2025
No full textComplete .pdf file of Volume 18, Number 2 of The Science Journal of the Lander College of Arts and Sciences. Published Spring 2025
Limb Regeneration In Amphibians & Mammals
No full textThis thesis will give an in-depth analysis into the mechanisms of regeneration that amphibians use and how the blastema forms. It will also discuss genes and proteins that play a role including the P53 gene, Transforming Growth Factor Beta, CD59, and others. Regenerative potential of mammals will be discussed using the information found. Findings include that mammals may have regeneration potential because of the ability we have to deactivate certain genes to allow cells to dedifferentiate
Clinical Reasoning: A 64-Year-Old Man With Confusion, Nausea, Seizure, and Fever
No full textEvaluating patients with encephalitis is common, but it can be complicated in immunocompromised patients. In this case, a 64-year-old man with a medical history of multiple myeloma and previous Lyme disease presented with acute onset of confusion, nausea, and fever; developed generalized tonic-clonic seizures; and subsequently became comatose. This case highlights the importance of thinking broadly beyond common viral and bacterial encephalitides and developing a comprehensive differential diagnosis
Varied Successful Ablation Sites of Nodoventricular/Nodofascicular Pathway–Mediated Tachycardias
No full textCerebral Venous Thrombosis in Traumatic Brain Injury: A Population-Based Cross-Sectional Study of 640 Patients
No full textBackground: Cerebral venous thrombosis (CVT) is a rare but serious complication of traumatic brain injury (TBI), yet the implications of this association remain poorly understood. This study explores the demographics, risk factors, and clinical outcomes of patients with both TBI and CVT (CVT-TBI). Methods: The National Inpatient Sample (NIS) was queried from 2016–2020 for adult patients with a primary diagnosis of TBI and concurrent CVT. Chi-squared tests and logistic regression were used to compare demographic, clinical, and outcome variables of CVT-TBI and TBI-only patients. Results: Of the 1,583,915 TBI patients identified between 2016–2020, 640 (0.04%) had concurrent CVT. CVT-TBI patients were younger (47.94 vs 61.81; p \u3c 0.001), more likely to have Medicaid (30.5% vs 14.1%; p \u3c 0.001), less likely to be female (31.3% vs 39.0%; p \u3c 0.001), and less likely to be Caucasian (60.9% vs 68.1%; p \u3c 0.001). Multivariate analysis demonstrated age (OR = 0.98; p \u3c 0.001), skull fracture (OR = 3.741; p \u3c 0.001), epidural hematoma (OR = 1.407; p = 0.012), subdural hematoma (OR = 2.395; p \u3c 0.001), and subarachnoid hemorrhage (OR = 1.415; p \u3c 0.001) as CVT risk factors. CVT-TBI patients experienced more severe clinical courses involving mechanical ventilation (21.9% vs 10.4%; p \u3c 0.001), cerebral herniation (6.3% vs 3.7%; p = 0.001), and being comatose (45.3% vs 30.7%; p \u3c 0.001) and were more likely to undergo decompressive hemicraniectomy (4.7% vs 1.1%; p \u3c 0.001), tracheostomy or percutaneous endoscopic gastrostomy tube placement (3.9% vs 1.5%; p \u3c 0.001), and develop long-term sequelae, including seizures (10.9% vs 4.2%; p \u3c 0.001) and hydrocephalus (7.0% vs 1.7%; p \u3c 0.001). After matching, there was a significant difference in discharge home (OR = 1.806; p = 0.018), but no significant difference in discharge to a skilled nursing home (OR = 1.068; p = 0.449), short term rehabilitation facility (OR = 0.850; p = 0.500), or inpatient mortality (OR = 1.134; p = 0.500). Conclusions: This population-based retrospective analysis unveils distinctive demographic and clinical features of CVT-TBI patients, emphasizing the need for tailored risk assessment and management strategies to improve outcomes for this subset of TBI patients
Understaffed and Overworked: The Stark Reality of Acute Care Surgeon Staffing in the United States, an Eastern Association for the Surgery of Trauma Multicenter Study
No full textOBJECTIVES Rightsizing the workforce to clinical demand requires a balance of work intensity, productivity, and a definition of clinical full-time equivalent (cFTE). We hypothesized a shortage of acute care surgeons based on a 204-shift per year (average, 17 per month) definition of a 1.0 cFTE established in our prior mixed-methods study (two service weeks plus five calls per month). METHODS This multicenter study used mixed methods, integrating clinical schedules (CY2022), work relative value units, and qualitative insights from semistructured interviews (July 2023 to June 2024). Schedules were converted to shifts (8-14 hours). Hospitals were short-staffed when shift demand exceeded supply based on each surgeon\u27s cFTE. Interviews explored clinical demand and staffing challenges. Descriptive analysis and a deductive-inductive thematic analysis were performed. RESULTS Forty Level I/II hospitals representing 412 acute care surgeons (287 cFTEs) from 25 states were included. Seventy-nine percent of hospitals were short-staffed. Compared with well-staffed hospitals, short-staffed hospitals had fewer cFTEs (6.5 [interquartile range (IQR), 3] vs. 8.6 [IQR, 3], p \u3c 0.05), a higher demand for clinical work (1,889 [IQR, 933] vs. 1,388 [IQR, 674] shifts, p = 0.05) and a higher work relative value unit/cFTE (8,779 vs. 7,456, p = 0.12). The aggregate clinical demand exceeded available surgeon capacity by 21% overall. Based on volume, a 1.0 cFTE is needed for every 285 (IQR, 169) trauma admissions. There was a deficit of 75 cFTEs across the centers. Key themes identified were related to the value of acute care surgery and balancing unpredictable demand, intensity, and efficiency. CONCLUSION There appears to be a shortage of acute care surgeons in the United States when a definition of 204 shifts per year cFTE is applied. Hospitals face significant financial and administrative barriers to workforce expansion despite the overabundance of clinical volume. Future research is needed to ascertain the effects of expanding the existing workforce on both clinical outcomes and surgeon well-being