22 research outputs found
Recommended from our members
Metastatic lung cancer mimicking varicella-zoster virus
No full text_Case Presentation X Photo Vignette _Letter Authors declare that the contents of this article are their own original unpublished findings. Title: Metastatic lung cancer mimicking varicella-zoster virus Authors: Katherine Snow1 BA, Rylee Moody1 MD, Michael Kremer2 MD, Sofia Chaudhry2 MD Affiliations: 1Saint Louis University, School of Medicine, St. Louis, Missouri, USA, 2SSM Health Saint Louis University Hospital, Department of Dermatology, St. Louis, Missouri, USA Corresponding Author: Katherine Snow, 1008 South Spring Avenue, St. Louis, MO 63110, Tel: 314-617-2660, Email: [email protected] Abstract: Cutaneous metastases from lung adenocarcinoma are rare and usually signify advanced disease with a poor prognosis. This case describes a 63-year-old woman with stage IV lung adenocarcinoma who presented with a painful, initially unilateral, rash on her breast. The clinical appearance of erythematous plaques with vesiculo-papules suggested disseminated herpes zoster, leading to the initiation of intravenous acyclovir. However, histopathology revealed atypical epithelial cells consistent with cutaneous metastasis from the primary lung carcinoma. Although cutaneous metastases from lung cancer typically present as nodules, zosteriform skin metastases are extremely rare. This case is a unique instance of bilateral zosteriform skin metastases from lung carcinoma, underscoring the importance of considering cutaneous metastasis in patients with atypical skin lesions and underlying malignancy. Early recognition and accurate diagnosis are crucial for patient management and prognosis
Dessert Theatre 2008
No full text(l to r) Noel Polk, Rylee Tomlinson, Charlie Anderton, Mattie Codling, and Howard Bahr Mississippi author Howard Bahr and Starkville\u27s own nationally-renowned Nash Street were guests of MSU Libraries on Tuesday, April 29th for an evening of fellowship, food, and fun. Nash Street opened the evening with a set of acoustic bluegrass music; Dr. Noel Polk of MSU\u27s Department of English recognized the 2008 Cotton District Literary Festival Poetry Competition Winners; MSU\u27s Chef David French provided desserts and coffee; and Howard Bahr spoke about his novels of the South. guests visited with Bahr and the band during and after the program, and the author and musicians sold and autographed copies of their books and music. Poetry Competition Winners and their works for 2008 were: Mattie Codling - The Ivy Leaf ; Charlie Anderton - Lovesong to John Prufrock ; Rylee Tomlinson - Barcelon
Improving Institutional Partnerships for Science & Stewardship: A Case Study Between the Smithsonian & Black Churches in Baltimore, Maryland
No full textIncreasingly diverse teams are crucial for tackling complex environmental challenges, particularly in cities and among historically marginalized communities. This study examines interdisciplinary collaboration in Baltimore, Maryland, involving scientists, faith-based groups, and local nonprofits. Together, they seek to address common questions about environmental restoration success and support local environmental education. Drawing on literature in environmental justice, liberation theology, and participatory approaches, this thesis highlights unique intersections. It explores emerging partnerships between scientists and faith leaders and examines the role of language in relationship-building through interviews. Reflexive analysis engages with two and a half years of implementation efforts between the Smithsonian and local organizations. The author advocates for radical listening, particularly among scientists, to foster diverse partnerships. Additionally, the author proposes reimagining academic structures to facilitate equitable community engagement
A qualitative investigation of exercising with MS and the impact on the spousal relationship
No full textRecommended from our members
The Role of the Problem List in Chronic Pain Management
No full textIn the United States, roughly a quarter of the population suffers from moderate to severe chronic pain for at least six months out of any given year.1 Chronic pain develops when gradual changes arise in both neurological and immunological levels, leading to the sensitization of pain receptors. This sensitization allows for pain to arise from modest to minimal stimuli.2 The Centers for Disease Control and Prevention (CDC) developed chronic pain management guidelines for responsible opioid prescribing in 2016.3 Although these guidelines are designed to help the provider manage chronic pain, only 56% of patients report satisfaction with their pain level.4 Further, 18% of patients attending a pain clinic sought emergency care, with 6% experiencing a hospital admission.5 Chronic pain puts stress on the body, and the prolonged state of stress may lead to endocrine, cardiovascular, and immune sequelae.6-9The complexity of managing chronic pain and the adverse health outcomes associated with opioid therapy has encouraged health care professionals to seek out innovative ways to address pain. Problem lists were developed to improve the provider’s awareness of relevant health problems or symptoms and assist in offering appropriate treatment decisions in the setting of various comorbidities.10 It has been demonstrated that keeping the problem list up to date with the patient’s current health problems can improve communication between visits and increase evidence-based treatment for chronic conditions.11-14 However, there is a paucity of research as it pertains to the practical implications of using the problem list in the clinical practice of pain management. To better understand the relationship between chronic pain documentation on the problem list and utilization of pain-specialty care, this study aims to answer the following questions: (1) What are the patient characteristics associated with chronic pain documentation on the problem list? (2) Is documentation of chronic pain on the problem list associated with the utilization of specialty pain care?The author conducted a historical cohort analysis of electronic health data from a large health network consisting of 37 acute care hospitals and 445 ancillary care sites. The study population included 12,803 adult patients with a chronic pain diagnosis. The patient cohorts were identified based on the presence or lack thereof of chronic pain on the problem list. Patient medical records were collected for one year after the patient’s initial visit during the study period. The author used a binomial regression analysis to assess the relationships among chronic pain documentation, patient characteristics, and utilization of pain specialty care.The study design consisted of two parts. In part 1, the author examined the independent and combined contributions of age, race/ethnicity, gender, type of chronic pain diagnosis, opioid prescription, and insurance status to the documentation of chronic pain on the problem list in patients diagnosed with chronic pain. Findings from these analyses indicate that younger age, female, Black non-Hispanic, having a migraine diagnosis, and use of opioid prescriptions were significant predictors of chronic pain documentation on the problem list.Part 2 of this study examined the association of chronic pain documentation on the problem list to utilization of chronic pain specialty care. A logistic regression explored the association of chronic pain documentation on the problem list and age, gender, race/ethnicity, diagnosis type, insurance status, and opioid prescription on utilization of specialty chronic pain care. The findings from Part 2 of this study indicate that the documentation of chronic pain on the problem list, female, and a diagnosis of other chronic pain were associated with utilization of specialty pain care. Thus, documentation of chronic pain on the problem list should be considered a possible pathway to improve specialty pain care utilization.Other factors such as primary care provider experience or skill level may influence both the documentation on the problem list and referral for specialty pain care. Therefore, further research is needed to investigate if the association of chronic pain documentation on the problem list is a possible causal link to the utilization of specialty care. As a single location in the electronic health record to enable quick access to essential problems at hand, the problem list is a crucial tool that can assist with the communication of chronic pain from a visit to visit and provider to provider, providing higher quality care through instantaneous alerts and suggestions for patients. The policy implications may also help inform decisions based around value-based care initiatives by suggesting that the problem list may be used as a tool to help communicate about a patient’s pain problem and, therefore, promote early utilization of specialty pain care
Anderton Reads Poetry
No full textMississippi author Howard Bahr and Starkville\u27s own nationally-renowned Nash Street were guests of MSU Libraries on Tuesday, April 29th for an evening of fellowship, food, and fun. Nash Street opened the evening with a set of acoustic bluegrass music; Dr. Noel Polk of MSU\u27s Department of English recognized the 2008 Cotton District Literary Festival Poetry Competition Winners; MSU\u27s Chef David French provided desserts and coffee; and Howard Bahr spoke about his novels of the South. guests visited with Bahr and the band during and after the program, and the author and musicians sold and autographed copies of their books and music. Poetry Competition Winners and their works for 2008 were: Mattie Codling - The Ivy Leaf ; Charlie Anderton - Lovesong to John Prufrock ; Rylee Tomlinson - Barcelon
Tribal Relations and NAGPRA: Consciousness, Connectedness, and Cause
No full textNative American Grave Protection Act (NAGPRA) was enacted in 1990 as a way for federally recognized tribes to bring home Ancestors and belongings that have been held captive in universities, museums, and government agencies. This thesis examines if NAGPRA helps Tribal nations in their goals for repatriation and protection as intended. By connecting with Tribal Historic Preservation Officers (THPO) from Anishinaabe Tribes in the State of Michigan via survey and interview, this study demonstrates that Indigenous voices are important, especially in writing their own history. This thesis sought to answer the questions: Does NAGPRA harm or help tribes? Where are the Indigenous voices? It argues that, while the NAGPRA process may seem beneficial, it can cause harm to tribe-to-institution relationship facilitation, hindering repatriation abilities and disregarding the primary basis for the law: that all humans deserve human rights. The author and this work are situated at the intersection between Anthropology and Native American Studies. Qualitative and quantitative analysis was conducted through these intersecting lenses alongside Indigenous Standpoint Theory, resulting in the discovery of thematic elements such as consciousness, connectedness, and cause. The results from the knowledge shared indicated that NAGPRA was helpful in the letter of the law and suggest that the law has gone as far as it can. The problem lies within the spirit of the law. This was seen in the lack of recognition of Indigenous science and perspectives, dehumanizing language, lack of compliance, and poor effort from institutions to form relationships with Tribal nations
Tomlinson Reads Poetry
No full textMississippi author Howard Bahr and Starkville\u27s own nationally-renowned Nash Street were guests of MSU Libraries on Tuesday, April 29th for an evening of fellowship, food, and fun. Nash Street opened the evening with a set of acoustic bluegrass music; Dr. Noel Polk of MSU\u27s Department of English recognized the 2008 Cotton District Literary Festival Poetry Competition Winners; MSU\u27s Chef David French provided desserts and coffee; and Howard Bahr spoke about his novels of the South. guests visited with Bahr and the band during and after the program, and the author and musicians sold and autographed copies of their books and music. Poetry Competition Winners and their works for 2008 were: Mattie Codling - The Ivy Leaf ; Charlie Anderton - Lovesong to John Prufrock ; Rylee Tomlinson - Barcelon
Codling Reads Poetry
No full textMississippi author Howard Bahr and Starkville\u27s own nationally-renowned Nash Street were guests of MSU Libraries on Tuesday, April 29th for an evening of fellowship, food, and fun. Nash Street opened the evening with a set of acoustic bluegrass music; Dr. Noel Polk of MSU\u27s Department of English recognized the 2008 Cotton District Literary Festival Poetry Competition Winners; MSU\u27s Chef David French provided desserts and coffee; and Howard Bahr spoke about his novels of the South. guests visited with Bahr and the band during and after the program, and the author and musicians sold and autographed copies of their books and music. Poetry Competition Winners and their works for 2008 were: Mattie Codling - The Ivy Leaf ; Charlie Anderton - Lovesong to John Prufrock ; Rylee Tomlinson - Barcelon
Bahr Speaks for Dessert Theatre
No full textMississippi author Howard Bahr and Starkville\u27s own nationally-renowned Nash Street were guests of MSU Libraries on Tuesday, April 29th for an evening of fellowship, food, and fun. Nash Street opened the evening with a set of acoustic bluegrass music; Dr. Noel Polk of MSU\u27s Department of English recognized the 2008 Cotton District Literary Festival Poetry Competition Winners; MSU\u27s Chef David French provided desserts and coffee; and Howard Bahr spoke about his novels of the South. guests visited with Bahr and the band during and after the program, and the author and musicians sold and autographed copies of their books and music. Poetry Competition Winners and their works for 2008 were: Mattie Codling - The Ivy Leaf ; Charlie Anderton - Lovesong to John Prufrock ; Rylee Tomlinson - Barcelon
