Adenoviruses (Ads) have demonstrated significant success as replication-deficient (RD) viral vectored vaccines, as well as broad potential across gene therapy and cancer therapy. Ad vectors transduce human cells via direct interactions between the viral fiber knob and cell surface receptors, with secondary cellular integrin interactions. Ad receptor usage is diverse across the extensive phylogeny.
View Article and Find Full Text PDFCase Presentation: A 22-year-old female presented to the emergency department with a dilated right pupil and mild blurry vision. Physical examination revealed a dilated, sluggishly reactive right pupil, without other ophthalmic or neurologic abnormalities. Neuroimaging was normal.
View Article and Find Full Text PDFThe measurement of intraocular pressure via ocular tonometry is a skill necessary for the evaluation of emergency department patients with ocular complaints. Accurate results inform the use of time-sensitive medications or invasive procedures. We sought to develop and evaluate an affordable, realistic, and reproducible task trainer to allow Emergency Medicine residents and medical students to practice tonometry.
View Article and Find Full Text PDFDanon disease commonly manifests as isolated hypertrophic cardiomyopathy in female patients. The diagnosis is easily missed as it is rare and its pathophysiology is poorly understood. Without early diagnosis and treatment with heart transplantation, cardiomyopathy may progress to heart failure.
View Article and Find Full Text PDFOphthalmologic emergencies account for tens of thousands of patients presenting to the emergency department (ED) each year. Studies continue to show that ophthalmology education in medical school is limited, and this leads to many resident physicians who lack confidence in their ophthalmological examination and procedural skills if opportunities to practice these skills are not deliberately sought out during their training. Medical simulation continues to be an excellent way for physicians to learn and master these anxiety-inducing procedures.
View Article and Find Full Text PDFPhysician Assist Clin
January 2023
The purpose of this article is to bring attention to 2 topics of significant importance to the care of pregnant women and women who have recently given birth. Coronavirus disease 2019 and hypertension can have a significant impact on morbidity and mortality for these pregnant and postpartum women. Although women in their childbearing years are for the most part young and healthy, it is critically important to recognize that these patients have more stringent guidelines for vital signs and laboratory values, which should be noticed as abnormal for rapid treatment as necessary.
View Article and Find Full Text PDFJ Am Coll Emerg Physicians Open
February 2020
E-cigarette or vaping product-use-associated lung injury is a disease process obtained from smoke inhalation with electronic delivery systems and typically presents with shortness of breath, cough, and fever, not unlike pneumonia. Our patient presented with similar symptoms, and his case went unrecognized through several emergency department visits. The pathophysiology is similar to chemical pneumonitis and can cause significant morbidity and mortality, particularly when it goes unrecognized.
View Article and Find Full Text PDFIn a common garden study in Maine from 2012 to 2015, we used two bee species (Apis mellifera L. and Bombus ternarius Say (1837)) and three field-recognizable bee categories ('Most Bombus', 'Halictidae', and 'Other Bees') plus an 'All Bees' data aggregation to compare 17 native and 68 introduced plant taxa. Data were from three 1-min timed periods per flowering plant taxon on a given day at a site.
View Article and Find Full Text PDFBee reservoirs can be effective in agricultural and habitat restoration projects, but the relative attractiveness of plants is not fully understood. To improve plant selection with better knowledge of spatial, temporal, and competition aspects, we tested up to 90 plant subjects from 2012 to 2015 at four sites in Maine. We recognized Apis mellifera L.
View Article and Find Full Text PDFMedical photographs are commonly employed to enhance education, research, and patient care throughout the neurosurgical discipline. Current mobile phone camera technology enables surgeons to quickly capture, document, and share a patient scenario with colleagues. Research demonstrates that patients generally view clinical photography favorably, and the practice has become an integral part of healthcare.
View Article and Find Full Text PDFWe report the case of an infant born with perioral vesicles that rapidly spread to involve his mouth and the majority of his body. Histopathology, immunofluorescence, and enzyme-linked immunohistochemistry assays confirmed a diagnosis of epidermolysis bullosa acquisita (EBA). His mother had no history of EBA, and serum indirect immunofluorescence was negative.
View Article and Find Full Text PDFProper use of the metered-dose inhaler (MDI) is essential for medications to prevent and treat acute asthma exacerbations. This training video teaches children and clinicians correct technique for MDI use.
View Article and Find Full Text PDFPollinator-dependent agriculture heavily relies upon a single pollinator-the honey bee. To diversify pollination strategies, growers are turning to alternatives. Densely planted reservoirs of pollen- and nectar-rich flowers (pollination reservoirs, hereafter "PRs") may improve pollination services provided by wild bees.
View Article and Find Full Text PDFBackground: Horner's syndrome refers to the clinical triad of ptosis, miosis, and anhidrosis resulting from disruption of the ocular and facial sympathetic pathways. A myriad of etiologies can lead to Horner's syndrome; awareness of the underlying anatomy can assist physicians in identifying potential causes and initiating appropriate care.
Case Report: Two patients presented to our Nashville-area hospital in 2014.
Introduction: A majority of newly matriculated emergency medicine residents begin their residencies without any formal ophthalmology training received in medical school. Research on available eye models for procedural education and an eye emergencies curriculum is limited.
Methods: We developed an eye emergencies curriculum that incorporated a series of lectures and case presentations over the academic year with a biannual "ophthalmology day", which included an intense skills laboratory with novel models.
Two studies summarize the development and initial validation of the Multicultural Personality Inventory (MPI). In Study 1, the 115-item prototype MPI was administered to 415 university students where exploratory factor analysis resulted in a 70-item, 7-factor model. In Study 2, the 70-item MPI and theoretically related companion instruments were administered to a multisite sample of 576 university students.
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