Annie Dodge Wauneka: Legendary Mother of the Navajo people.

Annie Dodge Wauneka was an activist and public servant whose decades long career focused extensively on improving the welfare of the Navajo Community. She campaigned to increase education among those living on the Navajo Reservation through working on the Tribal Council, completing personal visits, and producing educational material to improve hygiene. Annie's biggest fight was against tuberculosis.

Perforation of the Terminal Ileum Secondary to Mucosal Damage of Enteroaggregative Escherichia coli and a Toothpick.

Enteroaggregative (EAEC) is a common form of that causes gastroenteritis and diarrhea worldwide. Biofilm formation on the intestinal mucosa initiates an inflammatory cascade in the gastrointestinal tissue, which has significant destructive effects on the mucosa of the small and large intestines. Small bowel obstruction and perforation due to a foreign body are uncommon, but the risk increases with pre-existing conditions such as the presence of intestinal strictures, inflammation, and mucosal ulceration.

Inducing a Closed Ankle Fracture in a Cadaveric Model to Create Interdisciplinary Teaching Models for Preclinical Medical Students.

This paper describes a cost-effective fracture simulation that aids in preclinical learning of fracture identification. This project establishes feasibility of inducing closed fractures in a donated cadaver. The study team made an identified Weber C ankle fracture in this donor, maintaining the soft tissue envelope surrounding the fracture, using minimal materials in a stepwise process that will be reproducible across educational programs regardless of access to highly specialized equipment.

Multimodal Management of Febrile Infection-Related Epilepsy Syndrome in a 17-Year-Old Male.

New-onset refractory status epilepticus (NORSE) is a clinical presentation, not a specific diagnosis, in which healthy people are suddenly struck by prolonged seizures that do not respond to at least two anti-seizure drugs and do not have a clear structural, toxic, or metabolic cause.Febrile infection-related epilepsy syndrome (FIRES) is considered a sub-category of NORSE. Our patient is a 17-year-old male admitted to the pediatric ward after a self-limited convulsive episode at home, noted to occur following five days of upper respiratory infection symptoms accompanied by fever.

Left-Sided Laparoscopic Appendectomy in a Pediatric Patient With Situs Inversus Totalis.

Acute appendicitis classically presents as periumbilical pain that migrates to the right lower quadrant. Rarely, left-sided appendicitis can occur, but it is not commonly considered in the differential of left lower quadrant pain. This report intends to raise awareness of left-sided appendicitis, in this case, due to situs inversus totalis, and to emphasize the need to perform a thorough patient evaluation.

Lesion Genotype Modifies High-Fat Diet Effects on Endometriosis Development in Mice.

Endometriosis is a chronic, estrogen-dependent gynecologic disorder that affects reproductive-aged women and to a lesser extent, post-menopausal women on hormone therapy. The condition is associated with systemic and local immune dysfunctions. While its underlying mechanisms remain poorly understood, endometriosis has a genetic component and propensity for the disease is subject to environmental, nutritional, and lifestyle influences.

Lumbar Bracing for Chronic Low Back Pain: A Randomized Controlled Trial.

Purpose: We performed this study to evaluate the effect of back bracing to treat patients with chronic low back pain.

Methods: This was a prospective, unblinded, randomized controlled trial of 61 adults with uncomplicated chronic low back pain (>12 wks) and imaging findings of degenerative spondylosis, to assess the effectiveness of a semirigid back brace. All study participants received back school instruction.

Human milk composition differs by maternal BMI in the first 9 months postpartum.

Background: Studies indicate that maternal weight status modulates human milk composition; however, results are conflicting.

Objectives: Our objective was to examine the relation between maternal body composition and human milk macronutrients and bioactive components and also their association with infant daily intakes and body composition.

Methods: Human milk samples were obtained from a longitudinal study (NCT01131117) in normal weight (NW: 18.

Maternal Adiposity is Associated with Fat Mass Accretion in Female but not Male Offspring During the First 2 Years of Life.

Objective: This study investigated which antenatal and postnatal factors determine offspring adiposity during the first 2 years of life.

Methods: Participants were mother and child pairs (N = 224). Offspring percent fat mass (%FM) was obtained using quantitative nuclear magnetic resonance at 11 time points between ages 0.

Evaluating body composition in infancy and childhood: A comparison between 4C, QMR, DXA, and ADP.

Background: Accurate and precise methods to measure of body composition in infancy and childhood are needed.

Objectives: This study evaluated differences and precision of three methods when compared with the four-compartment (4C) model for estimating fat mass (FM).

Methods: FM of children (age 14 days to 6 years of age, N = 346) was obtained using quantitative nuclear magnetic resonance (QMR, EchoMRI-AH), air-displacement plethysmography (ADP, PeaPod, less than or equal to 8 kg, BodPod age 6 years or older), and dual-energy X-ray absorptiometry (DXA, Hologic QDR).