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21 results match your criteria: "University of Tennessee Health Science Center College of Medicine Chattanooga[Affiliation]"
Neurosci Insights
September 2024
Texas A&M University College of Medicine, College Station, TX, USA.
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a novel coronavirus, emerged in December 2019, sparking a global health crisis. While initially recognized as a respiratory illness, it has become evident that Coronavirus disease 2019 (COVID-19) also affects the central nervous system. This comprehensive review focuses on the neurological manifestations of COVID-19 and its impact on patients with preexisting neurological disorders, particularly those with multiple sclerosis (MS) receiving disease-modifying therapies.
View Article and Find Full Text PDFOrthop Nurs
July 2024
Tyler M. Goodwin, MD, Department of Orthopaedic Surgery, University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, TN.
Total knee arthroplasty (TKA) is an orthopaedic operation that improves quality of life and reduces pain in patients with disabling arthritis of the knee. One commonly recognized complication is flexion contracture of the knee. Early physical therapy helps prevent flexion contracture and improve range of motion (ROM) postoperatively.
View Article and Find Full Text PDFPLoS One
May 2024
Shared Decision Making Resources, Georgetown, ME and University of New England, Biddeford, Maine, United States of America.
Background: Guidelines recommend shared decision making when choosing treatment for severe aortic stenosis but implementation has lagged. We assessed the feasibility and impact of a novel decision aid for severe aortic stenosis at point-of-care.
Methods: This prospective multi-site pilot cohort study included adults with severe aortic stenosis and their clinicians.
JBJS Case Connect
January 2024
Department of Orthopaedic Surgery, University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, Tennessee.
Case: We report a single case of a closed intra-articular distal humerus fracture in a 28-year-old man with a preexisting fishtail deformity characterized by concavity of the central trochlea and corresponding deformity of the olecranon. The patient was treated with open reduction and internal fixation.
Conclusion: The case highlights the diagnosis and challenges of treatment.
J Am Acad Orthop Surg Glob Res Rev
January 2024
From the University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, TN (Dr. Goodwin, Dr. White, and Dr. Cincere), and the Lewis Katz School of Medicine at Temple University (Mr. Wetzler), Philadelphia, PA.
Am Fam Physician
December 2023
University of Tennessee Health Science Center College of Medicine-Chattanooga, Chattanooga, Tennessee.
Primary care for women and other patients with similar reproductive potential can include a discussion about pregnancy and, depending on the patient's intent, contraceptive care or preconception care. Folic acid supplementation of at least 400 mcg per day is recommended to reduce the risk of neural tube defects, because many pregnancies are unplanned. Having a body mass index of 18.
View Article and Find Full Text PDFObjective: The benefit and utility of a physician on a US-based air ambulance is an often-debated topic in the prehospital setting. There remains the question of what, if any, effect a physician crewmember has on patient outcome. Our goal was to assess the literature to date and determine if there exists a benefit to staffing air ambulances with physicians.
View Article and Find Full Text PDFJACC Cardiovasc Interv
November 2023
Department of Cardiac Electrophysiology, St. Bernard's Heart and Vascular Center, Jonesboro, Arkansas, USA.
Background: Left atrial appendage occlusion (LAAO) is an approved alternative for stroke prevention in atrial fibrillation for patients with an "appropriate rationale" to avoid long-term oral anticoagulation (OAC). Many patients undergoing LAAO are at high risk of bleeding.
Objectives: This study sought to investigate whether dual antiplatelet therapy (DAPT) is a safe alternative to OAC (direct oral anticoagulation [DOAC] or warfarin) with aspirin after LAAO.
Objective: To introduce the application of the perivesical fat rotational flap as a substitute for omental interposition during several complex urologic reconstruction. We highlight our technique using a case of salvage prostatectomy after initial high-intensity focused ultrasound for recurrent high-risk prostate cancer requiring future adjuvant radiation treatment. We have also successfully used this technique in the management of recurrent vesicovaginal, colovesical, rectourethral fistulas, and postradiation salvage prostatectomy setting.
View Article and Find Full Text PDFJBJS Case Connect
April 2023
Department of Orthopaedic Surgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York.
Case: We report a case of a rare "floating fibula" ankle injury characterized by dislocation of the proximal tibiofibular joint (PTFJ), syndesmosis disruption, complete deltoid disruption, and tibiotalar dislocation without fibula fracture in a 44-year-old man. Imaging includes preoperative and postoperative radiographs and CT scans. Treatment involved reduction and screw fixation of the syndesmosis and PTFJ with planned screw removal.
View Article and Find Full Text PDFAm Surg
September 2023
Department of Surgery, University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, TN, USA.
Constitutional mismatch repair deficiency (CMMRD) syndrome is a rare autosomal recessive genetic disorder that has little more than 200 total cases reported as of 2020. Whereas a single mutation in genes responsible for mismatch repair causes the autosomal dominant Lynch syndrome (LS), CMMRD is caused by biallelic heterozygous defects: distinct deleterious mutations on each allele for a single gene. As the disease is exceedingly rare and may present via a wide variety of signs, including neurofibromatosis type 1- and Lynch Syndrome-associated malignancies, diagnosis and subsequent surveillance are complex with suggested methods published by the International Replication Repair Deficiency Consortium.
View Article and Find Full Text PDFAm Surg
July 2023
Department of Surgery, The University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, TN, USA.
Small bowel is a well-described site of malignant melanoma; however, it is a rare cause of intussusception. A patient presented with malignant melanoma causing jejunojejunal intussusception 11 years after resection of melanoma-in-situ. The patient was managed with exploration and resection.
View Article and Find Full Text PDFBMJ Case Rep
October 2022
Department of Orthopaedic Surgery, University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, Tennessee, USA
This case report discusses a rare case of secondary tenosynovial chondromatosis of the flexor hallucis longus (FHL). Synovial chrondomatosis is a rare, benign proliferative cartilaginous lesion arising from the synovial tissue or bursal lining of or near joints. When it is extra-articular, it is considered tenosynovial chondromatosis.
View Article and Find Full Text PDFJ Trauma Acute Care Surg
January 2023
From the Department of Surgery, University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, Tennessee.
Background: Ventilator-associated pneumonia (VAP) is a source of morbidity and mortality for trauma patients. Aspiration events are also common because of traumatic brain injury, altered mental status, or facial trauma. In patients requiring mechanical ventilation, early pneumonias (EPs) may be erroneously classified as ventilator associated.
View Article and Find Full Text PDFInt J Environ Res Public Health
August 2022
Department of Physical Therapy, The University of Tennessee, Chattanooga, TN 37403, USA.
Physical activity has become an integral component of public health systems modeling the public health core functions of assessment, policy development, and assurance. However, people with disabilities have often not been included in public health efforts to assess, develop policies, or evaluate the impact of physical activity interventions to promote health and prevent disease among people with disabilities. Addressing the core function of assessment, current physical activity epidemiology, and surveillance among people with disabilities across the globe highlights the paucity of surveillance systems that include physical activity estimates among people with disabilities.
View Article and Find Full Text PDFPlast Reconstr Surg Glob Open
May 2022
Department of Surgery, New Hanover Regional Medical Center, Wilmington, N.C.
A simplified and functional abdominal wall model is necessary for surgical education. The utility of such a model encompasses medical student, resident, and fellow education. This is especially relevant in the fields of general surgery and plastic surgery.
View Article and Find Full Text PDFAm Surg
September 2022
Department of Surgery, 70274The University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, TN, USA.
Foot Ankle Orthop
January 2021
Department of Orthopaedic Surgery, University of South Carolina School of Medicine, Columbia, SC, USA.
Background: Adult acquired flatfoot (AAFD) is commonly treated by foot and ankle surgeons. Despite how commonly this disease presents, its incidence and economic impact have yet to be defined. We hypothesized that the operative incidence of AAFD and its economic burden would increase over the time period 1996 to 2014.
View Article and Find Full Text PDFJ Pharm Pract
February 2023
Department of Pharmacy, Erlanger Health-System, Chattanooga, TN, USA.
Purpose: Poor sleep during hospitalization is common and implicated in worse patient outcomes. Despite implementation of non-pharmacologic techniques, medications are still frequently required. The study objective is to assess the frequency of new medications administered for sleep in hospitalized patients and to review literature evaluating these drug therapies in the inpatient setting.
View Article and Find Full Text PDFOrthop Nurs
August 2021
Tyler M. Goodwin, MD, Department of Orthopaedic Surgery, University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, TN.
Tourniquets have been used in the medical setting for centuries and have become the gold standard when preparing patients for surgery, particularly in orthopaedic surgery. Upper extremity tourniquet use improves intraoperative visibility and identification of anatomy. It also decreases blood loss intraoperatively and improves the safety of orthopaedic procedures.
View Article and Find Full Text PDFRMD Open
December 2020
Nephrology, The University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, Tennessee, USA.
Objectives: Patients with lupus membranous nephropathy (LMN) are at risk for prolonged proteinuria and progressive chronic kidney disease. There are no proven effective treatments for LMN, and controlled trials are lacking. This trial assessed the preferential Janus kinase 1 (JAK1) inhibitor filgotinib and the spleen tyrosine kinase inhibitor lanraplenib in patients with LMN.
View Article and Find Full Text PDF