Enhancing Dissemination at Medical Conferences: A Cross-Disciplinary Approach for Learners

Empowering novice authors, particularly trainees and learners, this perspective piece integrates a cross-disciplinary approach to bolster scholarly dissemination at medical conferences. Through a tripartite methodology — Innovate, Implement, and Influence — the article first delves into innovation, offering four essential heuristics sourced from diverse fields, guiding the germination of ideas. Next, it demystifies the transformation of these ideas into research abstracts through a structured blueprint. The finale encompasses strategies to create compelling presentations that resonate with audiences. Woven throughout is an emphasis on craftsman-like precision in idea execution, fostering relationships, and engaging genuinely with content while maintaining audience-centricity. This blueprint conveys that scholarly dissemination, approached with meticulousness and collaborative spirit, is the cornerstone of healthcare innovation

Scholarly Activity in Residency: A Needs Assessment of Challenges and Proposed Solutions

Introduction Resident physician participation in scholarly activity is associated with significant benefits ranging from trainees’ personal development to improved quality of patient care. Residency programs have taken varied approaches to improve resident engagement in scholarship, though interventions have demonstrated mixed results regarding objective measures of scholarly productivity. Concerns regarding waining interest in scholarship amongst internal medicine residents prompted a department-wide needs assessment to evaluate opportunities for scholarship and challenges preventing resident participation. Methods A web-based survey was developed and distributed to Department of Internal Medicine faculty and residents at the PGY2 level or higher and recent graduates within the last year prior to the study. We investigated perceived opportunities for resident scholarship, perceived challenges with resident scholarly activity, preferences regarding scholarly projects, and faculty experiences with mentorship. Descrptive statistics were used to describe survey responses. Results Faculty and trainees shared similar perceptions of inadequate opportunities for resident participation in scholarly activity and endorsed a preference to join ongoing projects early in their course as opposed to starting new projects or joining projects near their completion. Both groups identified lack of resident time as a barrier to resident participation in scholarly activity but faculty were more likely to report lack of resident aptitude for research and lack of faculty time and aptitude for mentorship as challenges. Conclusions Residents and faculty are not aware of all the resources in place to support scholarship opportunities for trainees. Resident and faculty time is a significant barrier to resident scholarship and further efforts are needed to support faculty and trainee collaboration while mitigating challenges which limit the use of currently available resources. Regular curricular assessment is necessary to ensure that trainees and faculty are aware of available resources and that those resources are meeting the departments specific needs

Recurrent Polymicrobial Bloodstream Infections as Harbingers of a Duodenal-Inferior Vena Cava Fistula

This is a case of an 82-year-old patient who presented with recurrent polymicrobial bloodstream infections and no obvious undrained source of infection. She had prior double barrel iliocaval stenting for post thrombotic syndrome. The patient underwent exploratory laparotomy and primary repair of a duodenal-caval fistula with a fascia lata patch and an omental pedicle flap. No further bloodstream infections were documented after the repair. This discussion highlights an uncommon complication of IVC stenting, its presentation as well as the operative approach used to repair the fistula

NGC 7331: the Galaxy with the Multicomponent Central Region

We present the results of the spectral investigation of the regular Sb galaxy NGC 7331 with the Multi-Pupil Field Spectrograph of the 6m telescope. The absorption-line indices H-beta, Mgb, and are mapped to analyse the properties of the stellar populations in the circumnuclear region of the galaxy. The central part of the disk inside ~3" (200 pc) -- or a separate circumnuclear stellar-gaseous disk as it is distinguished by decoupled fast rotation of the ionized gas -- is very metal-rich, rather young, ~ 2 billion years old, and its solar magnesium-to-iron ratio evidences for a very long duration of the last episode of star formation there. However the gas excitation mechanism now in this disk is shock-like. The star-like nucleus had probably experienced a secondary star formation burst too: its age is 5 billion years, much younger than the age of the circumnuclear bulge. But [Mg/Fe]=+0.3 and only solar global metallicity imply that the nuclear star formation burst has been much shorter than that in the circumnuclear disk. The surrounding bulge is rather old, 9--14 billion years old, and moderately metal-poor. The rotation of the stars and gas within the circumnuclear disk is axisymmetric though its rotation plane may be slightly inclined to the global plane of the galaxy. Outside the circumnuclear disk the gas may experience non-circular motions, and we argue that the low-contrast extended bulge of NGC 7331 is triaxial.Comment: LATEX, 27 pages, + 15 Postscript figures. Accepted to Astronomical Journal, July issu

The Value of a Longitudinal Human Immunodeficiency Virus Track for Medical Students: 10-Year Program Evaluation

We surveyed graduates of a longitudinal medical school human immunodeficiency virus curriculum to evaluate its impact. Respondents felt comfortable caring for people with human immunodeficiency virus (PWH) and found value from the curriculum regardless of ultimate career path. Programs like this contribute to the development of culturally sensitive clinicians comfortable caring for PWH

Customized Blister Packaging for Patients Living with HIV: Assessment of Patient Attitudes and Satisfaction

Adherence to antiretroviral medication results in reduced HIV transmission and improved health outcomes, yet challenges with medication adherence remain. A Collaborative Care Program was developed with a community pharmacy integrating a multi-dose adherence packaging service. We surveyed program participants to assess their satisfaction with this program and found an overall positive sentiment toward the program, that the program helped with reducing missed doses, and all patients would recommend the program to others

Symmetrical Drug-Related Intertriginous and Flexural Exanthema Induced by Cellulitis Prophylaxis

Penicillin VK and hydroxyzine are typically well-tolerated antipruritic agents that are indicated in the prophylaxis of cellulitis. We herein report a case of a unique rash occurring during penicillin VK and hydroxyzine treatment in combination with the ingestion of cashews. A 77-year-old male presented with new onset rash. Eleven days after the administration of penicillin VK and hydroxyzine for cellulitis prophylaxis, he developed a symmetric, erythematous, scaling rash on his buttocks and perineal region with associated pruritus and bleeding without fevers, chills, adenopathy, night sweats, or any other symptoms. He was diagnosed with symmetrical drug-related intertriginous and flexural exanthema (SDRIFE) secondary to systemic treatment, an adverse drug reaction that presents as an erythematous rash involving the skin folds. The condition is also known as “baboon syndrome,” as it predominately affects the buttocks. A good outcome was achieved due to a thorough history and physical, timely diagnosis, and cessation of the offending agents

Modeling the radial abundance distribution of the transition galaxy ngc 1313

NGC 1313 is the most massive disk galaxy showing a flat radial abundance distribution in its interstellar gas, a behavior generally observed in magellanic and irregular galaxies. We have attempted to reproduce this flat abundance distribution using a multiphase chemical evolution model, which has been previously used sucessfully to depict other spiral galaxies along the Hubble morphological sequence. We found that it is not possible to reproduce the flat radial abundance distribution in NGC 1313, and at the same time, be consistent with observed radial distributions of other key parameters such the surface gas density and star formation profiles. We conclude that a more complicated galactic evolution model including radial flows, and possibly mass loss due to supernova explosions and winds, is necessary to explain the apparent chemical uniformity of the disk of NGC 1313Comment: 14 paginas, 4 figures, to be published in ApJ, apri

Electrochemical investigation on localised corrosion under silica sand deposit layers of carbon steel within a bespoke test cell

The corrosion behaviour of deep pit-like features on carbon steel under silica sand deposits has been evaluated using a bespoke localised corrosion cell. Local pH and electrochemical measurements were performed, including impedance spectroscopy and galvanic coupling. The corrosion rate of X65 carbon steel at four different recession depths up to 9 mm was evaluated in the presence and absence of a ∼8 mm-thick silica dioxide deposit layer, in a carbon dioxide-saturated environment. The deposit reduced corrosion rates to approximately 1 mm·yr−1 and iron carbonate formed on the steel surface under the deposit due to an increase in local pH