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LVAD Outflow Graft Compression Presenting as Pump Thrombosis, Kelsey Barrett, Barbara A. Ebert CRNP, Nael Hawwa, Sima Y. Hodavance MD, Nauman Islam MD, James Burke MD, Ahmed Nassar, and Timothy S. Misselbeck

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Sex differences in patients with suicidal intent that are managed by toxicologists: An analysis of the Toxicology Investigators’ Consortium (ToxIC) Registry, Gillian A. Beauchamp MD; Jacob Fishbein; Gregory A. Makar; Rita Pechulis MD, FCCP; Matthew D. Cook DO; Robert D. Cannon DO; Kenneth D. Katz MD; Hope Kincaid MPH, CPH; Jennifer L. Carey; and Marna R. Greenberg DO, MPH, FACEP

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The Effect of the COVID-19 Pandemic on the Number of Completed and Cancelled Visits Among LVPG Rheumatology Patients, Steven Beigelman and Marie S. O'Brien DO

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An Autoethnographic Examination of the Patient-Clinician Relationship During COVID-19 Pandemic, Alexandra Bersani DO, Abby S. Letcher MD, Jose Rivera, and Nicole Defenbaugh PhD

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A Case of Massive Hemoptysis Due to Pulmonary Aspergilloma, Sonali Bishnoi, Ashley Vojtek DO, Clarissa Hayes, Gregory Karamian, and C. Gerard Petersen

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Evaluation of Childhood Obesity to Parental Obesity in Rural FM Clinic, Nancy Bobrysh and Elaine Banerjee MD, MPH

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The Transformation of Residency Recruitment in the era of COVID-19: Optimizing Residency Recruitment for Lehigh Valley Health Network, David Bosch; Margaret A. Hadinger EdD, MS; and Drew Keister MD

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The Benefit of a Physical Therapy Vestibular Evaluation in the Emergency Department: A Case Study, Nicholas Boyd and Daniel Sawyer PT, DPT

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Trauma Debriefing in Pediatric Critical Care Nurses, Caitlin Brittenburg BSN, RN; Savannah Buday ADN, RN; Mary Kate Fahy BSN, RN; Brittany Meschonat ADN, RN; Tara Ordemann BSN, RN; and Matthew Turner ADN, RN

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Comparing post-operative outcomes between the inverted-t and horizontal lipectomy techniques, Zara Butte; Ahmed Mansour MD; Hope Kincaid MPH, CPH; and Robert X. Murphy JR, MD, MS

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Dissect The Case, Kaitlyn L. Buzard DO; Kaitlyn Dalsey DO; Lisa E.A. Dwyer-Joyce MD; Nicole Chiapetta DO; and James Ross MD, FACP

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Proper IV Line Reconciliation, Jennifer Byrne BSN, RN; Danielle Hill ADN, RN; Janet Johnson BSN, RN; and Nevada Kardos BSN, RN

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Standardized Emergency Behavioral Health Education Amongst Staff, Moriba Camara ADN, RN; Nava Reed ADN, RN; Stacy Long ADN, RN; and Alice Rivera ADN, RN

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Comparing Retrospective PSU Measurements With the LEEP-COVID 2020 Study to Ascertain Similarities in Calories per Kilogram of Body Weight for Ventilator-Dependent COVID-19 Patients, Kimberly Cephas

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Population and Intervention Analysis of Resident Generated On-Shift Evidence Based Medicine Questions, Estelle Cervantes BA; Phillip Sgobba BS, MBS; Shreyas Kudrimoti BA; Jacob Albers; Jeffrey B. Brown; Kashyap Kaul DO; William Spinosi DO; Ajay Varadhan; Joseph B. Zackary MD; and Bryan G. Kane MD

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Accuracy, Resource Utilization, and Sex and Race Differences of Myocardial Infarction (MI) Alerts: A Single-Center Experience in the Application of a Pre-Hospital Personnel Electrocardiogram (ECG) Education and Transmission Intervention, Rachael Chaska; Jeanne L. Jacoby MD; Bryan D. Nelson MBA, NR-P; Orlando E. Rivera RN; Kashyap Kaul DO; Jay Gopal; Christopher Connell DO; Tyler Willing DO; Jessica Jacoby; Ali Yazdanyar Do, PhD; Bruce Feldman DO; Anita Kurt PhD, RN; Andrew Ferdock; Joanna Schwab; Nicholas S. Imperato; and Katelyn McLain

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Evaluating the Data of Patient Scales (PHQ-9, BDI, GAD-7) from the Lehigh Valley Health Network Transcranial Magnetic Stimulation (TMS) Program, Courtney Chellew; Eugene Kim; and Brett Williamson MSW, MBA

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Influence of Resident Involvement in Ophthalmology on Short-Term Patient Outcomes: A Meta-Analysis, John Yu Cheng, Steven Beigelman, Tambari Piawah, Avi Robinson, Emily Coughlin, and Rahul Mhaskar

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Outcomes of Single-Incision vs Multiport Laparoscopic Appendectomies in Pediatric Populations at a Single Institution, Tiffany Cheng, Elizabeth Hughes MD, Heather Geist MD, Sarah A. Jones Sapienza MD, Daniel Relles MD, and Marybeth Browne MD

Case Report: Presenting a Case of Catatonia that Required ECT Due to Patient’s Inability to Care for Self, Michael Chen MD

Case Report: A Case of Hypokinetic Catatonia that Required ECT., Michael Chen MD and Vivek Gorijala MD

Waxing and waning cannabis-induced first-break psychosis: a case report, Michael Chen MD, Vivek Gorijala MD, and Katrina Amber-Monta MD

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Impact of Metformin on Statin Persistence, Byron Cheon; Ambuj Kumar MD, MPH; Athanasios Tsalatsanis; Kevin Cowart; Ronald Magness; Srinivas Tipparaju; and Nicholas Carris

Clinicopathological Characteristics of Low to Intermediate Grade Neuroendocrine Tumors with Oncocytic Features, S Cui, B Liu, K Mijares, J Paulsen, and Jihong Sun MD

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The Effects of Preceptor Ratios During Orientation, Alyssa Danner ADN, RN; Bonnie Neary BSN, RN; Trang Le BSN, RN; and Rachel Smith ADN, RN

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Leukoencephalopathy Secondary to Heroin Inhalation: A Noteworthy Consideration, Patrick Davis MD, Sidney Okon, Francis Sean Wilson, David Finch, and Beth Stepanczuk MD

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An Analysis of the State of Urological Care in Rural Communities, Kevin Detrick; Meliya Hart; and Jatin P. Gupta DO, MS

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3, 2, 1: Novel Use of Clonidine Patch to Treat Tizanidine Withdrawal, Aaron B Deutsch DO, Curtis Flaherty MD, Natalie E. Ebeling-Koning DO, Gillian A. Beauchamp MD, and Kenneth D. Katz MD

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The Effectiveness of Peanut Ball Education for L&D Nurses, Brianna Diefenbach BSN, RN; Olivia Gallo BSN, RN; Audrey Mercer RN; Jennifer Szerencsits BSN, RN; and Stephanie Zagorianakos RN

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Student Journeys: Recruitment, Engagement, and Retention in Healthcare, Rylee Donaldson; Kerri Green MS, MEd.; and Nicole Wiswesser RN

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Agents of Exposure among Pediatric Transgender Patients: An Analysis of the Toxicology Investigator’s Consortium (ToxIC) Registry, William Nick Doyle BS; Derek J. Fikse DO; Richard J. Mazzaccaro MD; Gillian A. Beauchamp MD; Marna R. Greenberg DO, MPH, FACEP; Tasha Desai DO; Natalie E. Ebeling-Koning DO; Katelyn McLain; Judith Sabino MPH, CDP; Beth Careyva M.D.; and Alexandra Amaducci DO

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Combatting Delirium in the ICU, Brittany Ehret ADN, RN; Samuel Anthony BSN, RN; Stephanie Huff BSN, RN; Wohbenyi Betrand BSN, RN; and Michelle Nyarko BSN, RN

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Development of a Remote Patient Monitoring Program for Management of Hypertensive Disorders of Pregnancy, Naomi Epstein, Meredith Rochon MD, Matthew P. Romagano DO, and Danielle E. Durie MD

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Teaching Methods for Postpartum Mothers, Kristy Ernst ADN, RN; Alyssa Golomb BSN, RN; and Megan Melapioni BSN, RN

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Cannabinoid Use and Total Hospital Cost in Patients With Cirrhosis: A Study Based on Nationwide Inpatient, Rajesh Essrani MD, Muhammad Usman Zafar, Zahid I. Tarar, Umer Farooq, and Jiten Kothadia

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Navigating the Perfect Storm: Staffing Crisis During the Pandemic, Melissa Faura RD, LDN; Ann Flickinger MS, RD, LDN; and Kimberly Procaccino MBA, RD, LDN

Description of rating of outcome scale (ROS) scoring trends during pilot implementation at LVHN adult transition partial hospitalization program, David Finch, Regino Flores MD, Steve Denton LCSW, and Katherine B. Martin MD

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Pre-procedural Evaluation and Optimization: National and Local Approaches to Performance Improvement, Matthew Fitzsimmons; Thomas A. McLoughlin MD; Matthew McCambridge MD; Michael D. Pasquale MD, FACS, FCCM; James Miller CRNA; Andrew Aspen CRNA; Tammy Gallagher RN; Amy M. Depuy MD; and Kristen Karwacki PA-C

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Knowledge is Power: Using an Instructional Video Library to Provide Continuous Education in the NICU, Leyna Fleischaker; Marybeth Browne MD; and Dolores T. Suzansky MSN, RNC-NIC

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The Importance of Violence Prevention Coordinators to Your Trauma Program, Carol Fox RN, MA, CCRN and Melissa Mee

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Evaluation of the Extrapulmonary Benefits after Initiation of Elexacaftor/Tezacaftor/Ivacaftor in Pediatric Patients, Sara Frey PharmD; Shae Duka MPH; Lauren Greenawald DO; and Katelin Kimler PharmD, BCPPS

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Intentional Self-Harm Overdoses Before and During the COVID-19 Pandemic in Adolescents Managed by a Medical Toxicology Consultation Service, Samantha L. Gaetani MD; Natalie E. Ebeling-Koning DO; Nicholas S. Imperato; Katelyn McLain; Derek J. Fikse DO; Gillian A. Beauchamp MD; Marna R. Greenberg DO, MPH, FACEP; and Alexandra Amaducci

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Intentional Self-Harm Overdoses Before and During the COVID-19 Pandemic in Adolescents Managed by a Medical Toxicology Consultation Service, Samantha L. Gaetani MD; Natalie E. Ebeling-Koning DO; Nicholas S. Imperato; Katelyn McLain; Derek J. Fikse DO; Gillian A. Beauchamp MD; Marna R. Greenberg DO, MPH, FACEP; and Alexandra Amaducci

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Let’s Stay Together: Using Glucose Gel to Reduce Neonatal Hypoglycemia and Promote Breastfeeding, Kimberly Galluzzo

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The Creation of a Rapid Psychiatric Stabilization Team for Psychiatric Surge Volumes, Khushbu Gandhi DO; Edward R. Norris MD, FAPA, FAPM; Steve Denton LCSW; Shawn Coyle LCSW; and Kenneth Zemanek MD

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How to Reduce No-Show Rate in Family Medicine Clinic: A Quality Improvement Project, Xiaoxiao Gao and Grant M. Greenberg M.D., M.H.S.A., M.A.

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Now You See Me, Now You Don’t: Analysis of the Gold Standard for Portal Vein Thrombosis Diagnosis, William Ghaul

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Enhancing LGBTQ+ Care Provision at LVHN, Anne Glowacki and Judith Sabino MPH, CDP

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Neurochemistry of Depersonalization and Current Treatment Options, Taylor Goldman, Rachael Murphy MD, and Katherine B. Martin MD

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Usage of Scales to Guide Psychiatrist Clinical Judgment for Patients Receiving Electroconvulsive Therapy, Vivek Gorijala and Katherine B. Martin MD

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Real-Time Feedback by Personal Text Message as a Successful QI-Tool to Boost Pediatric VTE Screening Rate, Stormie Gough; Claudia F. Busse MD; Anna V. Folk MSN, MSN, RN, CPN; Jo Lynn Xander; and Amy L. Lindmark DO

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A Rare Case of Hypercalcemia Caused by Silicone Induced Foreign Body Granulomatous Reaction, Saloni Goyal DO, Kaitlin Buzard DO, Nabila Zamir DO, and Philip Dunn DO

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A Curious Case of Intractable Hepatic Encephalopathy, Timothy Graziano DO, Michael Li MD, Amanda Jacubowsky DO, Arjan Ahluwalia MD, and Ross Myers MD

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Modified Early Warning Score (MEWS)-Enhanced Emergency Department Patient Flow Process, Megan R. Greenberg BS; Shadi Jarjous MD; Zhe Chen MD; Anthony Buonanno MD, MBA; David B. Burmeister DO, FACEP, CPE; Shuisen Li DO; and Ali Yazdanyar DO, PhD, MS

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Impacting Cervical Cancer Disparities in Hispanic Women in the Lehigh Valley, Jaskaran Grewal and Autumn Kieber-Emmons MD, MPH

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Exploring the Short-Term Impact of Provider Education on Lung Cancer Screening in LVHN Primary Care Practices: A Pilot Quality Improvement Project, Kaylan Griffith; Grant M. Greenberg M.D., M.H.S.A., M.A.; and Melanie B. Johnson MPA

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Integrated Care Coordination: A 10-Year Journey of Care Management Across a Health System, Brooke Griffiths MSW, LSW and Victoria Chestnut DNP, MBA, RN, CCCTM

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Medication Use Evaluation of Vancomycin and Clindamycin for Group B Streptococcus Prophylaxis in Labor and Delivery Patients, Michelle Gronski PharmD and Katelin Kimler PharmD, BCPPS

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Development of an Evidence-Based Compendium of Institutional Graduate Medical Education Leadership Competencies (GMELCs), Margaret Hadinger, EdD MS; Brigham C. Willis; Jacqueline E. Levesque; Kathryn M. Andolsek; Sharon Hall; and Karen Broquet

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Defining Leadership: Key Competencies for GME Leaders, Margaret A. Hadinger, Brigham C. Willis, Jacqueline E. Levesque, Kathryn M. Andolsek, Sharon Hall, and Karen Broquet

Histology Proven Pulmonary Fibrosis in Patients Recovered from SARS-COV-2 Infection: Case Series Report of Four Autopsies, J Han and Jihong Sun MD

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Agents of Exposure in Transgender Patient Cases Managed by a Toxicologist: An Analysis of the Toxicology Investigator’s Consortium (ToxIC) Registry, Olivia A. Hardy; Alexandra Amaducci DO; Judith Sabino MPH, CDP; Beth Careyva M.D.; Matthew D. Cook DO; Kenneth D. Katz MD; M G. Ryan; Ryan Surmaitis DO; Andrew L. Koons DO; Joseph B. Zackary MD; Gillian A. Beauchamp MD; and Marna R. Greenberg DO, MPH, FACEP

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Thyroid Cyst Grows E. coli, Clarissa Hayes, Marc Stezzi DO, Emily C. Skutnik DO, Trevor Scheckelhoff, Henry Lam DO, David Egeler, Jeffrey Wright DO, and Gretchen A. Perilli MD

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Consistent Nurse Mentoring, Madison Hoak BSN, RN; Fariba Nikfard ADN, RN; Hannah Jones ADN, RN; Jailene Juan ADN, RN; and Melissa Ream RN

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Remaining Open about the Recurrence of Pediatric Pilonidal Disease: Setting the New Standard, Olivia Hoening; Carly Miller; Marybeth Browne MD; and Mary Fragassi CRNP, MSN

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Development of an Occupational Therapy Pathway for Individuals Diagnosed With COVID-19 in the Acute Care Setting, Allison Hoffman, Danielle Accordino, and Lauren Reightler

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Developing Occupational Therapy’s Role in Discharge Facilitation for the Patient With Traumatic Brain Injury, Allison Hoffman and Mary Loose PT

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Therapy Protocol for the Management of the Patient With Low-Level Traumatic Brain Injury in the Intensive and Acute Care Settings, Allison Hoffman and Mary Loose PT

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Impact of Embedded Cross-Reactivity Alert for Penicillin-Allergic Patients, Brianna Holumzer, Amy Slenker MD, Eric Young MD, Kathryn Zaffiri MPH, and Jarrod W. Kile RPhD

SBIRT: EHMR Integration to Improve Screening and Brief Intervention Compliance, Mallorie L. Huff; Bree A. Harrison BSN, RN, TCRN; Emily Bear BSN, RN, CCRN, TCRN; Jaclyn Sharkazy PA-C, MSPAS; Bryan G. Kane MD; Kathryn L Wheel MD; and Joseph J. Stirparo MD

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Addressing Ongoing Racial, Gender, and Educational Biases within Healthcare Developing Methods to Finally Close the Gap, Audrey Hughes; Grant M. Greenberg M.D., M.H.S.A., M.A.; Judith Sabino MPH, CDP; and Elizabeth Leib

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The Importance of Emphasizing Addiction Medicine During Medical Toxicology Fellowship Training: A Case Study of Tertiary Care Hospital System Toxicology Consultation Service, Nicholas S. Imperato; Chase Jones DO; Derek J. Fikse DO; Gillian A. Beauchamp MD; Marna R. Greenberg DO, MPH, FACEP; Alexandra Amaducci; and Katelyn McLain

The Importance of Emphasizing Addiction Medicine During Medical Toxicology Fellowship Training: A Case Study of a Tertiary Care Hospital System Toxicology Consultation Service, Nicholas S. Imperato; Chase Jones DO; Derek J. Fikse DO; Gillian A. Beauchamp MD; Katelyn McLain; and Marna R. Greenberg DO, MPH, FACEP

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The Importance of Emphasizing Addiction Medicine During Medical Toxicology Fellowship Training: A Case Study of a Tertiary Care Hospital System Toxicology Consultation Service, Nicholas S. Imperato; Chase Jones DO; Derek J. Fikse DO; Gillian A. Beauchamp MD; Katelyn McLain; and Marna R. Greenberg DO, MPH, FACEP

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Managing Chronic Pain With Medical Cannabis: A Chance to Reduce Opioid-Related ED Visits, Nicholas S. Imperato; Gretchen Maurer; Hope Kincaid MPH, CPH; Joseph E. Patruno MD; Joshua S. Krassen; Robert Wilson; Autumn Kieber-Emmons MD, MPH; and Andrew L. Koons

A case report: Bilateral basal ganglia hyperinensities on MRI brain in a patient with depression, Kara Jacobs MD

A Case Report of Multifactorial AMS: New Early-Onset Mild Cognitive Impairment in the Setting of Concurrent Major Depressive Disorder and COVID Positive Status with Prior Traumatic Brain Injury and Alcohol Use Disorder, Kara Jacobs MD

Bilateral Basal Ganglia Hyperintensities on MRI Brain in a Patient with Depression, Kara Jacobs MD and Anthony Rainey MD

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Improvement of Pre-hospital Myocardial Infarction Alerts as a Measure for Increasing Value of Health Care Delivery in Patients with Suspected ST-Segment Elevation Myocardial Infarction, Jeanne L. Jacoby MD; Bryan D. Nelson MBA, NR-P; Orlando E. Rivera RN; Kashyap Kaul DO; Rachael Chaska; Jay Gopal; Conor McLaughlin DO; Christopher Connell DO; Tyler Willing DO; Jessica Jacoby; Ali Yazdanyar DO, PhD; Bruce Feldman DO; Anita Kurt PhD, RN; Andrew Ferdock; Joanna Schwab; Nicholas S. Imperato; and Katelyn McLain

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Collaborating Across the Continent to Promote Colleague Compassion & Caring, Beverley Jones; Suzie Cro; Jon Burford; Lori Grischott MSN, RN, NEA-BC, NPD-BC, RNC-OB; Carolyn L. Davidson RN, PhD; and Kim Jordan MHA, BSN, RN, NE-BC

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Kounis Syndrome: A Rare Mediator of Acute Coronary Syndrome, Amogh M. Joshi DO, Chun Siu, Zeel Patel DO, Mirza Ali, Amy Lam DO, Tarick Sheikh, Sagar Vadhar DO, Akhil Kher MD, and Apurva Vyas MD

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Incidence of Secondary Hemophagocytic Lymphohistiocytosis in Critically-Ill COVID-19 Patients, Joshua A. Kalter; Jamie Allen DO; Matthew McCambridge MD; and Hope Kincaid MPH, CPH

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Duration of Empiric Antibiotic Therapy in Young Febrile Infants, Emma Kelly; Tibisay Villalobos MD; and Kristin M. Held Wheatley PharmD, BCOP

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Mid-Term Outcome of Transcatheter Aortic Valve Replacement (TAVR) in Patients with Renal Failure on Hemodialysis, Ibrahim Khalil, Sakshi Patel, Mary McFarland, Puja Patel MD, Alexander Makkinejad, and James K. Wu MD

Recurrent depression as the initial manifestation of primary CNS lymphoma: A case report, Eugene Kim MD and Rachael Murphy MD

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Evaluation of pediatric patients diagnosed with Lyme disease in the Lehigh Valley, Grace Kim; Katiemarie Vottero DO; Tibisay Villalobos MD; Kristin M. Held Wheatley PharmD, BCOP; Farina Klocksieben MPH; Hope Kincaid MPH, CPH; and Kris Rooney MD

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The Role of Clinical Informaticist in Telemedicine Virtual Consults, Lisa Kroc MSN, RN-BC

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Orderset Use Among Patients with Sepsis on Presentation: Associations with Care Process Metrics and Inpatient Mortality, Shruti Kulkarnia; Shadi Jarjous MD; Ali Yazdanyar DO, PhD, MMM; Joshua Rosentel BSN, RN; and Christine Deschler RN, BSN, CPHQ

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Developing an Art Museum Workshop for USF SELECT Medical Students, Ashley Kunnath and Amy B. Smith PhD

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What the Cyst Could It Be? A Case of Cystic Lung Disease and Recurrent Pneumothoraces, Amy Lam DO, Clarissa Hayes, Yasmeen Khaskia, Henry Lam DO, and Nicholas Hinds

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Characterizing Inpatient Readmission Rates and Follow-up Visits within LVHN, Mario Lavelanet and Matthew McCambridge MD

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Transverse Myelitis: A Rare But Serious Complication of COVID-19 Vaccination, Jacob Lebamoff, Olivia A. Hardy, Alisha Hossain DO, Patrick Davis BS, Trevor Scheckelhoff, and Wen Zhang DO

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Transition to Race-Free eGFR Formula at LVHN: Quantitative Analysis of Impact on CKD Classification and Management Among African Americans, Frank Lee, Amy Slenker MD, and Sharon E. Maynard MD

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Radical Welcome: Unexpected Healing Spaces in Community-Researcher-Clinician Partnership for Health Equity, Abby S. Letcher MD; Nyann Biery MS; Mary Mitsdarffer PhD, MPH; Carol Moeller PhD, BA, MA; Autumn Kieber-Emmons MD, MPH; Alexandra Bersani DO; and Melanie B. Johnson MPA

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Sex Specific Analysis of Management and Disposition of Patients with Venous Thromboembolism During the COVID Pandemic, Catherine V. Levitt; Matthew McCambridge MD; Beatrice Oertner; Michael Young; Andrew C. Miller DO; Timlin Glaser MD; Amanda R. Stashin; Kira Galeano; Margaret A. Vido DO; and Marna R. Greenberg DO, MPH, FACEP

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Recognition of Pediatric Malnutrition in the Inpatient Setting Using BMI z-score Screening, Cayanne Liew DO; Catherine Carter RD, LDN; and Claudia F. Busse MD

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Total Gastrectomy as Treatment for Hereditary Diffuse Gastric Cancer in Three Adolescent Patients from Two Related Families, Cayanne Liew DO, Jillian R. Grau MD, and Danielle A. Ferraguti DO

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HoLEP Perioperative Outcomes Using Three Different Holmium Laser Technologies in a Community Hospital Setting, Michael Li, Nicholas Russo BS, Alexis R. Brown PA-C, and James Johannes MD

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Impact of High-Sensitivity Troponin Assays on ED Length of Stay For Discharged Cardiac Patients, Muling Lin, Ben Thomas, and Richard S. MacKenzie MD

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Transplant Surgery: Kidney and Pancreas, LVPG Transplant Surgery