Introduction: Detecting cognitive impairment in diverse, health disparities communities is an urgent health care priority. Methods: The Brooklyn Cognitive Impairments in Health Disparities Pilot Study investigated quantitative aspects and liking of a computerized cognitive performance assessment, Cognigram, among individuals 40 years in traditional and nontraditional primary care settings. Results: Cognigram was piloted in the Emergency Department, Family Medicine, and Geriatric Psychiatry clinics: 58 adults (23 men, 35 women), 67.9 6 9.8 years (range 43-91), completed the Cognigram and 5-item liking survey. The observed liking range was 2 to maximum score 5 (67% scored 4-5; no sex or age differences).Discussion: The Cognigram was well liked in waiting rooms of primary care settings. Assistance from a trained adult and clinic endorsement were keys to success. How the Cognigram performs in a geographically compact, population-dense global setting, such as Brooklyn with high vascular disease risk and a plethora of health disparities, is being tested.
Evaluate the student's pre and post-rotation comfort level in evaluating a patient with abdominal pain, altered mental status, chest pain, suspected sepsis, and shortness of breath. 3. Evaluate how the virtual curriculum affected EM students' COMAT scores compared to the national average, and to the scores of prior students from the same university who had a standard, in-person curriculum.Methods: 24 students participated in a one-month rotation in the virtual EM curriculum between March-May 2020 Pre-rotation surveys were conducted prior to the start of their rotation Post-rotation surveys were conducted within three days following the last day of the students' respective rotations Results: Primary outcome: Evaluate students' perceptions on ability to perform key aspects of emergency medicine following a one-month virtual curriculum. 24 students completed the pre-rotation survey and 20 students completed the post-rotation survey assessing comfort level with common emergency medicine scenarios. In total, there was a statistically significant improvement in students' comfort level in a majority of scenarios (8/14) Secondary outcome: Evaluate virtual-EM students' COMAT scores compared to prior students' scores from the same university in years prior. All 24 students attended the same DO program and sat for the COMAT exam at the end of the rotation. Data is being analyzed comparing the performance of the 24 students participating in the virtual curriculum.Conclusions: Students' comfort level significantly improved between the pre and post rotation survey in many emergency medicine aspects. This included the comfort in assessing abdominal pain, altered mental status, SEPSIS, and shortness of breath. A statistically significant improvement was found in students' comfort in EKG interpretation and airway management. The inability to rotate in-person for emergency medicine likely impacted the learning experience for medical students. Our study found that students' comfort level in key procedural aspects of emergency medicine was not significantly higher than prior to the rotation. Our current academic year COMAT score data is in the process of being analyzed.
Mitral valve aneurysm (MVA) is an ominous complication of infective endocarditis (IE), with worse outcomes seen among patients with preexisting valvular disease or intravenous drug use. Valve aneurysms can perforate or lead to rupture of the chordae tendineae, with the consequent development of severe mitral regurgitation and acute pulmonary edema. We present a case of a 54-year-old woman with hypertension, obesity, diabetes mellitus, hyperlipidemia, chronic obstructive pulmonary disease, peptic ulcer disease, obstructive sleep apnea, gastroesophageal reflux disease, intravenous drug abuse and bipolar disorder who developed MVA one month after being discharged for IE. Decline in the clinical status of patients with IE is a troubling sign that may indicate an IE complication such as MVA. Physicians should diligently monitor patients with IE for changes in signs and symptoms, as early recognition and surgical intervention are key to prevent further morbidity and mortality.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.