Rutgers New Jersey Medical School Research Articles

Management of Simple Ovarian Cysts

Dr. Chafitz is a Resident, Department of Obstetrics and Gynecology, Hackensack University Medical Center, Hackensack, NJ 07601, E-mail: [email protected]; Dr. Chemerinski is a Reproductive Endocrinology and Infertility Fellow, Rutgers-New Jersey Medical School, Newark, New Jersey; and Dr. McGovern is Associate Professor, Rutgers-New Jersey Medical School, Newark, New Jersey, and University Reproductive Associates, Hasbrouck Heights, New Jersey. All authors, faculty, and staff have no relevant financial relationships with any ineligible organizations regarding this educational activity. CME Accreditation Lippincott Continuing Medical Education Institute, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation on the enclosed answer form, answering at least seven of the 10 quiz questions correctly. Please visit http://cme.lww.com. This CME activity expires on June 29, 2025. NCPD Accreditation Lippincott Professional Development is accredited as a provider of nursing continuing professional development (NCPD) by the American Nurses Credentialing Center's Commission on Accreditation. Lippincott Professional Development will award 2.0 contact hours for this NCPD activity. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.0 contact hours. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, West Virginia, New Mexico, South Carolina, and Florida, CE Broker #50-1223. Your certificate is valid in all states. Instructions for earning ANCC contact hours are included on page 11 of the newsletter. This NCPD activity expires on June 5, 2026.

Meet the First Authors.

Meet the First Authors.

Is the Learning Experience Different Across the Neurology Continuity Clinics at Rutgers-New Jersey Medical School? (2595)

Is the Learning Experience Different Across the Neurology Continuity Clinics at Rutgers-New Jersey Medical School? (2595)

Notes on B-SHARP: Bedside Songs to Relax and Heal Patients

Notes on B-SHARP: Bedside Songs to Relax and Heal Patients

Integrating a Novel Global Surgery and Health Inequity Course to the Surgical Clerkship

Medical students report growing interest in health inequity and global surgery, subjects not currently integrated to their core curriculum. Currently, fundamental tenets of global surgical inequity are only available to students on an elective basis or in special interest groups. Therefore, an hour-long course with emphasis on global surgery was developed for third-year medical students. The aim of this study was to examine student response to this pilot course and to establish whether course content was applicable to clinical rotations. A 1-hour structured curriculum was delivered to third-year medical students (MS3s) during the 2-day orientation phase of each rotation of an 8-week surgery clerkship from August 2018 to May 2019. The course targeted approximately 30 students per session in the preclinical orientation at Rutgers-New Jersey Medical School. Upon completion of the 8-week clerkship rotation, a paper survey was administered to evaluate student's exposure to previous content, attitudes toward global health, interest and engagement in course materials, and applicability of learned course content to local environments. Rutgers-New Jersey Medical School, an urban medical school located in Newark, New Jersey. A total of 191 students attended the global surgery and health equity course; 146 participants participated in the postcourse survey. When asked about baseline interest in global or public health, the majority (51%) were extremely interested or very interested. Nearly all participants found the course to be valuable (94%). When asked which educational modality was preferred, 23% of participants favored the traditional lecture component and 29% favored case-based discussions. Nearly half (48%) the respondents found both modalities to be valuable. Fifty students (34% of respondents) reported encounters with patients affected by barriers in access to surgical care during their clerkships. Medical students responded favorably to this health inequity and global surgery pilot course and requested supplemental lectures. Additionally, course content was applicable to local clinical experiences. Therefore, 1 modality of integrating global surgery to the established curriculum is under the framework of health inequity and social determinants of health during surgical clerkships. This study demonstrates that meaningful inclusion of global surgery and health inequity can be implemented within the existing curricular structure.

Meet the First Authors.

Meet the First Authors.

Morbid adherence of the placenta-a disease of nonvillous trophoblast?

Morbid adherence of the placenta-a disease of nonvillous trophoblast?

CORR Insights(®): Do Surgical Margins Affect Local Recurrence and Survival in Extremity, Nonmetastatic, High-grade Osteosarcoma?

W hile there is certainly no consensus as to how wide a margin of resection should be [1], surgeons agree that oncologic outcome must take priority over functional results when performing surgery for patients with osteosarcoma. The debate begins with the understanding that the patient’s survival can be affected by the hands of the surgeon, despite the enormous benefits of chemotherapy and the confusing effects of local recurrence on survival. In a study of patients with locally recurrent osteosarcoma published almost a decade ago by Nathan et al. [5], it is noted that six of 13 patients with positive margins and 14 of 389 with negative margins developed local recurrence. The strongest correlation with poor survival was local recurrence within the first year after primary resection [5]. It would seem from this study alone that positive margins and local recurrence should be avoided at all cost. However, a study by Rougraff and colleagues [6] found that despite having no local recurrences after hip disarticulation for osteosarcoma of the femur, there was no difference in duration of survival or of disease-free survival when compared to patients undergoing limb-salvage surgery or above knee amputations in spite of higher local recurrence rates in these groups. One of the reasons for this, the authors speculate, is that the small percentage difference in local control, confounded by nearly 50% of the patients dying, represents such a small discrepancy that it did not affect the overall survival statistics. The literature can be confusing when considering margins, local recurrence, and survival. Readers should consider how words like ‘‘only’’ or ‘‘small’’ may influence decisions about margins. A study by Kong and colleagues [3], with the title, ‘‘Local Recurrence Has Only a Small Effect on Survival in High-risk Extremity Osteosarcoma’’ might allow us as surgeons to let down our guard a bit, relax, or push the envelope when the margin is ‘‘close.’’ In the current study, Bertrand and his colleagues showed that after controlling for relevant confounding variables, the presence of a positive This CORR Insights is a commentary on the article ‘‘Do Surgical Margins Affect Local Recurrence and Survival in Extremity, Nonmetastatic, High-grade Osteosarcoma?’’ by Bertrand and colleagues available at: DOI: 10.1007/s11999-015-4359-x. The author certifies that he, or any member of his immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/ licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writers, and do not reflect the opinion or policy of CORR or The Association of Bone and Joint Surgeons. This CORR Insights comment refers to the article available at DOI: 10.1007/s11999-0154359-x. K. S. Beebe MD (&) Musculoskeletal Oncology and Limb Salvage, Rutgers-New Jersey Medical School, 140 Bergen St., Newark, NJ 07101-1709, USA e-mail: kathleen.beebe@rutgers.edu CORR Insights Published online: 20 June 2015 The Association of Bone and Joint Surgeons1 2015

Respiratory muscle aids to avert respiratory failure and tracheostomy: a new patient management paradigm

Respiratory muscle aids to avert respiratory failure and tracheostomy: a new patient management paradigm John R Bach,1–3 Anokhi D Mehta2 1Department of Physical Medicine and Rehabilitation, 2Department of Neurosciences, Rutgers-New Jersey Medical School, Newark, NJ, USA; 3Center for Ventilator Management Alternatives, University Hospital, Newark, NJ, USA Abstract: An April 2010 consensus of clinicians from 22 centers in 18 countries reported 1,623 spinal muscular atrophy type 1, Duchenne muscular dystrophy, and amyotrophic lateral sclerosis noninvasive intermittent positive pressure ventilatory support users, of whom 760 developed continuous dependence that prolonged their survival by more than 3,000 patient-years without tracheostomies. Four of the centers routinely extubated unweanable patients with Duchenne muscular dystrophy, so that none of their more than 250 such patients has undergone tracheotomy. This article describes the manner in which this is accomplished; that is, the use of noninvasive inspiratory and expiratory muscle aids to prevent ventilatory failure and to permit the extubation and tracheostomy tube decannulation of patients with no autonomous ability to breathe (ie, who are "unweanable" from ventilator support). Noninvasive airway pressure aids can provide up to continuous ventilatory support for patients with little or no vital capacity and can provide for effective cough flows for patients with severely dysfunctional expiratory muscles. Keywords: glossopharyngeal breathing, assisted cough, neuromuscular disease, Duchenne muscular dystrophy, spinal muscular atrophy, amyotrophic lateral sclerosis