Native American Dermatology: A Preliminary Report on The Prevalence of Cutaneous Disorders at the Phoenix Indian Medical Center Dermatology Clinic

BACKGROUND: Nonsteroidal antiinflammatory drugs have been associated with exacerbation of hypertension. Differing effects on blood pressure (BP) have been reported in studies comparing celecoxib and rofecoxib. Concern regarding the cardiovascular safety of the cyclooxygenase-2 (COX-2) inhibitor class has intensified since the removal of rofecoxib from the market. OBJECTIVE: To evaluate the effect of a formulary change from celecoxib to rofecoxib on the BP of Native American patients at an Indian Health Service medical center. METHODS: Medical records of patients switched from celecoxib to rofecoxib were retrospectively reviewed. BP during the respective treatments was compared as follows: measurements recorded while taking celecoxib within 6 months before the index date and while taking rofecoxib from 1 week after the index date through 6 months of treatment were averaged. Differences in systolic and diastolic BP before and after the therapy change were evaluated using a paired Student's t-test. Subgroup analysis was performed for patients with preexisting hypertension. RESULTS: During rofecoxib therapy, the mean systolic BP was 2.9 mm Hg higher (p = 0.015) and the mean diastolic BP was 1.5 mm Hg higher (p = 0.042) than during celecoxib therapy. Among hypertensive patients, the respective mean systolic and diastolic BPs were 4.8 mm Hg (p = 0.009) and 2.0 mm Hg (p = 0.063) higher while taking rofecoxib. CONCLUSIONS: Switching patients from celecoxib to rofecoxib resulted in an increase in BP, with a larger difference observed in patients with hypertension. Future studies assessing the cardiovascular safety of currently marketed and investigational COX-2 inhibitors should evaluate the possible contribution of BP effects of these agents to overall risk.

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Carbapenem Resistance (CARB-R) among Pseudomonas aeruginosa (PSA) Isolates in Indian Medical Centers: A Preliminary Report From the Surveillance of Antimicrobial Resistance in India (SARI) Study

International Journal of Infectious Diseases ◽

10.1016/j.ijid.2008.05.268 ◽

2008 ◽

Vol 12 ◽

pp. e107

Author(s):

A. Manoharan ◽

S. Chatterjee ◽

D. Mathai

Keyword(s):

Pseudomonas Aeruginosa ◽

Antimicrobial Resistance ◽

Preliminary Report ◽

Carbapenem Resistance ◽

Medical Centers ◽

Indian Medical

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LAPAROSCOPIC SENTINEL NODE DETECTION IN ENDOMETRIAL CANCER AFTER INJECTION OF INDOCYANINE GREEN. PRELIMINARY REPORT FROM LJUBLJANA MEDICAL CENTER.

10.26226/morressier.597eedbdd462b80296ca11c4 ◽

2017 ◽

Author(s):

Marco Noventa

Keyword(s):

Endometrial Cancer ◽

Indocyanine Green ◽

Sentinel Node ◽

Preliminary Report ◽

Medical Center ◽

Sentinel Node Detection

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Expression of Anger and Alexithymia in Patients with Psychogenic Excoriation: A Preliminary Report

The International Journal of Psychiatry in Medicine ◽

10.2190/22lb-hl0u-cpjp-wn6a ◽

2002 ◽

Vol 32 (4) ◽

pp. 345-352 ◽

Cited By ~ 7

Author(s):

Celal Çalikuşu ◽

Başak Yücel ◽

Aslihan Polat ◽

Can Baykal

Keyword(s):

Chronic Urticaria ◽

Affect Regulation ◽

Psychological Factors ◽

Preliminary Report ◽

Anger Expression ◽

Trait Anger ◽

Sociodemographic Characteristics ◽

Toronto Alexithymia Scale ◽

Positive Correlation ◽

Dermatology Clinic

Objective: Psychogenic excoriation (PE), which is characterized by lesions formed by self-picking, has a significant place among the dermatoses related to psychological factors. Emotions, particularly anger that cannot be expressed, may be important in the etiology. The objective of this study was to evaluate the sociodemographic characteristics of patients with PE and with another psychodermatosis, and compare them in terms of anger, manner of anger expression, and alexithymia. Methods: Thirty-one consecutive subjects with PE and thirty-one patients with chronic urticaria were recruited from an outpatient dermatology clinic. All of the subjects completed Toronto Alexithymia Scale and Trait Anger and Anger Expression Scale. Results: PE patients had higher levels of anger ( p < .01), tended not to show their anger ( p < .05), and were more alexithymic ( p < .05). There was also a positive correlation between anger and alexithymia scores ( r = .49, p < .05). Discussion: PE, a severe and chronic psychiatric and dermatological problem, may be related to affect-regulation, particularly anger and alexithymia. Due to the fact that it has a different place among psychodermatoses, individuals with PE might benefit from learning how to regulate their affects other than by excoriation.

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A day of immersive physiology experiments increases knowledge and excitement towards physiology and scientific careers in Native American students

AJP Advances in Physiology Education ◽

10.1152/advan.00165.2016 ◽

2017 ◽

Vol 41 (1) ◽

pp. 137-144 ◽

Cited By ~ 3

Author(s):

Bryan K. Becker ◽

Alicia M. Schiller ◽

Irving H. Zucker ◽

Eric A. Eager ◽

Liliana P. Bronner ◽

...

Keyword(s):

Native American ◽

Native Americans ◽

South Dakota ◽

Minority Groups ◽

Underserved Populations ◽

Medical Center ◽

Health Science ◽

Stem Fields ◽

Scientific Careers ◽

And Mathematics

Underserved minority groups are disproportionately absent from the pursuit of careers in science, technology, engineering, and mathematics (STEM) fields. One such underserved population, Native Americans, are particularly underrepresented in STEM fields. Although recent advocacy and outreach designed toward increasing minority involvement in health care-related occupations have been mostly successful, little is known about the efficacy of outreach programs in increasing minority enthusiasm toward careers in traditional scientific professions. Furthermore, very little is known about outreach among Native American schools toward increasing involvement in STEM. We collaborated with tribal middle and high schools in South Dakota and Nebraska through a National Institutes of Health Science Education Partnership Award to hold a day-long physiology, activity-based event to increase both understanding of physiology and enthusiasm to scientific careers. We recruited volunteer biomedical scientists and trainees from the University of Nebraska Medical Center, Nebraska Wesleyan University, and University of South Dakota. To evaluate the effectiveness of the day of activities, 224 of the ~275–300 participating students completed both a pre- and postevent evaluation assessment. We observed increases in both students self-perceived knowledge of physiology and enthusiasm toward scientific career opportunities after the day of outreach activities. We conclude that activity-based learning opportunities in underserved populations are effective in increasing both knowledge of science and interest in scientific careers.

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