In this illuminating Grand Rounds lecture, Dr. Rahel Bosson and Ruth Carrico give an overview of the real struggle of the refugee population and provide an update of the current state of refugee health in Kentucky. They give an overview of the Global Health Initiative at University of Louisville which includes the follow programs: HIV/AIDs, Refugee Health and Immunization, Vaccine and International Travel and Global Health Research Support. The talk concludes looking to the future with a comprehensive Global Health Center composed of improving refugee orientation and EMR, healthcare worker education, developing guidelines and bettering our surveillance and epidemiology surrounding global health populations.
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Dr. Daniela Neamtu covers the main principles of geriatrics including polypharmacy: she reviews differences in pharmacology in older adults, demystifies the Beers criteria, discusses the ACOVE project and common sources of medical errors.
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In this evidence-fueled talk, Dr. Adam Rojan covers the hypercoagulability associated with cancer, risk assessment of venous thromboembolism in cancer patients and treatment/prophylaxis for VTE in cancer patients.
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This week we have another lecture from Dr. Rodrigo Cavallazzi. Here he discusses the bundles of care that have come out of the Surviving Sepsis guidelines as well as the recent evidence concerning "Early Goal Directed Therapy" pioneered by Dr. Rivers. He also discusses recent updates to the Surviving Sepsis guidelines and some nuances for patients not responding to initial therapies.
Dr. Cavallazzi is an assistant professor of medicine at University of Louisville in the Pulmonary and Critical Care Department. He is a favorite of the residents and is heavily involved in the Community Acquired Pneumonia Organization (CAPO) research.
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Dr. Chris Stewart reviews the basics of alcoholism including definitions, alcohol elimination rate, leading causes of death. He spends time on time and presentation of withdrawal as well as complications. Dr. Stewart finishes by outlining medication assisted and supportive detoxification.
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Dr. Brian Beauerle covers the basics of cirrhosis including pathophysiology, symptoms and survival of patients with survival. He covers when and how to perform a paracentesis including interpretation of results. He discusses pharmacologic and dietary treatment of ascites and refractory ascites. He closes with complications of ascites including spontaneous bacterial peritonitis and hepatic hydrothorax.
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Dr. Eddie Apenbrinck dissects those ophthalmology notes that you can never decipher. He also covers retinal complications of diabetes including treatments including laser photocoagulopathy. Other systemic causes of retinal disease are covered including sickle cell anemia and hypertension. Among the other topics covered are thyroid eye disease, inflammatory ocular involvement of rheumatoid conditions, ocular malignancies and infections.
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Dr. Kris Krueger reviews the epidemiology and pathogenesis of C.difficile in the U.S. Then, she gives an update on current medical treatments including antibiotic, probiotic and surgical treatment before covering the evidence behind fecal microbial transplant. She also addresses prevention strategies and emerging C.difficile therapies such as immunotherapy and vaccines.
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Dr. Mike Hughes discusses innovative medical care of chronic pancreatitis with ground-breaking work on auto-islet cell transplantation. He covers differences in auto vs. allo transplantation, indications of transplantation, evaluation of prospective transplant patients, peri-operative and outpatient management, and observed outcomes post-surgery. The lecture spends time reviewing several ongoing research projects at University of Louisville by several labs researching facets of this topic.
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