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West J Emerg Med
v.21(5); 2020 Sep

Resident Research in Emergency Medicine: An Introduction and Primer

James h. paxton.

* Wayne State University, Department of Emergency Medicine, Detroit, Michigan

Anne M. Messman

Nicholas e. harrison, adrienne n. malik.

† Kansas University Medical Center, Department of Emergency Medicine, Kansas City, Kansas

Raina J. Burke

‡ Wheeling Hospital, Department of Emergency Medicine, Wheeling, West Virginia

Phillip D. Levy

Training in research methodology represents an important aspect of emergency medicine (EM) resident education, but best methods for design, implementation, and dissemination of resident research remain elusive. Here we describe recommendations and best practices from the existing literature on EM resident research, including helpful tips on how to best implement a resident research program.

INTRODUCTION

When René Laënnec, a French physician in 1816, failed to adequately percuss the thorax of a young woman with heart disease, he improvised. Laënnec wrote, “I rolled a quire of paper into a sort of cylinder and applied one end of it to the region of the heart and the other to my ear.” 1 After numerous revisions, his invention was revealed to the medical community, and quickly caught on. Within a few years, primitive stethoscopes could be found in medical shops throughout Paris. Had Laënnec stopped with that rolled-up piece of paper, his one-time improvisation would have been lost to the annals of history. Fortunately, he chose to build upon his initial discovery and, crucially, to share his breakthrough with the world. Laënnec’s journey charts an enduring and fundamental trajectory of medical innovation: from observation, through inspiration, refinement and testing, to dissemination.

Development of a research project can be especially daunting to physicians already engaged in an emergency medicine (EM) residency training program. But execution of a research project during residency remains a worthwhile experience, allowing participants to meaningfully contribute to medical knowledge and develop an investigative spirit. 2 Residents participating in research appear to attain greater job satisfaction, 3 and can objectively frame everyday questions and methodically seek answers 3 to problems including (among others) staffing issues, wait times, and communication barriers. 4 – 5

The Accreditation Council for Graduate Medical Education Residency Review Committee for EM recognizes the importance of these efforts, mandating resident completion of a “scholarly project” prior to graduation. Their requirement cites the following as examples of qualifying activities: “…the preparation of a scholarly paper such as a collective review or case report, active participation in a research project or formulation and implementation of an original research project.” 6 These activities should include problem identification, data collection, analysis, and conclusion. 7 Performance and documentation of these projects are vital to the acceptance of a scholarly project, whether a case report, community project, development of medical software, or traditional research project. 7 Recent reports from within the EM community have emphasized the importance of scholarly activity to EM resident education. 8 – 9

Advancing the state of scientific knowledge is not a requirement for success in resident research, but it is a potential benefit of this exercise. It is the responsibility and privilege of those involved in residency administration to facilitate the training of EM resident researchers in the development and execution of research projects that support not only the professional careers of residents but also the advancement of our specialty. 8 – 9

What is Resident Research?

It has been suggested that “resident research” is, “research where a resident has a principal role in the implementation and completion of the project.” 10 We suggest that the resident research experience be defined by the engagement of the resident learner in the research process, focusing upon the educational value of the project rather than the resident’s official role or involvement in the design and execution of the project. Research studies are intended to create new generalizable knowledge that can be applied to other populations and settings. 11 Consequently, we propose that “resident research” be defined as any systematic investigation designed to yield new information that actively engages the resident-learner and facilitates the acquisition of a greater understanding of the scientific method. This is in distinction to quality improvement projects, which seek to apply existing knowledge to improve healthcare outcomes within a local healthcare institution or setting. 12

Setting Realistic Expectations

One purpose of resident research is to expose residents to the methods by which research is conducted, creating “educated consumers” of the medical literature. However, residencies hoping to establish a resident research program de novo must recognize the additional workload that resident research projects impose upon faculty. Mentors should be primarily responsible for guiding and supervising resident research, but should be adequately vetted to ensure that the research experience yields a positive result for all involved. Research directors should provide guidance relating to funding opportunities, deadlines for abstract submission to key research conferences, important institutional and federal regulations, and departmental resources. 13 Departmental leadership should create an environment in which research is actively promoted, providing appropriate funding and protected time for mentors and other research faculty. 13

Getting Started

Clinical experiences, journal club articles, or experiences with different teaching modalities may generate an appropriate resident research topic including relevant clinical or educational questions. 2 , 14 – 15 Additional ideas may come from the resident’s personal interests or experiences.

Learning Research Methodology

Most programs will offer training through didactic presentations, journal clubs or evidence-based literature discussions. However, a focused educational effort specifically targeting research methodologies has been shown to correlate with improved resident skills, knowledge, and research productivity. 16 Nearly one in four EM training programs offers a fixed rotation in research. 5 , 17 A more feasible format for the busy trainee might be the Advanced Research Methodology Evaluation and Design video series available from the Society of Academic Emergency Medicine (SAEM), including “how-to” webinars and podcasts produced by senior researchers. 18

The Research Question

A general research question must be formulated, which will generate a testable hypothesis. 3 , 19 All possible outcomes should be considered, and at least one of them must be worthwhile. 20 The FINER criteria may be used to assess the relative merits of the proposal: 14 – 15 , 21

Can the project be completed within the time allotted using the given resources? Can the proposed investigation enroll enough patients to demonstrate a difference in the proposed outcome measures?

Is the topic engaging enough to be worth the effort?

Is the proposed investigation different enough from what has been done before to add knowledge on the subject?

Does the proposed investigation respect the morals of the community, the patient, and the profession?

Are the results likely to be applicable to many patients? Will the results be useful and contribute to the greater good?

Formulating a Hypothesis

A suitably refined and meaningful research question will help in generating a hypothesis, providing a clear delineation of what the investigation will attempt to prove. Investigation of a well-designed hypothesis will be interesting even if a negative result is found.

A mentor experienced in the resident’s area of research interest can be an invaluable resource by offering hints at project scope, helping with setbacks, and tailoring the learning experience to the resident’s needs. 22 Most often, the mentor is an established researcher within the department but could include a specialist in another field, or even a non-physician investigator. 5 , 23 – 24 Goals and expectations should be discussed early on, to avoid frustration for both parties. 5 Terregino has shown that, in general, EM residents are relatively unfamiliar with what resources are available to them, which can lead to significant amounts of time wasted. 25 Most hospitals provide research support that is invisible to the outside observer, including project coordinators, departmental research directors, and biostatisticians. 25 The mentor should be aware of all available institutional resources.

The Literature Search

A valid research project must be informed by past work. Most literature reviews will begin with a search of PubMed.gov , the database of the National Library of Medicine, or OVID.org , which includes textbooks as well as journals. 26 Search terms used must be carefully selected, and the proper Boolean operators assigned. One study has shown physicians to be especially inept at crafting effective search strings. 27 Any doubts about the literature search process or its results should be referred to a librarian.

Each paper identified from the literature review should be thoroughly read. Investigators should avoid citing abstracts alone, as they are often incomplete in their data presentation. This process is labor-intensive but necessary to form a strong foundation for the research project. All references cited within each article should be assessed for relevance. The selected literature should be reviewed to better understand the subject matter and to develop context for the proposed work. If adequate data from existing sources are uncovered, one may consider a retrospective evaluation of prior results including a meta-analysis. 2 , 28 – 29

Research Design

The novice researcher should look to the existing medical literature for guidance in how to properly design a new study. Selection of the proper research methodology will depend upon multiple factors, including the research question, hypothesis, and predetermined outcome measures. A timeline should be implemented to ensure that all tasks are achievable within the allotted time. Resident physicians should develop a team approach, incorporating input from the faulty mentor as well as a staff epidemiologist or biostatistician. The required sample size will depend upon a variety of factors, including the acceptable level of significance, power of the study, expected effect size, underlying event rate in the population, and standard deviation in the population. 30 – 31 Efforts should be made to collect an inclusive and truly random sampling, to avoid convenience selection bias. 32 Early consultation with the biostatistician will also inform the researcher’s decisions on the most appropriate methods for the statistical analysis of data derived from the study. For further information about study design specifics, the reader is referred to several existing publications. 2 , 4 , 13 , 33 – 34

The Institutional Review Board

Any research project that involves human participants or their data requires submission to the local institutional review board (IRB). Research protocols submitted to the IRB can fall into one of three categories: full submission; expedited; or exempt. Research involving greater than minimal risk to human subjects will require a thorough review by the IRB and development of an informed consent document. Prospective projects involving only minimal risk may be approved via the expedited process, where a single reviewer may approve the work in lieu of the convened board. Studies that include only retrospective data from the electronic health record may be exempt from IRB review, but this determination should be made by the IRB, rather than by the investigator. Investigators should confer with their local IRB to confirm what level of IRB review is required before beginning data collection.

Conducting the Study

After the research protocol has been IRB-approved or exempted, data collection can commence. Prior development of a data collection tool will greatly enhance the efficiency of this process, facilitating both IRB approval and the subsequent data analysis. Subject enrollment can also be improved with use of a trained research assistant. This problem may be circumvented through creation of an “academic associate program,” which integrates EM research with undergraduate education. 35

Research Funding

Resident research projects usually require little external funding. On occasion, additional costs may be incurred to help pay for statistical analysis, or the purchase of required equipment. 36 Internal sources, as well as the Emergency Medicine Foundation 37 and the SAEM Foundation 38 represent potential sources for funding.

Presentation and Publication

Once the data have been collected and analyzed, the researcher should consider how the results will be disseminated. The annual meeting of SAEM, the Research Forum at the American College of Emergency Physicians’ annual scientific assembly, and the Annual Assembly of the Council of Residency Directors in Emergency Medicine (CORD) represent the premier locales for presentation of EM research. 39

Ideally, the resident research experience should lead to a manuscript, although the lack of immediate publication must not be interpreted as failure. Only 40% of EM abstracts go on to become full article publications. 15 , 40 Most manuscripts are published 1–2 years after initial presentation. 17 Appropriate journal selection for submission enhances the likelihood of success, as does a thorough understanding of manuscript preparation techniques and review criteria. 41 – 43

While any research resultant from a resident’s scholarly project is unlikely to have the impact of Laënnec’s stethoscope, EM residents may still gain much from engaging in clinical research. For some, it will light an investigative fire that will burn for an entire career. At the least, resident research projects can provide an opportunity to explore issues central to the practice of EM, helping the resident to become a more well-rounded physician.

Section Editor: Whitney Johnson, MS, MD

Full text available through open access at http://escholarship.org/uc/uciem_westjem

Conflicts of Interest : By the West JEM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. No author has professional or financial relationships with any companies that are relevant to this study. There are no conflicts of interest or sources of funding to declare.

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Greatest Hits in Emergency Medicine Research: 2023

Keeping abreast of all the high-impact papers in em is no easy feat..

EMRA’s Research Committee, in partnership with other EMRA committees, has compiled a quick review of some of the most practice-affirming or practice-changing papers recently published. This is by no means a definitive list, but our summaries of these noteworthy papers will be good to know for your next shift!

Effect of Intravenous or Intraosseous Calcium vs Saline on Return of Spontaneous Circulation in Adults With Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial.

Review by Sierra F. Williams, MS, OMS-IV

This double-blind, randomized clinical trial sought to determine whether administration of calcium during out-of-hospital cardiac arrest (OHCA) improves return of spontaneous circulation (ROSC) in adults. In this trial, 397 adult patients were randomized to receive up to 2 intravenous or intraosseous doses of 5 mmol of calcium chloride (n = 197) or saline (n = 200). A dose of calcium chloride or saline was administered immediately following a dose of epinephrine. The primary outcome of the study was sustained ROSC (defined as ROSC without need for further CPR for 20 minutes), while the secondary outcome included survival and a favorable neurological outcome at 30 and 90 days, with a modified Rankin Scale score of 0-3. The trial was stopped early due to concerns of harm in the calcium group. Sustained ROSC was achieved in 19% of patients in the calcium group and 27% in the saline group (risk ratio, 0.72 [95% CI, 0.49 to 1.03]; risk difference, −7.6% [95% CI, −16% to 0.8%]; p=0.09). At 30 days, 5.2% of patients in the calcium group survived compared to 9.1% of patients in the saline group (risk ratio, 0.57 [95% CI, 0.27 to 1.18]; risk difference, −3.9% [95% CI, −9.4% to 1.3%]; p=0.17). 3.6% of patients in the calcium group reached a favorable neurological outcome compared to 7.6% of patients in the saline group (risk ratio, 0.48 [95% CI, 0.20 to 1.12]; risk difference, −4.0% [95% CI, −8.9% to 0.7%]; p=0.12). The study showed that administration of calcium during OHCA in adults did not improve sustained ROSC and can potentially cause harm.

Critique and Implications for Practice Prior to the COCA trial, evidence regarding the use of calcium in OHCA has been conflicting and lacking. However, guidelines often continue to recommend its use. There is sufficient evidence to support the use of calcium in select patient populations that were not included in this study, such as hyperkalemia, hypocalcemia, and CCB toxicity. Although the results were not statistically significant due to the low power of the study, the use of calcium in OHCA appears to be correlated with patient harm that cannot be ignored. This indicates that calcium in OHCA is not suitable for all patients and should not be used routinely. It is also important to keep in mind that there has been no study to date to demonstrate that a single medication administered during cardiac arrest made a difference in survival with a favorable neurological outcome. Early, high-quality CPR in addition to early defibrillation in the appropriate patients are the only 2 treatments that have shown improvement in these outcomes.*

*Referenced First10EM and Salim Rezaie EBM review during ResusX 2022 conference

Prehospital & Disaster Medicine, Health Systems

Using the Centers for Disease Control and Prevention’s National Syndromic Surveillance Program Data to Monitor Trends in U.S. Emergency Department Visits for Firearm Injuries, 2018 to 2019

Review by Muhammad Waseem, MD, MS & David Gordon, MS3

The authors utilized a retrospective analysis of the CDC National Syndromic Surveillance Program dataset to analyze near-real time data between January 2018 and December 2019, capturing 215 million ED visits. The study used a set of ICD-9 and ICD-10 diagnosis codes and chief complaint keywords to filter for firearm injury records. Of those visits, 132,767 were firearm related (61.6 per 100,000 ED visits). This study revealed that males aged 15-24 had higher firearm injury-related ED visit rates relative to other demographic age groups. Overall, the rate of fire-arm related injury increased for all age groups between 15 and 64 years over the interval studied. Analyzed by region, the rate of ED visits for firearm injury significantly increased in the northeast, southeast, and southwest regions. These results are consistent with other studies but were able to be reported with less lag due to the study’s near real time surveillance methods.

Critique and Implications for Practice Firearm-related injury is a major public health issue, but there is lag between when ED visits relating to firearm injury occur and when traditional reports for firearm injury are captured. This study highlights the epidemiology of firearm-related visits to the emergency department, raising awareness of the problem and noting the need for prevention strategies. The rate of firearm-related injury and presentation to the ED is only increasing. Awareness of the epidemiology of firearm injury can help target community-based public health violence prevention, facilitate training, and guide rapid response strategies. On a systems level, this method analysis can also inform resource allocation, particularly identifying where firearm visits make up a substantial portion of ED visits. In contrast to a typical 2-year data lag from traditional ED surveillance systems used to monitor firearm injury ED visits, this study utilized near-real time electronic medical record national surveillance data. Where data is available, incorporating methods that leverage real-time surveillance could provide further insight into other clinical applications as well.

Critical Care, Airway Management

Effect of Use of a Bougie vs Endotracheal Tube with Stylet on Successful Intubation on the First Attempt Among Critically Ill Patients Undergoing Tracheal Intubation: A Randomized Clinical Trial

Review by Elisa Quince DO, MS

This multicenter, randomized clinical trial assessed if utilizing a bougie or an endotracheal tube with stylet would increase the likelihood of success on the first attempt. In this study, referred to as the “BOUGIE” trial, 1,102 critically ill adults who required tracheal intubation were randomly assigned the utilization of a bougie or endotracheal tube with a stylet. The study found an 80% success rate with the utilization of the bougie versus 83% with a stylet. Overall, the study found that using a bougie did not significantly increase the incidence of successful intubation on the first attempt compared to using an endotracheal tube with a stylet.

Critique and Implications for Practice This study challenges the perception that a provider should primarily use a bougie during difficult intubations. This perception was shaped by previous observational studies and 1 RCT concluding that using a bougie was associated with increased incidence of first-attempt intubation. It encourages providers to focus more on utilizing the method the operator is most comfortable with at that time. When comparing the BEAM trial to this study, one difference is that the BEAM trial was limited to one single emergency department in Hennepin County Medical Center, while the BOUGIE trial received data from 7 different emergency departments and 8 ICUs in the United States. Differences in training styles and experiences can lead to the differences seen in the results of these studies but can lead to the implication that for difficult intubations, how one is trained can dictate comfort level, and comfort level can lead to successful intubation on the first attempt.

Pediatric EM

Effect of Amoxicillin Dose and Treatment Duration on the Need for Antibiotic Re-treatment in Children with Community-Acquired Pneumonia: The CAP-IT Randomized Clinical Trial

Review by David Leon, MD

This study is a multi-center 2x2 RCT with children who required amoxicillin for community-acquired pneumonia (CAP), randomized to receive either 35-50 mg/kg/d or 70-90 mg/kg/d of amoxicillin for a treatment duration of 3 or 7 days. The primary outcome was if it was clinically indicated to re-treat with antibiotics for respiratory infection within 28 days after randomization. There was no significant difference between the high- and low-dose groups, nor the 3-day vs 7-day groups. The secondary outcomes addressed CAP-related symptom severity. Cough duration was slightly prolonged in the 3-day course group. No significant interaction was noted between dose and duration groups. Outpatient treatment of CAP in children with a lower dose of amoxicillin was noninferior to traditional high-dose amoxicillin, and 3-days of antibiotics was noninferior to 7-days, with respect to the need for antibiotic retreatment within a month.

Critique and Implications for Practice For children with mild to moderate CAP who are not in need of significant support, such as those appropriate for discharge or only requiring overnight observation, it seems adequate to treat with both lower dose and shorter course of antibiotics. However, this data may not be applicable to children with severe CAP. Local antibiogram and resistance must be considered given that the study only included amoxicillin. This is of particular interest as there was a nationwide shortage of amoxicillin this year.

CT or Invasive Coronary Angiography in Stable Chest Pain

Review by Sandra Gad, MSc

Randomly assigned 3,561 patients (56.2% female), follow-up was complete for 3523 (98.9%). Major adverse cardiovascular events occurred in 2.1% in the CT group and in 3% of the ICA group (hazard ratio, 0.70; 95% confidence interval [CI], 0.46 to 1.07; P=0.10). Major procedure-related complications occurred in 0.5% of the CT group and in 1.9% of the ICA group (hazard ratio, 0.26; 95% CI, 0.13 to 0.55). Angina during the final four weeks of follow-up was reported in 8.8% of the patients in the CT group and 7.5% of those in the ICA group (odds ratio, 1.17; 95% CI, 0.92 to 1.48). The DISCHARGE trial group found that the incidence of major adverse cardiovascular events did not differ between the CT group and the invasive coronary angiography group in patients with stable chest pain.

Critique and Implications for Practice CT can be a reliable option with similar diagnostic abilities to ICA when diagnosing CAD in patients with stable chest pain. Using CT can significantly reduce patients’ concerns regarding the invasive nature of ICA, as well as alleviate the financial burden associated with ICA. Further, CT can speed up diagnosis and ensure timely treatment.

Sodium Bicarbonate Use During Pediatric Cardiopulmonary Resuscitation: A Secondary Analysis of the ICU-RESUScitation Project Trial

Review by Nathan Dreyfus, MD

This multi-center, retrospective cohort analysis compared the outcomes of pediatric in-hospital cardiac arrest cases (p-IHCA) between patients who received intra-resuscitation sodium bicarbonate and those who did not. Children analyzed were those who received chest compressions between ages =>37 weeks post-conceptual age and <= 18 years between October 2016 to March 2021. Various child characteristics including their Pediatric Risk of Mortality score (PRISM) and Vasoactive Inotropic Score (VIS) were collected across 10 clinical sites. The main outcome of investigation was the duration of survival to hospital discharge. Other outcomes included ROSC, neurological outcomes, and presence of new morbidity. It was shown that sodium bicarbonate was used more in children with cardiac diagnoses, increased severity of illness and longer CPR duration. Of 1,100 CPR events, use of sodium bicarbonate was associated with lower rates of survival to hospital discharge and discharge with favorable neurologic outcomes.

Critique and Implications for Practice While the propensity-weighted model in this study omits several potential confounders, the results echo similar recent papers in adult populations providing evidence against the routine or indiscriminate use of sodium bicarbonate for cardiac arrest. One limitation is that sodium bicarbonate use was more common in medical and surgical cardiac patients than non-cardiac patients, as well as with children with higher PRISM and VIS scores which could contribute to the poorer outcomes seen. Intra-arrest lab values such as pH were not analyzed so it is unknown how sodium bicarbonate would play a role for severe intra-arrest metabolic acidosis. Also, the time to first sodium bicarbonate administration was not analyzed which could pose limitations. Although sodium bicarbonate remains a part of the ACLS and PALS guidelines for cardiac arrest, its utility is not evidence-based per this study as well as per other studies. I will be thoughtful about when I choose to administer sodium bicarbonate during code situations, as this study suggests there might even be harm in doing so.

Prehospital & Disaster Medicine, Critical Care

One and Done Epinephrine in Out-of-Hospital Cardiac Arrest? Outcomes in a Multiagency United States Study

Review by Luke Wohlford, MD, MPH

A pre- and post-intervention study investigating patient outcomes when comparing the existing protocol of epinephrine every 3-5 minutes in non-traumatic cardiac arrest to a 1-time epinephrine dosing protocol. Adults included in this study among 5 North Carolina EMS agencies were assessed for survival to hospital discharge and ROSC pre- and post-implementation. After controlling for patient factors, the single-dose approach demonstrated comparable survival to discharge rates (adjusted odds ratio 0.88, 95% confidence interval 0.77–1.29), but with lower rates of ROSC (adjusted odds ratio 0.58, 95% confidence interval 0.47–0.72). With neurological outcomes as the more patient-centered outcome, an argument can be made about the validity of a 1-time epinephrine dosing protocol.

Critique and Implications for Practice Further work and additional studies may need to be done to further elucidate neurological outcomes among those with survival to hospital discharge, this study demonstrates equipoise with a 1-time epinephrine dosing protocol that may allow higher proportions of time spent on CPR during resuscitations and free up more resources for high-quality cardiac arrest care.

Performance of the Paracetamol-Aminotransferase Multiplication Product in Risk Stratification After Paracetamol (Acetaminophen) Poisoning: A Systematic Review and Meta-Analysis

Review by Mason Jackson, MD

This systematic review and meta-analysis evaluated the acetaminophen cross-product as a marker of hepatotoxicity. The cross product is calculated by multiplying the higher of the aminotransferases (AST or ALT) by the acetaminophen concentration and can be used to determine hepatotoxicity risk in scenarios excluded by the original acetaminophen overdose studies, which primarily looked at single dose, acute and timed overdoses. Target measurements were a lower threshold of 1,500 and upper threshold of 10,000. When used as a diagnostic predictor of hepatotoxicity, and hepatotoxicity in staggered ingestions, and ingestions older than 8 hours, the cross product produced a lower limit OR of 31 to 85 and a higher limit OR of 99 to 367. This demonstrates that the acetaminophen cross product is a strong diagnostic tool that can aid the emergency physician in acute acetaminophen overdose alongside the Rumack-Mathew nomogram, generating profound changes in diagnostic certainty.

Critique and Implications for Practice In patients presenting with staggered overdoses or delayed presentation of an acetaminophen overdose, utilization of the cross product will help decide the need for N-acetyl cysteine in the ED. It serves as a useful marker for intensivists and toxicologists caring for these patients on inpatient services as well.

Medical Education

Communicating Diagnostic Uncertainty at Emergency Department Discharge: A Simulation-Based Mastery Learning Randomized Trial

Review by Hannah Seyller, MD , and Kay Nicole Tipton, DO, MS

This multi-center randomized control trial examined the ability of resident physicians to communicate diagnostic uncertainty through simulated patient encounters. Though many patients leave the ED without a formal diagnosis, residents have little training communicating diagnostic uncertainty to their patients.

In this trial, 109 residents participated in a simulation-based learning curriculum that included online modules, a mobile learning application, and 3 simulated telehealth practice sessions with a standardized patient. Participants were divided into immediate and delayed intervention groups, which did not receive the intervention curriculum until after the second patient encounter. The primary outcome was each physician’s “mastery” of communicating diagnostic uncertainty after the second encounter based on the Uncertainty Communication Checklist.

Regardless of training site or stage of training, residents in the immediate access group showed an increased mastery compared to the delayed group, who had not yet received the intervention. Two-thirds of participants felt the curriculum increased their communication skills, and 60-65% said they applied skills they learned to their clinical practice. Limitations include unblinded participants and internal development of the objective scoring tool used to determine mastery.

Critique and Implications for Practice Residents are often not properly trained on how to communicate diagnostic uncertainty with patients. This article provides a framework that can be implemented in current or future practice within residencies to improve communication at discharge when the exact cause of patients’ symptoms remains unknown. Although the article did demonstrate a difference between early and late intervention groups within the measurement of the study, it did not show a difference when translated to clinical practice. Further studies will need to be performed to evaluate how this framework and others can affect clinical practice in emergency departments.

Effect of Moderate vs. Mild Therapeutic Hypothermia on Mortality and Neurologic Outcomes in Comatose Survivors of Out-of-Hospital Cardiac Arrest. The CAPITAL CHILL Randomized Clinical Trial

Review by Charles Sanky, MD, MPH

This single-center, double-blinded, stratified, randomized-controlled, clinical superiority trial was the first study to compare hypothermia at 31°C with 34°C in survivors of out-of-hospital cardiac arrest. It sought to determine whether this difference in moderate versus mild hypothermia improved clinical outcomes in comatose survivors of out-of-hospital cardiac arrest. Patients were randomly assigned to temperature management with a target body temperature of 31 °C (n = 193) or 34 °C (n = 196) for a period of 24 hours. Outcomes included all-cause mortality, ICU length of stay, neurological outcome, and adverse effects. This study found no significant difference in the composite of mortality and poor neurological outcome, occurring in 48.4% (31°C group) and 45.4% (34°C group), 95% CI, −7.2% to 13.2%; P = 0.56. However, the 31°C group had a 3-day longer median length of stay in the ICU (10 vs. 7 days; 95% CI -1.2 to 4.1; P=0.004).

Critique and Implications for Practice Numerous studies have suggested that going beyond the targeted temperature management of 32 to 36 degrees, the updated post-cardiac arrest TTM guidelines. Studies have consequently attempted to determine what the optimal temperature might be, including the much larger TTM trial in 2021, which did not find a difference in normothermia versus hypothermia. Still, the impact on ICU length of stay is concerning, possibly reflecting that moderate hypothermia could mask fevers that otherwise would have received treatment. This study may not change my practice yet but is worth considering in the wake of new ACLS guidelines regarding TTM.

Wilderness Medicine

A New Multi-Disciplinary Approach Supported by Accident and Field Test Data to Optimize Survival Chances in Rescue and First Aid of Avalanche Patients

Review by Chelsea McAuslan, MS4

This retrospective analysis of 1070 full avalanche burials from accident databases and large prospective field test datasets were used to develop evidence-based algorithms exclusively for the avalanche rescue environment. AvaLife provides a holistic and tailor-made tool for avalanche first aid with its consideration of adapted sequence of actions, inclusion of rescue tactical considerations, advice for cases with multiple burials where there is a shortage of resources, considerations of using recovered subjects as a resource in the ongoing rescue, the adapted definition of “injuries incompatible with life,” reasoning behind the importance of rescue breaths, and the updated BLS iCPR algorithm.

Critique and Implications for Practice This study highlights the method AvaLife in the rescue and treatment of patients trapped from the effects of an avalanche. It provides ALS and BLS providers with the methods of triage to allow for the best chances of survival for patients who undergo entrapment. The principle of the “greatest good for the greatest number” is shown crucial in these cases of situational resource shortage. Rescuers must analyze the environment, take into consideration the forces that could prolong excavation, and proceed with appropriate survival techniques according to AvaLife Protocol in patients with injuries resulting from avalanche and burial.

Admin & Operations

The use of the word "quiet" in the emergency department is not associated with patient volume: A randomized controlled trial

Review by David Gordon, MS3

This randomized control trial evaluates if hearing the word “quiet” bears any change in patient volume and perception of the business of an ED shift. In this trial, 506 staff surveys were collected over a sample of 47 shifts. For each, a researcher approached staff members with a greeting. If the day were randomized to the intervention, the researcher asked, “Has it been quiet in here?” Three hours later, the researcher returned to the staff member to administer the survey, which assessed crowdedness of ED, feelings toward patient volume entering ED, and the belief that the word quiet affects business of the day. There was no association between the word “quiet” and increased patient volumes. However, staff members who perceived that the word “quiet” influenced patient volumes reported a perception of a more crowded ED with more patients after hearing the word “quiet.” Some staff members provided qualitative responses that shifts had “worsened” following hearing the word “quiet,” citing acutely ill patient cases they were managing.

Critique and Implications for Practice Throughout an ED shift, someone might approach an ED staff member and ask if the day is a “quiet” day. ED providers care for patients as they enter the department, but the word “quiet” does not influence patient volume. Though this study was conducted at a single site, the methodology of the study provides a robust analysis to address a common concern among emergency department staff. Staff members who feel as though there is an increase in ED volume and business following hearing the word “quiet” likely have a preconceived belief that this is true. A staff member’s initial preconceived notions of factors that trigger business within the ED may contribute to their perceptions of the ED shift. Generalizing on the study’s results, if staff adopts a mindset that the word “quiet” does not affect patient volumes, they may perceive decreased business over the course of the shift.

Any papers we missed? Let the EMRA Research Committee know a nd we can discuss it at an upcoming journal club!

This list was compiled and edited by EMRA Research Committee members Charles Sanky, MD, MPH; David Gordon, MS3; Kristina Pagano, MS3; and Nathan Roberts, MD, PhD.

Getting started in em research: lessons from rising stars, rapid research review: power, all articles.

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Stanford is leading research efforts to transform health care for all through Precision EM. Precision Emergency Medicine utilizes information and technology to effectively, efficiently, and authentically deliver acute care for our patients and our communities.

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A M T Good 1 ,
P Driscoll 2
1 Accident and Emergency Department, Royal Liverpool University Hospital, Liverpool, UK
2 Accident and Emergency Department, Hope Hospital, Salford, UK
Correspondence to:  Dr A M T Good, Accident and Emergency Department, Royal Liverpool University Hospital, Prescot Street, Liverpool L7 8XP, UK;  Anthony.Good{at}rlbuh-tr.nwest.nhs.uk

The difficulties in conducting good clinical research in emergency medicine can be overcome. This article will begin by identifying the main difficulties faced by the emergency medicine researcher. It will then discuss some solutions through the development and application of the research protocol. Finally, recommendations will be made with regard to writing for publication.

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The top 100 cited articles published in emergency medicine journals

Affiliations.

1 Division of Emergency Radiology, Department of Radiology and Imaging Sciences, Emory University Hospital, Atlanta, GA; Department of Emergency Medicine, Hospital General de la Plaza de Salud, Santo Domingo, Dominican Republic. Electronic address: [email protected].
2 Department of Clinical Epidemiology and Public Health, Universidad Autónoma de Santo Domingo, Santo Domingo, Dominican Republic.
3 Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
4 Department of Emergency Medicine, Hospital General de la Plaza de Salud, Santo Domingo, Dominican Republic.
5 Department of Emergency Medicine, New York Methodist Hospital, Brooklyn, NY.
PMID: 25979301
DOI: 10.1016/j.ajem.2015.04.047

Introduction: Our objective was to identify trends and examine the characteristics of the top 100 cited articles in emergency medicine (EM) journals.

Methods: Scopus Library database was queried to determine the citations of the top 100 EM articles. A second database (Google Scholar) was used to gather the following information: number of authors, publication year, journal name, impact factor, country of origin, and article type (original article, review article, conference paper, or editorial). The top 100 cited articles were selected and analyzed by 2 independent investigators.

Results: We identified 100 top-cited articles published in 6 EM journals, led by Annals of Emergency Medicine (65) and American Journal of Emergency Medicine (15). All top-cited articles were published between 1980 and 2009. The common areas of study were categorized as cardiovascular medicine, emergency department administration, toxicology, pain medicine, pediatrics, traumatology, and resuscitation. A statistically significant association was found between the journal impact factor and the number of top 100 cited articles (P < .005).

Conclusion: The top-cited articles published in EM journals help us recognize the quality of the works, discoveries, and trends steering EM. Our analysis provides an insight to the prevalent areas of study being cited within our field of practice.

PubMed Disclaimer

Am J Emerg Med. 2015 Dec;33(12):1837-8
Top cited articles and journal impact factors. Lee CH. Lee CH. Am J Emerg Med. 2015 Dec;33(12):1837. doi: 10.1016/j.ajem.2015.09.023. Epub 2015 Sep 21. Am J Emerg Med. 2015. PMID: 26458535 No abstract available.
The author replies. Shuaib W. Shuaib W. Am J Emerg Med. 2015 Dec;33(12):1837-8. Am J Emerg Med. 2015. PMID: 27010044 No abstract available.

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EDITORIAL article

Editorial: emergency and critical care of severely injured patients.

$\r\nChristian Waydhas$

1 Department of Trauma, Hand and Reconstructive Surgery, Essen University Hospital, Essen, Germany
2 Department of Trauma and Reconstructive Surgery, University Hospital RWTH Aachen, Aachen, Germany
3 Emergency Intensive Care Unit, First Hospital of Lanzhou University, Lanzhou, Gansu, China

Editorial on the Research Topic Emergency and critical care of severely injured patients

Introduction

Severe trauma is among the leading causes of death and morbidity in many age groups around the world. The chain of survival in critically ill injured patients starts on the scene, continues in the emergency department, and carries on in the first surgical phase and in the intensive care unit. The optimal care of such patients depends on both medical treatment and organizational management. Therefore, it is essential to examine both of these aspects if healthcare systems are to optimize the care of critically ill trauma patients in different parts of the world.

Provision of the best available medical care for severely injured patients might result in suboptimal outcomes if prehospital care, or any link in the path of the patients through the chain of survival, is not of similarly high quality. A close look at the various challenges faced by trauma systems—and their potential solutions—in different regions of the world will enable the identification of existing short-comings and may facilitate the exchange of relevant solutions and possible improvements to processes. Both unmet surgical needs and the cost effectiveness of surgical intervention should be addressed and potential solutions should be suggested, including those related to medical, training, and organizational issues.

In emergency and intensive care, many aspects of care are specific to trauma patients, and so general recommendations and guidelines may not cover the precise needs of injured patients in these settings. Furthermore, many treatment options are currently under scientific discussion. Therefore, new research results and a critical appraisal of the relevant up-to-date knowledge is provided to the readers herein.

Non-technical skills and teamwork

A team of experts does not necessarily make an expert team. Starting from this observation, Alexandrino et al. reviewed some of the most important non-technical skills that are required not only in the emergency department, but also in the operating room, and they proposed ways to improve perioperative communication. Furthermore, they give a short appraisal of existing training courses.

Interhospital transfer

The indication and decision of when to transfer a severely injured patient from one to another hospital are complex. Spering et al. described processes followed for the common, countrywide practice of the interhospital transfer of severely injured patients within a highly developed national network of trauma centers. In addition to their epidemiological overview, they were able to identify major factors that resulted in such a transfer. They also presented data indicating that the introduction of a trauma network resulted in an improved transfer policy.

Anticoagulant and antithrombotic drugs

With an increasingly active aging population, greater numbers of injured patients requiring anticoagulant or antithrombotic treatment are presenting challenges to emergency and surgical teams. One study ( Yamaji et al. ) investigated the impacts of pre-trauma anticoagulant and antithrombotic treatment on mortality in patients with major trauma. They identified differences in outcomes between patients treated with anticoagulant vs. antithrombotic drugs. In this context, a registry study ( Fitschen-Oestern et al. ) focusing on an elderly population analyzed the effects of the application of tranexamic acid on outcomes in patients who were older than 50 years and receiving pre-existing treatment with anticoagulant or antithrombotic medication. In a third study ( Schindler et al. ), a high rate of intracranial bleeding was observed in elderly patients who were receiving anticoagulant or antithrombotic treatment before experiencing a low fall. As this observation was also made in asymptomatic patients, the findings hinted at the necessity of performing a head-CT scan in all such patients.

Bleeding control and fracture management

Endovascular intervention techniques may significantly improve bleeding control and outcomes in severely injured patients. However, they require excellent infrastructure and organization, as delayed processes and other obstacles may diminish their potential benefits. Mizuno et al. analyzed the role of a time delay in transcatheter embolization in patients with pelvic fracture, and their findings substantiated the importance of fast intervention.

The Zürich group of Kalbas et al. presented a review and analysis of registry data that examined the best way to decide on the timing of surgical fracture stabilization in patients with multiple injuries. They discussed the values of different parameters and scores, and they propose the use of a decision tree.

Ventilation and early mobilization

Ventilation and mobilization are central interventions during the intensive care treatment of severely injured patients. Although the general guidelines of ventilatory support do also apply to trauma patients, there may be specific conditions (e.g., pulmonary contusion, inhalation injury) that require more individualized treatment. Meregildo-Rodríguez et al. looked at the ventilation of patients with cervical spinal cord injury who may have specific requirements due to the lack of a primary lung injury and a lack of respiratory-muscle activity. The authors presented a systematic review with a special focus on tidal volumes.

The role and potential advantages of early mobilization in ventilated patients is still a Research Topic under discussion. Wang et al. present another meta-analysis, this time including only randomized controlled trials. They suggested taking a differentiated view with respect to effects on different outcome parameters.

Prediction and quality indicators

Early identification of patients at increased risk of developing complications may help to enable stratification of patients into specific monitoring or treatment pathways, or for potential inclusion in studies trialing novel therapies. In a single-center study ( Xu et al. ), a predictive model for the “Persistent Inflammation, Immunosuppression, and Catabolism Syndrome” was developed and evaluated in trauma patients using parameters that are easily obtained. A nomogram for the calculation of risk was presented.

As has already been stressed in another manuscript on this Research Topic, traumatic brain injuries after low falls in the elderly population is of special interest and concern. It would, therefore, be helpful if specific predictors could be used to indicate the likely treatment courses, outcomes, and resource requirements of such patients. The research group of Forssten et al. identified five predictors of complications and mortality in elderly patients presenting with moderate (Glasgow Coma Scale 9–13) traumatic brain injury after ground-level falls through analyzing information from the database of the American College of Surgeons' Trauma Quality Improvement Program.

Mortality is the primary outcome measure in severely injured trauma victims, with excellent methods available for risk adjustment. However, quality indicators for survivors are rare, and most of those that exist lack validated tools for risk adjustments to improve comparability. Using data from the German Trauma Registry, Lefering et al. developed a model that predicts the length of stay of trauma-injury survivors; after using a dataset describing 108,175 patients, they validated the model in another dataset of more than 72,000 patients. They describe the prediction of patient requirements for ICU treatment (with a duration of more than 1 week) and length of ICU stay for these long-term patients. Their results suggest that this tool may be useful for future benchmarking.

The manuscripts presented on our Research Topic cover a wide range of contributions on subjects that appear to be of general interest for providers of care in the emergency departments, early surgical management, and intensive care treatment in addition to describing prediction models and indicators that may be used for quality control and benchmarking. We hope that readers will gain interesting and helpful information and insights for their own clinical practice and/or stimuli for their own research.

Author contributions

CW: Writing – original draft, Writing – review & editing. FH: Writing – review & editing. LL: Writing – review & editing.

The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.

Conflict of interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

Keywords: severe trauma injury, trauma systems, prehospital trauma care, emergency room algorithms, intensive care treatments, first surgical phase, global surgery

Citation: Waydhas C, Hildebrand F and Liu L (2024) Editorial: Emergency and critical care of severely injured patients. Front. Med. 11:1453497. doi: 10.3389/fmed.2024.1453497

Received: 23 June 2024; Accepted: 03 July 2024; Published: 15 July 2024.

Edited and reviewed by: Zhongheng Zhang , Sir Run Run Shaw Hospital, China

Copyright © 2024 Waydhas, Hildebrand and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Christian Waydhas, christian.waydhas@uni-due.de

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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Yale Medicine Thesis Digital Library

Starting with the Yale School of Medicine (YSM) graduating class of 2002, the Cushing/Whitney Medical Library and YSM Office of Student Research have collaborated on the Yale Medicine Thesis Digital Library (YMTDL) project, publishing the digitized full text of medical student theses on the web as a valuable byproduct of Yale student research efforts. The digital thesis deposit has been a graduation requirement since 2006. Starting in 2012, alumni of the Yale School of Medicine were invited to participate in the YMTDL project by granting scanning and hosting permission to the Cushing/Whitney Medical Library, which digitized the Library’s print copy of their thesis or dissertation. A grant from the Arcadia Fund in 2017 provided the means for digitizing over 1,000 additional theses. IF YOU ARE A MEMBER OF THE YALE COMMUNITY AND NEED ACCESS TO A THESIS RESTRICTED TO THE YALE NETWORK, PLEASE MAKE SURE YOUR VPN (VIRTUAL PRIVATE NETWORK) IS ON.

Theses/Dissertations from 2024 2024

Refractory Neurogenic Cough Management: The Non-Inferiority Of Soluble Steroids To Particulate Suspensions For Superior Laryngeal Nerve Blocks , Hisham Abdou

Percutaneous Management Of Pelvic Fluid Collections: A 10-Year Series , Chidumebi Alim

Behavioral Outcomes In Patients With Metopic Craniosynostosis: Relationship With Radiographic Severity , Mariana Almeida

Ventilator Weaning Parameters Revisited: A Traditional Analysis And A Test Of Artificial Intelligence To Predict Successful Extubation , John James Andrews

Developing Precision Genome Editors: Peptide Nucleic Acids Modulate Crispr Cas9 To Treat Autosomal Dominant Disease , Jem Atillasoy

Radiology Education For U.s. Medical Students In 2024: A State-Of-The-Art Analysis , Ryan Bahar

Out-Of-Pocket Spending On Medications For Diabetes In The United States , Baylee Bakkila

Imaging Markers Of Microstructural Development In Neonatal Brains And The Impact Of Postnatal Pathologies , Pratheek Sai Bobba

A Needs Assessment For Rural Health Education In United States Medical Schools , Kailey Carlson

Racial Disparities In Behavioral Crisis Care: Investigating Restraint Patterns In Emergency Departments , Erika Chang-Sing

Social Determinants Of Health & Barriers To Care In Diabetic Retinopathy Patients Lost To Follow-Up , Thomas Chang

Association Between Fine Particulate Matter And Eczema: A Cross-Sectional Study Of The All Of Us Research Program And The Center For Air, Climate, And Energy Solutions , Gloria Chen

Predictors Of Adverse Outcomes Following Surgical Intervention For Cervical Spondylotic Myelopathy , Samuel Craft

Genetic Contributions To Thoracic Aortic Disease , Ellelan Arega Degife

Actigraphy And Symptom Changes With A Social Rhythm Intervention In Young Persons With Mood Disorders , Gabriela De Queiroz Campos

Incidence Of Pathologic Nodal Disease In Clinically Node Negative, Microinvasive/t1a Breast Cancers , Pranammya Dey

Spinal Infections: Pathophysiology, Diagnosis, Prevention, And Management , Meera Madhav Dhodapkar

Childen's Reentry To School After Psychiatric Hospitalization: A Qualitative Study , Madeline Digiovanni

Bringing Large Language Models To Ophthalmology: Domain-Specific Ontologies And Evidence Attribution , Aidan Gilson

Surgical Personalities: A Cultural History Of Early 20th Century American Plastic Surgery , Joshua Zev Glahn

Implications Of Acute Brain Injury Following Transcatheter Aortic Valve Replacement , Daniel Grubman

Latent Health Status Trajectory Modelling In Patients With Symptomatic Peripheral Artery Disease , Scott Grubman

The Human Claustrum Tracks Slow Waves During Sleep , Brett Gu

Patient Perceptions Of Machine Learning-Enabled Digital Mental Health , Clara Zhang Guo

Variables Affecting The 90-Day Overall Reimbursement Of Four Common Orthopaedic Procedures , Scott Joseph Halperin

The Evolving Landscape Of Academic Plastic Surgery: Understanding And Shaping Future Directions In Diversity, Equity, And Inclusion , Sacha C. Hauc

Association Of Vigorous Physical Activity With Psychiatric Disorders And Participation In Treatment , John L. Havlik

Long-Term Natural History Of Ush2a-Retinopathy , Michael Heyang

Clinical Decision Support For Emergency Department-Initiated Buprenorphine For Opioid Use Disorder , Wesley Holland

Applying Deep Learning To Derive Noninvasive Imaging Biomarkers For High-Risk Phenotypes Of Prostate Cancer , Sajid Hossain

The Hardships Of Healthcare Among People With Lived Experiences Of Homelessness In New Haven, Ct , Brandon James Hudik

Outcomes Of Peripheral Vascular Interventions In Patients Treated With Factor Xa Inhibitors , Joshua Joseph Huttler

Janus Kinase Inhibition In Granuloma Annulare: Two Single-Arm, Open-Label Clinical Trials , Erica Hwang

Medicaid Coverage For Undocumented Children In Connecticut: A Political History , Chinye Ijeli

Population Attributable Fraction Of Reproductive Factors In Triple Negative Breast Cancer By Race , Rachel Jaber Chehayeb

Evaluation Of Gastroesophageal Reflux And Hiatal Hernia As Risk Factors For Lobectomy Complications , Michael Kaminski

Health-Related Social Needs Before And After Critical Illness Among Medicare Beneficiaries , Tamar A. Kaminski

Effects Of Thoracic Endovascular Aortic Repair On Cardiac Function At Rest , Nabeel Kassam

Conditioned Hallucinations By Illness Stage In Individuals With First Episode Schizophrenia, Chronic Schizophrenia, And Clinical High Risk For Psychosis , Adam King

The Choroid Plexus Links Innate Immunity To Dysregulation Of Csf Homeostasis In Diverse Forms Of Hydrocephalus , Emre Kiziltug

Health Status Changes After Stenting For Stroke Prevention In Carotid Artery Stenosis , Jonathan Kluger

Rare And Undiagnosed Liver Diseases: New Insights From Genomic And Single Cell Transcriptomic Analyses , Chigoziri Konkwo

“Teen Health” Empowers Informed Contraception Decision-Making In Adolescents And Young Adults , Christina Lepore

Barriers To Mental Health Care In Us Military Veterans , Connor Lewis

Barriers To Methadone For Hiv Prevention Among People Who Inject Drugs In Kazakhstan , Amanda Rachel Liberman

Unheard Voices: The Burden Of Ischemia With No Obstructive Coronary Artery Disease In Women , Marah Maayah

Partial And Total Tonsillectomy For Pediatric Sleep-Disordered Breathing: The Role Of The Cas-15 , Jacob Garn Mabey

Association Between Insurance, Access To Care, And Outcomes For Patients With Uveal Melanoma In The United States , Victoria Anne Marks

Urinary Vegf And Cell-Free Dna As Non-Invasive Biomarkers For Diabetic Retinopathy Screening , Mitchelle Matesva

Pain Management In Facial Trauma: A Narrative Review , Hunter Mccurdy

Meningioma Relational Database Curation Using A Pacs-Integrated Tool For Collection Of Clinical And Imaging Features , Ryan Mclean

Colonoscopy Withdrawal Time And Dysplasia Detection In Patients With Inflammatory Bowel Disease , Chandler Julianne Mcmillan

Cerebral Arachnoid Cysts Are Radiographic Harbingers Of Epigenetics Defects In Neurodevelopment , Kedous Mekbib

Regulation And Payment Of New Medical Technologies , Osman Waseem Moneer

Permanent Pacemaker Implantation After Tricuspid Valve Repair Surgery , Alyssa Morrison

Non-Invasive Epidermal Proteome-Based Subclassification Of Psoriasis And Eczema And Identification Of Treatment Relevant Biomarkers , Michael Murphy

Ballistic And Explosive Orthopaedic Trauma Epidemiology And Outcomes In A Global Population , Jamieson M. O'marr

Dermatologic Infectious Complications And Mimickers In Cancer Patients On Oncologic Therapy , Jolanta Pach

Distressed Community Index In Patients Undergoing Carotid Endarterectomy In Medicare-Linked Vqi Registry , Carmen Pajarillo

Preoperative Psychosocial Risk Burden Among Patients Undergoing Major Thoracic And Abdominal Surgery , Emily Park

Volumetric Assessment Of Imaging Response In The Pnoc Pediatric Glioma Clinical Trials , Divya Ramakrishnan

Racial And Sex Disparities In Adult Reconstructive Airway Surgery Outcomes: An Acs Nsqip Analysis , Tagan Rohrbaugh

A School-Based Study Of The Prevalence Of Rheumatic Heart Disease In Bali, Indonesia , Alysha Rose

Outcomes Following Hypofractionated Radiotherapy For Patients With Thoracic Tumors In Predominantly Central Locations , Alexander Sasse

Healthcare Expenditure On Atrial Fibrillation In The United States: The Medical Expenditure Panel Survey 2016-2021 , Claudia See

A Cost-Effectiveness Analysis Of Oropharyngeal Cancer Post-Treatment Surveillance Practices , Rema Shah

Machine Learning And Risk Prediction Tools In Neurosurgery: A Rapid Review , Josiah Sherman

Maternal And Donor Human Milk Support Robust Intestinal Epithelial Growth And Differentiation In A Fetal Intestinal Organoid Model , Lauren Smith

Constructing A Fetal Human Liver Atlas: Insights Into Liver Development , Zihan Su

Somatic Mutations In Aging, Paroxysmal Nocturnal Hemoglobinuria, And Myeloid Neoplasms , Tho Tran

Illness Perception And The Impact Of A Definitive Diagnosis On Women With Ischemia And No Obstructive Coronary Artery Disease: A Qualitative Study , Leslie Yingzhijie Tseng

Advances In Keratin 17 As A Cancer Biomarker: A Systematic Review , Robert Tseng

Regionalization Strategy To Optimize Inpatient Bed Utilization And Reduce Emergency Department Crowding , Ragini Luthra Vaidya

Survival Outcomes In T3 Laryngeal Cancer Based On Staging Features At Diagnosis , Vickie Jiaying Wang

Analysis Of Revertant Mosaicism And Cellular Competition In Ichthyosis With Confetti , Diana Yanez

A Hero's Journey: Experiences Using A Therapeutic Comicbook In A Children’s Psychiatric Inpatient Unit , Idil Yazgan

Prevalence Of Metabolic Comorbidities And Viral Infections In Monoclonal Gammopathy , Mansen Yu

Automated Detection Of Recurrent Gastrointestinal Bleeding Using Large Language Models , Neil Zheng

Vascular Risk Factor Treatment And Control For Stroke Prevention , Tianna Zhou

Theses/Dissertations from 2023 2023

Radiomics: A Methodological Guide And Its Applications To Acute Ischemic Stroke , Emily Avery

Characterization Of Cutaneous Immune-Related Adverse Events Due To Immune Checkpoint Inhibitors , Annika Belzer

An Investigation Of Novel Point Of Care 1-Tesla Mri Of Infants’ Brains In The Neonatal Icu , Elisa Rachel Berson

Understanding Perceptions Of New-Onset Type 1 Diabetes Education In A Pediatric Tertiary Care Center , Gabriel BetancurVelez

Effectiveness Of Acitretin For Skin Cancer Prevention In Immunosuppressed And Non-Immunosuppressed Patients , Shaman Bhullar

Adherence To Tumor Board Recommendations In Patients With Hepatocellular Carcinoma , Yueming Cao

Clinical Trials Related To The Spine & Shoulder/elbow: Rates, Predictors, & Reasons For Termination , Dennis Louis Caruana

Improving Delivery Of Immunomodulator Mpla With Biodegradable Nanoparticles , Jungsoo Chang

Sex Differences In Patients With Deep Vein Thrombosis , Shin Mei Chan

Incorporating Genomic Analysis In The Clinical Practice Of Hepatology , David Hun Chung

Emergency Medicine Resident Perceptions Of A Medical Wilderness Adventure Race (medwar) , Lake Crawford

Surgical Outcomes Following Posterior Spinal Fusion For Adolescent Idiopathic Scoliosis , Wyatt Benajmin David

Representing Cells As Sentences Enables Natural Language Processing For Single Cell Transcriptomics , Rahul M. Dhodapkar

Life Vs. Liberty And The Pursuit Of Happiness: Short-Term Involuntary Commitment Laws In All 50 US States , Sofia Dibich

Healthcare Disparities In Preoperative Risk Management For Total Joint Arthroplasty , Chloe Connolly Dlott

Toll-Like Receptors 2/4 Directly Co-Stimulate Arginase-1 Induction Critical For Macrophage-Mediated Renal Tubule Regeneration , Natnael Beyene Doilicho

Associations Of Atopic Dermatitis With Neuropsychiatric Comorbidities , Ryan Fan

International Academic Partnerships In Orthopaedic Surgery , Michael Jesse Flores

Young Adults With Adhd And Their Involvement In Online Communities: A Qualitative Study , Callie Marie Ginapp

Becoming A Doctor, Becoming A Monster: Medical Socialization And Desensitization In Nazi Germany And 21st Century USA , SimoneElise Stern Hasselmo

Comparative Efficacy Of Pharmacological Interventions For Borderline Personality Disorder: A Network Meta-Analysis , Olivia Dixon Herrington

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107 Emergency Department Essay Topic Ideas & Examples

🏆 best emergency department topic ideas & essay examples, 👍 good essay topics on emergency department, ⭐ simple & easy emergency department essay titles, 💡 most interesting emergency department topics to write about.

A Hospital Emergency Room General processes in the emergency room are kept at a minimum in order to attend to patients as soon as possible.
Emergency Nursing Disaster Preparedness: Teaching Plan The topic that will be covered in the teaching session is “Emergency Nursing Disaster Preparedness”, and the time allocated to cover the topic is 30 minutes.
Intensive Care & Critical Care Skills in Nursing Therefore, the current research examines the importance of intensive and critical care skills in nursing. Due to this, ICU and critical care training can be considered most beneficial in nursing.
Personal Philosophy of Emergency Room Nursing However, the staff and the patients’ close ones contribute to the creation of the environment necessary for a fast healing process.
The Newborn Critical Care Unit Project: Pros & Cons The current Proposal is to develop a three-story structure with high-acuity NICU facilities on the first story adjacent to the maternity room and an empty area on the ground as well as the second floor.
Nursing Emergency Room Training Program The course is intended for new nurses, who will be operating in the emergency department. Students will be able to: Design and implement nursing strategies adequate for emergency department patients;
An Interdisciplinary Team in the Emergency Department It is expected that the proposed initiative will define the positions of the nurse in the unit and contribute to a transparent distribution of the roles of medical personnel.
Nursing Metaparadigm Theories in Emergency Room The patient is the focus of the treatment plans and is liable for making the necessary informed decisions. Nursing is an art due to the values of compassion, empathy, and caring for handling patients.
Enhancing Critical Elements of iCare in the ER Nurse’s Work Setting Nevertheless, partnership and cooperation, the procedure for obtaining and transmitting up-to-date knowledge about patients, the process of maintaining morale and positive mood among employees, as well as work about the demonstration of efforts and competencies, […]
Nurses Burnout in the Emergency Department Team Before introducing the same approach proposed in this study, it is essential to inform nurses about the problem and the benefits of the intervention.
How to Mitigate the Covid-19 Type Crisis in America’s Emergency Rooms During the COVID-19 epidemic, America’s emergency rooms are the first point of contact for community-based care and hospital. The framework for responding to and comprehending COVID-19 is evolving quickly.
The Emergency Department Management The vision statement provides the future with the desired position for the organization. The organization’s future is essential while discussing the vision and goal.
Learning Outcomes from Critical Care Competencies The first approach in the procedure to enable the focus to be acquired on important topics is SWOT in order to understand the model and use it to enhance my personal and professional development.
A Sentinel Event at the Emergency Department The general purpose of conducting RCA is to identify system vulnerabilities to eliminate and mitigate them and understand the reasons behind errors. In the third step of RCA, the HT will identify the causative and […]
Emergency Medical Care and Nursing Overwork In this paper, I would like to discuss what I have contributed to the solution to the problem of overworked healthcare workers.
The University of Washington Medical Center: Emergency Department Thus, the presented model is subject to consideration: the output is the provision of medical services, and the input is resources and information.
Rapid Deployment of Critical Care Nurse Education During the COVID-19 Pandemic As suggested in the article, it is ambient to encourage non-critical care nurses to transition into ICU nurses in the face of a health crisis.
Overcrowding in Dubai Government Emergency Department In a different spectrum, lack of adequate studies involving the assessment of the setback of congestion within the healthcare institutions contributes to the prevailing factor within the Dubai territories.
Operations Research and Emergency Department In the healthcare industry, wait time refers to the time before obtaining service or, in a healthcare facility, the time before receiving care is offered.
American Association of Critical Care Nurses’ Activity The association’s mission is to provide nurses with the necessary ground for “expert knowledge and the influence to fulfill their promise to patients and their families”. AACN recognition programs are instrumental in helping nurses feel […]
Prevention Bundle to Reduce Hospital-Acquired Pressure Injuries in Critical Care The evaluation of the severity of pressure injuries is done with the Braden scale. The high-risk intervention was developed to facilitate recovery in patients with higher stages of pressure injuries.
Effectiveness of SBIRT for Alcohol Use Disorders in the Emergency Department In this stage, the health practitioner asks the patient three questions regarding the quantity and frequency of alcohol use by employing the AUDIT-C tool.
Community Health Nursing-Emergency Response In addition to the above, he remains the supervisor of all activities related to public health and ensures that a high level of public health is achieved during and after the disaster period.
Child Asthma Emergency Department Visits: Plan for the Reduction The population of Central Harlem will be the target of this intervention that aims to decrease the rate of children’s asthma-related ED visits.
The Child Asthma Emergency Department Visits The program makes it easy for medical caregivers to carry accurate assessments to pediatric patients. The program is easily scalable, and it is also sustainable, making 5A’s the best solution to Child Asthma Emergency Department […]
Workplace Violence in Emergency Department Many researchers have argued that workplace violence is a cumulative set of actions that destroy the physical, mental, and psychological status of an individual in a working environment.
The American Association of Critical-Care Nurses: Program Analysis The species of a particular bat is identified as the reservoir of the disease and the problems facing health care system in Uganda.
Adult and Pediatric Emergency Rooms: Nurse Practitioners Role As a result, this article provides additional information regarding the changing roles of nurse practitioners in the emergency rooms. An evaluation of the effectiveness and acceptability of nurse practitioners in an adult emergency department.
The Competencies of Disaster Nursing on a Scope of Emergency Department That is why the most important competencies in the case of a disaster are the problem-solving skills and critical but flexible thinking.
Personal Protection of Nurses During Resuscitation: A Study in a Major Emergency The responsibilities of nurses are directly related to eliminating the conditions putting the life and well-being of the patient at risk.
Nurse’s Perspectives on Medication Safety in Critical Care Units in Saudi Arabian Hospitals: A Pilot Study In other words, the working conditions of the nursing staff in a hospital are critical for the improvement of the quality of the patient care and the minimization of the number of medication errors.
Emergency Room Budget The potential members of the team are the nurses, who know about all processes in the Emergency Room, and the financial workers, who know how to find the best financial propositions to the required services […]
Disseminating Results Two Stages of the Emergency Department When the results of the project are disseminated to the stakeholders involved in the solution implementation, it is necessary to present the findings and discuss the significance of the outcomes in the format that is […]
Standards of the American Association of Critical-Care Nurses The score on the second phase of assessment will be the full mark that is four out of four, and for the past years I have been in the institution I have learned a lot […]
The Emergency Nurses Association Development The main purpose of the development of the association was to enhance the skills of the emergency nurses and to help them to adapt to changing health care requirements.
Patient Care in Emergency Departments In the current paper, the author examines the process of care at the ED for patients presenting with chest pains. The time metrics for each patient are illustrated in the paper, together with a map […]
Improving First Point of Contact Communication in Emergency Department Over the past four decades, physicians and nurses have worked to transform the hospital to HCA Hospital Corporation of America. For instance, the Hospital in Dallas played an important role in putting a spotlight on […]
How to Reduce Patient Waiting Time Mainly in Accident Emergency Department The patient waiting time can influence the outcomes of the visit by the patient to the hospital. The comparison of the use of the term “patient waiting time” makes it clear that the use of […]
Nurse Emergency and Disaster Preparedness Hajj mass gatherings is common in this society and this increases chances that one of the risk factors may occur, which may lead to cases of emergency medical needs.
Facility Planning – Emergency Room The first stage in the design and equipment of Anaheim Memorial Medical Center was to identify the needs of stakeholders and satisfy them in the best way.
Should Family-Witnessed Resuscitation Be Allowed in the Emergency Department? This section also highlights the instruments that were used in the study and the pilot testing of the instruments. Demir conducted a study to examine the opinions of nurses about family presence during resuscitation.
Pain Management in the Emergency Department Downey and Zun conducted a study to identify the relationship between pain management in the emergency department and patient satisfaction. By including studies that focus on these two different approaches to pain management in ED, […]
Nursing Personnel’s Response to an Emergency The public health inspectors are involved in inspection of food premises and of vendors to ensure that they are licensed and have a valid license to operate; they also inspect the sanitation and hygienic conditions […]
Critical Care and Advanced Practice Nurses Abstract Critical care and advanced practice nurses have a significant role in the creation of safe passage for patients in the hospitals in the United States Methodology This article written by three registered nurses have […]
Benefits of Telemedicine for Emergency Departments The purpose of this paper is to examine the article by Zachrison and others and evaluate the advantages of telecare on the example of the functioning of emergency departments in the USA.
Geriatric Critical Care in the Emergency Department As he explained to the elderly man, in the case of the provision of intubation, it would take time to get him off the ventilator.
Unstable Adult Patient Management in the Emergency Department The abstract also provided important details relating to the article, including the approach used, the target population and the broader aim of the study, which was to standardise an emergency observation chart to allow healthcare […]
Team Role in the Critical Care Unit A team that has negative interactions between its members also shows that the flow of information across the team is not complete, wherein only a few members are knowledgeable of the details and even the […]
Nursing: Emergency Preparedness for Natural Disasters To effectively respond to accidents, it is extremely important to learn more about the reasons for natural disasters and the way the staff makes emergency decisions.
Medication Error in the Emergency Room However, the complexity and fast-paced nature of care provided in the emergency department enhance the probability of errors occurring. In 2001 alone, more than 2,000 cases of medication errors and emergency room cases were reported […]
Political Function of the American Association of Critical-Care Nurses The same applies to the relationship between policy and legislation, on the one hand, and health care and nursing, on the other.
Nurses’ Role in Emergency Preparedness and Care The present paper will discuss the nurses’ role in disaster preparedness and outline how various concepts and frameworks apply to nursing care for vulnerable populations.
Education Program for Emergency Unit Nurses By the end of the program, all the nurses will report improved preparedness to and confidence in managing the issues related to the three topics as evidenced by the self-reported preparedness element of the final […]
Emergency Room Head Nurse in Saudi Arabia The present paper considers the role of an Emergency Room Head Nurse, which combines leadership and managerial responsibilities, specifically within the settings of the Kingdom of Saudi Arabia.
Emergency Department and Applied Systems Theory Burnout is also related to the mental and physical health of the staff since it can lead to emotional exhaustion, potential bullying, nonsupportive working relationships, etc.
Emergency Department: Leadership Strategy The given paper discusses the approach to leadership and the strategy helping to reduce the number of avoidable ED visits. In the case under consideration, the task of a nurse leader is to invent and […]
Health Authority – Abu Dhabi and Emergency Department Due to the fact that the trend of the growth of emergency situations, the issue of enhancement of the preparation for the prevention and elimination of emergency situations remains.
Emergency Department Head Nurse’s Responsibilities The combination of their detailed knowledge of the work of an ED nurse and the position of a manager and leader results in the ability of HNEDs to successfully manage the department and improve the […]
Head Nurse’s Role in Emergency Department The ultimate role of the head nurse is to lead and direct the activities of other healthcare workers in the emergency department.
Nonurgent Emergency Room Visit’ Effects They also indicated that the in-flow was more than out-flow, and this strained EDs, implying that they could not cater for the large number of patients.
Communication in Hospital Emergency Department The IT department should have full information about the activities at this unit so that it may find a way of improving the communication system, especially when handling delicate scenarios such as Ebola outbreak.
Emergency Room Equipments Industry Profitability Medical patient’s demand for emergency room services resulted into claim for equipment and, consequently, the process led to increased profitability in the equipments industry.
Emergency Department Information System for Health Care Organizations
Infection Control in the Emergency Department
Building Cyclic Schedules for Emergency Department Physicians
The Demand for Non-emergent Emergency Department Visits
Inadequate Staffing and Capacity of the Emergency Department
The Solution to Reducing Emergency Department Crowding
Emergency Department for Chest Pain
Developing Emergency Department Nursing Team
Racial and Ethnic Differences in Emergency Department Utilization
Collaboration Meeting for Process Excellence in the Emergency Department
Legacy Salmon Creek Emergency Department
Patient Satisfaction in the Emergency Department
Proposal to Eliminate Bottlenecks in the Emergency Department
Forecasting Emergency Department Wait Times
Pain Management for the Pediatric Emergency Department
Artificial Neural Networks and Risk Stratification in the Emergency Department
Implementation of an Emergency Department Computer System
Ethical Dilemmas of Emergency Department Nurses
Hospital Emergency Department and Supply Chain Management
Factors Affecting Outpatient Follow-up Compliance of Emergency Department Patients
Echocardiography in the Emergency Department
Associated Factors With Sexual Assaults in a Gynaecology Emergency Department
Speed of Treatment and High Load in the Emergency Department
Predicting Patient Disposition in a Pediatric Emergency Department
Emergency Department Utilization by the Elderly
Patient Confidentiality in the Emergency Department
Emergency Department for Treatment of Unexplained Fever
Understanding Ethical Dilemmas in the Emergency Department
Emergency Department Use Among Adult Medicaid Enrollees
Preventable Emergency Department Visits for Nontraumatic Dental Conditions
Hospital and Emergency Department Crowding in the United States
Delivering Safe and High-Quality Healthcare in the Emergency Department
Method for the Treatment of Skin Conditions in the Emergency Department of a Hospital
Burnout Among Emergency Department Nurses
Secondary Traumatic Stress in the Emergency Department
Aggressive Behaviors and Assault in the Emergency Department
Accurate Emergency Department Wait Time Prediction
Boarding of Critically Ill Patients in the Emergency Department
Drivers of Emergency Department Use and Implications for Policy
The Emergency Department and Its Effects on Health Care
Healthcare Questions
Myocardial Infarction Research Ideas
NHS Research Ideas
Affordable Care Act Essay Titles
Health Topics
Biomedicine Essay Topics
Evidence-Based Practice Titles
Health Insurance Research Topics
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1. IvyPanda . "107 Emergency Department Essay Topic Ideas & Examples." February 27, 2024. https://ivypanda.com/essays/topic/emergency-department-essay-topics/.

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IvyPanda . "107 Emergency Department Essay Topic Ideas & Examples." February 27, 2024. https://ivypanda.com/essays/topic/emergency-department-essay-topics/.

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July 23, 2024

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Minnesota mental health patients stay 25 hours longer than necessary in ER because of shortages

by Jeremy Olson, Star Tribune

When patients in mental health crises get stuck in Minnesota's emergency rooms, they stay 25 hours longer on average than necessary—taking up hospital space as well as the time of doctors and nurses, who could otherwise focus on the next emergencies.

Researchers documented the length of these delays by studying patient activity over 14 days last fall at more than 30 Minnesota hospitals, but they also provided vital evidence about which patients were most likely to suffer delays, and why.

Knowing which patients are at risk can help the state come up with treatments that target this population and prevent mental health crises and hospital visits , said Kristin Dillon, a co-author from Wilder Research, which released the report with the Minnesota Department of Health.

Delays for patients "in a hospital setting when they can be discharged is harmful to patients, caregivers, hospital staff and the health care system ," she said. "However, we cannot take steps to effectively address these discharge delays without understanding the underlying reasons behind the delays."

Monday's findings were presented to an advisory council created last year to reduce delays in care and the worsening problem of ER and hospital overcrowding in Minnesota.

Staffing and bed shortages at nursing homes and rehabilitation centers have worsened since the COVID-19 pandemic, leaving hospitals stuck with frail, elderly patients on their inpatient floors. Twin Cities ERs have treated patients in hallway gurneys at peak times when they have run out of beds. But these delays in many ways compounded the longstanding problem of patients in mental health crises being boarded in ERs with nowhere to go.

Hospital inpatient psychiatric units were largely full during the study, and they couldn't take new patients from ERs until they found space to discharge their existing patients to residential or outpatient treatment programs. The study observed 182 patients in hospital psychiatric units whose discharges were delayed, and on average it took eight days longer than necessary to move them.

The problem was more complex than patients waiting for openings in treatment programs, though. One in five patients stuck in inpatient units was delayed by court decisions over civil commitments, or decisions over their eligibility for insurance benefits or waiver programs, the study showed.

Among patients stuck in ERs, only six in 10 needed inpatient hospital care. The rest were stuck for other reasons, including delays in arranging transportation home or in getting outpatient care lined up. A third of the delayed patients went straight home from the ERs.

M Health Fairview has been confronting the problem, opening a so-called EmPATH unit at its hospital in Edina that provides a relaxed environment and transitional care for patients who can be moved from the ER. The health system is also partnering with for-profit Acadia Healthcare to reopen the Bethesda Hospital campus in St. Paul as a psychiatric facility next year.

In some ways, the delays published in the report underestimated the problem. Delays were only calculated for patients who were discharged during the two-week study. About 5% of the ER patients had yet to be discharged by the end, and some spent the entire two weeks in care. Some hospitals have endured extreme cases, such as the boarding of a child with behavioral problems for months at Ridgeview Medical Center in Waconia.

State lawmakers were so concerned by the delays in 2022 that they waived Minnesota's hospital construction moratorium through 2027 for any provider looking to add psychiatric capacity. However, the study makes it clear that the greatest need is in community and preventive treatment programs that keep people from crises, said Dr. Will Nicholson, vice president of medical affairs for Fairview's East Metro hospitals.

"We can take better care of people when we can prevent illness, we can get upstream," he said.

Minnesota has been locked for two decades in a chicken-egg debate about whether to spend limited dollars on more inpatient beds, or preventive programs to try to reduce the need for those beds. State health economists blocked a proposal in 2008 by then-named Prairie St. John's to build a psychiatric hospital in Woodbury, based largely on the argument that prevention programs were more needed. The provider later became known as PrairieCare and built and expanded a pediatric psychiatric hospital in Brooklyn Park.

More beds aren't the only solution at a time of workforce shortages, said Sue Abderholden, who directs the Minnesota chapter of the National Alliance on Mental Illness. Minnesota previously tackled the mental health treatment shortage by creating a stepdown level of care called intensive residential treatment services to ease the pressure on hospitals. The state has about 60 of them operating, but many can't find enough staff and are operating well below their 16-bed capacities, she said.

The legislature this year OK'd funding for counselors who could check on patients who were showing the first signs of struggling—perhaps by skipping medication doses or appointments, Abderholden said. "We're trying to get way before a crisis, before you need an ER, before you need a crisis team."

2024 StarTribune. Distributed by Tribune Content Agency, LLC.

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We are actively working to increase the diversity of our department, which is expressed in many forms including race and ethnicity, gender and gender identity, sexual orientation, socioeconomic status, language, culture, national origin, religious commitments, age, and (dis)ability status.

Further, we are working actively to challenge and respond to bias, harassment, and discrimination. We are pursuing deliberate efforts to ensure that the Department of Emergency Medicine is a place where differences are welcomed, different perspectives are respectfully heard, and where every individual feels a sense of belonging. In addition, IU School of Medicine offers focused, systematic and sustained programs that are aligned with three foundational pillars: representational diversity, inclusive working and learning environment, and cultural competence.

This is important work because we know that a more diverse workforce leads to better outcomes with decision making and patient care.

Emergency Medicine Students at Pride Parade

DEI Initiatives

To increase representational diversity:

Updated rubric for residency applicant review
Focused outreach for key faculty leadership roles
Underrepresented in Medicine (URM) scholarship for away students

To address equity:

Studies of bias in evaluations of learners
Compensation review
Required unconscious bias training

To increase inclusion:

Women in medicine visiting professor series
Diversity committee and diversity plan
Flexible scheduling policy for pregnancy and new parent residents

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Dissertations
M.B.B.S Phase III – Part-II

ONGOING DISSERTATION


Dr. Arun George John	Dr. V A Kothiwale	“CORRELATION BETWEEN MEAN PLATELET VOLUME AND SEVERITY OF SEPSIS IN PATIENTS ADMITTED IN THE INTENSIVE CARE UNIT AT KLE DR. PRABHAKAR KORE HOSPITAL AND MEDICAL RESEARCH CENTRE, BELAGAVI – A ONE YEAR CROSS SECTIONAL STUDY .
Dr. Yasoda Tushar Maldkar	Dr. V A Kothiwale	“ESTIMATION AND CORRELATION OF CLINICAL SIGNIFICANCE OF LIPOPROTEIN (A) AS A RISK FACTOR OF ATHEROSCLEROTIC VASCULAR EVENTS IN ELDERLY: A ONE YEAR CROSS-SECTIONAL STUDY IN KLE’S DR PRABHAKAR KORE HOSPITAL AND MEDICAL RESEARCH CENTRE, BELAGAVI.”
Dr. Srijanee Das	Dr. V A Kothiwale	“CORRELATION BETWEEN SERUM URIC ACID & DISEASE ACTIVITY IN PATIENTS OF RHEUMATOID ARTHRITIS- A ONE YEAR CROSS SECTIONAL STUDY IN KLE’S DR. PRABHAKAR KORE HOSPITAL AND MEDICAL RESEARCH CENTRE, BELAGAVI.”
Dr. Krishna Reddy Singa Reddy	Dr. V G Somannavar	“EVALUATION OF CHANGES IN MEAN ARTERIAL PRESSURE AND PULSE PRESSURE FOLLOWING PASSIVE LEG RISING TEST AS INDEX AND PREDICTOR OF FLUID RESPONSIVENESS IN SEPTIC SHOCK PATIENTS.”
Dr. Karmudi Prathyusha	Dr. V G Somannavar	“COMPARISON OF HAEMATOLOGICAL PARAMETERS IN ALCOHOLICS AND NON ALCOHOLICS.”
Dr. Divya Killamsetty	Dr. Anwar Mujawar	“CORRELATION OF ABO BLOOD GROUPING AND OUTCOME IN SEPSIS PATIENTS ADMITTED IN INTENSIVE CARE UNIT AT KLE DR. PRABHAKAR KORE HOSPITAL AND MEDICAL RESEARCH CENTRE, BELAGAVI – A CROSS SECTIONAL BASED STUDY.”
Dr.Snigdha N Mazumdar	Dr. Rekha S Patil	“CORRELATION OF SERUM PROLACTIN LEVEL TO CHILD PUGH SCORING SYSTEM IN PATIENTS OF CIRRHOSIS OF LIVER IN A TERTIARY CARE HOSPITAL- A CROSS SECTIONAL STUDY”
Dr. Nettem Sai Bhuvanesh	Dr. Rekha S Patil	“A ONE YEAR CROSS SECTIONAL STUDY ON ATTAINMENT OF TARGET BLOOD PRESSURE IN HYPERTENSIVES AT KLE HOSPITAL BELAGAVI.”
Dr. E Vinayak	Dr. Madhav Prabhu	“CORRELATION OF SALIVARY GLUCOSE LEVEL WITH BLOOD GLUCOSE LEVEL IN DIABETES MELLITUS.”
Dr.Vishal K	Dr. Arathi Darshan	“CORRELATION BETWEEN TRIGLYCERIDE GLUCOSE INDEX AND MICROVASCULAR COMPLICATIONS IN TYPE 2 DIABETES MELLITUS.”
Dr.Saad Arshad Siddiqui	Dr. Jayaprakash A	“CLINICAL PROFILE, RISK FACTORS AND RESISTANCE PATTERN OF PATIENTS WITH VENTILATOR ASSOCIATED PNEUMONIA DUE TO ACINETOBACTER BAUMANNII IN INTENSIVE CARE UNITS
Dr. Isha Desai	Dr. Naveen Angadi	“STUDY OF THYROID FUNCTION IN PATIENTS OF CHRONIC KIDNEY DISEASE.”
Dr. Aakash Deep Singh	Dr. Dnyanesh Morkar	“ESTIMATION OF CARDIOVASCULAR DISEASE RISK PREDICTION BY ATHEROSCLEROTIC CARDIOVASCULAR DISEASE (ASCVD) SCORE IN HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTED PATIENTS WHICH IS CROSS SECTIONAL STUDY IN KLE DR.PRABHAKAR KORE CHARITABLE HOSPITAL FOR 1YEAR OF DURTION..”
Dr. Nagarjun Kamaneni	Dr. Dnyanesh Morkar	“AST TO PLATELET RATIO INDEX (APRI) IN PATIENTS WITH METABOLIC SYNDROME AND ITS RELATION WITH CARDIOVASCULAR RISK.”
Dr. Dhruv Madann	Dr. Raju B	“ROLE OF NOVEL BIOMARKER HEART TYPE FATTY ACID-BINDING PROTEIN (H-FABP) IN DIAGNOSIS ACUTE CORONARY SYNDROME IN EMERGENCY DEPARTMENT- A ONE YEAR CROSS SECTIONAL STUDY IN KLES DR. PRABHAKAR KORE HOSPITAL & MRC, BELGAUM.”
Dr.Yashasvi Agarwal	Dr. Anjali R M	“CROSS SECTIONAL STUDY COMPARING IMMATURE PLATELET FRACTION WITH DEGREES OF HYPERGLYCEMIA IN TYPE 2 DIABETES MELLITUS IN POST CORONARY ANGIOGRAPHY PATIENTS AT KLES DR. PRABHAKAR KORE HOSPITAL”
Dr. Adarsh Sinhal	Dr. Prakash Babaliche	“STUDY OF EFFECT OF SERUM POTASSIUM LEVELS ONPATIENTS WITH ORGANOPHOSPHATE POISONING PRESENTING TO KLES DR. PRABHAKAR KORE HOSPITAL & MRC, BELAGAVI- A 1 YEAR OBSERVATIONAL STUDY.”
Dr. Nidhi Mangal Wadhe	Dr. Arif Maldar	“RATIO OF PLATELET COUNT TO SPLENIC DIAMETER AS A PREDICTOR OF ESOPHAGEAL VARICES IN CIRRHOSIS OF LIVER: A CROSS SECTIONAL STUDY.”
Dr. Dharoja Vijayakumar Ramnikbhai	Dr. Naveen Angadi	“STUDY OF SPECTRUM OF PRECIPITATING FACTORS OF HEPATIC ENCEPHALOPATHY IN CIRRHOSIS OF LIVER WHICH IS A CROSS SECTIONAL STUDY FOR 1 YEAR AT KLES DR PRABHAKAR CORE CHARITABLE HOSPITAL BELAGAVI.”
Shubham Kapse	Dr.Arathi Darshan	“SCREENING FOR OBSTRUCTIVE SLEEP APNOEA IN PATIENTS WITH TYPE 2 DIABETES MELLITUS USING STOP BANG SCORING AND ITS CORRELATION WITH HSCRP LEVELS.”
Dr. Arush Vedwa	Dr.Raju Badiger	“CORRELATION OF SERUM HDL WITH SOFA SCORE IN SEPSIS AND ITS PROGNOSTIC VALUE IN PATIENTS ADMITTED IN INTENSIVE CARE UNIT AT KLE DR. PRABHAKAR KORE HOSPITAL AND MEDICAL RESEARCH CENTRE, BELAGAVI- A PROSPECTIVE COHORT STUDY”
Dr.Aswin Sasi Kumar C K	Dr. V. A. Kothiwale	“A ONE YEAR OBSERVATIONAL STUDY TO ASSESS THE KNOWLEDGE ATTITUDE AND PRACTICES ABOUT HYPOGLYCEMIA IN DIABETIC PATIENTS PRESENTING WITH HYPOGLYCEMIA IN A TERTIARY CARE CENTRE OF NORTH KARNATAKA (DR. PRABHAKAR KORE HOSPITAL AND M.R.C)”,
Dr. Prathamesh Powalkar	Dr. V. G. Somannavar	“STUDY OF IMMATURE GRANULOCYTE COUNT AS EARLY DIAGNOSTIC MARKER TO DIFFERENTIATE BETWEEN SIRS AND SEPSIS PATIENTS”,
Dr. Jale Venkat	Dr. Anwar Mujawar	“THE USE OF SMART-COP SCORE IN PREDICTING SEVERITY OUTCOMES AMONG PATIENTS WITH COMMUNITY ACQUIRED PNEUMONIA ADMITTED AT TERITIARY CARE CENTER BELAGAVI- A CROSS SECTIONAL STUDY”,
Dr. Parati Sejal Shivkumar	Dr. Madhav Prabhu	“TO STUDY THE CORRELATION OF URINE MELATONIN WITH METABOLIC SYNDROME AND ITS MANIFESTATION AT TERTIARY CARE HOSPITAL- A CROSS SECTIONAL STUDY”,
Dr. Dondapati Venkata Harshit	Dr.Arif D. Maldar	“A STUDY OF LIPID PROFILE AMONG THE PRE-MENOPAUSAL AND POST- MENOPAUSAL WOMEN A CROSS SECTION STUDY IN A TERTIARY CARE CENTER”,
Dr. Ghantasala Raghava	Dr. Arathi Darshan	“DIAGNOSTIC VALUE OF ALCOHOLIC LIVER DISEASE/ NON ALCOHOLIC FATTY LIVER DISEASE INDEX ( ANI ) IN DIFFERENTIATING ALCOHOLIC LIVER DISEASE AND NONALCOHOLIC FATTY LIVER DISEASE ONE YEAR BASED OBSERVATIONAL STUDY IN TERITARY CARE CENTRE”,
Dr. Gadiraju Lakshmi Taralika	Dr. Jayaprakash Appajigol	“TO COMPARE CLINICAL PROFILE AND OUTCOMES OF ACINETOBACTER BAUMANNI CAUSING INFECTION VS COLONIZATION IN ICU PATIENTS”,
Dr. Tatireddy Sai Sindhu	Dr. V. G. Somannavar	“A STUDY OF BLOOD UREA NITROGEN AND SERUM ALBUMIN RATIO IN PATIENTS OF PNEUMONIA AT A TERITARY CARE HOSPITAL, BELAGAVI”,
Dr. Joshi Ameya Mukund	Dr. Rekha S Patil	“PLATELET INDICES IN PATIENTS OF TYPE II DIABETES MELLITUS AT TERTIARY CARE TEACHING HOSPITAL- ONE YEAR CROSS SECTIONA LSTUDY”,
Dr. Swetha Sunkara	Dr. Rekha S Patil	“ASSOCIATION BETWEEN 24 HOUR URINARY SODIUM AND POTASSIUM EXCRETION AND BLOOD PRESSURE IN NEWLY DIAGNOSED HYPERTENSIVESUBJECTS, A ONE YEAR CROSS SECTIONAL STUDY AT A TERTIARY CARE HOSPITAL”,
Dr. Emmunur Thogira Susrut	Dr. Arathi Darshan	“USE OF IMMATURE PLATELET FRACTION TO PREDICT TIME TO PLATELET RECOVERY IN PATIENTS WITH DENGUE INFECTION AND FOR OPTIMAL MANAGEMENT”,
Dr. Bhavan Vedha Panguluri	Dr. Naveen Angadi	“ROLE OF PANC3 SCORE AND HSCRP IN PREDICTING SEVERITY OF ACUTE PANCREATITIS IN PATIENTS ADMITTED AT TERTIARY CARE CENTRE, BELAGAVI-A ONE YEAR CROSS SECTIONAL STUDY”,
Dr. Kambli Yash Ichchant	Dr. Dnyanesh N. Morkar	“ROLE OF PLATELET INDICES AND THEIR KINETICS AS PREDICTOR OF MORALITY IN SEPSIS PATIENTS ADMITTED AT KLE DR. PRABHAKAR KORE HOSPITAL AND MEDICAL RESEARCH CENTER, BELAGAVI- A ONE YEAR OBSERVATIONAL STUDY”,
Dr.Pavan Harithasa N	Dr. Raju H. Badiger	“STUDY OF THYROID HORMONE PROFILE IN PATIENTS WITH ACUTE CORONARY SYNDROME”,
Dr. Aishwarya N Udupa	Dr. Arathi Darshan	“TO STUDY THE PROGNOSIS OF PATIENTS WITH INTRACEREBRAL BLEED USING ICH SCORE, ONE YEAR PROSPECTIVE OBSERVATIONAL STUDY AT TERTIARY CARE HOSPITAL, BELAGAVI”,
Dr. Rishika R Reddy	Dr. Naveen Angadi	“A STUDY TO CORRELATE SERUM LACTATE ALBUMIN RATIO TO RAAS SCORING SYSTEM IN SEPSIS IN MICU”,
Dr. Akhil Prasad Kumbar	Dr. Dnyanesh N. Morkar	“CORRELATION BETWEEN ATHEROGENIC INDEX OF PLASMA,TRIGLYCERIDE-GLUCOSE INDEX AND OUTCOME OF ACUTE ISCHEMIC STROKE IN PATIENTS ADMITTED AT KLE DR. PRABHAKAR KORE HOSPITAL AND MEDICAL RESEARCH CENTRE, BELAGAVI-A ONE YEAR LONGITUDINAL STUDY”,
Dr. Athotta Sreeja	Dr. Anjali R. Metgudmath	“TO STUDY VOLUME, CONDUCTIVITY, SCATTER PARAMETERS OF NEUTROPHILS AS AN EARLY DIAGNOSTIC TOOL IN ACUTE BACTERIAL INFECTIONS AT A TERITIARY LEVEL CENTRE- A RETROSPECTIVE CASE
Dr. Shivansh Yadav	Dr. Rekha S. Patil	PLASMA FIBRINOGEN LEVEL IN ADULT PATIENTS WITH TYPE 2 DIABETES MELLITUS AND ITS ASSOCIATION WITH MICROALBUMINURIA AND GLYCEMIC CONTROL AT TERTIARY CARE TEACHING HOSPITAL ONE YEAR CROSS SECTIONAL STUDY.
Dr. Aman Aggarwal	Dr. V. A. Kothiwale	Study of metabolic parameters in the medical students of Jawaharlal Nehru Medical College- A one year cross sectional study in KLE Dr. Prabhakar Kore Hospital and MRC Belagavi.
Dr. Amaravai Varun Reddy	Dr. Raju H. Badiger	Role of High-Density lipoprotein cholestrol in cerebrovascular accident and comparion of high-denstiy lipoprotein level in ishcemic and hemmorrhagic stroke

COMPLETED DISSERTATION


Dr. Ankur Batra	Dr. V.A.Kothiwale	Effects Of Blood Pressure Reduction On High Sensitivity C-Reactive Protein (Hscrp)
Dr. Sandeep S Donagaon	Dr. A.J. Dhumale	Eosinopenia Is A Reliable Marker Of Sepsis On Admission To Medical Intensive Care Units
Dr Sachin Bongale	Dr. V.G.Somannavar	Study Of Serum Ferritin In Metabolic Syndrome
Dr.Shet Sudhir Mangaldas	Dr.M.S. Khanpet	The Relationship Between Thyroid Function Test And Various Stages Of Renal Failure [Stages As Per Egfr]
Dr. Bobby Varghese	Dr. Rekha S Patil	Relationship Of Neck Circumference To Cardiovascular Risk Factors
Dr. Yogesh Garg	Dr. Naveen Angadi	Association Of Plasma Bnp & Hs- Crp Levels With Echocardiographic Derived Parameters Of Cardiac Function In Heart Failure Patients
Dr. Amit Govind Kamat	Dr. B. Srinivas	Non Motor Symptoms In Parkinson’s Disease
Dr. Yeshavanth G	Dr. Arathi Darshan	The Association Of Egft, Serum Lipids And Inflammatory Biomarkers With Normal Renal Function In Patients With Type 2 Diabetes Mellitus
Dr. Pallav Goswami	Dr. Prakash Babaliche	Clinical Profile Of Acute Viral Gastroenteritis- A One Year Cross Sectional Study
Dr. Manika Mahajan	Dr. V. A. Kothiwale	Clinical And Laboratory Profile Of Prehypertension In Adults- A One Year Cross Sectional Study.
Dr. Smita Suresh Advani	Dr. Rekha S. Patil	Clinical Haematological And Cytogenetic Profile In Myelodysplastic Syndrome- A One Year Cross Sectional Study.
Dr. Vishwanath Hesarur	Dr. B. Srinivas	Clinical And Laboratory Profile Of Pulmonary Tuberculosis Among Hiv Seropositive Patients- A Cross Sectional Study.
Dr. Sriharsha A. S.	Dr. Prakash K. Phadnis	A Cross Sectional Study To Know The Prevalence Of Insulin Resistance Among Non Obese Hypertensives Attending Kles Dr. Prabhakar Kore Hospital And Mrc, Belgaum.
Dr. Nikhil Sunkarineni	Dr. Neeta Deshpande	Correlation Of Blood Inflammatory Markers To Ankle Brachial Index In Asymptomatic Atherosclerosis In Type 2 Diabetes Mellitus Patients- A Cross Sectional Study.
Dr. Anand Kumar M.	Dr. Mallikarjun S. Khanpet	A Cross Sectional Study To Know The Profile Of Patients With Acute Interstitial Nephropathy Attending Kles Dr. Prabhakar Kore Hospital And Mrc, Belgaum.
Dr. Dhaval Malde	Dr. A. J. Dhumale	Clinical Profile Of Patients With Brain Stem Stroke Admitted To Kles Dr. Prabhakar Kore Hospital & Mrc, Belgaum.
Dr. Badam Manoj Kumar	Dr. Arathi Darshan	A Cross Sectional Study To Find The Association Between Prolonged Qtc Interval And Microalbuminuria In Patients Of Type 2 Diabetes Mellitus.
Dr. Ranjan Modi	Dr. V. A. Kothiwale	Assessment Of Apolipoproteins In Patients Of Coronary Artery Diseases.
Dr. Toby Chandy	Dr. Rekha S. Patil	Prevelance Of Anti Ccp Antibodies In Patients With Rheumathoid Arthritis- One Year Cross Sectional Study At Kles Dr. Prabhakar Kore Hospital & Mrc, Belgaum.
Dr. Sneha Sirdeshpande	Dr. B. Srinivas	Association Of Correlation Of Serum Cholesterol, Hdl-C, Ldl-C Levels With Degree Of Radiological Extent And Degree Of Sputum Positivity In Pulmonary Tuberculosis- A One Year Cross Sectional Study.
Dr. Chandramouli Reddy	Dr. Prakash K. Phadnis	To Study The Clinical Profile, Etiology And Outcome Of Ventilator Associated Pneumonia. A One Year Cross Sectional Study.
Dr. Hemanth Kumar S. R.	Dr. M. S. Khanpet	Prevalence Of Asymptomatic Urinary Abnormalities Among Kle University Students- A One Year Cross Sectional Study.
Dr. Veena P. Munavalli	Dr. A. J. Dhumale	Serum Cystatin C Concentration Levels As A Marker Of Acute Renal Failure In Critically Ill Patients.
Dr. Harshavardhan Rao	Dr. Arathi Darshan	A Clinical Study To Determine The Association Of Interleukin-18 With Metabolic Syndrome.
Dr. Pakalpati Sasanka	Dr. Prakash Babaliche	Silent Brain Infarcts In Patients With Non-Specific Neurological Symptoms – A One Year Cross Sectional Study, At Kles Dr. Prabhakar Kore Hospital And M. R. C. Belgaum.
Dr. Ankur Batra	Dr. V. A. Kothiwale	Effects Of Blood Pressure Reduction On High Sensitivity C-Reactive Protein (Hscrp)
Dr. Sandeep S Donagaon	Dr. A.J. Dhumale	Eosinopenia Is A Reliable Marker Of Sepsis On Admission To Medical Intensive Care Units
Dr. Sachin Bongale	Dr. V.G.Somannavar	Study Of Serum Ferritin In Metabolic Syndrome
Dr. Shet Sudhir Mangaldas	Dr.M.S. Khanpet	The Relationship Between Thyroid Function Test And Various Stages Of Renal Failure [Stages As Per Egfr]
Dr. Bobby Varghese	Dr. Rekha S Patil	Relationship Of Neck Circumference To Cardiovascular Risk Factors
Dr. Yogesh Garg	Dr. Naveen Angadi	Association Of Plasma Bnp & Hs- Crp Levels With Echocardiographic Derived Parameters Of Cardiac Function In Heart Failure Patients
Dr. Amit Govind Kamat	Dr. B. Srinivas	Non Motor Symptoms In Parkinson’s Disease
Dr. Yeshavanth G.	Dr. Arathi Darshan	The Association Of Egft, Serum Lipids And Inflammatory Biomarkers With Normal Renal Function In Patients With Type 2 Diabetes Mellitus
Dr. Pallav Goswami	Dr. Prakash Babaliche	Clinical Profile Of Acute Viral Gastroenteritis – A One Year Cross Sectional Study
Dr. Doshi Darshan Kiran	Dr. Prakash Babaliche	Role Of Ns1 Antigen Detection In Early Diagnosis Of Dengue Virus Infection – A One Year Hospital Based Cross-Sectional Study
Dr. Nitish Kumar Mahajan	Dr. B. Srinivas	Correlation Of Serum Magnesium Levels In The Clinical Outcome Of Critically Ill Patients – A One Year Prospective Cohort Study.
Dr. Amit Goel	Dr. A.J.Dhumale	Study Of Metabolic Syndrome In Hiv Positive Patients In A Tertiary Hospital
Dr. Thacker Vinit Arvindbhai	Dr. M.S.Khanpet	Correlation Between Serum Adiponectin Levels And Chronic Kidney Disease Stage 2 To Stage 4 In Patients With Type 2 Diabetes Mellitus – A One Year Cross Sectional Study
Dr. Gaurav S. Subhedar	Dr. Arati Darshan	A One Year Cross Sectional Study: To Study The Association Of Serum Gamma Glutamyl Transferase Levels With Metabolic Syndrome- Dr. Prabhakar Kore’s Kles Hospital, Belgaum.
Dr. Salil V. Patkar	Dr. P.K.Phadnis	Correlation Of Serum Uric Acid Levels & Lipid Levels In Patients With Ischaemic Cerebrovascular Accident – A One Year Cross Sectional Study
Dr. Amit K. Sarda	Dr. Naveen Angadi	To Study Correlation Of Serum Vitamin D Levels In Patients With Pulmonary Tuberculosis – A One Year Hospital Based Cross Sectional Study.
Dr. Anshul Goyal	Dr. V.G. Somannavar	Estimation Of Levels Of Vitamin D In Type 2 Diabetes Mellitus – One Year Cross Sectional Study
Dr. Naveen Charantimath	Dr. Rekha Patil	Estimation Of Csf Cortisol Levels In Patients With Meningitis – A One Year Cross-Sectional Study
Dr. Kulkarni Aditya Vivekanand	Dr. Santosh Hajare	Estimation Of Aminotranferases Levels In Normal Individuals In Relation To Body Mass Index – A Cross Sectional Study
Dr. Varun Kumar B.	Dr. V. A. Kothiwale	Estimation Of Serum Procalcitonin Levels In Patients With Systemic Inflammatory Response Syndrome And Sepsis – A One Year Cross-Sectional Study
Dr. Ravi Pangi	Dr. V.A.Kothiwale	To Study The Clinical Profile Of Atrial Fibrillation In Elderly Patients A One Year Cross Sectional Study At Kles Dr. Prabhakar Kore Hospital & Mrc Belgaum.
Dr. Kabir Sethi	Dr. A.J. Dhumale	“ Role Of Novel Biomarker Heart Type Fatty Acid Binding Protein In Diagnosing Acute Coronary Syndrome In Comparison With Troponin T And Ck-Mb A One Year Cross Sectional Study In Kles Dr. Prabhakar Kore Hospital & Mrc, Belgaum.
Dr. Rajan Mittal	Dr. V.G.Somannavar	“Study Of Cardiac Manifestations In Patients Of Hiv Infection” A One Year Cross Sectional Study At Kle University, Belgaum.
Dr. Gadve Shriya Suresh	Dr.M.S.Khanpet	A One Year Longitudinal Study Of The Outcome Of Papillary Necrosis Causing Acute Renal Failure In Patients Presenting To Kles Dr. Prabhakar Kore Hospital And Medical Research Centre, Belgaum.
Dr. Mohit Arora	Dr. Rekha S Patil	To Study The Incidence Of Cardiac Manifestations In Dengue Fever In Patients Admitted In Kles Dr. Prabhakar Kore Hospital Based Descriptive Study
Dr. Ganavi.V.P.	Dr. Naveen Angadi	“Prevalence Of Primary Hypothyroidism In Metabolic Syndrome” A One Year Cross Sectional Study At Dr. Prabhakar Kore Hospital And Medical Research Centre, Belgaum.
Dr. Nishant Dubey	Dr. B. Srinivas	A Clinical Profile Of Acute Myocardial Infarction With Atypical Presentation- A One Year Hospital Based Descriptive Study
Dr. Sharanabasveshwar R.P.	Dr. Santosh Hajare	Etiological Profile Of Patients Presenting With Upper Gastro Intestinal Bleeding- A One Year Cross Sectional Study
Dr. Bhise Shekhar Ramachandra	Dr. Arathi Darshan	“ Correlation Of Inter Arm Systolic Blood Pressure Difference To Ankle Brachial Index [ Abi ] In Detecting Peripheral Vascular Disease In Type Two Diabetes Mellitus Patients – One Year Cross Sectional Study In Kles Dr. Prabhakar Kore Hospital & Mrc, Belgaum.
Dr. Pradeep Gubba	Dr. Prakash Babaliche	“ Variation In Common Lipid Parameters In Malaria Infected Patients- A One Year Cross Sectional Study In Kles Dr. Prabhakar Kore Hospital & Mrc Belgaum”
Dr. Akshay Konnur	Dr. Anjali Metgudmath	“To Study The Clinical And Biochemical Profile Of Liver Involvement In Dengue Infected Patients A One Year Cross Sectional Study In Kles Dr. Prabhakar Kore Hospital & Mrc Belgaum.
Dr. Sameer Mehta	Dr. V. A. Kothiwale	The value of shock index in prognosticating mortality in patients with severe sepsis and septic shock.
Dr. Rohit Morlawar	Dr. V. A. Kothiwale	Comparative Analysis Trend of Primary and Secondary Dengue Infection – A one year Hospital based study.
Dr. Kulkarni Nachiikait Shirish	Dr. Santosh Hajare	Estimation of senior estradiol levels and its co-relation with BISAP score in severe Acute Pancreatitis – One year hospital based cross sectional study.
Dr. Rocky Katheria	Dr. Vijay G. Somannavar	Clinical study of acute myocardial infarction in relation with sr. uric acid level.
Dr. Viraj Vasudev Yerramalla	Dr. Vijay G. Somannavar	Clinical study of organophosphorus compound poisoning and comparison of serum pseudo cholinesterase levels with its complications / outcome.
Dr. Vamshi A.	Dr. Rekha S. Patil	Microalbuminuria: Biomarker of sepsis and prognostic significance in critically ill patients.
Dr. Soumya Poduval Phagum	Dr. Rekha S. Patil	Study of prognostic significance of serum levels of creative kinase in OPP. Importance of elevated serum amylase in patients of organophosphorous compound poisoning.
Dr. Ch. Prudhvi Krishna	Dr. B. Srinivas	Clinical and laboratory study of arrhythmias in acute myocardial infarction and its prognostic significance. Study of arrhythmias in AMI and its correlations with electrolyte imbalance.
Dr. Suhas M.	Dr. B. Srinivas	To study the relationship between carotid intima-media thickness & disease activity in rheumatoid arthritis.
Dr. Naman Mukhi	Dr. Aarthi Darshan	To identify risk of type 2 diabetes mellitus using Indian diabetes risk score in medical students.
Dr. Priyanka A. Patil	Dr. Aarthi Darshan	Relationship between Mean Platelet volume & severity of acute Ischemic Brain shock in type 2 diabetes mellitus.
Dr. Siddharth Madnani	Dr. Prakash Babaliche	Clinical profile of hyponatremia in adult patients admitted to KLES Dr. Prabhakar Kore hospital & MRC, Belgaum
Dr. Sajal Kamat	Dr. Dnyanesh N. Morkar	Nutritional Assessment of HIV patients admitted to tertiary care hospital using the phase angle Z score.
Dr. Ashwin S. P.	Dr. M. S. Khanpet	Asymptomatic renal artery diseases in ischemic heart disease patients undergoing coronary angiography in KLES Dr. Prabhakar Kore Hospital and MRC, Belgaum.
Dr. Arjun Hosalli	Dr. Anjali R. Metgudmath	To study mean platelet volume in patients of acute coronary syndromes.
Dr. Saurabh Gaur	Dr. V. A. Kothiwale	Correlation of thyroid hormoneprofile with apache ii score as a prognostic marker in patients with sepsis in intensive care unit- a one year cross sectional study at kle dr. Prabhakar kore hospital, Belgaum
Dr. U. M. Vaishak	Dr. Anjali Metgudmath	The correlation between serum homcysteine levels and hypothyroidism – a one year case control study in kles hospital belgaum
Dr. Rahul Bhume	Dr. Prakash Babaliche	Clinical profile and role of rapid serological tests(typhifast igm and enterocheck igg/igm) for diagnosis of typhoid fever – a one year cross sectional study in kles dr. Prabhakar kore hospital & mrc, belgaum
Dr. Samarth	Dr. Dnyanesh Morkar	Estimation of serum testosterone level and its co-relation with hematocrit in type 2 diabetes male patients – one year hospital based prospective case –control study in kles dr. Prabhakar kore charitable hospital & mrc, belgaum
Dr. ChetanaKhavatkopp	Dr. M. S. Khanpet	Study of outcome of arteriovenous fistula by prior assessment of vascular dimensions – a preospective one year study in kles dr. Prabhakar kore charitable hospital, belgaum
Dr. RavikanthRamadhenu	Dr. V. A. Kothiwale	Estimation of subcutaneous fat thickness using various anthropometric measures and their correlation in type 2 diabetes mellitus – a one year cross sectional study
Dr. P Krishna Prasad	Dr. Rekha S Patil	Precipitating factors for hepatic encephalopathy in cirrhosis of liver – a one year hospital based cross sectional study
Dr. Samrat Ashok. Shah	Dr. B. Srinivas	Musculoskeleteal manifestations of diabetes mellites – a one year cross sectional study at kles dr. Prabhkar kore hospital
Dr. Rikita R. Mudhol	Dr. Srinivas B	Prevalance of thyroid disorders in type 2 diabetic patients – a one year cross sectional study
Dr. MandarGopalkrishnaWaghralkar	Dr. Vijay Somannavar	Correlation of platelet count/splenic diameter ration for the diagnosis of esophageal va-rices in patients of cirrhosis of liver
Dr. Vaibhavi G Velangi	Dr. Rajeev Malipatil	Estimation of csf lactate as diagnosis marker to differentiate pyogenic meningitis from non-pyogenic meningitis
Dr. RavindraKantamaneni	Dr. Santosh Hajare	Etiological profile of patients presenting with lower gastrointestinal bleeding – a one year cross sectional study
Dr. Venkat Reddy Palvai	Dr. Rekha S Patil	Estimation of the lipoprotein (a) in acute ischemic stroke
Dr. Shivakumar V. Turamari	Dr. Vijay Somannavar	Autonomic dysfunction in cirrhosis of liver, a one year cross sectional study at kles dr. Prabhakar kore hospital and mrc, belgaum
Dr. Yogesh om Sharma	Dr. Arathi Darshan	Study of minimal hepatic encephalopathy in patients with cirrhosis of liver
Dr. Deebanshu Gupta	Dr. V. A. Kothiwale	“Study of erectile dysfunction in T2DM”.
Dr. Ashray S. Kole	Dr. V. A. Kothiwale	’ Iron studies and its correlation with BNF Levels in Heart failure’
Dr. Ratna M. Bhustali	Dr. V. G. Somannavar	‘Waist to height ratio as a screening tool in the assessment of cardiometabolic risk factors in comparison with waist circumference wast to
Dr. Anish John Kuriakose	Dr. V. G. Somannavar	‘Validity of bedside clinical scoring systems in classifying stroke and its subsequent management.’
Dr. Aakansha Pritam Sinha	Dr. Rekha S. Patil	‘Sequential organ failure assessment score (SOFA) as a prognostic marker in patients with sepsis in a tertiary care ICU’.
Dr. Pooja Motimath	Dr. Rekha S. Patil	‘Serum testosterone in Hypertensive patients – A cross sectional study.
Dr. Kumar Siddharth	Dr. Anjali Metgudmath	‘Cross Sectional study of HsCRP with statin to be exceeded.
Dr. Harshbir Singh Puar	Dr. B. Srinivas	‘ Clinical lab evaluation of acute kidney injury in geriatric population’.
Dr. Mohnish G. Patel	Dr. B. Srinivas	‘ Clinical profile of toxic snake bite cases in patients admitted in tertially cow Hospital’.
Dr. Abhishek T. G.	Dr. Arathi Darshan	‘To study the association of carotid intimal medial thickness in metabolic syndrome’.
Dr. Vijayalakshmi Chikkamath	Dr. Rajeev Malipatil	‘A study of plasma fibrinogen levels in T2DM and its relation to glycemic control’.
Dr. Ankita Menon	Dr. Prakash Babaliche	‘A study of left ventricular function by echocardiography in HIV infected patients’.
Dr. Paladugu Sai Nivead	Dr. Santosh Hazare	‘Clinical profile of non-alcoholic strators syndrome’.
Dr. Shaik Hussain Basha	Dr. M. S. Khanpet	‘Clinical and microbiological features of UTI’.
Dr. Joel George	Dr. Dnyanesh Morkar	‘ECG findings in opposite with special reference to QTC’.
Dr. Ankita Aneja	Dr. V.A. Kothiwale	To study clinical profile of different serotypes of Dengue
Dr. Chougule Nikhil Ashok	Dr. V.A. Kothiwale	Multifactorial influences on lipid profile in dyslipidemia patient
Dr. Krishna C.S.	Dr. Rajeev Malipatil	Comparison of capillary blood glucose versus arterial blood glucose in patients on vasopressor support
Dr. Rishi Raman	Dr. V.G. Somannavar	A Clinical profile and etiological study of pleural effusion 4 days longitudinal study
Dr. Aamna Maniyar	Dr. V.G. Somannavar	One year cross sectional study of predicting the need for ventilator support in patients with organophosphorus compound poisoning
Dr. Pooja P Lokkur	Dr. Rekha S Patil	Apo A1 and Lipid profile in Cirrhotic patient and its correlation with prognostic scores – a one year cross sectional study at KLE’s Dr. Prabhakar Kore Hospital & MRC Belagavi.
Dr. Abhilash B Mareguddi	Dr. Rekha S Patil	Red cell distribution width and neurological scoring systems in Acute stroke patient
Dr. Vivek V Shirol	Dr. B. Srinivas	Prevalence of gall bladder stones in T2DM patient and As associated risk factors – A cross sectional study.
Dr. Vinay A Issac	Dr. B. Srinivas“	The relationship between glycosylated Hemoglobin and mean platelet volume in T2 DM Patients.
Dr. Dandamudi K Dheeraj	Dr. Arathi Darshan	Observational study of association of son1-radiographically assessed visceral and subcutaneous abdominal fat with insulin resistance in patient with prediabetes
Dr. Chauhan D Piraji	Dr. Arathi Darshan	To Study serum calcium in Dengue Fever
Dr. Chafekar Nahush Deodatta	Dr. Prakash Babaliche	Study of association of Vit B12 deficiency and clinical neuropathy with metformin use in T2 DM Patients.
Dr. Harish V Ballur	Dr. Naveen Angadi.	Study of clinical profile of non-Alcoholic fatty liver disease [NAFLD] and its association with Metabolic syndrome
Dr. Natasha P Madkaikar	Dr. Anjali R Metgudmath	A one year prospective study of thyroid dysfunction geriatric population & its clinical correlation .
Dr. Srikanth Yadav Meesala	Dr. Dnayesh Morkar	To study renal manifestations in dengue fever.
Dr. Aditi Rao	Dr.V A Kothiwale	A comparison of clinical profiles of normal and abnormal coronary arteries : a case control study
Dr. Ramneek Mittal	Dr.V A Kothiwale	Clinical profile of left bundle branch block in tertiary care hospital – a cross sectional stud
Dr. Vijayalaxmi	Dr. Pournima Patil	Study of factors affecting the patients global visual analogue scale in patients of rheumatoid arthritis – a one year hospital based cross sectional study in kle’s dr. Prabhakar Kore hospital, Belagavi
Dr. Silpasri Uthaman	Dr. B Srinivas	Stud of neutrophils : lymphocyte ratio as a novel marker of diabetic nephropathy in type 2 diabetes mellitus – one ear hospital based cross sectional study
Dr. Rani Jawahar Ghali	Dr. B Srinivas	Evaluation of serum uric acid level in primary hypertension – a one year cross sectional study
Dr. Mohammed Muffasil	Dr. Aarati Darshan	Study of partial thromboplastin time and prothrombin time as predictors of bleeding in dengue fever – one ear of cross sectional study
Dr. Lakshmi Krishnan	Dr. Aarathi Darshan	Correlation of serum prolactin level to child –pugh scoring system in cirrhosis of liver – a one year cross sectional study
Dr. Soumya N S	Dr. Rekha Patil	Prevalence of secondary hyperparathyroidism in patients with stage 5 chronic kidney disease on maintenance hemodialysis – a one ear hospital based cross sectional study
Dr. Patil Vivek Malagouda	Dr. Rekha S Patil	Serum calcium level as a prognostic marker in acute pancreatitis – one year hospital based cross sectional study
Dr. M Bharat Reddy	Dr. Naveen Angadi	Measurement of serum cholinesterase levels in type 2 diabetes and its possible role as a marker for cardiovascular risk assessment – one ear hospital based cross sectional stud in KLE;s dr. Prabhakar kore’s charitable hospital
Dr. Akshay Jain	Dr. V G Somannavar	Estimation of blood urea nitrogen/ creatinine ratio and urine specific gravity to assess dehydration as a predictor of outcome in acute ischemic stroke patients – one year hospital based cross sectional study
Dr. Omkar S Rudra	Dr. V G Somannavar	The effect of the severity of anaemia on hba1c in non diabetic patients – a one year hospital based study in kle’s Prabhakar kore hospital and medical research centre
Dr. Soumya Parne	Dr. Anjali Metgudmath	Serum bilirubin as a severity and prognostic indicator in acute ischemic stroke – a tertiary hospital based one year observational study in Belagavi
Dr. Ravi N. Sangapur	Dr. Prakash Babaliche	Serum magnesium level and its correlation with primary hypertension – one year cross sectional study
Dr. Madduri Pavan Kumar	Dr. Dnyanesh Morkar	Clinical profile of fever in the geriatric patients admitted in ICU – a one Year hospital based cross sectional stud
Dr. Kopal Gupta	Dr. V.A. Kothiwale	“Association Between Elevated Serum Uric Acid Levels And Islet Beta Cell Function Indices In Newly Diagnosed Type 2 Diabetes Mellitus – A One Year Cross Sectional Study At Kle’s Dr Prabhakar Kore Hospital And Medical Research Centre ”,
Dr. Shreyas U Akki.	Dr. V.A. Kothiwale	“Role Of Troponin In Identifying Left Ventricular Ejection Fraction Of <=40% In Acute St Elevated Myocardial Infarction: A One Year Cross Sectional Study In Kle Dr Prabhakar Kore Hospital And Mrc Belagavi”,
Dr. Sharath Tukade	Dr. Pournima S Patil	“The Pattern Of Prior Drug Usage, Level Of Disease Activity At Presentation To Rheumatology Clinic In Rural Patient Of Rheumatoid Arthritis – One Year Observational Study From Rheumatology Clinic At Kles Dr. Prabhakar Kore Hospital And Mrc, Belagavi”,
Dr. Tirupati V Sai Vaibhav	Dr. V.G. Somannavar	“Correlation Of Serum Lipid Profile In Patient With Anemia – A One Year Cross Sectional Study In Kle’s Dr. Prabhakar Kore Hospital & Mrc”,
Dr. Vikram J Khardenavis	Dr. V.G. Somannavar	“Comparison Of Red Blood Cell Morphology And Indices In Patients Of Vegetarian And Non Vegetarian Diet, A One Year Cross Sectional Study In Kles Dr. Prabhakar Kore Hospital And Mrc”
Dr. Rajani Durannavar	Dr. Rekha S Patil	“To Study The Serum Lactate Albumin Ratio In The Patients With Sepsis A One Year Cross Sectional Study In Kles Dr. Prabhakar Kore Hospital And Mrc, Belgavi”
Dr. Rishabh Agarwal.	Dr. Rekha S Patil	“Incidence And Risk Factors Associated With Development Of Post Infectious Irritable Bowel Syndrome (Ibs): A One Year Prospective Longitudinal Study At Kles Dr. Prabhakar Kore Hospital And Mrc, Belgaum”
Dr. Sreedhar J Cherulil	Dr. Arif D Maldar	“Clinical And Electrocardiographic Profile Of Inferior Wall Myocardial Infraction, With Right Ventricular Involvement – A One Year Cross Sectional Study At Kle’s Dr Prabhakar Kore Hospital And Medical Research Centre”
Dr. N Abhiram	Dr. Naveen Angadi.	“Clinical And Laboratory Profile Of Diabetes Hypertension Kidney Disease Syndrome – Dhkd Syndrome – A One Year Cross Sectional Study At Kles Dr Prabhakar Kore Hospital And Mrc”
Dr. P Haritha	Dr. Arathi Darshan	“Prognostic Value Of Decaf Score In Patients With Acute Exacerbation Of Copd – A One Year Cross Sectional Study In Kle’s Dr. Prabhakar Kore Hospital And Medical Research Centre, Belagavi”
Dr. Sneha V Karekar	Dr. Arathi Darshan	“Correlation Between Apri Index, Meld Score And Child Pugh Score In Cirrhosis Of Liver – A One Year Cross Sectional Study In Kle’s Prabhakar Kore Hospital And Medical Research Centre, Belagavi”
Dr. Akash C	Dr. Raju Badiger	“Prognostic Role Of Neutrophil –Lymphocyte Ratio In Patients With Acute Ischaemic Stroke – One Year Cross- Sectional Study”
Dr. Veera Vaishnavi Dulipalla	Dr. Madhav Prabhu	“Study Of Association Between Type 2 Diabetes Mellitus And Telomere Length A One Year Cross Sectional Study”
Dr. Vattikonda Chandra Lekha	Dr. Jayaprakash Appajigol	“Study Of Risk Factors And Clinical Profile Of Patients With Acinetobacter Baumannii Infection Admitted In Medical Intensive Care Unit Of Tertiary Care Hospital, Belagavi. A One Year Observational Study”
Dr. Santosh Kumar	Dr. D. Morkar	“To Study Clinical Factors And Serum Testosterone In Relation To Erectile Dysfunction In Hiv Infected Men At Kle’s Dr. Prabhakar Kore Hospital & Mrc, Belagavi – A One Year Observational Cross Sectional Study”
Dr. Indu Yadav	Dr. Raju Badiger	Study Of Sick Euthyroid Syndrome In Organophosphate Poisoning –A Hospital Based One Year Cross Sectional Study In Kles’ Dr Prabhakar Kore Hospital And Medical Research Centre, Belagavi
Dr. Vojjala Nishanth	Dr. Rekha S Patil	A Study Of Serum Ferritin Levels In Dengue Patients – One Year Hospital Based Cross Sectional Study
Dr. Prashanth B M	Dr. Rekha S Patil	Study Of Correlation Between Serum Uric Acid And Hba1c In Prediabetic And Diabetics – A One Year Prospective Analytical Study
Dr. Pavan Kumar B C	Dr. V G Somannavar	A Study On The Role Of Serum Calcium, Serum Albumin And Serum Uric Acid As Markers Of Initial Neurological Severity And Short Term Outcome Indicators In Acute Ischemic Stroke
Dr. Kabara Abhishek Laxmikant	Dr. Pournima Patil	Safety Profile Of Methotrexate In Patients With Rheumatoid Arthritis
Dr. Sreekanth Chowdary	Dr. Arif Maldar	Hyperuricemia As An Early Marker In Predicting The Mortality And Morbidity In Patients With Sepsis
Dr. Vinay Arora	Dr. Arathi Darshan	Blood Pressure Monitoring In Normotensive Type – 2 Diabetics Using 24hr Blood Pressure Monitoring Device And Its Relationship With Anthropometric Measurements: A One Year Hospital Based Cross Sectional Study
Dr. Aashna Pankaj Gandhi	Dr. Arathi Darshan	Eosinopenia As A Diagnostic Marker For Enteric Fever: A One Year Hospital Based Cross Sectional Study
Dr. Manisha Dwivedi	Dr. Dnyanesh Morkar	Comparative Study Of Sofa, Apache Ii, Saps Ii, As A Predictor Of Mortality In Patients Of Sepsis Admitted In Medical Icu Of Kles Prabhakar Kore Hospital
Dr. Pooja Yamini Devi Koruprolu	Dr. V A Kothiwale	Clinical Study Of Bacterial Profile And Antibiotic Sensitivity Pattern Of Isolates In Medical ICU
Dr. Gayatri Sharma	Dr. Naveen Angadi	Assessment Of Anemia In Patients Of Primary Hypothyroidism
Dr. K Goutham Sai Krishna	Dr.Madhav Prabhu	Study Of Association Of Leptin And Leucocyte Telomere Length With Body Mass Index In Adult Indian Population A One Year Cross Sectional Study
Dr. Rishabh Soni	Dr. Jayaprakash Appajigol	Clinical Profile And Patterns Of Antimicrobial Resistance In Ventilator Associated Pneumonia Patients –A Cross Sectional Study
Dr. Aishwarya Anil Patted	Dr. V A Kothiwale	Association Of Lipoprotein (A) In Coronary Artery Disease In Young Individuals
Dr. Mohamed Faizan Thouseef	Dr. V G Somannavar	A Clinical Profile Of Urinary Tract Infection In Type 2 Diabetes Mellitus With Bacterial Culture And Antibiotic Sensitivity Patterns
DR. SATHE VANDITA SUNIL	DR. V.A. KOTHIWALE	“STUDY OF COAGULATION PROFILE DYNAMICS IN PATIENTS WITH COVID 19 INFECTION – A ONE YEAR CROSS SECTIONAL STUDY IN KLE’S DR. PRABHAKAR KORE HOSPITAL AND MEDICAL RESEARCH CENTRE, BELAGAVI”.
DR. MAHAVEER GUNDUMALA	DR. V.A. KOTHIWALE	“STUDY OF CLINICAL PROFILE AND ITS CORRELATION WITH PLATELET INDICES IN PATIENTS INFECTED WITH SARS-COV2 : A ONE YEAR CROSS SECTIONAL STUDY DONE IN KLES DR. PRABHAKAR KORE HOSPITAL AND MEDICAL RESEARCH CENTRE. BELAGAVI.
DR. AMIT YOSHAAN JOSHI	DR. ANJALI R METGUDMATH	“STUDY OF CLINICAL PROFILE AND ITS CORRELATION WITH PLATELET INDICES IN PATIENTS INFECTED WITH SARS-COV2 : A ONE YEAR CROSS SECTIONAL STUDY DONE IN KLES DR. PRABHAKAR KORE HOSPITAL AND MEDICAL RESEARCH CENTRE. BELAGAVI.
DR. AJMERA YOGESH A	DR.V.G. SOMANNAVAR	A STUDY OF CORRELATION BETWEEN NEUTROPHIL TO LYMPHOCYTE RATION AND PLATELET TO LYMPHOCYTE RATION IN PATIENTS OF CHRONIC KIDNEY DISEASE AT KLE’S DR. PRABHAKAR KORE HOSPITAL AND MRC, BELAGAVI
DR. RAINA N DESHLAHRA	DR.V.G. SOMANNAVAR	“CORRELATION BETWEEN SERUM MAGNESIUM AND SEVERITY OF SEPSIS IN PATIENTS ADMITTED IN INTENSIVE CARE UNIT AT KLE DR. PRABHAKAR KORE HOSPITAL AND MEDICAL RESEARCH CENTRE, BELAGAVI- A CROSS SECTIONAL BASED STUDY”
DR. DENNAS DAVIS E	DR. ANWAR MUJAWAR.	“A STUDY TO CORRELATION CLINICAL SEVERITY WITH HRCT THORAX FINDINGS IN COVID- 19 PATIENTS – ONE YEAR CROSS SECTIONAL STUDY AT KLES DR. PRABHAKAR KORE HOSPITAL & MRC ”
DR. NIXON GOYAL	DR. REKHA S PATIL	“PRE-AND POST-HEMODIALYSIS COAGULATION PROFILE IN CHRONIC KIDNEY DISEASES PATIENTS – A ONE YEAR CROSS SECTIONAL STUDY AT TERTIARY CARE CENTRE”,
DR. SHIVANI C BHAGWAT	DR. REKHA S PATIL	“THE EVALUATION OF EPICARDIAL FAT THICKNESS AND PLASMA FREE FATTY ACID LEVEL IN ACUTE ISCHEMIC STROKE – A ONE YEAR CROSS SECTIONAL STUDY AT KLES DR. PRABHAKAR KORE HOSPITAL AND MRC”
DR.DASI VENKATA S REDDY	DR. MADHAV PRABHU	“STUDY OF CORRELATION BETWEEN LABORATORY BLOOD BIOMARKERS AT THE TIME OF ADMISSION WITH FINAL CLINICAL OUTCOME IN COVID 19 PATIENTS AT KLE DR PRABHAKAR KORE HOSPITAL” – A ONE YEAR HOSPITAL BASED CROSS- SECTIONAL STUDY,
DR. AKASH KUMAR P	DR. ARATHI DARSHAN	“TO STUDY THE CLINICAL PROFILE, INFLAMMATORY BIOMARKERS AND CLINICAL OUTCOMES IN PATIENTS OF COVID-19 WITH TYPE 2 DIABETES MELLITUS : A ONE YEAR CROSS-SECTIONAL STUDY AT A TERTIARY CARE HOSPITAL ”
DR. PRATIBHA GUPTA	DR. ARATHI DARSHAN	“A STUDY OF CARDIAC DYSFUNCTION IN CIRRHOSIS OF LIVER USING ECG, 2D-ECHO AND NT-PROBNP AND ITS CORRELATION WITH CHILD PUGH SCORE” – A ONE YEAR CROSS –SECTIONAL STUDY AT A TERTIARY CARE HOSPITAL,
DR. NIDHI V YASHAVANTH	DR. ARATHI DARSHAN	“TO STUDY THE ASSOCIATION BETWEEN GLYCEMIC GAP AND ADVERSE OUTCOMES IN DIABETIC PATIENTS ADMITTED TO ICU-A ONE YEAR LONGITUDINAL STUDY IN KLE’S DR. PRABHAKAR KORE HOSPITAL AND MEDICAL RESEARCH CENTRE, BELAGAVI”,
DR. ASHISH MOLLETI	DR. ARIF D MALDAR	“TO STUDY HNC-LL AS A POTENTIAL SCORE FOR PREDICTING SEVERITY IN COVID-19 PATIENTS – A ONE YEAR CROSS SECTIONAL STUDY AT A TERTIARY CARE HOSPITAL”
DR. AKASH RAMASWAMY	DR. NAVEEN ANGADI	“CORRELATION BETWEEN THE CLINICAL & BIOCHEMICAL PROFILE SARS-COV-2 INFECTIONS WITH VARIOUS ABO BLOOD GROUPS-A ONE YEAR CROSS-SECTIONAL STUDY AT KLES DR. PRABHAKAR KORE HOSPITAL AND MRC”
DR. LAKKIREDDY S REDDY	DR. NAVEEN ANGADI	A STUDY OF THYROID PROFILE AS A PREDICTOR OF MORTALITY AND MORBIDITY IN ICU ADMITTED PATIENTS – A ONE YEAR CROSS SECTIONAL STUDY IN KLE’S DR. PRABHAKAR KORE HOSPITAL & MRC”,
DR. RAGHAV RAWAL.	DR. JAYAPRAKASH APPAJIGOL	“TO STUDY THE CORRELATION OF FERRITIN/TRANSFERRIN RATION WITH THE SEVERITY OF COVID-19 – A ONE YEAR CROSS SECTIONAL STUDY DONE IN KLES DR. PRABHAKAR KORE HOSPITAL AND MEDICAL RESEARCH CENTRE. BELAGAVI”
DR. SUMA BORRA DHATRI	DR. DNYANESH MORKAR	“TO STUDY SERUM PHOSPHOLIPASE A2 IN SEPSIS AND NON SEPSIS PATIENTS AT KLE’S DR. PRABHAKAR KORE HOSPITAL & MRC, CROSS SECTIONAL ONE YEAR STUDY BELAGAVI”,
DR. S PRIYANKA	DR. DNYANESH MORKAR	TO STUDY AST/ALT RATIO AS AN INDICATOR OF FUNCTIONAL SEVERITY IN CHRONIC HEART FAILURE WITH REDUCED LEFT VENTRICULAR EJECTION FRACTION AT DR PRABHAKAR KORE HOSPITAL AND MRC, BELAGAVI, ONE YEAR PROSPECTIVE CROSS SECTIONAL STUDY”
DR. KRUTHIK.G.	DR. POURNIMA S PATIL	A CROSS SECTIONAL STUDY OF SLEEP PROBLEMS IN RHEUMATOID ARTHRITIS AND ITS IMPACT ON DISEASE ACTIVITY, PAIN PERCEPTION AND FUNCTIONAL DISABLITY”
DR. MOHAMMAD SHAN ANSARI	DR. RAJU BANDAGER	“SIGNIFICANCE OF NEUTROPHIL TO RATIO AND PLATELET TO LYMPHOCYTE RATIO FOR PREDICTING CLINICAL OUTCOME AND SEVERITY IN COVID 19 PATIENTS ADMITTED IN DR. PRABHAKAR KORE HOSPITAL; KLE UNIVERSITY BELAGAVI”,
DR. SPANDANA S	DR. RAJU BANDAGER Somannavar	“A STUDY ON INCIDENCE OF HYPONATREMIA IN PATIENTS WITH ACUTE ST ELEVATION MYOCARDIAL INFARCTION ADMITTED IN INTENSIVE CARDIAC CARE UNIT OF DR. PRABHAKAR KORE HOSPITAL;KLE UNIVERSITY BELAGAVI

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Thesis/Dissertation Topics For MD/MS/DNB.

Overall More than 70 thousand Thesis Topics covering all subjects of broad specialty

Remember Subscribing to the premium thesis topics not only will enable you to browse through premium thesis topics but also you will get access to online guidance about synopsis writing, sample size calculation, inclusion and exclusion criteria and guidance throughout thesis writing. In case you dont subscribe still do not hesitate to contact me for guidance.

Thesis Topics for MD/MS and DNB

It’s a junior resident’s nightmare to search for appropriate thesis topics for MD/MS and DNB. While we all know the first year of residency in any medical college is a period when the junior residents are all overburdened with work. It’s not uncommon to see Junior Residents not getting time to eat, shave or even take bath. In this demanding period looking for an appropriate thesis topics for MD/MS and DNB is another task that needs to be performed by Junior Residents. Many times Junior Residents end up selecting topics that they later regret selecting.

In this regard i vividly remember my co-resident. When i joined MD radiology one of co-resident took a topic on cardiac MRI in thalassemia. Cardiac MRI facility was not available in our institute and then for this she had an agreement with a private diagnostic center for cardiac MRI at concessional rates. After some days the management of that private diagnostic center changed and new management refused to do cardiac MRI at concessional rates and all hell broke. She suffered a lot because she didn’t think at the time of choosing thesis topic that cardiac MRI was not available in our department. So carefully choosing a thesis topic is a must.

The topics for MD/MS and DNB should be important but not difficult. And for this you have to go through at least 400-500 thesis topics for MD/MS/DNB before selecting one. Its not possible to search for thesis topics in libraries, over the internet, and everywhere else because of shortage of time.

Taking into consideration all these difficulties faced by junior residents we have painstakingly collected more than 50,000+ thesis topics for MD/MS/DNB of all broad specialty subjects. That comes to an average of 3000 thesis topics per subject. And it’s not over here we are continuously updating the list so that as and when new topics emerge on the horizon we will go on adding them.

This website will give you a list of all the relevant thesis topics in one place and it will be very hard for you to find any thesis topic outside this list. If there is a good thesis topic for MD/MS and DNB then it will be on this list. Do check the list of conventional as well as emerging Thesis Topics.

We wish you all the best in choosing appropriate thesis topics for MD/MS and DNB.

You can directly discuss with me on whatsapp regarding a thesis topic. Ill help you not only for selection of a thesis topic but also ill guide you throughout your Journey of writing thesis. I have more than 60 research papers published in my name in various national and international journals and i can guide you if you face any difficulty during writing of thesis. I can help you write synopsis, Review of literature, Statistics and discussion etc.

Please Remember you will not only get a good thesis topic from here but also you will get a mentor throughout your PG residency. Ill always be there to help you.

I have another website where i’ve helped many doctors get their paper published in national and international medical journals. Do check it click here

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Subject-wise thesis topics for md/ms and dnb.

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Dermatology

Preventive and Social Medicine

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Disclaimer!

There are many methods of sample size determination. It is one of the first hurdle when someone starts writing a thesis. I have tried to give simplest way of determination of sample size. You need to show the method to your PG teacher before you include this method in your thesis. First confirm from your PG teacher and then only proceed.

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2000+ novel emergency medicine Thesis Topics
Emergency Management Thesis Ideas

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From MBBS Doctor to Emergency Medicine Physician
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Thesis Research Presentations
3 Minute Thesis

COMMENTS

2020-2021: 21 Greatest Hits
2020-2021: 21 Greatest Hits - Emergency Medicine Research Edition EMRA. Critical Care. Health Policy Journal Club. Program Director Interviews. Research. 2020-2021: 21 Greatest Hits - Emergency Medicine Research Edition. 12/12/2021Jason D. Vadhan, DO , Christopher Zalesky, MD, MSc.
Resident Research in Emergency Medicine: An Introduction and Primer
Training in research methodology represents an important aspect of emergency medicine (EM) resident education, but best methods for design, implementation, and dissemination of resident research remain elusive. ... 14 - 15 Additional ideas may come from the resident's personal interests or experiences. Learning Research Methodology.
PDF Top 72 Emergency Medicine Research Priorities
The top 30 research questions are presented in priority order, and are further elaborated with lay summaries and three-part questions where applicable. Research questions 31 - 72 are not presented in priority order. Rank Research questions 1-30 (in priority order) 1 What is the best way to reduce the harms of emergency department crowding and ...
Articles
Paracetamol is a widely used analgesic and antipyretic. Paracetamol-induced hepatotoxicity is well known, but nephrotoxicity without hepatotoxicity is rarely seen. Micha Saad and Julien Flament. International Journal of Emergency Medicine 2024 17 :81. Case Report Published on: 2 July 2024.
Research By Topic
Emergency Medicine 1500 East Medical Center Drive. Ann Arbor, MI 48109-5301. Webmaster: [email protected]. 734-936-6666. 734-615-8187. youtube. Michigan Medicine. Michigan Medicine. Find a Doctor. Conditions & Treatments. Maps & Directions. Health Research Studies. For Health Providers. Medical School.
Greatest Hits in Emergency Medicine Research: 2023
Prehospital & Disaster Medicine, Health Systems. Using the Centers for Disease Control and Prevention's National Syndromic Surveillance Program Data to Monitor Trends in U.S. Emergency Department Visits for Firearm Injuries, 2018 to 2019. Review by Muhammad Waseem, MD, MS & David Gordon, MS3
Research
Emergency Medicine is a rapidly-developing field, and Stanford is leading research in many facets of care. The department benefits from collaboration with other disciplines at Stanford, within local Silicon Valley, and across the globe. Stanford is leading research efforts to transform health care for all through Precision EM.
Focus Areas
Areas of active research focus include: Acute management of bone fractures and compartment syndrome. Allergic reactions and anaphylaxis. Bedbugs. Health policy. Management and diagnosis of acute respiratory illness. Management of corneal abrasion with a bandage contact lens. Management of COVID-19.
Clinical research in emergency medicine: putting it together
The difficulties in conducting good clinical research in emergency medicine can be overcome. This article will begin by identifying the main difficulties faced by the emergency medicine researcher. It will then discuss some solutions through the development and application of the research protocol. Finally, recommendations will be made with regard to writing for publication.
Global Emergency Medicine: A Review of the Literature From 2019
The Global Emergency Medicine Literature Review (GEMLR) has been actively working since 2005 to improve the clinical practice of emergency medicine (EM) worldwide by identifying and disseminating the most current and important EM research from global settings where EM is still developing as a mature domain of medicine. 1-14 Given the overwhelming amount of medical literature that is published ...
Emergency Medicine
S. Li and OthersN Engl J Med 2024;390:2264-2273. In this trial from China involving 1412 patients with acute ischemic stroke presenting within 4.5 hours, the percentage who had an excellent ...
Research
Advancing the care of critically ill and injured patients in the emergency department and beyond. Quality and Safety. Patient and provider safety is our top priority, and we are dedicated to quality improvement work through both research and education. Population Health Research. Promoting the health of populations and the environment worldwide.
The top 100 cited articles published in emergency medicine journals
Introduction: Our objective was to identify trends and examine the characteristics of the top 100 cited articles in emergency medicine (EM) journals. Methods: Scopus Library database was queried to determine the citations of the top 100 EM articles. A second database (Google Scholar) was used to gather the following information: number of authors, publication year, journal name, impact factor ...
Editorial: Emergency and critical care of severely injured patients
Keywords: severe trauma injury, trauma systems, prehospital trauma care, emergency room algorithms, intensive care treatments, first surgical phase, global surgery. Citation: Waydhas C, Hildebrand F and Liu L (2024) Editorial: Emergency and critical care of severely injured patients. Front. Med. 11:1453497. doi: 10.3389/fmed.2024.1453497
What's new in emergency medicine
Ensitrelvir for mild to moderate COVID-19 (March 2024) Although nirmatrelvir-ritonavir reduces hospitalization and death from COVID-19,drug interactions preclude its use in some patients. Ensitrelvir is an oral protease inhibitor that prevents SARS-CoV-2 replication and has fewer drug interactions.
Yale Medicine Thesis Digital Library
The digital thesis deposit has been a graduation requirement since 2006. Starting in 2012, alumni of the Yale School of Medicine were invited to participate in the YMTDL project by granting scanning and hosting permission to the Cushing/Whitney Medical Library, which digitized the Library's print copy of their thesis or dissertation.
Emergency Medicine Topics
Emergency Medicine Topics. Antibiotic Resistance. Bioterrorism and Disaster Medicine. Cardiac Emergencies. Clostridium difficile Infection. Coronavirus (COVID-19) Ebola. Emerging and Reemerging ...
Dissertations / Theses: 'Emergency medicine
Consult the top 50 dissertations / theses for your research on the topic 'Emergency medicine - Case studies.'. Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA ...
107 Emergency Department Essay Topic Ideas & Examples
Workplace Violence in the Emergency Department. Thus, the purpose of the current paper is to present a PICOT question on the issue of reporting violent accidents as present evidence to supplement the research on the topic. We will write. a custom essay specifically for you by our professional experts. 191 writers online.
A California medical group treats only homeless patients—and makes
Street medicine teams are in demand, largely because of growing public frustration with homelessness. The city of West Hollywood, for instance, awarded Healthcare in Action a three-year contract ...
Wellness and Inclusion
Contact Indiana University School of Medicine. 340 West 10th Street Fairbanks Hall, Suite 6200 Indianapolis, IN 46202-3082 317-274-8157; [email protected]
U.S. News ranks UC Davis Medical Center among nation's best
(SACRAMENTO) UC Davis Medical Center has been recognized as one of the nation's leading hospitals for outstanding patient care, according to the 2024-2025 U.S. News & World Report prestigious Best Hospitals survey.. As the region's only comprehensive level 1 trauma center for both adult and pediatric patients, UC Davis Medical Center ranked as the No. 1 hospital in Sacramento and No. 8 in ...
Minnesota mental health patients stay 25 hours longer than necessary in
When patients in mental health crises get stuck in Minnesota's emergency rooms, they stay 25 hours longer on average than necessary—taking up hospital space as well as the time of doctors and ...
Drexel University College of Medicine Pulse
Drexel University College of Medicine Pulse - Summer 2024. Sending Off the Class of 2024 in Style (pg. 1) Celebrating Successes, Embracing New Beginnings (pg. 2) New and Notable: Gadegbeku Assumes Community Health and Inclusive Excellence Leadership Role / Batts Health Equity and Inclusive Excellence Dinner (pg. 3) Recent Thesis Defenses (pg. 8)
Diversity, Equity and Inclusion
Contact Indiana University School of Medicine. 340 West 10th Street Fairbanks Hall, Suite 6200 Indianapolis, IN 46202-3082 317-274-8157; [email protected]
Kasturba Medical College, Manipal Theses and Dissertations
Kasturba Medical College, Manipal Theses and Dissertations. Follow . Search
Dissertations
PRABHAKAR KORE HOSPITAL AND MRC". Appearing in April 2024. 9. DR.DASI VENKATA S REDDY. DR. MADHAV PRABHU. "STUDY OF CORRELATION BETWEEN LABORATORY BLOOD BIOMARKERS AT THE TIME OF ADMISSION WITH FINAL CLINICAL OUTCOME IN COVID 19 PATIENTS AT KLE DR PRABHAKAR KORE HOSPITAL" - A ONE YEAR HOSPITAL BASED CROSS- SECTIONAL STUDY, Appearing in ...
Thesis Topics for MD/MS and DNB
More than 70,000 thesis topics for MD/MS and DNB at one place. 3000+ to 7000+ thesis topics for each specialty of medical sciences. ... Forensic Medicine and Toxicology Thesis topics -Subscribe (1 week Access) ...