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13 results on '"Howard D. Lee"'

3. Acute left anterior descending artery myocardial infarction seen on conventional contrast-enhanced CT prior to cardiac enzyme elevation

Author

Howard D. Lee, Dustin M. Thomas, Ryan S. Babcock, and Raymond Fisher

Subjects
medicine.medical_specialty, Enhanced ct, business.industry, media_common.quotation_subject, medicine.disease, medicine.anatomical_structure, Text mining, Cardiac Enzyme Elevation, Internal medicine, Cardiology, Medicine, Contrast (vision), Radiology, Nuclear Medicine and imaging, Myocardial infarction, Cardiology and Cardiovascular Medicine, business, media_common, Artery
Published
2020

5. S1701 A Curious Case of Chronic Intestinal Pseudo-Obstruction

Author

Rafaela Izurieta, Howard D. Lee, and Kimberly Zibert

Subjects
Intestinal pseudo-obstruction, medicine.medical_specialty, Hepatology, business.industry, Internal medicine, Gastroenterology, medicine, medicine.disease, business
Published
2021

8. Heart Rate and Heart Rate Variability Correlate with Clinical Reasoning Performance and Self-Reported Measures of Cognitive Load

Author

Jeroen J. G. van Merriënboer, Mark C. Haigney, Temple Ratcliffe, Alexis Battista, Howard D. Lee, Elexis McBee, Soroosh Solhjoo, Anthony R. Artino, Lambert Schuwirth, Steven J. Durning, RS: SHE - R1 - Research (OvO), and Onderwijsontw & Onderwijsresearch

Subjects
Adult, Male, medicine.medical_specialty, Students, Medical, 020205 medical informatics, Physiology, EXAMPLES, lcsh:Medicine, Context (language use), 02 engineering and technology, Audiology, QT interval, Article, 03 medical and health sciences, Electrocardiography, 0302 clinical medicine, Cognition, EXPERTS, Heart Rate, Heart rate, Human behaviour, 0202 electrical engineering, electronic engineering, information engineering, medicine, Heart rate variability, Humans, 030212 general & internal medicine, Association (psychology), lcsh:Science, PERSPECTIVE, ENVIRONMENT, Multidisciplinary, Perspective (graphical), lcsh:R, INSTRUCTIONAL-DESIGN, Heart, MODEL, CONTEXT, lcsh:Q, Female, Clinical Competence, Self Report, MENTAL STRESS, Psychology, Cognitive load
Abstract

Cognitive load is a key mediator of cognitive processing that may impact clinical reasoning performance. The purpose of this study was to gather biologic validity evidence for correlates of different types of self-reported cognitive load, and to explore the association of self-reported cognitive load and physiologic measures with clinical reasoning performance. We hypothesized that increased cognitive load would manifest evidence of elevated sympathetic tone and would be associated with lower clinical reasoning performance scores. Fifteen medical students wore Holter monitors and watched three videos depicting medical encounters before completing a post-encounter form and standard measures of cognitive load. Correlation analysis was used to investigate the relationship between cardiac measures (mean heart rate, heart rate variability and QT interval variability) and self-reported measures of cognitive load, and their association with clinical reasoning performance scores. Despite the low number of participants, strong positive correlations were found between measures of intrinsic cognitive load and heart rate variability. Performance was negatively correlated with mean heart rate, as well as single-item cognitive load measures. Our data signify a possible role for using physiologic monitoring for identifying individuals experiencing high cognitive load and those at risk for performing poorly during clinical reasoning tasks.

Published
2019

9. Hepatitis A and B Vaccination Rates Among Liver Biopsy Confirmed Nonalcoholic Fatty Liver or Nonalcoholic Steatohepatitis in a Free Access Medical System: How Can We Do Better?

Author

Amilcar Morales‐Cardona, Angelo H. Paredes, Howard D. Lee, and Yang Liu

Subjects
Nonalcoholic steatohepatitis, medicine.medical_specialty, Hepatology, medicine.diagnostic_test, business.industry, Fatty liver, Gastroenterology, Free access, Hepatitis A, medicine.disease, Vaccination, Liver biopsy, Internal medicine, medicine, business
Published
2018

11. What's in a Rash? Viral Exanthem Versus CBRNE Exposure: Teleconsultation Support for Two Special Forces Soldiers With Diffuse Rash in an Austere Environment

Author

Howard D, Lee, Samuel, Butterfield, Joseph K, Maddry, Douglas, Powell, William N, Vasios, Heather, Yun, David, Ferraro, and Jeremy C, Pamplin

Subjects
Adult, Male, Warfare, Military Personnel, Health Personnel, Remote Consultation, Humans, General Medicine, Exanthema, Military Medicine
Abstract

Review clinical thought process and key principles for diagnosing weaponized chemical and biologic injuries. Clinical Context: Special Operation Forces (SOF) team deployed in an undisclosed, austere environment. Organic Expertise: Two SOF Soldiers with civilian EMT-Basic certification. Closest Medical Support: Mobile Forward Surgical Team (2 hours away); medical consults available by e-mail, phone, or video-teleconsultation. Earliest Evacuation: Earliest military evacuation from country 12-24 hours. With teleconsultation, patients departed to Germany as originally scheduled without need for Medical Evacuation.

Published
2018

12. Understanding Greenhouse Gas Balances of Bioenergy Systems

Author

Adams, P., Bows, A., Gilbert, P., Hammond, J., Howard, D., Lee, R., McNamara, N., Thornley, P., Whittaker, C., Whitaker, J.

Subjects
Life cycle assessment, Sustainability, Bioenergy, Biomass, Greenhouse gas
Published
2013

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