1
|
Mealey K, Braverman PK, Koenigs LMP. Why a Pelvic Exam is Needed to Diagnose Cervicitis and Pelvic Inflammatory Disease. Ann Emerg Med 2019; 73:424-425. [PMID: 30902176 DOI: 10.1016/j.annemergmed.2018.11.028] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Kathleen Mealey
- Department of Internal Medicine-Pediatrics, University of Massachusetts Medical School-Baystate, Springfield, MA
| | - Paula K Braverman
- Department of Pediatrics, Division of Adolescent Medicine, University of Massachusetts Medical School-Baystate, Springfield, MA
| | - Laura M P Koenigs
- Department of Pediatrics, Pediatric Residency Program, University of Massachusetts Medical School-Baystate, Springfield, MA
| |
Collapse
|
2
|
Slovak JE, Mealey K, Court MH. Comparative metabolism of mycophenolic acid by glucuronic acid and glucose conjugation in human, dog, and cat liver microsomes. J Vet Pharmacol Ther 2016; 40:123-129. [PMID: 27301298 DOI: 10.1111/jvp.12338] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2016] [Accepted: 05/19/2016] [Indexed: 12/30/2022]
Abstract
Use of the immunosuppressant mycophenolic acid (MPA) in cats is limited because MPA elimination depends on glucuronidation, which is deficient in cats. We evaluated formation of major (phenol glucuronide) and minor (acyl glucuronide, phenol glucoside, and acyl glucoside) MPA metabolites using liver microsomes from 16 cats, 26 dogs, and 48 humans. All MPA metabolites were formed by human liver microsomes, while dog and cat liver microsomes formed both MPA glucuronides, but only one MPA glucoside (phenol glucoside). Intrinsic clearance (CLint) of MPA for phenol glucuronidation by cat liver microsomes was only 15-17% that of dog and human liver microsomes. However, CLint for acyl glucuronide and phenol glucoside formation in cat liver microsomes was similar to or greater than that for dog and human liver microsomes. While total MPA conjugation CLint was generally similar for cat liver microsomes compared with dog and human liver microsomes, relative contributions of each pathway varied between species with phenol glucuronidation predominating in dog and human liver microsomes and phenol glucosidation predominating in cat liver microsomes. MPA conjugation variation between cat liver microsomes was threefold for total conjugation and for phenol glucosidation, sixfold for phenol glucuronidation, and 11-fold for acyl glucuronidation. Our results indicate that total MPA conjugation is quantitatively similar between liver microsomes from cats, dogs, and humans despite large differences in the conjugation pathways that are utilized by these species.
Collapse
Affiliation(s)
- J E Slovak
- Department of Veterinary Clinical Sciences, Program in Individualized Medicine, Washington State University, Pullman, WA, USA
| | - K Mealey
- Department of Veterinary Clinical Sciences, Program in Individualized Medicine, Washington State University, Pullman, WA, USA
| | - M H Court
- Department of Veterinary Clinical Sciences, Program in Individualized Medicine, Washington State University, Pullman, WA, USA
| |
Collapse
|
3
|
Riesenberg LA, Berg K, Berg D, Schaeffer A, Mealey K, Davis J, Weber D, King D, Justice EM, Geffe K, Tinkoff G. The Development of a Validated Checklist for Nasogastric Tube Insertion. Am J Med Qual 2013; 28:429-33. [DOI: 10.1177/1062860612474488] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
| | | | - Dale Berg
- Thomas Jefferson University, Philadelphia, PA
| | | | - Kathleen Mealey
- Loyola University Chicago Stritch School of Medicine, Maywood, IL
| | - Joshua Davis
- University of Delaware, Newark, DE
- Christiana Care Health System, Newark, DE
| | - Danielle Weber
- University of Cincinnati and Cincinnati Children’s Hospital Medical Center, Cincinnati, OH
| | - Daniel King
- Ross University School of Medicine, Dominica
| | | | | | - Glen Tinkoff
- Thomas Jefferson University, Philadelphia, PA
- Christiana Care Health System, Newark, DE
| |
Collapse
|
4
|
Jasper E, Berg K, Reid M, Gomella P, Weber D, Schaeffer A, Crawford A, Mealey K, Berg D. Disaster preparedness: what training do our interns receive during medical school? Am J Med Qual 2013; 28:407-13. [PMID: 23341470 DOI: 10.1177/1062860612471843] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Disaster preparedness training is a critical component of medical student education. Despite recent natural and man-made disasters, there is no national consensus on a disaster preparedness curriculum. The authors designed a survey to assess prior disaster preparedness training among incoming interns at an academic teaching hospital. In 2010, the authors surveyed incoming interns (n = 130) regarding the number of hours of training in disaster preparedness received during medical school, including formal didactic sessions and simulation, and their level of self-perceived proficiency in disaster management. Survey respondents represented 42 medical schools located in 20 states. Results demonstrated that 47% of interns received formal training in disaster preparedness in medical school; 64% of these training programs included some type of simulation. There is a need to improve the level of disaster preparedness training in medical school. A national curriculum should be developed with aspects that promote knowledge retention.
Collapse
|
5
|
Berg K, Riesenberg LA, Berg D, Mealey K, Weber D, King D, Justice EM, Geffe K, Tinkoff G. The Development of a Validated Checklist for Adult Lumbar Puncture. Am J Med Qual 2012; 28:330-4. [DOI: 10.1177/1062860612463225] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
| | | | - Dale Berg
- Thomas Jefferson University, Philadelphia, PA
| | - Kathleen Mealey
- Loyola University Chicago Stritch School of Medicine, Maywood, IL
| | - Danielle Weber
- University of Cincinnati and Cincinnati Children’s Hospital Medical Center, Cincinnati, OH
| | - Daniel King
- Ross University School of Medicine, Dominica
| | | | | | - Glen Tinkoff
- Thomas Jefferson University, Philadelphia, PA
- Christiana Care Health System, Newark, DE
| |
Collapse
|
6
|
Riesenberg LA, Berg K, Berg D, Mealey K, Weber D, King D, Justice EM, Geffe K, Tinkoff G. The Development of a Validated Checklist for Paracentesis. Am J Med Qual 2012; 28:227-31. [DOI: 10.1177/1062860612460399] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
| | | | - Dale Berg
- Thomas Jefferson University, Philadelphia, PA
| | - Kathleen Mealey
- Loyola University Chicago Stritch School of Medicine, Maywood, IL
| | - Danielle Weber
- University of Cincinnati and Cincinnati Children’s Hospital Medical Center, Cincinnati, OH
| | - Daniel King
- Ross University School of Medicine, Dominica
| | | | | | - Glen Tinkoff
- Thomas Jefferson University, Philadelphia, PA
- Christiana Care Health System, Newark, DE
| |
Collapse
|
7
|
Berg D, Berg K, Riesenberg LA, Weber D, King D, Mealey K, Justice EM, Geffe K, Tinkoff G. The Development of a Validated Checklist for Thoracentesis. Am J Med Qual 2012; 28:220-6. [DOI: 10.1177/1062860612459881] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Dale Berg
- Thomas Jefferson University, Philadelphia, PA
| | | | | | - Danielle Weber
- University of Cincinnati and Cincinnati Children’s Hospital Medical Center, Cincinnati, OH
| | - Daniel King
- Ross University School of Medicine, Dominica
| | | | | | | | - Glen Tinkoff
- Thomas Jefferson University, Philadelphia, PA
- Christiana Care Health System, Newark, DE
| |
Collapse
|