Eugene J. Barone

“Effort” Thrombosis Of The Axillary And Subclavian Vein Associated With Cervical Rib And Oral Contraceptives In A Young Woman Athlete

“Effort” thrombosis, also called the Paget-Schroetter syndrome or primary thrombosis of the upper extremity, has been well documented in the literature. However, in our review of the United States, Canadian, and British literature, we found only 52 cases in which it was related to sports participation. We report a case of axillary and subclavian vein “effort” thrombosis in a young woman athlete, who was predisposed to thrombosis by all three postulates of the Virchow triad: namely, (1) stasis caused by constriction from a cervical rib, (2) increased coagulability as a result of oral contraceptive use, and (3) vessel wall injury because of competitive softball participation. Of the available therapeutic plans, we believe that athletes with “effort” thrombosis should have aggressive treatment that is initiated as early as possible to prevent swelling, tingling numbness, easy fatigue of the arm, and pain on prolonged use of the affected extremity.

Investigation of Students’ Attitudes about Patients with Substance Use Disorders before and after Completing an Online Curricular Module

Substance use disorders are often missed when patients present for medical care. The purpose of this report is to describe the pilot implementation of a curriculum module designed to influence medical student beliefs and attitudes toward patients with substance use disorders. Third-year medical students rotating through the two-month Ambulatory Primary Care clerkship (N = 99) were contacted by email and directed to a brief survey addressing students’ personal views regarding patients with substance use disorders. After the survey was submitted, students were directed to the Drexel University College of Medicine Doc.com online module about substance use. After one week, students received another email asking them to complete the same survey. Results from the pre- and postmodule surveys were compared using paired samples t-tests. Statistically significant changes were detected in 5 of13 items. The results of this study indicate that the one-hour, online Doc.com module can effectively influence medical student beliefs and attitudes toward patients with substance use disorders.

A psychosocial taxonomy of patients with diabetes: validation in a primary care setting

Aims  The aims of this study were (i) to extend a psychosocial taxonomy of patients with diabetes to a primary care setting, and (ii) to validate the taxonomy using more sophisticated clustering methods across an array of psychological dimensions independent of demographic and medical variables.