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Article ; Online: Vasculitis issue - introduction.

Panaccione, Sophia / Cohen, David A

2023 Volume 135, Issue sup1, Page(s) 1–2

MeSH term(s)	Humans ; Vasculitis/diagnosis
Language	English
Publishing date	2023-03-15
Publishing country	England
Document type	Introductory Journal Article
ZDB-ID	410138-8
ISSN	1941-9260 ; 0032-5481
ISSN (online)	1941-9260
ISSN	0032-5481
DOI	10.1080/00325481.2023.2190287
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Article ; Online: Case Report: Spontaneous Tumor Lysis Syndrome in Untreated Ovarian Cancer.

Weber, Carly M / Cohen, David A / Daugherty, Kaitlin M

The American journal of medicine

2023 Volume 136, Issue 10, Page(s) e201

MeSH term(s)	Humans ; Female ; Tumor Lysis Syndrome/etiology ; Tumor Lysis Syndrome/pathology ; Ovarian Neoplasms/complications ; Ovarian Neoplasms/diagnosis
Language	English
Publishing date	2023-06-24
Publishing country	United States
Document type	Case Reports
ZDB-ID	80015-6
ISSN	1555-7162 ; 1873-2178 ; 0002-9343 ; 1548-2766
ISSN (online)	1555-7162 ; 1873-2178
ISSN	0002-9343 ; 1548-2766
DOI	10.1016/j.amjmed.2023.06.005
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Article ; Online: Commentary.

Cohen, David A

Clinical chemistry

2017 Volume 63, Issue 8, Page(s) 1330

MeSH term(s)	Humans ; Hypogonadism ; Testosterone
Chemical Substances	Testosterone (3XMK78S47O)
Language	English
Publishing date	2017-07-27
Publishing country	England
Document type	Journal Article ; Comment
ZDB-ID	80102-1
ISSN	1530-8561 ; 0009-9147
ISSN (online)	1530-8561
ISSN	0009-9147
DOI	10.1373/clinchem.2016.269480
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Article: A National Survey of United States-Based Endocrinologists Who Prescribe Gender-Affirming Hormone Therapy.

Bisno, Daniel I / Lubitz, Sara / Marshall, Ian / Cohen, David A

Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists

2023 Volume 29, Issue 6, Page(s) 465–470

Abstract: Objective: The World Professional Association for Transgender Health Standards of Care Version 7 recommended that before initiating gender-affirming hormone therapy (GAHT), patients should seek a psychosocial evaluation from a mental health professional ...

Abstract	Objective: The World Professional Association for Transgender Health Standards of Care Version 7 recommended that before initiating gender-affirming hormone therapy (GAHT), patients should seek a psychosocial evaluation from a mental health professional documenting a diagnosis of persistent gender dysphoria. The Endocrine Society published guidelines in 2017 recommending against an obligatory psychosocial evaluation, which was affirmed in the recently published World Professional Association for Transgender Health Standards of Care Version 8 from 2022. Little is known about how endocrinologists ensure appropriate psychosocial assessment for their patients. This study assessed the protocols and characteristics of U.S.-based adult endocrinology clinics that prescribe GAHT. Methods: An anonymous electronic survey sent to members of a professional organization and the "Endocrinologists" Facebook group was responded by 91 practicing board-certified adult endocrinologists who prescribe GAHT. Results: Thirty-one states were represented by the respondents. Overall, 83.1% of GAHT-prescribing endocrinologists reported accepting Medicaid. They reported working in university practices (28.4%), community practices (22.7%), private practices (27.3%), and other practice settings (21.6%). Overall, 42.9% of the respondents reported that their practice required documentation of a psychosocial evaluation from a mental health professional before initiating GAHT. Conclusion: Endocrinologists who prescribe GAHT are divided about requiring a baseline psychosocial evaluation before prescribing GAHT. Further work is needed to understand the impact of psychosocial assessment on patient care and facilitate the uptake of new guidelines into clinical practice.
MeSH term(s)	Adult ; Humans ; United States ; Endocrinologists ; Transgender Persons/psychology ; Gender Identity ; Gender Dysphoria/drug therapy ; Hormones
Chemical Substances	Hormones
Language	English
Publishing date	2023-03-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	1473503-9
ISSN	1530-891X
ISSN	1530-891X
DOI	10.1016/j.eprac.2023.03.003
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Article ; Online: Are COVID-19 mRNA vaccine side effects severe enough to cause missed work? Cross-sectional study of health care-associated workers.

Cohen, David A / Greenberg, Patricia / Formanowski, Brielle / Parikh, Payal D

Medicine

2022 Volume 101, Issue 7, Page(s) e28839

Abstract: Abstract: The Coronavirus Disease 2019 (COVID-19) pandemic, caused by the severe acute respiratory syndrome-coronavirus-2, has claimed 5,587,549 lives worldwide as of January 20, 2022. Fortunately, large-scale vaccination can mitigate the impact of ... ...

Abstract	Abstract: The Coronavirus Disease 2019 (COVID-19) pandemic, caused by the severe acute respiratory syndrome-coronavirus-2, has claimed 5,587,549 lives worldwide as of January 20, 2022. Fortunately, large-scale vaccination can mitigate the impact of COVID-19 by making the disease milder and less common. Although 75.2% of the United States population has received at least 1 dose of a COVID-19 vaccines thus far, concerns regarding vaccine side effects have contributed to vaccine hesitancy. Furthermore, nearly 50% of adults in the United States are concerned not only about side effects, but about their downstream impact, including missed work.The goal of this cross-sectional study was to investigate the effect of messenger RNA vaccine adverse effects on the propensity to miss work among employees associated with a single, large academic health center.Using Qualtrics, all employees, including faculty, staff, and trainees, of 5 large departments were surveyed to determine whether they received the COVID-19 vaccine and which type, and any symptoms they experienced after receipt of either vaccine dose. We hypothesized that vaccine recipients would be more likely to miss work or feel sick enough to miss work following the second dose.Thirty-seven percent of respondents experienced events severe enough that they needed to miss work from either of the doses, with the majority (27.8%) related to the second dose. These findings are consistent with and expand on the results from the phase 3 trials for Pfizer-BionTech and Moderna, which showed that vaccine side effects were more common after the second dose than after the first dose. Our statistically significant finding was more common among Asians, women, trainees/house staff, and nonphysician clinical employees.With an increasing number of individuals taking the vaccine, employers will need to account for the impact of adverse effects on their employees' ability to work. These findings will further help organizations better plan for staffing as vaccinations increase to mitigate the spread of COVID-19.
MeSH term(s)	Adult ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19 Vaccines/adverse effects ; Cross-Sectional Studies ; Delivery of Health Care ; Female ; Humans ; Influenza Vaccines ; Influenza, Human/prevention & control ; RNA, Messenger ; United States/epidemiology ; Vaccines, Synthetic ; mRNA Vaccines
Chemical Substances	COVID-19 Vaccines ; Influenza Vaccines ; RNA, Messenger ; Vaccines, Synthetic ; mRNA Vaccines
Language	English
Publishing date	2022-04-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	80184-7
ISSN	1536-5964 ; 0025-7974
ISSN (online)	1536-5964
ISSN	0025-7974
DOI	10.1097/MD.0000000000028839
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Article ; Online: A review of upper extremity deep vein thrombosis.

Khan, Oneib / Marmaro, Ashley / Cohen, David A

Postgraduate medicine

2021 Volume 133, Issue sup1, Page(s) 3–10

Abstract: This review aims to describe the epidemiology, pathophysiology, risk factors, presentation, complications, evaluation/diagnosis, and treatment of upper extremity deep vein thrombosis (UEDVT). Upper extremity deep vein thrombosis (UEDVT) accounts for 6% ... ...

Abstract	This review aims to describe the epidemiology, pathophysiology, risk factors, presentation, complications, evaluation/diagnosis, and treatment of upper extremity deep vein thrombosis (UEDVT). Upper extremity deep vein thrombosis (UEDVT) accounts for 6% of cases of deep vein thrombosis (DVT). It can lead to swelling and discomfort in that extremity and can be complicated by pulmonary embolism, post-thrombotic syndrome, and recurrence of DVT. Evaluation can begin with a dichotomized Constans score and fibrin degradation product testing. Diagnosis is typically made with compression ultrasound. Anticoagulation is the mainstay of therapy. Primary UEDVT is known as Paget Schroetter Syndrome (PSS) which occurs due to venous thoracic outlet syndrome (vTOS). Anticoagulation, thrombolysis, and decompression of the venous thoracic outlet are used for treatment but the optimal strategy remains to be elucidated. Secondary UEDVT are most commonly caused by indwelling catheters and malignancy. There is an ongoing realization that UEDVT are more than simply 'leg clots in the arm.' Given the increasing incidence, research needs to be done to further our understanding of this disease state, its evaluation, and its treatment.
MeSH term(s)	Anticoagulants/pharmacology ; Decompression, Surgical/methods ; Humans ; Thoracic Outlet Syndrome/complications ; Thrombolytic Therapy/methods ; Ultrasonography/methods ; Upper Extremity/blood supply ; Upper Extremity/diagnostic imaging ; Upper Extremity Deep Vein Thrombosis/blood ; Upper Extremity Deep Vein Thrombosis/etiology ; Upper Extremity Deep Vein Thrombosis/physiopathology ; Upper Extremity Deep Vein Thrombosis/therapy
Chemical Substances	Anticoagulants
Language	English
Publishing date	2021-03-08
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	410138-8
ISSN	1941-9260 ; 0032-5481
ISSN (online)	1941-9260
ISSN	0032-5481
DOI	10.1080/00325481.2021.1892390
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Article ; Online: Things we do for no reason™: Routinely holding metformin in the hospital.

Cohen, David A / Ricotta, Daniel N / Parikh, Payal D

Journal of hospital medicine

2021 Volume 17, Issue 3, Page(s) 207–210

MeSH term(s)	Hospitals ; Humans ; Hypoglycemic Agents/therapeutic use ; Metformin/therapeutic use
Chemical Substances	Hypoglycemic Agents ; Metformin (9100L32L2N)
Language	English
Publishing date	2021-08-23
Publishing country	United States
Document type	Journal Article
ZDB-ID	2233783-0
ISSN	1553-5606 ; 1553-5592
ISSN (online)	1553-5606
ISSN	1553-5592
DOI	10.12788/jhm.3644
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Article: The blockchain technology conundrum: Quis custodiet ipsos custodes?

Balzarova, Michaela A / Cohen, David A

Current opinion in environmental sustainability. 2020 Aug., v. 45

2020

Abstract: This paper considers how current voluntary policies, such as eco-labelling schemes could be affected by increased and immutable transparencies embedded in their business models as a result of blockchain transactions. The paper investigates the synergetic ...

Abstract	This paper considers how current voluntary policies, such as eco-labelling schemes could be affected by increased and immutable transparencies embedded in their business models as a result of blockchain transactions. The paper investigates the synergetic overlap between ecolabels and the uptake of blockchain technology (BCT). Furthermore, it points to current ecolabels’ inefficiencies and discusses both the technology’s potential for improvements of ecolabels’ effectiveness, ecolabels’ purpose on the market as well as BCT’s readiness for its wide-spread adoption. The paper also presents numerous blockchain use cases with relevance to the enhanced purpose of eco-labelling schemes.
Keywords	blockchain ; ecolabeling ; environmental sustainability ; markets
Language	English
Dates of publication	2020-08
Size	p. 42-48.
Publishing place	Elsevier B.V.
Document type	Article
Note	NAL-AP-2-clean
ZDB-ID	2514810-2
ISSN	1877-3435
ISSN	1877-3435
DOI	10.1016/j.cosust.2020.08.016
Database	NAL-Catalogue (AGRICOLA)

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Article: An Assessment of Nutrition Education in Endocrinology Fellowship Programs in the United States.

Bassin, Sandhya R / Kohm, Kevin / Fitzgerald, Nurgul / Cohen, David A

Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists

2021 Volume 28, Issue 3, Page(s) 310–314

Abstract: Objective: Counseling patients about nutrition significantly improves chronic disease outcomes. Endocrinologists are uniquely positioned to educate patients regarding nutrition. The purpose of this study was to define the current state of nutrition ... ...

Abstract	Objective: Counseling patients about nutrition significantly improves chronic disease outcomes. Endocrinologists are uniquely positioned to educate patients regarding nutrition. The purpose of this study was to define the current state of nutrition education in endocrinology fellowship programs in the United States and assess the needs for future nutrition training. Methods: Endocrinology program directors were surveyed via an online questionnaire between February and April 2021. Results: Thirty-eight program directors responded (25% response rate) to the survey. Twenty-two (58%) programs offered nutrition education. Existing nutrition education offerings were 1 to 5 total hours (13, 34%), primarily didactic (20, 53%), and often led by registered dietitian nutritionists (15, 39%). Only 3 (8%) programs rated their current nutrition education as extremely effective; 95% of respondents believed that further nutrition education was needed. According to respondents, the ideal nutrition education for endocrine trainees should be 1 to 5 total hours (19, 50%) over multiple sessions (25, 66%), be interactive (24, 63%), and be led by registered dietitian nutritionists (26, 68%). The most important topics for independent practice included diet-related behavior modification (21, 55%), components of a healthful diet (19, 50%), and energy expenditure/intake (18, 47%). Conclusion: Although the majority of the program directors believe that further nutrition education is needed, almost half of the surveyed programs do not offer such training. Programs that offer nutrition education primarily rely on a didactic format. There is an unmet need for interactive, multidisciplinary nutrition education in these programs.
MeSH term(s)	Counseling ; Curriculum ; Education, Medical, Graduate ; Endocrinology ; Fellowships and Scholarships ; Humans ; Surveys and Questionnaires ; United States
Language	English
Publishing date	2021-12-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	1473503-9
ISSN	1530-891X
ISSN	1530-891X
DOI	10.1016/j.eprac.2021.12.012
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Article ; Online: Leading the Charge: Effectiveness of a Workshop to Enhance Faculty Education of Health Inequity.

Cohen, David A / Olveczky, Daniele D / Tibbles, Carrie / Hall, Matthew M / Crocker, Jonathan T

The Journal of continuing education in the health professions

2022 Volume 43, Issue 1, Page(s) 68–71

Abstract: Introduction: Medical educators in residency programs have unique opportunities to teach health inequities, social determinants of health (SDOH), and implicit bias. However, faculty are not adequately trained to effectively teach these topics. The aim ... ...

Abstract	Introduction: Medical educators in residency programs have unique opportunities to teach health inequities, social determinants of health (SDOH), and implicit bias. However, faculty are not adequately trained to effectively teach these topics. The aim is to assess the effectiveness of a faculty-level workshop to teach health inequity. Methods: An interactive workshop was designed by an interprofessional faculty from a major urban teaching hospital, addressing SDOH, implicit bias, an "Enhanced Social History," and the benefits of interprofessional care. Before and after completion, workshop participants completed surveys regarding comfort in teaching these concepts. Survey results were analyzed to assess benefits of the intervention. Results: Sixty-four percent of participants completed preworkshop and postworkshop surveys. Participants reported increased contemplation and improved comfort in teaching SDOH, barriers to medical care, and implicit bias. Conclusion: Faculty comfort in teaching health inequity increased after this workshop. This may help bridge the gap between the expectation of clinical faculty to evaluate trainee practice of patient-centered, culturally competent care, and faculty possession of and confidence in health inequity teaching skills in clinical settings. Future research should focus on learner- and patient-based outcomes, including teaching time and impact on delivery of care.
MeSH term(s)	Humans ; Faculty ; Surveys and Questionnaires ; Internship and Residency ; Teaching ; Faculty, Medical/education
Language	English
Publishing date	2022-09-05
Publishing country	United States
Document type	Journal Article
ZDB-ID	639445-0
ISSN	1554-558X ; 0894-1912
ISSN (online)	1554-558X
ISSN	0894-1912
DOI	10.1097/CEH.0000000000000446
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