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Article ; Online: Paying It Forward: Near Peer Mentorship in Medical School Makes an Impact.

Ramin, Seth K / Suresh, Arvind

Academic medicine : journal of the Association of American Medical Colleges

2023

Language	English
Publishing date	2023-11-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	96192-9
ISSN	1938-808X ; 1040-2446
ISSN (online)	1938-808X
ISSN	1040-2446
DOI	10.1097/ACM.0000000000005522
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Article ; Online: Aplastic anaemia following antibiotic use for urinary tract infection.

Sharma, Aditya / Suresh, Arvind / Pirruccello, Jonathan / Sullivan, Matthew

BMJ case reports

2024 Volume 17, Issue 2

Abstract: Aplastic anaemia is often associated with recent viral illnesses to include EBV and parvovirus along with certain medications such as anticonvulsants and sulfa containing antibiotics. We describe a case report of a female patient in her 70s who presented ...

Abstract	Aplastic anaemia is often associated with recent viral illnesses to include EBV and parvovirus along with certain medications such as anticonvulsants and sulfa containing antibiotics. We describe a case report of a female patient in her 70s who presented with pancytopenia after being treated with nitrofurantoin and ciprofloxacin for suspected urinary tract infection. She underwent an extensive workup to rule out alternative aetiologies of her pancytopenia to include a broad viral, autoimmune and malignancy evaluation which were unrevealing. Given her recent exposure to ciprofloxacin and nitrofurantoin and marrow recovery following removal of these agents, it was presumed that antibiotic exposure was the underlying cause of her aplastic anaemia.
MeSH term(s)	Female ; Humans ; Anemia, Aplastic/complications ; Anemia, Aplastic/drug therapy ; Anti-Bacterial Agents/adverse effects ; Ciprofloxacin/adverse effects ; Nitrofurantoin/adverse effects ; Pancytopenia/chemically induced ; Pancytopenia/complications ; Urinary Tract Infections/drug therapy ; Urinary Tract Infections/complications ; Aged
Chemical Substances	Anti-Bacterial Agents ; Ciprofloxacin (5E8K9I0O4U) ; Nitrofurantoin (927AH8112L)
Language	English
Publishing date	2024-02-28
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1757-790X
ISSN (online)	1757-790X
DOI	10.1136/bcr-2022-254547
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Incidental FAPI Localization in Benign Bone Lesions in a Case of Carcinoma Stomach.

Manda, Divya / M V, Manikandan / Suresh, Arvind / Shukla, Varun

Clinical nuclear medicine

2023 Volume 48, Issue 12, Page(s) e572–e573

Abstract: Abstract: Recently developed radiolabeled FAPI (fibroblast-activation protein inhibitors) have attracted researcher's attention in diagnosing various tumors because of its high specificity and better tumor-to-background ratio. Increasing use of 68 Ga- ... ...

Abstract	Abstract: Recently developed radiolabeled FAPI (fibroblast-activation protein inhibitors) have attracted researcher's attention in diagnosing various tumors because of its high specificity and better tumor-to-background ratio. Increasing use of 68 Ga-FAPI PET/CT has resulted in reporting of incidental benign findings as well. We hereby present a case of suspected carcinoma stomach showing increased uptake in primary tumor in stomach as well as incidental uptake in benign subchondral cysts in bilateral shoulder joints and right hip joint on 68 Ga-FAPI PET CT scan.
MeSH term(s)	Humans ; Positron Emission Tomography Computed Tomography ; Stomach Neoplasms ; Bone Diseases ; Gallium Radioisotopes ; Carcinoma ; Fluorodeoxyglucose F18
Chemical Substances	Gallium-68 (98B30EPP5S) ; Gallium Radioisotopes ; Fluorodeoxyglucose F18 (0Z5B2CJX4D)
Language	English
Publishing date	2023-09-21
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	197628-x
ISSN	1536-0229 ; 0363-9762
ISSN (online)	1536-0229
ISSN	0363-9762
DOI	10.1097/RLU.0000000000004837
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Article ; Online: "Everyone's struggling right now": Impact of COVID-19 on addressing food insecurity in rural primary care.

Suresh, Arvind / Jordanova, Kayla E / Boardman, Maureen B / Canavan, Chelsey R / D'cruze, Tiffany T / Dev, Alka / Kennedy, Meaghan A

Family practice

2024 Volume 41, Issue 2, Page(s) 161–167

Abstract: Background: Primary care practices can address food insecurity (FI) through routine screening, practice-based food programmes, and referrals to community resources. The COVID-19 pandemic had disproportionate impacts on health outcomes for food-insecure ... ...

Abstract	Background: Primary care practices can address food insecurity (FI) through routine screening, practice-based food programmes, and referrals to community resources. The COVID-19 pandemic had disproportionate impacts on health outcomes for food-insecure households. Objective: To describe the impact of the COVID-19 pandemic on FI screening and interventions in rural primary care practices in northern New England. Methods: We conducted semi-structured interviews with thirteen providers and staff regarding changes to FI screening and interventions, community resources and partnerships, and patient food needs during the pandemic. Themes and exemplar quotations were identified through iterative discussion. Results: Practices reported more frequent informal discussions with patients about FI during the pandemic. Despite limitations in site operations, practices created programmes to distribute food at practice locations or through food deliveries. The adoption of telemedicine had variable impacts on FI screening, creating challenges for some while facilitating screening outside of scheduled visits for others. Practices reported increased food availability due to new or expanded community programmes, but lack of transportation and delivery availability were challenges. New and stronger connections formed between practices and community partners. Increased awareness of FI among both patients and practice staff resulted in decreased stigma. Conclusion: Screening for and addressing FI was a priority for rural primary care practices during the pandemic. The implementation of practice-based FI interventions was supported by stronger practice-community connections and a decrease in stigma. The experiences of providers and staff during the pandemic provide insight into best practices for engaging primary care practices in reducing FI.
MeSH term(s)	Humans ; Pandemics ; COVID-19/epidemiology ; Food Insecurity ; Social Stigma ; Primary Health Care
Language	English
Publishing date	2024-01-25
Publishing country	England
Document type	Journal Article
ZDB-ID	605939-9
ISSN	1460-2229 ; 0263-2136
ISSN (online)	1460-2229
ISSN	0263-2136
DOI	10.1093/fampra/cmad105
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Article ; Online: Addressing food insecurity in rural primary care: a mixed-methods evaluation of barriers and facilitators.

Jordanova, Kayla E / Suresh, Arvind / Canavan, Chelsey R / D'cruze, Tiffany / Dev, Alka / Boardman, Maureen / Kennedy, Meaghan A

BMC primary care

2024 Volume 25, Issue 1, Page(s) 163

Abstract: Background: Food insecurity (FI) is associated with negative health outcomes and increased healthcare utilization. Rural populations face increased rates of FI and encounter additional barriers to achieving food security. We sought to identify barriers ... ...

Abstract	Background: Food insecurity (FI) is associated with negative health outcomes and increased healthcare utilization. Rural populations face increased rates of FI and encounter additional barriers to achieving food security. We sought to identify barriers and facilitators to screening and interventions for FI in rural primary care practices. Methods: We conducted a mixed-methods study using surveys and semi-structured interviews of providers and staff members from rural primary care practices in northern New England. Survey data were analyzed descriptively, and thematic analysis was used to identify salient interview themes. Results: Participants from 24 rural practices completed the survey, and 13 subsequently completed an interview. Most survey respondents (54%) reported their practices systematically screen for FI and 71% reported food needs were "very important" for their patients and communities. Time and resource constraints were the most frequently cited barriers to screening for and addressing FI in practices based on survey results. Interview themes were categorized by screening and intervention procedures, community factors, patient factors, external factors, practice factors, process and implementation factors, and impact of FI screening and interventions. Time and resource constraints were a major theme in interviews, and factors attributed to rural practice settings included geographically large service areas, stigma from loss of privacy in small communities, and availability of food resources through farming. Conclusions: Rural primary care practices placed a high value on addressing food needs but faced a variety of barriers to implementing and sustaining FI screening and interventions. Strategies that utilize practice strengths and address time and resource constraints, stigma, and large service areas could promote the adoption of novel interventions to address FI.
MeSH term(s)	Humans ; Primary Health Care ; Food Insecurity ; New England ; Female ; Male ; Rural Health Services ; Rural Population/statistics & numerical data ; Surveys and Questionnaires ; Adult ; Food Supply/statistics & numerical data ; Interviews as Topic
Language	English
Publishing date	2024-05-11
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	2731-4553
ISSN (online)	2731-4553
DOI	10.1186/s12875-024-02409-1
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: A hybrid educational approach to service learning: impact on student attitudes and readiness in working with medically underserved communities.

Suresh, Arvind / Wighton, Nakia M / Sorensen, Tanya E / Palladino, Thomas C / Pinto-Powell, Roshini C

Medical education online

2022 Volume 27, Issue 1, Page(s) 2122106

Abstract: Medical students engage with medically underserved communities (MUC) and vulnerable populations but often lack preparation to advocate appropriately for these communities. While preclinical programs with an experiential community component effectively ... ...

Abstract	Medical students engage with medically underserved communities (MUC) and vulnerable populations but often lack preparation to advocate appropriately for these communities. While preclinical programs with an experiential community component effectively increase knowledge about serving MUC, the pandemic limited clinical opportunities in community settings for learners. We examined the impact of a streamlined, hybrid service learning curriculum on first-year medical student attitudes towards MUC and their readiness and interest in addressing health barriers faced by this population. The redesigned curriculum for the student-led program required participants to attend nine virtual seminars led by faculty and community members with expertise serving MUC. Students partnered with one of three community agencies to organize service projects and gain exposure to the life experiences of MUC using virtual and in-person approaches. Of the fifteen first year medical students who participated in the program, positive attitudes were sustained across all scales using the Medical Student Attitudes Toward the Underserved (MSATU) questionnaire after one year. A majority (≥50%) of students reported a large increase in their knowledge of the health challenges faced by underserved populations after each didactic session. Despite the mostly virtual nature of community partnerships, students reported increased confidence in their ability to direct MUC patients to local resources (p < 0.01). The program also had a positive impact on student interest in working with medically underserved patients in the future, with 71% of participants indicating a significant impact on their interest in working in a medically underserved area. Our redesigned elective curriculum provided participants with foundational knowledge to advocate appropriately for underserved populations and demonstrated the efficacy of virtual approaches for community service and service learning. Our findings suggest hybrid and virtual experiential learning opportunities are a viable and non-inferior curricular approach to teaching health equity and community health.
MeSH term(s)	Curriculum ; Educational Status ; Humans ; Learning ; Medically Underserved Area ; Students, Medical
Language	English
Publishing date	2022-09-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	2052877-2
ISSN	1087-2981 ; 1087-2981
ISSN (online)	1087-2981
ISSN	1087-2981
DOI	10.1080/10872981.2022.2122106
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Article ; Online: Educational Policy Development as a Leadership Experience: Inclusive Institutional Change.

Cheema, Amal / Morris, Linda / Suresh, Arvind / Carhart, Briggs / Thomson, Christopher / Synan, Liam / Sorensen, Meredith J / Chimienti, Sonia N

Medical science educator

2023 Volume 33, Issue 6, Page(s) 1565–1570

Abstract: Medical students have a unique opportunity to advocate for educational policies that promote best practices in undergraduate medical education. At the Geisel School of Medicine at Dartmouth, students play a crucial role in the development of medical ... ...

Abstract	Medical students have a unique opportunity to advocate for educational policies that promote best practices in undergraduate medical education. At the Geisel School of Medicine at Dartmouth, students play a crucial role in the development of medical education policies. This article describes two innovative, inclusive, and effective approaches to increase student engagement: (1) restructuring Medical Education Subcommittees to diversify student perspectives and (2) including students in a values-based design thinking approach to the development of new academic advancement and promotion and conduct policies. Through deliberate participation, medical students gain valuable skills that can be applied as future educators and academic leaders.
Language	English
Publishing date	2023-11-28
Publishing country	United States
Document type	Editorial
ISSN	2156-8650
ISSN (online)	2156-8650
DOI	10.1007/s40670-023-01949-y
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Book ; Online: Addressing Food Insecurity During COVID-19

Suresh, Arvind / Barkatullah, Arhem F. / Boardman, Maureen B.

A Role for Rural Federally Qualified Health Centers

2020

Abstract: In rural communities, existing food insecurity, chronic diseases, and an aging population create a complex environment that has the potential to strain health systems despite lower overall COVID-19 case counts. Past pandemics have revealed that ... ...

Abstract	In rural communities, existing food insecurity, chronic diseases, and an aging population create a complex environment that has the potential to strain health systems despite lower overall COVID-19 case counts. Past pandemics have revealed that populations served by the primary care safety net require resources beyond federal and state aid programs. At our federally qualified health center (FQHC), we have adapted our food prescription program for patients with chronic diseases to a home delivery service, which leverages existing relationships between care coordinators and patients. Such efforts may fill underlying gaps in food supply and distribution through cross-sector collaboration with farms and non-governmental agencies. The current pandemic highlights an opportunity for FQHCs to proactively engage with communities and build upon existing outreach efforts to address issues of nutrition and food access. Prompt and targeted interventions can establish partnerships within community food systems and advance long-term program implementation. https://deepblue.lib.umich.edu/bitstream/2027.42/155450/1/Suresh_Barkatullah_Boardman_PrePrint_Final.pdf
Keywords	food insecurity ; federally qualified health center ; nutrition ; COVID-19 ; primary care ; safety net ; Epidemiology ; Health Sciences ; covid19
Subject code	360
Language	English
Publishing date	2020-05-28
Publishing country	us
Document type	Book ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Missed opportunities to improve food security for pregnant people: a qualitative study of prenatal care settings in Northern New England during the COVID-19 pandemic.

Canavan, Chelsey R / D'cruze, Tiffany / Kennedy, Meaghan A / Hatchell, Kayla E / Boardman, Maureen / Suresh, Arvind / Goodman, Daisy / Dev, Alka

BMC nutrition

2022 Volume 8, Issue 1, Page(s) 8

Abstract: Background: Food insecurity during pregnancy has important implications for maternal and newborn health. There is increasing commitment to screening for social needs within health care settings. However, little is known about current screening processes ...

Abstract	Background: Food insecurity during pregnancy has important implications for maternal and newborn health. There is increasing commitment to screening for social needs within health care settings. However, little is known about current screening processes or the capacity for prenatal care clinics to address food insecurity among their patients. We aimed to assess barriers and facilitators prenatal care clinics face in addressing food insecurity among pregnant people and to identify opportunities to improve food security among this population. Methods: We conducted a qualitative study among prenatal care clinics in New Hampshire and Vermont. Staff and clinicians engaged in food security screening and intervention processes at clinics affiliated with the Northern New England Perinatal Quality Improvement Network (NNEPQIN) were recruited to participate in key informant interviews. Thematic analysis was used to identify prominent themes in the interview data. Results: Nine staff members or clinicians were enrolled and participated in key informant interviews. Key barriers to food security screening and interventions included lack of protocols and dedicated staff at the clinic as well as community factors such as availability of food distribution services and transportation. Facilitators of screening and intervention included a supportive culture at the clinic, trusting relationships between patients and clinicians, and availability of clinic-based and community resources. Conclusion: Prenatal care settings present an important opportunity to identify and address food insecurity among pregnant people, yet most practices lack specific protocols for screening. Our findings indicate that more systematic processes for screening and referrals, dedicated staff, and onsite food programs that address transportation and other access barriers could improve the capacity of prenatal care clinics to improve food security during pregnancy.
Language	English
Publishing date	2022-01-24
Publishing country	England
Document type	Journal Article
ZDB-ID	2809847-X
ISSN	2055-0928 ; 2055-0928
ISSN (online)	2055-0928
ISSN	2055-0928
DOI	10.1186/s40795-022-00499-7
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Article ; Online: The Impact of the COVID-19 Pandemic on Food Insecurity in Northern New England Primary and Prenatal Care Settings.

Hatchell, Kayla E / Canavan, Chelsey R / D'cruze, Tiffany / Suresh, Arvind / Dev, Alka / Boardman, Maureen / Kennedy, Meaghan A

Journal of primary care & community health

2022 Volume 13, Page(s) 21501319221106626

Abstract: Introduction and objective: Food insecurity (FI) is associated with adverse health outcomes across the lifespan. Primary care and prenatal practices can identify and address FI among patients through screening and interventions. It is unclear how ... ...

Abstract	Introduction and objective: Food insecurity (FI) is associated with adverse health outcomes across the lifespan. Primary care and prenatal practices can identify and address FI among patients through screening and interventions. It is unclear how practices and communities responded to FI during the COVID-19 pandemic, and how the pandemic may have impacted practices' FI strategies. We aimed to understand how practices providing primary care or prenatal care in northern New England experienced changes in FI during the COVID-19 pandemic. Methods: We conducted a web-based survey of clinicians and staff from 43 unique practices providing primary care or prenatal care in northern New England. Results: Most practices (59.5%) reported at least 1 new food program in the practice or community since the pandemic began. Practices reporting new practice- or community-based food programs were more likely to be rural, federally qualified health centers, and have greater confidence in practice and community capacity to address FI (chi-square tests, Conclusion: Results suggest that practices and surrounding communities in northern New England responded to FI during the pandemic by increasing food support programs. Future work is needed to examine the impact of food programs initiated during the pandemic and determine optimal strategies for practices to address FI among patients.
MeSH term(s)	COVID-19/epidemiology ; Female ; Food Insecurity ; Food Supply ; Humans ; New England/epidemiology ; Pandemics ; Pregnancy ; Prenatal Care
Language	English
Publishing date	2022-06-24
Publishing country	United States
Document type	Journal Article ; Research Support, U.S. Gov't, P.H.S. ; Research Support, Non-U.S. Gov't
ZDB-ID	2550221-9
ISSN	2150-1327 ; 2150-1319
ISSN (online)	2150-1327
ISSN	2150-1319
DOI	10.1177/21501319221106626
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