Gerald Redwine

This original research is a directional study that determined the habits of individuals using four analyses to find statistical significance in the data collected from the surveys of 801 qualified of 1,340 individuals who agreed to participate. Results from the self-reported diagnosis of individuals affected by sarcoidosis produced seven statistically significant indicators of future research needed. The demographics revealed a significantly greater number of women and African-Americans participants than other minorities in the United States and suggested a sense of urgency to find a cure. Most important are the seven statistically significant findings that also gave credence to the researchers' four subdiagnostic classifications. They are acute sarcoidosis (AS) and chronic sarcoidosis with limited dissemination (CSLD), while more severe cases include those with chronic sarcoidosis with full dissemination including cutaneous involvement (CSFDIC) and chronic sarcoidosis with neur...

BACKGROUND According to the Centers for Disease Control, a leading cause of healthcare associated infections (HAIs) is MRSA. HAIs have surpassed HIV as a leading cause of morbidity and mortality in the United States. 1,2 It appears that the healthcare system may serve as a significant reservoir for MRSA as healthcare-associated MRSA is responsible for 85% of invasive MRSA infections. 1 It has also been established that MRSA is present in the community. Community-acquired strains of MRSA have been increasing in non-hospitalized, previously healthy young persons and is transmissible in communal settings such as prisons, schools, and sports team areas. ABSTRACT The objective of this study was to evaluate and characterize methicillin resistant Staphylococcus aureus (MRSA) and staphylococcal carriage and conversion rates in nursing students across clinical semester rotations. Eighty seven nursing students were sampled six times throughout their two years of clinical rotations. Sampling r...

Patient: 52-year-old African-American male. Chief Complaint: Severe abdominal pain and difficulty eating. History of Present Illness: The patient presented to the emergency room (ER) with severe abdominal pain. Approximately 3 months prior to his visit, the patient stopped taking his metformin for diabetes and monitoring his glucose. For the next 3 months, the patient experienced rapid weight loss, a rash on the center of his tongue, genital skin sloughing, and sharp lower back pain. The patient then decided to resume his medication. Subsequently, the rash on his tongue cleared, the sloughing decreased but did not clear, and his back pain subsided. The patient began experiencing occasional pain when swallowing food, but dismissed the symptoms. On the morning prior to his ER visit, when the patient swallowed food he had mild discomfort in the upper esophagus and it felt as though food was lodged in his esophagus after the meal. Eating lunch increased the patient’s discomfort to a moderate level of pain that seemed to move with the food to the lower portion of his esophagus over a 2 hour period. Finally, an afternoon snack escalated the patient’s pain in the upper abdominal region to a severe level. Once again the patient described the pain as following the food as it traveled into the abdominal region. Past Medical and Surgical History: The patient had type 2 diabetes mellitus for approximately 10 years and hypercholesterolemia for at least 27 years. The patient had a hemorrhoidectomy 8 years earlier. Social History: No tobacco use, no alcohol use, and no intravenous drug abuse. Family History: The patient’s mother died at age 62 from type 2 diabetes mellitus complications that included 5 years of blindness accompanied by occasional seizures. The patient is a retired civil service employee. Physical Exam and Vital Signs: Upon admission, the …

To evaluate and characterize MRSA and staphylococci carriage and conversion rates in nursing students across clinical semester rotations and to describe risk factors. A prospective, longitudinal cohort design (interim report) with three times of measurement. Data collected between August 2010 and May 2011 (ongoing longitudinal study to May 2012). Institutional Review Board approval (2010F5693). Texas State University, San Marcos, TX. Eighty-seven nursing students. A positive MRSA swab represented an end-point for a participant. Intervention offered was bactroban (mupirocin) for nasal decolonization and an oral antibiotic, doxycycline; posttreatment collection to verify decolonization prior to next clinical rotation. Screening for Staphylococcus aureus and MRSA identification; confirmation and antibiotic susceptibility by Vitek 2. Self-administered questionnaires collected demographics and risk factors. Generalized estimating equations calculated population-averaged panel logistic re...

ABSTRACT Mycoplasma genitalium has been the focus of basic scientific and synthetic biology research as the organism with the smallest genome of all known human bacterial pathogens. As a sexually transmitted organism, substantial clinical and epidemiologic evidence now exists that warrant further consideration of M. genitalium as a priority for diagnostic testing.This article aims to concisely address the rationale for continued investigation of M. genitalium as a sexually transmitted infection (STI) and for the implementation of diagnostic testing paradigms in the USA.