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Glahn Laboratory

The primary aims of our laboratory are: to identify and characterize risk genes for psychotic and affective disorders and related conditions and to specify genetic influences on normal variation of in-vivo measures of brain structure and function and cognitive ability. Thus, our work involves the...

Education

University of New South Wales Australia PhD, Biotechnology Sydney, Australia 2017 National University of Medical Sciences MD Ulaanbaatar, Mongolia 2007

Microvillus inclusion disease

This is a rare, autosomal recessive cause of congenital diarrheal. Types: Early onset (95%): since birth Late onset (5%): 1-3 months Pathophysiology: Mutations MYO5B STXBP2 STX3 Disorder of apical vesicle traficking Dhekne HS, Pylypenko O, Overeem AW, Ferreira RJ, van der Velde KJ, Rings EHHM...

Radiographic Findings with Central Venous Catheters

The optimal location of a central venous catheter tip is the cavoatrial junction. Acceptable locations include: Superior vena cava (including brachiocephalic - SVC junction) Right atrium Inferior vena cava Central venous catheter tip at cavoatrial junction Central venous catheter tip at...

Pre-discharge briefing meeting

Purpose: To confirm patient and family readiness for home parenteral nutrition https://www.ahrq.gov/professionals/systems/hospital/engagingfamilies/st…

Question 1

Parent of a 1 year-old female on home parenteral nutrition secondary to short bowel syndrome (necrotizing enterocolitis) calls with a 2-day history of fever 101 degrees Fahrenheit (38.3 degrees Celsius). There are no other clinical complaints besides from teething. What is the next step? A...

Question 2

6 month-old male on home parenteral nutrition presents to emergency department with sudden onset altered mental status. On exam, patient is non-responsive, temperature 35 degrees Celsius, HR 180, blood pressure undetectable, skin is modeled. The central line site is clear. Blood cultures have been...

Question 5

Patient is an 8 year-old female with HPN dependence due to short bowel syndrome. She has high ostomy due to proximal stoma. Height velocity gradually slows over the last 12 months. Receiving adequate calorie and fluid support. Compliance has been assessed to be satisfactory. On history, parents...

Answer 7

6 year-old male well-nourished patient receives IV fluids nightly with D10 ½ normal saline 1000 ml over 12 hours. Mother pages on-call provider concerned that Broviac might have come out 3 cm. Patient is asymptomatic. Next visit is scheduled for 1 week. What is the next step? A. Reassurance and...

Question 10

Question 10. 5 year-old male with long-term HPN dependence secondary to short bowel syndrome is seen for routine follow-up. Enteral tolerance is currently maximized. PN currently providing energy 45 kcal/kg/day, protein 1.3 gram/kg/day, IV soybean lipids 1 gram/kg/day, glucose infusion rate 10 mg/kg...