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Stuart Cohen is a journalist based in Sydney, Australia.
Portfolio
Evaluating dermatology education and training
The article discusses the importance of evaluating dermatology education and training beyond knowledge and skills to include changes in behavior such as confidence and motivation. It highlights the COM-B Framework, common pitfalls in education evaluation, the theory of change, the Kirkpatrick model, and complex intervention evaluation. The paper emphasizes the need for a behavioral approach to improve clinical change and patient care, and provides top tips and learning points for effective education and training evaluation.
Entrapment Syndrome in a Kidney Transplant Recipient with Cryptococcal Meningitis
A 55-year-old kidney transplant recipient developed Entrapped Temporal Horn Syndrome (ETH) following treatment for Cryptococcal meningitis. The patient, who had a history of renal failure and was on immunosuppressive therapy, initially presented with headaches and was later diagnosed with cryptococcal meningitis. Despite treatment, she developed ETH, a rare form of non-communicating hydrocephalus, due to intraventricular scarring. Surgical intervention with a ventriculoperitoneal shunt was performed, and the patient completed 26 months of antifungal therapy. She remains clinically well nine months after cessation of therapy.
Case Series of End-Stage Liver Disease Patients with Severe Coccidioidomycosis
Severe coccidioidomycosis cases in patients with end-stage liver disease (ESLD) are described, highlighting the immunocompromised state caused by liver dysfunction. The study reports on four patients treated at UC-Davis Medical Center between 2017 and 2021, all of whom experienced rapid disease progression and high mortality. The article calls for further epidemiologic studies to determine the incidence and risk factors of severe coccidioidomycosis in patients with liver disease, emphasizing the need for careful monitoring and treatment due to the immunologic impairments associated with ESLD.
Dwight Perkins, architectural pioneer and conservationist
Dwight Perkins, a significant yet lesser-known architect from Evanston, made substantial contributions to 20th-century American architecture, particularly in the design of public school buildings. His innovative designs included features like outdoor playgrounds, improved classroom lighting, and integrated toilet facilities. Perkins' work extended beyond architecture to social reform, influenced by his connections with figures like Jane Addams. Despite facing opposition and a public trial, Perkins' legacy continued through his national practice and the architectural firm founded by his son, Larry Perkins.
Thomas Eddy Tallmadge's architecture
Thomas Eddy Tallmadge was a prominent Evanston architect known for his Prairie Style homes and historic streetlights design. Born in Washington, D.C., he moved to Evanston, graduated from Evanston High School, and studied at MIT. After working with Daniel Burnham, he traveled Europe on a scholarship and later formed Tallmadge and Watson with Vernon Watson. They designed many houses and churches, including the First Methodist Church and First Congregational Church in Evanston. Tallmadge was also an educator and author, coining the term 'Chicago School' of architecture. He continued his work until his death in 1940.
George Washington Maher
George Washington Maher, a prominent early 20th-century architect, designed several notable buildings in Evanston, including the Patten house and Northwestern University's Patten Gymnasium and Swift Hall of Engineering. Maher's work, characterized by his 'motif rhythm theory' and unique design elements, contributed significantly to Evanston's architectural heritage. His designs often featured nature-based patterns and geometric shapes, making his work distinct from his contemporaries. Maher's legacy includes 10 houses in Evanston and an unbuilt plan for Northwestern's campus expansion.
Book Review: Frank L. Wright and the Architects of Steinway Hall
Stuart Cohen's book, 'Frank Lloyd Wright and the Architects of Steinway Hall: A Study in Collaboration,' emphasizes the importance of teamwork in architecture, challenging the notion of the solitary 'starchitect.' The book highlights the collaborative efforts of Wright and his peers—Dwight Perkins, Robert Spencer, and Myron Hunt—who shared ideas and office space in Chicago's Steinway Hall. The book also credits Edward Bok of Ladies’ Home Journal for promoting the Prairie Style. Richly illustrated, the book sheds new light on Wright's influencers and their contributions to American architecture.
Trans UPenn swimmer Lia Thomas seen with teammates while training for final meet of season
Transgender swimmer Lia Thomas and her UPenn teammates trained for their final home meet of the season amid controversy and security measures. The team remains divided over Thomas's record-breaking performances, with some teammates and parents expressing concerns about fairness. The NCAA's rules allowing Thomas to compete as a woman have sparked debate, leading to the resignation of a USA Swimming official and calls for rule changes. Prominent sports figures like Nancy Hogshead-Makar and Martina Navratilova have voiced support for revising the rules to ensure fair competition.
Cutaneous Chaetomium globosum Infection in a Vedolizumab-Treated Patient
The article discusses a case of cutaneous infection with Chaetomium globosum in a patient treated with vedolizumab and traditional immunosuppressive therapy. The patient, a 33-year-old woman with Crohn disease, developed erythematous lesions on her legs, which were initially treated as erythema nodosum. Despite treatment, the condition worsened, leading to a biopsy that identified the infection. The patient was treated with itraconazole and showed slow improvement. The case highlights the importance of considering unusual infections in patients undergoing biologic therapy and the challenges in diagnosing and treating such infections.
The Promise of Remdesivir for COVID-19 Treatment
The article discusses the potential of remdesivir as a treatment for COVID-19, featuring an interview with Dr. Stuart Cohen, an infectious disease expert. Remdesivir is undergoing a large, multinational clinical trial funded by NIAID, with over 900 patients enrolled. The trial aims to determine the drug's efficacy compared to a placebo, as no specific treatments for COVID-19 currently exist. The discussion also touches on the ethical considerations of using placebos and the mechanisms of other treatments like hydroxychloroquine and convalescent plasma. Dr. Cohen expresses optimism about drug treatments being available within six months, while vaccine development may take longer, potentially 18 months, depending on the virus's mutation rate.
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