Publications by authors named "Kanika Malani"

Introduction: This study evaluates challenges and successes faced by medical students leading planetary health (PH) curriculum reform and tracks changes over time.

Methods: The Planetary Health Report Card (PHRC) is a standardized, metric-based tool for assessing PH education in medical schools. In October 2023, a survey was emailed to 132 medical students across 52 US institutions who had served as primary contacts for their school's most recent PHRC between 2020 and 2023.

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Goals: This study aimed to (1) compare colorectal cancer (CRC) screening rates among patients receiving mailed fecal immunochemical testing (FIT) versus in-clinic FIT and (2) assess the impact of various reminder interventions versus no extra reminder on mailed FIT completion.

Background: FIT is a first-line method for CRC screening. However, no research has compared screening completion in patients receiving FIT through mail (mailed FIT) versus patients receiving FIT from a provider in a clinic setting (in-clinic FIT), both of which have significantly different workflows.

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Background: This study evaluates the effectiveness of different methods to recruit patients with inflammatory bowel disease (IBD) into a randomized controlled trial (RCT).

Methods: 630 participants were recruited into a multicenter RCT using electronic medical record (EMR) bulk messaging, in-person study discussion with a clinician, or a hybrid method combining the above approaches.

Results: Bulk EMR messaging alone had the highest recruitment and response rates, required the least amount of time to implement, and incurred the lowest cost as compared to the in-person and hybrid recruitment methods.

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Objective: This study evaluates obstacles peripartum patients with additional medical needs face and services that would be helpful in obtaining this care.

Study Design: A survey was administered to 226 patients at a clinic specializing in internal medicine care for peripartum patients. Data was analyzed through descriptive statistics and linear regression.

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Article Synopsis
  • Metformin-associated lactic acidosis (MALA) is a rare but serious complication primarily affecting diabetic patients with additional risk factors like kidney issues or certain medications.
  • The case study discusses a man in his 70s who developed MALA after experiencing severe gastrointestinal symptoms alongside acute kidney injury, likely due to inadequate food intake and antibiotic use.
  • Treatment involved intravenous fluids and bicarbonate, which quickly improved his symptoms and restored kidney function within 12 days, emphasizing the need for awareness of MALA among diabetic patients.
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Introduction: Mailed fecal immunochemical testing (mFIT), in-clinic FIT (cFIT), and colonoscopy are believed to reach distinct patient populations. This study aims to evaluate this belief.

Methods: Sociodemographic, clinical, and social determinants of health (SDOH) characteristics of 201 patients completing mFIT, 203 patients completing cFIT, and 74 patients completing colonoscopy at a Northeastern United States Veterans Affairs center from August 2023 to January 2024 were compared using descriptive statistics, χ 2 , and ANOVA tests.

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Objectives: This study aimed to examine the combined impact of diet quality and rheumatoid arthritis (RA) on development of cardiovascular and mortality outcomes among postmenopausal women.

Methods: A total of 99,840 women without baseline RA and 10,494 women with baseline RA were prospectively followed for an average of 12.7 years through the Women's Health Initiative.

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Article Synopsis
  • - This study investigates the relationship between diet quality and the risk of developing rheumatoid arthritis (RA) among postmenopausal women, emphasizing that previous research has yielded inconsistent results around this topic.
  • - Conducting a prospective cohort study over an average of 8.1 years, researchers used a food frequency questionnaire to assess the participants' dietary habits and applied the Healthy Eating Index (HEI)-2015 to evaluate overall diet quality.
  • - Results showed that a higher diet quality, as indicated by HEI scores, was linked to a reduced risk of developing RA; specifically, higher quartiles of the HEI scores lowered RA incidence by 1%, 10%, and 19% respectively, highlighting the potential benefits of better
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Scurvy is caused by vitamin C deficiency and is often thought of as an ancient malady. However, it still afflicts present-day patients with insufficient nutrition, excessive alcohol consumption and disorders of absorption. Scurvy is traditionally characterised by ecchymosis, petechiae, haemorrhages, poor wound healing, myalgias and arthralgias, but it can also present with non-specific symptoms, including mood changes, fatigue, malaise and dyspnoea.

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Given the widespread impacts of climate change and environmental degradation on human health, medical schools have been under increasing pressure to provide comprehensive planetary health education to their students. However, the logistics of integrating such a wide-ranging and multi-faceted topic into existing medical curricula can be daunting. In this article, we present the Warren Alpert Medical School of Brown University as an example of a student-driven, bottom-up approach to the development of a planetary health education program.

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