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Spring 2026 Vol. 21 - Issue 1
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Click on the cover at right to download a PDF of the full issue.
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EDITORIAL
SCIENTIFIC REPORTS
– Wendy Holler, MSN, RN, ONC, CRRN, ACNS-BC, FARN, and James A. Fenwick, MD, FAAOS
This article presents results of a quality-improvement pilot project conducted at Penn Medicine Lancaster General Health to explore the feasibility of implementing a pain catastrophizing risk assessment instrument for patients undergoing total hip or total knee replacement.
 Adobe PDF
– Lena Dumasia, MD; Sonia Dumasia; and Anurag Walia, MD, MBBS
This case report describes a 61-year-old male with stage IIIC malignant melanoma who developed acute inflammatory demyelinating polyneuritis, also known as Guillain-Barré syndrome, following treatment with the immune checkpoint inhibitor pembrolizumab.
Adobe PDF
– Nkuchia M. M’ikanatha, DrPH, and Byron Breedlove
This issue’s cover story examines the birth of handwashing in medicine, as immortalized by Robert Alan Thom in his painting, Semmelweis — Defender of Motherhood. The authors consider the artist and his subject, along with the importance of handwashing both in history and in modern medicine.
– Matthew H. Taylor, MD
This essay considers AI chatbots and AI-generated imagery, and how they affect the lives of children and teens. Included are recommendations for parents and providers to keep young people safe.
– Kerri Schlicher, MSN, CRNP, FNP-C
– Heather Madara and Roy S. Small, MD
Adobe PDF
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