KEITH MYRON JUSTICE, M.D.

ST AUGUSTINE, FL

Research Active
Internal Medicine - Hematology & Oncology NPI registered 21+ years 9 publications 1983 – 2024 NPI: 1477558708
COVID-19Clinical CompetenceQuality of LifeAustraliaWalkingStudentsCognitive DysfunctionGenetic CounselingNeonatal ScreeningAccreditationEducation, Nursing, ContinuingDiet, MediterraneanOperating Room NursingMetabolism, Inborn ErrorsCounselors

Practice Location

2460 OLD MOULTRIE RD STE 4
ST AUGUSTINE, FL 32086-4198

Phone: (904) 563-1482

What does KEITH JUSTICE research?

Dr. Justice studies the effectiveness of remote supervision for genetic counseling students, exploring how they can learn essential clinical skills through virtual means. He also investigates how lifestyle changes, particularly a Mediterranean diet coupled with regular walking, can help older adults reduce their risk of cognitive decline and dementia. Additionally, Dr. Justice looks into the early diagnosis of metabolic disorders like propionic acidemia and the long-term health outcomes for those identified through newborn screening. His research is crucial for patients with metabolic conditions, their families, and healthcare providers.

Key findings

  • In a study on genetic counseling supervision, students performed similarly in clinical skills whether supervised remotely or in-person, although 15 specific differences in skill demonstration were identified.
  • The MedWalk trial included 157 older Australians and aimed to test if a Mediterranean diet and walking can prevent cognitive decline and dementia.
  • In a study of 58 patients with propionic acidemia, those diagnosed through newborn screenings received treatment at an average age of just 3.7 days, compared to 8 months for those diagnosed by symptoms.
  • The Inborn Errors of Metabolism Information System collected data on 1,893 individuals, revealing critical insights into emergency plans and health outcomes for children with metabolic disorders.
  • In a 1993 study, octreotide helped six out of eight participants maintain safe blood sugar levels after sulfonylurea overdose, offering a promising treatment alternative.

Frequently asked questions

Does Dr. Justice study metabolic disorders?
Yes, Dr. Justice researches metabolic disorders, focusing on their diagnosis and long-term management.
What treatments has Dr. Justice researched?
He has researched treatments for low blood sugar caused by diabetes medication overdoses, particularly using octreotide.
Is Dr. Justice's work relevant to older adults?
Yes, his research on dietary interventions and exercise is specifically aimed at helping older adults prevent cognitive decline and maintain brain health.
How does Dr. Justice help genetic counseling students?
He explores the effectiveness of remote supervision, ensuring that students can successfully develop clinical skills through virtual training.
What impact does Dr. Justice's research have on newborn screening?
His work highlights the importance of newborn screenings for early diagnosis and treatment of metabolic disorders, improving outcomes for affected children.

Publications in plain English

Perspectives of genetic counseling supervisors regarding genetic counseling students' attainment of practice-based competencies in clinical care through remote supervision.

2024

Journal of genetic counseling

Shane-Carson KP, Stone L, Justice K, Mwanda S, Stagg A +5 more

Plain English
This study looked at how well genetic counseling students learn important clinical skills when they have remote supervision (using phone or video calls) compared to traditional in-person supervision. Seventeen experienced genetic counselors shared their thoughts, and they found that overall, students perform similarly in both settings. However, they noted 15 specific differences in how students showed their skills, indicating that while remote training works, certain interactions and experiences might be missed. Who this helps: This benefits genetic counseling students and their supervisors.

PubMed

A Mediterranean Diet and Walking Intervention to Reduce Cognitive Decline and Dementia Risk in Independently Living Older Australians: The MedWalk Randomized Controlled Trial Experimental Protocol, Including COVID-19 Related Modifications and Baseline Characteristics.

2023

Journal of Alzheimer's disease : JAD

Pipingas A, Murphy KJ, Davis CR, Itsiopoulos C, Kingsley M +20 more

Plain English
Researchers conducted a study called the MedWalk trial to see if following a Mediterranean diet and walking regularly can help prevent cognitive decline and dementia in older Australians aged 60-90 who are living independently. The trial involved 157 participants who were divided into a group that followed the diet and exercise plan and a control group that continued their usual habits. The study’s findings could lead to effective strategies that help reduce the risk of dementia and improve brain health in older adults. Who this helps: This helps older adults who want to maintain their cognitive health and independence.

PubMed

Comparison of Methods of Initial Ascertainment in 58 Cases of Propionic Acidemia Enrolled in the Inborn Errors of Metabolism Information System Reveals Significant Differences in Time to Evaluation and Symptoms at Presentation.

2017

The Journal of pediatrics

McCrory NM, Edick MJ, Ahmad A, Lipinski S, Scott Schwoerer JA +6 more

Plain English
This study looked at 58 patients with propionic acidemia (PA) to see how they were diagnosed and what symptoms they had when they were first evaluated. It found that those diagnosed through abnormal newborn screening (NBS) were treated at an average age of just 3.7 days, while those diagnosed through their symptoms were treated significantly later—at around 8 months. Most patients identified by NBS were asymptomatic at diagnosis, while the majority of those diagnosed by symptoms had a serious condition called metabolic acidosis. Who this helps: This research helps patients with propionic acidemia and their families by highlighting the importance of newborn screenings for early diagnosis and treatment.

PubMed

Inborn Errors of Metabolism Collaborative: large-scale collection of data on long-term follow-up for newborn-screened conditions.

2016

Genetics in medicine : official journal of the American College of Medical Genetics

Berry SA, Leslie ND, Edick MJ, Hiner S, Justice K +1 more

Plain English
This research focused on a system called the Inborn Errors of Metabolism Information System (IBEM-IS), which gathers long-term health data about newborns diagnosed with specific metabolic disorders. The study enrolled 1,893 individuals and collected over 540,000 pieces of data, helping to track their health outcomes over an average of 1.5 years. Findings showed that children with serious conditions often had emergency plans in place, but these children were also the only ones who died, highlighting the critical need for informed healthcare decisions based on this data. Who this helps: This research benefits patients with metabolic disorders and their healthcare providers.

PubMed

Leiomyosarcoma of the left ventricle.

2008

The Annals of thoracic surgery

Muehrcke DD, Justice K

PubMed

Octreotide reverses hyperinsulinemia and prevents hypoglycemia induced by sulfonylurea overdoses.

1993

The Journal of clinical endocrinology and metabolism

Boyle PJ, Justice K, Krentz AJ, Nagy RJ, Schade DS

Plain English
In this study, researchers looked at how octreotide can help when people take too much of a diabetes medication called glipizide, which can cause dangerously low blood sugar levels. They found that octreotide greatly reduced the amount of sugar needed to keep blood sugar levels stable, with six out of eight participants maintaining safe levels even after treatment ended, compared to those who received other treatments. This matters because it provides a more effective way to manage severe low blood sugar caused by sulfonylurea overdoses, reducing the risk of further complications. Who this helps: Patients who unintentionally overdose on sulfonylurea medications.

PubMed

Party planning ideas help in education program planning.

1985

AORN journal

Justice K

PubMed

NCE committed to promoting Project Alpha.

1983

AORN journal

Justice K

PubMed

If you're looking for a bargain, come to AORN.

1983

AORN journal

Justice K

PubMed

Frequent Co-Authors

Susan A Berry Mathew J Edick Sally Hiner Kate P Shane-Carson Loan Stone Shannah Mwanda Amy Stagg Jane Pilditch Jessica Scott Schwoerer

Physician data sourced from the NPPES NPI Registry . Publication data from PubMed . Plain-English summaries generated by AI. Not medical advice.