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Full-Text Articles in Medicine and Health Sciences

Erythropoiesis-Stimulating Agent Treatment In Patients With Covid-19., S. Fishbane, J. S. Hirsch Jan 2020

Erythropoiesis-Stimulating Agent Treatment In Patients With Covid-19., S. Fishbane, J. S. Hirsch

Journal Articles

No abstract provided.


Management Of Gastroduodenal Artery Pseudoaneurysm Rupture With Duodenal Ulcer Complicated By Coil Migration., D. Chang, P. Patel, S. Persky, J. Ng, A. Kaell Jan 2020

Management Of Gastroduodenal Artery Pseudoaneurysm Rupture With Duodenal Ulcer Complicated By Coil Migration., D. Chang, P. Patel, S. Persky, J. Ng, A. Kaell

Journal Articles

Rupture of visceral artery aneurysms or visceral artery pseudoaneurysms is an unusual cause of upper gastrointestinal bleeding. Although most visceral artery aneurysms and visceral artery pseudoaneurysms occur in the splenic artery or hepatic artery, they can rarely occur in the gastroduodenal artery. These are at high risk for rupture, with a 40%-70% mortality. We report a case of recurrent upper gastrointestinal bleeding due to gastroduodenal artery pseudoaneurysm despite endoscopic treatment and endovascular embolization complicated by coil migration into the duodenum.


In Response To Na Et Al.’S Long-Term Mortality Of Patients Discharged From The Hospital After Successful Critical Care: Do We Need More Comprehensive Data?, A. M. Esquinas, H. M. Karim, B. Mina Jan 2020

In Response To Na Et Al.’S Long-Term Mortality Of Patients Discharged From The Hospital After Successful Critical Care: Do We Need More Comprehensive Data?, A. M. Esquinas, H. M. Karim, B. Mina

Journal Articles

No abstract provided.


Peri-Transplant Management Of Nonalcoholic Fatty Liver Disease In Liver Transplant Candidates, N. S. Samji, R. Heda, S. K. Satapathy Jan 2020

Peri-Transplant Management Of Nonalcoholic Fatty Liver Disease In Liver Transplant Candidates, N. S. Samji, R. Heda, S. K. Satapathy

Journal Articles

© Translational Gastroenterology and Hepatology. All rights reserved. The incidence of non-alcoholic fatty liver disease (NAFLD) is rapidly growing, affecting 25% of the world population. Non-alcoholic steatohepatitis (NASH) is the most severe form of NAFLD and affects 1.5% to 6.5% of the world population. Its rising incidence will make end-stage liver disease (ESLD) due to NASH the number one indication for liver transplantation (LT) in the next 10 to 20 years, overtaking Hepatitis C. Patients with NASH also have a high prevalence of associated comorbidities such as type 2 diabetes, obesity, metabolic syndrome, cardiovascular disease, and chronic kidney disease (CKD), …


A Case Of Vancomycin-Induced Immune Thrombocytopenia., K. N. Macdougall, S. Parylo, A. Sokoloff Jan 2020

A Case Of Vancomycin-Induced Immune Thrombocytopenia., K. N. Macdougall, S. Parylo, A. Sokoloff

Journal Articles

Vancomycin-induced immune thrombocytopenia (ITP) is a rare, potentially life-threatening complication from an antibiotic frequently used in medical practice. We report a case of an 81-year-old male with recent removal of an infected right knee prosthesis and insertion of an articulating antibiotic spacer, presenting from rehabilitation for severe thrombocytopenia (1 X 103/µL). The patient's thrombocytopenia was initially falsely attributed to rifampin-induced ITP, a much more common cause of drug-induced thrombocytopenia. Only later, after a second precipitous drop in platelet count, vancomycin was correctly identified as the culprit. The patient's serum was tested for drug-dependent platelet antibodies with and without vancomycin. A …


Tissue Plasminogen Activator (Tpa) Treatment For Covid-19 Associated Acute Respiratory Distress Syndrome (Ards): A Case Series, J. Wang, N. Hajizadeh, E. E. Moore, R. C. Mcintyre, P. K. Moore, L. A. Veress, M. B. Yaffe, H. B. Moore, C. D. Barrett Jan 2020

Tissue Plasminogen Activator (Tpa) Treatment For Covid-19 Associated Acute Respiratory Distress Syndrome (Ards): A Case Series, J. Wang, N. Hajizadeh, E. E. Moore, R. C. Mcintyre, P. K. Moore, L. A. Veress, M. B. Yaffe, H. B. Moore, C. D. Barrett

Journal Articles

This article is protected by copyright. All rights reserved. A hallmark of severe COVID-19 is coagulopathy, with 71.4% of patients who die of COVID-19 meeting ISTH criteria for disseminated intravascular coagulation (DIC) while only 0.6% of patients who survive meet these criteria (1). Additionally, it has become clear that this is not a bleeding diathesis but rather a predominantly pro-thrombotic DIC with high venous thromboembolism rates, elevated D-dimer levels, high fibrinogen levels in concert with low anti-thrombin levels, and pulmonary congestion with microvascular thrombosis and occlusion on pathology in addition to mounting experience with high rates of central line thrombosis …


A Case Of Listeria Monocytogenes Meningitis Complicated By Hydrocephalus And Intraventricular Hemorrhage: A Review Of Treatment Options And Outcomes, S. Gerstein, P. Gautam-Goyal, S. Goyal Jan 2020

A Case Of Listeria Monocytogenes Meningitis Complicated By Hydrocephalus And Intraventricular Hemorrhage: A Review Of Treatment Options And Outcomes, S. Gerstein, P. Gautam-Goyal, S. Goyal

Journal Articles

© 2020 The Authors Listeria monocytogenes is a gram-positive bacillus known to cause various human infections including central nervous system infections. The most common central nervous system manifestations are meningitis and rhomboencephalitis, however rare complications including hydrocephalus and intracerebral hemorrhage can occur and are associated with increased mortality and incidence of lasting neurologic sequelae. The mortality ranges from 17 % to greater than 30 % in patients with neurological involvement [1–3]. Various case reports have studied the differing treatment approaches and outcomes of patients who experienced these complications, and there is still no consensus on optimal treatment approaches. In this …


Preparation In The Big Apple: New York City, A New Epicenter Of The Covid-19 Pandemic, S. A. Gross, D. H. Robbins, D. A. Greenwald, F. H. Schnoll-Sussman, M. B. Pochapin Jan 2020

Preparation In The Big Apple: New York City, A New Epicenter Of The Covid-19 Pandemic, S. A. Gross, D. H. Robbins, D. A. Greenwald, F. H. Schnoll-Sussman, M. B. Pochapin

Journal Articles

No abstract provided.


Covid-19 Therapeutic Options For Patients With Kidney Disease, H. Izzedine, K. D. Jhaveri, M. A. Perazella Jan 2020

Covid-19 Therapeutic Options For Patients With Kidney Disease, H. Izzedine, K. D. Jhaveri, M. A. Perazella

Journal Articles

No abstract provided.


Hypercalcemia In A Patient Diagnosed With A Vasoactive Intestinal Peptide Tumor., B. Ataallah, B. S. Buttar, G. Kulina, A. Kaell Jan 2020

Hypercalcemia In A Patient Diagnosed With A Vasoactive Intestinal Peptide Tumor., B. Ataallah, B. S. Buttar, G. Kulina, A. Kaell

Journal Articles

Hypercalcemia is a clinical problem that is commonly seen in both the inpatient and outpatient settings. Overall, most common causes of hypercalcemia include hyperparathyroidism and malignancy. Our case report is the presentation of hypercalcemia in a patient eventually diagnosed with a vasoactive intestinal peptide tumor, a type of neuroendocrine tumor, without associated hyperparathyroidism.


New Paradigms Of Extended Thromboprophylaxis In Medically Ill Patients, K. Macdougall, A. C. Spyropoulos Jan 2020

New Paradigms Of Extended Thromboprophylaxis In Medically Ill Patients, K. Macdougall, A. C. Spyropoulos

Journal Articles

No abstract provided.


The Covid-19 Pandemic: Experiences Of A Geriatrician-Hospitalist Caring For Older Adults, L. Sinvani Jan 2020

The Covid-19 Pandemic: Experiences Of A Geriatrician-Hospitalist Caring For Older Adults, L. Sinvani

Journal Articles

No abstract provided.


Use Of Omental Patch And Endoscopic Closure Technique As An Alternative To Surgery After Endoscopic Full Thickness Resection Of Gastric Intestinal Stromal Tumors: A Series Of Cases, A. H. Sachdev, S. Iqbal, I. B. Ribeiro, D. T. De Moura Jan 2020

Use Of Omental Patch And Endoscopic Closure Technique As An Alternative To Surgery After Endoscopic Full Thickness Resection Of Gastric Intestinal Stromal Tumors: A Series Of Cases, A. H. Sachdev, S. Iqbal, I. B. Ribeiro, D. T. De Moura

Journal Articles

© The Author(s) 2020. BACKGROUND Gastrointestinal stromal tumors (GISTs) originate from interstitial cells of Cajal. GISTs can occur anywhere along the gastrointestinal tract. Large lesions have traditionally been removed surgically. However, with recent innovations in advanced endoscopy, GISTs located within the stomach are now removed endoscopically. We describe a new innovative endoscopic technique to close large and hard to access defects after endoscopic full-thickness resection of gastric GISTs. CASE SUMMARY We present a series of three patients who were diagnosed with a gastric GIST. All patients underwent full-thickness endoscopic resection. In all cases, for closure of the surgical bed, conventional …


Novel Approaches To Arteriovenous Access Creation, Maturation, Suitability, And Durability For Dialysis, M. V. Devita, S. K. Khine, H. Shivarov Jan 2020

Novel Approaches To Arteriovenous Access Creation, Maturation, Suitability, And Durability For Dialysis, M. V. Devita, S. K. Khine, H. Shivarov

Journal Articles

© 2020 Since the arteriovenous fistula (AVF) was first conceived over 50 years ago, the goal to create a vascular conduit with predictable and reproducible maturation and durability continues to elude caregivers. Recently, however, advances in the understanding of vascular biology and new technologies now provides us with some optimism; we are moving toward a viable solution. A quickly maturing, sustainable, and durable arteriovenous access may soon be attainable. This review will discuss these advances. There are novel approaches to AVF creation and devices to enhance maturation, advances in arteriovenous graft material(s), and devices to safely prolong the use of …


External Validation Of A Venous Thromboembolic Risk Score For Cancer Outpatients With Solid Tumors: The Compass-Cat Venous Thromboembolism Risk Assessment Model, A. C. Spyropoulos, J. B. Eldredge, L. N. Anand, M. Zhang, M. Qiu, S. Nourabadi, D. J. Rosenberg Jan 2020

External Validation Of A Venous Thromboembolic Risk Score For Cancer Outpatients With Solid Tumors: The Compass-Cat Venous Thromboembolism Risk Assessment Model, A. C. Spyropoulos, J. B. Eldredge, L. N. Anand, M. Zhang, M. Qiu, S. Nourabadi, D. J. Rosenberg

Journal Articles

No abstract provided.


Hospital-Based Use Of Thromboprophylaxis In Patients With Covid-19, A. C. Spyropoulos, W. Ageno, E. S. Barnathan Jan 2020

Hospital-Based Use Of Thromboprophylaxis In Patients With Covid-19, A. C. Spyropoulos, W. Ageno, E. S. Barnathan

Journal Articles

No abstract provided.


Scientific And Standardization Committee Communication: Clinical Guidance On The Diagnosis, Prevention And Treatment Of Venous Thromboembolism In Hospitalized Patients With Covid-19., A. C. Spyropoulos, J. H. Levy, W. Ageno, J. M. Connors, B. J. Hunt, T. Iba, M. Levi, C. M. Samama, D. Giannis, +2 Additional Authors Jan 2020

Scientific And Standardization Committee Communication: Clinical Guidance On The Diagnosis, Prevention And Treatment Of Venous Thromboembolism In Hospitalized Patients With Covid-19., A. C. Spyropoulos, J. H. Levy, W. Ageno, J. M. Connors, B. J. Hunt, T. Iba, M. Levi, C. M. Samama, D. Giannis, +2 Additional Authors

Journal Articles

The novel coronavirus disease of 2019 (COVID-19) pandemic, as declared by the World Health Organization, is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2). Cardiovascular disease and, in particular, venous thromboembolism (VTE) has emerged as an important consideration in the management of hospitalized patients with COVID-19. The diagnosis of VTE using standardized objective testing is problematic in these patients, given the risk of infecting non-COVID-19 hospitalized patients and hospital personnel, coupled with the usual challenges of performing diagnostic testing in critically-ill patients. Early reports suggest a high incidence of VTE in hospitalized COVID-19 patients, particularly those with severe …


Randomized Controlled Trial Of Difelikefalin For Chronic Pruritus In Hemodialysis Patients, S. Fishbane, V. Mathur, M. J. Germain, S. Shirazian, S. Bhaduri, C. Munera, R. H. Spencer, F. Menzaghi Jan 2020

Randomized Controlled Trial Of Difelikefalin For Chronic Pruritus In Hemodialysis Patients, S. Fishbane, V. Mathur, M. J. Germain, S. Shirazian, S. Bhaduri, C. Munera, R. H. Spencer, F. Menzaghi

Journal Articles

No abstract provided.


Post-Discharge Prophylaxis With Rivaroxaban Reduces Fatal And Major Thromboembolic Events In Medically Ill Patients, A. C. Spyropoulos, W. Ageno, G. W. Albers, C. G. Elliott, J. L. Halperin, W. R. Hiatt, G. A. Maynard, P. G. Steg, J. I. Weitz, G. E. Raskob, +3 Additional Authors Jan 2020

Post-Discharge Prophylaxis With Rivaroxaban Reduces Fatal And Major Thromboembolic Events In Medically Ill Patients, A. C. Spyropoulos, W. Ageno, G. W. Albers, C. G. Elliott, J. L. Halperin, W. R. Hiatt, G. A. Maynard, P. G. Steg, J. I. Weitz, G. E. Raskob, +3 Additional Authors

Journal Articles

© 2020 The Authors Background: Hospitalized acutely ill medical patients are at risk for fatal and major thromboembolic events. Whether use of extended-duration primary thromboprophylaxis can prevent such events is unknown. Objectives: The purpose of this study was to evaluate whether extended-duration rivaroxaban reduces the risk of venous and arterial fatal and major thromboembolic events without significantly increasing major bleeding in acutely ill medical patients after discharge. Methods: MARINER (A Study of Rivaroxaban [JNJ-39039039] on the Venous Thromboembolic Risk in Post-Hospital Discharge Patients) studied acutely ill medical patients with additional risk factors for venous thromboembolism (VTE). Medically ill patients with …


Inaccurate Conclusions By Tang And Colleagues, Y. Y. Greenstein Jan 2020

Inaccurate Conclusions By Tang And Colleagues, Y. Y. Greenstein

Journal Articles

No abstract provided.


Erratum: What Is The Source? Identifying The Cause Of Septic Shock In A Patient (Annals Of The American Thoracic Society (2020) 17 (236-239) Doi: 10.1513/Annalsats.201907-562cc), N. Sidhu, N. U. Baloch, Y. Greenstein Jan 2020

Erratum: What Is The Source? Identifying The Cause Of Septic Shock In A Patient (Annals Of The American Thoracic Society (2020) 17 (236-239) Doi: 10.1513/Annalsats.201907-562cc), N. Sidhu, N. U. Baloch, Y. Greenstein

Journal Articles

Copyright © 2020 by the American Thoracic Society. The authors would like to correct the author order in their article published in the February 2020 issue of AnnalsATS (1). The correct author order should be as follows: Nimrita Sidhu, Noor Ul-Ain Baloch, and Yonatan Greenstein. For the convenience of our readers, AnnalsATS is replacing the online version of the article with a corrected version; we apologize for the error.


Increased Prevalence Of Vte Reported By Klok And Colleagues, The Numbers Don't Add Up, Y. Y. Greenstein Jan 2020

Increased Prevalence Of Vte Reported By Klok And Colleagues, The Numbers Don't Add Up, Y. Y. Greenstein

Journal Articles

No abstract provided.


Decreasing The Peril Of Antimicrobial Resistance Through Enhanced Health Literacy In Outpatient Settings: An Underrecognized Approach To Advance Antimicrobial Stewardship, E. D. Hermsen, E. L. Macgeorge, M. L. Andresen, L. M. Myers, C. J. Lillis, B. M. Rosof Jan 2020

Decreasing The Peril Of Antimicrobial Resistance Through Enhanced Health Literacy In Outpatient Settings: An Underrecognized Approach To Advance Antimicrobial Stewardship, E. D. Hermsen, E. L. Macgeorge, M. L. Andresen, L. M. Myers, C. J. Lillis, B. M. Rosof

Journal Articles

© 2020, The Author(s). Globally, antimicrobial resistance (AMR) is a serious problem causing 700,000 deaths annually. By 2050, AMR is expected to cause approximately 10 million deaths globally each year if allowed to increase at the present rate. Many individuals have limited knowledge regarding appropriate antibiotic use and AMR. Most antibiotic use occurs in the outpatient setting, with approximately 30% of antibiotics prescribed deemed unnecessary. Antimicrobial stewardship (AMS) is a means to reduce inappropriate antibiotic use and AMR. While existing AMS efforts generally focus on the inpatient setting, a significant gap is present in the outpatient setting. A common theme …


Tumor-Associated Macrophages And Macrophage-Related Immune Checkpoint Expression In Sarcomas, A. R. Dancsok, D. Gao, A. F. Lee, S. E. Steigen, J. Blay, D. M. Thomas, R. G. Maki, T. O. Nielsen, E. G. Demicco Jan 2020

Tumor-Associated Macrophages And Macrophage-Related Immune Checkpoint Expression In Sarcomas, A. R. Dancsok, D. Gao, A. F. Lee, S. E. Steigen, J. Blay, D. M. Thomas, R. G. Maki, T. O. Nielsen, E. G. Demicco

Journal Articles

No abstract provided.


Management Of Iron-Deficiency Anemia On Inpatients And Appropriate Discharge And Follow-Up., K. Patel, Z. Memon, R. Mazurkiewicz Jan 2020

Management Of Iron-Deficiency Anemia On Inpatients And Appropriate Discharge And Follow-Up., K. Patel, Z. Memon, R. Mazurkiewicz

Journal Articles

Background:The aims of the study were to identify appropriate supplementation of iron for inpatients and to identify factors involved in appropriate discharge documentation and follow-up. Methods:This was a retrospective analysis of 103 patients at a community hospital in New York City. Results:A total of 57 (57/103, 55.3%) patients were admitted due to symptomatic anemia. Twenty (20/103, 19.4%) of those with iron-deficiency anemia had either esophagogastroduodenoscopy or colonoscopy. Gastroenterologist or hematologist was consulted for 45/103 (43.7%). Inpatient iron supplementation was given for 62/103 (60.2%) of patients; and 43/103 (41.7%) had blood transfusion. Upon discharge, 50/103 (48.5%) had appropriate documentation of iron-deficiency …


A Role For Ct In Covid-19? What Data Really Tell Us So Far, Md Hope, Ca Raptis, A Shah, Mm Hammer, Ts Henry Jan 2020

A Role For Ct In Covid-19? What Data Really Tell Us So Far, Md Hope, Ca Raptis, A Shah, Mm Hammer, Ts Henry

Journal Articles

No abstract provided.


Covid-19 In Children: More Than Meets The Eye, Sh F. Hagmann Jan 2020

Covid-19 In Children: More Than Meets The Eye, Sh F. Hagmann

Journal Articles

No abstract provided.


A Roadmap To Reopening A Neurosurgical Practice In The Age Of Covid-19, Rs D'Amico, G Baum, Y Serulle, D Silva, Ml Smith, Ra Wallack, Ja Ellis, M Levine, R Oritz, Ja Boockvar, Dj Langer Jan 2020

A Roadmap To Reopening A Neurosurgical Practice In The Age Of Covid-19, Rs D'Amico, G Baum, Y Serulle, D Silva, Ml Smith, Ra Wallack, Ja Ellis, M Levine, R Oritz, Ja Boockvar, Dj Langer

Journal Articles

No abstract provided.


Clinical Evaluation Of Three Sample-To-Answer Platforms For The Detection Of Sars-Cov-2, W Zhen, E Smith, R Manji, D Schron, Gj Berry Jan 2020

Clinical Evaluation Of Three Sample-To-Answer Platforms For The Detection Of Sars-Cov-2, W Zhen, E Smith, R Manji, D Schron, Gj Berry

Journal Articles

No abstract provided.


Comparison Of Four Molecular In Vitro Diagnostic Assays For The Detection Of Sars-Cov-2 In Nasopharyngeal Specimens., W Zhen, R Manji, E Smith, Gj Berry Jan 2020

Comparison Of Four Molecular In Vitro Diagnostic Assays For The Detection Of Sars-Cov-2 In Nasopharyngeal Specimens., W Zhen, R Manji, E Smith, Gj Berry

Journal Articles

No abstract provided.