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Articles 91 - 120 of 3295

Full-Text Articles in Medicine and Health Sciences

Transcatheter Occlusion Of A Patent Ductus Arteriosus For A Symptomatic Left-To-Right Shunt., Papus Keita, Frank Han, Nicholas J Peterman, Sandor Toledo, Anthony Munaco May 2022

Transcatheter Occlusion Of A Patent Ductus Arteriosus For A Symptomatic Left-To-Right Shunt., Papus Keita, Frank Han, Nicholas J Peterman, Sandor Toledo, Anthony Munaco

Department of Surgery Residents

Congenital diaphragmatic hernias (CDH) can induce life-threatening pulmonary hypertension and right heart failure. The patent ductus arteriosus (PDA) is often maintained in CDH to allow for decompression into the systemic circulation. However, if the PDA becomes hemodynamically significant, PDA closure may be indicated. Traditional methods rely on pharmacological closure. In this report, we document a rare transcatheter closure of a hemodynamically significant PDA.


Providencia Rettgeri Infection Compromising Post-Burn Recovery: A Lesson In The Importance Of Follow-Up Care., Mallorie L Huff, Sigrid A. Blome-Eberwein Md May 2022

Providencia Rettgeri Infection Compromising Post-Burn Recovery: A Lesson In The Importance Of Follow-Up Care., Mallorie L Huff, Sigrid A. Blome-Eberwein Md

Department of Surgery

Early burn excision and skin grafting have been essential to improving patient outcomes following a burn injury. However, there remain significant barriers to recovery for burn patients, especially in the post-discharge period, as follow-up care is essential to the timely identification of complications. While the infection is a common complication of a post-burn wound,


Malignant Acute Disseminated Encephalomyelitis (Adem) Presenting As A Stroke Alert: A Case Report., Madeline J Hooper, Joshua A. Kalter Ms3, Nicholas S. Imperato, Marna R. Greenberg Do, Mph, Facep May 2022

Malignant Acute Disseminated Encephalomyelitis (Adem) Presenting As A Stroke Alert: A Case Report., Madeline J Hooper, Joshua A. Kalter Ms3, Nicholas S. Imperato, Marna R. Greenberg Do, Mph, Facep

Department of Emergency Medicine

Acute disseminated encephalomyelitis (ADEM) is a rare illness. Generally characterized by encephalopathy and non-specific, heterogeneous neurological deficits depending on the location of the demyelinated lesions, ADEM is considered a clinical diagnosis with radiological findings that may or may not have supportive features based on the temporal relationship of an inciting factor and symptom onset. Even rarer, hyperacute or malignant ADEM can be defined by rapid symptom onset followed by catastrophic brain edema and its sequelae. We present a case of a patient who presented with an acute stroke with activation of a rapid sequence care pathway (stroke alert protocol) to …


Collaboration Conquers Covid, Nichole Persing Apr 2022

Collaboration Conquers Covid, Nichole Persing

Patient Care Services / Nursing

No abstract provided.


Utilization Of The Lempert Maneuver For Benign Paroxysmal Positional Vertigo In The Emergency Department., Vanessa Hwu, Arielle Burris, Jessica R Pavolko, Daniel Sawyer Pt, Dpt, Marna R. Greenberg Do, Mph, Facep, David B. Burmeister Do, Facep, Cpe Apr 2022

Utilization Of The Lempert Maneuver For Benign Paroxysmal Positional Vertigo In The Emergency Department., Vanessa Hwu, Arielle Burris, Jessica R Pavolko, Daniel Sawyer Pt, Dpt, Marna R. Greenberg Do, Mph, Facep, David B. Burmeister Do, Facep, Cpe

Department of Emergency Medicine

Benign paroxysmal positional vertigo (BPPV) is a common cause of vertigo. Symptoms from BPPV lead to Emergency Department (ED) visits, and persistence of symptoms, particularly in the elderly, may impact patient disposition. We describe the techniques used in the case of a 72-year-old male with dizziness, who had symptom resolution, and was able to be safely discharged after a Lempert maneuver (barbeque (BBQ) roll) was performed in the ED setting. The patient presented to the ED with left gaze nystagmus, and otherwise normal evaluation results. Physical therapy was consulted, and their initial evaluation indicated right horizontal canalithiasis noted by fatiguing …


Development Of An Evidence-Based Compendium Of Institutional Graduate Medical Education Leadership Competencies (Gmelcs), Margaret Hadinger, Edd Ms, Brigham C. Willis, Jacqueline E. Levesque, Kathryn M. Andolsek, Sharon Hall, Karen Broquet Mar 2022

Development Of An Evidence-Based Compendium Of Institutional Graduate Medical Education Leadership Competencies (Gmelcs), Margaret Hadinger, Edd Ms, Brigham C. Willis, Jacqueline E. Levesque, Kathryn M. Andolsek, Sharon Hall, Karen Broquet

Department of Education

No abstract provided.


Analytics Monthly, Lehigh Valley Health Network Mar 2022

Analytics Monthly, Lehigh Valley Health Network

LVHN documents

No abstract provided.


A Severe Case Of Odontogenic Infection And Necrotizing Fasciitis Of The Anterior Chest Wall And Neck., Mallorie L Huff, Kyle S Wilson Md, Kathleen E. Kane Md, Kathryn L Wheel Md, Joseph J. Stirparo Md Feb 2022

A Severe Case Of Odontogenic Infection And Necrotizing Fasciitis Of The Anterior Chest Wall And Neck., Mallorie L Huff, Kyle S Wilson Md, Kathleen E. Kane Md, Kathryn L Wheel Md, Joseph J. Stirparo Md

Department of Surgery

Necrotizing fasciitis is a life-threatening infection that can be rapidly fatal. Early identification and emergent surgical management are essential to minimize morbidity and mortality. This case report describes a 25-year-old male who presented to the emergency department with a three-day history of worsening left lower dental infection and new-onset neck pain and swelling. He received broad-spectrum antibiotics and intravenous fluid resuscitation and underwent computed tomography of the neck and chest. Following intensive care unit admission, he underwent tooth extraction where intraoperative evaluation revealed subcutaneous crepitus. Immediate debridement was performed, revealing copious foul-smelling purulent discharge and necrotic tissue extending over the …


A Novel Treatment Of Postpartum Depression And Review Of Literature., Jennifer Yoon, Jason Gu Md, Katherine B. Martin Md Feb 2022

A Novel Treatment Of Postpartum Depression And Review Of Literature., Jennifer Yoon, Jason Gu Md, Katherine B. Martin Md

Department of Psychiatry

Early-onset postpartum depression has been shown to have a unique neurobiological basis compared to major depressive disorder, implying a need for targeted treatments such as the recent Food and Drug Administration (FDA)-approved brexanolone. In this case report, a woman with a past medical history of major depressive disorder was diagnosed with postpartum depression due to worsening mood with suicidal and homicidal ideations. She was treated with vilazodone and aripiprazole with good effect after consideration of her past medication trials. Her regimen is unique in clinical practice and not reported in current literature for the treatment of postpartum depression. It may …


The Cleaning Power Of Mobile Emr: Using Technology With Emr Integration To Improve The Efficiency Of Environmental Services, John Schmitt Msn, Rn-Bc Jan 2022

The Cleaning Power Of Mobile Emr: Using Technology With Emr Integration To Improve The Efficiency Of Environmental Services, John Schmitt Msn, Rn-Bc

Patient Care Services / Nursing

No abstract provided.


Anxiety Reduction Through Music, Samantha Schrader Bsn, Rn, Megan Sudol, Jennifer Gorant Bsn, Rn, Siri Amungwa Rn Jan 2022

Anxiety Reduction Through Music, Samantha Schrader Bsn, Rn, Megan Sudol, Jennifer Gorant Bsn, Rn, Siri Amungwa Rn

Patient Care Services / Nursing

No abstract provided.


Challenges In Evaluating Pediatric Fever And Rash In The Era Of Covid-19 And Multisystem Inflammatory Syndrome In Children (Mis-C)., Taylor Jarvill, Priyanka Lauber Do, Samuel Umaru Md, Tibisay Villalobos Md, Susan K. Yaeger Md Jan 2022

Challenges In Evaluating Pediatric Fever And Rash In The Era Of Covid-19 And Multisystem Inflammatory Syndrome In Children (Mis-C)., Taylor Jarvill, Priyanka Lauber Do, Samuel Umaru Md, Tibisay Villalobos Md, Susan K. Yaeger Md

Department of Emergency Medicine

Introduction: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has challenged the medical community to characterize and treat a new illness. Now almost two years after the initial confirmed cases of COVID-19, medical teams are faced with another unique disease process temporally related to the pandemic-multisystem inflammatory syndrome in children (MIS-C). The comparison of these patients’ presentations illustrates the new challenges of evaluating a pediatric rash and fever in the era of MIS-C. Case Reports: This report presents three cases with features of MIS-C, positivity for SARS-CoV-2, rashes, fevers, gastrointestinal involvement, and elevated inflammatory markers. The first case poses a diagnostic …


The Role Of Clinical Informaticist In Telemedicine Virtual Consults, Lisa Kroc Msn, Rn-Bc Jan 2022

The Role Of Clinical Informaticist In Telemedicine Virtual Consults, Lisa Kroc Msn, Rn-Bc

Patient Care Services / Nursing

No abstract provided.


Impact Of Delayed Pain To Needle And Variable Door To Needle Time On In-Hospital Complications In Patients With St-Elevation Myocardial Infarction Who Underwent Thrombolysis: A Single-Center Experience., Arshad Muhammad Iqbal, Syed Farrukh Jamal, Adnan Ahmed, Hassan Khan, Waqar Khan, Faisal Ahmed, Ramchandani Santosh Md, Muhammad Salman Ghazni, Ateeq Mubarik, Bashir Hanif Jan 2022

Impact Of Delayed Pain To Needle And Variable Door To Needle Time On In-Hospital Complications In Patients With St-Elevation Myocardial Infarction Who Underwent Thrombolysis: A Single-Center Experience., Arshad Muhammad Iqbal, Syed Farrukh Jamal, Adnan Ahmed, Hassan Khan, Waqar Khan, Faisal Ahmed, Ramchandani Santosh Md, Muhammad Salman Ghazni, Ateeq Mubarik, Bashir Hanif

Department of Medicine

Background Myocardial infarction is a life-threatening event, and timely intervention is essential to improve patient outcomes and mortality. Previous studies have shown that the time to thrombolysis should be less than 30 minutes of the patient's arrival at the emergency room. Pain-to-needle time is a time from onset of chest pain to the initiation of thrombolysis, and door-to-needle time is a time between arrival to the emergency room to initiation of thrombolytic treatment. Ideally, the target for door-to-needle time should be less than 30 minutes; however, it is unclear if the door-to-needle time has a significant impact on patients presenting …


Collaborating Across The Continent To Promote Colleague Compassion & Caring, Beverley Jones, Suzie Cro, Jon Burford, Lori Grischott Msn, Rn, Nea-Bc, Npd-Bc, Rnc-Ob, Carolyn L. Davidson Rn, Phd, Kim Jordan Mha, Bsn, Rn, Ne-Bc Jan 2022

Collaborating Across The Continent To Promote Colleague Compassion & Caring, Beverley Jones, Suzie Cro, Jon Burford, Lori Grischott Msn, Rn, Nea-Bc, Npd-Bc, Rnc-Ob, Carolyn L. Davidson Rn, Phd, Kim Jordan Mha, Bsn, Rn, Ne-Bc

Patient Care Services / Nursing

No abstract provided.


Trastuzumab Associated With Recurrent Severe Thrombocytopenia And Successful Use Of Pertuzumab Monotherapy., Mallorie L Huff, Joshua A. Kalter Ms3, Ramona E. Chase Crnp, Ranju Gupta Jan 2022

Trastuzumab Associated With Recurrent Severe Thrombocytopenia And Successful Use Of Pertuzumab Monotherapy., Mallorie L Huff, Joshua A. Kalter Ms3, Ramona E. Chase Crnp, Ranju Gupta

Hematology-Medical Oncology Division

Trastuzumab is a mainstay chemotherapeutic agent used in the treatment of human epidermal growth factor receptor 2 (HER2)/neu-positive breast cancer that, though generally well-tolerated, is classically associated with side effects like cardiotoxicity. Cytopenias can be seen but are generally secondary to other chemotherapeutic agents used in conjunction with trastuzumab. Herein, we present a case of recurrent severe thrombocytopenia following trastuzumab use that resolved following discontinuation. Our patient then finished a year of maintenance therapy with pertuzumab alone and is still in remission four years later. This is the eleventh report of this severe adverse effect described in the literature. This …


Agents Of Exposure Among Pediatric Transgender Patients: An Analysis Of The Toxicology Investigator’S Consortium (Toxic) Registry, William Nick Doyle Bs, Derek J. Fikse Do, Richard J. Mazzaccaro Md, Gillian A. Beauchamp Md, Marna R. Greenberg Do, Mph, Facep, Tasha Desai Do, Natalie E. Ebeling-Koning Do, Katelyn Mclain, Judith Sabino Mph, Cdp, Beth Careyva M.D., Alexandra Amaducci Do Jan 2022

Agents Of Exposure Among Pediatric Transgender Patients: An Analysis Of The Toxicology Investigator’S Consortium (Toxic) Registry, William Nick Doyle Bs, Derek J. Fikse Do, Richard J. Mazzaccaro Md, Gillian A. Beauchamp Md, Marna R. Greenberg Do, Mph, Facep, Tasha Desai Do, Natalie E. Ebeling-Koning Do, Katelyn Mclain, Judith Sabino Mph, Cdp, Beth Careyva M.D., Alexandra Amaducci Do

Toxicology Division

No abstract provided.


How To Reduce No-Show Rate In Family Medicine Clinic: A Quality Improvement Project, Xiaoxiao Gao, Grant M. Greenberg M.D., M.H.S.A., M.A. Jan 2022

How To Reduce No-Show Rate In Family Medicine Clinic: A Quality Improvement Project, Xiaoxiao Gao, Grant M. Greenberg M.D., M.H.S.A., M.A.

Department of Family Medicine

No abstract provided.


Loperamide-Induced Cardiac Events: Case Reports And Review., Vivek Modi, Matthew Krinock, Ravi V. Desai Md, Steven Stevens, Sudip Nanda Dec 2021

Loperamide-Induced Cardiac Events: Case Reports And Review., Vivek Modi, Matthew Krinock, Ravi V. Desai Md, Steven Stevens, Sudip Nanda

Cardiology Division

Reports of cardiac arrhythmia secondary to loperamide toxicity have become increasingly common in the literature. We present two patients in their mid-20s, each having overdosed on loperamide and subsequently manifesting life-threatening cardiac arrhythmias not otherwise explained by known pathology. An analysis of the limited research available indicates that loperamide's capacity to block ion channels may be responsible for these events. A better mechanistic understanding of loperamide's effects can help inform clinical management of patients with these life-threatening symptoms as at this time no set guidelines for management have yet been established.


Gender Analysis Of Publishing Among Medical Students In Dermatology, Michelle Militello, Mindy D. Szeto, Kayd J. Pulsipher, Abigail L. Meckley, Kristen H. Ward, Taylor Harp, Colby L. Presley, Cara Barber, Hope R. Rietcheck, Taylor M. Runion, Chandler W. Rundle, Robert P. Dellavalle Dec 2021

Gender Analysis Of Publishing Among Medical Students In Dermatology, Michelle Militello, Mindy D. Szeto, Kayd J. Pulsipher, Abigail L. Meckley, Kristen H. Ward, Taylor Harp, Colby L. Presley, Cara Barber, Hope R. Rietcheck, Taylor M. Runion, Chandler W. Rundle, Robert P. Dellavalle

Research and Historical Works - 2021

No abstract provided.


A Study On The Efficacy Of A Naloxone Training Program, Gillian A. Beauchamp Md, Hoonani M. Cuadrado, Seth A. Campbell Pa-C, Bennie Eliason Chw, Chase Jones Do, Aaron Fedor Do, Lauren Grantz Pharmd, Csp, Paige Roth Lsw, Marna Greenberg Nov 2021

A Study On The Efficacy Of A Naloxone Training Program, Gillian A. Beauchamp Md, Hoonani M. Cuadrado, Seth A. Campbell Pa-C, Bennie Eliason Chw, Chase Jones Do, Aaron Fedor Do, Lauren Grantz Pharmd, Csp, Paige Roth Lsw, Marna Greenberg

Department of Emergency Medicine

Introduction: The use of naloxone to reverse a potentially fatal opioid overdose is a harm reduction strategy that reduces mortality and increases the potential for referral to substance use treatment for affected individuals. In the setting of outreach performed by a street medicine team, we aimed to determine the effectiveness of an educational intervention involving distribution of naloxone accompanied by a brief instructive session about opioids, opioid overdose, and medication administration. Methods: Our street medicine outreach team distributed 200 naloxone kits to clinicians and volunteers involved in caring for patients on ‘street rounds,’ as well as in shelters, soup kitchens, …


Analytics Monthly, Lehigh Valley Health Network Nov 2021

Analytics Monthly, Lehigh Valley Health Network

LVHN documents

No abstract provided.


Agents Of Exposure In Transgender Patient Cases Managed By A Toxicologist: An Analysis Of The Toxicology Investigator’S Consortium (Toxic) Registry, Gillian A. Beauchamp Md, Olivia A. Hardy, Alexandra M. Amaducci, Judith N. Sabino, Beth Careyva, Matthew D. Cook Do, Kenneth D. Katz Md, Marna Greenberg Do, Mph, Ryan M Surmaitis Do, Andrew Koons, Joseph B. Zackary Md Oct 2021

Agents Of Exposure In Transgender Patient Cases Managed By A Toxicologist: An Analysis Of The Toxicology Investigator’S Consortium (Toxic) Registry, Gillian A. Beauchamp Md, Olivia A. Hardy, Alexandra M. Amaducci, Judith N. Sabino, Beth Careyva, Matthew D. Cook Do, Kenneth D. Katz Md, Marna Greenberg Do, Mph, Ryan M Surmaitis Do, Andrew Koons, Joseph B. Zackary Md

Department of Family Medicine

No abstract provided.


Agents Of Exposure In Transgender Patient Cases Managed By A Toxicologist: An Analysis Of The Toxicology Investigators Consortium (Toxic) Registry, Olivia A. Hardy, Alexandra Amaducci, Judith Sabino, Beth Careyva, Matthew D. Cook Do, Kenneth Katz, Marna Greenberg, Ryan Surmaitis Do, Andrew Koons, Joseph B. Zackary Md, Gillian A. Beauchamp Md Oct 2021

Agents Of Exposure In Transgender Patient Cases Managed By A Toxicologist: An Analysis Of The Toxicology Investigators Consortium (Toxic) Registry, Olivia A. Hardy, Alexandra Amaducci, Judith Sabino, Beth Careyva, Matthew D. Cook Do, Kenneth Katz, Marna Greenberg, Ryan Surmaitis Do, Andrew Koons, Joseph B. Zackary Md, Gillian A. Beauchamp Md

Department of Family Medicine

No abstract provided.


Obsolete Or Essential? Gastrointestinal Decontamination In Severe Bupropion Ingestions: A Case Series, Alexandra Amaducci Do, Andrew F. Miller Do, Derek J. Fikse Do, Gillian A. Beauchamp Md Oct 2021

Obsolete Or Essential? Gastrointestinal Decontamination In Severe Bupropion Ingestions: A Case Series, Alexandra Amaducci Do, Andrew F. Miller Do, Derek J. Fikse Do, Gillian A. Beauchamp Md

Department of Emergency Medicine

No abstract provided.


Toxicological Exposures In Covid-19 Patients, Alexandra M. Amaducci Do, Kim Aldy Do, Sharan L Campleman Phd, Mph, Dabt, Shao Li Mph, Alison Meyn Mph, Stephanie Abston Rn, Bsn, Meghan B Spyres Md, Paul M Wax Md, Facmt, Jeffery Brent Md, Phd Oct 2021

Toxicological Exposures In Covid-19 Patients, Alexandra M. Amaducci Do, Kim Aldy Do, Sharan L Campleman Phd, Mph, Dabt, Shao Li Mph, Alison Meyn Mph, Stephanie Abston Rn, Bsn, Meghan B Spyres Md, Paul M Wax Md, Facmt, Jeffery Brent Md, Phd

Department of Emergency Medicine

No abstract provided.


Using Frap To Uncover Barriers And Facilitators Of Diabetes Care In The Lehigh Valley: A Mixed-Method Geospatial Mapping And Rapid Qualitative Analysis Approach, Susan Hansen Ma, Autumn Kieber-Emmons Md, Mph, Kyle Shaak Bs, Melanie Johnson, Elaine Banerjee Md, Mph Oct 2021

Using Frap To Uncover Barriers And Facilitators Of Diabetes Care In The Lehigh Valley: A Mixed-Method Geospatial Mapping And Rapid Qualitative Analysis Approach, Susan Hansen Ma, Autumn Kieber-Emmons Md, Mph, Kyle Shaak Bs, Melanie Johnson, Elaine Banerjee Md, Mph

Department of Family Medicine

No abstract provided.


Development Of The Master Adaptive Learner In Residency Training, Soukaina Rezqui, Susan Hansen Ma, Nyann Biery, Drew Keister Md Oct 2021

Development Of The Master Adaptive Learner In Residency Training, Soukaina Rezqui, Susan Hansen Ma, Nyann Biery, Drew Keister Md

Department of Family Medicine

No abstract provided.


Using Frap: A Mixed Method Geospatial Mapping And Rapid Qualitative Analysis Approach, To Uncover Barriers And Facilitators Of Diabetes Care In The Lehigh Valley., Autumn Kieber-Emmons Md, Mph, Kyle Shaak Bs, Melanie B. Johnson Mpa, Susan E. Hansen Ma, Elaine Banerjee Md, Mph Oct 2021

Using Frap: A Mixed Method Geospatial Mapping And Rapid Qualitative Analysis Approach, To Uncover Barriers And Facilitators Of Diabetes Care In The Lehigh Valley., Autumn Kieber-Emmons Md, Mph, Kyle Shaak Bs, Melanie B. Johnson Mpa, Susan E. Hansen Ma, Elaine Banerjee Md, Mph

Department of Family Medicine

No abstract provided.


The Many Faces Of Covid19 Infection: A Case Of Multisystem Inflammatory Syndrome In Adults (Mis-A), Amy Lam Do, Kaitlyn Musco Md, Nicholas Hinds Md Oct 2021

The Many Faces Of Covid19 Infection: A Case Of Multisystem Inflammatory Syndrome In Adults (Mis-A), Amy Lam Do, Kaitlyn Musco Md, Nicholas Hinds Md

Posters

No abstract provided.