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Articles 154711 - 154740 of 325759

Full-Text Articles in Medicine and Health Sciences

Diagnostic And Treatment Utility Of Echocardiography In The Management Of The Cardiac Patient, A. Khalili, J. Drummond, N. Ramjattan, R. Zeltser, A. N. Makaryus Jan 2020

Diagnostic And Treatment Utility Of Echocardiography In The Management Of The Cardiac Patient, A. Khalili, J. Drummond, N. Ramjattan, R. Zeltser, A. N. Makaryus

Journal Articles

© The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. BACKGROUND Echocardiograms are an incredibly useful diagnostic tool due to their lack of harmful radiation, the relative ease and speed with which they can be performed, and their almost ubiquitous availability. Unfortunately, the advantages that support the use of echocardiography can also lead to the overuse of this technology. We sought to evaluate the physician perceived impact echocardiography has on patient management. AIM To evaluate the physician perceived impact echocardiography has on patient management. METHODS Surveys were distributed to the ordering physician for echocardiograms performed at our …

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Hrs/Ehra/Aphrs/Lahrs/Acc/Aha Worldwide Practice Update For Telehealth And Arrhythmia Monitoring During And After A Pandemic., N. Varma, N. F. Marrouche, L. Aguinaga, C. M. Albert, E. Arbelo, J. Choi, M. K. Chung, G. Conte, L. M. Epstein, H. Rhythm, +14 Additional Authors Jan 2020

Hrs/Ehra/Aphrs/Lahrs/Acc/Aha Worldwide Practice Update For Telehealth And Arrhythmia Monitoring During And After A Pandemic., N. Varma, N. F. Marrouche, L. Aguinaga, C. M. Albert, E. Arbelo, J. Choi, M. K. Chung, G. Conte, L. M. Epstein, H. Rhythm, +14 Additional Authors

Journal Articles

Coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), started in the city of Wuhan late in 2019. Within a few months, the disease spread toward all parts of the world and was declared a pandemic on March 11, 2020. The current health care dilemma worldwide is how to sustain the capacity for quality services not only for those suffering from COVID-19 but also for non-COVID-19 patients, all while protecting physicians, nurses, and other allied health care workers.

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Cytokine Storm Of A Different Flavor: The Different Cytokine Signature Of Sars-Cov2 The Cause Of Covid-19 From The Original Sars Outbreak., D. O. Griffin, A. Jensen, M. Khan, J. Chin, K. Chin, J. Saad, R. Parnell, C. Awwad, D. Patel Jan 2020

Cytokine Storm Of A Different Flavor: The Different Cytokine Signature Of Sars-Cov2 The Cause Of Covid-19 From The Original Sars Outbreak., D. O. Griffin, A. Jensen, M. Khan, J. Chin, K. Chin, J. Saad, R. Parnell, C. Awwad, D. Patel

Journal Articles

We present a case series of three patients with COVID-19 who had a cytokine panel which revealed elevation of interleukin-6 (IL-6), but normal levels of interleukin-10 (IL-10), interferon-gamma (INF-γ) and interleukin-8 (IL-8) in contrast to the cytokine signature described in Severe Acute Respiratory Syndrome (SARS) and Middle Eastern Respiratory Syndrome (MERS). We also documented evidence of a compromised T-cell IFN-gamma response in two of these patients.

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Spontaneous Pneumothorax As A Complication Of Covid-19 Pneumonia: A Case Report., L. Perice, Z. Roit, I. Llovera, M. G. Flanagan-Kundle Jan 2020

Spontaneous Pneumothorax As A Complication Of Covid-19 Pneumonia: A Case Report., L. Perice, Z. Roit, I. Llovera, M. G. Flanagan-Kundle

Journal Articles

INTRODUCTION:Coronavirus disease 2019 (COVID-19) is caused by the severe acute respiratory syndrome coronavirus 2. It typically presents with respiratory symptoms such as fevers, cough, and shortness of breath. As the number of cases increases, however, COVID-19 is being increasingly recognized as being associated with a variety of other respiratory pathologies. CASE REPORT:We present the case of a 59-year-old man with COVID-19 pneumonia who acutely decompensated after having been on the medicine floor for two weeks. He was found to have a tension pneumothorax. This was treated with a needle decompression followed by a chest tube insertion. The patient subsequently recovered …

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Electrophysiology Practice During Covid-19 Pandemic: A New York Tertiary Hospital Experience, D. Anca, O. Reyes, R. L. Mitra, L. M. Epstein, L. Shore-Lesserson Jan 2020

Electrophysiology Practice During Covid-19 Pandemic: A New York Tertiary Hospital Experience, D. Anca, O. Reyes, R. L. Mitra, L. M. Epstein, L. Shore-Lesserson

Journal Articles

© 2020 Elsevier Inc. As hospitals became overwhelmed during the Covid-19 pandemic in March-May in New York, Cardiology and Electrophysiology (EP) departments rapidly developed protocols for case selection as well modifying the practice of managing the cases. Recommendations by the AHA/HRS as well as American Society of Anesthesiology (ASA) were considered in the multidisciplinary collaborative approach to patient care and personnel safety and the anesthesiology team had an integral role in developing protocols for workflow, care, recovery and transport during these challenging times.

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Elevated Matrix Metalloproteinase-9 Levels In Neuronal Extracellular Vesicles In Alzheimer's Disease, D. Gu, F. Liu, M. Meng, L. Zhang, M. L. Gordon, Y. Wang, L. Cai, N. Zhang Jan 2020

Elevated Matrix Metalloproteinase-9 Levels In Neuronal Extracellular Vesicles In Alzheimer's Disease, D. Gu, F. Liu, M. Meng, L. Zhang, M. L. Gordon, Y. Wang, L. Cai, N. Zhang

Journal Articles

No abstract provided.

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Oscillatory Bursting As A Mechanism For Temporal Coupling And Information Coding, I. Tal, S. Neymotin, S. Bickel, P. Lakatos, C. E. Schroeder Jan 2020

Oscillatory Bursting As A Mechanism For Temporal Coupling And Information Coding, I. Tal, S. Neymotin, S. Bickel, P. Lakatos, C. E. Schroeder

Journal Articles

© Copyright © 2020 Tal, Neymotin, Bickel, Lakatos and Schroeder. Even the simplest cognitive processes involve interactions between cortical regions. To study these processes, we usually rely on averaging across several repetitions of a task or across long segments of data to reach a statistically valid conclusion. Neuronal oscillations reflect synchronized excitability fluctuations in ensembles of neurons and can be observed in electrophysiological recordings in the presence or absence of an external stimulus. Oscillatory brain activity has been viewed as sustained increase in power at specific frequency bands. However, this perspective has been challenged in recent years by the notion …

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Immunological Significance Of Hmgb1 Post-Translational Modification And Redox Biology, M. S. Kwak, H. S. Kim, B. Lee, Y. H. Kim, M. Son, J. S. Shin Jan 2020

Immunological Significance Of Hmgb1 Post-Translational Modification And Redox Biology, M. S. Kwak, H. S. Kim, B. Lee, Y. H. Kim, M. Son, J. S. Shin

Journal Articles

© Copyright © 2020 Kwak, Kim, Lee, Kim, Son and Shin. Most extracellular proteins are secreted via the classical endoplasmic reticulum (ER)/Golgi-dependent secretion pathway; however, some proteins, including a few danger-associated molecular patterns (DAMPs), are secreted via non-classical ER/Golgi-independent secretion pathways. The evolutionarily conserved high mobility group box1 (HMGB1) is a ubiquitous nuclear protein that can be released by almost all cell types. HMGB1 lacks signal peptide and utilizes diverse non-canonical secretion mechanisms for its extracellular export. Although the post-translational modifications of HMGB1 were demonstrated, the oxidation of HMGB1 and secretion mechanisms are not highlighted yet. We currently investigated that …

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Man With Foot Pain, B. Hahn, D. Langhan, D. Miller, J. Greenstein Jan 2020

Man With Foot Pain, B. Hahn, D. Langhan, D. Miller, J. Greenstein

Journal Articles

No abstract provided.

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Are We Responding Effectively To Bone Mineral Density Loss And Fracture Risks In People With Epilepsy?, A. S. Miller, V. Ferastraoaru, V. Tabatabaie, T. R. Gitlevich, R. Spiegel, S. R. Haut Jan 2020

Are We Responding Effectively To Bone Mineral Density Loss And Fracture Risks In People With Epilepsy?, A. S. Miller, V. Ferastraoaru, V. Tabatabaie, T. R. Gitlevich, R. Spiegel, S. R. Haut

Journal Articles

© 2020 The Authors. Epilepsia Open published by Wiley Periodicals Inc. on behalf of International League Against Epilepsy. Objective: A 2007 study performed at Montefiore Medical Center (Bronx, NY) identified high prevalence of reduced bone density in an urban population of patients with epilepsy and suggested that bone mineralization screenings should be regularly performed for these patients. We conducted a long-term follow-up study to determine whether bone mineral density (BMD) loss, osteoporosis, and fractures have been successfully treated or prevented. Methods: In the current study, patients from the 2007 study who had two dual-energy absorptiometry (DXA) scans performed at least …

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Fetal Loss And Malformations In The Monead Study Of Pregnant Women With Epilepsy, K. J. Meador, P. B. Pennell, R. C. May, L. Van Marter, T. F. Mcelrath, C. Brown, E. E. Gerard, L. Kalayjian, S. Hwang, R. H. Finnell, +7 Additional Authors Jan 2020

Fetal Loss And Malformations In The Monead Study Of Pregnant Women With Epilepsy, K. J. Meador, P. B. Pennell, R. C. May, L. Van Marter, T. F. Mcelrath, C. Brown, E. E. Gerard, L. Kalayjian, S. Hwang, R. H. Finnell, +7 Additional Authors

Journal Articles

No abstract provided.

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Dorsal Root Ganglion Stimulation Lead Fracture Within The Superficial Fascial Layers In 4 Cases, K. B. Chapman, K. V. Patel, N. Van Helmond, G. C. Chien Jan 2020

Dorsal Root Ganglion Stimulation Lead Fracture Within The Superficial Fascial Layers In 4 Cases, K. B. Chapman, K. V. Patel, N. Van Helmond, G. C. Chien

Journal Articles

We present 4 cases of dorsal root ganglion stimulation lead fracture. In these cases, the surgical technique involved (1) traversing fascial layers for placement of leads via a Tuohy needle in the upper low back, (2) subcutaneous tunneling from the implantable pulse generator site to the lead puncture site without dissecting below the superficial fascial plane at the puncture site, and (3) connection of the lead/extension with the generator. All fractures occurred adjacent to the original lead puncture site. These cases suggest lead entrapment within the membranous fascial plane, with tension on a thin lead, is a mechanism underlying lead …

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Unilateral Dorsal Root Ganglion Stimulation Lead Placement With Resolution Of Bilateral Lower Extremity Symptoms In Diabetic Peripheral Neuropathy., K. B. Chapman, B. W. Van Roosendaal, N. Van Helmond, T. A. Yousef Jan 2020

Unilateral Dorsal Root Ganglion Stimulation Lead Placement With Resolution Of Bilateral Lower Extremity Symptoms In Diabetic Peripheral Neuropathy., K. B. Chapman, B. W. Van Roosendaal, N. Van Helmond, T. A. Yousef

Journal Articles

Dorsal root ganglion stimulation (DRG-S) is a form of neuromodulation that can target specific dermatomes to obtain better coverage of the distal extremity. Previously proposed mechanisms of action for DRG-S focused on the dorsal root ganglion (DRG) itself, without consideration of orthodromic effects in the dorsal horn and antidromic effects on the nerve root and sympathetic chain. Diabetic peripheral neuropathy (DPN) is an axonal neuropathy that affects around half of all patients with diabetes mellitus, causing severe pain and sensory impairment in the distal extremities. We present a case of a patient with DPN in both feet, in addition to …

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Diagnostic Value Of Electroencephalography With Ten Electrodes In Critically Ill Patients, M. B. Westover, K. Gururangan, M. S. Markert, B. N. Blond, S. Lai, S. Benard, S. Bickel, L. J. Hirsch, J. Parvizi Jan 2020

Diagnostic Value Of Electroencephalography With Ten Electrodes In Critically Ill Patients, M. B. Westover, K. Gururangan, M. S. Markert, B. N. Blond, S. Lai, S. Benard, S. Bickel, L. J. Hirsch, J. Parvizi

Journal Articles

No abstract provided.

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Acthar Gel (Repository Corticotropin Injection) For Persistently Active Sle: Study Design And Baseline Characteristics From A Multicentre, Randomised, Double-Blind, Placebo-Controlled Trial, A. D. Askanase, E. Zhao, J. Zhu, E. Connolly-Strong, R. A. Furie Jan 2020

Acthar Gel (Repository Corticotropin Injection) For Persistently Active Sle: Study Design And Baseline Characteristics From A Multicentre, Randomised, Double-Blind, Placebo-Controlled Trial, A. D. Askanase, E. Zhao, J. Zhu, E. Connolly-Strong, R. A. Furie

Journal Articles

© 2020 Author(s). Objective SLE is a chronic inflammatory autoimmune disease characterised by the excessive production of autoantibodies, immune complexes and proinflammatory cytokines. Repository corticotropin injection (RCI) is a naturally sourced complex mixture of adrenocorticotropic hormone analogues and other pituitary peptides. RCI is approved by the US Food and Drug Administration for use during an exacerbation or as maintenance therapy in select cases of SLE. This paper discusses the design and baseline characteristics of a multicentre, double-blind, randomised, placebo-controlled, 24-week clinical trial evaluating the effect of RCI in reducing disease activity for patients with persistently active SLE despite moderate-dose corticosteroid …

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Chagas Disease In The New York City Metropolitan Area., C. Zheng, O. Quintero, E. K. Revere, M. B. Oey, F. Espinoza, Y. A. Puius, D. Ramirez-Baron, C. R. Salama, L. F. Hidalgo, H. B. Tanowitz, +5 Additional Authors Jan 2020

Chagas Disease In The New York City Metropolitan Area., C. Zheng, O. Quintero, E. K. Revere, M. B. Oey, F. Espinoza, Y. A. Puius, D. Ramirez-Baron, C. R. Salama, L. F. Hidalgo, H. B. Tanowitz, +5 Additional Authors

Journal Articles

Background:Chagas disease, caused by the parasite Trypanosoma cruzi, once considered a disease confined to Mexico, Central America, and South America, is now an emerging global public health problem. An estimated 300 000 immigrants in the United States are chronically infected with T. cruzi. However, awareness of Chagas disease among the medical community in the United States is poor. Methods:We review our experience managing 60 patients with Chagas disease in hospitals throughout the New York City metropolitan area and describe screening, clinical manifestations, EKG findings, imaging, and treatment. Results:The most common country of origin of our patients was El Salvador (n …

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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Study Of Alteplase For Respiratory Failure In Sars-Cov2/Covid-19: Study Design Of The Phase Iia Stars Trial., H. B. Moore, C. D. Barrett, E. E. Moore, R. Jhunjhnuwala, R. C. Mcintyre, P. K. Moore, J. Wang, N. Hajizadeh, A. Sauaia, M. B. Yaffe, +1 Additional Author Jan 2020

Study Of Alteplase For Respiratory Failure In Sars-Cov2/Covid-19: Study Design Of The Phase Iia Stars Trial., H. B. Moore, C. D. Barrett, E. E. Moore, R. Jhunjhnuwala, R. C. Mcintyre, P. K. Moore, J. Wang, N. Hajizadeh, A. Sauaia, M. B. Yaffe, +1 Additional Author

Journal Articles

Background:The COVID-19 pandemic has caused a large surge of acute respiratory distress syndrome (ARDS). Prior phase I trials (non COVID-19) demonstrated improvement in pulmonary function in ARDS patients using fibrinolytic therapy. A follow-up trial using the widely available tissue-plasminogen activator (alteplase) is now needed to assess optimal dosing and safety in this critically ill patient population. Objective:To describe the design and rationale of a Phase IIa trial to evaluate the safety and efficacy of alteplase treatment for moderate/severe COVID-19-induced ARDS. Patients/Methods:A rapidly adaptive, pragmatic, open label, randomized, controlled, phase IIa clinical trial will be conducted with three groups: intravenous(IV) alteplase …

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Teaching Professional Formation In Response To The Covid-19 Pandemic., L. B. Mccullough, J. Coverdale, F. A. Chervenak Jan 2020

Teaching Professional Formation In Response To The Covid-19 Pandemic., L. B. Mccullough, J. Coverdale, F. A. Chervenak

Journal Articles

In response to the COVID-19 pandemic, the Association of American Medical Colleges has called for a temporary suspension of clinical teaching activities for medical students. Planning for the continued involvement of learners in patient care during this pandemic should include teaching learners professional formation. The authors provide an ethical framework to guide such teaching, based on the ethical principle of beneficence and the professional virtues of courage and self-sacrifice from professional ethics in medicine. The authors show that these concepts support the conclusion that learners are ethically obligated to accept reasonable, but not unreasonable, risk. Based on this ethical framework, …

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Universal Testing For Coronavirus Disease 2019 In Pregnant Women Admitted For Delivery: Prevalence Of Peripartum Infection And Rate Of Asymptomatic Carriers At Four New York Hospitals Within An Integrated Healthcare System., M. J. Blitz, B. Rochelson, A. C. Rausch, R. Solmonovich, W. Shan, A. Combs, M. Nimaroff Jan 2020

Universal Testing For Coronavirus Disease 2019 In Pregnant Women Admitted For Delivery: Prevalence Of Peripartum Infection And Rate Of Asymptomatic Carriers At Four New York Hospitals Within An Integrated Healthcare System., M. J. Blitz, B. Rochelson, A. C. Rausch, R. Solmonovich, W. Shan, A. Combs, M. Nimaroff

Journal Articles

No abstract provided.

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We May Develop Medications Effective Against Covid-19, But Can We Distribute Them Equitably?, D. J. Kersten, A. N. Makaryus Jan 2020

We May Develop Medications Effective Against Covid-19, But Can We Distribute Them Equitably?, D. J. Kersten, A. N. Makaryus

Journal Articles

No abstract provided.

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What Gi Physicians Need To Know During Covid-19 Pandemic, P. J. Thuluvath, J. J. Alukal, N. Ravindran, S. K. Satapathy Jan 2020

What Gi Physicians Need To Know During Covid-19 Pandemic, P. J. Thuluvath, J. J. Alukal, N. Ravindran, S. K. Satapathy

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No abstract provided.

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Initial Impact Of Coronavirus Disease 2019 (Covid-19) On Radiology Practices: An Acr/Rbma Survey., A. Malhotra, X. Wu, H. B. Fleishon, R. Duszak, E. Silva, G. B. Mcginty, C. Bender, B. Williams, J. J. Naidich, P. C. Sanelli, +3 Additional Authors Jan 2020

Initial Impact Of Coronavirus Disease 2019 (Covid-19) On Radiology Practices: An Acr/Rbma Survey., A. Malhotra, X. Wu, H. B. Fleishon, R. Duszak, E. Silva, G. B. Mcginty, C. Bender, B. Williams, J. J. Naidich, P. C. Sanelli, +3 Additional Authors

Journal Articles

PURPOSE:The coronavirus disease 2019 (COVID-19) pandemic affected radiology practices in many ways. The aim of this survey was to estimate declines in imaging volumes and financial impact across different practice settings during April 2020. METHODS:The survey, comprising 48 questions, was conducted among members of the ACR and the Radiology Business Management Association during May 2020. Survey questions focused on practice demographics, volumes, financials, personnel and Northwell Health adjustments, and anticipation of recovery. RESULTS:During April 2020, nearly all radiology practices reported substantial (56.4%-63.7%) declines in imaging volumes, with outpatient imaging volumes most severely affected. Mean gross charges declined by 50.1% to …

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Institutional Preparedness Strategies For Heart Failure, Durable Left Ventricular Assist Device, And Heart Transplant Patients During The Coronavirus Disease 2019 (Covid-19) Pandemic, A. Bansal, D. Goldstein, S. Schettle, S. Pepitone, B. Lima, D. T. Pham, J. Cowger, A. Schubert, S. P. Pinney Jan 2020

Institutional Preparedness Strategies For Heart Failure, Durable Left Ventricular Assist Device, And Heart Transplant Patients During The Coronavirus Disease 2019 (Covid-19) Pandemic, A. Bansal, D. Goldstein, S. Schettle, S. Pepitone, B. Lima, D. T. Pham, J. Cowger, A. Schubert, S. P. Pinney

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No abstract provided.

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