Unsuspected primary malignancy in the setting of elevated serum alpha-fetoprotein.
We present a patient with chronic hepatitis C, multiple liver tumors, and a marked elevation in AFP who was mistakenly thought to have hepatocellular carcinoma, but primary hepatoid adenocarcinoma arising at the gastroesophageal junction was discovered at autopsy. PMID: 31258434 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Sarmast N, Smith A, Guileyardo J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Outcomes of orthotopic heart transplantation and left ventricular assist device in patients aged 65 years or more with end-stage heart failure.
Abstract Age has traditionally been a limiting factor for advanced heart failure (HF) therapies. Orthotopic heart transplantation (OHT) age guidelines have become less restrictive, and left ventricular assist devices (LVADs) are increasingly utilized as destination therapy for patients ≥65 years. Although indications differ, we assessed outcomes for both modalities in this older population. We reviewed charts of consecutive advanced HF therapy recipients aged ≥65 years at our center from 2012 to 2016. Of 118 patients evaluated, 46 (39%) received an LVAD and 72 (61%) received OHT. Gender, body mass index, and...
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Harmon DM, Tecson KM, Jamil AK, Felius J, Gonzalez-Stawinski GV, Joseph SM, Hall SA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Impact of frailty and anticoagulation status on readmission and mortality rates following falls in patients over 80.
er JL Abstract Falls are the leading cause of trauma-related mortality in geriatric patients. We hypothesized that frailty and anticoagulation status are risk factors for readmission and mortality following falls in patients>80 years. A retrospective review was performed on patients over 80 years old who presented to our level 1 trauma center for a fall and underwent a computed tomography of the head between January 2014 and January 2016. Frailty was assessed via the Rockwood Frailty Score. Clinical outcomes were death, readmission, recurrent falls, and delayed intracranial hemorrhage. Of 803 fall-related encou...
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Hall C, Essler S, Dandashi J, Corrigan M, Muñoz-Maldonado Y, Juergens A, Wieters S, Drigalla D, Regner JL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Outcomes analysis in patients with extended-spectrum beta-lactamase bacteremia empirically treated with piperacillin/tazobactam versus carbapenems.
Abstract Infections caused by extended-spectrum beta-lactamase (ESBL)-producing bacteria are associated with worse outcomes and have limited treatment options. Carbapenems remain the drug of choice for these infections due to evidence of a mortality benefit and the mixed clinical efficacy associated with piperacillin/tazobactam (PTZ). Though definitive treatment for ESBL infections is well defined, evidence for appropriate empiric therapy remains inconclusive, and the role of rapid molecular assays that identify ESBL has not been evaluated. This multicenter retrospective study at nine Baylor Scott & White Heal...
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: John R, Colley P, Nguyen HL, Berhe M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Usefulness of the ReShape intragastric balloon for obesity.
Abstract Intragastric balloon (IGB) is approved for weight reduction in obesity patients who have a body mass index (BMI) of 30 to 40 kg/m2. The effectiveness of IGB in various degrees of obesity is not well established. We aimed to study the effect and safety of IGB in different groups of obese patients. A retrospective study was performed. All patients who underwent placement of the ReShape™ gastric balloon and completed a 6-month follow-up were included. There were 35 gastric balloons in 34 patients who had a baseline body weight of 106.5 ± 23.5 kg and a BMI of 37.1 ±&th...
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Suchartlikitwong S, Laoveeravat P, Mingbunjerdsuk T, Vutthikraivit W, Ismail A, Islam S, Islam E Tags: Proc (Bayl Univ Med Cent) Source Type: research

Vasectomy reversal utilizing fibrin glue.
In conclusion, our technique provides acceptable patency rates, especially with obstructive intervals of 10 years or less, while likely resulting in cost savings given the decreased operating room time and suture used. PMID: 31191126 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Machen GL, Mahmoud AM, Kleinguetl CE, Chen W, Harris SE, Bird ET Tags: Proc (Bayl Univ Med Cent) Source Type: research

Relation of postoperative pain medication to return for unplanned care after ureteroscopy.
In conclusion, the US DEA class of narcotics prescribed after ureteroscopy did not have a statistically significant impact on the rate of return for unplanned care. These findings may improve opioid stewardship in patients undergoing outpatient ureteroscopy. PMID: 31191127 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Milburn PA, Thai KH, El Mekresh A, Lowry PS, El Tayeb MM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Anesthesia management in patients with choanal atresia.
In conclusion, clinicians should be aware of perioperative and postoperative complications in patients with CA, bilateral atresia, and accompanying congenital anomalies in the neonatal period. Total intravenous anesthesia can be chosen instead of inhalation anesthesia in appropriate cases, but sevoflurane can be used safely in the induction of anesthesia. PMID: 31191128 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Boran ÖF, Sarıca S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Histomorphologic features of lung adenocarcinomas exhibiting ALK gene rearrangement.
Abstract With the advent of tyrosine kinase inhibitors, the identification of tumors with alterations in tyrosine kinase genes has become important to guide treatment. Lung adenocarcinomas harboring ALK translocations may be targeted with drugs such as crizotinib. We undertook a retrospective review of our institution's pathology records from January 2015 through September 2017 and identified 10 lung adenocarcinomas with ALK rearrangements. We reviewed the histomorphologic features and immunohistochemical results from these 10 cases. Morphologic features included patterns such as acinar, papillary, micropapillary,...
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Grosser DS, Zhang H Tags: Proc (Bayl Univ Med Cent) Source Type: research

Secondary traumatic stress among physiatrists treating trauma patients.
This study examined relationships with secondary traumatic stress among physiatrists. Surveys were distributed to members of the Association of Academic Physiatry and local physiatrists. Surveys included measures of secondary traumatic stress, resilience, personality factors, demographics, and work-related factors. Of 102 surveys returned, 88 were complete and included for analysis. The sample was 42 ± 11 years and included 45 women (51%). Moderate to severe levels of secondary traumatic stress were found in 26 (30%) respondents, and 45% reported clinical levels of at least one symptom cluster. Higher ...
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Teel J, Reynolds M, Bennett M, Roden-Foreman JW, McShan E, Hamilton R, Driver S, Powers MB, Warren AM Tags: Proc (Bayl Univ Med Cent) Source Type: research

The "nursing cheat sheet," a guide to aid nursing in management of patient care.
The "nursing cheat sheet," a guide to aid nursing in management of patient care. Proc (Bayl Univ Med Cent). 2019 Apr;32(2):215-217 Authors: Hall JA, Stockton LA, Tanner SB, Rem DM, Shaver CN, Henderson SM Abstract The aim of this study was to promote nursing and practitioner satisfaction by improving communication and reducing rapid response team (RRT) activations and code blues hospitalwide by implementing the nursing cheat sheet, a list of key steps to be done before calling the primary provider. This prospective observational study took place over a year at a 636-bed teaching hospital in ...
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Hall JA, Stockton LA, Tanner SB, Rem DM, Shaver CN, Henderson SM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Using holistic review to form a diverse interview pool for selection to medical school.
This study supports the view that holistic review produces a more diverse interview pool than a metrics pool and is a valuable tool for increasing broad diversity. PMID: 31191132 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Harrison LE Tags: Proc (Bayl Univ Med Cent) Source Type: research

Risk of cytomegalovirus transmission by blood products after solid organ transplantation.
Abstract Cytomegalovirus (CMV) infection and CMV disease are significant contributors to increased morbidity, mortality, and cost for immunocompromised solid organ transplant recipients. Although the most significant risk for CMV transmission is the CMV serological status of the transplant donor and recipient, exposure to blood products is another potential risk factor. Before the era of leukocyte reduction, CMV seronegative products were issued to reduce the risk of CMV transmission, thus rendering the products CMV safe. This approach requires maintenance of two inventories of blood products and continuous donor ...
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Jebakumar D, Bryant P, Linz W Tags: Proc (Bayl Univ Med Cent) Source Type: research

Cocoon abdomen after chronic peritoneal dialysis.
Abstract A 66-year-old man presented with nausea, vomiting, and ascites. At laparotomy, an extensive fibrosis of the peritoneum was found to encase the bowel in a cocoon-like fashion. A meticulous dissection was undertaken to strip this encapsulating membrane from the bowel. Histologic study of the excised tissue disclosed extensive hyalinized fibroconnective tissue. PMID: 31191134 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Edmundson P, Adkins C, Smith B Tags: Proc (Bayl Univ Med Cent) Source Type: research

Adult-onset Still's disease triggered by pregnancy.
We present a 28-year-old woman diagnosed with AOSD at 3 months gestation. PMID: 31191135 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Abdulkarim S, Otieno F, Ali SK Tags: Proc (Bayl Univ Med Cent) Source Type: research

A simultaneous presentation of drug-induced lupus with drug-induced ANCA vasculitis secondary to hydralazine use in a patient with sarcoidosis.
Abstract Frequently used in the management of hypertension and heart failure, hydralazine is associated with the development of adverse rheumatologic side effects. The authors highlight a unique case of drug-induced lupus and drug-induced anti-neutrophil cytoplasmic antibody (ANCA) vasculitis from hydralazine use in a 50-year-old man with sarcoidosis and hypertension. PMID: 31191136 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Espinosa MC, Ding B, Choi K, Cohen DN, Marcelli M, Ifoeze OW Tags: Proc (Bayl Univ Med Cent) Source Type: research

Shifting cervical lymphadenopathy in Hashimoto's disease.
We report the unusual association of shifting cervical lymphadenopathy with Hashimoto's disease. PMID: 31191137 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Medlock D, Chaljub E, Gavin M, Peiris AN Tags: Proc (Bayl Univ Med Cent) Source Type: research

PHACES syndrome with ectopia cordis and hemihypertrophy.
We present the case of a newborn girl who was born with a variant of the PHACES syndrome. Although the sternal cleft and the small facial hemangioma were evident clinically at birth, magnetic resonance imaging of the brain provided additional information to establish the diagnosis. In addition, the patient manifested later with hemihypertrophy, an association that has not been described previously. PMID: 31191138 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Chokr J, Taslakian B, Maroun G, Choudhary G Tags: Proc (Bayl Univ Med Cent) Source Type: research

Paradoxical bradycardia and hemorrhagic shock.
Abstract Hypotension, poor peripheral perfusion, and tachycardia are the most common presenting signs of hemorrhagic shock. Many patients fail to show initial signs of tachycardia and paradoxically present with bradycardia. An 81-year-old man presenting with lower gastrointestinal bleed showed initial vital signs significant for tachycardia and normal blood pressure. After resuscitation with fluids and blood products, his heart rate stabilized to between 64 and 86 bpm. It later dropped to 30 bpm, which improved after administration of atropine. The patient soon experienced two episodes of hematochezia. The paradox...
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Bell K, Elmograbi A, Smith A, Kaur J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Patent foramen ovale and ascending aortic aneurysm causing the platypnea-orthodeoxia syndrome.
We describe a case of a 74-year-old woman who presented with new-onset hypoxia. A PFO and a dilated aorta causing POS were found on workup. Symptoms were resolved after undergoing percutaneous PFO closure. This case highlights the mechanism by which an ascending aortic aneurysm can alter hemodynamics through an existing PFO, leading to symptoms of a previously clinically insignificant PFO, and emphasizes how early recognition of POS allows for appropriate intervention. PMID: 31191140 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Agdamag AC, Gomez JM, Collado FM, Kavinsky C Tags: Proc (Bayl Univ Med Cent) Source Type: research

Left upper lobectomy for a large incidental simple arteriovenous malformation.
We present an incidental finding of a large left upper lobe diffuse pulmonary arteriovenous malformation (PAVM) presenting with cyanosis, exertional shortness of breath, polycythemia, and low peripheral oxygen saturation. PAVMs are mostly diagnosed in symptomatic patients with therapeutic embolization as the first choice of therapy. This young woman had no symptoms but showed signs of hypoxemia, and further investigation revealed a huge central left upper lobe PAVM. A successful upper lobectomy resulted in a quick recovery and immediate return to normal peripheral oxygen saturation levels with no further comorbidity or rec...
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Jamil AK, Schwartz GS, Podgaetz E, Mason DP Tags: Proc (Bayl Univ Med Cent) Source Type: research

Papillary fibroelastoma in the left atrium.
Abstract Described herein is a 71-year-old woman with previous angina pectoris who suddenly developed slurred speech and right-arm weakness. She was found to have significant coronary narrowing, a small mass in the left atrium attached to the endocardium near the orifice of the appendage, and multifocal punctate cerebral lesions in the distribution of the left middle cerebral artery. The left atrial mass was excised and confirmed to be a papillary fibroelastoma. Coronary bypass was also performed. It is believed that fibrin thrombus developed within the fronds of the fibroelastoma and embolized to the brain. Such ...
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Roberts CS, Carry MM, Choi JW, Grayburn PA, Roberts WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Aortic valve endocarditis from Enterococcus hirae infection.
We present the first documented case of human Enterococcus hirae infective endocarditis in the USA, representing only the fourth case worldwide. PMID: 31191143 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Ebeling CG, Romito BT Tags: Proc (Bayl Univ Med Cent) Source Type: research

Leadless solution for arrhythmia-related sudden unexpected death in epilepsy.
Abstract A leadless pacemaker is a recently approved pacing technology that helps mitigate lead-related complications, but it has several limitations. Careful candidate selection is needed. Here, we demonstrate leadless pacing as the solution for prolonged postictal bradycardia/asystole; there is no consensus regarding pacemaker implantation for seizure patients with such a risk of sudden cardiac death. PMID: 31191144 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Akrawinthawong K, Raissi SR, Rafeedheen R, Lim MJ, Mehdirad AA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Kounis syndrome secondary to gadolinium contrast agent.
Abstract Cases of coronary artery spasm secondary to contrast agent use are rarely reported. Herein, we report the case of a 53-year-old woman who developed chest pain, dyspnea, and bradycardia and quickly become unresponsive after magnetic resonance imaging of the brain. A heart monitor showed ST elevation, and an electrocardiogram showed ST elevations in leads II, III, aVF, V3, and V4 and ST segment depression in lead I. Urgent left heart catheterization revealed no evidence of obstructive coronary artery disease or pulmonary embolism. A few days later, she was discharged from the hospital with no symptoms. A ty...
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Abusnina W, Shehata M, Abouzid M, Price M, Zeid F Tags: Proc (Bayl Univ Med Cent) Source Type: research

Arterial embolism in a patient with pulmonary embolism and patent foramen ovale.
Abstract Paradoxical embolization is an uncommon but devastating complication of pulmonary embolism and continues to be frequently missed. Although the prevalence of patent foramen ovale is 25% to 30%, the risk of paradoxical embolism is
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Abusnina W, Megri M, Edris B, El-Hamdani M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Massive right atrial tamponade early after coronary artery bypass grafting.
We describe a 63-year-old man who developed unexplained hypotension and tachycardia and was found to have severe compression of the right atrial cavity by a large hematoma in the pericardial sac. PMID: 31191147 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Mahmoud K, M Al-Azizi K, Mahmoud M, Pallekonda V, Cardozo S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Pegfilgrastim-induced hyperleukocytosis leading to hospitalization of a patient with breast cancer.
We describe a 45-year-old woman with breast cancer receiving dose-dense Adriamycin and cyclophosphamide chemotherapy. She presented with hyperleukocytosis after receiving pegfilgrastim, which resulted in hospitalization. This case report reviews the strategy to minimize the risk of hyperleukocytosis from pegfilgrastim administered in dose-dense chemotherapy. PMID: 31191148 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Chavda R, Herrington JD Tags: Proc (Bayl Univ Med Cent) Source Type: research

Carcinoma en cuirasse.
Abstract Carcinoma en cuirasse (CeC) is an extremely rare form of cutaneous metastasis of breast cancer. Guidelines for diagnosis and treatment of CeC are limited due to the small number of reported cases. It can be difficult to distinguish CeC from benign etiologies on initial presentation, but CeC can be easily distinguished by histopathology. Treatment of CeC focuses on palliation with no consensus on therapy guidelines. Treatment modalities that have been explored include chemotherapy, radiotherapy (with or without local hyperthermia), and hormonal antagonists. Here we present a 62-year-old woman with recurren...
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Culver AL, Metter DM, Pippen JE Tags: Proc (Bayl Univ Med Cent) Source Type: research

Primary schwannoma of the diaphragm.
We report a case identified on surveillance imaging for a previous lung cancer that was diagnosed via thoracoscopic resection. PMID: 31191150 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Abraham E, Schwartz G Tags: Proc (Bayl Univ Med Cent) Source Type: research

Posttraumatic subgaleal herniation of an intracranial cerebral arterial segment.
Abstract A rare case of extracranial herniation of an intracranial arterial segment is described in an elderly patient presenting with loss of consciousness following mild head trauma. Cross-sectional imaging of the brain revealed a temporal skull fracture with associated intra-axial and extra-axial bleeding, and a computed tomography angiogram of the head and cerebral digital subtraction angiogram performed a few hours later displayed a rare finding. A small segment of a parietal branch of the right middle cerebral artery (M4 segment) herniated through the skull fracture, which coursed into the extracranial subga...
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Bhalla M, Ulmer JL, Klein AP, McAvoy KE, Bhalla NM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Split cord malformation associated with scoliosis in adults.
We report on two patients who atypically presented with SCM in adulthood and review previous reports. PMID: 31191152 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Nazarali R, Lyon K, Cleveland J, Garrett D Tags: Proc (Bayl Univ Med Cent) Source Type: research

DRESS syndrome associated with influenza virus.
We present the first case of DRESS syndrome in the context of serology-proven influenza virus. PMID: 31191153 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Girijala RL, Ramamurthi A, Wright D, Kwak Y, Goldberg LH Tags: Proc (Bayl Univ Med Cent) Source Type: research

A painful periumbilical rash.
We present a case of a 21-year-old white woman with a history of chronic umbilical drainage and a 3-year history of a periumbilical rash with red, friable, well-demarcated papules. Biopsy revealed pseudoepitheliomatous hyperplasia with focal epidermal erosion and a superficial perivascular infiltrate of lymphocytes and plasma cells. Our case sheds light on this uncommon diagnosis in an unlikely location. PMID: 31191154 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Amin S, Shah S, Thomas JS, Fiala K Tags: Proc (Bayl Univ Med Cent) Source Type: research

Non paraneoplastic immune-mediated calcium channel chorea.
We present a case of chorea in association with an isolated serum elevation in N-type calcium channel antibodies and clinical improvement with intravenous immunoglobulin. PMID: 31191155 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Morgan TT, Armitage A, Stone B, Benge J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Transverse myelitis associated with yellow fever vaccination.
We present the case of a previously healthy 35-year-old active-duty man who received the yellow fever vaccine prior to deployment and subsequently developed progressive neurologic dysfunction consistent with transverse myelitis. PMID: 31191156 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Bartol KD, Aguirre JL, Labruzzo SV, Henriet RP Tags: Proc (Bayl Univ Med Cent) Source Type: research

Late-onset Vibrio vulnificus septicemia without cirrhosis.
Abstract Recent surveillance from the Centers for Disease Control and Prevention indicates rising annual incidence rates of Vibrio vulnificus infection. Unfortunately, this infection is often excluded from the differential diagnosis in lesser known at-risk populations. Transmission occurs via wound exposure or ingestion, with V. vulnificus foodborne illness having the highest mortality rate of all Vibrio species. Fatality rates of V. vulnificus rival those of Ebola and bubonic plague, so timely treatment is imperative. Current literature favors surgical debridement with a third-generation cephalosporin plus intrav...
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Lee MT, Dinh AQ, Nguyen S, Krucke G, Tran TT Tags: Proc (Bayl Univ Med Cent) Source Type: research

Evolution of out-of-hospital emergency cardiac care: Heart attack therapy for a retired president helped modernize American emergency medical services.
Abstract In the late 1960s, American emergency medical services (EMS) began to upgrade from mere Red Cross first aid to systems that now provide sophisticated advanced life support. This revolution in EMS stemmed from two pioneering Belfast reports in The Lancet that described how early out-of-hospital coronary care saved lives. Inspired, a handful of American physicians implemented avant-garde programs in the USA. One such physician, Richard Crampton of the University of Virginia, supported by the university and by Charlottesville-Albemarle Rescue Squad staffs, led an early effort to provide out-of-hospital drug ...
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Rogers NP, Crampton RS Tags: Proc (Bayl Univ Med Cent) Source Type: research

Baylor Scott & White Health news.
Baylor Scott & White Health news. Proc (Bayl Univ Med Cent). 2019 Apr;32(2):295-297 Authors: PMID: 31191159 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

A leadership education framework addressing relationship management, burnout, and team trust.
This article examines the current state of leadership education and development and proposes resonant leadership as a viable framework for education. A leadership framework heavy on emotional and social intelligence is ideal for the team environment of medicine, and there is literature to back up the positive outcomes of leading with this framework in a clinical setting, including reduction of burnout, building team trust, and better relationship management. PMID: 31191160 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: White BAA, Bledsoe C, Hendricks R, Arroliga AC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Altering driving restrictions after median sternotomy.
PMID: 31191161 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Gach R, Triano S, El-Ansary D, Parker R, Adams J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Beans.
PMID: 31191162 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Michel J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Medical redux.
PMID: 31191163 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Cantwell JD Tags: Proc (Bayl Univ Med Cent) Source Type: research

Communication simulation training in medical education.
PMID: 31191164 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Kopel J, Hier D, Thomas P Tags: Proc (Bayl Univ Med Cent) Source Type: research

Neural Buddhism and Christian mindfulness in medicine.
Abstract In recent years, interest in mindfulness practices has swept through the medical community as mounting regulations increase burnout and challenge physicians' roles, responsibilities, and work-life balance. Despite its modern resurgence, several mindfulness practices have their roots in Buddhist tradition and manuscripts dating hundreds of years after Buddha's death. In the West, another variant of mindfulness proceeds from the Christian tradition emphasizing spiritual reflection on biblical teachings and God's interactions. With scientific advancements unearthing the neurological mechanisms involved in me...
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Kopel J, Habermas GR Tags: Proc (Bayl Univ Med Cent) Source Type: research

World records by two milers and amateurish "ultra" runners.
World records by two milers and amateurish "ultra" runners. Proc (Bayl Univ Med Cent). 2019 Apr;32(2):311-313 Authors: Lathan SR PMID: 31191166 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Lathan SR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Facts and ideas from anywhere.
PMID: 31191167 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Authors: Roberts WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Correction.
Authors: Abstract [This corrects the article DOI: 10.1080/08998280.2018.1440856.]. PMID: 31191168 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Correction.
Authors: Abstract [This corrects the article DOI: 10.1080/08998280.2018.1498724.]. PMID: 31191169 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Correction.
Authors: Abstract [This corrects the article DOI: 10.1080/08998280.2017.1396164.]. PMID: 31191170 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2019 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research