Trends and outcomes of chronic coronary total occlusion-related ventricular tachyarrhythmias
Proc (Bayl Univ Med Cent). 2021 May 10;34(5):541-544. doi: 10.1080/08998280.2021.1913039. eCollection 2021 Sep.ABSTRACTOur study aims to establish trends and frequencies of ventricular tachyarrhythmia (VTA) among patients with chronic coronary total occlusion (CCTO). We identified CCTO hospitalizations with and without VTA using the National Inpatient Sample. A total of 911,579 CCTO-related hospitalizations were identified, with 92,450 (10.1%) encounters associated with VTA. The CCTO-VTA cohort showed higher all-cause mortality (adjusted odds ratio [aOR] = 4.45, P
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Upenkumar Patel Mohammed Zubair Rezwan Munshi Rupak Desai Amgad N Makaryus Source Type: research

Burden of arrhythmias and associated in-hospital mortality in acute decompensated diabetes mellitus
Proc (Bayl Univ Med Cent). 2021 Jun 1;34(5):545-549. doi: 10.1080/08998280.2021.1925810. eCollection 2021 Sep.ABSTRACTTo gain understanding of the burden of cardiac arrhythmias in patients with acutely decompensated diabetes mellitus (ADDM) on a large scale, we reviewed data on ADDM patients and subtypes of arrhythmias from the National Inpatient Sample from 2010 to 2014. The frequency and prevalence of cardiac arrhythmias were measured, as well as outcomes. Among 874,107 hospitalized ADDM patients identified, 87,970 (10.1%) developed arrhythmias. The ADDM-arrhythmia cohort showed higher all-cause mortality (1.4% vs 0.3%; ...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Upenkumar Patel Rupak Desai Rezwan Munshi Palakkumar Patel Amgad N Makaryus Source Type: research

Trends in hospitalizations and mortality for inflammatory bowel disease from a nationwide database study between 2008 and 2018
This study aimed to describe the trends, inpatient outcomes, and disease burden of hospitalizations for ulcerative colitis (UC) and Crohn's disease (CD). Our study included data on hospitalizations with a principal discharge diagnosis of CD and UC gathered from the Nationwide Inpatient Sample for the years 2008, 2010, 2012, 2014, 2016, and 2018. Individuals ≤18 years and elective hospitalizations were excluded. From 2008 to 2018, we noted a rising trend for UC hospitalizations (P trend
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Asim Kichloo Zain El-Amir Dushyant Singh Dahiya Farah Wani Hafeez Shaka Source Type: research

Relation of apixaban bleeding rates to dose in patients with chronic kidney disease
The objective of this study was to evaluate the safety and efficacy of apixaban 5 mg twice daily vs 2.5 mg twice daily for nonvalvular atrial fibrillation or venous thromboembolism in patients with chronic kidney disease stage 4 and 5, including those on hemodialysis. Data were collected retrospectively on patients with advanced chronic kidney disease and nonvalvular atrial fibrillation and/or venous thromboembolism who received apixaban while hospitalized at our institution between January 2013 and August 2018. The 5 mg twice daily group included 22 patients, and the 2.5 mg twice daily group included 73 patients. There wa...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Sarah Yun Regan Sevinsky Tasleem Spracklin Alexandra Tatara Andrew Zoltan Fenves Source Type: research

Unsuitability of sump tubes for delivery of enteral nutrition and medications to intensive care unit patients
Proc (Bayl Univ Med Cent). 2021 Jun 16;34(5):560-565. doi: 10.1080/08998280.2021.1930487. eCollection 2021 Sep.ABSTRACT16 Fr Salem Sump™ tubes have special features to facilitate suction drainage of the stomach, including a second lumen for air venting. These tubes are also commonly used to deliver enteral nutrition and medications to intensive care unit (ICU) patients, but we found no previous research to justify this practice. Because of the unused air vent, these tubes have a large external diameter and a small bore infusion channel (no larger than that of a single lumen 12 Fr feeding tube). The causes of 16 Fr Sa...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Avery L Smith Carol A Santa Ana John S Fordtran Joseph M Guileyardo Source Type: research

Amantadine for the treatment of childhood and adolescent psychiatric symptoms
Proc (Bayl Univ Med Cent). 2021 Jun 1;34(5):566-570. doi: 10.1080/08998280.2021.1925827. eCollection 2021 Sep.ABSTRACTThis retrospective study examined clinical parameters associated with amantadine treatment of psychiatric symptoms in children. A total of 297 pediatric patients were prescribed amantadine and met study criteria to assess clinical responses and medication outcomes. More than 62% of patients experienced clinically significant symptom control and 83% achieved at least maintenance symptom control, while 11% discontinued amantadine for nonresponse and 6% stopped amantadine because of side effects. Among patient...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Kyle Morrow Sun Choi Keith Young Makram Haidar Cassandra Boduch James A Bourgeois Source Type: research

Erector spinae plane block versus thoracic paravertebral block for pain management after total bilateral mastectomies
Proc (Bayl Univ Med Cent). 2021 May 10;34(5):571-574. doi: 10.1080/08998280.2021.1919003. eCollection 2021 Sep.ABSTRACTThis prospectively designed, clinical quality improvement project compared pain scores and opioid consumption between ultrasound-guided, erector spinae plane blocks (ESPB) and thoracic paravertebral blocks (PVB) in patients undergoing total bilateral mastectomies without reconstruction. Twenty-five patients were included in an enhanced recovery pathway and received an ESPB on one side and a PVB on the contralateral side. Numeric rating scores at rest and with movement for each side were recorded in the rec...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Jesse W Stewart Jenny Ringqvist Rachel D Wooldridge Deborah E Farr Mary Sunna Cedar Schulz John C Alexander Abu Minhajuddin Irina Gasanova Girish P Joshi Source Type: research

Abstracts from the Seventh Annual Baylor University Medical Center Medical Education Research Forum 2021
Proc (Bayl Univ Med Cent). 2021 Jul 29;34(5):575-580. doi: 10.1080/08998280.2021.1949926. eCollection 2021 Sep.ABSTRACTThe Baylor University Medical Center Department of Medical Education hosted its seventh annual Medical Education Research Forum on April 21, 2021, to showcase the research efforts of its medical students, residents, and fellows. Thirty-six posters were shared and 18 oral presentations were given. Here we present 17 award-winning abstracts.PMID:34456476 | PMC:PMC8366944 | DOI:10.1080/08998280.2021.1949926 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Kashif Waqiee Ahmed Thomas Cox Jennifer Olvera Natalie Gittus Kirsten Ryan Cristie Columbus Source Type: research

Uterus transplantation-questions and answers about the procedure that is expanding the field of solid organ transplantation
Proc (Bayl Univ Med Cent). 2021 Jun 1;34(5):581-585. doi: 10.1080/08998280.2021.1925064. eCollection 2021 Sep.ABSTRACTUterus transplant is a new and rapidly evolving field of solid organ transplantation designed to help women with absolute uterine-factor infertility who desire to carry their own pregnancies. The advent of this procedure and human clinical trials of uterus transplantation have raised technical, clinical, and ethical questions. We address several questions about uterus transplantation based on available literature and the clinical experience at Baylor University Medical Center, which has the largest uterus t...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Anji E Wall Giuliano Testa David Axelrod Liza Johannesson Source Type: research

Novel use of electromagnetic navigation for thoracostomy tube placement
Proc (Bayl Univ Med Cent). 2021 Jun 1;34(5):586-587. doi: 10.1080/08998280.2021.1930502. eCollection 2021 Sep.ABSTRACTManagement of recurrent pleural effusions can be challenging and may require multiple modalities for treatment. Advanced image guidance with ultrasound or computed tomography is often useful for increased accuracy. We demonstrate a novel application of a percutaneous image-guided technique using electromagnetic navigation to successfully place thoracostomy tubes.PMID:34456478 | PMC:PMC8366941 | DOI:10.1080/08998280.2021.1930502 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Sarah Jaroudi David Sotello Andres Yepes-Hurtado Source Type: research

Proximal pulmonary artery embolization for recurrent hemoptysis after bronchial artery embolization
Proc (Bayl Univ Med Cent). 2021 Jun 4;34(5):588-589. doi: 10.1080/08998280.2021.1930842. eCollection 2021 Sep.ABSTRACTProximal pulmonary artery (PA) embolization is a dramatic interventional radiology procedure performed to control recurrent, life-threatening hemoptysis. Distal PA embolization procedures are commonly performed, and preoperative proximal PA embolization procedures have been reported, but to the best of our knowledge there has not been a reported case of a proximal PA embolization to treat hemoptysis. Here, we present a case of a complete proximal PA embolization that effectively resolved recurrent hemoptysi...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Eric M Swanson Brandon Dickey James Murray Steven Ruiz Source Type: research

Bilateral pneumatoceles resulting in spontaneous bilateral pneumothoraces and secondary infection in a previously healthy man with COVID-19
This report presents a rare complication of COVID pneumonia with bilateral necrotizing pneumatoceles presenting with hemoptysis and bilateral pneumothoraces with positive sputum cultures for Enterobacter aerogenes and Pseudomonas aeruginosa. It highlights rare complications of COVID-19 requiring multiple hospital admissions and ongoing home oxygen therapy.PMID:34456480 | PMC:PMC8366923 | DOI:10.1080/08998280.2021.1927410 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Piruthiviraj Natarajan James Skidmore Olufemi Aduroja Vamsi Kunam Dan Schuller Source Type: research

Isolated hepatosplenic abscess from cat scratch disease in a patient with HIV
We report a case of an isolated hepatosplenic abscess without lymphadenopathy or vasoproliferative disease caused by B. henselae in an adult immunocompromised patient with HIV.PMID:34456481 | PMC:PMC8366922 | DOI:10.1080/08998280.2021.1927424 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Bhanusowmya Buragamadagu Chen Song Shambo GuhaRoy Gul Madison Source Type: research

Disseminated < em > Mycobacterium chelonae < /em > infection with Hughes-Stovin syndrome
We report a 27-year-old man with Hughes-Stovin syndrome and catastrophic antiphospholipid syndrome who was on chronic immunosuppressant therapy and developed disseminated M. chelonae infection. To the best of our knowledge, this is the first case report of M. chelonae infection in a patient with Hughes-Stovin syndrome.PMID:34456482 | PMC:PMC8366918 | DOI:10.1080/08998280.2021.1918817 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Vrinda Vyas Stephanie M Bryant Amish Shah Dana Savici Source Type: research

Severe babesiosis with associated splenic infarcts and asplenia
We describe two patients who presented with severe autoimmune hemolytic anemia in the setting of babesiosis. Notably, one patient was immunocompetent but was found to have splenic infarcts of uncertain duration, while the other patient developed disease in the context of asplenia secondary to prior surgical removal of the spleen. Both patients received antibiotics and transfusion support and eventually made a full recovery. While the patient in case 1 had parasitemia>10%, neither patient ultimately required therapeutic red blood cell exchange transfusion during the course of their respective hospitalizations. Our two ca...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Zachary A Sporn Andrew Z Fenves David B Sykes Hanny Al-Samkari Source Type: research

Influenza A-induced rhabdomyolysis with acute renal failure following a deep tissue massage
We describe a unique case of severe influenza A-induced rhabdomyolysis in a previously healthy 39-year-old man, who developed symptoms immediately following a 2-hour deep-tissue massage and improved with oseltamivir and intravenous fluids. This case describes a possible temporal association between tissue damage secondary to deep tissue massage and the subsequent exacerbation of rhabdomyolysis in the setting of an influenza A infection. Biological evidence of muscle cell viral invasion with massage supports the possibility of elevated influenza A pathogenicity.PMID:34456484 | PMC:PMC8366935 | DOI:10.1080/08998280.2021.1930...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Brandon Dickey Eric M Swanson Matthew Brigmon Alfredo Siller Source Type: research

Familial cold autoinflammatory syndrome with rheumatoid arthritis
Proc (Bayl Univ Med Cent). 2021 May 10;34(5):603-605. doi: 10.1080/08998280.2021.1913042. eCollection 2021 Sep.ABSTRACTFamilial cold autoinflammatory syndrome (FCAS) is a cryopyrin-associated periodic syndrome that presents with episodic fever, skin rash, and joint pain after exposure to cold temperatures. Although the diagnosis is often singular, there are several instances of concurrent underlying autoimmune pathologies with either rheumatoid arthritis (RA) or amyloidosis. Because symptoms of the two entities overlap, it can be difficult to address a potential dual diagnosis of FCAS and an autoimmune disorder. We found s...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Brooke Walterscheid Jeannie Nguyen Swetha Gadwala Goutam Shome Michelle Tarbox James A Tarbox Source Type: research

Eosinophilic annular erythema
We present a case of EAE and discuss the histopathological findings.PMID:34456486 | PMC:PMC8366927 | DOI:10.1080/08998280.2021.1922253 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Nicole Dacy Kyle Oney Katherine Fiala Palak Parekh Source Type: research

The COVID rash that puts the 'U' in GROUCH!
Proc (Bayl Univ Med Cent). 2021 Jun 4;34(5):608-609. doi: 10.1080/08998280.2021.1930850. eCollection 2021 Sep.ABSTRACTAs COVID-19 continues, there are new manifestations and less common presentations of this illness of which we need to be aware. This case describes a 44-year-old woman with a new-onset rash on her lower back and inner thighs. Based on a punch biopsy of both locations, either severe urticaria or early urticarial vasculitis was diagnosed. The patient recovered after treatment with a combination of oral steroids and high-dose antihistamines. Two days after the biopsy, she tested positive for SARS-CoV-2. The ur...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Landon Hope Brianna Hope Jeannie Nguyen Richard Hope Michelle Tarbox Source Type: research

Devastating effect of untreated facial squamous cell carcinoma
Proc (Bayl Univ Med Cent). 2021 May 20;34(5):610-612. doi: 10.1080/08998280.2021.1925065. eCollection 2021 Sep.ABSTRACTSkin cancer develops primarily on areas of sun-exposed skin and can typically be treated if caught early. Here, we present a case of a 57-year-old man who presented with an extremely large facial squamous cell carcinoma with resulting perineural invasion and metastasis to parotid lymph nodes because he was unable to obtain timely treatment.PMID:34456488 | PMC:PMC8366926 | DOI:10.1080/08998280.2021.1925065 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Nasim Khalfe Ya Xu Elizabeth May Schuele Doris Lin Source Type: research

Painful purpura from intravascular large B-cell lymphoma cutaneous variant
Proc (Bayl Univ Med Cent). 2021 Apr 13;34(5):613-615. doi: 10.1080/08998280.2021.1910781. eCollection 2021 Sep.ABSTRACTIntravascular large B-cell lymphoma is a rare disease that often goes unnoticed and is repeatedly diagnosed during autopsy. Patients present with a wide variety of nonspecific symptoms, which makes the diagnosis challenging. This case presents a patient who was initially diagnosed with fever of unknown origin but later developed a retiform purpuric rash that prompted the diagnosis.PMID:34456489 | PMC:PMC8366924 | DOI:10.1080/08998280.2021.1910781 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Rosalyn Ortiz-Manso Kelvin Soewono Hao Nguyen Source Type: research

Myeloid sarcoma as a manifestation of acute myeloid leukemia
We report a case of a 43-year-old man who presented with dyspnea because of large bilateral pleural effusions and imaging findings of a large periaortic mass with compression of the esophagus and left atrium. Subsequent soft tissue biopsy was consistent with myeloid sarcoma, and bone marrow biopsy was consistent with acute myeloid leukemia. He was started on induction and subsequent consolidation chemotherapy with complete remission and shrinkage of the tumor.PMID:34456490 | PMC:PMC8366947 | DOI:10.1080/08998280.2021.1930845 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Lewis Woods Jerry Fan Hameed Ali Source Type: research

Upper gastrointestinal bleeding as the initial manifestation of gastroenteropancreatic neuroendocrine tumors
Proc (Bayl Univ Med Cent). 2021 Apr 27;34(5):618-619. doi: 10.1080/08998280.2021.1913372. eCollection 2021 Sep.ABSTRACTA 78-year-old man presented with upper gastrointestinal bleeding, which was biopsy proven to be from a gastric neuroendocrine tumor. By the time of diagnosis, he developed liver metastasis and died 2 months later. Upper gastrointestinal bleeding is an uncommon feature in gastroenteropancreatic neuroendocrine tumor.PMID:34456491 | PMC:PMC8366942 | DOI:10.1080/08998280.2021.1913372 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Thanita Thongtan Anasua Deb Sameer Islam Kenneth Nugent Source Type: research

Metastatic neuroendocrine carcinoma presenting with left lateral rectus enlargement and orbital cellulitis
We report a 58-year-old woman who presented with diplopia, unilateral orbital pain, erythema, and chemosis as the primary presentation of a metastatic small intestine NET. This case serves as a reminder that identification of orbital NETs should prompt investigation for primary gastrointestinal or pulmonary NETs. Goals of surgery include obtaining a tissue sample, debulking the lesion, and preserving visual function.PMID:34456492 | PMC:PMC8366931 | DOI:10.1080/08998280.2021.1930633 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Kevin Garrett Tayon Vishal Kaila Deepak Sobti Ivan Vrcek Source Type: research

Papillary fibroelastoma in the left ventricle
We present a 61-year-old woman with a recent transient ischemic attack who presented with presyncope and was ultimately found to have a papillary fibroelastoma at the apex of her left ventricle. She underwent minimally invasive excision of the tumor.PMID:34456493 | PMC:PMC8366940 | DOI:10.1080/08998280.2021.1914454 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: William R Sovic Justin Arunthamakun Ariane Lemieux Joseph M Guileyardo Source Type: research

Nonpenetrating trauma resulting in hemopericardium presenting as syncope
We present a case of a 38-year-old man who presented with blunt force trauma from a rock while mowing the lawn that resulted in syncope and hemopericardium.PMID:34456494 | PMC:PMC8366945 | DOI:10.1080/08998280.2021.1918818 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Jerry Fan Hameed Ali Source Type: research

Pneumococcal endocarditis involving the pulmonic valve in a patient with HIV
Proc (Bayl Univ Med Cent). 2021 Jun 7;34(5):627-628. doi: 10.1080/08998280.2021.1930926. eCollection 2021 Sep.ABSTRACTInfective endocarditis in drug users commonly targets the tricuspid valves, whereas pulmonic valve endocarditis is a rare occurrence. Staphylococcus aureus rather than Streptococcus species is the culprit organism. Streptococcal pneumonia is also not commonly seen as an etiological agent for endocarditis. Here we present a case of a 57-year-old man with a history of HIV infection on antiretroviral therapy who was admitted for sepsis and found to have pneumococcal bacteremia with vegetation on a pulmonic val...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Ishan Shah Abu Baker Sheikh Shazib Sagheer Nismat Javed Rahul Shekhar Source Type: research

Pericarditis with pericardial effusion as a delayed complication of COVID-19
We report a case of acute pericarditis and pericardial effusion as a delayed complication of COVID-19.PMID:34456496 | PMC:PMC8366921 | DOI:10.1080/08998280.2021.1918975 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Kelvin Y Soewono Kenneth C Raney Manavjot S Sidhu Source Type: research

Impact of symptom-guided, progressive cardiac rehabilitation after left ventricular assist device implantation
Proc (Bayl Univ Med Cent). 2021 May 3;34(5):631-633. doi: 10.1080/08998280.2021.1918816. eCollection 2021 Sep.ABSTRACTA 29-year-old woman with a left ventricular assist device (LVAD) completed a progressive, symptom-limited cardiac rehabilitation program consisting of boxing, weight-lifting, and aerobic exercise, where she improved her exercise capacity by 2.7 metabolic equivalents (P
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Katelyn D Brown Heath W Shirkey Tiffany Shock Katherine Thornton Aldo E Rafael-Yarihuaman Amarinder Bindra Source Type: research

Simultaneous open fracture and rattlesnake bite on the same extremity
We present the case of a 13-year-old boy who sustained a lower-extremity rattlesnake envenomation with concomitant open tibia and fibula fractures after being thrown from an all-terrain vehicle. The envenomation from the snake bite compelled us to first treat his developing coagulopathy with a delayed operative management of his fractures.PMID:34456498 | PMC:PMC8366917 | DOI:10.1080/08998280.2021.1930844 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Dustin M Welch Cherokee Sauer Justin M Martin Andrew L Juergens Source Type: research

Usefulness of low-dose combined spinal epidural anesthesia for a woman with systemic lupus erythematosus, mechanical prosthesis in the mitral valve position, and worsening heart failure presenting for cesarean delivery
Proc (Bayl Univ Med Cent). 2021 Jun 1;34(5):636-637. doi: 10.1080/08998280.2021.1930928. eCollection 2021 Sep.ABSTRACTA 31-year-old woman, gravida one, para zero, at 32 weeks, 4 days gestation, with a history of antiphospholipid antibody syndrome, mitral valve replacement requiring anticoagulation, chronic diastolic heart failure, and systemic lupus erythematous was admitted to the hospital for worsening cardiac decompensation with superimposed pneumonia. She was on warfarin for anticoagulation at the time of hospital admission and eventually started on an intravenous heparin infusion. Cesarean delivery was planned due to ...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Devon Weidner David Hepburn Blake Harris Jennifer Chae-Kim Jessica Ehrig Michael P Hofkamp Source Type: research

Reflections on Kenneth H. Cooper, MD, MPH
Proc (Bayl Univ Med Cent). 2021 Jun 15;34(5):638-639. doi: 10.1080/08998280.2021.1930826. eCollection 2021 Sep.NO ABSTRACTPMID:34456500 | PMC:PMC8366928 | DOI:10.1080/08998280.2021.1930826 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: John Davis Cantwell Source Type: research

Brandon Carrell, MD (1911-1981)
Proc (Bayl Univ Med Cent). 2021 Jun 15;34(5):640-641. doi: 10.1080/08998280.2021.1930843. eCollection 2021 Sep.ABSTRACTThis biographical sketch on Dr. Brandon Carrell commemorates the life of an influential surgeon in the Dallas community. His contributions to pediatric orthopedic surgery helped form the field it is today.PMID:34456501 | PMC:PMC8366954 | DOI:10.1080/08998280.2021.1930843 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Brendan Holderread James M Rizkalla Connor Carpenter Scott J B Nimmons Philip Wilson Henry Ellis Source Type: research

Propofol 2%: understanding a new concentration of a well-known medication
Proc (Bayl Univ Med Cent). 2021 Jun 17;34(5):642-643. doi: 10.1080/08998280.2021.1937009. eCollection 2021 Sep.NO ABSTRACTPMID:34456502 | PMC:PMC8366916 | DOI:10.1080/08998280.2021.1937009 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Betsy A Regier Tricia A Meyer Russell K McAllister Source Type: research

Trends and outcomes of chronic coronary total occlusion-related ventricular tachyarrhythmias
Proc (Bayl Univ Med Cent). 2021 May 10;34(5):541-544. doi: 10.1080/08998280.2021.1913039. eCollection 2021 Sep.ABSTRACTOur study aims to establish trends and frequencies of ventricular tachyarrhythmia (VTA) among patients with chronic coronary total occlusion (CCTO). We identified CCTO hospitalizations with and without VTA using the National Inpatient Sample. A total of 911,579 CCTO-related hospitalizations were identified, with 92,450 (10.1%) encounters associated with VTA. The CCTO-VTA cohort showed higher all-cause mortality (adjusted odds ratio [aOR] = 4.45, P
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Upenkumar Patel Mohammed Zubair Rezwan Munshi Rupak Desai Amgad N Makaryus Source Type: research

Burden of arrhythmias and associated in-hospital mortality in acute decompensated diabetes mellitus
Proc (Bayl Univ Med Cent). 2021 Jun 1;34(5):545-549. doi: 10.1080/08998280.2021.1925810. eCollection 2021 Sep.ABSTRACTTo gain understanding of the burden of cardiac arrhythmias in patients with acutely decompensated diabetes mellitus (ADDM) on a large scale, we reviewed data on ADDM patients and subtypes of arrhythmias from the National Inpatient Sample from 2010 to 2014. The frequency and prevalence of cardiac arrhythmias were measured, as well as outcomes. Among 874,107 hospitalized ADDM patients identified, 87,970 (10.1%) developed arrhythmias. The ADDM-arrhythmia cohort showed higher all-cause mortality (1.4% vs 0.3%; ...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Upenkumar Patel Rupak Desai Rezwan Munshi Palakkumar Patel Amgad N Makaryus Source Type: research

Trends in hospitalizations and mortality for inflammatory bowel disease from a nationwide database study between 2008 and 2018
This study aimed to describe the trends, inpatient outcomes, and disease burden of hospitalizations for ulcerative colitis (UC) and Crohn's disease (CD). Our study included data on hospitalizations with a principal discharge diagnosis of CD and UC gathered from the Nationwide Inpatient Sample for the years 2008, 2010, 2012, 2014, 2016, and 2018. Individuals ≤18 years and elective hospitalizations were excluded. From 2008 to 2018, we noted a rising trend for UC hospitalizations (P trend
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Asim Kichloo Zain El-Amir Dushyant Singh Dahiya Farah Wani Hafeez Shaka Source Type: research

Relation of apixaban bleeding rates to dose in patients with chronic kidney disease
The objective of this study was to evaluate the safety and efficacy of apixaban 5 mg twice daily vs 2.5 mg twice daily for nonvalvular atrial fibrillation or venous thromboembolism in patients with chronic kidney disease stage 4 and 5, including those on hemodialysis. Data were collected retrospectively on patients with advanced chronic kidney disease and nonvalvular atrial fibrillation and/or venous thromboembolism who received apixaban while hospitalized at our institution between January 2013 and August 2018. The 5 mg twice daily group included 22 patients, and the 2.5 mg twice daily group included 73 patients. There wa...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Sarah Yun Regan Sevinsky Tasleem Spracklin Alexandra Tatara Andrew Zoltan Fenves Source Type: research

Unsuitability of sump tubes for delivery of enteral nutrition and medications to intensive care unit patients
Proc (Bayl Univ Med Cent). 2021 Jun 16;34(5):560-565. doi: 10.1080/08998280.2021.1930487. eCollection 2021 Sep.ABSTRACT16 Fr Salem Sump™ tubes have special features to facilitate suction drainage of the stomach, including a second lumen for air venting. These tubes are also commonly used to deliver enteral nutrition and medications to intensive care unit (ICU) patients, but we found no previous research to justify this practice. Because of the unused air vent, these tubes have a large external diameter and a small bore infusion channel (no larger than that of a single lumen 12 Fr feeding tube). The causes of 16 Fr Sa...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Avery L Smith Carol A Santa Ana John S Fordtran Joseph M Guileyardo Source Type: research

Amantadine for the treatment of childhood and adolescent psychiatric symptoms
Proc (Bayl Univ Med Cent). 2021 Jun 1;34(5):566-570. doi: 10.1080/08998280.2021.1925827. eCollection 2021 Sep.ABSTRACTThis retrospective study examined clinical parameters associated with amantadine treatment of psychiatric symptoms in children. A total of 297 pediatric patients were prescribed amantadine and met study criteria to assess clinical responses and medication outcomes. More than 62% of patients experienced clinically significant symptom control and 83% achieved at least maintenance symptom control, while 11% discontinued amantadine for nonresponse and 6% stopped amantadine because of side effects. Among patient...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Kyle Morrow Sun Choi Keith Young Makram Haidar Cassandra Boduch James A Bourgeois Source Type: research

Erector spinae plane block versus thoracic paravertebral block for pain management after total bilateral mastectomies
Proc (Bayl Univ Med Cent). 2021 May 10;34(5):571-574. doi: 10.1080/08998280.2021.1919003. eCollection 2021 Sep.ABSTRACTThis prospectively designed, clinical quality improvement project compared pain scores and opioid consumption between ultrasound-guided, erector spinae plane blocks (ESPB) and thoracic paravertebral blocks (PVB) in patients undergoing total bilateral mastectomies without reconstruction. Twenty-five patients were included in an enhanced recovery pathway and received an ESPB on one side and a PVB on the contralateral side. Numeric rating scores at rest and with movement for each side were recorded in the rec...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Jesse W Stewart Jenny Ringqvist Rachel D Wooldridge Deborah E Farr Mary Sunna Cedar Schulz John C Alexander Abu Minhajuddin Irina Gasanova Girish P Joshi Source Type: research

Abstracts from the Seventh Annual Baylor University Medical Center Medical Education Research Forum 2021
Proc (Bayl Univ Med Cent). 2021 Jul 29;34(5):575-580. doi: 10.1080/08998280.2021.1949926. eCollection 2021 Sep.ABSTRACTThe Baylor University Medical Center Department of Medical Education hosted its seventh annual Medical Education Research Forum on April 21, 2021, to showcase the research efforts of its medical students, residents, and fellows. Thirty-six posters were shared and 18 oral presentations were given. Here we present 17 award-winning abstracts.PMID:34456476 | PMC:PMC8366944 | DOI:10.1080/08998280.2021.1949926 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Kashif Waqiee Ahmed Thomas Cox Jennifer Olvera Natalie Gittus Kirsten Ryan Cristie Columbus Source Type: research

Uterus transplantation-questions and answers about the procedure that is expanding the field of solid organ transplantation
Proc (Bayl Univ Med Cent). 2021 Jun 1;34(5):581-585. doi: 10.1080/08998280.2021.1925064. eCollection 2021 Sep.ABSTRACTUterus transplant is a new and rapidly evolving field of solid organ transplantation designed to help women with absolute uterine-factor infertility who desire to carry their own pregnancies. The advent of this procedure and human clinical trials of uterus transplantation have raised technical, clinical, and ethical questions. We address several questions about uterus transplantation based on available literature and the clinical experience at Baylor University Medical Center, which has the largest uterus t...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Anji E Wall Giuliano Testa David Axelrod Liza Johannesson Source Type: research

Novel use of electromagnetic navigation for thoracostomy tube placement
Proc (Bayl Univ Med Cent). 2021 Jun 1;34(5):586-587. doi: 10.1080/08998280.2021.1930502. eCollection 2021 Sep.ABSTRACTManagement of recurrent pleural effusions can be challenging and may require multiple modalities for treatment. Advanced image guidance with ultrasound or computed tomography is often useful for increased accuracy. We demonstrate a novel application of a percutaneous image-guided technique using electromagnetic navigation to successfully place thoracostomy tubes.PMID:34456478 | PMC:PMC8366941 | DOI:10.1080/08998280.2021.1930502 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Sarah Jaroudi David Sotello Andres Yepes-Hurtado Source Type: research

Proximal pulmonary artery embolization for recurrent hemoptysis after bronchial artery embolization
Proc (Bayl Univ Med Cent). 2021 Jun 4;34(5):588-589. doi: 10.1080/08998280.2021.1930842. eCollection 2021 Sep.ABSTRACTProximal pulmonary artery (PA) embolization is a dramatic interventional radiology procedure performed to control recurrent, life-threatening hemoptysis. Distal PA embolization procedures are commonly performed, and preoperative proximal PA embolization procedures have been reported, but to the best of our knowledge there has not been a reported case of a proximal PA embolization to treat hemoptysis. Here, we present a case of a complete proximal PA embolization that effectively resolved recurrent hemoptysi...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Eric M Swanson Brandon Dickey James Murray Steven Ruiz Source Type: research

Bilateral pneumatoceles resulting in spontaneous bilateral pneumothoraces and secondary infection in a previously healthy man with COVID-19
This report presents a rare complication of COVID pneumonia with bilateral necrotizing pneumatoceles presenting with hemoptysis and bilateral pneumothoraces with positive sputum cultures for Enterobacter aerogenes and Pseudomonas aeruginosa. It highlights rare complications of COVID-19 requiring multiple hospital admissions and ongoing home oxygen therapy.PMID:34456480 | PMC:PMC8366923 | DOI:10.1080/08998280.2021.1927410 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Piruthiviraj Natarajan James Skidmore Olufemi Aduroja Vamsi Kunam Dan Schuller Source Type: research

Isolated hepatosplenic abscess from cat scratch disease in a patient with HIV
We report a case of an isolated hepatosplenic abscess without lymphadenopathy or vasoproliferative disease caused by B. henselae in an adult immunocompromised patient with HIV.PMID:34456481 | PMC:PMC8366922 | DOI:10.1080/08998280.2021.1927424 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Bhanusowmya Buragamadagu Chen Song Shambo GuhaRoy Gul Madison Source Type: research

Disseminated < em > Mycobacterium chelonae < /em > infection with Hughes-Stovin syndrome
We report a 27-year-old man with Hughes-Stovin syndrome and catastrophic antiphospholipid syndrome who was on chronic immunosuppressant therapy and developed disseminated M. chelonae infection. To the best of our knowledge, this is the first case report of M. chelonae infection in a patient with Hughes-Stovin syndrome.PMID:34456482 | PMC:PMC8366918 | DOI:10.1080/08998280.2021.1918817 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Vrinda Vyas Stephanie M Bryant Amish Shah Dana Savici Source Type: research

Severe babesiosis with associated splenic infarcts and asplenia
We describe two patients who presented with severe autoimmune hemolytic anemia in the setting of babesiosis. Notably, one patient was immunocompetent but was found to have splenic infarcts of uncertain duration, while the other patient developed disease in the context of asplenia secondary to prior surgical removal of the spleen. Both patients received antibiotics and transfusion support and eventually made a full recovery. While the patient in case 1 had parasitemia>10%, neither patient ultimately required therapeutic red blood cell exchange transfusion during the course of their respective hospitalizations. Our two ca...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Zachary A Sporn Andrew Z Fenves David B Sykes Hanny Al-Samkari Source Type: research

Influenza A-induced rhabdomyolysis with acute renal failure following a deep tissue massage
We describe a unique case of severe influenza A-induced rhabdomyolysis in a previously healthy 39-year-old man, who developed symptoms immediately following a 2-hour deep-tissue massage and improved with oseltamivir and intravenous fluids. This case describes a possible temporal association between tissue damage secondary to deep tissue massage and the subsequent exacerbation of rhabdomyolysis in the setting of an influenza A infection. Biological evidence of muscle cell viral invasion with massage supports the possibility of elevated influenza A pathogenicity.PMID:34456484 | PMC:PMC8366935 | DOI:10.1080/08998280.2021.1930...
Source: Baylor University Medical Center Proceedings - August 30, 2021 Category: Universities & Medical Training Authors: Brandon Dickey Eric M Swanson Matthew Brigmon Alfredo Siller Source Type: research