Facts and ideas from anywhere.
PMID: 28670096 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Roberts WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Personalized treatment of heart failure with biomarker guidance using a novel disease severity score.
Abstract We propose a novel Myocardial Injury Summary Score (MISS) integrating the 4 biomarkers suggested by the 2013 American College of Cardiology/American Heart Association guidelines for management of heart failure. In this case series, we examined 4 heart failure patients who received treatment guided by the biomarker results and 4 patients who received routine clinical management with no information about the biomarkers. Most of the patients receiving biomarker-guided management had medications adjusted based on the biomarker values, while no changes were recommended for patients in the biomarker-blinded cat...
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Vasudevan A, Jazi HH, Won JI, Ball T, Patankar GR, Sarmast SA, Shin HJ, McCullough PA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Emergency department discharge prescription errors in an academic medical center.
This study described discharge prescription medication errors written for emergency department patients. This study used content analysis in a cross-sectional design to systematically categorize prescription errors found in a report of 1000 discharge prescriptions submitted in the electronic medical record in February 2015. Two pharmacy team members reviewed the discharge prescription list for errors. Open-ended data were coded by an additional rater for agreement on coding categories. Coding was based upon majority rule. Descriptive statistics were used to address the study objective. Categories evaluated were patient age...
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Murray KA, Belanger A, Devine LT, Lane A, Condren ME Tags: Proc (Bayl Univ Med Cent) Source Type: research

Pre and post hoc analysis of electronic health record implementation on emergency department metrics.
Abstract Longitudinal time-based emergency department (ED) performance measures were quantified 12 months before and 12 months after (March 2012-February 2014) implementation of a Meditech 6.0® electronic health record (EHR) at a single urban academic ED. Data assessed were length of stay from door to door, door to admission, door to bed, bed to provider, provider to disposition, and disposition to admission, as well as number of patients leaving against medical advice and number of patients leaving without being seen. Analysis of variance was used to compare levels before and after EHR implementation for each...
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Rupp KJ, Ham NJ, Blankenship DE, Payton ME, Murray KA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Perineal body length and perineal lacerations during delivery in primigravid patients.
This study assessed the relation between perineal body length and the risk of perineal laceration extending into the anal sphincter during vaginal delivery in primigravid patients at an institution with a low utilization of episiotomy. This was a prospective study of primigravid patients in active labor. Primigravid women with singleton pregnancies who were in the first stage of labor at 37 weeks gestation or greater were recruited, and the admitting physician measured the length of the perineal body. The degree of perineal laceration and other delivery characteristics were recorded. Data were analyzed using univariate ana...
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Lane TL, Chung CP, Yandell PM, Kuehl TJ, Larsen WI Tags: Proc (Bayl Univ Med Cent) Source Type: research

Anatomic relation between single-incision slings and the obturator vessels.
Abstract The risk of arterial vascular injury within the retropubic space is a potentially life-threatening complication associated with mid-urethral sling placement for the treatment of female stress urinary incontinence. To determine the relationship between the major blood vessels and a single incision sling, these slings were placed in 12 fresh female cadavers. Following the insertion of each sling, the retropubic space was dissected and sling placement was observed relative to the obturator neurovascular bundle bilaterally. The distance between the most distal aspect of each sling arm, or the point of anchori...
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: O'Boyle AL, Chung CP, Larsen W Tags: Proc (Bayl Univ Med Cent) Source Type: research

Practical and ethical considerations in the management of pacemaker and implantable cardiac defibrillator devices in terminally ill patients.
This article provides health care providers who are not specialized in cardiac electrophysiology with an introduction to the general principles of management of pacemakers or ICD devices towards the end of life, with a suggested algorithm for approaching this process. Also discussed are pertinent ethical and practical considerations in deciding on and implementing a management strategy for these devices during terminal illnesses. PMID: 28405065 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Benjamin MM, Sorkness CA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Relation of left ventricular free wall rupture and/or aneurysm with acute myocardial infarction in patients with aortic stenosis.
Abstract This minireview describes 6 previously reported patients with left ventricular free wall rupture and/or aneurysm complicating acute myocardial infarction (AMI) in patients with aortic stenosis. The findings suggest that left ventricular rupture and/or aneurysm is more frequent in patients with AMI associated with aortic stenosis than in patients with AMI unassociated with aortic stenosis, presumably because of retained elevation of the left ventricular peak systolic pressure after the appearance of the AMI. PMID: 28405066 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Sheikh IN, Roberts WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Heterogeneity of systematic reviews in oncology.
We examined a sample of systematic reviews from this body of literature to determine how meta-analysts assessed and reported heterogeneity. A PubMed search of 6 oncology journals was conducted to locate systematic reviews and meta-analyses. Two coders then independently evaluated the manuscripts for 10 different elements based on an abstraction manual. The initial PubMed search yielded 337 systematic reviews from 6 journals. Screening for exclusion criteria (nonsystematic reviews, genetic studies, individual patient data, etc.) found 155 articles that did not meet the definition of a systematic review. This left a final sa...
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Holmes J, Herrmann D, Koller C, Khan S, Umberham B, Worley JA, Vassar M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Hemodialysis failure secondary to hydroxocobalamin exposure.
Abstract Hydroxocobalamin is a recently approved antidote for the treatment of cyanide poisoning. The case presented involves a young patient administered empiric hydroxocobalamin due to suspected cyanide overdose. Due to the development of acute kidney injury and severe metabolic derangement, emergent hemodialysis was initiated. Unfortunately, hemodialysis was confounded by a recurrent "blood leak" alarm. This unforeseen effect was secondary to interference from hydroxocobalamin. Hydroxocobalamin causes orange/red discoloration of bodily fluids and permeates the dialysate. This leads to defraction of li...
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Lim K, Heher E, Steele D, Fenves AZ, Tucker JK, Thadhani R, Christopher K, Tolkoff-Rubin N Tags: Proc (Bayl Univ Med Cent) Source Type: research

Acquired 5-oxoproline acidemia successfully treated with N-acetylcysteine.
We present a case of 5-oxoproline metabolic acidosis that persisted despite discontinuation of acetaminophen. However, the acidosis rapidly resolved with N-acetylcysteine administration. PMID: 28405069 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Hundemer GL, Fenves AZ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Nitrous oxide-induced vitamin B12 deficiency.
Abstract Nitrous oxide is a gas that is odorless, colorless, and has a sweet taste at room temperature. Nitrous oxide has several uses, including in surgery and dentistry (referred to as "laughing gas"), in automotive racing, and in aerosol spray propellants. The aerosol spray propellants that typically use nitrous oxide are whipped cream canisters and cooking sprays. Unfortunately, these over-the-counter household items are a source of nitrous oxide that can be used for recreational use. The most popular is the use of industrial-grade canisters having the slang term "whippets." The nitrous oxi...
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Stockton L, Simonsen C, Seago S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Systemic infection and splenic abscess.
We present two patients with treatment-resistant sepsis who were found at autopsy to have splenic abscess. PMID: 28405071 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Belknap AR, Guileyardo J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Tularemia presenting as pulmonary nodules in an immunocompromised patient.
We present the case of a 51-year-old white man with rheumatoid arthritis who was taking immunosuppressive medications and presented with tularemia. Our patient acquired the typhoidal form of tularemia, which is a severe systemic illness that manifests with fevers, headaches, myalgias, vomiting, diarrhea, and neurological symptoms, due to his immunocompromised state. The diagnosis was made through biopsy of a pulmonary nodule found incidentally on computed tomography scan. PMID: 28405072 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Alias T, Fallahzadeh MK, Berhe M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Benign pancreatic hyperenzymemia (Gullo syndrome), histamine intolerance, and carbohydrate malabsorption.
We report a patient with benign pancreatic hyperenzymemia with lactose and histamine malabsorption; the symptoms of gastrointestinal malabsorption were treated successfully with an individually tailored lactose- and histamine-free diet. PMID: 28405073 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Schnedl WJ, Enko D, Mangge H, Schenk M, Lackner S, Holasek SJ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Pott puffy tumor.
We present the case of an 8-year-old girl with frontal swelling. Imaging evaluation showed frontal osteomyelitis as a complication of frontal sinusitis with associated epidural and subperiosteal abscess. The patient was treated surgically and recovered well. This case highlights the need for high clinical suspicion and early diagnosis and management to prevent life-threatening complications. Unfortunately, in our case the patient had to undergo surgery for this complication, which could have been prevented by earlier diagnosis. PMID: 28405074 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Sharma P, Sharma S, Gupta N, Kochar P, Kumar Y Tags: Proc (Bayl Univ Med Cent) Source Type: research

Acquired thrombotic thrombocytopenic purpura and atypical hemolytic uremic syndrome successfully treated with eculizumab.
We report a 64-year-old woman with this condition who presented with left-sided weakness and seizure-like activity preceded by headache and easy bruising. She did not achieve optimal response to plasma exchange, corticosteroids, rituximab, and vincristine. We initiated treatment with eculizumab, following which she had durable remission that continued for 30 months after discontinuation of the drug. We later found that our patient has homozygous deletion in two closely related genes, complement factor H-related 1 and complement factor H-related 3. PMID: 28405075 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Sasapu A, Cottler-Fox M, Motwani P Tags: Proc (Bayl Univ Med Cent) Source Type: research

A rare hemoglobin variant, Hb Belliard.
Abstract There are many documented variants of hemoglobin; however, other than a limited number (such as sickle cell disease), very few are known to have any clinical significance. As advances in detection and identification continue through gel electrophoresis, capillary electrophoresis, and DNA sequencing, more rare variants are identified. Without case reporting, the significance of these variants will remain unknown or continue to be thought of as insignificant. Here we report a rare hemoglobin variant, Hb Belliard, which was detected in a 68-year-old Indian immigrant to the United States. He presented with el...
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Murthy S, Benavides R Tags: Proc (Bayl Univ Med Cent) Source Type: research

Asian-variant intravascular large B-cell lymphoma.
We present the second described case of Asian-variant IVLBCL in an African American individual. PMID: 28405077 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Su DW, Pasch W, Costales C, Siddiqi I, Mohrbacher A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Bile duct lymphoma disguised as cholangiocarcinoma.
We present a case of intrabiliary primary B-cell lymphoma masked as a cholangiocarcinoma in an HIV-positive patient. The two entities have similar symptoms, laboratory findings, and imaging findings but require very different treatments. The case highlights the need to confirm the diagnosis by biopsy. PMID: 28405078 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Durham C, Jaiswal D, Wong L Tags: Proc (Bayl Univ Med Cent) Source Type: research

Plasma cell myeloma with lymphoplasmacytic morphology and cyclin D1 expression, an uncommon variant.
We present a case of cyclin D1-positive multiple myeloma with lymphoplasmacytic morphology and discuss potential diagnostic pitfalls and effects on prognosis. PMID: 28405079 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Hale DA, Krause JR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Myeloid sarcoma causing airway obstruction.
We present the case of an 84-year-old African American man with a history of renal disease secondary to hypertension and coronary artery disease without any prior history of malignancies who presented with airway obstruction. He was diagnosed with a myeloid sarcoma of the mediastinum compressing his trachea. PMID: 28405080 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Belknap AR, Krause JR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Diagnosis of sarcoidosis from a biopsy of a dilated mammary duct.
Abstract Sarcoidosis is an immunologic disease of unknown etiology that manifests most frequently within the lungs or associated lymph nodes. Sarcoidosis involving the breast is seen in
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Mason C, Yang R, Hamilton R, Punar M, Shah Z, Spigel J, Wang J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Primary small-cell carcinoma of the breast.
Abstract Early diagnosis of rare breast cancers is expected to occur more frequently as screening compliance improves and diagnostic modalities become more sensitive. Well-defined treatment algorithms exist for the management of ductal and lobular carcinomas; however, less information is available to guide the treatment of atypical breast cancers. This case report describes a 38-year-old African American woman with primary small cell carcinoma of the breast and her treatment. PMID: 28405082 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Raber B, Dao T, Howard E, Bredeweg A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Plasmablastic plasmacytoma of the breast.
Abstract Breast plasmacytomas are extremely rare entities that can be seen as primary malignant neoplasms in the absence of bone involvement or as secondary neoplasms from disseminated multiple myeloma. Clinicians should be aware of this entity, as it may mimic benign and malignant lesions in the breast. Microscopically, immature plasmacytomas may mimic other neoplasms, so caution should be made on histological examination to ensure the correct diagnosis and corresponding therapy. Here we present a case of a plasmablastic plasmacytoma of the breast in a 55-year-old woman that was originally thought to be an angios...
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Le DK, Metter D, Krause JR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Primitive neuroectodermal tumors of the kidney.
We present the clinical features, imaging, diagnosis, and treatment of 7 cases of renal PNET (4 men, 3 women; median age, 32 years). Common presenting symptoms were flank or abdominal pain and a mass in the abdomen. On imaging, a large heterogenous infiltrating renal mass with areas of calcification, hemorrhage, and necrosis and tumor thrombus can give a clue to the diagnosis of renal PNET. Immunohistochemistry and molecular studies are essential to confirm the diagnosis. The prognosis of renal ES/PNET is generally poor. Radical nephrectomy combined with chemotherapy and radiotherapy is the standard treatment for renal PNE...
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Narayanan G, Rajan V, Preethi TR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Giant cystic umbilical cord associated with patent urachus and intrauterine fetal demise.
We present a case of intrauterine fetal demise at 28 weeks' gestation in which cystic dilatation of the umbilical cord was diagnosed prenatally by ultrasound imaging. At autopsy, a congenitally patent urachus was contiguous with the massively edematous umbilical cord. PMID: 28405085 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Brooks K, Guileyardo J, Le D, Joykutty J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Evaluation and management of an unusual congenital nevus.
We present the clinical characteristics of a benign sebaceous nevus to help aid in diagnosis of these lesions and outline suggestions for appropriate management options. PMID: 28405086 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Kerwin KB, Menter MA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Leukocytoclastic vasculitis drug reaction to certolizumab pegol.
We present a case report of leukocytoclastic vasculitis caused by certolizumab pegol. PMID: 28405087 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Woody M, Warren D, Speck L, Jackson J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Dural arteriovenous fistula as a treatable dementia.
Abstract Dementia is a chronic loss of neurocognitive function that is progressive and irreversible. Although rare, dural arteriovenous fistulas (DAVFs) could present with a rapid decline in neurocognitive function with or without Parkinson-like symptoms. DAVFs represent a potentially treatable and reversible cause of dementia. Here, we report the case of an elderly woman diagnosed with a DAVF after presenting with new-onset seizures, deteriorating neurocognitive function, and Parkinson-like symptoms. PMID: 28405088 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Enofe I, Thacker I, Shamim S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Right hemispheric reversible cerebral vasoconstriction syndrome in a patient with left hemispheric partial seizures.
We report a right-handed 19-year-old girl who developed reversible cerebral vasoconstriction syndrome (RCVS) lateralized to the right hemisphere with simultaneous new-onset left hemispheric seizures. RCVS, typically more diffuse, was lateralized to one of the cerebral hemispheres. PMID: 28405089 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Perez GS, McCaslin J, Shamim S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Bilateral respiratory epithelial adenomatoid hamartomas originating from the anterior olfactory clefts.
We present a case of bilateral REAH originating from the anterior olfactory cleft treated with endoscopic surgical resection without recurrence. We highlight the characteristics of REAH and necessary steps to ensure proper diagnosis and treatment. PMID: 28405090 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Falco JJ, Peine BS, Clark DW Tags: Proc (Bayl Univ Med Cent) Source Type: research

Ambulatory extracorporeal membrane oxygenation with subclavian venoarterial cannulation to increase mobility and recovery in a patient awaiting cardiac transplantation.
Abstract Venoarterial extracorporeal membrane oxygenation (ECMO) can provide temporary cardiopulmonary support for patients in hemodynamic extremis or refractory heart failure until more durable therapies-such as cardiac transplantation or a left ventricular assist device-can be safely implemented. Conventional ECMO cannulation strategies commonly employ the femoral artery and vein, constraining the patients to the supine position for the duration of ECMO support. We have recently adopted a modified cannulation approach to promote patient mobility, rehabilitation, and faster recovery and to mitigate complications ...
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Jacob S, MacHannaford JC, Chamogeorgakis T, Gonzalez-Stawinski GV, Felius J, Rafael AE, Malyala RS, Lima B Tags: Proc (Bayl Univ Med Cent) Source Type: research

Use of a MitraClip for severe mitral regurgitation in a cardiac transplant patient.
We report a 64-year-old man who presented with new heart failure symptoms 6 months after cardiac transplantation. He was found to have severe MR and underwent successful implantation of a MitraClip® with reduction of his MR to mild as well as improvement in his symptoms. Six months later he was still doing well, and a repeat echocardiogram showed good results. We found two previously reported cases using the MitraClip to treat severe MR in adult cardiac transplant patients. The MitraClip is a viable treatment option for MR in cardiac transplant patients despite their distorted anatomy. PMID: 28405092 [PubMed - in ...
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Raza FS, Grayburn PA, Choi JW Tags: Proc (Bayl Univ Med Cent) Source Type: research

Two causes in one patient for extremely low voltage on the electrocardiogram.
Abstract An 80-year-old woman is described with two different causes (pericardial effusion and cardiac amyloidosis) for low QRS voltage on the electrocardiogram. Total 12-lead QRS voltage (from the peak of the R wave to the nadir of either the Q or the S wave, whichever is deeper) was only 34 mm (10 mm standard in all leads), the lowest we have encountered among 331 previously reported patients with 10 different cardiac conditions. PMID: 28405093 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Roberts WC, Sherwood MJ, Grayburn PA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Successful treatment of a cardiac resynchronization therapy nonresponder by identifying lead malpositioning.
Abstract This case describes some of the commonly overlooked device-related issues in patients who have reportedly failed to respond to cardiac resynchronization therapy (CRT). The case demonstrates voltage-dependent right ventricular capture instead of right atrial capture by a subtly malpositioned right atrial lead. CRT therapy failed to improve symptoms of heart failure and the diagnosis of "CRT nonresponder" was made. With a detailed fact-finding approach, the mechanism behind this nonresponse was identified, and the outcome of CRT was significantly improved with rectification of the problems. P...
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Prasad KV, Akrawinthawong K, Ferreira SW, Mehdirad AA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Atrial fibrillation 50 years after acute rheumatic fever as the first manifestation of rheumatic mitral stenosis.
PMID: 28405095 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Glancy DL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Cardiac rehabilitation for a skydiver after aortic valve replacement for pure aortic regurgitation and resection of the ascending aorta complicated by active infective endocarditis and heart block requiring a pacemaker.
Abstract A professional skydiver underwent aortic valve and ascending aorta replacement complicated by infective endocarditis with root abscess and pacemaker implantation. He then enrolled in the Baylor Heart and Vascular Hospital cardiac rehabilitation (CR) program as part of its specificity of testing and exercise training facility. He performed specific skydiving cardiovascular and muscular strength tests at the beginning and the end of the CR program. His pacemaker was interrogated to ascertain any arrhythmias or lead displacement over the course of the CR program. Daily exercise training was customized to mat...
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Solomon TR, DeJong S, Bilbrey T, Carbone P, Campbell M, Parker RD, Lira A, Amarante D, Schussler JM, Adams J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Tribute to Dr. John Hyland.
PMID: 28405097 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Alivizatos PA Tags: Proc (Bayl Univ Med Cent) Source Type: research

From my little black notebook: lessons for young physicians and medical students.
PMID: 28405098 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Cantwell JD Tags: Proc (Bayl Univ Med Cent) Source Type: research

TBA for OT HHC vs OPC f/u.
PMID: 28405099 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Fred HL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Facts and ideas from anywhere.
PMID: 28405100 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2017 Category: Universities & Medical Training Authors: Roberts WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Operative management of dermatofibrosarcoma protuberans of the breast.
Authors: PMID: 28154469 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Parliament of Whores, revisited.
PMID: 28152109 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Fred HL, Scheid M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Improving health outcomes through patient education and partnerships with patients.
PMID: 28152110 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Paterick TE, Patel N, Tajik AJ, Chandrasekaran K Tags: Proc (Bayl Univ Med Cent) Source Type: research

Reflections on the retirement of John W. Hyland, MD.
PMID: 28152111 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Solis RM Tags: Proc (Bayl Univ Med Cent) Source Type: research

On becoming a physician.
Abstract Ken Swan practiced surgery for 46 years, serving with the US Army Medical Corps in both Vietnam and Desert Storm. After his army service, he joined the faculty of Rutgers Medical School, where he was director of the clinical clerkships at the time of his sudden death in 2014. Among his papers after his death, his son, Kenneth Jr. ("K. G."), found this address to incoming third-year medical students. At a symposium and gala honoring his dad in Newark on May 15, 2015, K. G. read it as a tribute to his father. PMID: 28152112 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Swan KG Tags: Proc (Bayl Univ Med Cent) Source Type: research

Torpedoed en route to France and World War I: a father's experience.
PMID: 28152113 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Cantwell JD Tags: Proc (Bayl Univ Med Cent) Source Type: research

Erratum: Exercise-induced acute compartment syndrome in a young man, occurring after a short race.
Authors: Abstract [This corrects the article on p. 143 in vol. 29, PMID: 27034546.]. PMID: 28127118 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Repeat ablation and hospitalization following cryoballoon ablation of atrial fibrillation at a single tertiary medical center.
In this report, 163 patients who had undergone a cryoablation procedure at one clinical center were contacted by telephone 33.1 ± 3.3 months after the procedure. All patients had received cryoablation of the pulmonary vein ostia, although concomitant procedures were performed at the same time in over 50% of the patients, including radiofrequency and/or cryoablation of other areas of the left atrium. Freedom from a repeat ablation procedure was 87%, while freedom from recurrent hospitalization for AF was 89%, as compared to previous reports of 65%. Of the 13 patients who had a repeat ablation procedure, only one was ...
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: East C, Phan T, Filardo G, Franklin J, Donsky A, Wheelan KR, Kowal RC Tags: Proc (Bayl Univ Med Cent) Source Type: research