Results of repair of iliac artery aneurysms with the sandwich technique.
Abstract Patients undergoing endovascular repair (EVAR) of aortoiliac or iliac artery aneurysm may require sacrifice of one or both internal iliac arteries (IIAs). Until Food and Drug Administration-approved commercial grafts became available, endovascular IIA preservation was accomplished using the "sandwich" technique, but limited information is available regarding the results of this method. After obtaining institutional review board approval, we identified patients undergoing IIA preservation with the sandwich technique during EVAR at our institution. The patients have been followed prospectively sin...
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Shutze RA, Oglesby W, Lee A, Shutze WP Tags: Proc (Bayl Univ Med Cent) Source Type: research

Interpretation of positive troponin results among patients with and without myocardial infarction.
Abstract Measuring cardiac troponins is integral to diagnosing acute myocardial infarction (AMI); however, troponins may be elevated without AMI, and the use of multiple different assays confounds comparisons. We considered characteristics and serial troponin values in emergency department chest pain patients with and without AMI to interpret troponin excursions. We compared serial troponin in 124 AMI and non-AMI patients from the observational Performance of Triage Cardiac Markers in the Clinical Setting (PEARL) study who presented with chest pain and had at least one troponin value exceeding the 99th percentile ...
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Tecson KM, Arnold W, Barrett T, Birkhahn R, Daniels LB, DeFilippi C, Headden G, Peacock WF, Reed M, Singer AJ, Schussler JM, Smith S, Than MP, McCullough PA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Relation between proprotein convertase subtilisin/kexin type 9 and directly measured low-density lipoprotein cholesterol.
Abstract Proprotein convertase subtilisin/kexin type 9 (PCSK9) is a regulator of low-density lipoprotein cholesterol (LDL-C) receptor (LDL-R) recycling and, thus, is a determinant of plasma LDL-C concentration. We sought to determine the relation between serum concentrations of PCSK9 and LDL-C while considering a variety of influential variables, including treatment for dyslipidemia. Using a prospective lipid clinic registry, we evaluated clinical variables, the results of advanced lipid testing, and PCSK9 concentrations determined by immunoassay. We evaluated the relationship between directly measured LDL-C and P...
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Tecson KM, Panettiere-Kennedy KS, Won JI, Garg P, Olugbode O, McCullough PA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Factors associated with reduced radiation exposure, cost, and technical difficulty of inferior vena cava filter placement and retrieval.
Abstract We sought to delineate factors of inferior vena cava filter placement associated with increased radiation and cost and difficult subsequent retrieval. In total, 299 procedures from August 2013 to December 2014, 252 in a fluoroscopy suite (FS) and 47 in the operating room (OR), were reviewed for radiation exposure, fluoroscopy time, filter type, and angulation. The number of retrieval devices and fluoroscopy time needed for retrieval were assessed. Multiple linear regression assessed the impact of filter type, procedure location, and patient and procedural variables on radiation dose, fluoroscopy time, and...
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Neill M, Charles HW, Pflager D, Deipolyi AR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Optimizing laboratory test utilization in long-term acute care hospitals.
Abstract Laboratory tests can be considered inappropriate if overused or when repeated, unnecessary "routine" testing occurs. For chronically critically ill patients treated in long-term acute care hospitals (LTACHs), inappropriate testing may result in unnecessary blood draws that could potentially harm patients or increase infections. A quality improvement initiative was designed to increase physician awareness of their patterns of lab utilization in the LTACH environment. Within a large network of LTACHs, 9 hospitals were identified as having higher patterns of lab utilization than other LTACHs. Meeti...
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Mora A, Krug BS, Grigonis AM, Dawson A, Jing Y, Hammerman SI Tags: Proc (Bayl Univ Med Cent) Source Type: research

Inappropriate use of antibiotics in patients undergoing gynecologic surgery.
Abstract We retrospectively examined prophylactic antibiotic use and documentation of wound classification in patients having gynecologic surgery at a tertiary hospital. Of the 326 cases reviewed, 175 (54%) received prophylactic antibiotics when not indicated according to guidelines of the American College of Obstetricians and Gynecologists. Antibiotic administration varied significantly (P
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Joyce J, Langsjoen J, Sharadin C, Kuehl TJ, Larsen WI Tags: Proc (Bayl Univ Med Cent) Source Type: research

Concussion knowledge among rehabilitation staff.
Abstract A concussion knowledge survey was completed by 561 rehabilitation professionals across a wide range of disciplines in a nationwide rehabilitation hospital system. Item questions were structured to reflect key areas of concussion knowledge targeted in a prior consensus statement. The vast majority of staff provided responses consistent with the current concussion literature regarding concussion diagnosis and symptom presentation immediately after concussion. Greater variability was seen for items assessing beliefs about the typical recovery from concussion, best care practices, and long-term effects from c...
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Salisbury D, Kolessar M, Callender L, Bennett M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Factors associated with performance in an internal medicine clerkship.
In conclusion, in contrast to previous studies in the field, we did not find a significant association between undergraduate GPA and NBME score. Our findings supply further evidence that the OSCE, typically believed to be a clinical performance exam, actually assesses a broader set of domains. Interest group membership did not confer any academic benefit to medical students in IM clerkships in our study. PMID: 28127127 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Colbert C, McNeal T, Lezama M, Chandler M, Forrester L, Metting A, Mirkes C, Van Cleave H, Win S, Myers JD Tags: Proc (Bayl Univ Med Cent) Source Type: research

Late presentation of fatal hyperammonemic encephalopathy after Roux-en-Y gastric bypass.
Abstract Worldwide, there have been
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Nagarur A, Fenves AZ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Recurrent epiploic appendagitis mimicking appendicitis and cholecystitis.
We present the case of a patient with two episodes of EA, the first mimicking acute appendicitis and the second mimicking acute cholecystitis. Although recurrence of EA is rare, it should be part of the differential diagnosis of acute, localized abdominal pain. A correct diagnosis of EA will prevent unnecessary hospitalization, antibiotic use, and surgical procedures. PMID: 28127129 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Lorente C, Hearne CB, Taboada J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Endovascular therapy using flow diversion for giant internal carotid artery pseudoaneurysm arising in the setting of an invasive pituitary macroadenoma.
This report illustrates the unusual occurrence of a pseudoaneurysm arising in the setting of a skull base mass and describes the first reported use of endovascular flow diversion therapy in such a setting. A 63-year-old man with occasional headaches during the preceding month presented with the acute onset of severe left retroorbital headache and oculomotor nerve palsy. Computed tomography (CT) and CT angiogram revealed a destructive skull base mass with an associated giant probable pseudoaneurysm of the cavernous segment of the left internal carotid artery. The patient underwent endoscopic transsphenoidal biopsy with a su...
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Saad AF, Syed A, Marashi KB, O'Rourke BD, Hise JH, Opatowsky MJ, Layton KF Tags: Proc (Bayl Univ Med Cent) Source Type: research

Palmar artery aneurysm.
Abstract Aneurysms of the hand are rarely encountered and more rarely reported. The least common locations of these aneurysms are the palmar and digital arteries. The etiologies of these entities are quite varied, although they usually present as a pulsatile mass. Following a thorough evaluation, including arterial anatomic imaging, they should be repaired. The reported results following repair have been good. Herein we report a girl with a spontaneous palmar artery aneurysm and its management. PMID: 28127131 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Shutze RA, Leichty J, Shutze WP Tags: Proc (Bayl Univ Med Cent) Source Type: research

Understanding vascular-type Ehlers-Danlos syndrome and avoiding vascular complications.
We present two patients with this rare disorder and highlight the diagnostic and treatment challenges. PMID: 28127132 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Carter J, Fenves AZ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Right atrial thrombus and its causes, complications, and therapy.
Abstract A 70-year-old man who presented with dyspnea and intermittent chest pain was found to have a large free-floating right atrial thrombus on two-dimensional echocardiogram. Atriotomy was performed, and an 18-cm-long thrombus was removed from the right atrium and inferior vena cava. Postoperatively, the patient developed cardiogenic shock treated by intravenous vasopressor agents and extracorporeal membrane oxygenation. The postoperative course was also complicated by bilateral pulmonary emboli requiring pulmonary artery thrombectomy. Right atrial thrombus is an underdiagnosed condition with a high mortality ...
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Benjamin MM, Afzal A, Chamogeorgakis T, Feghali GA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Inhaler syncope.
We report a novel cause for syncope, that due to reflex bradycardia and asystole produced by the use of asthma inhalers. We discuss the possible mechanisms for this effect and briefly review other breathing-related causes of bradycardia. PMID: 28127134 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Rosenthal RL, Franklin JO Tags: Proc (Bayl Univ Med Cent) Source Type: research

ST-elevation acute myocardial infarction due to arterial thrombosis in a 29-year-old woman with normal coronary arteries.
We present a case of a 29-year-old black woman who presented with an acute onset of chest pain while sleeping. Anterior wall ST-elevation AMI was diagnosed based on clinical presentation, electrocardiographic findings, and elevated cardiac biomarkers. Coronary angiography revealed a totally occluded proximal left anterior descending artery. The obstructing lesion, thrombus, was removed. There was no evidence of atherosclerotic disease or dissection. An evaluation for a hypercoagulable state was unrevealing. Echocardiography 1 year later revealed normal left ventricular wall motion and systolic function. PMID: 28127135...
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Male E, Morton T, Farber A, Michel J Tags: Proc (Bayl Univ Med Cent) Source Type: research

A variant of Brugada syndrome.
We present a 56-year-old man who sustained an out-of-hospital cardiac arrest, was resuscitated, and was found to have typical features of the Brugada criteria on the electrocardiogram. Genetic testing was positive for a heterozygous mutation in the sodium voltage-gated channel alpha subunit 5 (SCN5A) gene with a p. Leu227Pro (L227P) variant located on exon 6. To our knowledge, this is the first described case with this variant causing malignant arrhythmia with a cardiac arrest. PMID: 28127136 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Switzer MP, Teleb M, Agunanne E, Abbas A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Electrocardiogram after operation for a subarachnoid hemorrhage.
PMID: 28127137 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Glancy DL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Primary spinal epidural B-lymphoblastic lymphoma.
We report a case of primary spinal epidural B-lymphoblastic lymphoma. The patient presented with paraparesis, and a spinal epidural lesion was diagnosed. Considering the rapidity of symptom onset, the possibility of epidural abscess was considered, and he underwent partial laminectomy with decompression of the lesion. Histopathology and immunohistochemistry were diagnostic of B-lymphoblastic lymphoma. The present case is the first report in the literature of B-lymphoblastic lymphoma presenting as a spinal epidural lesion. PMID: 28127138 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Nambiar RK, Nair SG, Prabhakaran PK, Mathew SP Tags: Proc (Bayl Univ Med Cent) Source Type: research

B-cell lymphoma, thiamine deficiency, and lactic acidosis.
We present a patient who presented with an abdominal mass that biopsy disclosed to be a diffuse large B-cell lymphoma. Because thiamine deficiency is a rare cause of lactic acidosis in cancer, the patient was treated with intravenous thiamine with rapid normalization of the lactic acid level. The level prior to treatment was low. The case emphasizes a rare cause of lactic acidosis. PMID: 28127139 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Masood U, Sharma A, Nijjar S, Sitaraman K Tags: Proc (Bayl Univ Med Cent) Source Type: research

Dasatinib-induced chylothorax in chronic myeloid leukemia.
We present a case of a 69-year-old man who suddenly developed a rare chylothorax pulmonary adverse event following 10 months of dasatinib treatment. PMID: 28127140 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Baloch ZQ, Abbas SA, Bhatti H, Braver Y, Ali SK Tags: Proc (Bayl Univ Med Cent) Source Type: research

Blood group change in acute myeloid leukemia.
We report two such cases of ABO antigen alteration associated with acute myeloid leukemia. These patients had suppression of their blood group antigens during their leukemic phase, and the antigens were reexpressed when the patients attained remission. PMID: 28127141 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Nambiar RK, Narayanan G, Prakash NP, Vijayalakshmi K Tags: Proc (Bayl Univ Med Cent) Source Type: research

Subcutaneous panniculitis-like T-cell lymphoma.
We report a case of a young woman with SPTCL. She achieved complete remission after combination chemotherapy. PMID: 28127142 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Sugeeth MT, Narayanan G, Jayasudha AV, Nair RA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Focal cutaneous squamous cell carcinoma following radium-223 extravasation.
We present a patient with no previous history of skin cancer who developed an aggressive cutaneous squamous cell carcinoma at the site of prior radium-223 extravasation. We recommend that patients who experience extravasation of therapeutic radioisotopes be monitored by dermatologists for long-term sequelae. Cutaneous squamous cell carcinoma should be recognized as a rare but potential adverse event following cutaneous extravasation of radium-223 and is likely a side effect that is severely underreported. PMID: 28127143 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Benjegerdes KE, Brown SC, Housewright CD Tags: Proc (Bayl Univ Med Cent) Source Type: research

A nodular-ulcerative form of secondary syphilis in AIDS.
We present a case of a 41-year-old man with HIV infection who developed fever, chills, nausea, vomiting, right upper quadrant abdominal pain, weight loss, watery diarrhea, and a painless, nonpruritic rash. He had diffuse nodular-ulcerative lesions in various stages of development. He was found to have a CD4 count of 101 cells/mm(3) (22%), an HIV viral load of 2,735,060 copies/mL, and a positive rapid plasma reagin at 1:64. He was started on emtricitabine, tenofovir, and dolutegravir, as well as doxycycline. He was given benzathine penicillin 2.4 million units intramuscularly and within hours developed a Jarisch-Herxheimer ...
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Gevorgyan O, Owen BD, Balavenkataraman A, Weinstein MR Tags: Proc (Bayl Univ Med Cent) Source Type: research

An approach for safe conversion of an oral endotracheal tube to a nasal endotracheal tube.
We present an approach for safe management of a patient with an oral endotracheal tube who required conversion to a nasal endotracheal tube. A 35-year-old man presented for mandibular fracture repair after multiple injuries sustained in a motor vehicle accident. The patient already had an oral endotracheal tube, and the surgical team requested a nasal endotracheal tube to facilitate surgical exposure and postoperative airway management in anticipation of a wired jaw. A nasal endotracheal tube was inserted through the naris and a video laryngoscope was used to visualize the glottis. A tracheal tube introducer was inserted t...
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Hofkamp M, Diao Z Tags: Proc (Bayl Univ Med Cent) Source Type: research

Ingestion of computer circuit boards causing esophageal impaction and small bowel obstruction.
We report a case of a schizophrenic who ingested large pieces of computer circuit boards, which impacted at the mid-esophagus, in the stomach, and in the cecum. Endoscopic removal of the esophageal object was unsuccessful, and the foreign objects were removed by esophagotomy and laparotomy. Expeditious removal through endoscopic or surgical means is extremely important, as complications can be life-threatening. This is the first report of ingestion of a computer printed circuit board. PMID: 28127146 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Senussi NH, Saleem N Tags: Proc (Bayl Univ Med Cent) Source Type: research

Bullet fragment-induced lead arthropathy with subsequent fracture and elevated blood lead levels.
We present a young adult patient with retained left hip joint bullet fragments who developed suspected lead arthropathy and subsequent acute left hip fracture, as well as systemic lead absorption demonstrated by elevated blood lead levels. PMID: 28127147 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: McAninch SA, Adkison J, Meyers R, Benham M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Identification of foramen of Huschke with reversible herniation of temporomandibular joint soft tissue into the external auditory canal on multidetector computed tomography.
We present a case of a man who presented with herniation of soft tissues of the temporomandibular joint into the EAC through a persistent foramen tympanicum. PMID: 28127148 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Mittal S, Singal S, Mittal A, Singal R, Jindal G Tags: Proc (Bayl Univ Med Cent) Source Type: research

Anticonvulsant hypersensitivity syndrome secondary to carbamazepine.
We present a young woman with AHS due to carbamazepine that presented as an atypical erythema multiforme with elevated liver enzymes. PMID: 28127149 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Brown SC, Dauterive RL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Ruptured ectopic pregnancy with a negative urine pregnancy test.
Abstract Ectopic pregnancy is commonly seen as a differential diagnosis of first-trimester vaginal bleeding. Often the diagnosis is made based on a combination of exam findings, transvaginal ultrasound, and a positive pregnancy test. Our case describes a patient with a history of ectopic pregnancy treated with methotrexate and serial human chorionic gonadotropin measurements that were decreasing appropriately. At the time of evaluation, her urine pregnancy test was negative; however, she was confirmed to have a ruptured tubal ectopic pregnancy. This case highlights the variable presentation of ectopic pregnancies ...
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Hughes M, Lupo A, Browning A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Electromyogram-evoked focal myositis.
Abstract Focal myositis is a rarely reported inflammatory disease of skeletal muscle, particularly of an extremity. It is often misinterpreted as an infectious syndrome, leading to prolonged antibiotic use and a delay in immunosuppressive therapy. Without a confirmed etiology to date, we present a case of recurrent focal myositis following an electromyogram. PMID: 28127151 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Smith A, Snipes G, Quan C Tags: Proc (Bayl Univ Med Cent) Source Type: research

Henry Barton Jacobs, William Osler's intimate friend.
Abstract William Osler was considered a universal friend by physicians of his era but, as with most people, his intimate friends were few. Henry Barton Jacobs became a close friend as one of the "latchkeyers" who lived next door to the Oslers in Baltimore, and the friendship intensified after Jacobs married Mary Sloan Frick Garrett, the fabulously wealthy widow of a former patient. The couples stayed close after the Oslers moved to Oxford, vacationing together and corresponding frequently. The couple friendship between the Oslers and the Jacobses benefited American medicine in specific ways, including th...
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Bryan CS Tags: Proc (Bayl Univ Med Cent) Source Type: research

A 1911 postcard of the National Hospital for the Paralysed and Epileptic highlighting European medical specialty training.
Abstract The purpose of this study was to describe the historical importance of a 1911 European hospital postcard sent from one American physician to another. In the late 19th and early 20th centuries, very few formal residency programs existed in America for training physicians. Most authors rightfully emphasize Johns Hopkins Hospital, founded in 1889, as the site of origin of the American medical residency, but these positions were for a chosen few. Many young physicians would go abroad to study medicine after completing medical school, a decision with many benefits and few drawbacks. At least 15,000 Americans t...
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Zubair A, Boes CJ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Facts and ideas from anywhere.
PMID: 28127154 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2017 Category: Universities & Medical Training Authors: Roberts WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Lipid therapy and plasmapheresis in tricyclic poisoning.
Authors: PMID: 28018049 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2016 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Invited Commentary: Epipericardial fat necrosis: a unique clinicoradiologic disease.
PMID: 28000799 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2016 Category: Universities & Medical Training Authors: Fred HL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Laparoscopic resection of rectal cancer in the elderly.
Abstract Recent published trials have failed to demonstrate that laparoscopic resection is not inferior to open resection of rectal cancer in terms of pathologic outcomes. However, there have been numerous studies showing the benefit of laparoscopic resection in terms of short-term complications and quality of life. Fewer complications and shorter hospital stays improve the chance of maintaining functional status, which is very important for the elderly population. Thus, laparoscopic resection of rectal cancer remains a viable option for the elderly. PMID: 28000800 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2016 Category: Universities & Medical Training Authors: Clark LA, Peters WR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Early experience with digital advance care planning and directives, a novel consumer-driven program.
In conclusion, analysis of early experience with this ACP/AD platform demonstrates that individuals of different ages and conditions can engage in an interrogatory process about values, develop ADs that are more nuanced than traditional paper-based ADs in reflecting those values, and easily make changes to their ADs. Online ADs have the potential to remove barriers to ACP/AD and thus further improve patient-centered end-of-life care. PMID: 27365867 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2016 Category: Universities & Medical Training Authors: Fine RL, Yang Z, Spivey C, Boardman B, Courtney M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Change in prescription habits after federal rescheduling of hydrocodone combination products.
Abstract Nationally, health care providers wrote 259 million prescriptions for narcotic analgesics in 2012, or roughly one bottle of narcotics per US adult (1). In an effort to combat this ever-growing problem, the Drug Enforcement Administration changed the schedule of hydrocodone combination products from schedule III to schedule II on October 6, 2014. Fourteen Baylor Scott & White pharmacies encompassing a 200-mile radius in Central Texas were queried for prescription information on hydrocodone/acetaminophen, morphine, codeine/acetaminophen, and tramadol before and after the rescheduling to evaluate trends ...
Source: Baylor University Medical Center Proceedings - July 1, 2016 Category: Universities & Medical Training Authors: Seago S, Hayek A, Pruszynski J, Newman MG Tags: Proc (Bayl Univ Med Cent) Source Type: research

The impact of preexisting illness and substance use on functional and neuropsychological outcomes following traumatic brain injury.
This study examined the impact of preexisting illness and substance use on patient rehabilitation outcomes following TBI. The Functional Independence Measure total score and Disability Rating Scale score measured functional outcomes at discharge from inpatient rehabilitation, while the Trail Making Test A and B and Total Trials 1-5 of the California Verbal Learning Test-II measured neuropsychological outcomes in 128 TBI survivors with moderate or severe TBI. Results showed that the presence of a heart condition or diabetes/high blood sugar was associated with lower functional outcomes by discharge. A history of a heart con...
Source: Baylor University Medical Center Proceedings - July 1, 2016 Category: Universities & Medical Training Authors: Dahdah MN, Barnes SA, Buros A, Allmon A, Dubiel R, Dunklin C, Callender L, Shafi S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Is nursing preceptor behavior changed by attending a preceptor class?
This study evaluated the effects of a 4-hour preceptor class to change preceptor behavior. Twenty-seven class participants commented on the class and their goals, and 18 completed a follow-up survey 2 months later. Among those 18, 90% had achieved at least one of their goals. One barrier to achieving planned changes was having the opportunity to precept over the time period. Participants indicated that improved listening skills, application of content, and team building all supported their improvement as a preceptor. PMID: 27365870 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2016 Category: Universities & Medical Training Authors: Sanford PG, Tipton PH Tags: Proc (Bayl Univ Med Cent) Source Type: research

Electronic cigarettes in the media.
Abstract Electronic cigarettes (e-cigarettes) are an increasingly popular source of nicotine and an increasingly popular topic in the media. Concerns about potential hazards associated with e-cigarette use and advertising, especially to adolescents, have led to studies on e-cigarettes in both traditional media (TV, mail, print, and outdoor advertising) and social media (websites, social networking sites, blogs, and e-mails). This review presents a narrative description of available studies related to e-cigarettes in the media. These articles have focused on promotion in both traditional and social media across a b...
Source: Baylor University Medical Center Proceedings - July 1, 2016 Category: Universities & Medical Training Authors: Payne JD, Orellana-Barrios M, Medrano-Juarez R, Buscemi D, Nugent K Tags: Proc (Bayl Univ Med Cent) Source Type: research

Tricyclic antidepressant overdose treated with adjunctive lipid rescue and plasmapheresis.
We report an 18-year-old patient who was successfully managed with lipid emulsion and plasmapheresis as adjuncts to sodium bicarbonate treatment and review some of the recent literature. PMID: 27365872 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2016 Category: Universities & Medical Training Authors: Odigwe CC, Tariq M, Kotecha T, Mustafa U, Senussi N, Ikwu I, Bhattarcharya A, Ngene JI, Ojiako K, Iroegbu N Tags: Proc (Bayl Univ Med Cent) Source Type: research

Hydrocodone snorting leading to hypersensitivity pneumonitis.
We present a case of hypersensitivity pneumonitis caused by intranasal abuse of the prescription narcotic hydrocodone. The patient's clinical course was complicated by acute respiratory failure. A chest radiograph showed diffuse bilateral opacities. The patient was treated with noninvasive ventilation, a high dose of intravenous steroids, and bronchodilators, resulting in improvement of symptoms and radiographic appearance. PMID: 27365873 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2016 Category: Universities & Medical Training Authors: Pathak LK, Vijayaraghavan V Tags: Proc (Bayl Univ Med Cent) Source Type: research

Streptococcus agalactiae pyomyositis in diabetes mellitus.
We report a case of nontropical pyomyositis in a 58-year-old diabetic man who presented with a vague chest wall swelling. His initial clinical presentation and imaging findings suggested an intramuscular hematoma. He later developed fever with increased swelling, and pyomyositis was diagnosed after an aspiration of the swelling yielded Streptococcus agalactiae. Aspiration of the abscess and the use of appropriate antibiotics led to complete resolution of the disease. We discuss possible factors in diabetics that might predispose them to pyomyositis. PMID: 27365874 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2016 Category: Universities & Medical Training Authors: Panikkath D, Tantrachoti P, Panikkath R, Nugent K Tags: Proc (Bayl Univ Med Cent) Source Type: research

Inferior vena cava filter removal after prolonged dwell time of 2310 days.
We present the case of a 29-year-old woman with a prolonged filter dwell time resulting in complications. PMID: 27365875 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2016 Category: Universities & Medical Training Authors: Shah AH, Lichliter A, Cura M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Isolated left posterior insular infarction and convergent roles in verbal fluency, language, memory, and executive function.
We report a patient with isolated left posterior insular infarction who presented with multiple cognitive impairment, including impairment in semantic and phonemic verbal fluency. PMID: 27365876 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2016 Category: Universities & Medical Training Authors: Julayanont P, Ruthirago D, DeToledo JC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Multiple bee stings resulting in ST elevation myocardial infarction (the Kounis syndrome).
We present the case of a 61-year-old man who presented to the emergency department with anaphylaxis after being stung by>100 bees. During resuscitation, he subsequently developed ST elevation myocardial infarction. PMID: 27365877 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2016 Category: Universities & Medical Training Authors: Pelli JR, Wieters JS, Firozgary B, Montalvo T Tags: Proc (Bayl Univ Med Cent) Source Type: research

Using extracorporeal membrane oxygenation support preoperatively and postoperatively as a successful bridge to recovery in a patient with a large infarct-induced ventricular septal defect.
This article describes the successful use of extracorporeal membrane oxygenation support as a bridge to recovery postoperatively in a patient with a large infarct-produced ventricular septal defect. PMID: 27365878 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2016 Category: Universities & Medical Training Authors: Jacob S, Patel MJ, Lima B, Felius J, Malyala RS, Chamogeorgakis T, MacHannaford JC, Gonzalez-Stawinski GV, Rafael AE Tags: Proc (Bayl Univ Med Cent) Source Type: research