Joseph Manuel Guileyardo, MD: a conversation with the editor.
PMID: 25484516 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Guileyardo JM, Roberts WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Gluten sensitivity: new epidemic or new myth?
Abstract Fueled in part by recent bestselling books that warn of the evils of gluten in our diets, a significant proportion of our population is now either avoiding foods that contain gluten or eliminating gluten entirely from their diets, and these numbers continue to grow. The gluten-free trend-and the accompanying multibillion-dollar industry it has created-stems from the spreading belief that eating foods containing wheat or other gluten-laden grains may not only result in weight gain and obesity, but can also lead to a laundry list of ailments ranging from depression and anxiety to arthritis and autism. One pop...
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Nash DT, Slutzky AR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Notes on a stroke.
PMID: 25484518 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Weisse AB Tags: Proc (Bayl Univ Med Cent) Source Type: research

Facts and ideas from anywhere.
Authors: PMID: 25484519 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Selected published abstracts of Baylor researchers.
Authors: PMID: 25484520 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Instructions for authors.
Authors: PMID: 25484521 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Use of the bootstrap method to develop a physical fitness test for public safety officers who serve as both police officers and firefighters.
Abstract Physical fitness testing is a common tool for motivating employees with strenuous occupations to reach and maintain a minimum level of fitness. Nevertheless, the use of such tests can be hampered by several factors, including required compliance with US antidiscrimination laws. The Highland Park (Texas) Department of Public Safety implemented testing in 1991, but no single test adequately evaluated its sworn employees, who are cross-trained and serve as police officers and firefighters. In 2010, the department's fitness experts worked with exercise physiologists from Baylor Heart and Vascular Hospital to ...
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Adams J, Cheng D, Lee J, Shock T, Kennedy K, Pate S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Physical therapy-driven quality improvement to promote early mobility in the intensive care unit.
We describe a physical therapist-led program to introduce such changes in a medical-surgical and a cardiovascular ICU. Interdisciplinary and multidisciplinary meetings and education sessions informed critical care team members about early mobilization and encouraged knowledge sharing for safety and effectiveness. A lead physical therapist was appointed to advocate for early mobility and developed solutions to overcome the identified barriers. After the initiation of this program, the number of ICU patients receiving physical therapy evaluations increased from 364 in 2011-2012 to 542 in 2012-2013. In this article, we descri...
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Harris CL, Shahid S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Comparison of patients rehospitalized for heart failure with versus without a history of habitual alcohol consumption.
This study addressed this issue with a population of adult patients (>20 years old) who were readmitted for HF within 30 days after a hospitalization for HF at a university hospital in West Texas for a period of 5 years. Of the 204 patients with HF who were readmitted, 130 were admitted for HF exacerbations and 74 for unrelated medical conditions. Seventy-two (55%) were men, and the patients' mean age was 67 ± 15 years. Only 32 patients (24%) had a history of alcoholism. The mean age was significantly lower in patients with a history of alcoholism than in those without (62 ± 11 vs. 67 ± 15 years; P ...
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Panikkath R, Suvorava N, Ngo N, Panikkath D, Lim SY, Umyarova E, Meyerrose G Tags: Proc (Bayl Univ Med Cent) Source Type: research

Basilar artery thrombosis in the setting of antiphospholipid syndrome.
We describe a man with severe atherosclerotic basilar artery stenosis and superimposed in situ thrombus who was found to have antiphospholipid syndrome. PMID: 24982561 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Saad AF, Nickell LT, Heithaus RE, Shamim SA, Opatowsky MJ, Layton KF Tags: Proc (Bayl Univ Med Cent) Source Type: research

Spinal cord ependymoma presenting with neurological deficits in the setting of trauma.
We describe a young man with neurological deficits following a motor vehicle accident who was found to have an intramedullary cervicothoracic ependymoma. PMID: 24982562 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Saad AF, Nickell LT, Finn SS, Opatowsky MJ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Avocations: poem by dr. Khan.
PMID: 24982563 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Khan A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Ganglioglioma and migraine headache.
We describe a young man with headache, confusion, and slurred speech who was found to have a ganglioglioma. PMID: 24982564 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Saad AF, Layton KF, Finn SS, Opatowsky MJ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Intracranial hypertension and intracranial hypotension causing headache in the same patient.
This report describes a young man with intracranial hypertension who developed a severe excruciating headache due to intracranial hypotension after a diagnostic lumbar puncture. It is paradoxical that lumbar puncture, which is supposed to be a treatment option for patients with idiopathic intracranial hypertension, leads to headache due to intracranial hypotension. PMID: 24982565 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Panikkath R, Welker J, Johnston R, Lado-Abeal J Tags: Proc (Bayl Univ Med Cent) Source Type: research

The alien hand syndrome.
Abstract A 77-year-old woman presented with the complaint of observing her left hand moving without her knowledge while watching television. Her left hand stroked her face and hair as if somebody was controlling it. These movements lasted only half an hour but on recovery, she had left hemiparesis. Alien hand syndrome as the presentation of cardioembolic stroke is extremely rare but can be terrifying to patients. PMID: 24982566 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Panikkath R, Panikkath D, Mojumder D, Nugent K Tags: Proc (Bayl Univ Med Cent) Source Type: research

Pregnancy-associated systemic lupus erythematosus.
Abstract Systemic lupus erythematosus (SLE) is an autoimmune disease that classically manifests itself with fever, arthralgia, and rash, predominantly in women of childbearing age. The autoimmunity is against nuclear and cytoplasmic components; therefore, any organ system can be affected, and the clinical presentation spectrum is wide. Although rare, de novo SLE can be diagnosed in pregnancy. Herein, a woman who had SLE diagnosed in early pregnancy is reported. This and a previous report imply that SLE has diverse clinical presentations in pregnancy. PMID: 24982567 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Ergin RN Tags: Proc (Bayl Univ Med Cent) Source Type: research

Multiorgan dysfunction related to chronic ketamine abuse.
We report a patient with chronic ketamine abuse who presented with severe cachexia, upper gastrointestinal involvement, hepatobiliary dysfunction, and acute kidney injury. PMID: 24982568 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Pappachan JM, Raj B, Thomas S, Hanna FW Tags: Proc (Bayl Univ Med Cent) Source Type: research

High-intensity cardiac rehabilitation training of a firefighter after placement of an implantable cardioverter-defibrillator.
We present the case of a 40-year-old firefighter who, after surviving sudden cardiac arrest and undergoing ICD implantation, sought to demonstrate his fitness for active duty by completing a high-intensity, occupation-specific cardiac rehabilitation training program. The report details the exercise training, ICD monitoring, and stress testing that he underwent. During the post-training treadmill stress test in firefighter turnout gear, the patient reached a functional capacity of 17 metabolic equivalents (METs), exceeding the 12-MET level required for his occupation. He had no ICD shock therapy or recurrent sustained arrhy...
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Adams J, DeJong S, Arnett JK, Kennedy K, Franklin JO, Berbarie RF Tags: Proc (Bayl Univ Med Cent) Source Type: research

Electrocardiogram in a 28-year-old woman with dyspnea on exertion.
PMID: 24982570 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Glancy DL, Lopez FA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Avocations: photograph by dr. Solis.
Authors: PMID: 24982571 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Fat in the ventricular septum.
Abstract Described herein is a 68-year-old man who underwent cardiac transplantation for severe chronic heart failure resulting from ischemic cardiomyopathy. Examination of the excised heart showed not only extensive left ventricular scarring but also a huge collection of adipose tissue in the subepicardial region and surprisingly also in the ventricular septum. The finding of fat in the ventricular septum is extremely rare and prompted this report. PMID: 24982572 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Donaldson EE, Ko JM, Kuiper JJ, Chamogeorgakis T, Roberts WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Sudden flare of rheumatoid arthritis associated with newly diagnosed atrial flutter.
We present an 89-year-old woman with newly diagnosed atrial flutter associated with a flare of her rheumatoid arthritis (RA). She had a history of diet-controlled type 2 diabetes mellitus, hypertension, and RA and presented with lightheadedness and worsening hand pain. She was found to be in new atrial flutter with rapid ventricular response and to have an active RA flare. In addition to adequate atrial flutter rate control, her RA flare was managed by adding hydroxychloroquine and doubling her existing methotrexate dose. PMID: 24982573 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Vaduganathan M, Auslander JN Tags: Proc (Bayl Univ Med Cent) Source Type: research

Adult T-cell leukemia/lymphoma.
We describe a man with de novo adult T-cell leukemia/lymphoma and discuss the unique clinical, morphologic, immunophenotypic, and molecular features of this entity. PMID: 24982574 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Graham RL, Burch M, Krause JR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Avocations: photograph by dr. Rosenthal.
Authors: PMID: 24982575 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Malignant rhabdoid tumor of the kidney arising in an adult patient.
We present the case of a 60-year-old man with an MRT arising in the left kidney with extensive pulmonary micrometastases and thromboembolism resulting in thrombotic pulmonary microangiopathy (pulmonary tumor embolism syndrome). MRT is an extremely aggressive neoplasm with a short survival time. PMID: 24982576 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Podduturi V, Campa-Thompson MM, Zhou XJ, Guileyardo JM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Spontaneous complete remission of angioimmunoblastic T-cell lymphoma.
We present a case of AITL that went into spontaneous remission, an uncommon occurrence. PMID: 24982577 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Humeniuk MS, Liang JJ, Howard M, Inwards DJ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Myeloid sarcoma as the presenting symptom of chronic myelogenous leukemia blast crisis.
We present a case of a myeloid sarcoma presenting in an otherwise asymptomatic patient who ultimately was found to have chronic myelogenous leukemia, presenting in blast crisis. We also review the distinct clinical and pathologic features of myeloid sarcoma, as well as treatment of the disease. PMID: 24982578 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Levy RA, Mardones MA, Burch MM, Krause JR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Acute lymphocytic leukemia with superimposed invasive aspergillosis and pneumopericardium successfully treated with voriconazole.
We present a 47-year-old man with acute lymphocytic leukemia with a pericardial friction rub heralding pericardial aspergillosis. The clinical course was complicated by pneumopericardium, likely secondary to a direct connection between the lung parenchyma and the pericardial space. Bronchoalveolar lavage cultures returned positive for methicillin-resistant Staphylococcus aureus and Aspergillus niger. Combination voriconazole and vancomycin resulted in symptomatic improvement within 2 weeks of hospitalization. PMID: 24982579 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Alviar CL, Doherty B, Vaduganathan M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Clinical and morphologic findings in disseminated Scedosporium apiospermum infections in immunocompromised patients.
We present two patients with fatal disseminated S. apiospermum infections after bone marrow and lung transplantation. This infection can be rapidly fatal, and survival may be improved by early recognition. PMID: 24982580 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Campa-Thompson MM, West JA, Guileyardo JM, Spak CW, Sloan LM, Beal SG Tags: Proc (Bayl Univ Med Cent) Source Type: research

Leptospirosis with acute liver injury.
Abstract A 61-year-old man with no significant medical history presented with fever, muscle pain, and weakness. He was found to be in multiorgan failure due to leptospirosis, a condition known as Weil's disease. A timely workup, combined with early initiation of antibiotics, led to effective treatment for this patient. PMID: 24982581 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Wysocki J, Liu Y, Shores N Tags: Proc (Bayl Univ Med Cent) Source Type: research

Torus palatinus.
PMID: 24982582 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Vaduganathan M, Marciscano AE, Olson KR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Baylor news.
Authors: PMID: 24982583 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

James Walter Fleshman Jr., MD: a conversation with the editor.
PMID: 24982584 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Fleshman JW, Roberts WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Gluten free-dom: my journey to becoming an unintentional expert.
PMID: 24982585 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Hoyt AM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Myron G. Sandifer Jr.: 1943 valedictorian and student body president at Davidson College.
PMID: 24982586 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Lathan SR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Environmental cleaning behavior: embedding and spreading best practice.
PMID: 24982587 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Walsh K Tags: Proc (Bayl Univ Med Cent) Source Type: research

Is coronary vasospasm really the cause of Takotsubo syndrome?
PMID: 24982588 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Authors: Madias JE Tags: Proc (Bayl Univ Med Cent) Source Type: research

Facts and ideas from anywhere.
Authors: PMID: 24982589 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2014 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Validation of Rules of Two™ as a paradigm for assessing asthma control.
In conclusion, Ro2 identifies patients with uncontrolled asthma as well as ACT and may be useful to the primary assessing clinician in determining asthma control. PMID: 24688181 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Millard M, Hart M, Barnes S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Impact of a surveillance screening program on rates of methicillin-resistant Staphylococcus aureus infections with a comparison of surgical versus nonsurgical patients.
Abstract Methicillin-resistant Staphylococcus aureus (MRSA) is a significant cause of health care-associated infection. The overall effectiveness of surveillance screening programs is not well established. A retrospective cohort study was performed to evaluate the impact of a surveillance screening program on the rates of health care-associated MRSA infection (HA-MRSA-I) at a single institution. A subset of surgical patients was analyzed separately. Multivariate regression techniques were used to identify predictors of the desired outcomes. The overall MRSA infection rate was 1.3% in the before cohort and 3.2% in ...
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Jennings A, Bennett M, Fisher T, Cook A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Improving hospital staff compliance with environmental cleaning behavior.
Abstract Reducing the incidence of healthcare-associated infections requires proper environmental cleanliness of frequently touched objects within the hospital environment. An intervention was launched in June 2012 and repeated in February 2013 and August 2013 to increase hospital room cleanliness with repeated education and training of nursing and environmental services staff to reduce healthcare-associated infections at Cook Children's Medical Center. Random rooms were tested, staff were trained about proper cleaning, rooms were retested for surface cleanliness, and preintervention and postintervention values we...
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Ramphal L, Suzuki S, McCracken IM, Addai A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Ethnic disparities in the prevalence of the metabolic syndrome in American adults: data from the Examination of National Health and Nutrition Examination Survey 1999-2010.
Abstract Data from the National Health and Nutrition Examination Survey were stratified by weight, gender, and ethnicity for six survey years from 1999 to 2010 for variables that satisfy the criteria for metabolic syndrome (MS). Results showed that 34% of the US adult population had MS. No significant gender disparities in MS prevalence were found. Black men had a significantly lower prevalence of MS than Black women and White men from 1999 to 2008 (P
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Ramphal L, Zhang J, Suzuki S Tags: Proc (Bayl Univ Med Cent) Source Type: research

A cohort analysis of the cardiovascular risk factors in the employees of a pediatric hospital from 2009 to 2012.
Abstract A retrospective longitudinal cohort regression analysis was completed in 853 of the 3435 employees of Cook Children's Hospital who participated all 4 years (2009 to 2012) in an employer wellness program. The presence of the metabolic syndrome (MS) was used as an outcome measure for the success of the wellness program. Data were stratified by weight, gender, and ethnicity. The odds ratios and regression analysis showed a significant decline in MS over the 4 years of the study (P = 0.008), as well as a significant association between MS and obesity and overweight status (P
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Ramphal L, Zhang J, Suzuki S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Factors affecting adherence to a quality improvement checklist on an inpatient hepatology service.
Abstract Given the increasing emphasis on measuring quality indicators such as adherence to practice guidelines, we sought to determine the factors and address the barriers affecting guideline adherence on an academic inpatient hepatology service. We performed a single-center, prospective observational study. Physicians were given a handheld checklist to complete daily. We first measured the adherence rate and studied factors affecting adherence by performing surveys. We then modified the program to address the factors affecting adherence and reassessed the adherence rate. There was a baseline 46% checklist adhere...
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Tapper EB, Lai M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Characteristics of Native Americans with HIV and implications for care.
Abstract Limited data have been published about HIV infections and response to antiretroviral therapy in the Native American population. We reviewed baseline characteristics of 112 Native American patients to determine if there were any shared characteristics that would dictate the best treatment for this population. Metabolic diseases and psychiatric disorders were common findings among our patients. Native American patients should be monitored and screened as appropriate for comorbid conditions, and these disease states should be considered when choosing an antiretroviral regimen. PMID: 24688187 [PubMed] (S...
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Connel C, Stroup JS, Stephens JR, Martin E Tags: Proc (Bayl Univ Med Cent) Source Type: research

Comparison of the frequency and level of serum total cholesterol >300 mg/dL in patients at the same Texas hospital in a single month in 1993 and in 2013.
Comparison of the frequency and level of serum total cholesterol>300 mg/dL in patients at the same Texas hospital in a single month in 1993 and in 2013. Proc (Bayl Univ Med Cent). 2014 Apr;27(2):106-7 Authors: Roberts WC, Ko JM, Benavides R Abstract The clinical pathology laboratory database of a large tertiary hospital in Dallas, Texas, was searched for patients having a serum total cholesterol> 300 mg in a single month in 1993 and in 2013. In September 1993, 63 patients had a serum total cholesterol> 300 mg/dL (range 302-1515 [mean 431, median 349]), and in September 2013, 12 patients had s...
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Roberts WC, Ko JM, Benavides R Tags: Proc (Bayl Univ Med Cent) Source Type: research

Opsoclonus myoclonus syndrome: an unusual presentation for West Nile virus encephalitis.
We report a case of opsoclonus myoclonus syndrome attributed to WNV and its clinical course after treatment with a combination of steroids and intravenous immunoglobulin. Our objective is to highlight opsoclonus myoclonus syndrome as a potential manifestation of WNV encephalitis. PMID: 24688189 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Afzal A, Ashraf S, Shamim S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Fatal Clostridium septicum infection in a patient with a hematological malignancy.
Abstract A 49-year-old woman with acute myeloid transformation of myelodysplastic syndrome was admitted with mild erythema and pain in the right thigh and left forearm. She was doing well and had been discharged the previous day after consolidation chemotherapy. Examination showed only mild erythema and tenderness of the right thigh. She was started on broad-spectrum antibiotics. Discoloration progressed rapidly, and within hours the right femoral and left brachial pulses were not palpable. She was taken to the operating room for a suspicion of embolic arterial occlusion. Surgical incision, however, revealed exten...
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Panikkath R, Konala V, Panikkath D, Umyarova E, Hardwicke F Tags: Proc (Bayl Univ Med Cent) Source Type: research

Bilateral diaphragmatic paralysis associated with the use of the tumor necrosis factor-alpha inhibitor adalimumab.
Abstract A 51-year-old woman was referred for evaluation of progressive dyspnea of 3 months- duration. She had received 3 doses of adalimumab for treatment of rheumatoid arthritis prior to the onset of her dyspnea. Her chest examination revealed absent diaphragmatic movement with inspiration. Spirometry showed a severe restrictive defect. Radiologic studies confirmed the diagnosis of bilateral diaphragmatic paralysis. Laboratory and radiologic workup excluded other possible causes of the diagnosis. Adalimumab was discontinued, and she was treated with bilevel positive airway pressure ventilation and intravenous im...
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Benjamin MM, Martin AW, Rosenblatt RL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Celiac artery disease and fatal rupture of a hepatic artery aneurysm in the Ehlers-Danlos syndrome.
We present a case of a Caucasian man who presented with abdominal pain and was found to have a spontaneous celiac artery dissection. Genetic analysis revealed a mutation consistent with Ehlers-Danlos syndrome type IV. The patient died 2 months later from a spontaneous rupture of his hepatic artery. PMID: 24688192 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Nat A, George T, Mak G, Sharma A, Nat A, Lebel R Tags: Proc (Bayl Univ Med Cent) Source Type: research