Facts and ideas from anywhere.
PMID: 31656450 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2019 Category: Universities & Medical Training Authors: Roberts WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Glycated hemoglobin, admission blood glucose delta, and associated mortality in patients with acute ST-segment elevation myocardial infarction.
Abstract The importance of glucose metabolism in patients with acute coronary syndrome has been increasingly recognized. We conducted a retrospective study of the associations between prior glycated hemoglobin (HbA1c) levels, admission glucose values, HbA1c-derived estimated average glucose levels (eAG), admission glucose delta (admission glucose - eAG), and mortality in patients presenting with ST-segment elevation myocardial infarction. A total of 676 and 566 patients were included in the in-hospital and 12-month mortality models, respectively. Mean admission blood glucose values were higher in the...
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Orellana-Barrios MA, Fries JW, Nugent K, Shurmur S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Sensitivity and specificity of the Vectraplex electrocardiogram system with a cardiac electric biomarker in the diagnosis of ST-elevation myocardial infarction.
Abstract ST-elevation myocardial infarction (STEMI) is a clinical diagnosis based on a compatible history and characteristic electrocardiographic changes. In the current era, STEMI is treated emergently with angiography, leading to percutaneous coronary intervention. However, false-positive electrocardiograms (ECGs) occur, resulting in unnecessary emergent catheterizations. We hypothesized that the Vectraplex cardiac electrical biomarker (CEB) would increase the specificity for the diagnosis of STEMI. We studied 50 patients who were identified by standard of care (clinical history, physical exam, and 12-lead ECG) ...
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Mixon TA, Hardegree E, Shah J, Grable M, Fikes W Tags: Proc (Bayl Univ Med Cent) Source Type: research

Use of a disease-specific mobile health application in the care of adults with congenital heart disease.
Abstract We completed a pilot study of a novel adult congenital heart disease-specific mobile application. Twenty-eight patients with congenital heart disease from across the US were identified by the Adult Congenital Heart Association, a patient advocacy organization. These patients were asked to complete a 6-month trial of the MyHeartApp mobile application (app), to use the app as part of their clinical care, and to complete a survey at the conclusion of the pilot period. We found that app use is potentially helpful in improving care quality with good ease of use and the potential to facilitate patient-provider ...
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Cedars A, Blackmore C Tags: Proc (Bayl Univ Med Cent) Source Type: research

Barriers to the utilization of genetic testing and genetic counseling in patients with suspected hereditary breast and ovarian cancers.
Abstract A heritable condition is the identified cause of cancer in 5% to 10% of women with breast cancer and in 25% of women with ovarian cancer. It is critical to identify patients at risk for inherited genetic mutations to implement risk-reducing screening and interventions; however, reports in the medical literature indicate that an alarming number of patients with inherited genetic mutations do not receive recommended genetic counseling, testing, or interventions. In order to improve outcomes for these high-risk patients, barriers to genetic testing and counseling must be identified. We analyzed approximately...
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Swink A, Nair A, Hoof P, Matthews A, Burden C, Johnson K, Blum JL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Comparison of melanoma incidence in metropolitan areas versus nonmetropolitan areas in the state of Texas stratified by poverty classification.
Abstract Numerous risk factors for the development of melanoma have been identified; however, there is conflicting research on whether residence in nonmetropolitan areas, with a population
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Azhar AF, Faheem S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Maternity homes and social support: A cross-sectional survey stratifying outcomes.
Abstract Poor social support is associated with adverse obstetric outcomes. Maternity group homes (MGHs), residential programs for pregnant women, have been found to improve social support in small studies. The present study aimed to verify these previous studies, discover whether there is a group of women whom MGHs most benefit, identify what services offer that benefit, and identify how to predict who will most benefit from MGH admission. Forty-three US MGHs from 14 states were surveyed from August 2015 to February 2017. The primary outcome was self-reported social support before and during MGH admission. The se...
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Buskmiller C, Columbus C, Gavard JA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Complications associated with the current sequential pharmacological management of early postnatal hypotension in extremely premature infants.
In conclusion, hypotensive extremely low-birth-weight infants treated with VI or with HCVI are susceptible to intraventricular-periventricular hemorrhage, bronchopulmonary dysplasia, and patent ductus arteriosus. Furthermore, those who receive inotropes are at risk for spontaneous intestinal perforation and ventriculomegaly. Maternal diabetes mellitus increases the occurrence of hypotension, which responds to VI. Maternal hypertension does not contribute to VI responsive and tends to decrease the occurrence of VI-refractory hypotension. PMID: 31384186 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Verma RP, Dasnadi S, Zhao Y, Chen HH Tags: Proc (Bayl Univ Med Cent) Source Type: research

Quality of YouTube patient information on prostate cancer screening.
In conclusion, the quality of information of YouTube videos on prostate cancer screening is low and the content is potentially misleading. PMID: 31384187 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Basnet B, Bhattarai S, Khanal A, Upadhyay M, Baruwal A Tags: Proc (Bayl Univ Med Cent) Source Type: research

A review of the anesthetic implications of marijuana use.
Abstract Marijuana, derived from plants of the genus Cannabis, is the most commonly used illicit drug in the United States. Marijuana is illegal at the federal level and remains a Drug Enforcement Agency Schedule 1 substance. Nevertheless, most states have passed less stringent legislation related to its use, ranging from decriminalization of possession to allowing medical or even recreational use, and some county and municipal law enforcement agencies have refrained from prosecuting personal possession and/or use even when statute would require such action. Therefore, as use of marijuana becomes more common in th...
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Alexander JC, Joshi GP Tags: Proc (Bayl Univ Med Cent) Source Type: research

New observations support William Osler's rationale for systemic bloodletting.
Abstract Bloodletting has been called William Osler's "blind spot," especially with respect to pneumonia. Also puzzling has been his endorsement of bleeding in selected cases of heatstroke. Recent clinical observations on pneumonia and, to a lesser extent, heatstroke lend support to Osler's rationale for bloodletting in these conditions. A 21st-century rationale now exists for all eight indications for systemic bloodletting listed by Osler in the first edition of his textbook, The Principles and Practice of Medicine (1892): treatment of acute heart failure (seven of the eight indications) or rapid loweri...
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Bryan CS Tags: Proc (Bayl Univ Med Cent) Source Type: research

Hydralazine-induced pericardial effusion.
In this report, we present another case of ANA-negative DIL secondary to hydralazine. PMID: 31384190 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Rahman MF, Panezai MA, Szerlip HM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Adventitial cystic disease of the popliteal artery.
We present two cases of ACD affecting the popliteal artery. PMID: 31384191 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Rendon R, Mannoia K, Shutze W Tags: Proc (Bayl Univ Med Cent) Source Type: research

Percutaneous transorbital embolization of a carotid cavernous fistula.
Abstract This case report highlights utilization of image-guided, percutaneous transorbital direct cavernous sinus puncture to embolize an anteriorly draining carotid cavernous fistula (CCF) when conventional transarterial and transvenous approaches were not feasible. An 86-year-old man with a known posterior draining CCF developed acute unilateral proptosis, pain, and vision loss ("red-eyed shunt"). Cerebral angiogram revealed the dural CCF to be draining anteriorly into partially thrombosed ophthalmic veins. After failed transarterial and transvenous attempts, a percutaneous transorbital approach was u...
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Lyons LJ, Smith SA, Diaz O, Diaz H, Vickers A, Prospero C, Lee AG Tags: Proc (Bayl Univ Med Cent) Source Type: research

Not-so-benign massive cardiac lipoma.
We report a case of a 60-year-old man with a cardiac lipoma diagnosed early in childhood. However, due to the lack of surgical expertise in rural India, the lipoma was not removed. After moving to the United States, he received irregular follow-up with serial chest x-ray and computed tomography, which demonstrated an enlarging lipomatous mass occupying the pericardial space. After remaining asymptomatic for more than 37 years, he presented to the hospital with dyspnea. He underwent a surgical resection but, unfortunately, given the extension of the mass into multiple critical portions of the heart, he ultimately died. ...
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Fan J, Le PTN, Ellington T, Jones BD Tags: Proc (Bayl Univ Med Cent) Source Type: research

Mitral stenosis produced by infective endocarditis involving a previously anatomically normal valve.
Abstract Described herein is a 63-year-old man who developed methicillin-sensitive Staphylococcus aureus endocarditis on a previously anatomically normal mitral valve. The resulting vegetations were so large that severe mitral stenosis resulted. The development of valve stenosis due exclusively to infective endocarditis is extremely rare. PMID: 31384194 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Roberts CS, Milligan GP, Stoler RC, Grayburn PA, Roberts WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Cardiovascular implantable electronic device infection with rapidly growing mycobacteria.
Abstract Cardiovascular implantable electronic devices, which are frequently utilized for many cardiovascular diseases, can become infected, leading to significant morbidity and mortality. This case highlights an unusual presentation of pacemaker generator pocket infection with Mycobacterium fortuitum. PMID: 31384195 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Jain H, Gada K, Yadava SK, Paolino K, Eranki A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Basal cell carcinoma within nevus sebaceous of the trunk.
We report the first case of an 82-year-old woman with five basal cell carcinomas within a large nevus sebaceous of the trunk. Nevus sebaceous of Jadassohn is a congenital cutaneous hamartoma affecting 0.3% of newborns. Clinical diagnosis is based on its distinctive hairless, orange-brown appearance. Up to 51% of nevus sebaceous may exhibit secondary neoplasia, and basal cell carcinoma is thought to occur in approximately 1% of lesions. Our patient presented with an asymptomatic, pigmented verrucous plaque on the upper right back that had been present since birth. Histopathology of concerning papules within the nevus sebace...
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Watson IT, DeCrescenzo A, Paek SY Tags: Proc (Bayl Univ Med Cent) Source Type: research

Diagnosis of Waldenstr öm macroglobulinemia.
Diagnosis of Waldenström macroglobulinemia. Proc (Bayl Univ Med Cent). 2019 Jul;32(3):394-396 Authors: Smith T, Wong M, Goldson TM, Forjuoh SN Abstract Waldenström macroglobulinemia is a rare disorder affecting about 1400 people annually in the United States. This case report reviews from a primary care provider's perspective the initial presentation of a patient who complained of fatigue and dizziness that ultimately led to hospital admission with a diagnosis of Waldenström macroglobulinemia. The referral to hematology/oncology prompting the bone marrow biopsy that led to the diagnosis...
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Smith T, Wong M, Goldson TM, Forjuoh SN Tags: Proc (Bayl Univ Med Cent) Source Type: research

Avocations.
PMID: 31384198 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Solis R Tags: Proc (Bayl Univ Med Cent) Source Type: research

Hereditary afibrinogenemia and pulmonary-renal hydralazine-induced vasculitis.
We present a case of a 62-year-old man with a history of hereditary afibrinogenemia who presented with hemoptysis and hematuria. Although he had prior episodes of hemoptysis that resolved with repletion of fibrinogen levels, a hydralazine-induced vasculitis was the ultimate cause of his recurrent hemoptysis and hematuria. Hydralazine was held and after transfusion with cryoprecipitate, he was treated with prednisone and rituximab. PMID: 31384199 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Tsai-Nguyen G, Modrykamien AM, Bredeweg A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Cribriform-morular variant of papillary thyroid carcinoma and its association with familial adenomatous polyposis.
Abstract The cribriform-morular variant of papillary thyroid carcinoma (CMV-PTC) is an uncommon variant of papillary thyroid carcinoma. CMV-PTC can be associated with familial adenomatous polyposis (FAP), an autosomal-dominant polyposis syndrome caused by a mutation in the APC gene that leads to a disruption of the Wnt/beta-catenin pathway. Understanding the relation between CMV-PTC and FAP is a diagnostic tool for both pathologists and clinicians, because FAP has several implications for patients and their families. PMID: 31384200 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Perez A, Findeis S, Agarwal A, Berry J, King K Tags: Proc (Bayl Univ Med Cent) Source Type: research

Myxoma versus myxoid liposarcoma involving the kidneys.
We present a case of a 74-year-old man who presented with an 8.5 × 8.0 × 6.0 cm left kidney mass that was grossly confined to the kidney and had a gelatinous cut surface. Histology of the tumor showed bland spindle cells in a myxoid stroma with interspersed thin-walled vessels. The tumor was negative for smooth muscle actin, desmin, CD34 (highlighted vessels), S100, and HMB-45 by immunohistochemistry. There was focal, nonspecific staining of MDM2 and CDK4. The lesion appeared more vascular than would be expected for a classic myxoma and, therefore, fluorescence in situ hybridi...
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Findeis SK, Salicru MN, Agarwal A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Magnetic resonance imaging as a diagnostic modality in a child with acute lymphoblastic leukemia.
We present a 2-year-old boy with bilateral foot pain that worsened over 6 months. X-rays of the feet showed no obvious abnormalities. Magnetic resonance imaging revealed abnormal bone marrow consistent with an infiltrative process. The patient was found to have precursor B-cell acute lymphoblastic leukemia. Cases such as these highlight the possible future use of magnetic resonance imaging in the early diagnostic workup for bone and muscle pain. PMID: 31384202 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Farhad N, Birkemeier K, Mallett LH Tags: Proc (Bayl Univ Med Cent) Source Type: research

Successful rigid bronchoscopic resection of recurrent pulmonary inflammatory myofibroblastic tumor after complete surgical resection.
We present a case of recurrent endobronchial inflammatory myofibroblastic tumor that was successfully treated endoscopically with rigid bronchoscopy and laser debulking without need for further surgical intervention. PMID: 31384203 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Waghchoure S, Bradley R, Sorrell M, Arya R Tags: Proc (Bayl Univ Med Cent) Source Type: research

Stent migration following treatment of pancreatic pseudocyst by cyst gastrostomy.
We present an uncommon case of self-expandable stent migration following endoscopic drainage of a pancreatic pseudocyst. PMID: 31384204 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Smith S, Ramirez P, Hinds A, Duggan R, Ramirez J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Strongyloidiasis hyperinfection after renal transplant presenting as diffuse alveolar hemorrhage with respiratory failure.
Abstract Strongyloides stercoralis is a helminthic enteric parasite estimated to infect at least 30 to 100 million people globally. It is transmitted via contaminated soil with a unique ability to complete its entire life cycle in the human host. It is common in humid, tropical, and subtropical regions of the world and is endemic in the Southeastern United States. Strongyloidiasis hyperinfection has been described in a variety of conditions that impair host immunity, including immunosuppression after transplantation. The syndrome has a high mortality rate but may initially present with nonspecific symptoms. A high...
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Hakeem I, Moritz C, Khan F, Garrett E, Narayanan M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Secondary adrenal insufficiency induced by long-term use of opioid analgesics.
We report a 41-year-old woman on chronic opioid therapy hospitalized for cardiovascular collapse following a right stellate ganglion nerve block. She developed severe hypotension after the procedure. Morning cortisol was low. The results from the cosyntropin test were consistent with secondary adrenal insufficiency. Her secondary adrenal insufficiency was likely due to long-term use of opioid analgesics for pain in the absence of other etiologies. PMID: 31384206 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Ali ES, Peiris AN Tags: Proc (Bayl Univ Med Cent) Source Type: research

Severe arthritis and tenosynovitis caused by immune checkpoint blockade therapy with pembrolizumab (anti-PD-1 antibody).
We describe two cases of severe inflammatory arthritis and tenosynovitis, which are rare adverse effects of pembrolizumab. Increased awareness of this manifestation is imperative to establish the diagnosis and initiate timely treatment. PMID: 31384207 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Jagpal A, Choudhary G, Chokr J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Atypical cutaneous and histological presentation of adult-onset Still's disease.
We describe a case of atypical AOSD and discuss recent literature on this different cutaneous and histological presentation. Our results add to the growing discussion on atypical AOSD and suggest that this presentation may have been underreported and more common than previously thought. PMID: 31384208 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Mian M, Fiore CT, Wilder E Tags: Proc (Bayl Univ Med Cent) Source Type: research

Baclofen-induced toxicity in renal disease with neurotoxicity and skin rash.
We present a case of accidental overdose of baclofen in a 58-year-old woman with intractable trigeminal neuralgia. She presented with baclofen neurotoxicity symptoms including confusion and tremors and had a morbilliform rash in the dorsum of both hands. This simultaneous presentation is rare and has never been reported. Her symptoms resolved after hemodialysis treatment. PMID: 31384209 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Pathak LK, Athavale A, Martinez I Tags: Proc (Bayl Univ Med Cent) Source Type: research

Urticaria multiforme in a 2-year-old girl.
We describe a 2-year-old girl who presented to the emergency department for a 2-day history of a rapidly spreading, pruritic, erythematous rash. There were large polycyclic annular erythematous wheals on the face, trunk, and extremities. Urticaria multiforme was diagnosed. Systemic antihistamine therapy greatly regressed the dermal lesions in 24 hours. Urticaria multiforme, a benign cutaneous hypersensitivity reaction, is commonly misdiagnosed as erythema multiforme or a serum sickness-like reaction. Our case highlights the importance of differentiating urticaria multiforme to prevent unnecessary tests and provide proper t...
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Gavin M, Sharp L, Stetson CL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Ischemic fasciitis in a debilitated older man.
We present the rare case of ischemic fasciitis in an elderly man with a history of Parkinson's disease. The patient presented with multiple subcutaneous masses on his lower back, ranging in size from 3 to 8 cm. Histopathologic evaluation showed areas of deep dermal and subcutaneous fibrinoid necrosis with granulation tissue-like vessels as well as reactive fibroblasts. The histopathologic presentation as well as the clinical presentation confirmed ischemic fasciitis as the etiology. Ischemic fasciitis, also called atypical decubital fibroplasia, is a rare entity characterized by a reactive, nonneoplastic proliferation of a...
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Gavin M, Sharp L, Atkins R, Tarbox M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Intrapartum leprosy.
Abstract Leprosy is caused by an infection with Mycobacterium leprae, an acid-fast, slow-growing, obligate intracellular rod-shaped bacillus. Intrapartum leprosy most commonly occurs in the third trimester of pregnancy. This is likely due to pregnancy decreasing cellular immunity, thus allowing the organism to proliferate unchecked. This case report reviews the current understanding of intrapartum leprosy and details the hospital course of a patient who presented with active intrapartum leprosy at 32 weeks gestation. PMID: 31384212 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Smoot M, Volkmer R, Roth C, Cornelius B Tags: Proc (Bayl Univ Med Cent) Source Type: research

Air embolism following peripheral intravenous access.
We present a case of symptomatic venous air embolism likely arising from peripheral intravenous access gained during an interventional pain procedure. This case highlights the need to consider air embolism in the differential diagnoses of patients presenting with neurological symptoms following vascular interventions. PMID: 31384213 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Vinan-Vega MN, Rahman MR, Thompson J, Ruppert MD, Patel RJ, Ismail A, Mousa S, Payne JD Tags: Proc (Bayl Univ Med Cent) Source Type: research

Orbitozygomatic approach for bullet retrieval from the temporal fossa.
We present a 34-year-old woman who received a gunshot wound through the right orbit, with the main bullet fragment lodging itself at the junction of the anteroinferior temporalis fossa and the skull base. We retrieved the fragment through an orbitozygomatic approach, where we dissected posterolaterally through the superior orbital fissure to reach the temporal fossa. Several smaller bullet fragments were also extracted along the way to the temporal fossa. The orbitozygomatic approach was particularly useful in this case due to the nature of the gunshot wound where the bullet had traversed through the globe and orbit to the...
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Cho SM, Cho D, Read-Fuller A, Vrcek I Tags: Proc (Bayl Univ Med Cent) Source Type: research

Surgical anesthesia for revision total hip arthroplasty with quadratus lumborum and fascia iliaca block.
We present a case in which surgical anesthesia was provided for revision of earlier total hip arthroplasty with quadratus lumborum and fascia iliaca blocks. We believe that this case is the first to be reported using this technique for this procedure. Our patient was a high-risk candidate for general and neuraxial anesthesia because of significant cardiac dysfunction and therapeutic anticoagulation. PMID: 31384215 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: de Haan JB, Hernandez N, Dean S, Sen S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Usefulness of a standing frame to improve contraversive pushing in a patient post-stroke in inpatient rehabilitation.
Abstract Despite the negative functional and financial implications of contraversive pushing (CoP) in the post-stroke population, little research has focused on improving this phenomenon more rapidly. A 58-year-old man was admitted to inpatient rehabilitation with a large frontoparietal intracerebral hemorrhage resulting in significant left hemiparesis and CoP. A standing frame protocol was implemented into standard care to improve CoP. The patient was assisted into a standing frame daily, and the Burke Lateropulsion Scale and Functional Independence Measure were tracked. Improvements in both outcome measures were...
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Gillespie J, Callender L, Driver S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Baylor Scott & White Health news.
Baylor Scott & White Health news. Proc (Bayl Univ Med Cent). 2019 Jul;32(3):443-445 Authors: PMID: 31384217 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Avoiding organizational silence and creating team dialogue.
PMID: 31384218 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: White BAA, Walker J, Arroliga AC Tags: Proc (Bayl Univ Med Cent) Source Type: research

The graduate medical educational enterprise.
PMID: 31384219 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Myers JD, Arroliga AC, White BAA, Janek H, Wesson DE Tags: Proc (Bayl Univ Med Cent) Source Type: research

Avocations.
PMID: 31384220 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Rosenthal J Tags: Proc (Bayl Univ Med Cent) Source Type: research

A medical student perspective on solutions for burnout.
PMID: 31384221 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Aufricht GR, Brewer JH, Culver AL, Fitzpatrick RA, Gottlich CP, Gregston AP, Hoang J, Watson IT, Iglesias JA, Pippen JE Tags: Proc (Bayl Univ Med Cent) Source Type: research

Sir William Osler: A forerunner of mindfulness in medical practice.
Abstract Increasing work hours, patient loads, and regulations have increased burnout among health care professionals, forcing many to neglect their own physical and emotional well-being. In response, several health care organizations are encouraging physicians to adopt mindfulness practices to reduce burnout and difficulties maintaining work-life balance. It is unclear whether mindfulness will improve health outcomes and patient satisfaction or will become another passing trend. With the stakes so high, this discussion should involve the founder of our modern education system, Sir William Osler. PMID: 313842...
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Kopel JJ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Electronic health records: Is mindfulness the solution?
PMID: 31384223 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Kopel J, Hier D, Thomas P Tags: Proc (Bayl Univ Med Cent) Source Type: research

Reflections on Hank Aaron.
PMID: 31384224 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Cantwell JD Tags: Proc (Bayl Univ Med Cent) Source Type: research

Adrian Ede Flatt (1921-2017).
PMID: 31384225 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Rizkalla JM, Polo F, Jones AL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Facts and ideas from anywhere.
PMID: 31384226 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2019 Category: Universities & Medical Training Authors: Roberts W Tags: Proc (Bayl Univ Med Cent) Source Type: research

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

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