Facts and ideas from anywhere.
PMID: 30949013 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2018 Category: Universities & Medical Training Authors: Roberts WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

RETRACTED ARTICLE: Primary central nervous system high-grade B-cell lymphoma, with rearrangements of MYC and BCL6.
Authors: PMID: 30949014 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2018 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Utility of venous blood gases in severe sepsis and septic shock.
In conclusion, adequate correlation and agreement between ABG/pVBG, ABG/cVBG, and pVBG/cVBG comparisons was found only for pH. The current level of evidence does not support the use of venous blood gas sampling in this setting. PMID: 29904286 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: White HD, Vazquez-Sandoval A, Quiroga PF, Song J, Jones SF, Arroliga AC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Prognostic value of serum lipase levels in patients with small bowel obstruction.
Abstract Elevated serum pancreatic enzymes have been described among patients with small bowel obstruction (SBO) initially misdiagnosed as having pancreatitis. We studied whether serum lipase elevation carries prognostic value in patients with SBO. Patients with SBO and at least one serum lipase level measured were included. Demographic, laboratory, and imaging information, as well as need for surgery or intensive care unit and mortality, were evaluated. Of 344 patients, 38 (11%) had elevated serum lipase levels. Patients with radiographic diagnosis of pancreatitis were excluded. Patients with elevated lipase had ...
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Kamil Faiz FZ, Mehrabian S, Saad M, Aisenberg GM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Frequency of atrial arrhythmias after atrial flutter ablation and the effect of presenting rhythm on the day of ablation.
This study explored the difference in the occurrence of spontaneous AA after AFl ablation as a function of the patient's presenting rhythm on the day of the AFl ablation. A retrospective study of consecutive patients who underwent AFl ablation at Baylor University Medical Center at Dallas was performed. A total of 188 subjects were included; 50% (94) presented in AFl (Group AFl) on the day of the ablation procedure and 94 presented in sinus rhythm (SR; Group SR). Group AFl patients were older (P
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Vasudevan A, Hundae A, Borodge D, McCullough PA, Wells PJ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Identifying suspected familial chylomicronemia syndrome.
Abstract Familial chylomicronemia syndrome (FCS) is a rare lipid disorder posing significant clinical burdens on patients. Due to its rarity, variety of presentations, and lack of universal diagnostic criteria, patients see an average of five physicians before diagnosis. We screened adults for a triglyceride level ≥1000 mg/dL from September 2015 to September 2016 and a history of pancreatitis and performed a thorough chart review on those who met the criteria. An adjudication panel used a definition that also called for supportive information including history of hypertriglyceridemia or family history of p...
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Rengarajan R, McCullough PA, Chowdhury A, Tecson KM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Intraabdominal pressure in women during CrossFit exercises and the effect of age and parity.
Abstract To determine intraabdominal pressure (IAP) in women during CrossFit and to determine whether parity, age, or CrossFit experience affects IAP during CrossFit exercises, we evaluated 10 women: 5 experienced and active CrossFitters and 5 who were not regularly engaged in CrossFit. A Laborie urodynamics abdominal pressure probe with the Goby wireless system measured IAP during 10 repetitions of 13 different CrossFit exercises. Women had a mean age of 36 years. A significant difference was found between mean peak IAP of the 5 parous vs the 5 nulliparous women (P = 0.009). Experience with CrossFit did not ...
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Gephart LF, Doersch KM, Reyes M, Kuehl TJ, Danford JM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Medical and psychosocial needs of the Puerto Rican people after Hurricane Maria.
Abstract A community clinic in Puerto Rico, the Bantiox Clinic, was developed to serve the medical needs of Toa Baja and the surrounding communities after Hurricanes Irma and Maria in response to an urgent need for medical treatment of the community residents. Within 4 months, the clinic had 4941 total visits. The Toa Baja residents used the clinic more than the offsite residents. Certain offsite towns needed medical care more than others, suggesting a lack of medical access in the mountainous areas. Elderly patients with chronic diseases were served more than younger patients. Hypertension, diabetes, and med...
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Ramphal L Tags: Proc (Bayl Univ Med Cent) Source Type: research

Chronic peritoneal indwelling catheters for the management of malignant and nonmalignant ascites.
In conclusion, indwelling peritoneal catheters are an effective alternative to paracentesis for palliation in patients with refractory ascites. Peritonitis is a definite risk in patients with nonmalignant ascites in whom prolonged use is expected. PMID: 29904292 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Caldwell J, Edriss H, Nugent K Tags: Proc (Bayl Univ Med Cent) Source Type: research

AH-7921: A review of previously published reports.
Abstract AH-7921 is a synthetic opioid that was developed in the early 1970s. It has resulted in several fatal and nonfatal intoxications, despite not having approval from the US Food and Drug Administration. To date, AH-7921 is listed as a schedule I drug, and there have been no clinical trials exploring the safety of AH-7921. Herein, we provide an analysis of existing case reports available in the literature regarding AH-7921. We searched PubMed, Scopus, Web of Science, and EBSCO for articles (up until December 2017) using the terms "AH-7921" and "AH7921." In total, 48 articles were identifie...
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Rambaran KA, Amin ZM, Fleming SW, Chacko L, Alzghari SK Tags: Proc (Bayl Univ Med Cent) Source Type: research

Pathogens transmitted in red blood cell transfusions: An up-to-date table.
PMID: 29904294 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Fred HL, Thangam M, Aisenberg GM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Deaths associated with insertion of nasogastric tubes for enteral nutrition in the medical intensive care unit: Clinical and autopsy findings.
Abstract It is generally assumed that blind insertion of nasogastric tubes for enteral nutrition in patients admitted to medical intensive care units is safe; that is, does not result in life-threatening injury. If death occurs in temporal association with insertion of a nasogastric tube, caregivers typically attribute it to underlying diseases, with little or no consideration of iatrogenic death due to tube insertion. The clinical and autopsy results in three recent cases at Baylor University Medical Center challenge the validity of these notions. PMID: 29904295 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Smith AL, Santa Ana CA, Fordtran JS, Guileyardo JM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Splenic abscess complicating endoscopic retrograde cholangiopancreatography.
We present a case of splenic abscess as a probable complication following endoscopic retrograde cholangiopancreatography (ERCP). Based on a literature review, there have been 11 documented cases of splenic injury following ERCP; however, only one of those involved splenic abscess. Proposed mechanisms of injury and abscess are likely a combination of complicating factors, including manipulation of the endoscope in patients with a history of chronic pancreatitis and/or previous abdominal surgeries. PMID: 29904296 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Haneke T, Widmer AJ, Metting A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Enterohemorrhagic colitis with disseminated intravascular coagulation.
We present a case of pediatric enterohemorrhagic colitis leading to disseminated intravascular coagulation and patient demise. PMID: 29904297 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Taroyan G, Juergens AL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Acute kidney injury and undiagnosed immunoglobulin A nephropathy after dabigatran therapy.
We report a case of a man who resumed dabigatran after 6 weeks of prior therapy and began experiencing hematuria with worsening kidney function. Renal biopsy with immunofluorescence and electron microscopy showed mesangial deposits consistent with immunoglobulin A nephropathy. With discontinuation of dabigatran and addition of methylprednisolone, the gross hematuria cleared and urine output improved. PMID: 29904298 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Jansky L, Mukkamala P, Jebakumar D, Rao A, Goldson TM, Forjuoh SN Tags: Proc (Bayl Univ Med Cent) Source Type: research

Cholesterolosis as a cause of acute pancreatitis.
Abstract Acute pancreatitis is an inflammatory condition of the pancreas manifesting with abdominal pain and elevated serum levels of pancreatic enzymes. Gallstones and chronic alcohol use are the most commonly described causes. A less studied cause is cholesterolosis, gallbladder polyps that cause mechanical obstruction of the sphincter of Oddi. Here, we present the case of a 55-year-old woman who presented with acute pancreatitis and was found to have cholesterol polyps in her gallbladder with no evidence of gallstones. The patient underwent cholecystectomy with complete resolution of her symptoms. PMID: 29...
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: De Armas RE, Rosenberg JM, Fenves AZ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Chylous ascites as a complication of intraabdominal Mycobacterium avium complex immune reconstitution inflammatory syndrome.
Abstract Chylous ascites is an uncommon finding of triglyceride-rich lymph in the peritoneal cavity. There are a variety of reported etiologies for chylous ascites; however, the reporting of chylous ascites among AIDS/HIV-positive patients is quite uncommon. This finding as a complication of immune reconstitution inflammatory syndrome is even more unusual. Here we report a case of an HIV-positive man with a history of colonic Mycobacterium avium complex who developed chylous ascites in the setting of increasing CD4 counts and decreasing viral load, suggestive of immune reconstitution inflammatory syndrome. PM...
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Dean RK, Subedi R, Karkee A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Flecainide toxicity in renal failure.
We present a case of flecainide toxicity in the setting of renal impairment that was successfully treated with intravenous sodium bicarbonate. PMID: 29904301 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Subedi R, Dean RK, Chaudhary A, Szombathy T Tags: Proc (Bayl Univ Med Cent) Source Type: research

Acute heart failure related to a large left atrial myxoma.
We present a 49-year-old man with no history of cardiovascular disease who was admitted to our hospital with pulmonary edema. He was in atrial fibrillation with rapid ventricular response. Echocardiography showed a 10.5-cm left atrial myxoma, which had been asymptomatic until the onset of congestive heart failure in the presence of severe left ventricular systolic dysfunction. Left ventricular inflow obstruction associated with the giant atrial mass could not be the only cause for acute heart failure. PMID: 29904302 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Chiariello GA, Bruno P, Colizzi C, Pavone N, Nesta M, Cammertoni F, Mazza A, Posteraro A, Perri G, Massetti M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Anabolic androgenic steroid-induced acute myocardial infarction with multiorgan failure.
We describe a case of AAS-induced multisystem failure following an extensive history of abuse in a 41-year-old bodybuilder. Furthermore, we review pertinent literature and discuss the different pathophysiologic mechanisms through which AAS affect the heart and other organs. This case points to the possibility of multiorgan involvement and severe cardiac effects of AAS abuse in young individuals who may not have any past medical history. PMID: 29904303 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Flo FJ, Kanu O, Teleb M, Chen Y, Siddiqui T Tags: Proc (Bayl Univ Med Cent) Source Type: research

Unusual electrocardiogram in a man with chest pain.
PMID: 29904304 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Glancy DL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Successful reperfusion of bilateral middle cerebral artery embolic occlusions using stent retriever thrombectomy.
Abstract A 40-year-old woman presented to our stroke center for a left middle cerebral artery embolic occlusion. This was successfully treated with mechanical thrombectomy using a stent retriever and balloon guide catheter aspiration. The patient was discharged home in good condition on clopidogrel but returned 2 months later with a contralateral right middle cerebral artery embolic occlusion. This was also successfully treated, this time with a stent retriever and local aspiration (Sol-Arc technique). She was once again discharged in good condition but with warfarin and an implanted loop recorder. This case ...
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Miller A, Onofrio A, Graybeal D, Mir O, Linebarger MB, Layton KF Tags: Proc (Bayl Univ Med Cent) Source Type: research

Balloon occlusion technique for embolization of unselectable hemorrhaging pelvic arteries in the setting of traumatic pelvic fractures.
This report describes a balloon occlusion technique utilized in the setting of an unselectable hemorrhaging obturator artery. PMID: 29904306 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Gipson S, Weissenborn M, Bell C, Rees C Tags: Proc (Bayl Univ Med Cent) Source Type: research

Disseminated infection to immune activation.
Abstract A 61-year-old woman with rheumatoid arthritis on chronic immunosuppression presented with fever. Laboratory studies demonstrated multiorgan failure with pancytopenia, elevation in liver function studies, and an elevated ferritin level, with a diagnosis of hemophagocytic lymphohistiocytosis confirmed on bone marrow biopsy. After initial treatment with chemotherapy, fungal blood cultures grew Histoplasma, prompting initiation of antifungal therapy, which resulted in successful treatment of Histoplasma-associated hemophagocytic lymphohistiocytosis. PMID: 29904307 [PubMed] (Source: Baylor University Medi...
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Yeager J, Krenzer B Tags: Proc (Bayl Univ Med Cent) Source Type: research

Histiocytoid Sweet syndrome successfully treated with etanercept.
We report the first case of a 34-year-old woman with histiocytoid Sweet syndrome (HSS) that was successfully treated with etanercept. HSS is a rare histological variant of acute febrile neutrophilic dermatosis that was described by Requena et al in 2005. It is distinguished by dermal infiltration by mononuclear cells with a histiocytic morphology. To date there are three reported cases of the use of etanercept in the treatment of classic febrile neutrophilic dermatosis but none targeting this disease variant. Our patient presented with a 6-month history of scattered erythematous papules on the neck, trunk, and upper and lo...
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Watson IT, Haugh I, Gardner AR, Menter MA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Hemophagocytic lymphohistiocytosis.
Abstract Hemophagocytic lymphohistiocytosis (HLH) is a rare syndrome of widespread inflammation due to massive amounts of cytokines released from activated macrophages. The most common trigger for HLH is infection from a virus, most commonly Epstein-Barr virus. Here we report an adult case of this rare and life-threatening syndrome. PMID: 29904309 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Gowarty J, Oda J, Cable C Tags: Proc (Bayl Univ Med Cent) Source Type: research

Dramatic response to cyclin D-dependent kinase 4/6 inhibitor in refractory poorly differentiated neuroendocrine carcinoma of the breast.
We present a patient with high-grade neuroendocrine carcinoma of the breast who had a successful and durable response to the cyclin D-dependent kinase (CDK) 4/6 inhibitor palbociclib in conjunction with endocrine therapy. This patient was refractory to commonly used platinum-based chemotherapy as well as hormone-based treatment. To date, this is the first published case of use of CDK 4/6 inhibitor in primary neuroendocrine carcinoma of the breast. PMID: 29904310 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Shanks A, Choi J, Karur V Tags: Proc (Bayl Univ Med Cent) Source Type: research

Jelly from the belly button: What's the diagnosis?
PMID: 29904311 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Fred HL, Aisenberg GM, Guthrie AM, van Dijk HA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Secondary involvement of the gastrointestinal tract by renal cell carcinoma.
Abstract Secondary involvement of the gastrointestinal (GI) tract by renal cell carcinoma is rare. We undertook a retrospective review of our institution's pathology records from January 2006 to July 2017 and identified eight cases of GI tract involvement by renal cell carcinoma. Sites of involvement included stomach, duodenum, jejunum, ileum, and cecum. Pertinent clinical information was obtained from electronic medical records. The interval from primary resection to identification of GI involvement was often prolonged, averaging 6 years, and mimicked primary GI tract malignancies, with presentations includi...
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Grosser DS, Huang H Tags: Proc (Bayl Univ Med Cent) Source Type: research

Basal cell carcinoma and malignant melanoma cutaneous collision tumor.
We present a 67-year-old man with a suspicious-appearing lesion on the right forearm; initial biopsy was consistent with a pigmented basal cell carcinoma. On re-excision, a collision of malignant melanoma and basal cell was identified. PMID: 29904313 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Green R, Woody M, Soldano AC, Madden E Tags: Proc (Bayl Univ Med Cent) Source Type: research

Cutaneous toxicity of oral low-dose methotrexate.
Abstract Chemotherapy-induced acral erythema has been a known side effect of intravenous dosing but has not been reported with oral therapy. Herein we describe two patients receiving treatment with low-dose oral methotrexate who presented with acral erythema. Clinicians and rheumatologists should be aware of this potentially serious side effect of oral chemotherapy in various patient populations. This complication related to methotrexate, though rare, should be anticipated in patients on multiple medications who develop mucocutaneous toxicities. PMID: 29904314 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Jalandhara P, Kaeley G Tags: Proc (Bayl Univ Med Cent) Source Type: research

Nontypical Salmonella meningitis in an infant.
Abstract A previously healthy 3-month-old girl was admitted to the hospital after 1 day of fever, decreased oral intake, irritability, lethargy, and decreased activity. Examination disclosed a bulging anterior fontanelle, tachycardia (heart rate of 160 beats/minute), and urate crystals in her diaper. Lumbar puncture revealed meningitis. She was treated with broad-spectrum antibiotics and fluids. A urine culture was negative, but blood and cerebrospinal fluid cultures came back positive for Salmonella species, nontyphoid. During her hospitalization, she developed seizures but quickly improved with treatme...
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Truong TN, McGilvery TN, Goldson TM, Forjuoh SN Tags: Proc (Bayl Univ Med Cent) Source Type: research

Usefulness of stellate ganglion block for refractory angina pectoris.
We describe a patient with refractory AP who underwent a successful stellate ganglion block for symptom control. PMID: 29904316 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Lo JC, Nguyen D, Matthews TK Tags: Proc (Bayl Univ Med Cent) Source Type: research

Rapid and complete vision loss due to idiopathic orbital inflammation with partial recovery following orbital decompression.
We present a case of a 36-year-old man who developed rapid onset of proptosis and orbital compartment syndrome resulting in no light perception vision. He was treated with surgery and subsequent rituximab therapy with some recovery of vision and motility. Though the range of presentations of idiopathic orbital inflammation is broad, such rapid evolution of proptosis with complete vision loss is very uncommon. PMID: 29904317 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Vrcek I, Wotipka E, Somogyi M, Nakra T Tags: Proc (Bayl Univ Med Cent) Source Type: research

Baylor Scott & White Health news.
Baylor Scott & White Health news. Proc (Bayl Univ Med Cent). 2018 Jul;31(3):376-377 Authors: PMID: 29904318 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Atrial flutter: A smoking gun for atrial fibrillation.
PMID: 29904319 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Banchs JE Tags: Proc (Bayl Univ Med Cent) Source Type: research

Facilitators and barriers to ad hoc team performance.
This article discusses facilitators and barriers to effective functioning of ad hoc teams. Communication, conflict management, power, and leadership are areas that either serve as facilitators or barriers to positive team function. In addition to discussing these aspects, solutions and recommendations from practice are shared. Solutions include data about successful teams, communication in those teams, and data about how to improve education and team training. These practical applications can be applied in practice to improve team functioning. Finally, we recommend that additional research be conducted in the area of ad ho...
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: White BAA, Eklund A, McNeal T, Hochhalter A, Arroliga AC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Zero.
PMID: 29904321 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Michel J Tags: Proc (Bayl Univ Med Cent) Source Type: research

A young woman with a symptomatic patent foramen ovale: Natasha's fascinating story.
Abstract A young Amerasian woman developed transient ischemic attacks related to a patent foramen ovale. Her background personal story, involving being willed from her dying grandmother to a US photographer and attempting to find her serviceman father, has led to a book and a TED talk. PMID: 29904322 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Cantwell JD Tags: Proc (Bayl Univ Med Cent) Source Type: research

Facts and ideas from anywhere.
PMID: 29904323 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Roberts WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Comparison of outcomes in patients with intracranial hemorrhage on factor Xa inhibitors versus vitamin K antagonists treated with 4-factor prothrombin complex concentrate.
In conclusion, this small sample of patients with oral factor Xa inhibitor and vitamin K antagonist-associated intracranial hemorrhage treated with 4F-PCC had similar mortality and neurological outcomes, with no venous thromboembolic events. PMID: 29706805 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Harrison SK, Garrett JS, Kohman KN, Kline JA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Factors associated with emergency room visits within 30  days of outpatient foot and ankle surgeries.
Factors associated with emergency room visits within 30 days of outpatient foot and ankle surgeries. Proc (Bayl Univ Med Cent). 2018 Apr;31(2):157-160 Authors: Shibuya N, Patel H, Graney C, Jupiter DC Abstract The number of emergency department (ED) visits within 30 days after elective surgery has been utilized as a quality measure by many institutions. The significance of the measure as a postoperative complication in foot and ankle surgery, and risk factors for it, are unknown. We conducted a retrospective cohort study involving 386 patients to determine risk factors associated with ED vis...
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Shibuya N, Patel H, Graney C, Jupiter DC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Frequency of psychological distress in gynecologic cancer patients seen in a large urban medical center.
This study focused on gynecologic cancers. Using the Distress Thermometer and the Hospital Anxiety and Depression Scale, this study examined distress levels in 94 women with gynecologic cancer who were being treated as outpatients at a large urban medical center. The distress levels in this sample were lower than in comparable studies, raising questions about openness to reporting distress. Those who reported higher levels of distress were more likely to also report a mental health diagnosis or psychiatric medication. This suggests that an alternate form for distress screening may involve inquiring about mental health trea...
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Cassedy HF, Tucker C, Hynan LS, Phillips R, Adams C, Zimmerman MR, Pitts S, Miltenberger P, Stringer CA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Time trends for bacterial species and resistance patterns in semen in patients undergoing evaluation for male infertility.
Abstract Semen from asymptomatic men who are being evaluated as male partners in interfile couples have been reported to contain a variety of bacteria. Longitudinal studies of the variation of these bacteria over time and their resistance patterns have not been commonly reported. At our institution, residues from semen samples are routinely evaluated for bacteria, including antibiotic sensitivity profiles. We set out to profile the changes in semen bacteria and antibiotic resistance at our institution over time. A total of 72 semen isolates were examined for type of bacteria and sensitivity to a panel of antibioti...
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Machen GL, Bird ET, Brown ML, Ingalsbe DA, East MM, Reyes M, Kuehl TJ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Effect of intravenous infusion dead space on time to drug delivery in infants.
Abstract Infusion dead space is the internal volume of a catheter and tubing through which a fluid must pass before reaching a patient's intravenous space. It is a factor in time to delivery for intravenous administration and can be significant, depending on the volume and rate of infusion. A 10-kg infant was simulated, receiving an epinephrine infusion with a concentration of 20 mcg/mL at a rate of 0.1 mcg/kg/min, which equals 3 mL/h. Commonly used pediatric intravenous equipment was selected. The tubing was flushed with a dyed solution. The setup was connected to 24- and 22-gauge catheters, with a...
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Gregerson BG, Larsen AL, Kelly SM, Sonnier JD, Juergens AL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Novel renal biomarker evaluation for early detection of acute kidney injury after transcatheter aortic valve implantation.
Abstract Acute kidney injury (AKI) following transcatheter aortic valve implantation (TAVI) is associated with increased morbidity and mortality. The biomarkers neutrophil gelatinase-associated lipocalin (NGAL), kidney injury molecule-1 (KIM-1), and interleukin-18 (IL-18) are predictive of AKI after cardiac surgery, but there is little data regarding these biomarkers after TAVI. We evaluated the associations between NGAL, KIM-1, and IL-18 levels and the incidence and severity of AKI and changes in serum creatinine after TAVI. This was a prospective pilot study of 66 TAVI cases. Urinary biomarkers were measured at ...
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Arsalan M, Ungchusri E, Farkas R, Johnson M, Kim RJ, Filardo G, Pollock BD, Szerlip M, Mack MJ, Holper EM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Use of neuromuscular blocking agents in acute respiratory distress syndrome.
This article focuses on the utilization of neuromuscular blocking agents in this entity. In particular, we briefly review the mechanism of action of neuromuscular blockades, the latest published evidence supporting their use in acute respiratory distress syndrome, and current recommendations for their utilization in clinical practice. PMID: 29706811 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Tsai-Nguyen G, Modrykamien AM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Usefulness of alirocumab and evolocumab for the treatment of patients with diabetic dyslipidemia.
Abstract In 2015, the US Food and Drug Administration (FDA) approved the anti-proprotein convertase subtilsin/kexin type 9 (PCSK9) monoclonal antibodies, alirocumab and evolocumab, to treat patients with hypercholesterolemia and mixed dyslipidemia. Since then, considerable attention has been paid to the use of these monoclonal antibodies for the treatment of diabetic dyslipidemia with a goal of reducing the risk for cardiovascular disease. Recently, consensus statements on the clinical use of PCSK9 inhibitors in patients with type 2 diabetes mellitus, who are unable to achieve the goal of low-density lipoprotein cholesterol (
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Zhang J, Tecson KM, Rocha NA, McCullough PA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Dramatic change in cerebral oximetry during liver transplantation.
We report dramatic changes in bilateral cerebral tissue oxygenation in a patient undergoing an orthotopic liver transplant coincident with clamping and subsequent restoration of flow through the inferior vena cava. Although hemodynamic stability was maintained with low-dose vasopressor support, cardiac output was decreased, suggesting preload dependence of the measured cerebral oxygenation. Further investigation is warranted in patients with end-stage liver disease and interruption of venous return. PMID: 29706813 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Ghebremichael SJ, Sridhar S, Guzman-Reyes S, Pivalizza EG Tags: Proc (Bayl Univ Med Cent) Source Type: research

Proliferative glomerulonephritis with monoclonal immunoglobulin deposits of lambda chains.
We describe a type of MGRS with proliferative glomerular lesions with monoclonal immunoglobulin deposits of rarely reported IgG2 lambda chains. PMID: 29706814 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Panezai MA, Zhang P, Colbert GB Tags: Proc (Bayl Univ Med Cent) Source Type: research