11210 research outputs found
Sort by
Air emboli during neuroendovascular procedure treated with hyperbaric oxygen therapy
No full textAir embolism is a rare complication of endovascular procedures with hyperbaric oxygen therapy (HBOT) as a potential treatment. We report a male patient in his 40s presented to the emergency department with the following fluctuating symptoms: headache, aphasia, bilateral arm and hand weakness, numbness and blurry vision. Medical history included remote vertebral artery dissection, hypertension and tobacco use. Initial head CT was normal; CT angiogram revealed bilateral internal carotid artery dissections with significant stenosis. He was taken for emergent carotid intervention. During the intervention, the patient developed agitation, bradycardia and respiratory distress, necessitating intubation. Dyna CT revealed air emboli. HBOT was initiated, leading to complete resolution of air emboli and small haemorrhages after one session. Post-treatment, the patient showed neurological improvement, was extubated and later discharged with mild residual aphasia and dysarthria. This case underscores air emboli as a rare complication in the neurointerventional suite and highlights HBOT as a feasible treatment
Congenital melanocytic nevi
No full textCongenital melanocytic nevi are benign neoplasms, which present early in life at various anatomic locations with a variety of clinical presentations. When evaluating large or giant nevi, it\u27s important to use a multidisciplinary team and rule out comorbid conditions, such as neurocutaneous melanosis. Surgical interventions include direct excision, serial excision, and tissue expansion. For more complex lesions, tissue expansion is a versatile and effective option for many areas of the body. Most large or giant lesions require serial excision and long-term follow-up
Nursing Now, 2003 May - June
No full textAdvocate Christ Medical Center and Hope Children\u27s Hospital, Oak Lawn, IL: Internal newsletter publication written by nurses for nurses and published 6 times a year (bi-monthly). The mission of NURSING Now was to communicate, educate and motivate CMC nursing professionals towards continued excellence.https://institutionalrepository.aah.org/alldocuments/2119/thumbnail.jp
Nursing Now, 2007 July - August
No full textAdvocate Christ Medical Center and Hope Children\u27s Hospital, Oak Lawn, IL: Internal newsletter publication written by nurses for nurses and published 6 times a year (bi-monthly). The mission of NURSING Now was to communicate, educate and motivate CMC nursing professionals towards continued excellence.https://institutionalrepository.aah.org/alldocuments/2136/thumbnail.jp
Long COVID and new onset disability nearly two years after initial infection
No full textIntroduction:The objective of this study was to determine the prevalence of ongoing Long COVID symptoms and related disability in a population-based cohort nearly two years after SARS-CoV-2 infection.
Methods:Six domains of age-standardized disability (i.e., mobility, cognition, independent living, vision, hearing, self-care) were assessed by ongoing Long COVID status using cohort data from a population-based survey of adults with COVID-19 onset from March-December 2020 in Michigan. Baseline data were collected June 2020-October 2021 and follow-up data were collected January-November 2022. Associations between ongoing Long COVID and each domain of disability were also examined using adjusted modified Poisson regression models. Analyses were conducted 2024-2025.
Results:Nearly two years after initial infection, 24.0% of 1,547 respondents reported ongoing Long COVID symptoms. When comparing disability status four weeks prior to COVID-19 illness to the time of the follow-up survey, respondents with ongoing Long COVID symptoms had large increases in the prevalence of cognition (8.8% to 45.3%), mobility (12.7% to 40.0%), independent living (4.7% to 20.7%), and self-care (2.1% to 10.9%) disability, and more modest increases in the prevalence of vision and hearing disability. Respondents without ongoing Long COVID symptoms experienced smaller increases in disability prevalence. In regression models, ongoing Long COVID was associated with higher prevalence of all six disability domains.
Conclusions:The ongoing burden of Long COVID and related disability is substantial and warrants increased attention by the public health and medical communities
Robotic surgery for giant paraesophageal hernias: A promising approach to improved outcomes
No full textGiant paraesophageal hernias (GPEH) present challenges in management and surgical technique. Laparoscopic repair has been the gold standard for GPEH repair. Despite technical advances in laparoscopy, complications and recurrence remain high. The da Vinci Surgical System has emerged as a way to improve upon the gold standard. The objective of this study is to evaluate clinical outcomes of patients who underwent robotic GPEH repair in comparison to the clinical data in the literature on laparoscopic GPEH repair. We retrospectively reviewed patient records who underwent GPEH repair between November 2012 and February 2023 at a single high-volume tertiary care center. Perioperative data and patient outcomes were collected from a prospectively maintained database. Ninety-two patients underwent robotic GPEH repair. Sixty-seven had Type III hernias (72.8%) and twenty-five had Type IV hernias (27.2%). Four (4.3%) required conversion to open repair and two (2.2%) required reoperation for recurrence. Twelve (13.0%) experienced complications including one surgical complication (splenic laceration) and eleven medical complications (fever, ileus, pleural effusion, and heart failure exacerbation). There was no perioperative mortality. Mean operative time was 166.4 ± 29.5 min, and hospital stay was 5.8 ± 3.1 days. Obesity (BMI \u3e 30) was associated with higher complication and recurrence rates. Robotic GPEH repair demonstrates promising outcomes, with lower recurrence rates and fewer postoperative complications compared to published data on laparoscopic repair. While a randomized control trial is needed to substantiate these results, our data support that a robotic approach could become the standard of care for GPEH repair
2022-2025 PHM Resident Education Task Force co-lead, Society of Hospital Medicine National Collaborative
No full textGeneration of patient specific cardiac chamber models using generative neural networks under a Bayesian framework for electroanatomical mapping
No full textElectrode-based electrical stimulation underpins several clinical bioelectronic devices, including deep-brain stimulators1,2 and cardiac pacemakers3. However, leadless multisite stimulation is constrained by the technical difficulties and spatial-access limitations of electrode arrays. Optogenetics offers optically controlled random access with high spatiotemporal capabilities, but clinical translation poses challenges4-6. Here we show tunable spatiotemporal photostimulation of cardiac systems using a non-genetic platform based on semiconductor-enabled biomodulation interfaces. Through spatiotemporal profiling of photoelectrochemical currents, we assess the magnitude, precision, accuracy and resolution of photostimulation in four leadless silicon-based monolithic photoelectrochemical devices. We demonstrate the optoelectronic capabilities of the devices through optical overdrive pacing of cultured cardiomyocytes (CMs) targeting several regions and spatial extents, isolated rat hearts in a Langendorff apparatus, in vivo rat hearts in an ischaemia model and an in vivo mouse heart model with transthoracic optical pacing. We also perform the first, to our knowledge, optical override pacing and multisite pacing of a pig heart in vivo. Our systems are readily adaptable for minimally invasive clinical procedures using our custom endoscopic delivery device, with which we demonstrate closed-thoracic operations and endoscopic optical stimulation. Our results indicate the clinical potential of the leadless, lightweight and multisite photostimulation platform as a pacemaker in cardiac resynchronization therapy (CRT), in which lead-placement complications are common
A systematic review of case reports of new-onset atrial fibrillation in COVID-19 patients
No full textThe severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic posed a significant global public health challenge, affecting millions of individuals. While some COVID-19 patients remain asymptomatic, others experience severe complications, including multiorgan failure and death. Emerging evidence indicates that COVID-19 is associated with substantial cardiovascular complications, notably an increased risk of arrhythmias, with atrial fibrillation (AF) being particularly prevalent among hospitalized patients. This review analyzes case reports of new-onset AF in COVID-19 patients, synthesizing data on patient demographics, comorbidities, clinical presentations, and outcomes. The cases reviewed indicate that affected patients were predominantly male, covered a broad age range, and frequently had underlying conditions such as hypertension, type 2 diabetes mellitus, and hyperlipidemia. The main outcomes observed included a high incidence of severe complications such as ischemic stroke, acute respiratory failure, myocarditis, and heart failure. Mortality rates were notably elevated among patients with COVID-19-related AF, particularly in those requiring intensive care or mechanical ventilation. The findings emphasize the significant cardiovascular burden of COVID-19, with a focus on its association with increased AF risk. By integrating case-based evidence, this review highlights the complex interplay between COVID-19 and AF, underscoring the need for early recognition and targeted treatment strategies to mitigate cardiovascular complications and improve patient outcomes in this vulnerable population