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Anatomic View of Left Lateral Brain, 10 Shades of Gray by T. Nguyen
No full text9.5 x 12 Cross Stitchhttps://digitalscholar.lsuhsc.edu/art_med/1028/thumbnail.jp
Heart in a Jar #3 by O. Mipro
No full text17 x 14 Mixed Media: Glass, Metal and Painthttps://digitalscholar.lsuhsc.edu/art_med/1027/thumbnail.jp
Alternative Firing (Vase) by A. D. Hollenbach
No full text6 x 6.5 x 6.5 Glazed Ceramichttps://digitalscholar.lsuhsc.edu/art_med/1019/thumbnail.jp
Rhapsody in Purple & Gold by D. Loose
No full text10 x 20 Acrylic on Canvashttps://digitalscholar.lsuhsc.edu/art_med/1005/thumbnail.jp
Extracorporeal Membrane Oxygenation in Children with Pulmonary Atresia and Intact Ventricular Septum: Mortality and Associated Outcomes
No full textData on outcomes of extracorporeal membrane oxygenation (ECMO) are limited in patients with pulmonary atresia intact ventricular septum (PAIVS). The objective of this study was to describe the use of ECMO and the associated outcomes in patients with PAIVS. We retrospectively reviewed neonates with PAIVS who received ECMO between 2009 and 2019 in 19 US hospitals affiliated with the Collaborative Research for the Pediatric Cardiac Intensive Care Society (CoRe-PCICS). Patients who received ECMO were compared to those who did not and patients on ECMO who died were compared to those who survived by bivariate analysis and multivariable logistic regression. The predictive ability of a risk score for inpatient mortality (using beta coefficients) was assessed by receiver operator curve analysis. Of 295 identified patients, 32 (11%) were supported with extracorporeal membrane oxygenation. Of these, 15 (46%) experienced mortality. A higher left pulmonary artery z-score (beta coefficient 0.72) and the presence of ventriculocoronary connections by cardiac catheterization (beta coefficient 1.25) were associated with an increased risk of ECMO (p-value \u3c 0.01). The resulting risk score had an area under the curve of 0.71 (p-value 0.03) for the prediction of need for ECMO. In a multicenter cohort of patients with PAIVS, 11% received ECMO. Of those supported with ECMO, 46% experienced inpatient mortality. A higher left pulmonary artery z-score and the presence of ventriculocoronary connections appear to be risk factors for the use of ECMO
Our Big Year (10 Birds) by A. M. Jacobs
No full text30 x 30 Acrylic on Canvashttps://digitalscholar.lsuhsc.edu/art_med/1059/thumbnail.jp
Retreatability of Endosequence® BCS™ Hiflow Utilizing Both Chloroform and An Aqueous Solution
No full textPurpose: When RCT fails, retreatment of the case usually requires removal of the previous root canal fill (RCF). The aim of our research was to evaluate the retreatability of a root canal initially filled with gutta percha and EndoSequence® BCS™ HiFlow utilizing chloroform followed by 18% HCl, 18% HCl alone, chloroform alone or saline solution. Methods: 40 extracted single canal teeth were decoronated and obturated utilizing a single cone gutta percha technique and Endosequence BCS, stored one week in an incubator, and then we attempted to remove the previous RCF. Teeth were divided in 4 different groups (n=10). Canals were then cleaned using heat, rotary instruments, hand files and specific solutions. Group A - cleaned by using only saline solution, Group B - cleaned by using only chloroform solution, Group C - cleaned by using only 18% HCl solution, and Group D - cleaned by using chloroform + 18% HCl. Image J software was used to evaluate and quantify the amount of obturation material left in the canal after cleaning of the canals. Results: The pairwise comparison showed no significant difference between chloroform used alone and 18% HCl used alone (P = 0.82). However, chloroform + 18%HCl treatment showed a significant difference between chloroform alone (P = 0.026), 18% HCl alone (P = 0.021), and saline alone (0.003). Conclusion: The result of this study indicates that chloroform followed by 18% HCl was superior in removing the previous RCF Compared to the individual solutions used alone in canals filled with gutta-percha and BCS. However, regardless of the solution used, patency could be achieved
Higher incidence of dermatological immune-related adverse events in cancer patients treated with immune checkpoint inhibitors vs. other treatments: a TriNetX research network study
No full textNo risk of major adverse cardiovascular events after Mohs surgery using a large national database
No full textFilling the tank: A multicenter investigation of trauma survival after ultramassive transfusion
No full textINTRODUCTION: Ultramassive transfusion (UMT), transfusion of ≥ 20U of red blood cell products in the first 24 hours, is rare, requires significant resource utilization, and is associated with high mortality. The aim of this study was to describe the characteristics of trauma patients undergoing UMT and determine patterns associated with survival after UMT. METHODS: This retrospective, multicenter analysis from 11 high-volume trauma centers included traumatically injured patients older than 14 years who received UMT from 2016 to 2024. Demographic, clinical, and outcome data were obtained and compared between survivors and nonsurvivors. The primary outcome was survival with secondary outcome of need for specific operative interventions. RESULTS: A total of 1,155 patients received UMT with a mortality rate of 62.9%. Between survivors and nonsurvivors, there was no difference in mechanism of injury. Survivors presented were tachycardic (120 vs. 98 beats per minute, p \u3c 0.001) and had a higher initial Glasgow Coma Scale score (14 vs. 3, p \u3c 0.001), higher initial platelet count (189 vs. 149 103/μL, p \u3c 0.001), and smaller initial base deficit (8 vs. 11.8 mmol/L, p \u3c 0.001). Survivors underwent more extremity explorations (25.2% vs. 14.4%, p \u3c 0.001) and had more extremity vascular injuries (22.9% vs. 13.2%, p \u3c 0.001). The odds of mortality increased with age (odds ratio [OR], 1.026; 95% confidence interval [CI], 1.015-1.037; p \u3c 0.001), Injury Severity Score (OR, 1.025; 95% CI, 1.013-1.036; p \u3c 0.001), initial lactate (OR, 1.119; 95% CI, 1.079-1.161; p \u3c 0.001), and emergency department thoracotomy (OR, 3.92; 95% CI, 2.129-7.223; p \u3c 0.001). The odds of mortality decreased with higher Glasgow Coma Scale score (OR, 0.93; 95% CI, 0.897-0.962; p \u3c 0.001), heart rate (OR, 0.995; 95% CI, 0.990-0.9997; p = 0.04), and initial platelet count (OR, 0.998; 95% CI, 0.996-0.999; p = 0.04). CONCLUSION: This study affirms known factors influencing mortality in UMT and describes new patterns associated with reduced mortality including higher initial heart rate, extremity exploration, and concomitant extremity vascular injury. These findings can inform clinical decision making in the care of this challenging patient population. LEVEL OF EVIDENCE: Therapeutic/Care Management; Level III