Lincoln Hospital

About: Lincoln Hospital is a healthcare organization based out in New York, New York, United States. It is known for research contribution in the topics: Population & Emergency department. The organization has 1033 authors who have published 929 publications receiving 14486 citations. The organization is also known as: Lincoln Medical and Mental Health Center & Lincoln Hospital.

Gardner’s syndrome: a case report

Abstract: Gardner's syndrome (GS) is a dysplasia characterized by neoformations of the intestine, soft tissue, and osseous tissue. Because extra-intestinal manifestations, in particular osteomas, appear promptly even in infants affected with the syndrome and because of the possibility of malignant degeneration, the presence of osteomas necessitates regular surveillance to promptly diagnose the development of an intestinal polyposis typical of GS. This study describes a case of GS diagnosed merely upon suspicion of the existence of the syndrome in a patient who came to our Emergency Department. The study also emphasizes the importance not only of carrying out regular surveillance investigations to ascertain the presence of GS (colonoscopy), but also studying the relatives of any patient with GS, in light of the fact that this particular dysplasia is transmitted genetically.

The Top Most-Cited and Influential Published Articles in Atrial Fibrillation from 1900 to 2019.

Abstract: Citation classics are widely being implemented in the field of medical and scientific research assessment. The frequency of citation of a particular article is used to gauge its contribution and impact on the clinical world of practice and research. A thorough search of the literature showed a lack of bibliometric analysis on atrial fibrillation (AF). Thereby the main purpose of this study is to pinpoint the trend of the top 100 cited articles on AF. In June 2019, 2 databases, Scopus and Web of Science, were used to acquire the articles published on AF, which belonged to various genres including medicine, medical and interventional cardiology, electrophysiology, and thoracic surgery. The data were thoroughly reviewed and analyzed by 2 reviewers with regards to the number of citations for each article, publications per area, document type, first author name, country of origin, institute of origin, and year of publication. Approval of the Institutional Board Review was not required as we used publically available data retrospectively. The number of citations in the top 100 articles ranged from 622 to 6,641 times with an average citation of 1041.3 per article. The most significant number of articles was published in the year 2004 which ranged up to 11 in total. All the articles are published in 21 English language journals. In these 100 articles, the most were from the United States (n = 63) followed by Canada (n = 24), and other countries (n = 17). The top 5 institutions include McMaster University (n = 9), Institut de Cardiologie de Montreal (n = 8), Population Health Research Institute (n = 8), Harvard Medical School (n = 7), and Mayo Clinic (n = 7). In conclusion, authors seeking to publish a highly referenced article on AF will be determined by source journal, the language of publication, geographic origin, methodology, or research outcome.

A proposal for selective resuscitation of adult cardiac arrest patients in a pandemic.

Abstract: Allocation of limited resources in pandemics begs for ethical guidance. The issue of ventilator allocation in pandemics has been reviewed by many medical ethicists, but as localities activate crisis standards of care, and health care workers are infected from patient exposure, the decision to pursue cardiopulmonary resuscitation (CPR) must also be examined to better balance the increased risks to healthcare personnel with the very low resuscitation rates of patients infected with coronavirus disease 2019 (COVID-19) . A crisis standard of care that is equitable, transparent, and mindful of both human and physical resources will lessen the impact on society in this era of COVID-19. This paper builds on previous work of ventilator allocation in pandemic crises to propose a literature-based, justice-informed ethical framework for selecting treatment options for CPR. The pandemic affects regions differently over time, so these suggested guidelines may require adaptation to local practice variations.

The impact of assisted reproductive technology on prenatally diagnosed fetal growth restriction in dichorionic twin pregnancies.

Abstract: Objective Whether the use of assisted reproductive technologies (ART) affects the outcome of twin pregnancies is still a matter of debate. Previous studies have evaluated the association between birth weight and ART, without a clear distinction between fetal growth restriction (FGR), a condition at higher risk of adverse outcome, and constitutionally small for gestational age (SGA) fetuses. The aim of this study was to determine whether dichorionic (DC) twin pregnancies obtained by ART have a greater risk of developing FGR, defined by accurate ultrasound criteria, than those spontaneously conceived (SC), and to compare the severity of ultrasound features in the growth restricted fetuses. Methods A retrospective study was conducted on DC twin pregnancies delivered between 2010 to 2018 at a tertiary hospital. Twin pregnancies conceived spontaneously were compared with those obtained via in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI), after exclusion of cases with major fetal or uterine malformations. The primary outcome was the incidence of FGR. Secondary outcome was the rate of SGA neonates, defined by a birth weight less than the 10th percentile. The ultrasound characteristics of the growth restricted fetuses in the two groups were also compared. The groups were compared using univariate and multivariate analyses. Results Six hundred and seventy-eight DC twin pregnancies were identified. Of these, 367 (54.1%) conceived via IVF/ICSI and 311 (45.9%) conceived spontaneously. The incidence of FGR was not significantly different between the ART and the SC groups (7.9% vs 8.4% respectively, p = 0.76, adjusted OR 0.84, 95% CI 0.53-1.32). Growth restricted fetuses of the two groups showed similar occurrence of an estimated fetal weight less than the 3rd percentile, similar abnormalities in Doppler studies and similar gestational age at diagnosis. There was no difference in the incidence of delivery of an SGA neonate (p = 0.47) or in the rate of maternal complications and preterm delivery between the groups. Conclusions Twin pregnancies conceived by assisted reproductive technologies do not have a higher risk of ultrasound-diagnosed FGR than spontaneously conceived twin pregnancies, and fetuses diagnosed with growth restriction in the two groups show similar severity of the ultrasound findings.

Abdominal pain-an uncommon cause.

Abstract: CASE This 9-year-old female presented to the emergency department with a 3-week history of intermittent but frequent ‘‘stomach pain’’ with vomiting. Before this, she had been in good health but had been seen previously for the same reason 1 week ago. She has been admitted twice for abdominal pain but did not have any surgery. The episodes of stomach pain were numerous and increasing in frequency. The father related that the child had a weight loss of almost 7 lb and also that her appetite and energy level had decreased. She also reported epigastric fullness especially after meals, which improved after vomiting. She has no fever, diarrhea, or jaundice. Before arriving at our emergency department, the patient sought help elsewhere and was diagnosed with constipation. After these encounters and evaluations, she was treated with stool softeners and rectal enema. Because nothing seemed to work, the parents brought the patient to our emergency department. She was also referred to psychiatry for evaluation of eating disorder. Upon arrival, the child appeared reasonably healthy but was pale and unenergetic. On physical examination, the patient weighed 27 kg (25th percentile), and her vital signs were unremarkable, with a temperature of 36.88C, heart rate of 100 beats per minute, respiratory rate of 26 breaths per minute, and blood pressure of 122/ 74 mm Hg. Her oxygen saturation was 97% on room air by pulse oximetry. The patient’s abdomen was not distended. There were no visible scars or peristalsis. Bowel sounds were normal. Palpation revealed diffuse mild tenderness in the lower abdomen. There is no guarding, rigidity, or rebound tenderness. No palpable masses, organomegaly, or hernias were found. Examination of the rectum revealed no tenderness, no stool in the vault, no masses, and no blood. The genitalia, Tanner stage 2, were normal. The extremities were normal. Neurologic findings were unremarkable. A complete blood count showed a leukocyte count of 5200/ mm, with a differential of 36% neutrophils, 52% lymphocytes, 8.6% monocytes, and 2.4% eosinophils; hemoglobin of 14 g/dL; hematocrit of 41%; and platelet count of 301,000/mm. Sodium concentration was 138 mEq/L; potassium, 3.2 mEq/L; chloride, 99 mEq/L; bicarbonate, 27 mEq/L; blood urea nitrogen, 3 mg/dL; creatinine, 0.6 mg/dL; and glucose, 133 mg/dL. Her amylase is 94 IU/L and lipase 21 IU/L. Results of the urinalysis were normal, and liver function test results were slightly elevated and abnormal. Chest radiography findings were within normal limits, and flat and upright views of the abdomen showed no free air, no air in the right upper or right middle quadrant, moderate amount of stool in the descending colon, and rectum without any evidence of obstruction. Ultrasound showed marked fluid distension of descending duodenum (Fig. 1) and loss of angle between the superior mesenteric artery and aorta (Fig. 2). Upper gastrointestinal (GI) tract series showed a narrow segment at the level of third portion of duodenum with evidence of proximal distension (Fig. 3).