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.

A Mild Laryngeal Cleft Causes Severe Symptoms.

Abstract: Diagnosis and treatment of laryngeal clefts (LCs) particularly type I pose a challenge. Although rare, type I LCs are becoming increasingly identified in recent years, and this is perhaps due to both an increased awareness and better diagnostic modalities. We report a young infant presenting with feeding difficulty and respiratory distress related to LC. The pertinent literature is also reviewed.

A Rare Case of a Life-Threatening Massive Upper Gastrointestinal Bleed and Airway Obstruction in a Patient With a Megaesophagus Secondary to Longstanding Achalasia.

Abstract: Achalasia is a relatively rare motor disorder characterized by esophageal aperistalsis and incomplete relaxation of the lower esophageal sphincter In only 10% of patients, untreated or poorly managed achalasia can progress to esophageal dilation and eventual loss of total functionality resulting in a characteristic sigmoid dolichomegaesopahagus In extremely rare instances, this sigmoid dolichomegaesopahagus can present clinically as acute airway obstruction or a fatal, life-threatening hemorrhage requiring immediate intervention We present the case of a 65-year-old female with a past medical history of long-standing achalasia who had complaints of shortness of breath, chest pain, and two episodes of life-threatening hematemesis requiring a blood transfusion An angiography illustrated significant distention of the esophagus occupying most of the right hemithorax and non-specific intraluminal fluid with a small amount of gas Emergent esophagogastroduodenoscopy showed fibrosis and necrosis of the esophageal mucosa with food debris, suggesting that the bleeding was likely coming from an ulcer caused by pressure necrosis The patient was hemodynamically unstable after the procedure and was transferred to another facility the next day for an esophagectomy Patients with achalasia have an increased susceptibility to develop pressure ulcers due to increased shear force on the esophageal wall, increased moisture of the esophageal wall from prolonged contact of food boluses, and underlying malnutrition and weight loss from the indigestion of food causing atrophy of the mucosal barriers The management of these ulcers is to treat and manage the underlying cause Although there are no curative treatments for achalasia, symptomatic relief through both surgical and medical therapies are the mainstay of management, with an esophagectomy reserved for refractory cases or in patients who develop end-stage complications

Mineral and Bone Metabolism Disorders in Minority Incident ESRD Patients in an Inner-City Hemodialysis Unit

Abstract: Background : Chronic kidney disease (CKD) predisposes patients to mineral and bone metabolism disorder (CKD- MBD), which is a well-known risk factor for increased mortality. Because Medical Evidence Form 2728 from the Centers for Medicare and Medicaid Services for incident end-stage renal disease (ESRD) patients does not require documentation of CKD-MBD markers, MBD status on incident patients remains unknown. Objective : Retrospective observational study to determine the prevalence of mineral and bone metabolism disorder in minority incident ESRD patients. Methods : We studied all incident ESRD patients in our hemodialysis unit between January 2000 and September 2008. Patients followed for less than three months were excluded. Target values for CKD stage 5 were defined as per 2003 Kidney Disease Outcome Quality Initiative guidelines. Results : One hundred seventy-four patients were stud- ied, with a mean age of 53.7±16.1 years, mean body mass index of 26.67±5.98 kg/m 2 , and mean estimated glomerular filtration rate of 6.7±4.03 mL/min/1.73m 2 . Mean lab values with one standard deviation were as follows: corrected calcium 8.5±1.3 mg/dL, serum albumin 3.05±0.77 g/dL, phosphorus 5.5±2.2 mg/dL, calcium-phosphorus product 46.7±18.5 mg 2 /dL 2 , and intact parathyroid hormone (iPTH) 440.9±397.8 pg/mL. Target values for cal- cium, phosphorus, calcium-phosphorus product, and iPTH were met in 34%, 42%, 72%, and 31% of the patients, respectively, while only 6% of the patients met all four target values. Conclusions : CKD-MBD is widely prevalent in minority incident dialysis patients at initiation of therapy. Its management continues to be a challenge and warrants early recognition and therapy in CKD patients.

Top Citations of Pediatric Emergency Medicine Publications in the Emergency Medicine Literature.

Abstract: OBJECTIVES The goal of this study was to identify and analyze the 100 most frequently cited journal articles pertaining to the field of pediatric emergency medicine (PEM) and published in emergency medicine (EM) peer-reviewed literature. METHODS The 3 databases, Scopus Library, Google Scholar, and Web of Science, were subjected to a search by topic, keyword, and publication journal to identify the 100 most frequently cited articles addressing PEM issues in the EM literature. Our search included articles published beginning in 1983 and ending in 2016. Median citation frequency, study topics within the specialty of PEM, years of publication, and countries of origin were each compiled and analyzed. Mean citation frequencies were used to rank the articles, which accounted for differences in the results among the 3 databases. Once organized into a list of the 100 most often cited articles in PEM, those with an outcome of the same mean citation frequency were ranked in alphabetical order, according to the initial letter of last name of the first author of the publication. RESULTS A ranking was created of the 100 most frequently cited articles in pediatric emergency medicine by the mean number of citations. Citation counts ranged from a high of 249 to a low of 71, with a median frequency of 101. The United States had 92 articles on the list, whereas the remainder was comprised of the following countries: Australia (3), Canada (3), Germany (1), and Spain (1). The most common topic areas (and their numbers) noted were related to resuscitation (23) and anesthesia (22). The most frequently cited 100 articles were all published between the years 1983 and 2010. Top publication years (and number of articles) included 2000 (11), 2002 (8), and 2003 (8). The years ranging from 1993 to 2005 covered 69% of published articles. Journals of publications (and article counts) were Annals of Emergency Medicine (69), Pediatric Emergency Care (15), Academic Emergency Medicine (12), and Resuscitation (4). CONCLUSIONS This analysis provides a review of citation frequency of top-cited PEM articles published in EM journals. This determines the influence of these PEM publications on the EM specialty. The importance of education on resuscitation and anesthesia topics in PEM was evident. Most of the articles were published more than 10 to 15 years ago, indicating that they could be considered landmarks in the subspecialty of PEM. This signifies their importance to other authors in this field, who chose to cite them as having created a significant impact on their own publications.