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 child with palpable supraclavicular node.

Abstract: L ymphadenopathy is a common clinical finding in pediatric emergency department and is frequently benign. We report a case of young child with lymphoma who presented with isolated supraclavicular node enlargement with anterior mediastinal mass. This report underscores the need to consider a malignant etiology in the evaluation of cervical lymphadenopathy. A rapid algorithm to evaluate cervical lymphadenopathy is outlined. We believe that this case illustrates the use of a chest radiograph when confronted with supraclavicular adenopathy.

Visual Diagnosis: 7-year-old Girl With Swelling in the Arm

Abstract: 1. Shahnawaz M. Amdani, MBBS, MD* 2. Magda Mendez, MD* 1. *Department of Pediatrics, Lincoln Medical and Mental Health Center, Bronx, NY.

Behind the Scenes of Successful Research in Emergency Medicine: Nine Tips for Junior Investigators.

Abstract: Education related to clinical research often focuses on methodology, statistics, ethics, and study design. While knowledge of these conventional skills is essential to the operationalization of research, many "soft" skills related to leadership, communication, and team management are critical to the successful conduct research in the real world. Conducting clinical research in the emergency department is generally a challenging endeavor. Based on our prior experience as clinical researchers and a narrative review of the published literature, we offer nine practical strategies to help junior investigators conduct research. To successfully execute a research study, investigators must know how to motivate their team, create a brand around their study, communicate effectively, maximize clinician and patient engagement, and celebrate victory, among other skills. These skills and strategies are often missing from the formal research education and in peer-reviewed manuscripts but are, in fact, invaluable to the successful development of junior investigators. Thus, we offer the "story behind the study" in an effort to contribute to research education with material that is not typically covered in formal curricula.

An Important Cause of Child and Youth Homelessness.

Abstract: PEDIATRIC QUALITY MEASURES An Important Cause of Child and Youth Homelessness To the Editor There is a preconception that children who participate in activities outside the standard regulations of a stable household are predominantly juvenile delinquents.1 Embleton et al2 present a large, generalized study with statistical depth that illuminates the environmental factors giving rise to millions of displaced children. The study emphasizes that children do not just become involved in “street life” because of an innate delinquency.3 Rather, children are a product of their experiences, particularly those experiences that expose them to psychosocial disruption and inhibited child development. Within the study, extensive analysis reveals that poverty, family conflict, and abuse are major identifying factors that predispose children to displacement and inadequate living conditions.2 Although these are significant risk factors, the study overlooks the effect of childhood mental illness on decision making because participants were not screened for mental illness prior to inclusion in this study. This screening is important because in a meta-analysis performed by Bassuk et al,4 10% to 26% of homeless preschoolers and 24% to 40% of homeless school-aged children have mental health problems requiring clinical evaluation. By not screening for mental illness prior to the study, the authors overlook mental illness as a substantial contributor to poor insight. This is particularly relevant when considering how mental illness may affect the participants’ responses to the study questions. Therefore, to obtain more accurate results, study participants must be screened for mental illness, and those with mental illness should be taken into special consideration on account of impaired decision making. It is increasingly important to understand that children are being socially excluded, criminalized, and oppressed owing to preconceived notions that they are delinquents by nature,2 and those who are mentally ill are no exception. Although significant data have not been gathered to determine whether early prevention will decrease the number of children participating in “street life,” it would be negligent of us as clinicians to not consider the effect that psychological development and resulting mental illness have on decision making in impressionable youth. With more accurate studies, we may better ensure childhood success and break the cycle of child homelessness.