Institution
Lincoln Hospital
Healthcare•New York, New York, United States•
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.
Papers published on a yearly basis
Papers
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TL;DR: This study demonstrates that a low risk educational intervention aimed at use of an alternative device use can reduce restraint use and evaluates nurses' perceptions regarding restraints.
27 citations
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TL;DR: Thrombotic thrombocytopenic purpura is a life-threatening hematological emergency which must be diagnosed and treated in a timely manner and in refractory cases there are few reports in the literature that show the efficacy of cyclophosphamide.
Abstract: BACKGROUND Thrombotic thrombocytopenic purpura (TTP) is one of the thrombotic microangiopathic (TMA) syndromes, caused by severely reduced activity of the vWF-cleaving protease ADAMTS13. Systemic lupus erythematosus (SLE), on the other hand, is an autoimmune disease that affects various organs in the body, including the hematopoietic system. SLE can present with TMA, and differentiating between SLE and TTP in those cases can be very challenging, particularly in patients with no prior history of SLE. Furthermore, an association between these 2 diseases has been described in the literature, with most of the TTP cases occurring after the diagnosis of SLE. In rare cases, TTP may precede the diagnosis of SLE or occur concurrently. CASE REPORT We present a case of a previously healthy 34-year-old female who presented with dizziness and flu-like symptoms and was found to have thrombocytopenia, hemolytic anemia, and schistocytes in the peripheral smear. She was subsequently diagnosed with TTP and started on plasmapheresis and high-dose steroids, but without a sustained response. A diagnosis of refractory TTP was made, and she was transferred to our facility for further management. Initially, the patient was started on rituximab, but her condition continued to deteriorate, with worsening thrombocytopenia. Later, she also fulfilled the Systemic Lupus International Collaborating Clinics (SLICC) criteria for diagnosis of SLE. Treatment of TTP in SLE patients is generally similar to that in the general population, but in refractory cases there are few reports in the literature that show the efficacy of cyclophosphamide. We started our patient on cyclophosphamide and noticed a sustained improvement in the platelet count in the following weeks. CONCLUSIONS Thrombotic thrombocytopenic purpura is a life-threatening hematological emergency which must be diagnosed and treated in a timely manner. Refractory cases of TTP have been described in the literature, but without clear evidence-based guidelines for its management, and is solely based on expert opinion and previous case reports. Further studies are needed to establish guidelines for its management. We present this case to highlight the role that cyclophosphamide might carry in those cases and to be a foundation for these future studies.
27 citations
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TL;DR: It is suggested that clinicians consider models of shared decision‐making (SDM) for their potential ability to improve the treatment of major depression in the primary care setting and overcome limitations of collaborative care and other interventions.
Abstract: Objective
We suggest that clinicians consider models of shared decision-making (SDM) for their potential ability to improve the treatment of major depression in the primary care setting and overcome limitations of collaborative care and other interventions.
Methods
We explore the characteristics and techniques of patient–clinician SDM, with particular emphasis on this model's relevance to the unique treatment concerns of depressed older adults.
Results
We describe a SDM intervention to engage older adults in depression treatment in the primary care sector.
Conclusions
It is timely to examine SDM models for elderly depressed primary care patients given their potential ability to improve treatment adherence and clinical outcomes. Copyright © 2009 John Wiley & Sons, Ltd.
27 citations
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TL;DR: Patient classification appears to be a valuable tool in evaluating the benefit of ED thoracotomy, and "Scoop and run" in the urban setting with rapid transport capability may be superior to pre-hospital stabilization of victims of penetrating thoracic trauma.
Abstract: In 18 months, 44 patients underwent thoracotomy in an emergency department (ED) for penetrating thoracic injuries. Of 14 patients resuscitated, seven (50%) survived, and all were neurologically intact. Patients were classified according to the quality of signs of life in transit or upon arrival at the ED. Identical survival rates of 29% were noted for patients in Group I (profound shock) and in Group II (agonal), with survival at 14% for individuals in Group III ("dead" on arrival). There were no survivors among patients in Group IV ("dead" on the scene), and ED thoracotomy, in the authors' opinion, is fruitless in this group. In Groups I, II, and III, total salvage from cardiac injuries was six of 24 patients (25%), and for those with non-cardiac injuries, it was one of 11 (9%). The rate of survival from cardiac stab wounds in Groups I, II, and III, was five of 16 (31%) and one of eight (13%) for gunshot wounds. Five of the seven survivors (71%) arrived at the ED by rapid transport without the benefit of any pre-hospital life support. Patient classification appears to be a valuable tool in evaluating the benefit of ED thoracotomy. The neurological status of all survivors and pertinent transportation data should be included in all future studies of ED thoracotomy. "Scoop and run" in the urban setting with rapid transport capability may be superior to pre-hospital stabilization of victims of penetrating thoracic trauma.
27 citations
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TL;DR: The Andrianne mini-jupette is a feasible adjunct to IPP placement that can be used for subsets of patients with post-RP climacturia and/or minimal incontinence and the promising results demonstrated.
27 citations
Authors
Showing all 1035 results
Name | H-index | Papers | Citations |
---|---|---|---|
Gbenga Ogedegbe | 61 | 333 | 17984 |
Kathryn Anastos | 59 | 351 | 13391 |
Marios Loukas | 54 | 885 | 13823 |
Sharon Nachman | 47 | 180 | 7199 |
Stephen J. Peterson | 34 | 118 | 3778 |
Miklos F. Losonczy | 31 | 65 | 3057 |
Stephen T. Chasen | 30 | 163 | 2855 |
Theodore J. Gaeta | 28 | 78 | 3239 |
Vikram Paruchuri | 23 | 43 | 1863 |
Henrietta Kotlus Rosenberg | 23 | 96 | 1622 |
Enrica Marchi | 22 | 76 | 1968 |
Harsh Grewal | 22 | 63 | 1448 |
R. R. Ivatury | 21 | 33 | 1956 |
Alicia Mangram | 21 | 55 | 1177 |
Edward J. Brown | 20 | 46 | 6877 |