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.

Noninvasive ventilation during procedural sedation in the ED: a case series

Abstract: Given this information, although the authors reported that 100% of patients had elevated CRP and the elevated CRP was used to rule in serositis, we propose that, in SLE, the CRP level is not as sensitive as it would appear here. Thus, the physicianmust be aware of this complex relationship, knowing that the predictive value of an elevated conventional CRP assay on SLE disease activity and cardiovascular risk is still limited at present. Secondly, we comment on the frequent occurrence of coexisting pericardial and pleural effusions in SLE disease presentation. This correlation was explained by the authors as a generalized serositis. In SLE, the pathogenesis of serositis is thought to involve immune complex deposition stimulating an inflammatory reaction [5]. Although this can simultaneously affect both the pleura and pericardium, we draw attention to the fact that outside of autoimmune serositis, there is a strong link between pericardial disease and pleural effusion, in particular, a predominantly left-sided effusion [6,7]. It would be interesting for the authors to have reported if the coexistent pleural effusions were predominantly left sided. This little-known association is clinically important for emergency physicians. The finding of increased transverse cardiac diameter and a left-sided pleural effusion on imaging should arouse suspicion of pericardial disease. This can be an early clue to a pericardial effusion, which can otherwise be silently progressing to tamponade physiology. Furthermore, this association is important to recognize as a small pericardial effusion in existence with a large pleural effusion can produce cardiac tamponade, which may actually resolve with pleural tap [8,9]. In conclusion, physicians must always consider SLE as a differential in patients presentingwith cardiac symptoms in the appropriate clinical context. This involves appropriate laboratory investigations, with cautious interpretation of CRP levels, and remembering the link between pericardial and pleural effusions when interpreting imaging and instituting management.

Ganando Confianza: Research Focus Groups with Immigrant Mexican Mothers

Abstract: Immigrant families with children with developmental disabilities must be served using culturally sensitive approaches to service and research to maximize treatment benefits. In an effort to better understand cultural issues relevant to the provision of parenting programs for immigrant Mexican mothers of children with developmental disabilities, we conducted sustained focus groups through which we could learn more about our participants and thereby improve services. This paper reports on the challenges and lessons learned from these groups. We characterize the key lessons as (a) recruitment and retention is more than agreement to participate; (b) confidentiality is not just a word but an activity; (c) the complicated nature of language; (d) cultural norms shape the group process; (e) appreciating the value of taking time; and (f) gender issues and group interaction. Service providers and researchers who work with Mexican families may benefit from our experiences as they promote and develop programs and projects in the developmental disabilities field.