Publications by authors named "B J Karam"
Background: Bedside thoracic ultrasound (US) offers numerous advantages over chest X-ray (CXR) for identification of recurrent pneumothoraces (PTX) after tube thoracostomy (TT) removal. Technologic advancements have led to the development of hand-held devices capable of producing high-quality images termed ultra-portable US (UPUS). We hypothesized that UPUS would be as successful as CXR in detecting post-TT removal PTX and would be preferred by patients.
View Article and Find Full Text PDFA newborn (5 h old) quarter horse colt was presented because of lethargy and severe abdominal distention. Uroperitoneum was suspected during initial workup, based on sonographic imaging and peritoneal fluid analysis. Definitive diagnosis was confirmed during exploratory celiotomy.
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- Recurrent pneumothorax (rPTX) is a common issue after removing thoracostomy tubes in chest trauma patients, and traditional chest X-rays (CXR) are used to detect it, but bedside ultrasound (UPUS) offers a low-cost, radiation-free alternative.
- A study with 92 patients aimed to determine the best timing for UPUS after tube removal, revealing that ultrasound performed at 3 hours post-removal had the highest sensitivity for detecting clinically concerning rPTX.
- The findings suggest that rPTX size stabilizes by 4 hours, indicating that if no symptoms are present, further imaging beyond this timeframe may not be necessary.*
Introduction: contributes significantly to the global issue of multidrug-resistant (MDR) nosocomial infections. Often, these strains demonstrate resistance to carbapenems (MDR-CRAB), the first-line treatment for infections instigated by MDR . Our study focused on the antimicrobial susceptibility and genomic sequences related to plasmids from 12 clinical isolates of that carry both the blaOXA-58 and carbapenemase genes.
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- Cure Violence interruption programs, like 414LIFE in Milwaukee, aim to reduce gun violence by reaching high-risk individuals and neighborhoods.
- The study analyzed the "reach" of 414LIFE through descriptive and geospatial methods, focusing on gunshot wound patients under 36 during a specific timeframe.
- Findings showed that 75.4% of referred patients met the program criteria, with significant clustering in priority neighborhoods, highlighting the program's effectiveness in targeting the right demographics.