Publications by authors named "M Spencer Cain"
Article Synopsis
- Oropouche virus (OROV) is an arbovirus that causes "sloth fever," transmitted mainly by midges in both rural and urban areas.
- Human infections can result in acute fever and, in severe cases, neurological issues, with over half a million people infected since its first detection in 1955.
- The absence of FDA-approved vaccines and treatments means current care focuses on supportive measures, highlighting the importance of developing vaccines to control outbreaks, especially as OROV risk increases with climate change and global travel.
Article Synopsis
- Heart and lung transplantation are important treatments for severe heart and lung failure, but there's a shortage of donor organs, prompting interest in thoracoabdominal normothermic regional perfusion (TA-NRP) to enhance organ availability from circulatory death donors.
- A study evaluated a single-center TA-NRP program, highlighting essential processes and challenges in its adoption, noting an average TA-NRP initiation time of about 7 minutes and overall duration of 87 minutes.
- Key factors for successful implementation included identifying stakeholders, maintaining communication, addressing ethical concerns, and developing care protocols for all phases of the donation process.
Objectives: Telemedicine is a growing field, with limited data around its utility supporting pediatric emergency care telephone triage. We instituted telemedicine physician support for nurse telephone triage decisions. When the nursing protocols recommended urgent or emergent care, a telemedicine physician reviewed and modified care urgency if appropriate.
View Article and Find Full Text PDFIntroduction: Periodic follow-up prior to and after puberty to evaluate for long-term sequalae following hypospadias repair is commonly recommended. Few studies have evaluated this follow-up, especially into adulthood. This study aimed to evaluate adherence to routine postoperative follow-up appointments over 10 years following elective hypospadias repair.
View Article and Find Full Text PDFPregnancy-associated spontaneous coronary artery dissection (P-SCAD) poses a rare yet critical concern among postpartum individuals, increasingly recognized as a significant trigger for acute myocardial infarction. Timely identification, accurate diagnosis, and prompt treatment are paramount for clinicians confronted with this condition. Patients with P-SCAD commonly manifest signs and symptoms akin to acute coronary syndrome but have different etiology and treatment.
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