Publications by authors named "Rina Meyer"

Article Synopsis
  • Primary hepatic rhabdomyosarcoma is a rare condition, creating challenges in deciding treatment options like surgery and radiation.
  • A pediatric case is presented where a patient received yttrium-90 (Y-90) microspheres followed by external beam radiation therapy (EBRT) interspersed with chemotherapy, showing a significant treatment response and minimal side effects.
  • After 23 months, the patient experienced disease recurrence, highlighting the need for ongoing local and systemic therapies for effective tumor control.
View Article and Find Full Text PDF

Background And Objectives: Shared decision making (SDM) before nonurgent tracheostomy in a child with chronic respiratory failure (CRF) is often recommended, but has proven challenging to implement in practice. We hypothesize that utilization of the microsystem model for analysis of the complex ecosystem in which SDM occurs will yield insights that enable formation of a reproducible, measurable SDM process.

Methods: Retrospective chart review of a case series of children with CRF in whom a SDM process was pursued.

View Article and Find Full Text PDF

Neurocutaneous melanosis (NCM) is the condition of abnormal melanocyte deposition in the leptomeninges and brain parenchyma. Associated with congenital melanocytic nevi, NCM can result in neurologic deficits, hydrocephalus, and rarely, malignant transformation of cells. We present the case of a 16-year-old boy with NCM who developed malignant leptomeningeal melanoma following immunosuppression with a TNFα inhibitor.

View Article and Find Full Text PDF

Purpose: To evaluate the impact of the Downstate Team-Building Initiative (DTBI), a model multicultural and interdisciplinary health care team-building program for health professions students.

Method: A total of 65 students representing seven health disciplines participated in DTBI's first three years (one cohort per year since implementation). During the 18-session curriculum, students self-evaluated their group's progress through Tuckman's four team-development stages (FORMING, STORMING, NORMING, PERFORMING) on an 11-point scale.

View Article and Find Full Text PDF