313 results match your criteria: "Ben Taub General Hospital.[Affiliation]"

Treatment of refractory thrombotic thrombocytopenic purpura with N-acetylcysteine: a case report.

Transfusion

May 2014

Department of Medicine, Section of Hematology Oncology, Baylor College of Medicine, Houston, Texas; The Hematology Service, Ben Taub General Hospital, Houston, Texas.

Background: Thrombotic thrombocytopenic purpura (TTP) is a life-threatening disease resulting in systemic microvascular thrombosis. The disease is caused by excessive platelet (PLT) adhesion to ultra-large (UL) von Willebrand factor (VWF) multimers inadequately cleaved by the processing enzyme ADAMTS-13. While many cases respond to plasma exchange performed with or without concurrent corticosteroids, treatment of the 10% to 20% of patients with refractory disease is difficult.

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Research utilization in baccalaureate-prepared registered nurses.

J Nurses Prof Dev

August 2014

Suzanne Lundeen, PhD, RNC, is Director of Nursing, Labor and Delivery, Ben Taub General Hospital, Houston, Texas.

A focus group study was conducted to describe bachelor of science-prepared registered nurses' (n = 10) use of research in their everyday practice. Results indicate that participants feel prepared to use research upon entry into the workforce and do so to better patient care. However, research use is both positively and negatively affected by nursing leadership and the research culture of the workplace.

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Gastrointestinal histoplasmosis is a rare manifestation of this fungal infection, typically identified in immunocompromised patients, such as those with HIV/AIDS. Here, we report a case of disseminated histoplasmosis with gastrointestinal involvement in a Hepatitis C-infected patient. The fungal agent was confirmed to be Histoplasma capsulatum by a DNA probe assay performed on a bone marrow sample.

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Definitive evidence of rectus abdominis preservation and function after bilateral DIEP breast reconstruction.

Plast Reconstr Surg

April 2013

Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, and, Ben Taub General Hospital (Izaddoost) Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine (Ellsworth, Gordley) Department of Physical Medicine and Rehabilitation, Baylor College of Medicine (Vennix) Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, and, Ben Taub General Hospital, Houston, Texas (Bullocks).

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Lior heller, m.d.

Semin Plast Surg

February 2012

Department of Plastic Surgery, Baylor College of Medicine, Houston, Texas ; Ben Taub General Hospital, Houston, Texas.

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Background: Terrible triad complex elbow fracture-dislocations are represented by elbow dislocations associated with fractures of the coronoid and radial head. Published literature has focused on classifying coronoid fractures by their radiographic morphology on plain x-ray images and computed tomography imaging. No study has specifically related native coronoid osteology to in situ fracture morphology.

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Elbow lateral collateral ligament injuries.

J Hand Surg Am

January 2013

Department of Orthopedic Surgery, Baylor College of Medicine, Ben Taub General Hospital, Houston, Texas 77030, USA.

The lateral collateral ligament (LCL) of the elbow is a complex capsuloligamentous structure critical in stabilizing the ulnohumeral and radiocapitellar articulations. LCL injury can result in elbow instability, allowing the proximal radius and ulna to externally rotate away from the humerus as a supination stress is applied to the forearm. Elbow dislocation is the most common cause of LCL injury, followed by iatrogenic injury.

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Gross anatomy of the elbow capsule: a cadaveric study.

J Hand Surg Am

January 2013

Department of Orthopedic Surgery, Baylor College of Medicine, Ben Taub General Hospital, Houston, TX 77030, USA.

Purpose: The elbow is an inherently stable joint because of its bony articulation and surrounding capsuloligamentous structures. Anatomic and biomechanical studies have focused on the medial and lateral collateral ligamentous contributions to stability. In 1918, Gray provided a qualitative description of the elbow capsule and its fibers.

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Lifestyle Modification with Diet and Exercise in Obese Patients with Heart Failure - A Pilot Study.

J Obes Weight Loss Ther

March 2012

Winters Center for Heart Failure Research and Section of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA ; Section of Cardiology, Ben Taub General Hospital, Harris County Hospital District, Houston, Texas, USA.

OBJECTIVE: There is a paucity of data regarding intentional weight loss in obese heart failure patients. This study sought to ascertain the safety and effectiveness of a lifestyle modification program in patients with systolic heart failure and metabolic syndrome. METHODS: Patients (n=20) with systolic heart failure (ejection fraction < 50%) and metabolic syndrome were randomized to standard medical therapy (Control) versus medical therapy and lifestyle modification (Lifestyle) and followed prospectively for 3 months.

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Azita madjidi, m.d., m.s.

Semin Plast Surg

November 2011

Department of Dermatology, Baylor College of Medicine, Houston, Texas ; Ben Taub General Hospital, Houston, Texas.

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Ketamine for palliative sedation in the emergency department.

J Emerg Med

February 2013

Department of Medicine, Section of Emergency Medicine, Baylor College of Medicine, Ben Taub General Hospital, Houston, TX 77030, USA.

Background: Palliative sedation to treat severely distressing symptoms in those with a poor prognosis is well-accepted.

Objective: We discuss palliative sedation in the Emergency Department and the use of ketamine.

Case Report: We present the case of a patient with angioedema of the tongue and severe respiratory distress.

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Background: Cysteinyl leukotriene 1 (CysLT1) receptor expression is known to be increased in the airway mucosa of patients with asthma, especially during exacerbations; however, nothing is known of its expression in COPD.

Methods: We applied immunohistochemistry and in situ hybridization to endobronchial biopsies to determine inflammatory cell CysLT1 receptor protein and mRNA expression in the following: (1) 15 nonsmoker control subjects (NSC), (2) 16 smokers with moderate to severe COPD in its stable phase (S-COPD), and (3) 15 smokers with COPD hospitalized for a severe exacerbation (SE-COPD).

Results: The total number of bronchial mucosal inflammatory cells (CD45+) and those expressing CysLT1 receptor protein were significantly greater in SE-COPD (CysLT1 receptor protein: median [range] = 139 [31-634]) as compared with S-COPD (32 [6-114]) or NSC (16 [4-66]) (P < .

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Radial styloid fractures.

J Hand Surg Am

August 2012

Department of Orthopedic Surgery, Baylor College of Medicine, Ben Taub General Hospital, Houston, TX, USA.

Radial styloid fractures can occur in isolation or in association with other injuries, including complex intra-articular distal radius fractures, carpal fractures, carpal dislocations, and radiocarpal dislocations. The anatomy surrounding the radial styloid is complex, and complications related to surgical approach, treatments, and symptomatic hardware can occur. Operative treatments vary according to the injury pattern present, and pattern recognition is the key to optimizing treatment of these injuries.

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A systematic review of implementing an elective labor induction policy.

J Obstet Gynecol Neonatal Nurs

January 2012

associate professor in the College of Nursing & Health Sciences, Texas A&M University, Corpus Christi, TX.. Electronic address:

Article Synopsis
  • The study evaluates the impact of hospital policies aimed at reducing elective labor inductions and increasing spontaneous labor rates.
  • It analyzes observational studies from 2000 to 2010 on the effectiveness of these policies, focusing on outcomes like cesarean rates and maternal/neonatal health.
  • Findings suggest that implementing these policies leads to significant reductions in elective inductions and related health risks, supporting the need for such policies in all labor and delivery units.
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A case of Evans' syndrome following influenza vaccine.

J Emerg Med

February 2013

The Section of Emergency Medicine, Ben Taub General Hospital, Baylor College of Medicine, Houston, TX 77030, USA.

Background: Evans' syndrome is an uncommon condition defined by the combination (either simultaneously or sequentially) of immune thrombocytopenia purpura and autoimmune hemolytic anemia with a positive direct antiglobulin test in the absence of known underlying etiology.

Objectives: We present a case of Evans' syndrome following influenza vaccination.

Case Report: A 50-year-old man with no prior medical history developed Evans' syndrome 4 days after receiving influenza immunization.

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We review the evidence for optimal surgical management and adjuvant therapy for patients with stages I and II non-small cell lung cancer (NSCLC) along with factors associated with increased risks of recurrence. Based on the current evidence, we recommend optimal use of mediastinal lymph node dissection, adjuvant chemotherapy, and post-operative radiation therapy, and make suggestions for areas to explore in future prospective randomized clinical trials.

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The coronoid process has been shown to play a critical role in ulnohumeral stability. Coronoid process fractures can occur in isolation or as part of a complex injury pattern. The most common complex pattern, known as the "terrible triad," includes a radial head fracture and elbow dislocation along with the coronoid fracture.

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Anemia and jejunal intussusception: An unusual presentation for a metastatic phyllodes breast tumor.

Int J Surg Case Rep

October 2012

Baylor College of Medicine, Ben Taub General Hospital, Michael E. DeBakey Department of Surgery, 1504 Taub Loop, Houston, TX 77030, United States.

Introduction: Phyllodes tumor of the breast is a rare cause of breast cancer, accounting for less than 0.5% of breast cancers. These tumors are classified as benign, borderline, or malignant, with malignant tumors compromising nearly 25% of cases.

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Detection of clarithromycin resistance in Helicobacter pylori following noncryogenic storage of rapid urease tests for 30 days.

J Dig Dis

January 2012

Department of Medicine, Michael E. DeBakey Veterans Affairs Medical Center, Ben Taub General Hospital, Baylor College of Medicine, Houston, Texas, USA.

Objective: Traditional Helicobacter pylori (H. pylori) eradication therapy has been undermined by increasing antimicrobial, especially clarithromycin, resistance. Susceptibility testing in some areas is difficult to achieve or unavailable.

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Transaxillary subcutaneouscopic sternocleidomastoid tumor division for treatment of persistent torticollis in children: our technique.

Pediatr Surg Int

May 2011

Division of Pediatric Surgery, Michael E. DeBakey Department of Surgery, Texas Children's Hospital, Baylor College of Medicine and Ben Taub General Hospital, Houston, Texas 77030, USA.

The purpose of this study was to evaluate the effectiveness of the transaxillary subcutaneous endoscopic sternocleidomastoid muscle division for treatment of persistent torticollis. Traditionally persistent sternomastoid torticollis is treated with a neck incision which results in a neck scar. We report our technique of transaxillary subcutaneouscopic sternocleidomastoid (TASS) division for treatment of persistent torticollis which avoids a neck scar and provides a better view of the neck structures.

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Rate of wound complications with enoxaparin use among women at high risk for postpartum thrombosis.

Obstet Gynecol

January 2011

From the Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Baylor College of Medicine; and Ben Taub General Hospital, Harris County Hospital District, Houston, Texas.

Objective: To estimate the rate of wound complications associated with protocol-driven postcesarean enoxaparin thromboprophylaxis.

Methods: After implementing an Institutional Clinical Practice Guideline for postoperative cesarean delivery thromboprophylaxis among at-risk gravid women (older than 35 years of age, body mass index greater than 30 kg/m2, or both), data on all cesarean deliveries over the first 23 months of guideline implementation were extracted and analyzed. Primary (wound hematoma, separation, or dehiscence) and secondary (venous thromboembolism) outcomes were compared in stratified and multivariable models controlling for potential confounders.

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Background: Spontaneous coronary artery dissection is a rare cause of acute coronary syndromes; and one quarter of these patients present during the post-partum period. Furthermore, ventricular fibrillation is a rare presentation of this disease entity.

Case: A 32-year-old woman presented 3 days post Cesarean-section delivery with chest pain, ischemic electrocardiogram changes, and ventricular fibrillation arrest.

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From 1900 there have been more than 9800 natural disasters affecting more than 67 million children worldwide. Because of unique physical, developmental, and psychosocial characteristics of children, caring for them during complex emergencies is different to caring for adults. However, planning for these unique physical, developmental, and psychosocial needs has not been well addressed when planning for complex emergencies.

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