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218 results match your criteria: "Berkshire Medical Center[Affiliation]"
Ann Palliat Med
December 2017
Division of cardiothoracic surgery, University of South Florida, Tampa General Hospital, Tampa FL, USA.
Am J Cardiol
July 2017
Department of Internal Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Existing metrics for grading mitral regurgitation (MR) are limited and fraught with high interobserver variability. We developed and evaluated a Doppler-based, semiquantitative novel index (Mitral Regurgitation Severity Index [MRSI]) of MR severity. In a total of 125 patients (70 in the derivation cohort and 55 in the validation cohort), MRSI was calculated as a ratio of time velocity integral of mitral inflow (continuous-wave Doppler-TVI MV) to the time velocity integral of the left ventricle outflow (pulse-wave Doppler-TVI LVOT).
View Article and Find Full Text PDFCase Rep Surg
March 2017
Department of Surgery, Berkshire Medical Center, Pittsfield, MA, USA.
It is rare for actinic or squamous cell carcinoma (SCC) in situ to metastasize. A 67-year-old male had a significant medical history including severe psoriatic arthritis treated with UVB, methotrexate, and rapamycin. He had twenty-five different skin excisions of actinic keratosis four of which were invasive SCC.
View Article and Find Full Text PDFCommunity Ment Health J
January 2018
Department of Psychiatry, Berkshire Medical Center, Pittsfield, MA, USA.
Shared Decision Making (SDM) is an essential component of recovery oriented treatment for clients with severe and persistent mental illnesses. SDM has been found to be effective in improving outcome of treatment of non-psychiatric ailments, and studies of SDM in community mental health settings are limited. We designed and implemented a low tech SDM program in a non-academic community mental health center and evaluated the outcome on decisional certainty and satisfaction with services.
View Article and Find Full Text PDFAnn Transl Med
March 2017
Division of Cardiothoracic Surgery, Tampa General Hospital, Tampa, FL, USA.
The vast expansion of patients treated with of extra corporeal membrane oxygenation (ECMO) emerge novel ethical questions about the use of this new technology. In regard the indications, duration of support and timing of withdrawal of support, these questions sometimes create disagreement among surrogates, between health care team and surrogates, and even disagreement among health care team, these disagreements occurs because of the extreme emergency of support initiation, the ambiguity of the outcome as well as lack of clarity on the intended treatment direction, whether it is ineffective, bridge to recovery or bridge to lifetime mechanical support or transplant. In this article we discuss these questions through patients' scenarios.
View Article and Find Full Text PDFAnn Transl Med
March 2017
Indiana University School of Medicine, Division of Cardiothoracic Surgery, Indiana University Health, Methodist Hospital, Indianapolis, IN, USA.
Extra corporeal membrane oxygenation (ECMO) is a life-saving technique to manage refractory cardiopulmonary failure. Its usage and indication continue to increase. Femoral venoarterial ECMO (VA ECMO) is relatively less invasive and the cardiac support may be more rapidly instituted in in these extremely tenuous patients.
View Article and Find Full Text PDFMagn Reson Med
January 2018
Departments of Medicine, Cardiovascular Division, University of Virginia Health System, Charlottesville, Virginia, USA.
Purpose: To develop a single-shot spiral perfusion pulse sequence with outer-volume suppression (OVS) to achieve whole-heart coverage with a short temporal footprint of 10 ms per slice location.
Methods: A highly accelerated single-shot variable density spiral pulse sequence with an integrated OVS module for reduced field of view (rFOV) perfusion imaging with 2 mm spatial resolution was developed and evaluated in simulations, phantom experiments and in clinical patients with (n = 8) or without (n = 8) OVS. Images were reconstructed by block low-rank sparsity with motion guidance (BLOSM) and graded by two cardiologists on a 5-point scale (1, excellent; 5, poor).
ACG Case Rep J
January 2017
Department of Gastroenterology, Berkshire Medical Center, Pittsfield, MA.
Budesonide is the treatment of choice for microscopic colitis because of its excellent risk to benefit ratio. It is a potent, well-absorbed corticosteroid, but because of a high rate of first-pass metabolism in the liver, its systemic bioavailability is low. It has fewer corticosteroid-related adverse effects than prednisone, and adrenal suppression is considered to be rare.
View Article and Find Full Text PDFBMC Res Notes
January 2017
Department of Internal Medicine, Berkshire Medical Center, Pittsfield, MA, USA.
Background: Chronic hemodialysis patients frequently require anticoagulation treatment with warfarin for a variety of co-morbidities. The optimal method for monitoring and dose adjustment of warfarin-based anticoagulation in this population, however, remains unclear. To examine this more closely, we reviewed all hemodialysis patients at a single institution on chronic warfarin therapy for a 10-month period prior to and after the institution of a standardized protocol for warfarin dose adjustment and monitoring.
View Article and Find Full Text PDFAnn Emerg Med
February 2017
BerbeeWalsh Department of Emergency Medicine, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI.
Study Objective: To identify critical emergency medicine-focused firearm injury research questions and develop an evidence-based research agenda.
Methods: National content experts were recruited to a technical advisory group for the American College of Emergency Physicians Research Committee. Nominal group technique was used to identify research questions by consensus.
J Clin Rheumatol
October 2016
From the Department of Internal Medicine, Berkshire Medical Center, Pittsfield, MA.
Hernia
February 2017
Veteran Affairs Medical Center, White River Junction, VT, USA.
Purpose: Many surgeons are reluctant to offer elective inguinal and femoral hernia repair (IHR) to the elderly due to concerns of increased risk. The authors sought to evaluate the outcomes of elderly patients undergoing IHR compared to the general population.
Methods: We performed a retrospective review of the 2011 NSQIP database evaluating 19,683 patients undergoing IHR.
Pharmaceuticals (Basel)
July 2016
SUNY Polytechnic Institute, Albany, NY 12203, USA.
Heparin, the most widely used anticoagulant drug in the world today, remains an animal-derived product with the attendant risks of adulteration and contamination. A contamination crisis in 2007-2008 increased the impetus to provide non-animal-derived sources of heparin, produced under cGMP conditions. In addition, recent studies suggest that heparin may have significant antineoplastic activity, separate and distinct from its anticoagulant activity, while other studies indicate a role for heparin in treating inflammation, infertility, and infectious disease.
View Article and Find Full Text PDFJ Neurotrauma
July 2017
1 Washington University School of Medicine, St. Louis, Missouri.
Care for US military personnel with combat-related concussive traumatic brain injury (TBI) has substantially changed in recent years, yet trends in clinical outcomes remain largely unknown. Our prospective longitudinal studies of US military personnel with concussive TBI from 2008-2013 at Landstuhl Regional Medical Center in Germany and twp sites in Afghanistan provided an opportunity to assess for changes in outcomes over time and analyze correlates of overall disability. We enrolled 321 active-duty US military personnel who sustained concussive TBI in theater and 254 military controls.
View Article and Find Full Text PDFJ Nucl Cardiol
June 2017
Noninvasive Cardiovascular Imaging, Brigham and Women's Hospital Heart & Vascular Center and Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.
Arch Pathol Lab Med
September 2016
From the Department of Hematopathology, Pathology Associates of Albuquerque, Albuquerque, New Mexico (Dr Sever); the Department of Pathology, Berkshire Medical Center, Pittsfield, Massachusetts (Dr Abbott); Medical Laboratory Associates, Seattle, Washington (Dr de Baca); the Department of Pathology, University of Texas MD Anderson Cancer Center, Houston (Dr Khoury); the Department of Pathology, University of Utah, Salt Lake City (Dr Perkins); the Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota (Dr Reichard); Utah Pathology Services, Inc, Salt Lake City (Dr Taylor); the Department of Hematology/Medical Oncology, Newland Medical Associates, Novi, Michigan (Dr Terebelo); the Departments of Governance (Ms Colasacco) and Surveys (Ms Thomas), College of American Pathologists, Northfield, Illinois; and the Quality and Guidelines Department, American Society of Clinical Oncology, Alexandria, Virginia (Mr Rumble).
Context: -There is ample evidence from the solid tumor literature that synoptic reporting improves accuracy and completeness of relevant data. No evidence-based guidelines currently exist for synoptic reporting for bone marrow samples.
Objective: -To develop evidence-based recommendations to standardize the basic components of a synoptic report template for bone marrow samples.
J Nucl Cardiol
April 2016
Department of Radiology, Non-invasive Cardiovascular Imaging, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Med Care
January 2016
*Geriatric, Research, Education and Clinical Center, Durham Veterans Affairs Medical Center, Durham, NC†Nursing Program, School of Health Sciences, Touro College, Brooklyn, NY‡Department of Surgery, Berkshire Medical Center, Pittsfield, MA.
J Ment Health
December 2016
b Department of Psychiatry , Berkshire Medical Center, Pittsfield , MA , USA and.
Background: Understanding how psychiatry residents learn to prescribe is important for the future of psychiatry. Prescribing is a complicated act that involves much more than signing a prescription. During residency, psychiatrists develop seminal attitudes and habits about prescribing.
View Article and Find Full Text PDFJ Am Heart Assoc
September 2015
Massachusetts General Hospital and Harvard Medical School, Boston, MA (L.S.).
Background: Hyperglycemia has been associated with adverse outcomes in patients with acute ischemic stroke (AIS) and may influence outcomes after tissue plasminogen activator (tPA). We sought to analyze the association of acute and chronic hyperglycemia on clinical outcomes in tPA-treated patients.
Methods And Results: We identified 58 265 AIS patients from 1408 sites who received tPA from 2009 to 2013 in Get With The Guidelines-Stroke.
Public Health Rep
December 2015
Berkshire Medical Center, Department of Dentistry, Pittsfield, MA ; Department of Dentistry, Community Health Programs, Great Barrington, MA.
Objective: This study assessed changes in caries experience, untreated caries, sealant prevalence, and preventive behavior among third-grade children in New York State to monitor progress toward state health objectives.
Methods: We analyzed children's data from the 2002-2004 (n=10,865) and 2009-2012 (n=6,758) New York State Oral Health Survey. We calculated differences in weighted percentages and 95% confidence intervals for caries experience, untreated caries, sealant prevalence, and preventive behavior.
Neurology
July 2015
From the Division of Neurology (O.A.) and Departments of Neurological Surgery (D.R.) and Radiology (D.L.), Naval Medical Center Portsmouth, VA; Department of Neurology (C.L.M., D.L.B.), Washington University, St. Louis, MO; Department of Neurosurgery (D.R.), Virginia Commonwealth University, Richmond; Department of Radiology (J.R.) and Department of Orthopedics and Rehabilitation, Occupational Therapy Service (Y.W.), San Antonio Military Medical Center, TX; Department of Sports Medicine (T.M.), Naval Hospital, Camp Pendleton, CA; Department of Occupational Therapy (M.B.), Naval Hospital Jacksonville, FL; Departments of Neurology (J.D.) and Radiology (D.A., B.D.), San Diego Naval Medical Center, CA; and Branch Health Clinic (M.C.), Naval Air Station Jacksonville, FL. O.A. is currently affiliated with the Department of Neurology, Berkshire Medical Center, Pittsfield, MA; C.L.M. is currently affiliated with the Department of Neurological Surgery, University of Washington, Seattle; and D.L. is currently affiliated with Midland Radiology Associates, MI.
Objective: To evaluate whether diffusion tensor imaging (DTI) will noninvasively reveal white matter changes not present on conventional MRI in acute blast-related mild traumatic brain injury (mTBI) and to determine correlations with clinical measures and recovery.
Methods: Prospective observational study of 95 US military service members with mTBI enrolled within 7 days from injury in Afghanistan and 101 healthy controls. Assessments included Rivermead Post-Concussion Symptoms Questionnaire (RPCSQ), Post-Traumatic Stress Disorder Checklist Military (PCLM), Beck Depression Inventory (BDI), Balance Error Scoring System (BESS), Automated Neuropsychological Assessment Metrics (ANAM), conventional MRI, and DTI.
J Opioid Manag
July 2015
Analgesic Solutions, Natick, Massachusetts.
Unlabelled: Overdoses (ODs) of prescription opioids (RxOs) have become a major public health issue in the United States.
Objective: To determine the root causes of accidental prescription opioid overdoses (RxO-OD).
Design/setting/participants/intervention: The authors conducted a root cause analysis using the Antecedent Target-Measurement method, interviewing three types of key informants: survivors of RxO-ODs, family members, and clinical experts.
J Surg Educ
May 2016
Berkshire Medical Center, Pittsfield, Massachusetts. Electronic address:
Objective: Little is known about surgeons' attitudes toward patients' concerns about the role of trainees in their care. The nature of the discussion between surgeons and their patients about trainees and the effect on how patients are cared for is an important part of patient-centered care. We aim to elucidate surgeons' attitude toward patients' concerns regarding trainee involvement in their care.
View Article and Find Full Text PDFAm J Med Qual
February 2017
Berkshire Medical Center, Pittsfield, MA.
An analysis of outcomes, quality, and survey data was carried out to evaluate the impact of surgical multidisciplinary rounds (SMDR) at a community teaching hospital. Surgical inpatients were reviewed over a 4-year period. Real-time changes to clinical care, documentation, and programs were enacted during the rounds.
View Article and Find Full Text PDF