12,568 results match your criteria: "Georgetown University Hospital & Washington Hospital Center[Affiliation]"

Eosinophilic Hepatitis.

J Allergy Clin Immunol Pract

December 2024

Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Md; MedStar Georgetown University Hospital, Division of Infectious Disease and Tropical Medicine, Washington, DC.

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Purpose: While MEK inhibitors demonstrated activity in metastatic triple negative breast cancer (mTNBC) preclinical studies, preclinical, and clinical studies implicate rapid development of resistance limiting clinical benefit. The purpose of this study was to determine response rate for Trametinib alone and in combination with Uprosertib in patients with mTNBC previously treated with chemotherapy.

Methods: This was an open-label, two-part, phase II, single-arm, multicenter study.

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The Radiology Research Alliance (RRA) of the Association of Academic Radiology (AAR) creates task forces to study emerging trends shaping the future of radiology. This article highlights the findings of the AAR-RRA Task Force on Balancing High Clinical Volumes and non-relative value unit (Non-RVU)-Generating Activities. The Task Force's mission was to evaluate and emphasize the value of non-RVU-generating activities that academic radiologists perform.

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Critical Care Nursing Response to the Maui Wildfire Disaster: Narrative Review and Case Study.

AACN Adv Crit Care

December 2024

Margaret Slota is Professor Emerita, Georgetown University Medical Center Distinguished Educator, School of Nursing, Georgetown University, Washington, DC.

Climate change has increased the frequency and severity of natural disasters, including the 2023 wildfires in Maui, Hawai'i. The no-notice disaster affected hospital operations at the sole acute care hospital that serves the community, requiring immediate interventions and reallocation of resources. The purpose of this article is to explore the role that critical care nurses play in responding to wildfires.

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Introduction: Prior studies suggest lymphopenia following radiation therapy may impact toxicity and cancer control. Chronic radiation-related lymphopenia (RRL) has been noted in prostate cancer patients treated with conventionally fractionated pelvic radiation therapy. The impact of utilizing hypofractionated high integral dose therapies such as stereotactic body radiation therapy (SBRT) on RRL is less well characterized.

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ED-ICU Time: The EF of the ED?

Crit Care Med

December 2024

Division of Cardiothoracic Surgery, Department of Surgery, University of Utah Health, Salt Lake City, UT.

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Importance: Cancer mortality has decreased over time, but the contributions of different interventions across the cancer control continuum to averting cancer deaths have not been systematically evaluated across major cancer sites.

Objective: To quantify the contributions of prevention, screening (to remove precursors [interception] or early detection), and treatment to cumulative number of cancer deaths averted from 1975 to 2020 for breast, cervical, colorectal, lung, and prostate cancers.

Design, Setting, And Participants: In this model-based study using population-level cancer mortality data, outputs from published models developed by the Cancer Intervention and Surveillance Modeling Network were extended to quantify cancer deaths averted through 2020.

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A dataset of 40 assembled and annotated transcriptomes from 34 different species sampled from phylogenetically diverse parts of the flowering plant genus (Caryophyllaceae) and the related genera and RNA extracted from roots, stems, leaves, buds and flowers were sequenced using paired end reads on the Illumina Hiseq platform. A total of 716 million raw reads were produced and assembled into 2.67 million isogroups ("genes").

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The mediating effect of family support in the relationship between socio-economic status and postpartum depressive symptoms.

BMC Public Health

December 2024

Department of Developmental and Behavioral Pediatrics, Shanghai Children's Medical Center, School of Medicine, Pediatric Translational Medicine Institution, Shanghai Jiao Tong University, Shanghai, China.

Background: The aim of this study is to explore the mediation effect of family support on the relationship between SES and postpartum depressive symptoms.

Methods: A total of 1887 mothers of newborn babies under 6 months of age in selected community health service centers in Shanghai were included in the analysis. A multi-stage probability sampling method was applied to select the sample.

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Ventricular Arrhythmias in Patients With Cardiac Sarcoidosis Following Left Ventricular Assist Device Implantation.

J Card Fail

December 2024

Georgetown University School of Medicine, Washington, D.C.; MedStar Heart and Vascular Institute, MedStar Washington Hospital Center, Washington D.C.; Helmsley Electrophysiology Center, Department of Cardiology, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address:

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Article Synopsis
  • Frostbite is a serious risk in mountaineering, especially in cold climates, leading to significant injuries like those seen in three climbers on Denali in 2021.
  • All affected climbers, healthy men in their 30s to 60s, suffered frostbite primarily on their fingers, with one requiring medical evacuation due to severity.
  • Key prevention strategies and awareness of frostbite risks are crucial for mountaineers, especially considering factors like altitude, cold exposure, and potential psychological effects from the COVID-19 pandemic.
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  • Cardiac sarcoidosis (CS) is an underdiagnosed condition that can lead to serious heart issues, making early detection crucial for treatment and prevention of complications like heart failure and arrhythmias.!* -
  • A study analyzed hospital records from 2016 to 2019, delineating patients diagnosed with CS versus those without, highlighting that younger male patients often presented with specific cardiac issues such as ventricular arrhythmias and heart blocks.!* -
  • The results indicated that those diagnosed with CS underwent more treatments and had longer hospital stays, emphasizing the importance of recognizing CS early for better patient outcomes.!*
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  • The study examined differences in echocardiographic assessments of native and bioprosthetic aortic valves between core laboratories and clinical centers, finding clinically relevant discrepancies.
  • Data was collected from the PERIGON trial, which involved patients undergoing surgical aortic valve replacement, and involved comparing echocardiographic results from centers to independent analysis by a core lab.
  • Results showed that while some continuous measurements had high agreement (around 0.90), there were notable variances, particularly in left ventricular outflow tract area and stroke volume, indicating the need for standardized evaluation practices.
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Article Synopsis
  • The study explores attitudes of living kidney donor candidates of African ancestry toward using the Gia chatbot for Apolipoprotein L1 (APOL1) genetic testing during the donor evaluation process.
  • Focus groups with 54 participants revealed that most supported the use of the chatbot prior to clinic visits and expressed interest in APOL1 testing after utilizing the technology.
  • However, concerns about testing costs and individual preferences for chatbot usage in healthcare settings emerged as potential barriers to widespread adoption.
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A Comprehensive Approach to the Treatment of Dentofacial Deformities.

J Oral Maxillofac Surg

December 2024

Professor Emeritus, Departments of Plastic and Reconstructive Surgery & Pediatrics, Georgetown University School of Medicine, Washington, DC; Professor of Orthodontics, University of Maryland, Baltimore College of Dental Surgery, Baltimore, MD; Adjunct Professor, Department of Plastic and Reconstructive Surgery, Johns Hopkins School of Medicine, Baltimore, MD; Professor of Oral and Maxillofacial Surgery, Howard University College of Dentistry, Washington, DC. Electronic address:

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Projected 2023 Cost Reduction From Tumor Necrosis Factor α Inhibitor Biosimilars in Dermatology: A National Medicare Analysis.

Cutis

October 2024

Dr. Roster is from the Department of Dermatology, Georgetown University School of Medicine, Medstar Washington Hospital Center, Washington, DC. Drs. Gronbeck and Feng are from the Department of Dermatology, University of Connecticut Health Center, Farmington.

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Background: Infection prevention and control (IPC) helps prevent disease transmission in healthcare facilities. There is a dearth of information on the implementation of IPC during the COVID-19 outbreak in Cameroon using the recommended WHO COVID-19 IPC scorecard tool. The present study assessed healthcare facilities' compliance to IPC by continuous assessments, with an evaluation of the tool using the hierarchy of control theory.

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Article Synopsis
  • Vasculitis is a potential complication of COVID-19, where the virus can trigger or worsen autoimmune diseases like systemic vasculitis.
  • The case of an elderly patient with multiple health issues highlighted the connection, as doctors diagnosed vasculitis due to renal function decline and positive antinuclear antibodies.
  • A kidney biopsy confirmed focal necrotizing and crescentic glomerulonephritis, emphasizing the need for awareness of COVID-19 related complications and a broad differential diagnosis in recovering patients.
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Background: Among patients with critical limb ischemia and tissue loss, revascularization is an essential component for limb salvage. Local flaps of the foot and ankle remain a versatile tool in reconstructive limb salvage but is dependent on adequate arterial flow. In patients with arterial occlusive disease requiring revascularization, there is a lack of evidence in the current literature investigating on the necessity of direct arterial flow to the respective angiosome for local flaps reconstruction.

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Article Synopsis
  • The study investigates the impact of controlled versus uncontrolled hypertension on the outcomes of patients undergoing elective Endovascular Aneurysm Repair, using a national database to enhance preoperative care.
  • Patients were categorized based on their hypertension status and tracked for outcomes like perioperative death and other complications, from a larger group including both hypertensive and non-hypertensive individuals.
  • The results showed that patients with uncontrolled hypertension had significantly worse outcomes compared to those with controlled hypertension and non-hypertension, indicating the need for better preoperative management in hypertensive patients.
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Markers of Endothelial Injury in Extracorporeal Membrane Oxygenation: A New Risk Assessment Method.

J Surg Res

December 2024

Firefighters' Burn and Surgical Research Laboratory, MedStar Health Research Institute, Washington, District of Columbia; Department of Biochemistry and Molecular & Cellular Biology, Georgetown University School of Medicine, Washington, District of Columbia; Department of Surgery, Georgetown University School of Medicine, Washington, District of Columbia; The Burn Center, Department of Surgery, MedStar Washington Hospital Center, Washington, District of Columbia; Department of Plastic and Reconstructive Surgery, Georgetown University School of Medicine, Washington, District of Columbia. Electronic address:

Article Synopsis
  • ECMO usage is increasing, but determining which patients will benefit the most is challenging, making risk stratification crucial.
  • This study evaluated the impact of two biomarkers, SDC-1 and soluble thrombomodulin (sTM), on mortality rates in patients on venoarterial ECMO.
  • Results showed that higher levels of sTM significantly correlate with increased mortality risk, while SDC-1 levels are marginally predictive; these findings suggest that incorporating these biomarkers could enhance existing scoring systems for better patient assessment.
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