207 results match your criteria: "Lenox Hill Hospital - Northwell Health[Affiliation]"

Background: Traditionally, patients undergoing craniotomy were subject to extended hospital stays for intensive monitoring and management of potential complications. However, with the evolution of surgical methods, anesthesia, and postoperative protocols, the feasibility and interest in same-day discharge (SDD) are growing. This study aimed to evaluate whether same-day discharge is a safe and feasible approach in craniotomy through a meta-analysis of the available literature.

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Article Synopsis
  • Cerebral arteriovenous malformations (AVMs) can cause serious health problems like strokes, and researchers are studying a method using adenosine to help treat them safely.
  • They looked at multiple studies involving 79 patients and found that using adenosine during the procedure resulted in no serious complications or deaths.
  • The results suggest that adenosine makes the treatment safer by helping control blood flow, but more studies are needed to confirm these findings.
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Background: A primary palliative care model for cystic fibrosis (CF) recommends using the Integrated Palliative Care Outcome Scale (IPOS) for screening. Validation of the IPOS is needed.

Methods: This secondary analysis utilized baseline data from a multisite trial of the palliative care model, Improving Life with CF.

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Statement Of Problem: Maxillofacial prosthodontists were advanced digital technology (ADT) adopters early in the new Millennium. The past two decades saw a range of digital enablers emerge including digital imaging (internal and surface), digital surgical planning, digital functional assessment, subtractive and additive manufacturing, navigation, and robotics among others. Artificial Intelligence (AI) is the latest ADT arrival that will be a challenging disruptive technology.

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The Current State of Hybrid Coronary Revascularization.

Ann Thorac Surg

August 2024

Department of Cardiovascular & Thoracic Surgery, Lenox Hill Hospital/Northwell Health, New York, New York. Electronic address:

Hybrid coronary revascularization (HCR) combines a minimally invasive surgical approach with percutaneous coronary intervention (PCI) for the treatment of multivessel coronary artery disease. Despite decades of use, widespread acceptance has been limited. In this review, we conduct a comparative assessment of HCR in relation to traditional coronary artery bypass graft surgery and multivessel PCI.

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  • Tricuspid valve annuloplasty (TA) during mitral valve repair (MVr) increases the risk of needing a permanent pacemaker (PPM) post-surgery, with a higher 90-day PPM implantation rate for MVr with TA (14.0%) compared to isolated MVr (7.7%).
  • This study analyzed data from New York and California between 2004 and 2019 to evaluate the long-term effects of PPM implantation on survival and complications like heart failure hospitalization and endocarditis.
  • Results indicated that PPM recipients had significantly reduced long-term survival and higher risks of heart failure hospitalizations and endocarditis, regardless of whether they underwent isolated MVr or MVr with TA.
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Article Synopsis
  • - A multidisciplinary committee created guidelines for managing CRMS/CFSPID, developing 24 key questions based on feedback from patients and clinicians, existing recommendations, and expert input.
  • - The committee conducted a systematic review and made 30 recommendations, most of which had moderate to low certainty due to the lack of high-quality evidence, primarily relying on case studies rather than randomized trials.
  • - Key guidelines include thorough genetic evaluation, repeat sweat testing until age 8, limited medication use with shared decision-making, and improved communication about social health factors, alongside a call for future research on medications and lung disease monitoring.
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Purpose: To (1) compare the efficacy of immersive virtual reality (iVR) to nonimmersive virtual reality (non-iVR) training in hip arthroscopy on procedural and knowledge-based skills acquisition and (2) evaluate the relative cost of each platform.

Methods: Fourteen orthopaedic surgery residents were randomized to simulation training utilizing an iVR Hip Arthroscopy Simulator (n = 7; PrecisionOS) or non-iVR simulator (n = 7; ArthroS Hip VR; VirtaMed). After training, performance was assessed on a cadaver by 4 expert hip arthroscopists through arthroscopic video review of a diagnostic hip arthroscopy.

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Introduction: Prosthetic joint infection (PJI) risk continues to receive much attention given its associated morbidity and costs to patients and healthcare systems. It has been hypothesized that invasive colonoscopies may increase the risk of PJI. However, the decision to administer antibiotic prophylaxis lacks clinical guidance.

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Telemedicine in Cancer Rehabilitation: Applications and Opportunities Across the Cancer Care Continuum.

Am J Phys Med Rehabil

March 2024

From the Department of Physical Medicine and Rehabilitation, Lenox Hill Hospital/Northwell Health, Zucker School of Medicine at Hofstra/Northwell, New York, New York (CD); and Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, Minnesota (AC).

Advancements in telemedicine have revolutionized the landscape of healthcare delivery, with particular implications for cancer rehabilitation. This journal article provides a comprehensive review of the utilization and application of telemedicine in cancer rehabilitation, spanning the entire cancer care continuum. The integration of telemedicine in cancer rehabilitation services is explored from diagnosis through survivorship, addressing the unique challenges and opportunities at each stage.

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Identification of Glandular (Acinar)/Tubule Formation in Invasive Carcinoma of the Breast: A Study to Determine Concordance Using the World Health Organization Definition.

Arch Pathol Lab Med

October 2024

From the Departments of Epidemiology and Population Health (Lo) and Pathology (Fineberg, Lanjewar, Laurini, Ustun, Harmon, Edema, Sapna), Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.

Context.—: The Nottingham Grading System (NGS) developed by Elston and Ellis is used to grade invasive breast cancer (IBC). Glandular (acinar)/tubule formation is a component of NGS.

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Background: While females have been found to have a higher rate of procedural complications with transcatheter aortic valve implantation (TAVI) than males, the effect of valve choice has not been fully elucidated. This study aimed to investigate the impact of gender and choice of balloon or self-expanding valve on TAVI complications.

Methods: Data from patients who received a TAVI in our institution from January 2016 to September 2021 were retrospectively analyzed.

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Objective: Extended reality (XR) systems, including augmented reality (AR), virtual reality (VR), and mixed reality, have rapidly emerged as new technologies capable of changing the way neurosurgeons prepare for cases. Thus, the authors sought to evaluate the perspectives of neurosurgical trainees on the integration of these technologies into neurosurgical education.

Methods: A 20-question cross-sectional survey was administered to neurosurgical residents and fellows to evaluate perceptions of the use of XR in neurosurgical training.

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Objectives: We set out to compare adverse pregnancy and neonatal outcomes in singleton gestations conceived via fertilization (IVF) to those conceived spontaneously.

Methods: Retrospective, population-based cohort using the CDC Natality Live Birth database (2016-2021). All singleton births were stratified into two groups: those conceived via IVF, and those conceived spontaneously.

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The role of ultrasound in predicting non-invasive ventilation outcomes: a systematic review.

Front Med (Lausanne)

October 2023

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Lenox Hill Hospital - Northwell Health, New York, NY, United States.

Purpose: To systematically review and compare ultrasonographic methods and their utility in predicting non-invasive ventilation (NIV) outcomes.

Methods: A systematic review was performed using the PubMed, Medline, Embase, and Cochrane databases from January 2015 to March 2023. The search terms included the following: ultrasound, diaphragm, lung, prediction, non-invasive, ventilation, and outcomes.

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Intraoperative Medial Instability During Total Knee Arthroplasty.

Orthop Clin North Am

January 2024

Department of Orthopaedic Surgery, Lenox Hill, New York, NY, USA. Electronic address:

A review article summarizes the existing literature on intraoperative injury to medial collateral ligament (MCL) during total knee arthroplasty (TKA), methods of fixation, repair, and the outcomes after these injuries. The options for increasing implant constraint and repair of the MCL injury are discussed with the potential indications for each. There is also a review of risk factors for MCL injury during TKA to help anticipate potential issues preoperatively.

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Introduction: Several implant manufacturers have developed ultra-porous metal substrate acetabular components recently. Despite this, data on clinical and radiographic outcomes remain limited. Our study evaluated postoperative patient-reported outcome measures (PROMs) and radiographic analyses in patients fitted with a novel acetabular porous-coated component.

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Objective: Preoperative left ventricular ejection fraction (LVEF) is one of the main predictors of outcomes in cardiac surgery. We present current era outcomes and associated direct cost in nonemergent isolated coronary artery bypass surgery (CABG) patients with LVEF <20% over the past 6 years and compare it with higher EF subgroups.

Methods: Six-year data from 2016 to 2022 at hospitals sharing Society of Thoracic Surgeons and financial data with Biome Analytics were analyzed based on 3 EF subgroups (EF ≤20%, EF 21% to 35%, and EF >35%).

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Palliative care needs among outpatient adults with cystic fibrosis: Baseline data from the Improving Life with CF trial.

J Cyst Fibros

July 2024

MJHS Institute for Innovation in Palliative Care, New York, NY, United States; Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY, United States.

Background: Little is known about the burden of illness experienced by people with cystic fibrosis (pwCF) since the advent of CF transmembrane conductance regulator (CFTR) modulator therapies. Studies that characterize the nature of illness burden are needed to inform the development and implementation of palliative care programs that can serve this population and address quality of life concerns.

Methods: Adults with CF treated at five U.

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Utility of Bedside Ultrasound in Percutaneous Tracheostomy.

J Intensive Care Med

May 2024

Division of Pulmonary, Sleep & Critical Care Medicine, Lenox Hill Hospital/Northwell Health, New York, NY, USA.

Percutaneous tracheostomy placement is a common procedure performed in the intensive care unit. The use of an anterior neck ultrasound exam is routinely performed preprocedure, allowing for vessel visualization in determining the safety and feasibility of performing the procedure bedside. This prospective observational cohort study was conducted to determine whether vasculature in the anterior neck, seen on bedside ultrasound exam, contributes to bleeding complications during or after percutaneous tracheostomy (PCT) placement.

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