1,475 results match your criteria: "St. John Hospital[Affiliation]"

Cardiac amyloidosis (CA) is a progressive condition resulting from the deposition of amyloid fibrils in the heart, which leads to severe diastolic dysfunction and restrictive cardiomyopathy. The disease has two main subtypes: light-chain and transthyretin (TTR) CA, with the latter subdivided into wild-type and hereditary forms. Despite advances in diagnostic imaging, early detection remains a challenge due to non-specific symptoms that mimic other cardiac conditions.

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  • A female neonate born to consanguineous parents exhibited severe hyperparathyroidism (NSHPT) after a C-section, showing signs of respiratory distress and skeletal abnormalities following birth.
  • Diagnostic challenges included elevated calcium levels and a homozygous variant in the calcium-sensing receptor (CaSR) gene, leading to the establishment of NSHPT.
  • Management of NSHPT is critical due to its high mortality risk; treatment options typically involve addressing the high calcium levels and associated metabolic issues.
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Alzheimer's disease (AD) is a progressive neurodegenerative disorder, with its prevalence doubling approximately every decade. It is a significant contributor to disability-adjusted life-years in individuals aged 50 and older, impacting a substantial portion of this population globally. The pathophysiology of AD is primarily explained by two hypotheses: the amyloid cascade hypothesis and the tau hypothesis.

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Ceftobiprole Medocaril: A New Fifth-Generation Cephalosporin.

Ann Pharmacother

December 2024

Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy and Health Science, Wayne State University, Detroit, MI, USA.

Objective: The objective was to review the pharmacology, efficacy, and safety of intravenous ceftobiprole in the treatment of bloodstream infections, acute bacterial skin and skin structure infections (ABSSSIs), community-acquired pneumonia (CAP), and hospital-acquired pneumonia (HAP), or ventilator-associated pneumonia (VAP).

Data Sources: PubMed and ClinicalTrials.gov were searched using the following terms: ceftobiprole, ceftobiprole medocaril, ceftobiprole medocaril sodium, Zevtera, and BAL5788.

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Social Buffering of PTSD: Longitudinal Effects and Neural Mediators.

Biol Psychiatry Cogn Neurosci Neuroimaging

November 2024

Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, 30329, USA. Electronic address:

Article Synopsis
  • This study investigates how early social support after trauma affects PTSD symptoms over time and explores specific brain regions involved in this process, such as the amygdala and ventromedial prefrontal cortex.
  • Using data from 315 participants in the AURORA study, researchers measured PTSD symptoms and perceived emotional support at multiple time points, while also conducting neuroimaging two weeks post-trauma.
  • The results show that early emotional support is linked to changes in white matter connectivity between key brain areas, but it also highlighted unexpected increased threat reactivity in the default mode network, suggesting complex neural pathways in response to social threats.
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is causing increasing concern among clinicians due to its high mortality and resistance rates. This bacterium is responsible for various infections, especially in hospital settings, affecting some of the most vulnerable patients. has developed resistance through multiple mechanisms, making treatment challenging.

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  • - Crossed fused renal ectopia is a rare kidney disorder more common in males, occurring in about 1 in 2000 to 1 in 7500 individuals found during autopsies.
  • - A 34-year-old woman was assessed during her first-trimester screening, which showed a low risk of genetic disorders; however, further imaging suggested crossed fused renal ectopia, a diagnosis confirmed through later scans.
  • - This case highlights that crossed fused renal ectopia can be diagnosed as early as the first trimester and the condition did not lead to complications for the mother or baby, who was born healthy via C-section at 36 weeks.
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The aim of the study was to record shoulder and trunk stability of elite female handball players and to investigate their effect on throwing velocity and accuracy. 151 female handball players (9 teams in total) from the Hungarian first league participated in a mid-season conditional survey. The study included tests of trunk and shoulder stability, and measurements of factors affecting shoulder stability, as well as throwing speed and throwing accuracy.

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Heparin is a high-risk medication with significant variability across patients. Systematic data analysis can help hospitals improve heparin management, ensuring safe and effective anticoagulation. An opportunity exists to create a more efficient data collection process, allowing hospitals to streamline quality assurance programs.

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Legionella is a bacterium that primarily causes respiratory infections. Rarely, it can result in extrapulmonary infections like endocarditis. We present a case of native valve endocarditis caused by Legionella in a 74-year-old male.

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Objectives: The diagnosis of infertility affects between 8-12% of couples of childbearing age worldwide. It is difficult to manage infertility, which often generates anxiety and depression.

Material And Methods: We conducted a study that included women of childbearing age who were unsuccessful in getting pregnant.

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  • - The study explored the use of wrist-wearable devices to track heart rate variability (HRV) as potential biomarkers for recovery from adverse neuropsychiatric effects following traumatic events, specifically in a socioeconomically disadvantaged group.
  • - Researchers monitored participants within 72 hours of a traumatic event and over a course of 6 months, validating HRV characteristics linked to various posttraumatic symptoms, such as pain, re-experiencing, and anxiety.
  • - The findings indicate that changes in HRV could effectively predict improvements or worsening in symptoms, suggesting that these wearable technologies could serve as useful screening tools for identifying posttraumatic stress in high-risk populations.
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  • - The study investigates sex/gender differences in PTSD by examining 16 risk factors and their impact on PTSD severity in a group of 2,924 acutely traumatized individuals.
  • - It finds that six risk factors are more prevalent in women, while none are more pronounced in men, highlighting unique pathways contributing to PTSD severity based on sex assigned at birth.
  • - The results indicate different risk mechanisms for men and women, suggesting that understanding these differences can help develop targeted mental health interventions and inform future research on other mental disorders.
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Objectives: Balloon dilation eustachian tuboplasty (BDET) has gained popularity as a treatment modality for chronic eustachian tube dysfunction (ETD) in both adults and children. Although its safety and efficacy in the adult population have been well described, very few large-sample studies assessing its safety profile have been performed in the pediatric population. This study serves as a follow-up to a previously published analysis assessing the safety of BDET in the pediatric population.

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Clinical and Drug Resistance Characteristics of Infections.

Microorganisms

October 2024

Division of Infectious Diseases, Department of Internal Medicine, Henry Ford St. John Hospital, 22101 Moross Road, Detroit, MI 48236, USA.

Article Synopsis
  • * Out of 312 initial patients, 68 cases were identified, primarily involving bacteremia and urinary tract infections, with a mean patient age of 70 years and a high rate of prior urinary catheter use (65.2%).
  • * Most infections were treated successfully with third-generation cephalosporins, though only a small fraction (7.2%) exhibited multidrug resistance; overall mortality during hospital admission was 27.1%, but unrelated to the infections caused by this bacterium.
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Association Between Neurological Status and Outcomes in Cardiac Arrest Patients Undergoing PCI in Contemporary Practice: Insights From BMC2.

Circ Cardiovasc Interv

October 2024

Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor (D.E.H., D.S.K., M. Seth, H.S.G., D.S.).

Background: Coronary artery disease remains the largest contributor to cardiac arrests worldwide; yet, long-term outcomes are often driven by neurological status after resuscitation. We examined the association between pre-percutaneous coronary intervention (PCI) level of consciousness (LOC) and outcomes among patients with cardiac arrest who underwent PCI.

Methods: The study cohort included patients undergoing PCI after cardiac arrest between April 2018 and March 2022 at 48 hospitals in the state of Michigan.

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  • Trauma can increase the risk of unhealthy alcohol use, and this study investigates how brain reward systems change after trauma exposure in humans.
  • The research involved 286 participants who were assessed for changes in alcohol use and brain activity through fMRI shortly after experiencing trauma.
  • Findings suggest that heightened brain activity in specific regions (like the VTA) and altered connections between brain areas may lead to increased alcohol consumption following traumatic events, indicating potential targets for early intervention.
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Purpose: This randomized, placebo-controlled, crossover, double-blind trial aimed to evaluate the efficacy and safety of Tacrosolv, a novel 0.005% tacrolimus eye-drop solution, in adults with grass pollen-induced allergic conjunctivitis.

Methods: A total of 64 adult participants were randomized to receive 2.

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  • * In a presented case, a 59-year-old woman on FOLFOX therapy experienced severe thrombocytopenia and rectal bleeding, leading to treatment adjustments and eventually identifying oxaliplatin antibodies as the cause.
  • * Following the discovery of these antibodies through flow cytometry, oxaliplatin was permanently discontinued to prevent further thrombocytopenic events.
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Background: Patients who present to the emergency department (ED) with severe hypertension defined as a systolic blood pressure (SBP) ≥180 millimeters of mercury (mm Hg) or diastolic (DBP) ≥120 (mm Hg) without evidence of acute end-organ damage are often deemed high risk and treated acutely in the ED. However, there is a dearth of evidence from large studies with long-term follow-up for the assessment of major adverse cardiovascular events (MACE). We conducted the largest study to date of patients presenting with severe hypertension to identify predictors of MACE and examine whether blood pressure at discharge is associated with heightened risk.

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EuCorVac-19 (ECV-19) is a recombinant receptor binding domain (RBD) COVID-19 vaccine that displays the RBD (derived from the SARS-CoV-2 Wuhan strain) on immunogenic liposomes. This study compares the safety and immunogenicity of ECV-19 to the COVISHIELD (CS) adenoviral-vectored vaccine. Interim analysis is presented of a randomized, observer-blind, immunobridging Phase 3 trial in the Philippines in 2600 subjects, with treatment and biospecimen collection between October 2022 and January 2023.

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Time Pattern of Presentation of Victims of High-Speed Passenger Ferry Mass Casualty Incidents to the Emergency Department.

Disaster Med Public Health Prep

September 2024

Accident and Emergency Department, Kwong Wah Hospital, Hong Kong Special Administrative Region, China.

Article Synopsis
  • The study examined mass casualty incidents involving high-speed passenger ferries in Hong Kong from 2005 to 2015, focusing on victim arrival patterns in emergency departments.
  • It found that seriously injured victims (Injury Severity Score ≥ 9) arrived at emergency departments faster than those with minor injuries, influenced by factors such as evacuation methods and distance to medical facilities.
  • The research concluded that the expected dual-wave phenomenon (initial minor injuries followed by severe cases) did not occur, emphasizing the importance of effective communication for timely resource allocation in emergencies.
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Objective: To assess the influence of geographies and race on the survival outcomes in patients diagnosed with cervical squamous cell carcinoma (CSCC) across three continents.

Methods: This multicontinental retrospective study was conducted in 8 hospitals across Asia, Europe, and North America (NA). Clinicopathologic data of 595 patients with presumed early stages of CSCC, treated surgically, with curative intent was collected.

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Background: Magnetocardiography (MCG) may provide a rapid diagnostic option for patients presenting with chest pain in the emergency department (ED).

Case Summaries: This case series presents two instances from a multicenter study, where MCG could have served as a rapid, non-invasive diagnostic tool for chest pain patients. In both cases, multiple high-sensitivity troponin (hsTn) tests yielded incorrect evidence of ischemia.

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