198 results match your criteria: "The Valley Hospital[Affiliation]"

Matching Preceptors to New Grad Nurses for the Purpose of New Nurse Graduate Residency Programs; Not Exactly a Dating App.

J Nurses Prof Dev

November 2024

MariannaSallemi, RN, BSN, MEDSURG-BC, is a Registered Nurse, Float Team, The Valley Hospital, Paramus, New Jersey, USA.

Attributes of successful relationships, personal and professional, closely echo those of a successful preceptorship. Applications, or "apps," are responsible for one third of today's relationships; they have been hugely successful in making personal relationships viable. This article explores the possibility of using existing algorithms of dating-style apps to match preceptors to preceptees.

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Article Synopsis
  • A 54-year-old woman was admitted with recurrent abdominal pain and new chest pain, leading to the discovery of a thoracic aortic aneurysm, suspected to involve intramural hematoma or aortitis.
  • Initial conservative treatment was followed by surgical intervention after imaging suggested intramural hematoma, but surgery revealed severe aortitis without hematoma, indicating complex diagnostic challenges.
  • Further examination identified IgG4-related disease linked to chronic lymphocytic leukemia (CLL), highlighting the need for a multidisciplinary approach and various diagnostic methods to accurately assess aortic conditions.
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  • Around 50% of women referred for invasive coronary angiography experience angina but have nonobstructive coronary arteries, with conditions like vasospastic angina and microvascular dysfunction being key issues.
  • In a study from 2018 to 2023 involving 198 women, those who underwent coronary function testing (CFT) were more likely to be diagnosed with vasomotor disorders than those who only had coronary angiography (CA), with significant differences in the types of diagnoses given.
  • The results showed that after CFT, there was a higher rate of changes in medications and a more aggressive approach to antianginal therapy compared to just undergoing CA, highlighting the importance of coronary function
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Background: Transcatheter aortic valve replacement (TAVR) has become the dominant treatment for aortic valve disease. While TAVR safety has improved over time, concern remains over the occurrence of cerebrovascular accidents (CVA) secondary to device placement, which is associated with increased morbidity and mortality. The Sentinel Cerebral Protection System (CPS) was developed to reduce the risk of embolic strokes associated with debris produced during TAVR.

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Background: Delivery of cardiac resynchronization therapy (CRT) requires left ventricular myocardial capture to achieve clinical benefits.

Objective: We sought to determine whether ineffective pacing affects survival.

Methods: Ineffective ventricular pacing (VP) was defined as the difference between the percentage of delivered CRT (%VP) and the percentage of effective CRT in CRT devices.

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  • The study examines the ratio of coronary artery lumen volume (V) to myocardial mass (M) to understand the relationship between coronary arteries and heart muscle in patients with complex coronary artery disease (CAD) prior to surgery.
  • It analyzes data from coronary computed tomography angiography (CCTA) in participants from a specific trial (FAST-TRACK CABG) and compares results with another patient cohort (ADVANCE registry).
  • Findings indicate that patients requiring coronary artery bypass grafting (CABG) had significantly lower V/M ratios than those in the ADVANCE registry, suggesting that V/M could serve as a useful non-invasive marker for assessing CAD severity, particularly alongside fractional flow reserve (FFR) measurements.
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Background: Early recurrence of atrial tachyarrhythmias (ERAT) within 3 months of thermal ablation for atrial fibrillation (AF) is common and often considered transient. Pulsed field ablation (PFA) is a nonthermal energy source in which ERAT is not well described.

Objective: The purpose of this study was to analyze ERAT in patients with AF undergoing PFA in the Pulsed Field Ablation to Irreversibly Electroporate Tissue and Treat AF (PULSED AF) trial.

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Objectives: Traditional criterion for intervention on an asymptomatic ascending aortic aneurysm has been a maximal aortic diameter of 5.5 cm or more. The 2022 American College of Cardiology/American Heart Association aortic guidelines adopted cross-sectional aortic area/height ratio, aortic size index, and aortic height index as alternate parameters for surgical intervention.

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Coronary bypass surgery guided by computed tomography in a low-risk population.

Eur Heart J

May 2024

CORRIB Research Centre for Advanced Imaging and Core Lab, University of Galway, University Road, Galway H91 TK33, Ireland.

Article Synopsis
  • In patients with complex coronary artery disease, selecting a revascularization strategy using coronary computed tomography angiography (CCTA) shows high agreement with invasive coronary angiography (ICA) results.
  • The study involved planning coronary artery bypass grafting (CABG) based on CCTA alone, achieving a high feasibility rate of 99.1% and strong agreement between the CCTA team and actual treatment decisions.
  • Follow-up results indicated a 92.6% graft patency rate after 30 days, with low rates of major adverse cardiac events (7.2%) and major bleeding (2.7%), supporting the safety of this approach.
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  • A study evaluated the use of intravenous (IV) sotalol for safely and quickly loading patients with atrial fibrillation, contrasting it with the traditional oral loading process that often requires a 3-day hospital stay.
  • The research involved 167 patients, mainly older adults, and found that 99% were admitted for sotalol initiation, achieving a short average hospital stay of 1.1 days with few adverse effects.
  • Results suggest that IV sotalol is a safe and efficient alternative for treating atrial arrhythmias; however, more research is necessary to determine the optimal hospital monitoring duration.
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Trafficking and persistence of fetal microchimeric cells (fMCs) and circulating extracellular vesicles (EVs) have been observed in animals and humans, but their consequences in the maternal body and their mechanistic contributions to maternal physiology and pathophysiology are not yet fully defined. Fetal cells and EVs may help remodel maternal organs after pregnancy-associated changes, but the cell types and EV cargos reaching the mother in preterm pregnancies after exposure to various risk factors can be distinct from term pregnancies. As preterm delivery-associated maternal complications are rising, revisiting this topic and formulating scientific questions for future research to reduce the risk of maternal morbidities are timely.

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Feasibility and accuracy of real-time 3D-holographic graft length measurements.

Eur Heart J Digit Health

January 2024

Corrib Research Centre for Advanced Imaging and Core Laboratory, University of Galway, University Road, H91 TK33, Galway, Ireland.

Article Synopsis
  • Mixed reality (MR) holograms can effectively display 3D images while allowing users to remain aware of their surroundings, offering a new method for measuring coronary artery bypass grafts using gestures and voice commands.
  • A study involving follow-up CT scans of 30 patients demonstrated that holographic measurements were feasible in 97.1% of cases, with high accuracy and excellent agreement between hologram and CT measurements.
  • The findings suggest that this real-time holographic measurement approach is quick and reliable, potentially enhancing clinical decision-making by enabling doctors to visualize and measure grafts directly.
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Invasive Management of Hypertrophic Cardiomyopathy With Clinically Important Obstruction: Surgical Myectomy Is Superior, but Only When Accessible.

Can J Cardiol

May 2024

Division of Cardiothoracic Surgery, The Valley Hospital, Ridgewood, New Jersey, USA; Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada. Electronic address:

For patients with hypertrophic cardiomyopathy (HCM), a thickened intraventricular septum and systolic anterior motion of the mitral valve (SAM) can contribute to significant left ventricular outflow tract obstruction (LVOTO), mitral regurgitation, and debilitating symptoms. Current guidelines recommend septal reduction therapy through alcohol septal ablation or surgical septal myectomy for patients whose symptoms persist despite medical therapy. Although alcohol septal ablation is a less invasive treatment option, it is not suitable for patients with septal perforator branch anatomy that is not compatible with the procedure, those with midcavitary obstruction, and patients in whom the mechanism of LVOTO is primarily related to SAM.

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Article Synopsis
  • The text outlines the development of a new metric called the CCTA-CABG anatomic SYNTAX Score (aSS), which evaluates how well coronary artery bypass grafts (CABG) have been implemented using coronary computed tomographic angiography (CCTA).
  • This score quantifies the effectiveness of grafting by comparing scores from successfully connected grafts against the original native coronary artery condition, thereby measuring surgical completeness.
  • The study showed high reproducibility in the CCTA-CABG aSS among 45 patients, making this new assessment a reliable tool for evaluating the success of revascularization procedures post-CABG.
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Purpose: Reimplanting the radial artery in the left internal thoracic artery as a composite graft allows total arterial revascularization (TAR) without aortic manipulation. The limitation of this strategy is the length of the radial artery required to reach distal right coronary artery (RCA) branches. Our analysis focuses on the feasibility of this strategy.

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Purpose: Recent guidelines provide broader support for the use of less invasive imaging modalities for the evaluation of patients with stable chest pain. Coronary CT angiography (CCTA) uses increasingly sophisticated techniques to improve evaluation of coronary lesions. The purpose of this study is to describe one center's experience implementing AI-assisted advanced imaging techniques to diagnose coronary artery disease.

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Paget-Schroetter Syndrome (PSS) is a form of upper extremity deep vein thrombosis (DVT) caused by the external compression of the subclavian vein at the thoracic outlet. Here we describe a complex PSS case in a 43-year-old female who experienced multiple recurrent DVTs and a right-sided hemothorax following two continuous aspiration thrombectomy procedures and a first rib resection. Rapid and complete symptom resolution was achieved with the InThrill Thrombectomy System (Inari Medical), a novel, thrombolytic-free, percutaneous mechanical thrombectomy device that removed all recurrent acute and subacute thrombus in a single session without significant blood loss.

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Homozygous deletion of CDKN2A/B is currently considered a molecular signature for grade 4 in IDH-mutant astrocytomas, irrespective of tumor histomorphology. The 2021 WHO Classification of CNS Tumors does not currently include grading recommendations for histologically lower-grade (grade 2-3) IDH-mutant astrocytoma with CDKN2A mutation or other CDKN2A alterations, and little is currently known about the prognostic implications of these alternative CDKN2A inactivating mechanisms. To address this, we evaluated a cohort of institutional and publicly available IDH-mutant astrocytomas, 15 with pathogenic mutations in CDKN2A, 47 with homozygous CDKN2A deletion, and 401 with retained/wildtype CDKN2A.

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Bicuspid Aortic Valves (BAV) are associated with an increased incidence of thoracic aortic aneurysms (TAA). TAA are a common aortic pathology characterized by enlargement of the aortic root and/or ascending aorta, and may become life threatening when left untreated. Typically occurring as the sole pathology in a patient, TAA are largely asymptomatic.

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Remote monitoring is beneficial for the management of patients with cardiovascular implantable electronic devices by impacting morbidity and mortality. With increasing numbers of patients using remote monitoring, keeping up with higher volume of remote monitoring transmissions creates challenges for device clinic staff. This international multidisciplinary document is intended to guide cardiac electrophysiologists, allied professionals, and hospital administrators in managing remote monitoring clinics.

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Background: Isocitrate dehydrogenase (IDH) mutations are thought to represent an early oncogenic event in glioma evolution, found with high penetrance across tumor cells; however, in rare cases, IDH mutation may exist only in a small subset of the total tumor cells (subclonal IDH mutation).

Methods: We present 2 institutional cases with subclonal R132H mutation. In addition, 2 large publicly available cohorts of IDH-mutant astrocytomas were mined for cases harboring subclonal IDH mutations (defined as tumor cell fraction with IDH mutation ≤0.

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Remote monitoring is beneficial for the management of patients with cardiovascular implantable electronic devices by impacting morbidity and mortality. With increasing numbers of patients using remote monitoring, keeping up with higher volume of remote monitoring transmissions creates challenges for device clinic staff. This international multidisciplinary document is intended to guide cardiac electrophysiologists, allied professionals, and hospital administrators in managing remote monitoring clinics.

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Remote monitoring is beneficial for the management of patients with cardiovascular implantable electronic devices by impacting morbidity and mortality. With increasing numbers of patients using remote monitoring, keeping up with higher volume of remote monitoring transmissions creates challenges for device clinic staff. This international multidisciplinary document is intended to guide cardiac electrophysiologists, allied professionals, and hospital administrators in managing remote monitoring clinics.

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