122 results match your criteria: "White Memorial Medical Center[Affiliation]"

A guide to caring for patients who identify as transgender and gender diverse in the emergency department.

J Am Coll Emerg Physicians Open

June 2024

Department of Emergency Medicine Trinity Health Ann Arbor Ypsilanti Michigan USA.

Through a review of current research, standards of care, and best practices, this paper serves as a resource for emergency physicians (EPs) caring for persons who identify as transgender and gender diverse (T/GD) in the emergency department (ED). Both patient- and physician-based research have identified existent potential knowledge gaps for EPs caring for T/GD in the ED. T/GD have negative experiences related to their gender identity when seeking emergency medical care and may even delay emergency care for fear of discrimination.

View Article and Find Full Text PDF

Introduction: The Coronavirus Disease 2019 (COVID-19) pandemic posed critical challenges in providing care to ovarian cancer (OC) patients, including delays in OC diagnosis and treatment initiation. To accommodate for delays in OC surgery, the Society of Gynecologic Oncology (SGO) recommended preferential use of neoadjuvant chemotherapy during the pandemic. The purpose of this study was to assess the association of the COVID-19 pandemic with neoadjuvant chemotherapy use in patients diagnosed with OC.

View Article and Find Full Text PDF

Background: Severe glenoid bone loss in the setting of both primary and revision reverse total shoulder arthroplasty (rTSA) continues to remain a significant challenge. The purpose of this study was to report on radiographic and clinical outcomes of primary and revision rTSA using a patient-matched, 3-dimensionally printed metal glenoid implant to address severe glenoid bone deficiency. This is a follow-up study to previously reported preliminary results.

View Article and Find Full Text PDF

Background: HPV (Human Papillomavirus) vaccination is a safe, effective method to prevent HPV-associated disease. Racial-ethnic disparities in HPV vaccination exist, which could lead to widening gaps in cervical cancer mortality. Provider discussion of HPV vaccination has been shown to be a primary factor for increasing vaccination rates.

View Article and Find Full Text PDF
Article Synopsis
  • Olecranon stress fractures (OSFs) are uncommon injuries mainly seen in elite throwing athletes, with a common treatment being cannulated screw fixation, though this often leads to hardware irritation and removal.
  • This study introduces a new surgical method using retrograde headless compression screws for repairing OSFs while avoiding triceps tendon disruption.
  • The results showed that all 5 athletes treated were able to return to their sport at the same or higher level within an average of 5.8 months, with favorable postoperative scores indicating minimal pain and excellent functional outcomes.
View Article and Find Full Text PDF

Trends in HPV- and non-HPV-associated vulvar cancer incidence, United States, 2001-2017.

Prev Med

November 2022

Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA 30341, United States of America. Electronic address:

Vulvar cancer incidence has been rising in recent years, possibly due to increasing exposure to human papillomavirus (HPV). We assessed incidence rates of HPV-associated and non-HPV-associated vulvar cancers diagnosed from 2001 to 2017 in the United States (US). Using population-based cancer registry data covering 99% of the US population, incidence rates were calculated and stratified by age, race/ethnicity, stage, geographic region, and histology.

View Article and Find Full Text PDF

Uterine leiomyosarcoma (uLMS) is an aggressive mesenchymal tumor associated with a poor prognosis. Research demonstrates that PARP inhibitors (PARPi) improve disease-stable survival in patients with somatic mutations through the process of synthetic lethality. Therefore, PARPi's may have a role in treating gynecologic malignancies with deleterious mutations.

View Article and Find Full Text PDF

Rates of Complications and Reoperation after Myomectomy-the Impact of Surgical Approach: A Statewide Population-based Cohort Study from 2005-2018.

J Minim Invasive Gynecol

October 2022

Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center (Drs. Molina, Siedhoff, Wright, and Truong), University of California San Diego, Los Angeles, California.

Study Objective: To assess rates of and factors associated with complications and reoperation after myomectomy.

Design: Population-based cohort study.

Setting: All non-Veterans Affairs facilities in the state of California from January 1, 2005, to December 31, 2018.

View Article and Find Full Text PDF

The Latino Resident Physician Shortage: A Challenge and Opportunity for Equity, Diversity, and Inclusion.

Acad Med

November 2022

D.E. Hayes-Bautista is distinguished professor of medicine and director, CESLAC, David Geffen School of Medicine at UCLA, Los Angeles, California; ORCID: https://orcid.org/0000-0001-8363-9034 .

Purpose: The purpose of this study is to examine the number of Latino physicians in residency training and Latino resident physician trends in the nation's 10 largest medical specialties in the United States and in the 4 states with the largest Latino populations: California, Florida, New York, and Texas.

Method: The authors used data from the United States Census Bureau's American Community Survey to determine Latino populations and a special report from the Association of American Medical Colleges to determine rates of Latino resident physicians in the United States and in California, Florida, New York, and Texas from 2001 to 2017. Rates of Latino residents in the nation's 10 specialties with the largest number of residents were also determined.

View Article and Find Full Text PDF

The future of diagnostic laparoscopy - Cons.

Reprod Fertil

April 2022

Division of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, California, USA.

Unlabelled: Endometriosis has a large impact on the lives of patients, affecting nearly 90% of women with chronic pelvic pain and infertility. Unfortunately, diagnosis for this condition is often delayed by an average of 7 years, with adolescent patients experiencing disproportionate delays. This is in part due to the use of an invasive procedure for primary diagnosis and limited access to subspecialty care.

View Article and Find Full Text PDF

Background: Total elbow arthroplasty is a treatment for unreconstructable distal humerus fractures; implant longevity remains a concern, especially in younger patients. However, distal humeral hemiarthroplasty (DHH) offers an alternative with potential long-term advantages.

Methods: This is a retrospective study of 10 patients who underwent DHH for distal humerus fractures over a 4-year period (2008-2012) by a single surgeon.

View Article and Find Full Text PDF

Background: There is no consensus on postoperative rotator cuff repair protocols in orthopedic or physical therapy literature. Despite surgical management, the frequency of rotator cuff retears continues to be high.

Objectives: This study is designed to investigate the current concepts of postoperative rehabilitation and to evaluate the state of communication between referring surgeons and treating physical therapists.

View Article and Find Full Text PDF

Validation of new shoulder periprosthetic joint infection criteria.

J Shoulder Elbow Surg

July 2021

Kerlan-Jobe Institute at White Memorial Medical Center, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Background: A periprosthetic joint infection (PJI) in the shoulder can be difficult to diagnose. Many variables have been used to determine a PJI. Recently, the 2018 International Consensus Meeting (ICM) on orthopedic infections gave new criteria to help identify PJI in the shoulder.

View Article and Find Full Text PDF

Recurrent GBS is a rare neurological condition in which patients develop similar symptoms of motor weakness after different preceding infections and suffer shorter intervals in between subsequent episodes of GBS. However, the majority of RGBS patients undergo full recovery.

View Article and Find Full Text PDF

The national rate of obesity in US Hispanic/Latinos exceeds all other major ethnic subgroups and represents an important health disparity. Plant-based diet interventions that emphasize whole plant foods with minimal processing and less refined grains and sugar have shown great promise in control of obesity, but there is a paucity of data translating this treatment effect to disparate populations. The objective of our study was to evaluate the efficacy of the Healthy Eating Lifestyle Program (HELP) for accomplishing weight management in a hospital-based, family centered, culturally tailored, plant-based diet intervention for Hispanic/Latino children who were overweight or obese.

View Article and Find Full Text PDF

A case of antibody proven Guillain Barré Syndrome in a previously healthy young female with extra clinical features, scans, and physical exam findings consistent with cervical spine and cervical medullary junction myelitis, together a new variant to consider.

View Article and Find Full Text PDF

 The Maternal-Fetal Medicine Units (MFMU) Network developed a prediction model for calculating the likelihood of successful vaginal birth after cesarean (VBAC) in patients undergoing a trial of labor after cesarean (TOLAC). In this prediction model, Latina ethnicity is considered a negative predictive factor for successful VBAC. Subsequent studies have found mixed results regarding VBAC success in Latina ethnicity.

View Article and Find Full Text PDF

Objective: Cancer and diabetes are two severe chronic illnesses that often co-occur. In cancer patients, diabetes increases the risk for treatment complexities and mortality. Yet patient-reported outcomes with co-occurring chronic illness are understudied.

View Article and Find Full Text PDF

Introduction: Metallic implants are integral to the practice of orthopedic surgery. Delayed-onset T-cell-mediated metal hypersensitivity (diagnosed by patch testing) is reported in 10% to 17% of the general population. Inconclusive evidence exists about the role of metal hypersensitivity in persistently painful or aseptic loosening of arthroplasties.

View Article and Find Full Text PDF
Article Synopsis
  • Streptococcus pasteurianus is a rare pathogen that has been linked to only a few cases of neonatal infection in the past decade, with symptoms often presenting as meningitis; however, this case report highlights two unusual instances of neonatal infections manifesting in rare forms: endocarditis and pneumonitis.* -
  • The first patient experienced respiratory distress and was initially treated for sepsis; after being diagnosed with S. pasteurianus, he was given an extended course of cefepime due to complications of endocarditis, ultimately leading to his improvement.* -
  • The second patient also presented with respiratory distress and went into septic shock; similar to the first case, he was treated with antibiotics after blood cultures
View Article and Find Full Text PDF

Background: Magnetic resonance imaging (MRI) findings in asymptomatic patients have been described for hips, knees, ankles, shoulders, and intervertebral disks. No such description exists for the elbow.

Methods: MRI scans of 189 asymptomatic elbows divided into 3 groups by age (group 1, 20-39 years; group 2, 40-59 years; and group 3, ≥60 years) were evaluated for abnormalities within 13 anatomic structures using a novel classification system.

View Article and Find Full Text PDF