Ochsner Journal最新文献_第2页

Partnering With Schools for Community-Based Health Interventions: How Educating Children Improves Hypertension Awareness. 与学校合作开展社区卫生干预：如何教育儿童提高对高血压的认识。

IF 1.3

Ochsner Journal Pub Date : 2025-01-01 DOI: 10.31486/toj.24.0099

Jennifer Hundley, Kristine Olson, Cherylann Rocha, Margaret K Wallace, Grace Smith, Katharina Martin, Micheal Crane, Ralph D'Agostino, Amy Ladd, Sangeeta Shah

{"title":"Partnering With Schools for Community-Based Health Interventions: How Educating Children Improves Hypertension Awareness.","authors":"Jennifer Hundley, Kristine Olson, Cherylann Rocha, Margaret K Wallace, Grace Smith, Katharina Martin, Micheal Crane, Ralph D'Agostino, Amy Ladd, Sangeeta Shah","doi":"10.31486/toj.24.0099","DOIUrl":"10.31486/toj.24.0099","url":null,"abstract":"Background: More than 16,000 Virginians die of cardiovascular disease each year, with increased morbidity among Black and low-income adults. Hypertension (HTN) is the most modifiable cardiovascular disease risk factor. A community-based health intervention administered in partnership with schools may increase HTN awareness and reduce the development of unhealthy practices.Methods: Elementary school students (n=52) attending a majority Black and low-income school participated in an educational intervention program called Teach BP that is designed to increase HTN awareness across 4 topics: knowledge of blood pressure (BP) and HTN, organ systems impacted by HTN, habits to maintain a healthy BP, and competency in operating a BP monitor.Results: Students' ability to define and recognize HTN increased by an average of 62.7%. Their awareness of how HTN affects the body increased by an average of 92.1%. Additionally, students demonstrated competency in operating a BP monitor.Conclusion: The Teach BP program was effective at increasing students' awareness of HTN.","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"25 1","pages":"34-43"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11924982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ERRATUM. 勘误表。

IF 1.3

Ochsner Journal Pub Date : 2025-01-01 DOI: 10.31486/toj.25.5054

引用次数: 0

Cerebellar Ataxia With Neuropathy and Bilateral Vestibular Areflexia Syndrome Coexisting With JAK2-Positive Polycythemia Vera and Myelofibrosis. 小脑共济失调伴神经病变和双侧前庭反射综合征与JAK2阳性多发性红细胞增多症和骨髓纤维化并存

IF 1.3

Ochsner Journal Pub Date : 2025-01-01 DOI: 10.31486/toj.24.0056

Jayaram Saibaba, Jayachandran Selvaraj, Stalin Viswanathan, Vivekanandan Pillai

{"title":"Cerebellar Ataxia With Neuropathy and Bilateral Vestibular Areflexia Syndrome Coexisting With JAK2-Positive Polycythemia Vera and Myelofibrosis.","authors":"Jayaram Saibaba, Jayachandran Selvaraj, Stalin Viswanathan, Vivekanandan Pillai","doi":"10.31486/toj.24.0056","DOIUrl":"10.31486/toj.24.0056","url":null,"abstract":"Background: Cerebellar ataxia with neuropathy and bilateral vestibular areflexia syndrome (CANVAS) is a rare, progressive, neurodegenerative disorder characterized by late-onset ataxia, bilateral vestibular impairment, and sensory neuropathy.Case report: A 51-year-old male presented to the hospital with worsening dizziness, tremulousness of limbs, and falls during the preceding year. The patient experienced gradually progressive sensorimotor lower motor neuron quadriparesis, asymmetric ataxia, chronic pancerebellar dysfunction, oscillopsia, and impaired vestibulo-ocular reflex. His comorbidities included poorly controlled type 2 diabetes mellitus, chronic alcohol use, and thalidomide therapy for polycythemia vera with myelofibrosis. Diagnostic workup revealed sensory axonal neuropathy, hypercellular bone marrow with myelofibrosis, and utriculo-saccular dysfunction. Diabetes and thalidomide- and alcohol-related complications were presumed to be the reason for the patient's symptoms, but investigations revealed a diagnosis of CANVAS coexisting with polycythemia vera. The patient was treated with rehabilitation exercises and medications that slightly improved but did not resolve his symptoms. More than 1 year after the patient's last follow-up, a physician at another hospital discontinued the thalidomide prescription because of the patient's neuropathy. Two months later, the patient developed febrile neutropenia and died of pneumonia and sepsis.Conclusion: To our knowledge, CANVAS coexisting with polycythemia vera has only been reported once in the literature. The significance of this coexistence is not clear. Future case studies may help elucidate a link between these two entities.","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"25 1","pages":"50-53"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11924976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating the Role of the Jaw Thrust Maneuver During Tracheal Intubation in Reducing the Incidence of Postoperative Sore Throat: A Prospective Randomized Study. 评估气管插管过程中的下颌推举动作在降低术后咽喉痛发生率方面的作用：前瞻性随机研究

IF 1.3

Ochsner Journal Pub Date : 2025-01-01 DOI: 10.31486/toj.24.0072

Dipti Saxena, Arohi Rathore, Pallavi Jain, Anuj Jain, Swapnil Kumar Barasker

{"title":"Evaluating the Role of the Jaw Thrust Maneuver During Tracheal Intubation in Reducing the Incidence of Postoperative Sore Throat: A Prospective Randomized Study.","authors":"Dipti Saxena, Arohi Rathore, Pallavi Jain, Anuj Jain, Swapnil Kumar Barasker","doi":"10.31486/toj.24.0072","DOIUrl":"10.31486/toj.24.0072","url":null,"abstract":"Background: Endotracheal intubation is commonly associated with postoperative sore throat. We evaluated the effect of the jaw thrust maneuver on the incidence and severity of sore throat.Methods: A total of 110 female patients undergoing laparoscopic abdominal procedures were enrolled in the study, and 99 patients were included in the final analysis. The patients were randomized into 2 groups: the jaw thrust group (n=49) and the non-jaw thrust group (n=50). Sore throat monitoring and grading were performed at 0, 2, 4, 8, 12, and 24 hours postextubation.Results: The overall incidence of sore throat was higher in the non-jaw thrust group than in the jaw thrust group, with a maximum incidence at 4 hours, and the difference in incidence between the 2 groups was significant at the 4-, 8-, 12-, and 24-hour time points postextubation. However, no significant difference in sore throat severity was found between the non-jaw thrust and jaw thrust groups. The time of laryngoscopy was significantly less for patients in the jaw thrust group.Conclusion: In our population, the jaw thrust maneuver lowered the incidence but not the severity of sore throat during the initial 24 hours after extubation. The jaw thrust maneuver also significantly lowered laryngoscopy time.","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"25 1","pages":"17-23"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11924978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Privilege of Advancing Knowledge. 推进知识的特权。

IF 1.3

Ochsner Journal Pub Date : 2025-01-01 DOI: 10.31486/toj.25.5055

Ronald G Amedee

引用次数: 0

Comparative Analysis of Ultrasound-Guided Pain Management Approaches for Sternotomy in Cardiac Surgeries-Transversus Thoracic Muscle Plane Block vs Pecto-Intercostal Fascial Block. 超声引导胸骨切开术疼痛管理方法的比较分析——胸经肌平面阻滞与胸肋间筋膜阻滞。

IF 1.3

Ochsner Journal Pub Date : 2025-01-01 DOI: 10.31486/toj.24.0052

Hemant Vanjare, Chetana Prakash Deshmukh, Swapnil Kumar Barasker, Akheela Mohamed Kassim, Bipin Arya

{"title":"Comparative Analysis of Ultrasound-Guided Pain Management Approaches for Sternotomy in Cardiac Surgeries-Transversus Thoracic Muscle Plane Block vs Pecto-Intercostal Fascial Block.","authors":"Hemant Vanjare, Chetana Prakash Deshmukh, Swapnil Kumar Barasker, Akheela Mohamed Kassim, Bipin Arya","doi":"10.31486/toj.24.0052","DOIUrl":"10.31486/toj.24.0052","url":null,"abstract":"Background: Pain management after sternotomy in cardiac surgery is vital for recovery. Opioids are commonly used, but they carry risk. Central neuraxial techniques and nerve blocks are options for a multimodality approach. Fascial plane blocks such as the transversus thoracic muscle plane block (TTMPB) and the pecto-intercostal fascial block (PIFB) are a relatively new way to relieve pain, and their popularity has increased with the use of ultrasound for precise anatomic visualization. Because the effectiveness of both blocks is similar, we conducted this study to compare the pain management of the TTMPB and the PIFB after sternotomy in cardiac surgery.Methods: This randomized double-blind study included 118 patients who underwent cardiac surgery. In the TTMPB group (n=59), 20 mL of 0.2% ropivacaine was injected bilaterally using ultrasound assistance in the transversus thoracic plane. In the PIFB group (n=59), 20 mL of 0.2% ropivacaine was injected in the pecto-intercostal plane. Study outcomes were opioid consumption in the first 24 hours and pain scores at 0, 3, 6, 12, and 24 hours postoperatively.Results: Patient characteristics in the 2 groups were similar. Opioid consumption was similar in both groups (P=0.672), and we found no difference in pain scores between the 2 groups at any of the time intervals.Conclusion: The TTMPB and the PIFB were similarly effective in treating acute poststernotomy pain in our patient population.","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"25 1","pages":"11-16"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11924972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enhancing Physician Satisfaction and Patient Safety Through an Artificial Intelligence-Driven Scheduling System in Anesthesiology. 通过人工智能驱动的麻醉科排班系统提高医生满意度和患者安全。

IF 1.3

Ochsner Journal Pub Date : 2025-01-01 DOI: 10.31486/toj.24.0104

William D Sumrall, Jakob V Oury, George M Gilly

{"title":"Enhancing Physician Satisfaction and Patient Safety Through an Artificial Intelligence-Driven Scheduling System in Anesthesiology.","authors":"William D Sumrall, Jakob V Oury, George M Gilly","doi":"10.31486/toj.24.0104","DOIUrl":"10.31486/toj.24.0104","url":null,"abstract":"Background: Overcoming challenges to effective clinical practice depends on finding dynamic solutions to issues such as physician burnout and patient safety. This study evaluated the impact of an artificial intelligence (AI)-driven scheduling system on physician burnout and patient safety, using intraoperative transitions of care as an operative metric for patient safety.Methods: In May 2019, the Department of Anesthesiology at Ochsner Health in New Orleans, Louisiana, implemented an AI-driven scheduling system called Lightning Bolt Scheduling (PerfectServe, Inc). Utilizing an idealized design framework, the department steering committee analyzed 12 months of historic operating room data and developed more than 400 scheduling rules to optimize staffing. The scheduling rules, representing the steering committee's new work model, were provided as inputs into Lightning Bolt Scheduling, which then used combinatorial optimization to recommend an ideal staff schedule. Preimplementation and postimplementation data were collected on physician satisfaction, vacation approval rates, and intraoperative transitions of care.Results: Six months postimplementation, physician satisfaction scores and vacation approvals increased, reflecting improved work-life balance, schedule flexibility, and decreased symptoms of burnout. Additionally, 1,072 fewer handoffs occurred, equating to 71.5 fewer adverse events and a savings of approximately $335,550 in health care costs during the 21 months after implementation.Conclusion: Our study findings underscore the potential of data-driven scheduling systems to enhance physician well-being and patient safety, thereby promoting continuous improvement and adaptability in health care operations.","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"25 1","pages":"44-49"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11924975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

HeartMate 3 Left Ventricular Assist Device Implantation in a Pediatric Patient With Limb-Girdle Muscular Dystrophy. 心脏伴侣3型左心室辅助装置植入在小儿肢带肌萎缩症患者中的应用。

IF 1.3

Ochsner Journal Pub Date : 2025-01-01 DOI: 10.31486/toj.24.0109

Christopher M Zumwalt, Katerina Boucek, Dennis A Wells

{"title":"HeartMate 3 Left Ventricular Assist Device Implantation in a Pediatric Patient With Limb-Girdle Muscular Dystrophy.","authors":"Christopher M Zumwalt, Katerina Boucek, Dennis A Wells","doi":"10.31486/toj.24.0109","DOIUrl":"10.31486/toj.24.0109","url":null,"abstract":"Background: The development of cardiac complications is common in patients with muscular dystrophy. However, advanced heart failure therapies such as implantation of durable ventricular assist devices and transplant are infrequently used in patients who develop cardiomyopathy, often because of comorbid impairments in mobility and respiratory function.Case report: A 16-year-old male with limb-girdle muscular dystrophy type R4 presented with chronic decompensated heart failure. Recent worsening of his respiratory function and mobility were confounded by severe heart failure. In addition to our core advanced heart failure team, multidisciplinary assessment preoperatively included Neurology, Pulmonology, Genetics, and Physical Medicine and Rehabilitation. The patient underwent implantation of a HeartMate 3 left ventricular assist device and had an uneventful postoperative course. After intensive inpatient physical and occupational therapy, he was discharged home on postoperative day 16 with minimal residual heart failure symptoms and plans to continue robust outpatient physical therapy.Conclusion: Patients with muscular dystrophy often have cardiac involvement; however, certain subtypes of muscular dystrophy are associated with an earlier presentation of severe life-limiting cardiomyopathy. Pediatric patients with muscular dystrophy should be considered for advanced heart failure therapies such as implantation of a durable left ventricular assist device at an appropriate center. Carefully selected patients may experience substantial improvements in their quality of life. Given the variable disease progression and life expectancy of patients with subtypes of muscular dystrophy, a thorough assessment by a multidisciplinary team is critical.","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"25 2","pages":"116-118"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12175756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rectal Administration of Carbidopa/Levodopa. 直肠给药卡比多巴/左旋多巴。

IF 1.3

Ochsner Journal Pub Date : 2025-01-01 DOI: 10.31486/toj.24.0103

Andrew Guthrie, Joshua King, Ashley Casey

引用次数: 0

Rare Ocular Association With Hailey-Hailey Disease. 罕见的与黑利-黑利病的眼部关联。

IF 1.3

Ochsner Journal Pub Date : 2025-01-01 DOI: 10.31486/toj.24.0116

Mamta Singh, Yashdeep Singh Pathania, Praggya Mishra

{"title":"Rare Ocular Association With Hailey-Hailey Disease.","authors":"Mamta Singh, Yashdeep Singh Pathania, Praggya Mishra","doi":"10.31486/toj.24.0116","DOIUrl":"10.31486/toj.24.0116","url":null,"abstract":"Background: Hailey-Hailey disease is an autosomal dominant blistering disorder characterized by junctional abnormalities of epidermal keratinocytes. Vesiculobullous eruptions affect the intertriginous areas of individuals with the condition. Ocular involvement associated with Hailey-Hailey disease is rare.Case report: A 12-year-old female with a history of recurrent blisters since the age of 3 years presented with concurrent redness, irritation, and watering of both eyes. Slit lamp examination revealed bilateral conjunctival congestion, peripheral corneal neovascularization, lack of corneal luster, and corneal haze. The ocular signs were more prominent in the left eye. Important differentials considered were pemphigus vulgaris and allergic conjunctivitis. However, lack of clinical signs of allergic conjunctivitis, lack of involvement of the oral mucosa, the classic distribution of blisters and their aggravation by triggering factors, the absence of Nikolsky sign, and biopsy of a skin lesion ruled out these 2 diagnoses. The patient was treated with low-potency steroid eye drops, an ocular lubricant, and eye ointment. At her 2-week follow-up examination, the patient exhibited decreased conjunctival congestion, improved corneal luster, and symptomatic relief.Conclusion: Ocular involvement in Hailey-Hailey disease can lead to chronic ocular inflammation and sequelae, causing a decrease in vision. Our case is noteworthy because of the early onset of Hailey-Hailey disease and the associated ocular manifestations.","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"25 2","pages":"133-136"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12175763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0