Baylor University Medical Center Proceedings最新文献

{"title":"Hantavirus cardiopulmonary syndrome: challenges faced by clinicians.","authors":"Jamil A Abbasi","doi":"10.1080/08998280.2026.2720843","DOIUrl":"10.1080/08998280.2026.2720843","url":null,"abstract":"","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":" ","pages":"1128"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13682264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148904993","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}

{"title":"Avocations.","authors":"Rolando M Solis","doi":"10.1080/08998280.2026.2730894","DOIUrl":"10.1080/08998280.2026.2730894","url":null,"abstract":"","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":" ","pages":"1042"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13682238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036169","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}

{"title":"Epidemiology of hidradenitis suppurativa in a large institutional 15-year retrospective study.","authors":"Tho Trinh, Umer Nadir, George M Jeha, R Todd Plott, Stanislav N Tolkachjov","doi":"10.1080/08998280.2026.2704142","DOIUrl":"10.1080/08998280.2026.2704142","url":null,"abstract":"<p><strong>Background: </strong>Hidradenitis suppurativa (HS) is a chronic inflammatory disorder associated with substantial morbidity, yet large real-world studies evaluating prevalence and comorbidity patterns within single healthcare systems remain limited.</p><p><strong>Methods: </strong>We retrospectively reviewed adult patients diagnosed with HS across an institution-wide cohort from September 2010 through October 2025. Demographics, anxiety, depression, acne history, and median income category by zip code were analyzed.</p><p><strong>Results: </strong>Among 1,882,631 patients, 15,275 had HS, corresponding to a prevalence of 0.81%. Women represented 77.8% of cases, and the highest prevalence occurred among patients aged 31 to 40 years. HS patients were more than twice as likely to have acne compared with non-HS patients (odds ratio = 2.16; 95% confidence interval, 2.09-2.23; <i>P</i> < 0.001). Anxiety or depression was documented in 26.9% of patients. Median household income was not significantly associated with HS.</p><p><strong>Conclusion: </strong>These findings reinforce the demographic and psychosocial burden associated with HS and may assist clinicians in earlier recognition and management.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":" ","pages":"1116-1117"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13682242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148547592","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}

{"title":"Incidence of heat-related illness in a Texas emergency department network: a retrospective analysis.","authors":"Colby McClaugherty, Clifford J Buckley, Alejandro Arroliga, Savannah Heath, Andrew Juergens","doi":"10.1080/08998280.2026.2718660","DOIUrl":"10.1080/08998280.2026.2718660","url":null,"abstract":"<p><strong>Background: </strong>The southern region of the USA including Texas is projected to see increasing temperatures. Heat-related illness (HRI) is a consequence of rising temperatures, and vulnerable populations are disproportionately affected.</p><p><strong>Methods: </strong>This retrospective cohort study analyzed electronic health record data in Central Texas. Subjects presenting to the emergency department with HRI in 2015-2016 and 2022-2023 were identified via International Classification of Diseases codes. Variables collected included age, sex, race, month, and urban-rural status. Local temperature trends were examined.</p><p><strong>Results: </strong>The overall incidence of HRI increased from 0.08% of total presentations to 0.15% (<i>P</i> < 0.001). Subjects aged 64 to 97 years and Hispanic subjects showed a disproportionate increase. Metropolitan areas had a higher incidence than rural areas. Presentations significantly clustered from May through August. The mean age increased by 5.28 years, while local temperatures did not differ significantly.</p><p><strong>Conclusion: </strong>The incidence of HRI increased over time, with a higher prevalence among older adults and Hispanic populations. Targeted public health interventions are needed for marginalized communities and older adults in underserved areas to mitigate HRI morbidity and mortality.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":" ","pages":"1086-1090"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13682233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787831","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}

{"title":"The urological burden of lichen sclerosis: implications for multidisciplinary surveillance and management.","authors":"Rudhasri Lakkuru, Gabriana M Farah, Sahil Kapur, Craig G Burkhart","doi":"10.1080/08998280.2026.2704143","DOIUrl":"10.1080/08998280.2026.2704143","url":null,"abstract":"<p><strong>Background: </strong>Lichen sclerosis (LS) is a chronic inflammatory condition predominantly affecting the anogenital skin, with genitourinary involvement leading to scarring, phimosis, and voiding dysfunction. The long-term urological sequelae, including urological interventions, remain unexplored in large cohorts.</p><p><strong>Methods: </strong>Using the TriNetX database, a retrospective propensity score-matched cohort analysis was conducted, comparing 36,974 patients with LS to 36,974 controls matched by demographics, diabetes mellitus, tobacco use, recurrent urinary tract infections, immunosuppressant use, and prior cystourethroscopy and/or temporary indwelling bladder catheter. Outcomes involved patients with >12 months follow-up with urological complications or urological interventions, identified through ICD-10 codes.</p><p><strong>Results: </strong>Overall, urethral strictures (relative risk [RR]: 2.256; 95% confidence interval [CI]: 1.753-2.905; <i>P</i> < 0.0001) and urethroplasty (<i>P</i> < 0.0001) rates were significantly elevated in the LS cohort group.</p><p><strong>Conclusions: </strong>These findings highlight the multisystematic involvement of LS and emphasize the importance for comprehensive dermatologic and urologic follow-up.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":" ","pages":"1113-1115"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13682259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148577048","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}

{"title":"Hantavirus cardiopulmonary syndrome in children: a systematic scoping review of presentation, critical care management, and outcomes.","authors":"Weerapong Lilitwat, Neha Mahindrakar, Prakreeti Bhandari, Ramya Yedatore, Shristi Maharjan, Maryam Zubair, Yuttiwat Vorakunthada","doi":"10.1080/08998280.2026.2698359","DOIUrl":"10.1080/08998280.2026.2698359","url":null,"abstract":"<p><strong>Background: </strong>Pediatric hantavirus cardiopulmonary syndrome/hantavirus pulmonary syndrome (HCPS/HPS) is rare but can progress rapidly from a nonspecific febrile prodrome to respiratory failure, shock, and multiorgan dysfunction. Pediatric-specific evidence is limited, and a comprehensive map of the clinical literature is lacking.</p><p><strong>Methods: </strong>We conducted a systematic scoping review per Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews (PRISMA-ScR) guidance (protocol registered at DOI:10.17605/OSF.IO/MZDN4). PubMed/MEDLINE, Embase, Scopus, Web of Science, and Cochrane CENTRAL were searched from inception to May 2026. Eligible reports described children or adolescents (age ≤18 years) with HCPS/HPS and extractable pediatric clinical data. Two reviewers independently screened records, assessed overlap, extracted data, and appraised reporting quality using Joanna Briggs Institute tools.</p><p><strong>Results: </strong>Of 2208 database records, 20 reports were included in the core pediatric synthesis after removal of 976 duplicates and screening. Reports were concentrated in the Americas. Recurrent features included fever, gastrointestinal symptoms, myalgia, thrombocytopenia, hemoconcentration, pulmonary edema, respiratory failure, and shock. Severe cases required mechanical ventilation, vasoactive support, extracorporeal membrane oxygenation, and in some cases renal replacement therapy. Larger pediatric case series and surveillance-level reports reported mortality of approximately 33% to 37%. Evidence was predominantly case-based with variable reporting completeness.</p><p><strong>Conclusions: </strong>Pediatric HCPS/HPS is rare but potentially rapidly fatal. Early suspicion in endemic regions or after rodent exposure, with prompt supportive critical care and timely consideration of advanced cardiopulmonary support, is central to management.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":" ","pages":"1118-1127"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13689793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148468636","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}

{"title":"In-hospital outcomes of acute myocardial infarction in Asian Pacific Islanders in the United States over the past two decades: a propensity score-matched analysis.","authors":"Maninder Randhawa, Dylan Yu, Anand Rai, Taha Mansoor, Austin Brubaker, Aritra Paul, Dimitar Bahariev, Santhosh Koshy","doi":"10.1080/08998280.2026.2717838","DOIUrl":"10.1080/08998280.2026.2717838","url":null,"abstract":"<p><strong>Background: </strong>Asian Pacific Islanders (APIs) represent one of the fastest-growing racial and ethnic groups in the United States. Yet, national data on temporal trends and in-hospital outcomes of acute myocardial infarction (AMI) in this population remain limited.</p><p><strong>Methods: </strong>Using the National Inpatient Sample, we conducted a retrospective analysis of AMI hospitalizations from 2003 to 2022. Hospitalizations were stratified into two groups based on race/ethnicity: APIs and non-APIs. Propensity score matching was used to match both study groups, and in-hospital outcomes were then analyzed.</p><p><strong>Results: </strong>Compared to non-APIs, APIs experienced a higher proportion of cardiac arrest, cardiogenic shock, mechanical circulatory support use, respiratory failure, renal replacement therapy, stroke, clinically significant bleeding, and major adverse cardiac and cerebrovascular events (<i>P</i> < 0.001). APIs also experienced significantly higher in-hospital mortality when compared to non-APIs (<i>P</i> < 0.001). From 2003 to 2022, APIs consistently had higher in-hospital mortality compared to non-APIs.</p><p><strong>Conclusion: </strong>APIs have significantly worse in-hospital outcomes and mortality compared to non-APIs when admitted for AMI, underscoring the need for targeted interventions to improve cardiovascular care in this population.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":" ","pages":"992-1001"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13689787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963339","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}

{"title":"Deep thoughts about \"deep\" learning.","authors":"Thi Cao","doi":"10.1080/08998280.2026.2720844","DOIUrl":"10.1080/08998280.2026.2720844","url":null,"abstract":"","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":" ","pages":"1096"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13682228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787662","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}

{"title":"An underappreciated hot topic.","authors":"Robert T Dahlquist","doi":"10.1080/08998280.2026.2730095","DOIUrl":"10.1080/08998280.2026.2730095","url":null,"abstract":"","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":" ","pages":"1091"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13682248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148975733","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}

{"title":"The role of anti-Ro/SSA antibodies in heart block among adult patients.","authors":"Rona Yu, Stamatina Tolias, Rachel C Robbins, Jess D Edison, Matthew Needleman, J Edwin Atwood","doi":"10.1080/08998280.2026.2718588","DOIUrl":"10.1080/08998280.2026.2718588","url":null,"abstract":"","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":" ","pages":"1167-1168"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13682240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787748","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}