Baylor University Medical Center Proceedings最新文献

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Teaching and assessing in the operating room. 手术室教学与评估。
Baylor University Medical Center Proceedings Pub Date : 2025-01-28 eCollection Date: 2025-01-01 DOI: 10.1080/08998280.2025.2454210
Thomas Cox, John Preskitt, Jennifer Mooney, Julie Higginbotham
{"title":"Teaching and assessing in the operating room.","authors":"Thomas Cox, John Preskitt, Jennifer Mooney, Julie Higginbotham","doi":"10.1080/08998280.2025.2454210","DOIUrl":"10.1080/08998280.2025.2454210","url":null,"abstract":"<p><p>In the operating room of a teaching hospital, there is a need to balance surgical efficiencies, patient safety issues, and time management with preparing residents for mature practice. Gaps exist between attendings' perspectives and residents' perspectives on the quality of surgical teaching, wherein residents may perceive an unfocused stream of talk rather than a direct, structured approach. Based on a guided discovery learning model and a review of existing approaches for surgical teaching, the BID model-Briefing, Intraoperative, Debriefing-was applied for teaching in the operating room. The briefing adopts the precepts of deliberate practice while focusing on a small number of specific learning objectives. The intraoperative teaching segment consists of immediate feedback and guidance directed by the learning objectives. The debriefing element solidifies the learning that occurred and allows residents an opportunity to reflect on their performance. This approach guides future practice while fitting within the busy constraints of teaching surgeons.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 2","pages":"205-208"},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482172","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
Challenging carotid body tumor resection. 挑战性颈动脉体肿瘤切除术。
Baylor University Medical Center Proceedings Pub Date : 2025-01-24 eCollection Date: 2025-01-01 DOI: 10.1080/08998280.2024.2448622
Anne Kelly Rhudy, Stephen Hohmann, Lance Oxford, Ksenia Vlassova
{"title":"Challenging carotid body tumor resection.","authors":"Anne Kelly Rhudy, Stephen Hohmann, Lance Oxford, Ksenia Vlassova","doi":"10.1080/08998280.2024.2448622","DOIUrl":"https://doi.org/10.1080/08998280.2024.2448622","url":null,"abstract":"<p><p>We describe a multidisciplinary treatment option for a challenging carotid body tumor, Shamblin type III, resection via preoperative embolization and surgical resection. Postoperative vocal cord paralysis and cricopharyngeal achalasia were resolved with botulinum toxin and hyaluronic acid gel injections.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 3","pages":"350-353"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960486","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
When banding goes bad: two rare complications of endoscopic variceal banding ligation. 当绑扎变坏:内镜下静脉曲张绑扎结扎的两种罕见并发症。
Baylor University Medical Center Proceedings Pub Date : 2025-01-24 eCollection Date: 2025-01-01 DOI: 10.1080/08998280.2025.2452126
Ambreen A Merchant, Samantha Zarro, Anh D Nguyen
{"title":"When banding goes bad: two rare complications of endoscopic variceal banding ligation.","authors":"Ambreen A Merchant, Samantha Zarro, Anh D Nguyen","doi":"10.1080/08998280.2025.2452126","DOIUrl":"10.1080/08998280.2025.2452126","url":null,"abstract":"<p><p>Endoscopic variceal band ligation (EVBL) is a key therapy for the management of esophageal varices in patients with cirrhosis, but complications, though infrequent, can have significant clinical implications. We report a rare case of a 76-year-old woman with metabolic-associated steatotic liver disease cirrhosis who developed esophageal obstruction followed by a severe esophageal stricture after EVBL. Initial symptoms included dysphagia and chest pain, which led to the discovery of complete esophageal obstruction secondary to sloughing mucosa and detached bands on endoscopy. After endoscopic removal of the obstructing material, the patient initially had improvement in symptoms, but these symptoms recurred with repeat endoscopy, demonstrating a severe esophageal stricture requiring serial dilations. This case underscores the importance of vigilance in recognizing and managing two rare complications of EVBL, esophageal obstruction and stricture development, to improve patient outcomes.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 4","pages":"558-560"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12184119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144483021","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
Avocations. 业余爱好。
Baylor University Medical Center Proceedings Pub Date : 2025-01-21 eCollection Date: 2025-01-01 DOI: 10.1080/08998280.2025.2452129
Rolando Solis
{"title":"Avocations.","authors":"Rolando Solis","doi":"10.1080/08998280.2025.2452129","DOIUrl":"https://doi.org/10.1080/08998280.2025.2452129","url":null,"abstract":"","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 2","pages":"147"},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555786","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
Massive paraganglioma masquerading as ovarian tumor: a unique case of paraganglioma of undetermined genetic origin. 伪装成卵巢肿瘤的巨大副神经节瘤:一个独特的遗传来源不明的副神经节瘤病例。
Baylor University Medical Center Proceedings Pub Date : 2025-01-16 eCollection Date: 2025-01-01 DOI: 10.1080/08998280.2024.2448639
Oliver Gibb, Jacob W Lucas, Sujay Deshpande, Daniel C Edwards
{"title":"Massive paraganglioma masquerading as ovarian tumor: a unique case of paraganglioma of undetermined genetic origin.","authors":"Oliver Gibb, Jacob W Lucas, Sujay Deshpande, Daniel C Edwards","doi":"10.1080/08998280.2024.2448639","DOIUrl":"10.1080/08998280.2024.2448639","url":null,"abstract":"<p><p>Paraganglioma and pheochromocytoma are rare tumors originating from chromaffin cells: pheochromocytoma from within the adrenal gland and paraganglioma from the sympathetic chain in the retroperitoneum. Though many are clinically silent, both classically present with hyperadrenergic symptoms. We present a case of a patient with an immense retroperitoneal mass found to be a clinically silent paraganglioma. The unusual size and presentation of the tumor as well as its undetermined genetic origin give a unique perspective into this rare tumor.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 4","pages":"555-557"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12233688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582956","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
Walking the tightrope: toward clinical equipoise in portal vein thrombosis. 走钢丝:门静脉血栓形成的临床平衡。
Baylor University Medical Center Proceedings Pub Date : 2025-01-09 eCollection Date: 2025-01-01 DOI: 10.1080/08998280.2024.2449320
Lawrence R Schiller
{"title":"Walking the tightrope: toward clinical equipoise in portal vein thrombosis.","authors":"Lawrence R Schiller","doi":"10.1080/08998280.2024.2449320","DOIUrl":"10.1080/08998280.2024.2449320","url":null,"abstract":"","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 2","pages":"126"},"PeriodicalIF":0.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143481991","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
Choreoathetosis as a rare complication of paraneoplastic syndrome: a case report in small cell lung cancer with positive anti-Hu antibodies. 舞蹈病是副肿瘤综合征的罕见并发症:抗hu抗体阳性的小细胞肺癌1例报告。
Baylor University Medical Center Proceedings Pub Date : 2025-01-07 eCollection Date: 2025-01-01 DOI: 10.1080/08998280.2024.2448637
Sakditad Saowapa, Yaw Adu, Kanak Parmar, Veena Agusala, Gwyn Srifuengfung, Natchaya Polpichai, Pharit Siladech, Manasawee Tanariyakul
{"title":"Choreoathetosis as a rare complication of paraneoplastic syndrome: a case report in small cell lung cancer with positive anti-Hu antibodies.","authors":"Sakditad Saowapa, Yaw Adu, Kanak Parmar, Veena Agusala, Gwyn Srifuengfung, Natchaya Polpichai, Pharit Siladech, Manasawee Tanariyakul","doi":"10.1080/08998280.2024.2448637","DOIUrl":"https://doi.org/10.1080/08998280.2024.2448637","url":null,"abstract":"<p><p>Choreoathetosis is a rare complication of paraneoplastic syndrome, particularly associated with small cell lung cancer. We report a case of an elderly woman with small cell lung cancer who was diagnosed with choreoathetosis due to autoimmune-mediated paraneoplastic syndrome. The differential diagnoses for focal neurological deficits such as stroke, immunotherapy-related toxicity, radiation-induced toxicity, and brain metastasis were considered but the presence of onconeural antibodies made paraneoplastic syndrome a more likely diagnosis. Management of choreoathetosis in paraneoplastic syndrome can be challenging, with limited treatment options available.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 3","pages":"339-342"},"PeriodicalIF":0.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969481","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
Airway management-being prepared for the difficult case. 气道管理--为疑难病例做好准备。
Baylor University Medical Center Proceedings Pub Date : 2025-01-07 eCollection Date: 2025-01-01 DOI: 10.1080/08998280.2024.2448614
Michael A Ramsay
{"title":"Airway management-being prepared for the difficult case.","authors":"Michael A Ramsay","doi":"10.1080/08998280.2024.2448614","DOIUrl":"10.1080/08998280.2024.2448614","url":null,"abstract":"","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 2","pages":"140-141"},"PeriodicalIF":0.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482144","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
Carrel, Abraham Flexner, and Osler: selected World War I correspondence. 卡雷尔、亚伯拉罕·弗莱克斯纳和奥斯勒:第一次世界大战书信选集。
Baylor University Medical Center Proceedings Pub Date : 2025-01-02 eCollection Date: 2025-01-01 DOI: 10.1080/08998280.2024.2441615
Mathieu Ginier-Gillet
{"title":"Carrel, Abraham Flexner, and Osler: selected World War I correspondence.","authors":"Mathieu Ginier-Gillet","doi":"10.1080/08998280.2024.2441615","DOIUrl":"10.1080/08998280.2024.2441615","url":null,"abstract":"<p><p>The relationship between Alexis Carrel, who received the Nobel Prize in Physiology or Medicine in 1912, and Simon Flexner, director of the Rockefeller Institute for Medical Research, is well documented. However, Carrel's collaboration with Abraham Flexner, a key figure in US medical reform, is less widely recognized, and it seems there are no previous mentions of a connection with William Osler. This historical vignette offers insights into the interactions among these three figures during World War I. Five letters, preserved in the library of the National Academy of Medicine in Paris, are presented in full.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 2","pages":"202-204"},"PeriodicalIF":0.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482204","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
Transient oculomotor nerve palsy associated with spontaneous intracranial hypotension in a pediatric patient. 一过性动眼神经麻痹伴自发性颅内低血压的儿科患者。
Baylor University Medical Center Proceedings Pub Date : 2025-01-02 eCollection Date: 2025-01-01 DOI: 10.1080/08998280.2024.2439232
Yi Fang, Stephanie Blasick, Ehab Dayyat
{"title":"Transient oculomotor nerve palsy associated with spontaneous intracranial hypotension in a pediatric patient.","authors":"Yi Fang, Stephanie Blasick, Ehab Dayyat","doi":"10.1080/08998280.2024.2439232","DOIUrl":"https://doi.org/10.1080/08998280.2024.2439232","url":null,"abstract":"<p><p>Spontaneous intracranial hypotension (SIH) is a condition where cerebrospinal fluid (CSF) levels decrease and is primarily caused by spontaneous CSF leaks, most commonly occurring at the level of the thoracic spine. We report the first case of a transient and isolated oculomotor nerve (cranial nerve III) palsy associated with SIH and elevated CSF protein in a pediatric patient. Unlike typical SIH cases that often present with decreased CSF protein, this patient's findings emphasize the variability in SIH manifestations and emphasize the necessity for clinical suspicion and accurate diagnosis to avoid serious complications.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 3","pages":"343-345"},"PeriodicalIF":0.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961500","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
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