PTSD Treatment: The Eyes May Have It: Psychotherapists at the North Chicago VA Medical Center are finding success with an unusual treatment for severe psychological trauma

2005 ◽  
Author(s):  
Ryan Steinbach
Keyword(s):  
Medical Center ◽  
Psychological Trauma ◽  
Ptsd Treatment ◽  
The North

Techniques' Comparison and Report of the North Carolina Experience

PEDIATRICS ◽  
1989 ◽  
Vol 83 (5) ◽  
pp. 843-848
Author(s):  
Thomas R. Kinney ◽  
Martha Sawtschenko ◽  
Mary Whorton ◽  
Jean Shearin ◽  
Christy Stine ◽  
...  
Keyword(s):  
North Carolina ◽  
Filter Paper ◽  
Screening Program ◽  
Medical Center ◽  
Sample Collection ◽  
Capillary Tubes ◽  
Blood Samples ◽  
Screening Programs ◽  
The North ◽  
Duke University

Controversy still exists as to the best laboratory method to use to screen newborns for sickle cell disease and other hemoglobinopathies. The proposed methods include hemoglobin electrophoresis, column chromatography, isoelectric focusing, and high performance liquid chromatography. There is also debate concerning the preferred method of sample collection. The proposed methods of sample collection include cord blood or blood obtained from the infant collected in a tube with anticoagulant or on filter paper. We compared hemoglobin electrophoresis patterns from infant blood samples collected in heparinized capillary tubes and on filter paper. This comparison was performed because hemoglobin electrophoresis of dried blood samples collected on filter paper has been advocated as a practical, reliable, and inexpensive method for mass screening programs, although the limitations of this technique have not been explored fully. We also summarize data from the North Carolina Newborn Hemoglobinopathy Screening Program, which relates to the advantages and limitations of hemoglobin electrophoresis from filter paper blood specimens. MATERIALS AND METHODS Specimens Four sets of specimens were used for this study: (1) specimens collected at Duke University Medical Center to compare hemoglobin electrophoresis patterns of hemolysates from filter paper and heparinized capillary tubes, (2) specimens collected by the North Carolina program for hemoglobinopathy screening, (3) specimens routinely collected at Duke University in heparinized capillary tubes for newborn hemoglobinopathy screening, and (4) samples for retesting to examine the error rate of the state program and to confirm screening results compatible with a hemoglobinopathy. Samples for Direct Comparison Between Filter Paper and Heparinized Specimens

scholarly journals An immediate field survey of the San Fernando, Los Angeles, earthquake, February 9, 1971

1971 ◽  
Vol 4 (3) ◽  
pp. 335-346
Author(s):  
R. D. Adams
Keyword(s):  
Los Angeles ◽  
Ground Deformation ◽  
Medical Center ◽  
Veterans Administration ◽  
Large Hospital ◽  
Wooden Frame ◽  
San Gabriel Mountains ◽  
The North ◽  
San Fernando ◽  
Administration Hospital

The San Fernando earthquake occurred in the San Gabriel Mountains, about 25 miles to the north of central Los Angeles. Its magnitude, about 6 1/2, was not exceptionally large, and such earthquakes are not uncommon
in California. Not since the Long Beach earthquake of 1933 (magnitude 6.3), however, has a significant shock occurred near a densely built-up area. The greatest damage appears to be associated with a zone of overthrusting, where the San Gabriel Mountains meet the San Fernando Valley to the south of the epicentre. In some places this overthrusting caused conspicuous ground deformation through built-up areas of San Fernando and Sylmar. Domestic wooden-frame houses in general withstood the earthquake well, but large hospital buildings at the Olive View Medical Center and Veterans’ Administration Hospital at Sylmar failed badly. Conspicuous damage was also caused to freeway overpasses, the Sylmar Converter Station, and to
 the Van Norman Reservoir complex. Total damage
 is estimated as high as U.S. $1,000,000,000. Ground accelerations of about 1g were recorded in the abutment of the Pacoima Dam, to the north of San Fernando.

Veterans Affairs and Academic Medical Center Affiliations: The North Texas Experience

2009 ◽  
Vol 33 (1) ◽  
pp. 17-22 ◽  
Author(s):  
P. C. Mohl ◽  
W. Hendrickse ◽  
C. Orsak ◽  
H. Vermette
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Veterans Affairs ◽  
North Texas ◽  
The North ◽  
Academic Medical

scholarly journals Earthquake in Pakistan and Kashmir: suggested plan for psychological trauma relief work

2006 ◽  
Vol 3 (1) ◽  
pp. 16-18 ◽  
Author(s):  
M. Akmal Makhdum ◽  
Afzal Javed
Keyword(s):  
Young Children ◽  
Psychological Trauma ◽  
Mountainous Terrain ◽  
Universities And Colleges ◽  
Household Chores ◽  
The North ◽  
Richter Scale ◽  
Wheel Drive ◽  
Almost All ◽  
Four Wheel Drive

On the morning of 8 October 2005, Pakistan and Pakistani-controlled Kashmir were hit by an earthquake that measured 7.6 on the Richter scale. Within 5 seconds, almost all buildings in two major cities of the north were destroyed: the capital of Pakistani-controlled Kashmir, Muzaffarabad, and Balakot, a picturesque mountain city. This was about 9 a.m. Children were in classrooms and mothers were doing household chores. Many men were in the fields. Therefore, when houses and buildings collapsed, thousands of young children and women were killed, as a result of falling roofs and walls. All government buildings, universities and colleges were destroyed and thousands of students died. In one town there were no children left alive: a generation had been wiped out. In two schools alone people were trying to retrieve 600 bodies of young girls. The earthquake hit hardest in difficult mountainous terrain. Even under normal conditions, four-wheel-drive vehicles are required to travel in this area; after the earthquake, landslides had blocked access to large villages. Many small villages were buried.

NEWS AND ANNOUNCEMENTS

PEDIATRICS ◽  
1968 ◽  
Vol 42 (1) ◽  
pp. 217-217
Keyword(s):  
General Hospital ◽  
North Pacific ◽  
Massachusetts General Hospital ◽  
Medical Center ◽  
Scientific Meeting ◽  
Paediatric Society ◽  
Pediatric Society ◽  
The North ◽  
Sick Children ◽  
The North Pacific

The First Scientific Meeting of the Irish and American Paediatric Society will be held in Dublin August 5-9, 1968, at Our Lady's Hospital for Sick Children, Crumlin, Dublin 12, Ireland. The meeting is open to all interested physicians. For information write: Thomas E. Cone, Jr., M.D., The Children's Hospital Medical Center, 300 Longwood Avenue, Boston, Massachusetts 02115, or John P. Connelly, M.D., Massachusetts General Hospital, Fruit Street, Boston, Massachusetts 02114. The North Pacific Pediatric Society will meet in Victoria, British Columbia, September 14-17, 1968.

Effects of Anemia on the Rehabilitation Outcomes in Elderly Patients in the Post-Acute Care Setting.

Blood ◽  
2007 ◽  
Vol 110 (11) ◽  
pp. 5158-5158 ◽  
Author(s):  
Maciej Witkos ◽  
Michelle Uttaburanont ◽  
Myra Vicenio ◽  
Christopher Lang ◽  
Rami Y. Haddad
Keyword(s):  
Length Of Stay ◽  
Medical Records ◽  
Chart Review ◽  
Physical Therapist ◽  
Medical Center ◽  
The United States ◽  
Multivariate Model ◽  
Rehabilitation Outcomes ◽  
The North ◽  
Median Change

Abstract Background - More than 3 million people in the United States over the age of 65 are anemic. The evidence indicates that older people with anemia suffer hospitalizations, physical decline and disability more than people without anemia. Additionally there are reports that anemia is an independent risk factor for this decline in physical performance in those over the age of 65. Objective - The goal of this study was to detail if anemia significantly affects patient’s rehabilitation outcomes by focusing on the ability to perform activities of daily living (ADL) as assessed by the physical therapist, the disposition upon discharge (meeting the therapy goals) and an analysis of length of stay (LOS) in relation to anemia. Methods - We conducted a chart review of 260 medical records of patients who underwent rehabilitation therapy at the North Chicago Veterans Affairs Medical Center, and detailed the progress of 69 of these patients who received ADL therapy. The study is ongoing with a projected chart review of 437 medical records, and with an estimated final sample size of 150. Univariate and multivariate analysis was conducted in relation to our outcome measures. Results - The anemic group had 43 patients and the non-anemic 26. Average values for anemic patients were: Hgb 11 Hct 32, MCV 88, MCH 29.2, RDW 15.6, Platelets 259, the non-anemic patients values were: Hgb 13.4, Hct 39, MCV 89, MCH 33.3, RDW 14.3, platelets 229. The patients with anemia had a median change in ADL scores of 9 versus non-anemic patients’ median change in scores of 12 (p=0.154). Length of stay was 51 days (median) for anemic patients and 36 days (median) for non-anemic patients (p=0.108) Of the non-anemic patients, 19 out of 26 (73%) met the goals of therapy and 21 out of 43 (49%) of the anemic patients met the goals of therapy (p=0.055). Surprisingly, only 3 out of the 43 (7%) anemic patients were treated for their anemia or had work up done to identify the cause of the anemia. The multivariate model for length of stay indicated that anemia was not significant (p=0.842), the morbidity of the patient was marginally not significant (p=0.089), however, the patients’ age was statistically significant at p=0.05. For the multivariate model of ADL improvement the results were: anemia p=0.186, sex p=0.298, Charlson index p=0.50. Conclusion - There is a definite lack in the identification and treatment of anemia in patients undergoing rehabilitation. Anemia exerts an influence on the course of patient therapy/recovery and should be addressed as an individual problem. Anemic patients undergoing rehabilitation are scoring lower, and are admitted longer to the hospital.

Infusion reactions following administration of intravenous rolapitant at an academic medical center

2018 ◽  
Vol 25 (7) ◽  
pp. 1776-1783 ◽  
Author(s):  
Amanda S Cass ◽  
Johlee S Odinet ◽  
John M Valgus ◽  
Daniel J Crona
Keyword(s):  
Medical Center ◽  
Phase 1 ◽  
Objective Assessment ◽  
Academic Medical Center ◽  
Treatment Strategies ◽  
Significant Risk ◽  
Hepatic Metabolism ◽  
Bioequivalence Study ◽  
Hypersensitivity Reactions ◽  
The North

In 2017, due to a fluid shortage secondary to Hurricane Maria's devastation of Puerto Rico, hospitals and health-systems began to substitute rolapitant for fosaprepitant as part of chemotherapy-induced nausea and vomiting prevention and treatment strategies. However, despite advantageous pharmacologic and formulation (e.g. long half-life, quicker time to onset, and lack of first-pass hepatic metabolism) profiles, there seems to be significant risk of infusion-related hypersensitivity reactions associated with the administration of intravenous rolapitant. In January 2018, the U.S. FDA issued a Health Care Provider Letter stating that anaphylaxis, anaphylactic shock, and other serious hypersensitivity reactions have been reported in the postmarketing setting. Importantly, these reactions were observed at a higher rate than initially reported in the phase 1 bioequivalence study that led to FDA approval of intravenous rolapitant (2.8%), with many resulting in hospitalizations. At our institution, rolapitant-induced infusion-related reactions also occurred in more patients than expected (8.7%). Described herein are six cases of infusion-related hypersensitivity reactions with intravenous rolapitant at the North Carolina Cancer Hospital. Due to the quick onset of the infusion-related hypersensitivity reactions with intravenous rolapitant, interpatient differences in pharmacokinetics or pharmacodynamics are unlikely to be the cause. An objective assessment utilizing the Naranjo Causality Scale rates these infusion-related hypersensitivity reactions as definite adverse drug reactions.

scholarly journals 666. Human Granulocytic Anaplasmosis and Ehrlichiosis Presenting to an Upstate New York Emergency Department

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S241-S241
Author(s):  
Michael Waxman ◽  
Jennifer White ◽  
Elizabeth M Dufort ◽  
Abigale Eichelman ◽  
Kathleen Stellrecht ◽  
...  
Keyword(s):  
Emergency Department ◽  
New York ◽  
Medical Center ◽  
Tick Bite ◽  
Laboratory Findings ◽  
Positive Polymerase Chain Reaction ◽  
Human Granulocytic Anaplasmosis ◽  
North East ◽  
The North ◽  
Granulocytic Anaplasmosis

Abstract Background Human granulocytic anaplasmosis (HGA) is an increasingly common tickborne infection in the North-East United States. Statewide incidence of human cases of anaplasmosis in New York (excluding New York City) increased 407% from 2010–2017, with a corresponding increase in Anaplasma phagocytophilum prevalence in ticks. While previous observational studies have described the clinical features of HGA, there has been little documentation of HGA diagnosed in the emergency department (ED) setting. Methods Demographic and clinical data were extracted from electronic records of cases with a positive polymerase chain reaction (PCR) for HGA or the closely related clinical entity ehrlichiosis from 2016 to 2017. HGA and ehrlichiosis PCR were performed by the Albany Medical Center laboratory on patients treated in the ED. Basic descriptive analyses were performed. Results During the 2-year period, there were 37 cases of PCR-positive HGA and four cases of PCR-positive ehrlichiosis treated in the ED. Electronic data were available for extraction for 40 of these cases. Mean age was 54 years old (range 7–94 years). Thirty-four (85%) patients presented with fever, and 9 (23%) reported a tick bite or tick exposure. Twenty-two (55%) patients had leukopenia; 32 (80%) thrombocytopenia; 26 (65%) hyponatremia; 24 (60%) elevated transaminases; 38 (95%) at least one of these laboratory abnormality; and 13 (33%) all four laboratory abnormalities. Twenty-four patients (60%) were given the empiric diagnosis of a tickborne illness upon disposition from the ED, with 19 (48%) patients admitted to the hospital. Conclusion To our knowledge, this study represents the first description of patients diagnosed with HGA (and ehrlichiosis) in the ED setting. Because of the inherent testing bias, further study is needed to establish the true ED prevalence of HGA in highly endemic regions. Notably, only 23% reported either a tick bite or tick exposure, highlighting the need to consider this for diagnosis in patients presenting to the ED with consistent symptoms and laboratory findings in endemic areas. Further study might explore whether there exists a collection of laboratory findings that could accurately identify HGA in ED patients. Disclosures All authors: No reported disclosures.

scholarly journals Effect of cannabis use on PTSD treatment outcomes in veterans

2021 ◽  
Vol 11 (4) ◽  
pp. 238-242
Author(s):  
Meagan Petersen ◽  
Katherine Koller ◽  
Craig Straley ◽  
Ellen Reed
Keyword(s):  
Medical Center ◽  
Treatment Success ◽  
White Male ◽  
Relative Number ◽  
Receptor Activation ◽  
Cannabis Use ◽  
Evidence Based ◽  
Cannabinoid Type 1 Receptor ◽  
Ptsd Treatment ◽  
Number Of Treatment

Abstract Introduction Researchers have found anandamide (an endocannabinoid) and cannabinoid type 1 receptor activation encourages extinction of aversive memories. Some theorize cannabinoids such as those in cannabis may provide a new treatment approach for PTSD, while others suggest it may worsen symptomology. The objective of the current study was to determine if cannabis use impacts the success of evidence-based intensive outpatient PTSD treatment in a veteran population. Methods A list of veterans enrolled in the Battle Creek Veterans' Affairs Medical Center outpatient PTSD Clinical Team Clinic between October 1st, 2008 and October 1st, 2016 was obtained, and a random sample was identified. Study participants were veterans aged 18 to 85 years, with at least 2 PTSD Checklist scores, and a diagnosis of PTSD. Data collected included mental health medications, type and number of evidence-based psychotherapy used, and presence of co-occurring behavioral health diagnoses. The cannabis use group was compared to the no-cannabis-use group, and differences in variables pertaining to the relative number of treatment successes and failures was evaluated for statistical and clinical significance. Results The majority of patients were white (87.1%) and male (95%). The success rate was similar between the cannabis and no-cannabis-use groups (51.9% and 51.4%, respectively). Discussion The current study did not show that a predominantly white male veteran sample diagnosed with PTSD differed in intensive PTSD treatment success or failure based on cannabis use.

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