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Article ; Online: Co-infection with SARS-CoV-2 and Human Metapneumovirus.

Touzard-Romo, Francine / Tapé, Chantal / Lonks, John R

Rhode Island medical journal (2013)

2020 Volume 103, Issue 2, Page(s) 75–76

Abstract: The novel coronavirus (now called SARS-CoV-2) initially discovered in Wuhan, China, has now become a global pandemic. We describe a patient presenting to an Emergency Department in Rhode Island on March 12, 2020 with cough and shortness of breath after a ...

Abstract	The novel coronavirus (now called SARS-CoV-2) initially discovered in Wuhan, China, has now become a global pandemic. We describe a patient presenting to an Emergency Department in Rhode Island on March 12, 2020 with cough and shortness of breath after a trip to Jamaica. The patient underwent nasopharyngeal swab for a respiratory pathogen panel as well as SARS-CoV-2 RT-PCR. When the respiratory pathogen panel was positive for human metapneumovirus, the patient was treated and discharged. SARS-CoV-2 RT-PCR came back positive 24 hours later. Although respiratory viral co-infection is thought to be relatively uncommon in adults, this case reflects that SARS-CoV-2 testing algorithms that exclude patients who test positive for routine viral pathogens may miss SARS-CoV-2 co-infected patients.
MeSH term(s)	Betacoronavirus/isolation & purification ; COVID-19 ; COVID-19 Testing ; Clinical Laboratory Techniques ; Coinfection ; Coronavirus Infections/complications ; Coronavirus Infections/diagnosis ; Coronavirus Infections/drug therapy ; Cough/etiology ; Dyspnea/etiology ; Humans ; Metapneumovirus/isolation & purification ; Middle Aged ; Nasopharynx/virology ; Pandemics ; Paramyxoviridae Infections/complications ; Paramyxoviridae Infections/diagnosis ; Paramyxoviridae Infections/drug therapy ; Patient Isolation ; Pneumonia, Viral/complications ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/drug therapy ; SARS-CoV-2 ; Travel ; Treatment Outcome
Keywords	covid19
Language	English
Publishing date	2020-03-19
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	419430-5
ISSN	2327-2228 ; 0363-7913
ISSN (online)	2327-2228
ISSN	0363-7913
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Co-infection with SARS-CoV-2 and Human Metapneumovirus

Touzard-Romo, Francine / Tapé, Chantal / Lonks, John R

R I Med J (2013)

Abstract	The novel coronavirus (now called SARS-CoV-2) initially discovered in Wuhan, China, has now become a global pandemic. We describe a patient presenting to an Emergency Department in Rhode Island on March 12, 2020 with cough and shortness of breath after a trip to Jamaica. The patient underwent nasopharyngeal swab for a respiratory pathogen panel as well as SARS-CoV-2 RT-PCR. When the respiratory pathogen panel was positive for human metapneumovirus, the patient was treated and discharged. SARS-CoV-2 RT-PCR came back positive 24 hours later. Although respiratory viral co-infection is thought to be relatively uncommon in adults, this case reflects that SARS-CoV-2 testing algorithms that exclude patients who test positive for routine viral pathogens may miss SARS-CoV-2 co-infected patients.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: ##BR#"13511
Database	COVID19

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Article ; Online: COVID-19 in a Patient Presenting with Syncope and a Normal Chest X-ray.

Tapé, Chantal / Byrd, Katrina M / Aung, Su / Lonks, John R / Flanigan, Timothy P / Rybak, Natasha R

Rhode Island medical journal (2013)

2020 Volume 103, Issue 3, Page(s) 50–51

Abstract: SARS-CoV-2 is a novel virus that has now affected hundreds of thousands of individuals across the world. Amidst this global pandemic, maintaining a high index of suspicion, rapid testing capacity, and infection control measures are required to curtail ... ...

Abstract	SARS-CoV-2 is a novel virus that has now affected hundreds of thousands of individuals across the world. Amidst this global pandemic, maintaining a high index of suspicion, rapid testing capacity, and infection control measures are required to curtail the virus' rapid spread. While fever and respiratory symptoms have been commonly used to identify COVID-19 suspects, we present an elderly female who arrived to the hospital after a syncopal episode. She was afebrile with a normal chest X-ray and there was no suspicion of COVID-19. She then developed a fever and tested positive for COVID-19. Our unique case underscores the increasing diversity of COVID-19 presentations and potential for initial mis- diagnosis and delay in implementing proper precautions.
MeSH term(s)	Aged ; Betacoronavirus ; COVID-19 ; COVID-19 Testing ; Clinical Laboratory Techniques ; Coronavirus Infections/complications ; Coronavirus Infections/diagnosis ; Diagnostic Errors ; Female ; Fever/etiology ; Humans ; Pandemics ; Pneumonia, Viral/complications ; Pneumonia, Viral/diagnosis ; Radiography, Thoracic ; SARS-CoV-2 ; Syncope/etiology
Keywords	covid19
Language	English
Publishing date	2020-03-26
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	419430-5
ISSN	2327-2228 ; 0363-7913
ISSN (online)	2327-2228
ISSN	0363-7913
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 222: Show issues

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Article: Anemia in a young Guinean male.

Wilcox, Nicholas S / Tapé, Chantal / Cordisco, Anthony J / Than, Minh T / Zuroff, Leah / Dobkin, Jane / Massa, Ryan C / Lytle, Andrew G / Bagg, Adam / Min, Htun / Glaser, Laurel J / Kosseim, Laura M

Clinical case reports

2021 Volume 9, Issue 8, Page(s) e04593

Abstract: The etiology of anemia in adults is often multifactorial. This case highlights an uncommon combination of causes of anemia and the importance of a diagnostic workup guided by a patient's unique history, risk factors, and laboratory findings. ...

Abstract	The etiology of anemia in adults is often multifactorial. This case highlights an uncommon combination of causes of anemia and the importance of a diagnostic workup guided by a patient's unique history, risk factors, and laboratory findings.
Language	English
Publishing date	2021-08-06
Publishing country	England
Document type	Case Reports
ZDB-ID	2740234-4
ISSN	2050-0904
ISSN	2050-0904
DOI	10.1002/ccr3.4593
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: COVID-19 in a Patient Presenting with Syncope and a Normal Chest X-ray

Tapé, Chantal / Byrd, Katrina M / Aung, Su / Lonks, John R / Flanigan, Timothy P / Rybak, Natasha R

R I Med J (2013)

Abstract	SARS-CoV-2 is a novel virus that has now affected hundreds of thousands of individuals across the world. Amidst this global pandemic, maintaining a high index of suspicion, rapid testing capacity, and infection control measures are required to curtail the virus' rapid spread. While fever and respiratory symptoms have been commonly used to identify COVID-19 suspects, we present an elderly female who arrived to the hospital after a syncopal episode. She was afebrile with a normal chest X-ray and there was no suspicion of COVID-19. She then developed a fever and tested positive for COVID-19. Our unique case underscores the increasing diversity of COVID-19 presentations and potential for initial mis- diagnosis and delay in implementing proper precautions.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #32226962
Database	COVID19

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Article ; Online: Anemia in a young Guinean male

Nicholas S. Wilcox / Chantal Tapé / Anthony J. Cordisco / Minh T. Than / Leah Zuroff / Jane Dobkin / Ryan C. Massa / Andrew G. Lytle / Adam Bagg / Htun Min / Laurel J. Glaser / Laura M. Kosseim

Clinical Case Reports, Vol 9, Iss 8, Pp n/a-n/a (2021)

2021

Abstract: Abstract The etiology of anemia in adults is often multifactorial. This case highlights an uncommon combination of causes of anemia and the importance of a diagnostic workup guided by a patient's unique history, risk factors, and laboratory findings. ...

Abstract	Abstract The etiology of anemia in adults is often multifactorial. This case highlights an uncommon combination of causes of anemia and the importance of a diagnostic workup guided by a patient's unique history, risk factors, and laboratory findings.
Keywords	anemia ; hematology ; infectious diseases ; pernicious anemia ; schistosomiasis ; vitamin B12 deficiency ; Medicine ; R ; Medicine (General) ; R5-920
Language	English
Publishing date	2021-08-01T00:00:00Z
Publisher	Wiley
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: "That's Where the Arguments Come in": A Qualitative Analysis of Booster Sessions Following a Brief Intervention for Drug Use and Intimate Partner Violence in the Emergency Department.

Choo, Esther K / Tapé, Chantal / Glerum, Kimberly M / Mello, Michael J / Zlotnick, Caron / Guthrie, Kate Morrow

Substance abuse : research and treatment

2016 Volume 10, Page(s) 77–87

Abstract: Although booster phone calls have been used to enhance the impact of brief interventions in the emergency department, there has been less number of studies describing the content of these boosters. We conducted a qualitative analysis of booster calls ... ...

Abstract	Although booster phone calls have been used to enhance the impact of brief interventions in the emergency department, there has been less number of studies describing the content of these boosters. We conducted a qualitative analysis of booster calls occurring two weeks after an initial Web-based intervention for drug use and intimate partner violence (IPV) among women presenting for emergency care, with the objective of identifying the following: progress toward goals set during the initial emergency department visit, barriers to positive change, and additional resources and services needed in order to inform improvements in future booster sessions. The initial thematic framework was developed by summarizing codes by major themes and subthemes; the study team collaboratively decided on a final thematic framework. Eighteen participants completed the booster call. Most of them described a therapeutic purpose for their drug use. Altering the social milieu was the primary means of drug use change; this seemed to increase isolation of women already in abusive relationships. Women described IPV as interwoven with drug use. Participants identified challenges in attending substance use treatment service and domestic violence agencies. Women with substance use disorders and in abusive relationships face specific barriers to reducing drug use and to seeking help after a brief intervention.
Language	English
Publishing date	2016-09-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	1458030-5
ISSN	1547-0164 ; 1178-2218 ; 0889-7077
ISSN (online)	1547-0164
ISSN	1178-2218 ; 0889-7077
DOI	10.4137/SART.S33388
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 6243: Show issues

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Article ; Online: Physician Specialty Influences Care of Pelvic Inflammatory Disease.

Wiske, Clay P / Palisoul, Marguerite / Tapé, Chantal / Baird, Janette / McGregor, Alyson J

Journal of women's health (2002)

2016 Volume 25, Issue 7, Page(s) 723–728

Abstract: Background: CDC guidelines recommend Neisseria gonorrhoeae, Chlamydia trachomatis, and HIV testing, as well as specific antibiotic regimens in the diagnosis and treatment of pelvic inflammatory disease (PID), although latitude in adhering to these ... ...

Abstract	Background: CDC guidelines recommend Neisseria gonorrhoeae, Chlamydia trachomatis, and HIV testing, as well as specific antibiotic regimens in the diagnosis and treatment of pelvic inflammatory disease (PID), although latitude in adhering to these guidelines is common. We hypothesized that adherence to CDC guidelines for antibiotic regimens and laboratory testing, coverage for anaerobic organisms, and the use of diagnostic imaging techniques do not differ significantly between practitioners with emergency medicine (EM) versus obstetrics and gynecology (OB-GYN) training. Materials and methods: We conducted a retrospective medical chart review on patients (N = 351) discharged with a diagnosis of PID over a 20-month period at two neighboring emergency care facilities-one with EM-trained providers and the other with OB-GYN-trained providers. Results: Adjusted for demographic predictors and chief complaint, there was no significant difference in adherence to N. gonorrhoeae and C. trachomatis antibiotic coverage guidelines between the two facilities (adjusted odds ratio [AOR] 1.34; 95% CI 0.66-2.74), using the OB-GYN facility in the numerator of the AOR. Anaerobic coverage was significantly more common at the OB-GYN facility (AOR 9.11; 95% CI 5.36-15.48). Both sites had very low rates of adherence to CDC laboratory testing guidelines with overall rates of adherence at 4.0% (95% CI 1.9%-5.9%). Utilization of diagnostic tests differed greatly between facilities: ultrasound utilization was 66.7% (95% CI 58.2%-75.2%) at the OB-GYN facility and 39.7% (95% CI 33.4%-45.9%) at the EM facility. Conclusions: The diagnostic pathway for PID and adherence to guidelines differ significantly depending on physician specialty and practice environment, suggesting the need for further standardization, perhaps with cross-disciplinary training.
MeSH term(s)	Adolescent ; Adult ; Anti-Bacterial Agents/therapeutic use ; Chlamydia Infections/diagnosis ; Chlamydia Infections/drug therapy ; Emergency Medical Services/statistics & numerical data ; Female ; Gonorrhea/diagnosis ; Gonorrhea/drug therapy ; Guideline Adherence/statistics & numerical data ; Gynecology/statistics & numerical data ; Humans ; Mass Screening/methods ; Middle Aged ; Obstetrics/statistics & numerical data ; Pelvic Inflammatory Disease/diagnosis ; Pelvic Inflammatory Disease/drug therapy ; Physicians ; Practice Guidelines as Topic ; Practice Patterns, Physicians'/statistics & numerical data ; Retrospective Studies ; Young Adult
Chemical Substances	Anti-Bacterial Agents
Language	English
Publishing date	2016-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	1139774-3
ISSN	1931-843X ; 1059-7115 ; 1540-9996
ISSN (online)	1931-843X
ISSN	1059-7115 ; 1540-9996
DOI	10.1089/jwh.2015.5349
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 3584: Show issues

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Article ; Online: BSAFER: A Web-based intervention for drug use and intimate partner violence demonstrates feasibility and acceptability among women in the emergency department.

Choo, Esther K / Zlotnick, Caron / Strong, David R / Squires, Daniel D / Tapé, Chantal / Mello, Michael J

Substance abuse

2016 Volume 37, Issue 3, Page(s) 441–449

Abstract: Background: Addressing violence along with drug use change goals is critical for women with coexisting intimate partner violence (IPV) and substance use disorders (SUDs).: Methods: This was an acceptability and feasibility study of BSAFER, a brief ... ...

Abstract	Background: Addressing violence along with drug use change goals is critical for women with coexisting intimate partner violence (IPV) and substance use disorders (SUDs). Methods: This was an acceptability and feasibility study of BSAFER, a brief Web-based program and booster phone call addressing violence and drug use. A screening survey identified women with recent drug use and IPV in the emergency department (ED). Participants were randomized to BSAFER or a Web-based control program and booster call providing education about home fire safety. Program completion, usability, satisfaction, and motivational interviewing (MI) adherence were primary outcomes. Drug use and IPV outcomes were measured at baseline, 1 month, and 3 months. Results: Forty women were enrolled (21 BSAFER, 19 control); 50% were nonwhite and mean age was 30 years. The most commonly used drugs were marijuana (88%) and cocaine (30%); 45% reported physical abuse, and 33% reported severe combined physical and sexual abuse. Thirty-nine (98%) completed the Web program, 30 (75%) completed the booster, and 29 (73%) completed the 3-month follow-up. Mean System Usability Scale (SUS) for the BSAFER Web program was 84 (95% confidence interval [CI]: 78-89) of 100; mean Client Satisfaction Questionnaire (CSQ-8) was 28 (95% CI: 26-29) of 32. MI adherence scores were high and similar for both the Web program and the booster. Both intervention and control groups had small mean decreases in weekly drug use days (0.7 vs. 1.5 days); participants using drugs other than marijuana demonstrated greater average reductions in drug use than those using marijuana only. Conclusions: An ED Web-based intervention for SUDs and IPV in women demonstrated feasibility and acceptability. Future studies will examine efficacy of the BSAFER program and investigate whether specific subgroups of drug using women may be most responsive to ED-based Web interventions.
Language	English
Publishing date	2016-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	1458030-5
ISSN	1547-0164 ; 0889-7077
ISSN (online)	1547-0164
ISSN	0889-7077
DOI	10.1080/08897077.2015.1134755
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Article ; Online: Abortion-related emergency department visits in the United States: An analysis of a national emergency department sample.

Upadhyay, Ushma D / Johns, Nicole E / Barron, Rebecca / Cartwright, Alice F / Tapé, Chantal / Mierjeski, Alyssa / McGregor, Alyson J

BMC medicine

2018 Volume 16, Issue 1, Page(s) 88

Abstract: Background: Media depictions and laws passed in state legislatures regulating abortion suggest abortion-related medical emergencies are common. An accurate understanding of abortion-related emergencies is important for informing policy and practice. We ... ...

Abstract	Background: Media depictions and laws passed in state legislatures regulating abortion suggest abortion-related medical emergencies are common. An accurate understanding of abortion-related emergencies is important for informing policy and practice. We assessed the incidence of abortion-related emergency department (ED) visits in the United States (U.S.). Methods: We used a retrospective observational study design using 2009-2013 data from the Nationwide Emergency Department Sample, a nationally representative sample of U.S. ED visits from 947 to 964 hospitals across the U.S. per year. All ED visits among women of reproductive age (15-49) were included. We categorized ED visits by abortion relatedness and treatments received, and assessed whether the visit was for a major incident (defined as requiring blood transfusion, surgery, or overnight inpatient stay). We estimated the proportion of visits that were abortion-related and described the characteristics of patients making these visits, the diagnoses and subsequent treatments received by these patients, the sociodemographic and hospital characteristics associated with the incidents and observation care only (defined as receiving no treatments), and the rate of major incidents for all abortion patients in the U.S. Results: Among all ED visits by women aged 15-49 (189,480,685), 0.01% (n = 27,941) were abortion-related. Of these visits, 51% (95% confidence interval, 95% CI 49.3-51.9%) of the women received observation care only. A total of 20% (95% CI 19.3-21.3%) of abortion-related ED visits were for major incidents. One-fifth (22%, 95% CI 20.9-23.0%) of abortion-related visits resulted in admission to the same hospital for abortion-related reasons. Of the visits, 1.4% (n = 390, 95% CI 1.1-1.7%) were potentially due to attempts at self-induced abortion. In multivariable models, women using Medicaid (adjusted odds ratio, AOR 1.28, 95% CI 1.08-1.52) and women with a comorbid condition (AORs 2.47-4.63) had higher odds of having a major incident than women using private insurance and those without comorbid conditions. During the study period, 0.11% of all abortions in the U.S. resulted in major incidents as seen in EDs. Conclusions: Abortion-related ED visits comprise a small proportion of women's ED visits. Many abortion-related ED visits may not be indicated or could have been managed at a less costly level of care. Given the low rate of major incidents, perceptions that abortion is unsafe are not based on evidence.
MeSH term(s)	Abortion, Induced/trends ; Adolescent ; Adult ; Emergency Service, Hospital/trends ; Female ; Humans ; Male ; Middle Aged ; Pregnancy ; Retrospective Studies ; United States ; Young Adult
Language	English
Publishing date	2018-06-14
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	1741-7015
ISSN (online)	1741-7015
DOI	10.1186/s12916-018-1072-0
Database	MEDical Literature Analysis and Retrieval System OnLINE

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