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  1. Article ; Online: Starving for Oxygen: a Case Report of Severe Malnutrition Following Roux-en-Y Gastric Bypass Surgery Resulting in Acute Lower Extremity Ischemia.

    Abramyan, Shogik / Vemulapalli, Pratibha / Howell, Melanie H

    Obesity surgery

    2020  Volume 31, Issue 1, Page(s) 418–420

    MeSH term(s) Anastomosis, Roux-en-Y ; Gastric Bypass/adverse effects ; Humans ; Ischemia/etiology ; Lower Extremity/surgery ; Obesity, Morbid/surgery ; Oxygen
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2020-07-02
    Publishing country United States
    Document type Case Reports ; Letter
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-020-04823-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3381: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
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  2. Article: Percutaneous extraction of metallic foreign body from pyogenic liver abscess.

    Basin, Michael / Dimmer, Alexandra / Abramyan, Shogik / Tewari, Sanjit O / Lucia, Amie

    Journal of surgical case reports

    2022  Volume 2022, Issue 8, Page(s) rjac349

    Abstract: We report a case of a 35-year-old male who developed a pyogenic liver abscess (PLA) secondary to a foreign body that migrated from the transverse colon into the liver. The mainstay of treatment of PLA requires removal of the foreign body, most frequently ...

    Abstract We report a case of a 35-year-old male who developed a pyogenic liver abscess (PLA) secondary to a foreign body that migrated from the transverse colon into the liver. The mainstay of treatment of PLA requires removal of the foreign body, most frequently performed surgically. Few case reports exist of percutaneous removal. As our patient was hemodynamically stable at time of presentation, he underwent successful percutaneous transhepatic removal of the foreign body, avoiding any need for surgical operation.
    Language English
    Publishing date 2022-08-10
    Publishing country England
    Document type Case Reports
    ZDB-ID 2580919-2
    ISSN 2042-8812
    ISSN 2042-8812
    DOI 10.1093/jscr/rjac349
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Perforation of appendiceal adenocarcinoma ex goblet cell carcinoid: a rare case.

    Abramyan, Shogik / Almadani, Mahmoud W / Sirsi, Sandeep / Xiao, Philip Q / Asarian, Armand P

    Journal of surgical case reports

    2018  Volume 2018, Issue 9, Page(s) rjy242

    Abstract: Goblet cell carcinoid tumor is a rare form of carcinoid tumor of the appendix. It behaves more aggressively than classical carcinoid tumor of the appendix. Thus, special attention must be given to its disease course and treatment. Our case presentation ... ...

    Abstract Goblet cell carcinoid tumor is a rare form of carcinoid tumor of the appendix. It behaves more aggressively than classical carcinoid tumor of the appendix. Thus, special attention must be given to its disease course and treatment. Our case presentation is of a 68-year-old female who presented with abdominal pain. Computed tomography of her abdomen and pelvis showed a perforated appendicitis. She underwent an ileocectomy with pathological report showing a goblet cell carcinoid tumor of the appendix with negative lymph nodes. A subsequent colonoscopy done 5 months later showed no synchronous lesions and a healthy anastomosis. Given the limited amount of data available about goblet cell carcinoid tumors of the appendix, it is important to report all findings in an effort to improve our understanding and treatment approaches of this rare disease.
    Language English
    Publishing date 2018-09-19
    Publishing country England
    Document type Case Reports
    ISSN 2042-8812
    ISSN 2042-8812
    DOI 10.1093/jscr/rjy242
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  4. Article: Characterization of Critically Ill COVID-19 Patients at a Brooklyn Safety-Net Hospital.

    Capone, Stephen / Abramyan, Shogik / Ross, Brent / Rosenberg, Joshua / Zeibeq, John / Vasudevan, Viswanath / Samad, Reza / Gerolemou, Louis / Pinelis, Evgeny / Gasperino, James / Orsini, Jose

    Cureus

    2020  Volume 12, Issue 8, Page(s) e9809

    Abstract: Background The novel coronavirus disease 2019 (COVID-19) pandemic continues to spread across the country with over 3 million cases and 150,000 deaths in the United States as of July 2020. Outcomes have been poor, with reported admission rates to the ... ...

    Abstract Background The novel coronavirus disease 2019 (COVID-19) pandemic continues to spread across the country with over 3 million cases and 150,000 deaths in the United States as of July 2020. Outcomes have been poor, with reported admission rates to the intensive care team of 5% in China and mortality among critically ill patients of 50% in Seattle. Here we explore the disease characteristics in a Brooklyn safety-net hospital affected by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. Methods A retrospective chart review of COVID-19 positive patients at The Brooklyn Hospital Center who were treated by the intensive care team prior to April 20, 2020. Data was extracted from the electronic health record, analyzed and correlated for outcome. Results Impact of various clinical treatments was assessed, showing no change in median overall survival (OS) of both hydroxychloroquine with azithromycin or vitamin C with zinc. Supplemental therapies were used in selected patients, and some were shown to increase median OS and patients requiring vasopressor support or invasive mechanical ventilation showed decreased OS. There was no statistically significant difference in overall survival based on ethnicity, healthcare status, or individual medical comorbidities, although a negative trend exists for diabetes. Despite this, there is a trend towards increasingly poor prognosis based on the number of comorbidities and Class 3 obesity.  Conclusions Despite the fact that we show no significant differences in mortality based on ethnicity, insurance status, or individual medical comorbidities, we show a high overall mortality. There is also a trend towards increased overall mortality in Class 3 obesity, which should be further investigated. We suggest that these findings may be attributed to both socioeconomic factors and an increased incidence of total medical comorbidities in our patient population.
    Keywords covid19
    Language English
    Publishing date 2020-08-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.9809
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Characterization of Critically Ill COVID-19 Patients at a Brooklyn Safety-Net Hospital

    Capone, Stephen / Abramyan, Shogik / Ross, Brent / Rosenberg, Joshua / Zeibeq, John / Vasudevan, Viswanath / Samad, Reza / Gerolemou, Louis / Pinelis, Evgeny / Gasperino, James / Orsini, Jose

    Cureus

    Abstract: Background The novel coronavirus disease 2019 (COVID-19) pandemic continues to spread across the country with over 3 million cases and 150,000 deaths in the United States as of July 2020 Outcomes have been poor, with reported admission rates to the ... ...

    Abstract Background The novel coronavirus disease 2019 (COVID-19) pandemic continues to spread across the country with over 3 million cases and 150,000 deaths in the United States as of July 2020 Outcomes have been poor, with reported admission rates to the intensive care team of 5% in China and mortality among critically ill patients of 50% in Seattle Here we explore the disease characteristics in a Brooklyn safety-net hospital affected by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic Methods A retrospective chart review of COVID-19 positive patients at The Brooklyn Hospital Center who were treated by the intensive care team prior to April 20, 2020 Data was extracted from the electronic health record, analyzed and correlated for outcome Results Impact of various clinical treatments was assessed, showing no change in median overall survival (OS) of both hydroxychloroquine with azithromycin or vitamin C with zinc Supplemental therapies were used in selected patients, and some were shown to increase median OS and patients requiring vasopressor support or invasive mechanical ventilation showed decreased OS There was no statistically significant difference in overall survival based on ethnicity, healthcare status, or individual medical comorbidities, although a negative trend exists for diabetes Despite this, there is a trend towards increasingly poor prognosis based on the number of comorbidities and Class 3 obesity Conclusions Despite the fact that we show no significant differences in mortality based on ethnicity, insurance status, or individual medical comorbidities, we show a high overall mortality There is also a trend towards increased overall mortality in Class 3 obesity, which should be further investigated We suggest that these findings may be attributed to both socioeconomic factors and an increased incidence of total medical comorbidities in our patient population
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #732667
    Database COVID19

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  6. Article: Education correction using years in school or reading grade-level equivalent? Comparing the accuracy of two methods in diagnosing HIV-associated neurocognitive impairment.

    Rohit, Mona / Levine, Andrew / Hinkin, Charles / Abramyan, Shogik / Saxton, Ernestine / Valdes-Sueiras, Miguel / Singer, Elyse

    Journal of the International Neuropsychological Society : JINS

    2007  Volume 13, Issue 3, Page(s) 462–470

    Abstract: Neuropsychological tests generally require adjustments for years of education when determining the presence of neurocognitive impairment. However, evidence indicates that educational quality, as assessed with reading tests, may be a better reflection of ... ...

    Abstract Neuropsychological tests generally require adjustments for years of education when determining the presence of neurocognitive impairment. However, evidence indicates that educational quality, as assessed with reading tests, may be a better reflection of educational attainment among African Americans. Thus, African Americans with poor educational quality may be incorrectly classified with neurocognitive impairment based on neuropsychological tests. We compared the accuracy of neuropsychological test scores standardized using reading grade-equivalent versus years of education in predicting neurocognitive impairment among a sample of Whites and African-American adults who were HIV+. Participants were examined by a neurologist and classified with or without HIV-associated neurocognitive disorders according to accepted criteria. Participants were also classified as impaired versus not impaired based on their neuropsychological test scores standardized by 1) self-reported education or 2) WRAT-3 reading grade-level. Cross tabulation tables were used to determine agreement of the two methods in detecting impairment. Among African-Americans, standardized scores derived from reading scores had greater specificity than those derived from years of education (84.1% vs. 77.3). Among the Whites, correction based on years of education had both greater specificity and sensitivity. The results suggest that reading tests may be a useful alternative for determining NCI among African Americans.
    MeSH term(s) Adult ; African Americans ; Analysis of Variance ; Cognition Disorders/diagnosis ; Cognition Disorders/etiology ; Cross-Sectional Studies ; Education ; Educational Measurement/methods ; Educational Status ; European Continental Ancestry Group ; HIV Infections/complications ; HIV Infections/psychology ; Humans ; Middle Aged ; Neuropsychological Tests ; Reading ; Sensitivity and Specificity
    Language English
    Publishing date 2007-02-08
    Publishing country England
    Document type Comparative Study ; Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1230632-0
    ISSN 1469-7661 ; 1355-6177
    ISSN (online) 1469-7661
    ISSN 1355-6177
    DOI 10.1017/S1355617707070506
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4440: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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