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  1. Article ; Online: Patient with systemic emboli in the setting of

    Leso, John / Al-Ahmad, Majd / Hand, Drinnon O

    BMJ case reports

    2021  Volume 14, Issue 8

    Abstract: A 34-year-old man with a medical history of injection drug use presented with 2 weeks of weakness, nausea, vomiting and septic shock secondary to infective endocarditis of a native tricuspid valve. On admission, CT chest demonstrated multiple cavitary ... ...

    Abstract A 34-year-old man with a medical history of injection drug use presented with 2 weeks of weakness, nausea, vomiting and septic shock secondary to infective endocarditis of a native tricuspid valve. On admission, CT chest demonstrated multiple cavitary lesions as well as numerous small infarcts seen on MRI brain concerning for systemic septic emboli. Subsequent transthoracic echo with bubble study revealed a large patent foramen ovale (PFO). The patient later received surgical debulking of his tricuspid valve vegetation with AngioVac. Subsequently, PFO closure was performed with a NobleStitch device. The case presented here demonstrates the importance of having a high index of suspicion with right-sided endocarditis and the development of other systemic signs and symptoms. It also underscores the necessity of a multidisciplinary team of cardiologists, surgeons, infectious disease specialists and intensivists in the treatment of these complicated patients.
    MeSH term(s) Adult ; Endocarditis/complications ; Endocarditis/diagnostic imaging ; Endocarditis/surgery ; Endocarditis, Bacterial/complications ; Endocarditis, Bacterial/diagnostic imaging ; Foramen Ovale, Patent/complications ; Foramen Ovale, Patent/diagnostic imaging ; Foramen Ovale, Patent/surgery ; Humans ; Klebsiella oxytoca ; Male ; Tricuspid Valve/diagnostic imaging ; Tricuspid Valve/surgery
    Language English
    Publishing date 2021-08-20
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2021-243370
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Inpatient outcomes of inflammatory bowel disease in hospitalized patients with COVID-19: analysis of a nationally representative sample.

    Aldiabat, Mohammad / Alsakarneh, Saqr / Daniel, Tyrell / Butt, Muhammad Ali / Jagdish, Balaji / Rock, James / Sudan, Aarushi / Al-Ahmad, Majd / Jabri, Ahmad / Kilani, Yassine / Odah, Tarek / Alhuneafat, Laith / Zulqarnain, Mir / Hashash, Jana G / Ghoz, Hassan

    Proceedings (Baylor University. Medical Center)

    2024  Volume 37, Issue 2, Page(s) 239–247

    Abstract: Purpose: To compare the risks of adverse outcomes, including mortality, gastrointestinal bleeding, and venous thromboembolism, between COVID-19 patients with inflammatory bowel disease (IBD) and those without IBD.: Methods: We analyzed data from the ... ...

    Abstract Purpose: To compare the risks of adverse outcomes, including mortality, gastrointestinal bleeding, and venous thromboembolism, between COVID-19 patients with inflammatory bowel disease (IBD) and those without IBD.
    Methods: We analyzed data from the National Inpatient Sample between January and December 2020. The study included adult patients with Crohn's disease (CD) and ulcerative colitis (UC) who contracted COVID-19. Inpatient outcomes were compared between the IBD and non-IBD COVID-19 cohorts.
    Results: Out of 1,050,045 COVID-19 hospitalizations, 0.28% had CD (2954 patients) and 0.26% had UC (2794 patients). After adjusting for confounding factors, UC patients had a significantly higher risk of deep vein thrombosis compared to non-IBD patients, with an adjusted odds ratio (aOR) of 2.55 (
    Conclusion: Our national study on COVID-19 hospitalizations indicates that patients with IBD have comparable rates of gastrointestinal bleeding, pulmonary embolism, and mortality as those without IBD. However, patients with UC hospitalized with COVID-19 have a higher risk of deep vein thrombosis than COVID-19 patients hospitalized without UC. Further research is needed to better understand the relationship between COVID-19 and IBD.
    Language English
    Publishing date 2024-02-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2703932-8
    ISSN 1525-3252 ; 0899-8280
    ISSN (online) 1525-3252
    ISSN 0899-8280
    DOI 10.1080/08998280.2024.2303402
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Racial and Ethnic Disparities in Peripheral Vascular Disease Admissions Using a Nationally Representative Sample.

    Alhuneafat, Laith / Omar, Yazan Abu / Naser, Abdallah / Jagdish, Balaji / Alameh, Anas / Al-Ahmad, Majd / Abdouh, Ahmad Al / Mhanna, Mohammed / Hammad, Nour / Khalid, Umar / Yousaf, Adnan / Madanat, Luai / Al-Amer, Mohammad / Gharaibeh, Ahmad / Siraj, Aisha / Nasser, Farhan / Jabri, Ahmad

    The American journal of cardiology

    2023  Volume 202, Page(s) 74–80

    Abstract: Our study aimed to identify clinical outcomes and resource utilization associated with race and ethnicity in patients admitted with peripheral vascular disease (PVD) across the United States. We queried the National Inpatient Sample database from 2015 to ...

    Abstract Our study aimed to identify clinical outcomes and resource utilization associated with race and ethnicity in patients admitted with peripheral vascular disease (PVD) across the United States. We queried the National Inpatient Sample database from 2015 to 2019 and identified 622,820 patients admitted with PVD. Patients across 3 major race and ethnic categories were compared in terms of baseline characteristics, inpatient outcomes, and resource utilization. Black and Hispanic patients were more likely to be younger and of the lowest median income but incur higher total hospital costs. Black race predicted higher rates of acute kidney injury, need for blood transfusion, and need for vasopressor but lower rates of circulatory shock, and mortality. Black and Hispanic patients were less likely to undergo limb-salvaging procedures and more likely to undergo amputation than White patients. In conclusion, our findings indicate that Black and Hispanic patients experience health disparities in resource utilization and inpatient outcomes for PVD admissions.
    MeSH term(s) Humans ; Black or African American ; Ethnicity ; Healthcare Disparities ; Hospitalization ; Peripheral Vascular Diseases/epidemiology ; United States/epidemiology ; White ; Hispanic or Latino
    Language English
    Publishing date 2023-07-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80014-4
    ISSN 1879-1913 ; 0002-9149
    ISSN (online) 1879-1913
    ISSN 0002-9149
    DOI 10.1016/j.amjcard.2023.06.055
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Declining prevalence of

    Altamimi, Eyad / Alsharkhat, Noor / AlJawarneh, Afnan / Abu Hamad, Moh D Rawhi / Assi, Anas Abu / Alawneh, Sarah / Al-Ahmad, Majd

    Heliyon

    2020  Volume 6, Issue 7, Page(s) e04416

    Abstract: Introduction: Helicobacter pylori: Materials and methods: We prospectively enrolled children between the ages of 4 and 17 years from April 2019 to July 2019. Enrolled children were patients with nongastrointestinal complaints at the pediatric clinics ...

    Abstract Introduction: Helicobacter pylori
    Materials and methods: We prospectively enrolled children between the ages of 4 and 17 years from April 2019 to July 2019. Enrolled children were patients with nongastrointestinal complaints at the pediatric clinics of two hospitals and at community centers caring for healthy children in Irbid, Jordan. Questionnaires obtaining data on sociodemographics, clinical symptomatology, and hygienic risk factors were completed. Recruited children underwent a urea breath test (UBT).
    Results: Of 340 children who were recruited, 328 (96.5%) were included in the final analysis. The mean age (±standard deviation) was 9.56 (±3.98) years (range, 4.0-17 years), and 168 (51.2%) were males. Only 48 children (14.6%) tested positive. There were no gender differences. Living in an urban area and a family history of previous
    Conclusion: H. pylori
    Language English
    Publishing date 2020-07-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 2835763-2
    ISSN 2405-8440
    ISSN 2405-8440
    DOI 10.1016/j.heliyon.2020.e04416
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Declining prevalence of Helicobacter pylori infection in Jordanian children, report from developing country

    Altamimi, Eyad / Alsharkhat, Noor / AlJawarneh, Afnan / Abu Hamad, Moh`d Rawhi / Assi, Anas Abu / Alawneh, Sarah / Al-Ahmad, Majd

    Heliyon. 2020 July, v. 6, no. 7

    2020  

    Abstract: Helicobacter pylori (H. pylori) is a Gram-negative bacteria that is harbored in the stomach and linked to chronic gastritis, peptic ulcer disease, and gastric malignancy. Most Helicobacter infections are acquired during early infancy. This study aimed to ...

    Abstract Helicobacter pylori (H. pylori) is a Gram-negative bacteria that is harbored in the stomach and linked to chronic gastritis, peptic ulcer disease, and gastric malignancy. Most Helicobacter infections are acquired during early infancy. This study aimed to establish the prevalence of H. pylori infection in Jordanian children using the ¹³C-urea breath test.We prospectively enrolled children between the ages of 4 and 17 years from April 2019 to July 2019. Enrolled children were patients with nongastrointestinal complaints at the pediatric clinics of two hospitals and at community centers caring for healthy children in Irbid, Jordan. Questionnaires obtaining data on sociodemographics, clinical symptomatology, and hygienic risk factors were completed. Recruited children underwent a urea breath test (UBT).Of 340 children who were recruited, 328 (96.5%) were included in the final analysis. The mean age (±standard deviation) was 9.56 (±3.98) years (range, 4.0–17 years), and 168 (51.2%) were males. Only 48 children (14.6%) tested positive. There were no gender differences. Living in an urban area and a family history of previous H. pylori infection were risk factors for the acquisition of infection (P = 0.007 and 0.001, respectively). Although gastrointestinal symptoms were more common in H. pylori-infected children, only hiccups and constipation were statistically significant (P = 0.035 and 0.038, respectively).H. pylori infects at least 15% of Jordanian children, suggesting a significant drop in infection rates in this group. Larger-scale studies combined with clinical evaluations will be important for further understanding the reasons for the observed decrease in H. pylori infections in Jordanian children.
    Keywords Helicobacter pylori ; breath tests ; constipation ; gastritis ; hygiene ; infancy ; peptic ulcers ; sociodemographic characteristics ; stomach ; urban areas ; urea ; Jordan
    Language English
    Dates of publication 2020-07
    Publishing place Elsevier Ltd
    Document type Article
    Note NAL-AP-2-clean
    ZDB-ID 2835763-2
    ISSN 2405-8440
    ISSN 2405-8440
    DOI 10.1016/j.heliyon.2020.e04416
    Database NAL-Catalogue (AGRICOLA)

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